Podcasts about lifestyle interventions

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Best podcasts about lifestyle interventions

Latest podcast episodes about lifestyle interventions

Ta de Clinicagem
TdC 283: Manejo de doença coronariana crônica

Ta de Clinicagem

Play Episode Listen Later May 14, 2025 53:52


Marcela Belleza e Raphael Coelho convidam Matheus Rezende, residente do último ano de Cardiologia - Incor, para conversar sobre manejo de doença coronariana crônica em tres tópicos:- Como realizar a investigação inicial?- Como fazer a terapia medicamentosa inicial?- O que fazer com o paciente que não melhora?Referências: 1. Vrints C, Andreotti F, Koskinas KC, et al. 2024 ESC Guidelines for the management of chronic coronary syndromes [published correction appears in Eur Heart J. 2025 Feb 21:ehaf079. doi: 10.1093/eurheartj/ehaf079.]. Eur Heart J. 2024;45(36):3415-3537. doi:10.1093/eurheartj/ehae1772. Virani, Salim S et al. “2023 AHA/ACC/ACCP/ASPC/NLA/PCNA Guideline for the Management of Patients With Chronic Coronary Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.” Circulation vol. 148,9 (2023): e9-e119. doi:10.1161/CIR.00000000000011683. Montone RA, Rinaldi R, Niccoli G, et al. Optimizing Management of Stable Angina: A Patient-Centered Approach Integrating Revascularization, Medical Therapy, and Lifestyle Interventions. J Am Coll Cardiol. 2024;84(8):744-760. doi:10.1016/j.jacc.2024.06.0154. Mortensen MB, Dzaye O, Steffensen FH, et al. Impact of Plaque Burden Versus Stenosis on Ischemic Events in Patients With Coronary Atherosclerosis. J Am Coll Cardiol. 2020;76(24):2803-2813. doi:10.1016/j.jacc.2020.10.0215. Doenst T, Haverich A, Serruys P, et al. PCI and CABG for Treating Stable Coronary Artery Disease: JACC Review Topic of the Week. J Am Coll Cardiol. 2019;73(8):964-976. doi:10.1016/j.jacc.2018.11.0536. Maron DJ, Hochman JS, Reynolds HR, et al. Initial Invasive or Conservative Strategy for Stable Coronary Disease. N Engl J Med. 2020;382(15):1395-1407. doi:10.1056/NEJMoa19159227. Rajkumar CA, Foley MJ, Ahmed-Jushuf F, et al. A Placebo-Controlled Trial of Percutaneous Coronary Intervention for Stable Angina. N Engl J Med. 2023;389(25):2319-2330. doi:10.1056/NEJMoa23106108. Eikelboom JW, Connolly SJ, Bosch J, et al. Rivaroxaban with or without Aspirin in Stable Cardiovascular Disease. N Engl J Med. 2017;377(14):1319-1330. doi:10.1056/NEJMoa17091189. Howlett JG, Stebbins A, Petrie MC, et al. CABG Improves Outcomes in Patients With Ischemic Cardiomyopathy: 10-Year Follow-Up of the STICH Trial. JACC Heart Fail. 2019;7(10):878-887. doi:10.1016/j.jchf.2019.04.01810. Nidorf SM, Fiolet ATL, Mosterd A, et al. Colchicine in Patients with Chronic Coronary Disease. N Engl J Med. 2020;383(19):1838-1847. doi:10.1056/NEJMoa202137211. Boden WE, O'Rourke RA, Teo KK, et al. Optimal medical therapy with or without PCI for stable coronary disease. N Engl J Med. 2007;356(15):1503-1516. doi:10.1056/NEJMoa07082912. Ford TJ, Stanley B, Good R, et al. Stratified Medical Therapy Using Invasive Coronary Function Testing in Angina: The CorMicA Trial. J Am Coll Cardiol. 2018;72(23 Pt A):2841-2855. doi:10.1016/j.jacc.2018.09.00613. Carvalho, Tales de et al. “Brazilian Cardiovascular Rehabilitation Guideline - 2020.” “Diretriz Brasileira de Reabilitação Cardiovascular – 2020.” Arquivos brasileiros de cardiologia vol. 114,5 (2020): 943-987. doi:10.36660/abc.20200407

Essentially You: Empowering You On Your Health & Wellness Journey With Safe, Natural & Effective Solutions
642: The Metabolic Root Cause of Migraines & Powerful Diet and Lifestyle Interventions For Brain Health with Dr. Elena Gross

Essentially You: Empowering You On Your Health & Wellness Journey With Safe, Natural & Effective Solutions

Play Episode Listen Later May 6, 2025 87:36


Millions of people suffer from migraines every day. And about 78% of these migraine sufferers are women.  A lot of migraines start around midlife when hormones start to get erratic. So if you or someone you know deals with migraines, this is the episode for you! Expert Neuroscientist and former migraine sufferer Dr. Elena Gross offers game-changing recommendations about reducing your toxic load and oxidative stress, and managing migraines effectively and SAFELY from home.  It's never too late to find migraine relief. Dr. Gross struggled for 20 years with frequent, debilitating migraines, but now only has about one per month. How did she do it?  You'll learn her holistic protocol here that actually moves the needle to mitigate symptoms and manage this chronic condition once and for all. Plus, you'll hear about her revolutionary energy source- Brain Ritual- that can help massively support migraine relief.  Ready to stop missing out on things because of painful and frustrating migraines? Tune in here and change your life!  Elena Gross Dr. Elena Gross is a neuroscientist, PhD in clinical research, and a former chronic migraine sufferer. She now devotes her life to understanding and improving this debilitating condition as the founder and CEO of KetoSwiss and Brain Ritual. Dr. Gross has done over a decade of research at Oxford, Basel, Cambridge, and Harvard universities, which has significantly advanced the understanding of migraines. She also created the Mastering Migraine Community– a platform that empowers individuals with knowledge and resources to manage their migraine conditions effectively. IN THIS EPISODE Hormones, your menstrual cycle, brain metabolism, and migraines  Recognizing your triggers for migraines  Environmental toxins and brain function  The power of diet and lifestyle in supporting brain health  Why traditional migraine treatments often fall short Alternatives to migraine medications  The most powerful interventions for migraine relief   Advice for women struggling with chronic migraines Effectively supporting metabolic flexibility in midlife About Brain Ritual and how it supports migraine relief QUOTES “So that one-stop migraine cocktail basically seems to work even acutely. It's crazy.” “You're the perfect example. You've had migraines since you were seven. And now you're down to one day a month. It's incredible. It really is a success story.”  “50% of perfumes have toxic substances we know [are] destroying your brain. So really, really watch out for that one…” RESOURCES MENTIONED Order Brain Ritual HERE [with Discount code: Energized] Dr. Elena Gross' Website  BEAM Minerals: Use code ENERGIZED at checkout for 20% off your first order! High-quality olive oil: go to www.getfreshenergized.com to get your free $39 bottle for just $1 shipping. Dr. Elena Gross on Social:   Instagram Facebook LinkedIn YouTube RELATED EPISODES  594: What I Did This Past Year to Heal My Brain and Lower Systemic Inflammation 586: What You Can Do in Perimenopause to Optimize Your Energy, Resilience and Brain Power with Dr. Mariza #419: The 5 Supplements I Take Every Single Day For A Better Brain and Energy #187: What Is Causing My Heavy Bleeding and Migraines, and Can Bio-Identical Hormones Help Me?

Intelligent Medicine
"Leyla Weighs In" on Lethargy in America: Nutritional and Lifestyle Interventions

Intelligent Medicine

Play Episode Listen Later Mar 14, 2025 23:58


Nutritionist Leyla Muedin discusses the pervasive issue of chronic fatigue in America, focusing on the impact of diet, lifestyle choices, and essential nutrient deficiencies. Leyla highlights a national survey revealing that nearly 14% of adults experience daily fatigue, with women aged 18 to 44 being the most affected. She explores the role of poor sleep hygiene, lack of physical activity, poor diet, stress, and excessive alcohol and caffeine consumption in contributing to fatigue. The episode emphasizes the importance of correcting deficiencies in Vitamin B12, Omega-3 fatty acids, and Vitamin D to combat fatigue, offering practical advice on improving sleep habits, diet, exercise, and stress management to boost energy levels and overall health.

Du Burde Ingenting
#101 Er det usundt at være tyk? med Rasmus Køster-Rasmussen

Du Burde Ingenting

Play Episode Listen Later Mar 3, 2025 71:52


Der er ingen tvivl om at det er usundt at være tyk, eller er der? Vi får tudet ørene fulde af at det er usundt at være tyk, at det er forkert at være tyk og at alle ens problemer løser sig hvis bare man taber sig, men hvorfor det er faktuelt forkert forklarer Rasmus Køster-Rasmussen i denne episode. Rasmus der er podcastvært på podcasten Radio Ligevægt, og læge og forsker med speciale i vægtudvikling, har selv skulle se det vægtparadigme vi har i vores samfund dybt i øjnene for at forstå, hvor mange fejlslutninger der florerer omkring det at være tyk og det at være usund. I denne episode centrerer vi os om spørgsmålet: Er det usundt at være tyk, og her forklarer Rasmus blandt andet, at hvis vi skal vurdere om et vægttab er sundhedsgavnligt eller sundhedsskadeligt, bliver vi nødt til at vægte skadevirkninger overfor gavnlige effekter, men hvad, kan der være skadevirkninger forbundet med vægttab tænker du måske. Hør svaret i episoden.Det kommer vi blandt andet ind på i episoden: Censur i forskningen omkring BMI og dødOm der er forskel på tilsigtede og utilsigtede vægttab i relation til øget dødelighedOm vægttab er vejen til mere sundhedHvordan det som sundhedsprofessionel kan være udfordrende at formidle paradigmeskiftVægttabsparadigmetOm vi tager modet fra folk når vi fortæller dem at det ikke er usundt at være tykHvordan alle slankekure virker på kort sigt og ikke på lang sigtHvordan både en slankekur og en livsstilsintervention er synonymer for energirestriktionerOm det er muligt at lave indsatser der kan hjælpe mennesker med at holde vægten nedeHvad der gør at nogle mennesker kan holde et vægttabOm vægttab har en effekt på risikoen for blodpropperHvordan man øger sundheden hvis det ikke skal handle om vægttabHvilke fysiske og psykiske skadevirkninger der kan være forbundet med vægttabOm en høj BMI er forbundet med øget dødelighed og kardiovaskulær sygdomOm risikoen for tidlig død forbundet med en høj vægt reguleres, når vi justerer for andre faktorer så som ulighed i sundhed og vægtstigmatiseringHvordan du kan lære at slutte fred med din krop som den erI episoden deler jeg at du kan teste hvor intuitivt dit spisemønster er via min test: Spiser du intuitivt. Testen kan du hente via linket her.Et randomiseret kontrolleret forsøg viste at en intensiv livsstilsintervention med fokus på vægttab ikke reducerede antallet af kardiovaskulære sygdomme hos overvægtige voksne med type 2-diabetes (1)Intensive livsstilsinterventioner ændrer umiddelbart ikke på risikoen for dødelighed blandt mennesker med prædiabetes eller type 2-diabetes (2)Et stort systematisk review der samlede forskellige vægttabsprogrammer viser et gennemsnitligt vægttab på 1,8 kilo (3)Vægtdiskrimmination er forbundet med en næsten 60% øget risiko for dødelighed (4)Hvis et vægttab skal bevares skal energirestriktionen vedholdes, i en sådan grad at det i mange tilfælde vil kunne sammenlignes med anorektisk adfærd, og små vægtudsving skal monitoreres hurtigt  (5,6)Energirestriktion er relateret til afminiralisering af knoglerne (7)Kilder:1: Look AHEAD Research Group. Cardiovascular effects of intensive lifestyle intervention in type 2 diabetes. N Engl J Med. 2013 2: Zucatti et al. Long-term Effect of Lifestyle Interventions on the Cardiovascular and All-Cause Mortality of Subjects With Prediabetes and Type 2 Diabetes: A Systematic Review and Meta-analysis. Diabetes Care. 20223: Madigan et al. Effectiveness of weight management interventions for adults delivered in primary care: systematic review and meta-analysis of randomised controlled trials. BMJ. 2022 4: Sutin AR, Stephan Y, Terracciano A. Weight Discrimination and Risk of Mortality. Psychol Sci. 2015 5: Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr 20056: Weightloss maintenance for 10 years in the National Weight Control Registry. Am J Prev Med. 20147: Johnson and the Look AHEAD Study Group. The Effect of Intentional Weight Loss on Fracture Risk in Persons With Diabetes

The Optispan Podcast with Matt Kaeberlein
The Effects of Rapamycin on APOE4 Carriers & Brain Function | 98

The Optispan Podcast with Matt Kaeberlein

Play Episode Listen Later Feb 11, 2025 42:12


Subscribe to our channel: https://www.youtube.com/@optispanIn this video we discuss current studies relating to Rapamycin use and it's effects on brain function, specifically for APOE4 carriers. This data may (or may not) provide evidence to support the claim that Rapamycin can be beneficial for those with the APOE4 variant.0:00 - Introduction1:58 - Should APOE4 Carriers Take Rapamycin? 3:30 - What is APOE and APOE4? 13:06 - Why Knowing Your APOE Status Matters 15:03 - The Case for Rapamycin and APOE4 Carriers 22:52 - Study Findings32:53 - Comparing Rapamycin to Lifestyle Interventions 37:40 - Could Rapamycin Benefit E3/E3 Carriers? 38:44 - Speculation: Rapamycin and Traumatic Brain Injury Producers: Tara Mei, Nicholas ArapisVideo Editor: Jacob KeliikoaDISCLAIMER: The information provided on the Optispan podcast is intended solely for general educational purposes and is not meant to be, nor should it be construed as, personalized medical advice. No doctor-patient relationship is established by your use of this channel. The information and materials presented are for informational purposes only and are not a substitute for professional medical advice, diagnosis, or treatment. We strongly advise that you consult with a licensed healthcare professional for all matters concerning your health, especially before undertaking any changes based on content provided by this channel. The hosts and guests on this channel are not liable for any direct, indirect, or other damages or adverse effects that may arise from the application of the information discussed. Medical knowledge is constantly evolving; therefore, the information provided should be verified against current medical standards and practices.More places to find us:Twitter: https://twitter.com/optispanpodcastTwitter: https://twitter.com/optispanTwitter: https://twitter.com/mkaeberleinLinkedin: https://www.linkedin.com/company/optispanInstagram: https://www.instagram.com/optispanpodcast/TikTok: https://www.tiktok.com/@optispanhttps://www.optispan.life/Hi, I'm Matt Kaeberlein. I spent the first few decades of my career doing scientific research into the biology of aging, trying to understand the finer details of how humans age in order to facilitate translational interventions that promote healthspan and improve quality of life. Now I want to take some of that knowledge out of the lab and into the hands of people who can really use it.On this podcast I talk about all things aging and healthspan, from supplements and nutrition to the latest discoveries in longevity research. My goal is to lift the veil on the geroscience and longevity world and help you apply what we know to your own personal health trajectory. I care about quality science and will always be honest about what I don't know. I hope you'll find these episodes helpful!

The Peter Attia Drive
#333 ‒ Longevity roundtable — the science of aging, geroprotective molecules, lifestyle interventions, challenges in research, and more | Steven Austad, Matt Kaeberlein, Richard Miller

The Peter Attia Drive

Play Episode Listen Later Jan 27, 2025 161:39


View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter In this special episode of The Drive, Peter introduces a brand-new roundtable format. Joined by three renowned experts in longevity science—Steven Austad, Richard Miller, and Matt Kaeberlein—the group explores the rapidly evolving field of geroscience. Together, they dive deep into topics like the relationship between healthspan and lifespan, evaluating interventions like rapamycin and senolytics, the role of epigenetic changes in aging, and whether GLP-1 receptor agonists hold geroprotective potential. They also tackle major challenges in funding and public acceptance of longevity research including how geroprotective interventions might be tested in humans. Packed with nuanced debate, humor, and groundbreaking insights, this episode is a must-listen for anyone fascinated by the science of aging. We discuss: The recent rise in public interest in longevity, misconceptions, and the link between healthspan and lifespan [3:45]; Redefining healthspan, the US healthcare paradox, and separating longevity science from commercial hype [12:30]; The need to redirect medical research from disease-specific models to aging-focused approaches [21:30]; Proactive healthcare: rethinking health, disease, and the role of aging [30:00]; Biologic age versus chronologic age, and the limitations and potential of epigenetic clocks [35:00]; The utility and drawbacks of the “hallmarks of aging” as a framework for research and funding [49:30]; The role of epigenetic changes in aging and the challenges of proving causality [56:45]; The translational challenges of moving aging research from preclinical studies to human applications [1:03:45]; Distinguishing between a biomarker of aging and aging rate indicators [1:17:15]; The difficulties of translating longevity research in mice to humans, and the difficulties of testing interventions in humans [1:21:15]; Exercise, aging, and healthspan: does exercise slow aging? [1:35:45]; Are GLP-1 receptor agonists geroprotective beyond caloric restriction effects? [1:41:00]; The role of senescent cells in aging, challenges with reproducibility in studies, and differing views on the value of current research approaches [1:46:15]; How funding challenges and leadership in NIH and other institutes impact the advancement of aging-related research [2:00:15]; Metformin: geroprotective potential, mechanisms, and unanswered questions [2:02:30]; Canagliflozin and rapamycin as geroprotective molecules: mechanisms, dosing strategies, and longevity potential [2:10:45]; Resveratrol and NAD precursors—a lack of evidence for anti-aging effects [2:22:45]; The potential of parabiosis and plasmapheresis to slow aging, the challenges in translating mouse studies to humans, and possible design for human studies [2:29:45]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Integrative Practitioner Podcast
How to Preserve 20/20 Vision through Nutrition and Lifestyle Interventions

Integrative Practitioner Podcast

Play Episode Listen Later Dec 26, 2024 22:07


Rudrani Banik, MD, IFMCP, joins Integrative Practitioner Content Specialist Avery St. Onge to discuss the most common age-related eye conditions and how they can be prevented with specific nutrients that target the various structure of the eye. This episode is brought to you by the Integrative Healthcare Symposium. Register for the Symposium and receive 15% off with promo code IP2025PODCAST: https://xpressreg.net/register/ihsy0225/landing.php?sc=IP2025PODCAST Learn more about the event by visiting the Symposium website: www.ihsymposium.com Contact the Integrative Healthcare Symposium team: info@ihsymposium.com Find us at integrativepractitioner.com or e-mail us at IPEditor@divcom.com. Theme music: "Upbeat Party" by Scott Holmes via freemusicarchive.org, "Carefree" by Kevin Mcleod via incompetech.com, and “Relaxing Light Background” by AudioCoffee. About the Expert Rudrani Banik, MD, IFMCP, is a board-certified ophthalmologist and fellowship-trained neuro-ophthalmologist with additional training in Functional Medicine. She completed her BA/MD as part of the prestigious combined eight-year Program in Liberal Medical Education at Brown University in Rhode Island. Dr. Banik then did her internship at Mount Sinai Medical Center in Miami, followed by Ophthalmology Residency at University of California, Irvine. She then completed a Neuro-Ophthalmology Fellowship under Dr. Neil Miller at Wilmer Eye Institute/Johns Hopkins. She maintains an academic appointment at New York Eye and Ear Infirmary of Mount Sinai as Associate Professor of Ophthalmology, where she actively teaches and supervises residents, fellows, and medical students. She also serves as Principal Investigator for the clinical trials in Neuro-Ophthalmology. She has published over 40 peer-reviewed articles and has been a speaker at both national and international meetings. Dr. Banik is a fellow of the American Academy of Ophthalmology (AAO) and the North American Neuro-Ophthalmology Society (NANOS). She also serves on the American Board of Ophthalmology's Exam Development Committee, a role she enjoys through which she helps maintain the standards of board certification in ophthalmology.

The Superhumanize Podcast
Visual Snow Syndrome, the Gut-Brain Connection, and Mindfulness Mastery: Unlocking the Brain's Hidden Potential with Dr. Sui Wong

The Superhumanize Podcast

Play Episode Listen Later Dec 10, 2024 58:49


Imagine a world where your eyes not only reveal the state of your vision but also serve as windows into your brain's health, where migraines are intricately linked to the gut, and where mindfulness can reshape the very structure of your neural pathways. This is the pioneering realm navigated by Dr. Sui Wong, a distinguished Neurologist and Neuro-Ophthalmologist based in London. With a medical degree from the University of Cambridge and specialized training from Moorfields Eye Hospital, Dr. Wong has dedicated her career to unraveling the complex interplay between the brain, eyes, and overall well-being.As the creator of the BRA(i)NS® framework, she seamlessly integrates autonomic regulation with cognitive resilience, offering a holistic blueprint for thriving amidst modern life's stresses. Her expertise extends to the gut-brain axis, providing innovative insights into conditions like migraines, and she is a certified yoga teacher and movement coach, emphasizing the profound impact of mindful movement on neurological health.In this episode, we delve into Dr. Wong's groundbreaking work, exploring how practices such as mindfulness-based cognitive therapy can induce neuroplastic changes, the significance of mitochondrial health in cognitive performance, and the gender-specific nuances of migraines influenced by hormonal fluctuations. The multifaceted approaches Dr. Wong employs to enhance brain health and overall well-being, bridge the gap between traditional neurology and integrative lifestyle medicine.Episode highlights:00:30 Meet Dr. Sui Wong: A Pioneer in Neurology02:29 Understanding Visual Snow Syndrome03:55 Mindfulness-Based Cognitive Therapy for Visual Snow06:12 Challenges and Breakthroughs in Research10:09 The Role of Mindfulness in Neurology15:07 The BRAINS Framework: Balancing Autonomic Regulation24:01 The Importance of Sleep and Blood Sugar Balance28:05 Understanding Blood Sugar Fluctuations29:17 The Importance of Lifestyle in Blood Sugar Management29:31 Nutritional Strategies for Blood Sugar Balance30:36 The Role of Sleep and Physical Activity31:25 Personal Experiences and Tools for Blood Sugar Monitoring35:30 Mindfulness and Its Impact on Health38:54 The Gut-Brain Axis and Migraine Connection40:56 Lifestyle Interventions for Migraine Management50:50 Gender Differences in Migraine and Hormonal Influences56:16 Conclusion and ResourcesResources mentioned:WEBSITESDr. Wong's websiteNeuro Eye websiteBooks authored by Dr. WongGuest's social handles:InstagramLinkedInP.S. If you enjoy this episode and feel it helps to elevate your life, please give us a rating or review. And if you feel others may benefit from this podcast as well, spread the word, share and help grow our tribe of Superhumans. When we help heal One, we help heal All. Much gratitude and love.Yours,Ariane

Everyday Wellness
BONUS: Improving Metabolic Health: Lifestyle Interventions To Optimize Metabolic Health with Kara Collier, RD

Everyday Wellness

Play Episode Listen Later Nov 11, 2024 61:15


Get ready to venture into the realm of cutting-edge health and nutrition as I reconnect with Kara Collier, a registered dietitian and the co-founder of Nutrisense, the revolutionary continuous glucose monitor app!  Our paths last crossed back in January of 2021, and I am thrilled to catch up with Kara again! Today, we delve deep into the ever-evolving landscape of metabolic health in 2023, exploring the pivotal role of CGM labs and glucometers in understanding our bodies.  In today's captivating conversation, Kara unravels the significance of measuring glucose against other metabolites, unveiling the profound impact of macros, exercise, supplements, sleep quality, life stage, and bio-individuality on our well-being. With a plethora of invaluable hacks to optimize your blood sugar, we invite you to join us on a captivating journey that will leave you empowered to take charge of your health and transform your life!  Gear up for an enlightening conversation packed with valuable insights you will not want to miss! Prepare to be inspired and informed as we uncover the secrets to unlocking your metabolic potential! IN THIS EPISODE YOU WILL LEARN: The current state of metabolic health What is leading to obesity in the US? Getting your fasting glucose value below 90 The pros and cons of glucometers Glucose monitoring and the 8020 rule Tracking your data to learn about yourself Hacks to improve your diet The role of movement in metabolic health How important is Zone 2 training for mitochondrial health?  Follicular versus luteal phase and insulin sensitivity The importance of protein and carbohydrates Blood sugar and sleep quality About Kara Kara Collier is the co-founder and VP of Health at Nutrisense, one of America's fastest-growing wellness-tech startups. After becoming frustrated with the shortcomings of the traditional healthcare system, she made it her mission to help others reach their maximum health potential using modern technology & expert coaching. She is the leading authority on the use of continuous glucose monitoring (CGM) technology for health optimization and disease prevention. Kara is a Registered Dietitian Nutritionist (RDN), Licensed Dietitian/Nutritionist (LDN), and Certified Nutrition Support Clinician (CNSC). Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Connect with Kara Collier On Instagram  Nutrisense Previous Episode Mentioned Ep. 132 – Continuous Glucose Monitors: Why They're Not Just for Diabetics Anymore with Kara Collier

Stay Off My Operating Table
From Childhood Arthritis to Metabolic Health: PA Mckenna Duquette 165

Stay Off My Operating Table

Play Episode Listen Later Oct 15, 2024 53:55 Transcription Available


In this compelling episode of the Stay Off My Operating Table podcast, Dr. Philip Ovadia interviews McKenna Duquette, a physician assistant with a unique journey. Diagnosed with rheumatoid arthritis at age 4, McKenna shares her transition from patient to practitioner, offering valuable insights into managing autoimmune conditions through metabolic health approaches.McKenna discusses her early experiences with conventional medicine and her eventual shift towards functional medicine and lifestyle interventions. She explains the challenges of integrating these approaches into urgent care settings and highlights the importance of patient education in managing chronic conditions.The conversation explores generational differences in receptiveness to metabolic health strategies, noting that patients in their 30s and 40s tend to be more open to lifestyle changes. McKenna also touches on the delicate balance of managing autoimmune conditions while considering cancer risks, providing a nuanced perspective on treatment decisions.Dr. Ovadia and McKenna discuss the growing demand for metabolic health practitioners and her upcoming role in the iFixHearts team. This episode offers valuable insights for healthcare professionals and individuals living with chronic conditions, emphasizing the potential of lifestyle modifications in transforming health outcomes.Follow McKenna Duquette on Instagram: @embri_healthSend Dr. Ovadia a Text Message. (If you want a response, include your contact information.) Joburg MeatsKeto/Carnivore-friendly meat snacks. Tasty+Clean. 4 ingredients. Use code “iFixHearts” to save 15%. Chances are, you wouldn't be listening to this podcast if you didn't need to change your life and get healthier. So take action right now. Book a call with Dr. Ovadia's team. One small step in the right direction is all it takes to get started. How to connect with Stay Off My Operating Table:Twitter: Dr. Ovadia: @iFixHearts Jack Heald: @JackHeald5 Learn more: Learn more about Dr. Ovadia's personalized health coaching Get Dr. Ovadia's book Stay Off My Operating Table on Amazon. Take Dr. Ovadia's metabolic health quiz: iFixHearts visit Dr. Ovadia's website: Ovadia Heart Health visit Jack Heald's website: CultYourBrand.com Theme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.

The Mental Wellbeing College
Lifestyle Interventions in Mental Illness | Dr. Kelly Aschbrenner | 63

The Mental Wellbeing College

Play Episode Listen Later Sep 27, 2024 47:19


In this video, Dr. Kelly Aschbrenner & I discuss the mortality gap scandal, effective interventions to treat physical health disparities in serious mental illness, the foundations of implementation science and much more... 0:00 Show Intro 1:52 The Mortality Gap Scandal 12:20 Stigma in the Healthcare System 16:30 Health Interventions 28:00 Implementation Science Show Notes "Clinically significant improved fitness and weight loss among overweight persons with serious mental illness" by Bartels et al., 2013 "Pragmatic Replication Trial of Health Promotion Coaching for Obesity in Serious Mental Illness and Maintenance of Outcomes" by Bartels et al., 2015 "Lifestyle interventions for weight loss among overweight and obese adults with serious mental illness: A systematic review and meta-analysis" by Naslund et al., 2017 InSHAPE Lifestyle Program https://www.cdc.gov/prc/study-findings/research-briefs/inshape.html

Ditch The Labcoat
Understanding Lipoprotein(a) and Heart Health with Dr. Spencer Nadolsky

Ditch The Labcoat

Play Episode Listen Later Sep 25, 2024 50:38


DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to "Ditch the Lab Coat," the podcast where we dive into pressing health issues with scientific skepticism and heartfelt curiosity. I'm your host, Dr. Mark Bonta, and in this episode we have a special guest, Dr. Spencer Nadolsky. Dr. Nadolsky is a board-certified obesity and lipid specialist known for his straightforward approach to fitness and health, and for pioneering obesity management via telemedicine. In this episode, we'll dive into various topics, including the intricacies of Lipoprotein(a) and its impact on cardiovascular health, the balance between lifestyle changes and pharmaceutical interventions, and the challenges of research funding in lifestyle modifications. We'll also explore Spencer's insights on effective weight loss strategies, sustainable diets, and his personal journey with health and fitness. So, whether you're here to glean some practical tips or to understand the latest in medical research, stay tuned—this is going to be an enlightening conversation.04:44 Sustainable weight loss requires satiating, nutritious food.08:55 Intermittent fasting, increased exercise caused weight loss.10:57 Dietary composition impacts health beyond weight loss.14:05 Appetite largely dictates body weight and thinness.17:09 Medication and bariatric surgery enhance weight loss results.20:55 Future obesity prevention: targeting genetic and socioeconomic risks.22:47 Medications reduce hypertension but overlook underlying causes.25:51 Drug trial: ~10% weight loss, possible cardiovascular benefits.29:32 Higher LDL and APOB increase long-term plaque risk.33:40 Advise family about LDL cholesterol management realistically.38:48 High school glucose test fueled sports nutrition interest.39:59 Anti-aging field's evolving, medication secondary uses explored.45:28 Biopsychosocial model emphasizes controllable and uncontrollable factors.47:31 Lifestyle changes are equally important as medications.49:49 Exciting times ahead; feedback appreciated. Stay tuned.

Brain Biohacking with Kayla Barnes
Female Health with Dr. Alicia Robbins, MD

Brain Biohacking with Kayla Barnes

Play Episode Listen Later Aug 29, 2024 78:23


Today I am speaking with Dr. Alicia Robbins, MD on Female Health, Hormones, Vaginal Health and More! About Dr. Alicia Robbins, MD Alicia Robbins is a Mom of 3 boys, a board certified gynecologist, trained in lifestyle medicine and founder of The Elm — a boutique women's health practice which offers gynecology and lifestyle medicine and has recently opened in Greenwich. Alicia approach is unique and refreshing because she believes women's health needs to modernize itself and is part of the movement to start creating a better experience for women. We as women do so much for those around us and it's easy to not prioritize our health, especially when dealing with the healthcare system is such an unpleasant experience.  Alicia specifically focuses her practice on women in “midlife” specifically their 30s-60s and helping them navigate hormone therapy, perimenopause, and menopause. She is filling the gap in terms of providers who are focused on this next phase of life after pregnancy. Chapters 00:00 Introduction and Background 02:52 The Need for Prevention and Guidance in Women's Health 08:06 Dispelling Misconceptions about Hormone Therapy 11:14 The Importance of Bone Health and Prevention 19:07 Advancements in Hormone Testing Technologies 25:31 Understanding Fertility Markers and Hormone Levels 31:31 Lifestyle Interventions for Hormonal Health 38:07 Exploring the Potential of Rapamycin for Ovarian Health 39:34 Premature Ovarian Aging and Autoimmune Conditions 41:30 The Need for More Research Funding in Women's Health 45:59 Lifestyle Changes for Optimal Health and Fertility 50:20 The Impact of Gut Health on Vaginal Health 53:39 The Future of Screenings: Self-Screening for Cervical Cancer 56:55 Addressing Sexual Health: Importance and Available Treatments 01:07:32 The Impact of Relationships on Overall Well-Being Follow her on IG Visit her website

The Root Cause Medicine Podcast
What You Must Know to Fight Dementia

The Root Cause Medicine Podcast

Play Episode Listen Later Aug 28, 2024 57:50


In this episode of The Root Cause Medicine Podcast, we dive into Alzheimer's, dementia, and brain health with Max Lugavere and Chris Newhard. You'll hear us discuss: 1. The inspiration behind Little Empty Boxes 2. Myths and truths about dementia 3. Why by 2050 150 million people will have Alzheimer's 4. What really causes brain damage 5. Why there's no one-size-fits-all diet for brain health 6. How building muscle increases longevity and brain health Max is a health and science journalist, filmmaker, and bestselling author. He wrote the Genius trilogy, which includes Genius Foods, Genius Kitchen, and The Genius Life. Max also hosts The Genius Life podcast, a leading health and wellness show in the US, and has appeared on The Joe Rogan Experience, The Rachael Ray Show, The Today Show, and PBS's Brief but Spectacular. Chris is a filmmaker from Philadelphia who has built his career as a cinematographer and director. In 2017, he founded Booklight, a production company focused on documentary and narrative work. His diverse experience includes directing music videos for artists like Sia, Maroon 5, and Jessie J. Chris and Max recently worked together on the Little Empty Boxes documentary, which highlights Max's efforts to slow his mother's (Kathy Lugavare) dementia. The film offers an honest look at Kathy's journey and the challenges Max faces as he does everything he can to support her. Order tests through Rupa Health, the BEST place to order functional medicine lab tests from 30+ labs - https://www.rupahealth.com/reference-guide

Ditch The Labcoat
The Art of De-Prescribing with Pharmacist Dr. Shawn Gill

Ditch The Labcoat

Play Episode Listen Later Aug 14, 2024 56:02


DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another enlightening episode of "Ditch the Lab Coat," the podcast where we critically examine health issues through a lens of scientific skepticism and practical wisdom. I'm your host, Dr. Mark Bonta, and today, we have a special guest, Dr. Shawn Gill, a clinical pharmacist and founder of Deprescribed Solutions. Dr. Gill collaborates closely with physicians and patients to create detailed taper plans for safely coming off medications like SSRIs. In this episode, we dive deep into the challenges of convincing physicians to adopt evidence-based tapering approaches, the importance of individualized patient care, and the hazards of over-relying on medication for minor ailments. Dr. Gill shares his practical, sustainable mental health-boosting practices and underscores the need to consider lifestyle interventions over long-term pharmaceutical treatments.Listen in as we explore the complexities of medication therapy in both acute and community settings, debate the appropriateness of prescribing SSRIs, and discuss the collaborative interprofessional model in healthcare. We also touch on the systemic challenges within a fee-for-service infrastructure and the significance of managing patient expectations during the transition off medications.Join us for an insightful discussion on how we can evolve as healthcare providers and implement holistic, non-pharmacological approaches to improve patient care. And remember, this podcast is aimed at fostering thoughtful discussion and is not a substitute for professional medical advice or treatment. Enjoy the episode, and stay tuned for more in-depth conversations on "Ditch the Lab Coat"!06:43 Limited access to specialists leads to disjointed care.10:31 Concern about medication adherence and deprescribing motivation.14:21 Navigating healthcare challenges and career self-reflection.16:53 Intervening with young patients to prevent complications.18:58 Emphasizing patient goals and identifying severity of symptoms.23:43 Antidepressant numbness, fear of stopping medication.26:22 Mental health treatment lacking options due to time.31:36 Pharmacist navigates patient dynamics without prescribing authority.32:59 Experienced doctor focuses on patient's mental health.37:31 Coordinate deep prescribing with physicians, share updates.39:19 Building trust, giving feedback, and fragile egos.42:33 Consider stopping antidepressants, it's possible and rewarding.47:07 Discontinuing medication requires careful adjustment and support.51:46 Reflection on medical practice, calls for diverse guests.53:48 Mother's nursing work inspired son's medical career.

JACC Podcast
Optimizing Management of Stable Angina: A Patient-Centered Approach Integrating Revascularization, Medical Therapy, and Lifestyle Interventions

JACC Podcast

Play Episode Listen Later Aug 12, 2024 37:17


Walk, Don't Run to the Doctor with Miles Hassell, MD
11. What is Lifestyle Medicine?

Walk, Don't Run to the Doctor with Miles Hassell, MD

Play Episode Listen Later Aug 9, 2024 20:22


You've heard Miles Hassell, MD discuss the transformative benefits of lifestyle medicine—how it can enhance your well-being through daily choices. But what exactly is lifestyle medicine, and why is it so effective?    Today Miles Hassell, MD explains the core benefits of lifestyle medicine, exploring its key principles, and helps listeners discover how these foundational practices can lead to meaningful and lasting health improvements.   Lifestyle medicine is an approach to health that emphasizes the importance of everyday lifestyle choices in preventing and managing chronic diseases. Rather than focusing solely on medications and treatments, lifestyle medicine encourages proactive, evidence-based changes that promote long-term wellness.    By integrating healthy habits into your daily routine, you can significantly improve your overall quality of life.   Important takeaways from today's episode: Discover how a balanced diet rich in whole foods, regular physical activity, maintaining a healthy weight, getting moderate sun exposure, using heat and cold therapy effectively, and incorporating faith or spirituality can collectively enhance your overall health and well-being. When adopting lifestyle changes, it's important to evaluate their impact. Start by setting clear health goals, such as improving mental health or preventing chronic diseases. Avoid chasing after fads and focus on evidence-based practices that have proven benefits. To ensure that lifestyle changes are grounded in solid research, consider three lines of evidence. Evaluate lifestyle practices by examining their historical effectiveness, reviewing findings from multiple high-quality studies, and considering the real-life outcomes of individuals who have adopted these changes   Lifestyle medicine provides a practical framework for enhancing health through everyday choices. By focusing on foundational practices like diet, activity, and emotional well-being, you can make informed decisions that lead to significant and lasting improvements in your health.   Join the cause! Support the podcast and be a champion of a future episode by donating here: https://greatmed.org/donate/   For more information and references head to www.greatmed.org  Resources for Today's Episode: Colditz GA, Hankinson SE. The Nurses' Health Study: lifestyle and health among women. Nat Rev Cancer. 2005 May;5(5):388-96. doi: 10.1038/nrc1608. PMID: 15864280. https://www.researchgate.net/profile/Graham-Colditz/publication/15477393_The_Nurses'_He[…]g%5B0%5D=started_experiment_milestone&origin=journalDetail

Commonwealth Club of California Podcast
Advancing the Science: The Latest in Alzheimer's and Dementia Research

Commonwealth Club of California Podcast

Play Episode Listen Later Jul 18, 2024 61:54


Alzheimer's is a global health problem, with nearly 7 million people living with the disease in the United States alone. Tremendous gains have been made in the understanding of the science and basic biology underlying Alzheimer's and other dementias. These advances are leading to great strides in strategies for prevention, detection, diagnostics and therapeutic interventions.  The Alzheimer's Association is a global leader in research, mobilizing the field to advance the vision of a world without Alzheimer's and all other dementia. This presentation will include: Highlights in Early Detection and Diagnosis, Latest Advances in Clinical Trials, Treatments and Lifestyle Interventions, Risk Reduction, and Alzheimer's Association initiatives and how you can get involved. About the Speaker Claire Day has been on the staff of the Alzheimer's Association since 2001. She is the chief program officer at the Northern California and Northern Nevada Chapter and as such oversees all care and support operations and research initiatives. Day is a clinical social worker and in 2018 was appointed the Chapter Lead for the U.S. Study to Protect Brain Health Through Lifestyle Interventions to Reduce Risk in partnership with UC Davis. This is a two-year clinical trial to evaluate whether lifestyle interventions that simultaneously target multiple risk factors protect cognitive function in older adults at increased risk for cognitive decline. MLF ORGANIZER: Patrick O'Reilly   A Psychology Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Building the Elite Podcast
Dr. Tommy Wood: Brain Health and Longevity, Pt. 1

Building the Elite Podcast

Play Episode Listen Later Jul 11, 2024 47:16


Tommy Wood, BM BCh, PhD, is a neuroscientist, elite-level professional nerd, and performance consultant to world-class athletes in a dozen sports. He received an undergraduate degree in biochemistry from the University of Cambridge, a medical degree from the University of Oxford, and a PhD in physiology and neuroscience from the University of Oslo. Tommy is an Associate Professor of Pediatrics and Neuroscience at the University of Washington and a Visiting Scientist at the Institute for Human and Machine Cognition. His research focuses on brain health and brain injury treatment across the lifespan, as well as developing easily accessible methods with which to track health, performance, and longevity in both professional athletes and the general population. Tommy serves as deputy editor of the Wiley Journal Lifestyle Medicine, is a Director of the British Society for Lifestyle Medicine, and consults for a number of digital health companies and charities that focus on how lifestyle and the environment can affect long-term health and chronic disease.You can learn more about Dr. Wood at his website, www.drtommywood.com/His substack, betterbrain.fitness is an excellent resource, and if you subscribe, you'll get some useful resources like a list of blood tests to monitor for brain health, a list of nutrients that support brain health and how to integrate them into your diet, and some in-depth information on how those nutrients and tests work. Timestamps:00:00:22 Intro to Dr. Tommy Wood00:01:46 Dr. Wood's Ancestral Viking Heritage 00:03:28 What is The British Society of Lifestyle Medicine?00:04:37 Traction of the BSLM in the United States00:06:53 Seventh-Day Adventist's Dietary Guidelines00:08:40 Most Noticeable Changes Between Lifestyle Medicines00:11:41 Building an Active Relationship With Your Doctor Before You Get Sick00:13:08 Role of Social Environment On Lifestyle-Type Diseases00:19:03 Lifestyle Interventions for Long-Term Brain Health00:22:55 Main Drivers of Preserving or Losing Cognitive Function00:24:57 How Useful Are Brain Games Like Luminosity?00:28:30 How Different Diseases Affect Cognitive Supply 00:33:18 Benefits of Omega-3's for the Brain and Heart00:35:35 Dietary Sources of Omega-3's00:37:52 Smaller Fish Have Less Heavy Metal Accumulation00:39:06 Does Dr. Wood Eat Fish That is Higher In Mercury?00:39:34 TBI or Concussions and Loss of Cognitive Function 00:40:47 Glymphatic System Explained00:42:20 When is the Glymphatic System the Most Active?00:43:29 Beta-Amyloids and Cognitive Function00:46:56 Outro

Podcasts360
Use of CGM Technology for Medication Adjustments, Lifestyle Interventions for Patients With Diabetes

Podcasts360

Play Episode Listen Later Jul 2, 2024 14:44


In this podcast, Diana Isaacs, PharmD, CDCES, talks about continuous glucose monitoring (CGM) technology and how it can be used for medicine adjustments and lifestyle interventions for patients with diabetes. Dr Isaacs discusses how this technology has evolved over time, how clinicians can strategically use CGM technology in their practice, and more.

Sigma Nutrition Radio
#527: How to Prevent & Treat Hypertension – Dr. Mohammed Alo, DO

Sigma Nutrition Radio

Play Episode Listen Later Jun 25, 2024 69:53


Hypertension, commonly known as high blood pressure, is a silent yet prevalent health issue that affects millions of people worldwide. Often going unnoticed until significant damage has been done, hypertension can lead to severe cardiovascular complications if not properly managed. Mechanistically, the causes of hypertension are complex, involving both genetic and lifestyle factors. The management of hypertension presents multifaceted challenges, encompassing both pharmaceutical treatments and lifestyle modifications. From a prevention and management standpoint, understanding the interplay between genetics and lifestyle is crucial. This raises several important questions… To what extent do genetic factors contribute to hypertension risk compared to lifestyle choices, and how does this interaction influence disease progression? What role does lifestyle play in managing hypertension, and is there evidence supporting the influence of specific dietary patterns and nutrients, particularly sodium and potassium, on blood pressure control? How do exercise and physical activity impact blood pressure, and what types of exercise are most beneficial for individuals with or at risk of hypertension? What are the main categories of antihypertensive medications, and how do these drugs work to lower blood pressure? What are the potential side effects, and how should clinicians decide on the best treatment approach for individual patients? In this episode, we are joined by Dr. Mohammed Alo, a board-certified cardiologist and internal medicine specialist, who will help us understand the intricacies of hypertension and how it can be effectively controlled. Links: Go to episode page dralo.net/ Receive our free weekly email: the Sigma Synopsis Subscribe to Sigma Nutrition Premium Timestamps: 03:28 Dr. Alo's Background and Expertise 08:40 Understanding Blood Pressure and Its Implications 10:26 Causes and Diagnosis of High Blood Pressure 12:42 Lifestyle Modifications and Treatment Options 30:26 Medications for Blood Pressure Management 38:34 Combination Therapy and Patient Variability 43:11 Debunking Myths About Sodium and Blood Pressure 57:29 Exercise and Lifestyle Interventions

PsychRounds: The Psychiatry Podcast
ADHD Series: Psychosocial and Lifestyle Interventions (Feat. Endeavor Rx)

PsychRounds: The Psychiatry Podcast

Play Episode Listen Later Jun 21, 2024 22:01


Join us for a discussion about non-medication based treatments for ADHD.

Walk, Don't Run to the Doctor with Miles Hassell, MD

It's easy to fall into the habit of eating out or relying on processed foods. However, becoming your own chef and cooking at home is more than just a hobby—it's a crucial health survival skill. In today's episode Miles Hasell, MD discusses the numerous benefits of home cooking and how you can get started. In today's episode Miles Hassel, MD explores: The health benefits of cooking at home and how it allows you to control the ingredients, ensuring that your meals are nutritious and free from harmful additives. Cooking together is a wonderful way to bring people together. It creates an opportunity for family and friends to bond, share experiences, and enjoy quality time.  By planning and preparing your meals, you can make the most of your grocery budget and reduce food waste. Spend some time each week planning your meals By avoiding processed foods and focusing on whole, nutritious ingredients, you can boost your overall health and well-being.   Being your own chef is more than just a skill, it's a lifestyle change that can significantly improve your health. By taking control of your meals, you can avoid the pitfalls of processed foods and enjoy the numerous benefits of home cooking.    References for today's episode: Taylor, S. (2005). Praying, playing and happy families: An examination of the relationship between family religiosity, family recreation, and family functioning.  https://scholarsarchive.byu.edu/cgi/viewcontent.cgi?article=1303&context=etd Join the cause! Support the podcast and be a champion of a future episode by donating here: https://greatmed.org/donate/ For more information and references head to: https://greatmed.org/cold-flu/have-fewer-sick-days/   Purchase Good Food Great Medicine    Twitter (X): https://x.com/greatmedorg Instagram: @mileshassellmd Facebook: https://www.facebook.com/people/GreatMedorg/61554645308577/ Substack: https://substack.com/@greatmed YouTube: https://www.youtube.com/@greatmedicine email: info@greatmed.org

The Pain and Performance Podcast
Thyroid Masterclass with Risa Groux

The Pain and Performance Podcast

Play Episode Listen Later Jun 19, 2024 63:03


"It's just the side effect of a leaky gut."Today we welcome back the amazing and brilliant Risa Groux. Risa had been on our podcast 2 years ago (episode 56). We talked about functional nutrition ranging from "-How diet can help to heal your body and improve energy" to "-How to eat for Auto-Immune Dysfunction".. In this episode, Risa and I discuss the complexities of thyroid health, including the role of the thyroid gland, common dysfunctions, testing, symptoms, and nutritional and lifestyle interventions. We also explore the impact of inflammation, stress, and autoimmune diseases on thyroid health and the importance of a diverse and balanced diet. We delve into the differences between hypo and hyperthyroidism and the role of supplements in supporting thyroid function. We cover a wide range of topics related to health and wellness, including nutrition, genetic testing, detoxification, and thyroid health. Risa and I discuss the impact of micronutrients, genetic predispositions, and the role of toxins in overall health. We also explore the importance of comprehensive testing, lifestyle changes, and the impact of chemicals on the body. We emphasize the need for a holistic health and wellness approach, considering genetic and environmental factors.Takeaways-- The thyroid gland plays a crucial role in regulating metabolism, temperature, and hormone production, and its dysfunction can lead to a range of symptoms and health issues.-- Nutritional and lifestyle interventions, including the removal of inflammatory foods, stress management, and exercise, can support thyroid health and function.-- Testing for thyroid health should include a comprehensive panel that assesses TSH, T3, T4, reverse T3, and thyroid antibodies to provide a complete picture of thyroid function.-- The impact of inflammation, stress, and autoimmune diseases on thyroid health underscores the need for a holistic approach to managing thyroid dysfunction.-- Supplements such as vitamin D, B vitamins, omega-3 fish oils, and anti-inflammatory agents can play a supportive role in maintaining thyroid health and addressing specific thyroid conditions. The impact of micronutrients and genetic predispositions on overall health.-- The importance of comprehensive testing and lifestyle changes for improved health.-- Understanding the role of toxins and chemicals in the body and the need for detoxification.-- The significance of a holistic approach to health and wellness, considering genetic and environmental factors.Chapters00:00 Understanding Thyroid Health: A Comprehensive Overview11:58 Nutritional and Lifestyle Interventions for Thyroid Health21:47 Inflammation, Stress, and Autoimmune Diseases in Thyroid Health27:05 Hypo vs. Hyperthyroidism: Key Differences and Interventions32:06 The Role of Supplements in Supporting Thyroid Function35:32 Exploring the Impact of Micronutrients and Genetics on Health46:27 Understanding Toxins and the Need for Detoxification52:30 Comprehensive Testing and Lifestyle Changes for Improved HealthLinks:DR. DERRICKTikTok:https://www.tiktok.com/@drderrickInstagram:https://www.instagram.com/derrickbhines/Youtube:https://www.youtube.com/@DrDerrickRISAWebsite:https://www.risagrouxnutrition.com/ YouTube:https://www.youtube.com/channel/UCcPrEkb2SzlzJIBVgTp0bygFacebook:https://www.facebook.com/risagrouxnutrition/

Walk, Don't Run to the Doctor with Miles Hassell, MD
5. Autoimmunity and Inflammation: Part 2

Walk, Don't Run to the Doctor with Miles Hassell, MD

Play Episode Listen Later Jun 14, 2024 15:45


Auto-immune diseases can be incredibly challenging to manage, but there are numerous lifestyle interventions that can positively influence your health. By focusing on key areas such as waistline, sunlight, sleep, and heat, and using various modalities, you can take significant steps toward improving your well-being.  In today's episode Miles Hassel, MD explores various tools that can favorably alter the course of your auto-immune disease: Maintaining a healthy waistline through balanced nutrition and regular exercise is essential. Exposure to sunlight helps your body produce Vitamin D, a crucial nutrient for immune function. Aim to spend at least 15-20 minutes in the sun each day, especially in the morning.  Sleep deprivation has a direct impact on illness. Adequate sleep supports immune function, reduces inflammation, and helps your body repair itself. Heat therapy can be an effective tool for managing auto-immune symptoms. Tailor your exercise routine to match your energy levels and physical capabilities, ensuring consistency over intensity. Diet plays a pivotal role in managing auto-immune diseases. Focus on anti-inflammatory foods such as leafy greens, fatty fish, nuts, and seeds.   Lifestyle interventions require rigorous approaches with consistency. These changes are not quick fixes; they take time to show results. Be patient with yourself and understand that turning your health around is a gradual process. By embracing these lifestyle interventions and utilizing different modalities, you can significantly reduce the burden of your auto-immune disease.  Join the cause! Support the podcast and be a champion of a future episode by donating here: https://greatmed.org/donate/   For more information and references head to: https://greatmed.org/cold-flu/have-fewer-sick-days/   Purchase Good Food Great Medicine  Twitter (X): https://x.com/greatmedorg Instagram: @mileshassellmd Facebook: https://www.facebook.com/people/GreatMedorg/61554645308577/ Substack: https://substack.com/@greatmed YouTube: https://www.youtube.com/@greatmedicine email: info@greatmed.org   References for today's episode: Lindqvist PG, et al. Avoidance of sun exposure as a risk factor for major causes of death: a competing risk analysis of the Melanoma in Southern Sweden cohort. J Intern Med. 2016 Oct;280(4):375-87. doi: 10.1111/joim.12496. Epub 2016 Mar 16. https://pubmed.ncbi.nlm.nih.gov/26992108/ -Alfredsson L, Armstrong BK, Butterfield DA, Chowdhury R, de Gruijl FR, Feelisch M, Garland CF, Hart PH, Hoel DG, Jacobsen R, Lindqvist PG, Llewellyn DJ, Tiemeier H, Weller RB, Young AR. Insufficient Sun Exposure Has Become a Real Public Health Problem. Int J Environ Res Public Health. 2020 Jul 13;17(14):5014. doi: 10.3390/ijerph17145014. https://pubmed.ncbi.nlm.nih.gov/32668607/ -Patrick RP, et al. Sauna use as a lifestyle practice to extend healthspan. Exp Gerontol. 2021 Oct 15;154:111509. doi: 10.1016/j.exger.2021.111509. Epub 2021 Aug 5. https://pubmed.ncbi.nlm.nih.gov/34363927/ -Ostkamp P, et al. Sunlight exposure exerts immunomodulatory effects to reduce multiple sclerosis severity. Proc Natl Acad Sci U S A. 2021 Jan 5;118(1):e2018457118. doi: 10.1073/pnas.2018457118. Erratum in: Proc Natl Acad Sci U S A. 2021 Jul 20;118(29): https://pubmed.ncbi.nlm.nih.gov/33376202/ -Tsigalou C, et al. Autoantibody Production in Obesity: Is There Evidence for a Link Between Obesity and Autoimmunity? Curr Obes Rep. 2020 Sep;9(3):245-254. doi: 10.1007/s13679-020-00397-8. https://pubmed.ncbi.nlm.nih.gov/32632847/ -Garbarino S, Lanteri P, Bragazzi NL, Magnavita N, Scoditti E. Role of sleep deprivation in immune-related disease risk and outcomes. Commun Biol. 2021 Nov 18;4(1):1304. doi: 10.1038/s42003-021-02825-4. https://pubmed.ncbi.nlm.nih.gov/34795404/

Dr. Jockers Functional Nutrition
Can We Prevent and Even Reverse Alzheimer's and Dementia?

Dr. Jockers Functional Nutrition

Play Episode Listen Later Jun 11, 2024 53:59


Are you or someone you love grappling with the fear that aging inevitably means losing mental sharpness or possibly developing Alzheimer's? It's a concern that looms large as we age, particularly as we think about maintaining not just body health but also the health of our minds.   In today's episode of the Dr. Jockers Functional Nutrition podcast, we dive deep into emerging strategies that defy the old narrative of inevitable cognitive decline. With insights from leading experts, we explore the transformative approaches that are reshaping our understanding of neurodegenerative diseases.   Whether you're looking to safeguard your own mental acuity as you age or seeking solace and solutions for a loved one, this discussion is a beacon of hope and action. In This Episode:   00:47 Welcome to Dr. Jocker's Functional Nutrition Podcast   03:37 Introducing Dr. Heather Sandison   06:56 Discussion on Reversing Alzheimer's and Dementia   10:45 Clinical Trial Insights and Results   14:47 Challenges and Success Stories in Patient Compliance   26:04 Lifestyle Interventions for Brain Health   29:58 The Importance of Deep Sleep and REM Sleep   30:51 Strategies for Better Sleep   33:40 The Role of Nutrition in Brain Health   34:31 Exercise and Cognitive Engagement   38:54 Stress Management and Meditation   42:51 Supplements and Personalized Approaches   48:42 Introducing the Book: Reversing Alzheimer's   51:29 Final Thoughts and Encouragement   This podcast is sponsored by ShopC60.com. C60 is a powerful, Nobel Prize-winning antioxidant, that helps to optimize mitochondrial function, fights inflammation, and neutralizes toxic free radicals! I'm a big fan of using C60 in conjunction with your keto and intermittent fasting lifestyle to support your immune system, help your body detox, and increase energy and mental clarity. My favorite C60 products for Keto & IF lifestyles include C60 Purple Power in Organic MCT Coconut Oil (you can add this to your coffee) and their delicious Sugar-Free C60 Gummies (made with allulose and monk fruit)! If you are over the age of 40, and you'd like to kick fatigue and brain fog to the curb this year, visit shopc60.com and use the coupon code “JOCKERS” for 15% OFF  and start taking back control over your health today!   Have you heard of Paleovalley's amazing Turmeric Complex? It contains whole food and organic turmeric instead of just isolated curcumin.    And we know that organic turmeric is way better, and one of the best things you can take to shut down inflammation in the body and support healthy blood flow and blood pressure.    It also includes coconut oil and black pepper as its ingredients, which has been shown to improve the absorption of turmeric by 2000%! Plus, there's also organic ginger, rosemary, and cloves which synergize with the turmeric to help improve digestion and blood sugar.   Paleovalley's Turmeric Complex also supports joint health, mental clarity, and improved brain function. You've just got to try this product. Visit paleovalley.com/jockers!     “Personalized lifestyle interventions hold a great promise to seeing real improvement with people with cognitive decline, dementia, Alzheimer's disease.” -Dr. Heather Sandison   Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean  TuneIn Radio   Resources: Visit https://shopc60.com/jockers – Use code “JOCKERS” to get 15% off! Paleovalley's Turmeric Complex - visit paleovalley.com/jockers     Connect with Dr. Heather Sandison: Website - https://www.drheathersandison.com/   Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https://www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/   If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/  

Health After 30
Lifestyle Interventions for Improving Thyroid Healing w/ Dr Izabella Wentz

Health After 30

Play Episode Listen Later Jun 4, 2024 39:17


This episode of Health After 30 Podcast features Dr. Izabella Wentz, a clinical pharmacist and New York Times bestselling author of "Hashimoto's Protocol." Dr. Wentz is passionate about using her expertise to improve lives through a focus on thyroid health and autoimmune issues. Due to her personal journey with Hashimoto's Thyroiditis, it inspired her to bridge the gap between conventional medicine and lifestyle interventions. Something to embrace! In this episode, we'll cover: Dr Wentz' personal journey with Hashimoto's Thyroiditis Empowering people to manage their health through both medication and lifestyle choices. Strategies for optimising thyroid health Learn more about Dr Izabella Wentz: Website: https://thyroidpharmacist.com New York Times Bestselling Author: #1 NY Times Bestseller Hashimoto's Protocol The Root Cause Book SHOW LINKS - Grab Free Resources here! https://alanabonnemann.com/resources/ - Want to spend a session getting to your feel-good health, laser-focused on your individual needs? Book a VIP 1:1 intensive, starting with a free call: https://alanabonnemann.com/ready-to-get-started/ - Ready to  shift from the dieting mindset to nourishing? Do it in 5 days! http://www.alanabonnemann.com/5daychallenge Let's stay social: https://instagram.com/naturopath.alana --- Send in a voice message: https://podcasters.spotify.com/pod/show/alana-bonnemann/message

Cracking Addiction
Lifestyle Interventions: A New Trend in Addiction Medicine

Cracking Addiction

Play Episode Listen Later May 1, 2024 12:51


Dr Ferghal Armstrong explores the profound impact of lifestyle interventions on addiction recovery, focusing on the crucial role of tobacco cessation within the addiction and mental health treatment spaces. Dr Armstrong discusses recent AOD (Alcohol and Other Drugs) guidelines that integrate lifestyle medicine, highlighting how these can dramatically improve patient outcomes. The discussion extends to the implications of smoking on the efficacy of psychiatric medications and overall prognosis for individuals with mood disorders.**Learning Outcomes:**1. Understand the six pillars of lifestyle medicine as detailed by Dr Armstrong, which include the feet, the fork, the fingers, sleep, stress management, and social connection. The episode elucidates how each pillar contributes to comprehensive addiction recovery and overall mental health enhancement, emphasising the multifaceted approach required for effective treatment.2. Gain insights into the interactions between tobacco use and psychiatric medications, learning why smoking cessation is not merely beneficial but essential for patients undergoing treatment for mood disorders and other mental health issues. Dr Armstrong explains how smoking can alter medication efficacy and overall treatment trajectories.3. Explore the impact of the latest AOD guidelines, which advocate for lifestyle interventions during withdrawal periods. These guidelines offer a new perspective on managing withdrawal by integrating lifestyle improvements that can lead to more successful recovery outcomes.4. Recognise the broader implications of alcohol consumption as discussed by Dr Armstrong, including detailed comparisons of standard drink measurements and guidelines in different regions, which underline the global variations in alcohol consumption recommendations.

Passion Struck with John R. Miles
Dr. Michael Greger on Create the Blueprint for Healthy Aging 447

Passion Struck with John R. Miles

Play Episode Listen Later Apr 26, 2024 58:03


https://passionstruck.com/passion-struck-book/—Order a copy of my new book, "Passion Struck: Twelve Powerful Principles to Unlock Your Purpose and Ignite Your Most Intentional Life," today! The book was picked by the Next Big Idea Club as a must-read for 2024, the winner of the Business Business Minds Best Book 2024, and a finalist for the Eric Hoffer First Horizon Award for best debut novel.In this episode of Passion Struck, host John R. Miles interviews Dr. Michael Greger, a renowned physician and author who shares valuable insights on preventing diseases, improving health, and promoting longevity through lifestyle interventions. The episode covers a wide range of topics, including the impact of diet on heart disease, strategies for preserving bone health, tips for maintaining cognitive function and enhancing sexual health. Full show notes and resources can be found here:  https://passionstruck.com/dr-michael-greger-on-blueprint-for-healthy-aging/In this episode, you will learn:The importance of lifestyle interventions and promoting health and longevity based on his personal experience with his grandmother's recovery from heart disease.The impact of nutrition on preventing diseases like heart disease and cancer.Insights on the Mediterranean and Okinawan diets, emphasizing the benefits of whole plant foods for overall health.Strategies for preserving bone strength, cognitive health, and sexual function as part of an anti-aging approach.Xenohormesis and microRNA manipulation as potential mechanisms for improving health and longevity through plant-based diets and exercise.All things Dr. Michael Greger: https://nutritionfacts.org/SponsorsBrought to you by Indeed. Head to https://www.indeed.com/passionstruck, where you can receive a $75 credit to attract, interview, and hire in one place.Brought to you by Nom Nom: Go Right Now for 50% off your no-risk two week trial at https://trynom.com/passionstruck.Brought to you by Cozy Earth. Cozy Earth provided an exclusive offer for my listeners. 35% off site-wide when you use the code “PASSIONSTRUCK” at https://cozyearth.com/This episode is brought to you by BetterHelp. Give online therapy a try at https://www.betterhelp.com/PASSIONSTRUCK, and get on your way to being your best self.This episode is brought to you By Constant Contact:  Helping the Small Stand Tall. Just go to Constant Contact dot com right now. So get going, and start GROWING your business today with a free trial at Constant Contact dot com.--► For information about advertisers and promo codes, go to:https://passionstruck.com/deals/Catch More of Passion StruckWatch my interview with Dr. Lucia Aronica On The Impact Of Personalized Nutrition On EpigeneticsMy solo episode on how to heal from the consequences of abuseCan't miss my episode with Dr. Will Cole On How To Restore Your Gut-Feelings ConnectionListen to my interview with Dr. Kara Fitzgerald On How To Become A Younger You By Reversing Your Biological AgeMy solo episode on The Science Of Healthy HabitsCheck Out my episode with Dr. Mark Hyman On The Secrets To Living Young ForeverLike this show? Please leave us a review here-- even one sentence helps! Consider including your Twitter or Instagram handle so we can thank you personally!How to Connect with JohnConnect with John on Twitter at @John_RMiles and on Instagram at @john_R_Miles.Subscribe to our main YouTube Channel Here: https://www.youtube.com/c/JohnRMilesSubscribe to our YouTube Clips Channel: https://www.youtube.com/@passionstruckclips

Run with Fitpage
Ep 171: Low Carbs Diet, Type 1 Diabetes and Living Well with Dr. Andrew Koutnik

Run with Fitpage

Play Episode Listen Later Apr 18, 2024 58:53


In this episode of Run with Fitpage, we have Dr. Andrew Koutnik discussing a very important condition, especially in India - Type 1 Diabetes. Dr. Koutnik also discusses his personal journey with Type 1 Journey, tips to manage it, the latest research and alot more with our host, Vikas Singh. Dr. Andrew Koutnik is a distinguished researcher delving into the intricate interplay between nutrition, metabolism, health, disease, and performance. With an academic foundation forged at Florida State University and a doctorate in Biomedical Sciences from the University of South Florida Morsani College of Medicine, his work explores the profound impact of nutrition, exercise, and lifestyle on metabolic health. Personally managing Type-1 Diabetes for over 12 years, Dr. Koutnik brings a unique perspective to his research, blending scientific inquiry with firsthand experience. His expertise spans the realms of metabolic therapies, disease prevention, and performance optimization, making him a sought-after authority in the field. Through ongoing research projects, he endeavors to unravel the complexities of metabolism and leverage lifestyle interventions for better health outcomes.Explore more about his insights and contributions at his website, andrewkoutnik.com.About Vikas Singh:Vikas Singh, an MBA from Chicago Booth, worked at Goldman Sachs, Morgan Stanley, APGlobale, and Reliance before coming up with the idea of democratizing fitness knowledge and helping beginners get on a fitness journey. Vikas is an avid long-distance runner, building fitpage to help people learn, train, and move better.For more information on Vikas, or to leave any feedback and requests, you can reach out to him via the channels below:Instagram: @vikas_singhhLinkedIn: Vikas SinghTwitter: @vikashsingh101Subscribe To Our Newsletter For Weekly Nuggets of Knowledge!

AMiNDR: A Month in Neurodegenerative Disease Research
341 - Prevention & Intervention Strategies for AD

AMiNDR: A Month in Neurodegenerative Disease Research

Play Episode Listen Later Apr 9, 2024 46:41


Naila brings you 21 articles from January 2024, on non-pharmacological approaches to the prevention and intervention of Alzheimer's disease. You'll be treated to research from computational modeling, to rodent models, to clinical trials, with a particular focus on optimizing and personalizing intervention strategies. This episode also covers some research on the role of caregivers, and several papers consider the socioeconomic and ethnographic context in which these studies take place. Let's get to it! Stimulation Techniques (7)Exercise (3)Cognitive Training (2)  Art Therapy and Dyad Interventions (4)Lifestyle Interventions and Prevention (5)-------------------------------------------------------------- You can find the bibliography for this episode here, or by clicking the link below:https://drive.google.com/file/d/1-NvZsr9qousOnp51vDbtMxX4RQe7Elrd/view?usp=drive_linkTo access the folder with ALL our bibliographies, follow this link (it will be updated as we publish episodes and process bibliographies), or use the link below:https://drive.google.com/drive/folders/1bzSzkY9ZHzzY8Xhzt0HZfZhRG1Gq_Si-?usp=sharingYou can also find all of our bibliographies on our website: amindr.com. -------------------------------------------------------------- Follow-up on social media for more updates!Twitter: @AMiNDR_podcastInstagram: @AMiNDR.podcastFacebook:  AMiNDR  Youtube: AMiNDR PodcastLinkedIn: AMiNDR PodcastEmail: amindrpodcast@gmail.com  -------------------------------------------------------------- Please help us spread the word about AMiNDR to your friends, colleagues, and networks! And if you could leave us a rating and/or review on your streaming app of choice (Apple Podcasts, Spotify, or wherever you listen to the podcast), that would be greatly appreciated! It helps us a lot and we thank you in advance for leaving a review! Don't forget to subscribe to hear about new episodes as they come out too. Thank you to our sponsor, the Canadian Consortium of Neurodegeneration in Aging, or CCNA, for their financial support of this podcast. This helps us to stay on the air and bring you high quality episodes. You can find out more about the CCNA on their website: https://ccna-ccnv.ca/. Our team of volunteers works tirelessly each month to bring you every episode of AMiNDR. This episode was scripted and hosted by Naila Kuhlmann, edited by Isabelle Vaux, and reviewed by Anusha Kamesh. The bibliography and wordcloud were created by Salodin Al-Achkar (www.wordart.com). Big thanks to the sorting team for taking on the enormous task of sorting all of the Alzheimer's Disease papers into episodes each month. For January 2024, the sorters were Elyn Rowe, Christy Yu, Salodin Al-Achkar, Naila Kuhlmann, Yonjoon Shin, Ali Mithani, and Ben Cornish. Also, props to our management team, which includes Sarah Louadi, Ellen Koch, Naila Kuhlmann, Elyn Rowe, Anusha Kamesh, Lara Onbasi, Joseph Liang, Judy Cheng, and Christy Yu, for keeping everything running smoothly. AMiNDR was founded in 2020 by Sarah Louadi, Ellen Koch, Elyn Rowe, and Naila Kuhlmann. Our music is from "Journey of a Neurotransmitter" by musician and fellow neuroscientist Anusha Kamesh; you can find the original piece and her other music on soundcloud under Anusha Kamesh or on her YouTube channel, AKMusic.   https://www.youtube.com/channel/UCMH7chrAdtCUZuGia16FR4w   -------------------------------------------------------------- If you are interested in joining the team, send us your CV by email. We are specifically looking for help with sorting abstracts by topic, abstract summaries and hosting, audio editing, creating bibliographies, and outreach/marketing. However, if you are interested in helping in other ways, don't hesitate to apply anyways.  --------------------------------------------------------------*About AMiNDR: *  Learn more about this project and the team behind it by listening to our first episode: "Welcome to AMiNDR!"

Maximal Being Fitness Nutrition and Guthealth
Microbiome Research and Lifestyle Interventions with Maximal Being Being and Martha Carlin | Part 2, Podcast 77

Maximal Being Fitness Nutrition and Guthealth

Play Episode Listen Later Apr 8, 2024 33:01


Joining us today at Maximal Being Fitness, Nutrition, and Gut Health is Martha Carlin aka the "Poop Queen," shares her journey from being an auditor to founding a microbiome research company after her husband's Parkinson's disease diagnosis. She quit her job, founded the BioCollective, and collected fecal samples to build a giant poop bank and computational models to understand the problem and find solutions. Topics- Gut health and neurodegenerative diseases- Using probiotics to improve Parkinson's symptoms- Carnivore diet and its effects on gut health- Gut health and its impact on brain function Doc Mok an advanced GI doctor specializing in nutrition, gut health, and cancer. Joining him is the podcast's layman, Jacky P, smashing the broscience on this week's podcast. Their guest Martha Carlin is the CEO and founder of The BioCollective, a microbiome research company that has studied thousands of fecal samples. If you enjoy the podcast, would you please consider leaving a short review on Apple Podcasts/iTunes? It takes less than 60 seconds, and it really makes a difference Reach out to us at team@maximalbeing.com Or https://www.maximalbeing.com/site/contact 5 FREE Gut Health Hacks (that your doctor won't tell you)5 Days of FREE videos delivered straight to your inbox.No obligation other than your email. I promise I won't send you constant useless garbage emails.*Plus we will send you an extra surprise*https://www.maximalbeing.com https://www.thebiocollective.com/ SocialFacebook: https://www.facebook.com/maximalbeing/ Twitter: https://twitter.com/maximalbeing Instagram: https://www.instagram.com/maximalbeings/ Pinterest: https://www.pinterest.com/maximalbeing/ Linked'in: https://www.linkedin.com/in/maximal-being-13a5051a1/ YouTube: https://www.youtube.com/channel/UCi7KVUF8U-gfhOE1KSNAqIg

Ditch The Labcoat
Heartbreak and Health with Dr Michael Ward, Interventional Cardiology

Ditch The Labcoat

Play Episode Listen Later Mar 27, 2024 57:16


DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.                                                  >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.                                                                                  Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome back to "Ditch the Labcoat," where today we debunked heart health myths with the remarkable Dr. Michael Ward. Did you know stress can literally break your heart? Dr. Ward broke down the realities of Takatsubo cardiomyopathy, stressed the importance of timely intervention in heart attacks, and shared his insights on the Mediterranean diet for cardiac wellness. Plus, we got a glimpse into the high-stakes world of interventional cardiology—straight from the operation room. Stay heart-smart and catch the full episode for a deep dive into the art and science of keeping your ticker ticking! Remember, a healthy heart is a healthy start. Don't miss it!00:00:03 Understanding Takotsubo Cardiomyopathy and Broken Heart Syndrome with Dr. Michael WardDr. Mark Bonta discusses Takotsubo cardiomyopathy, also known as broken heart syndrome, with Dr. Michael Ward. They explore how the condition is often triggered by emotional stress, such as the loss of a loved one, leading to acute heart failure.00:01:03 Discussion on the Heart as a Muscle and Cardiac ConditionsDr. Michael Ward discusses the heart as a muscle that pumps and the various cardiac conditions patients may face, such as heart attacks, heart failure, and heart rhythm problems. The conversation emphasizes the importance of understanding the basic function of the heart for better management of cardiac health.00:02:26 Discussion with Dr. Michael Ward on Interventional Cardiology and Hypertrophic CardiomyopathyDr. Michael Ward is an expert in interventional cardiology who helps people prevent and recover from heart-related issues. He also focuses on hypertrophic cardiomyopathy, a genetic condition affecting the heart. With a background in both medicine and research, he is a valuable asset at Western University in London, Ontario.00:03:50 Interview with Dr Michael Ward, Interventional CardiologistDr. Michael Ward, an interventional cardiologist with both an MD and a PhD, discusses his background in cell-based gene therapy and his interest in cardiovascular medicine. He shares insights on heart health, the importance of vacations for mental health, and his balanced lifestyle.00:07:18 Insight into the Fascinating Aspects of the Heart from an Interventional Cardiology PerspectiveDr Mark Bonta, an interventional cardiologist, shares his perspective on the intricate nature of the heart, highlighting how it responds to various stimuli and stressors. He emphasizes the role of the cardiovascular system in determining life and death outcomes and the potential for improving quality of life through cardiology interventions.00:11:14 Discussion on Interventional CardiologyDr. Mark Bonta discusses their work in interventional cardiology, including responding to emergencies like heart attacks and performing procedures in the catheterization laboratory. They describe the challenges faced by patients with heart conditions and the range of cases they handle.00:13:26 Understanding Cardiovascular System with Dr. Michael WardDr. Michael Ward talks about atherosclerosis as the accumulation of plaque in the arteries, which can lead to heart issues like angina and heart attacks. The discussion also touches on the difference between chronic accumulation of plaque and acute blockages causing heart attacks.00:18:01 Understanding Acute Heart Attacks and Plaque Ruptures in ArteriesAcute heart attacks can occur when plaque ruptures inside an artery, leading to a clot that blocks the artery and causes the heart attack. Platelets play a crucial role in responding to the rupture and forming clots to heal the affected area.00:19:44 Importance of Timely Intervention in Heart AttacksDuring a conversation between Dr. Mark Bonta and Dr. Michael Ward Interventional Cardiology, they discussed the critical importance of timely intervention in heart attacks. Dr. Bonta mentioned that when a heart attack occurs, time is of the essence as the muscle of the heart is deprived of blood flow. Historically, patients were given aspirin and blood thinners but no interventional procedures were done immediately.00:21:20 Advanced Cardiac Care Protocols in CanadaIn Canada, there are advanced protocols in place for managing ST-elevation myocardial infarction (STEMI) cases, including direct ambulance transportation to hospitals with cath labs. Time is crucial in treating cardiac emergencies to minimize heart muscle damage.00:23:51 Patient Experience in the Cath Lab: What to ExpectThe patient experience in the cath lab involves inserting a needle with a wire into their arteries, either through the wrists or groin. Patients may not feel much during the procedure, but there might be some sensations of discomfort or awareness of the procedure taking place.00:26:56 Understanding the Process of Opening Blocked Heart VesselsIn the conversation between Dr Mark Bonta and Dr Michael Ward Interventional Cardiology, they discuss the process of opening blocked heart vessels during angioplasty procedures. They talk about using topical lidocaine for anesthesia and how temporary discomfort may be felt when the blockage is being opened up. Dr Ward explains that a stent is not a rigid pipe but a meshwork that is placed in the living system of the coronary artery.00:29:41 Understanding Interventional Cardiology and StentingInterventional cardiology involves using contrast dye and x-ray cameras to map arteries and identify blockages. Stents are used to provide support and prevent arteries from narrowing, improving blood flow to the heart muscle. The decision to place a stent is based on the degree of blockage and the impact on blood flow.00:34:10 Discussion on Heart Health Interventions and Medical ManagementThe conversation between Dr. Mark Bonta and Dr. Michael Ward Interventional Cardiology delves into the topic of heart health interventions and the importance of medical management in cardiac care. They discuss the limitations of interventions like stents in treating moderate blockages and emphasize the significance of lifestyle changes and medications in preventing heart attacks and strokes.00:38:32 Preventing Cardiovascular Disease Through Exercise and MedicationsDr. Mark ...

Growing Up with Dr Sarah
Ep. 112 - How dietary and lifestyle interventions heal your body and mind

Growing Up with Dr Sarah

Play Episode Listen Later Mar 19, 2024 49:00


Did you know that the nervous system ties in with nutritional healing? This weeks guest is Kymber Maulden who is a Women's nutritionist and somatic health coach. She helps women self heal, self regulate and self nourish. In this episode we discuss the biological differences between women and men, why the nervous system is so important, key factors to consider when choosing what food to eat and more! Get in Touch with Kymber: kymbermaulden.com

Movement Optimism
Dr Jo Nijs - nociplastic pain and tailoring lifestyle interventions for persistent pain

Movement Optimism

Play Episode Listen Later Mar 4, 2024 35:53


Jo Nijs, PT, MT, PhD,[1] is a Belgian professor of physiotherapy at the Vrije Universiteit Brussel and physiotherapist/manual therapist at the University Hospital Brussels.  He has published more than 200 peer reviewed journals and has been strong proponent of some of our favourite topics on this podcast. We talk about: - classifying pain based on mechanisms (nociceptive, neuropathic, nociplastic) - what nociplastic pain is - the utility of understanding nociplastic pain  - how lifestyle interventions (sleep, stress, diet) can influence pain - how we can tailor those interventions to individuals in pain - how traditional "motor control" exercises can be reframed and help with pain Dr Nijs can be found at Pain In Motion Relevant Papers LIfestyle and Pain Another paper on a lifestyle management approach to pain Cognition Targeted Motor Control Exercises RCT  Sleep and Pain Nociplastic Pain Another paper on Nociplastic Pain and CS

The Real Truth About Health Free 17 Day Live Online Conference Podcast
Bridging Lifestyle Medicine and Traditional Approaches: A Balanced Healing Perspective

The Real Truth About Health Free 17 Day Live Online Conference Podcast

Play Episode Listen Later Feb 18, 2024 14:30


Dr. Anthony Lim discusses the interplay between traditional medical treatments and lifestyle medicine, emphasizing the importance of addressing root causes rather than just treating symptoms. Dr. Lim stresses the value of combining the best of both worlds - using lifestyle changes as the foundation for healing, supplemented by medical interventions when necessary. He offers insights into blood pressure management, cholesterol levels, and the role of diet in cardiovascular health. #LifestyleMedicine #HolisticHealth #BalancedHealing

Sam Miller Science
S 624: Nutrition and Mental Health: Key Considerations and Lifestyle Factors for Mental Wellbeing

Sam Miller Science

Play Episode Listen Later Jan 19, 2024 22:30


Heading into a new year, our wellbeing has never been more important especially our mental wellbeing. In today's episode, I want to highlight some key lifestyle interventions, considerations, and potential supplements if needed to maximize our mental health. Topics include:   - Lifestyle Interventions and Mental Health - Exercise vs Pharmaceutical Drugs - Setting Ourselves Up for Disease Risk - Micronutrient Deficiencies and Mental Health - The Whole Food Matrix - EPA/DHA Supplementation - Endorphines - Sleep and Mental Health - Please Share, Rate, and Review ----------  Subscribe to My New Youtube Channel:  https://youtube.com/@sammillerscience?si=s1jcR6Im4GDHbw_1 ----------  My Live Program for Coaches: The Functional Nutrition and Metabolism Specialization  www.metabolismschool.com ---------- [Free] Metabolism School 101: The Video Series http://www.metabolismschool.com/metabolism-101 ---------- Grab a Copy of My New Book - Metabolism Made Simple ---------- Stay Connected Instagram: @sammillerscience Youtube: SamMillerScience Facebook: The Nutrition Coaching Collaborative Community  TikTok: @sammillerscience  ---------- “This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast and the show notes or the reliance on the information provided is to be done at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment and is for educational purposes only. Always consult your physician before beginning any exercise program and users should not disregard, or delay in obtaining, medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions. By accessing this Podcast, the listener acknowledges that the entire contents and design of this Podcast, are the property of Oracle Athletic Science LLC, or used by Oracle Athletic Science LLC with permission, and are protected under U.S. and international copyright and trademark laws. Except as otherwise provided herein, users of this Podcast may save and use information contained in the Podcast only for personal or other non-commercial, educational purposes. No other use, including, without limitation, reproduction, retransmission or editing, of this Podcast may be made without the prior written permission of Oracle Athletic Science LLC, which may be requested by contacting the Oracle Athletic Science LLC by email at team@sammillerscience.com. By accessing this Podcast, the listener acknowledges that Oracle Athletic Science LLC makes no warranty, guarantee, or representation as to the accuracy or sufficiency of the information featured in this Podcast."

DUTCH Podcast
PCOS with Felice Gersh, MD (Part 2): Diet and Lifestyle Interventions

DUTCH Podcast

Play Episode Listen Later Dec 19, 2023 45:41


The DUTCH Podcast is back for part two of this fascinating conversation about PCOS with expert practitioner Dr. Felice Gersh, MD! In the second installment of this interview, Dr. Gersh and DUTCH Podcast host Jaclyn Smeaton, ND, dive into the lifestyle interventions that can support women with PCOS. From strategic eating windows to stress-reduction techniques and other diet recommendations, this episode is full of suggestions to help patients with PCOS thrive. Show Notes Become a DUTCH provider and profoundly change your patients' lives through comprehensive hormone testing. Visit Dr. Felice Gersh's website https://integrativemgi.com/ Read the DUTCH Blog to learn more about hormone health. The Role of Adrenals in PCOS  Metabolic Factors in PCOS  Improving Treatment Plans for PCOS and Pregnancy 

The Real Truth About Health Free 17 Day Live Online Conference Podcast
Perfection Can Be the Enemy of Good: The Power of Incremental Change in Diet

The Real Truth About Health Free 17 Day Live Online Conference Podcast

Play Episode Listen Later Dec 7, 2023 60:27


Dr. Anthony Lim discusses the interplay between traditional medical treatments and lifestyle medicine, emphasizing the importance of addressing root causes rather than just treating symptoms. Dr. Lim stresses the value of combining the best of both worlds - using lifestyle changes as the foundation for healing, supplemented by medical interventions when necessary. He offers insights into blood pressure management, cholesterol levels, and the role of diet in cardiovascular health. #LifestyleMedicine #HolisticHealth #BalancedHealing

The Landing Spot
Lifestyle Interventions for Better Mental Health

The Landing Spot

Play Episode Listen Later Nov 13, 2023 39:59


Our mental health as a society has taken such a hit in the past 20 years. There are things we can do to support healing and proactively fight against poor mental health outcomes.  Enjoy! Are you a woman struggling with hormone-related fatigue, stubborn weight gain, anxiety and/or irregular cycles? Contact me at wholestoryhealth@gmail.com or DM me @wholestoryhealthcoach on Instagram to chat about possible solutions.

The Pelvic Health Podcast
PCOS and the role of lifestyle interventions with dietitian Dr Stephanie Pirotta

The Pelvic Health Podcast

Play Episode Listen Later Nov 6, 2023 43:02


We had a brilliant chat with Dr Stephanie Pirotta about PCOS (polycystic ovary syndrome) and the role of lifestyle interventions to manage the chronic illness. This episode was meant to be aired before the PB Endo Conference, where Dr Pirotta presented a wonderful talk, however Lori's life was crazy and she just couldn't pull it together and get it out there in time. Apologies! But this episode is such a great listen.   Dr Stephanie Pirotta is an accredited Dietician, Nutritionist and Researcher - She has a PhD in PCOS and doing post-doctoral work at Monash University in the space of diet, PCOS, endometriosis and fertility.   Stephanie is the founder of Womanly Nutrition and Dietetics in Melbourne.   Enjoy!   Check out her research here: Publications

The Curbsiders Internal Medicine Podcast
#412 Low Carb, Keto, Fasting: Lifestyle Interventions for Weight Management

The Curbsiders Internal Medicine Podcast

Play Episode Listen Later Oct 16, 2023 79:06


Semaglutide can't fix everything… Recommend lifestyle interventions for weight management with Dr. Will Yancy, Director of the Duke Lifestyle and Weight Management Center and Interim Chief of Division of General Internal Medicine at Duke (@DrWillYancy).  Learn about the ketogenic diet, lower carbohydrate diets, and exercise, and their impacts on your patients.   Claim free CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Credits Producer and writer: Fatima Syed, MD, MSc, FACP Show Notes, Infographic, and Cover Art: Fatima Syed, MD, MSc, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto, MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Will Yancy, MD Sponsor: Babbel Get 55% off at Babbel.com/CURB Sponsor: Locumstory  Visit locumstory.com to learn more more about all things locum tenens. Sponsor: Pathway  Download the Pathway app today, 100% free for Curbsiders listeners Full Transcript available HERE

Modern Healthspan
Lifestyle Interventions For Healthspan | Prof Matt Kaeberlein Ep5

Modern Healthspan

Play Episode Listen Later Sep 30, 2023 18:34


Here Prof Kaeberlein discusses his thoughts on exercise and diet. In particular he goes into detail on intermittent fasting, time restricted feeding and calorie restriction. Dr. Kaeberlein's research interests are focused on biological mechanisms of aging in order to facilitate translational interventions that promote healthspan and improve quality of life. He has published more than 200 scientific papers, has been recognized by several prestigious awards, and has Fellow status in the American Association for the Advancement of Science (AAAS), the American Aging Association, and the Gerontological Society of America (GSA). Dr. Kaeberlein is currently the CEO of the American Aging Association and has served on the Board of Directors for the Federation of American Societies for Experimental Biology (FASEB), AGE, and GSA. Dr. Kaeberlein is the founding Director of the UW Healthy Aging and Longevity Research Institute, the Director of the UW Nathan Shock Center of Excellence in the Basic Biology of Aging, Director of the Biological Mechanisms of Healthy Aging Training Program, and founder and co-Director of the Dog Aging Project.

Fading Memories: Alzheimer's Caregiver Support
Skin Deep: The Promising New Skin Test for Early Alzheimer's Detection

Fading Memories: Alzheimer's Caregiver Support

Play Episode Listen Later Sep 29, 2023 32:13


What if there was a painless and non-invasive way to detect Alzheimer's earlier than ever? Meet Frank Amato from Synaps DX, a pioneer in healthcare innovation who might have the answer. In this engaging discussion, we dive into Frank's groundbreaking work on the Discern Test - a revolutionary skin test for Alzheimer's. Frank's passion for health care and his mission to transform Alzheimer's diagnosis make this conversation a must-listen for anyone interested in the latest advancements in healthcare. The episode unfolds Frank's journey, from exploring the science behind the skin test to its potential implications for patients worldwide. The test, which identifies two proteins in the skin that exhibit abnormalities in Alzheimer's patients, offers the promise of diagnosing the disease in its early stages. Frank explains that this could be a game-changer in prescribing lifestyle changes and drug interventions that might significantly improve a patient's life. We also delve into the importance of early diagnosis and its impact on patients and caregivers alike. If you're curious about the next big thing in healthcare, this episode is for you. So, tune in to discover how this simple skin test could potentially revolutionize Alzheimer's diagnosis and treatment. (0:00:01) - Detecting Alzheimer's With a Skin Test (0:09:59) - Alzheimer's Diagnosis Through Skin Test (0:25:39) - Lifestyle Interventions for Brain Health ++++++++++++++++++++++++++++++++++++++++ Sign Up for more Advice & Wisdom - email newsletter. ++++++++++++++++++++++++++++++++++++++++ Please help us keep our show going by supporting our sponsors. Thank you. Did you know people with Alzheimer's can receive nearly 200 spam calls a week? You can put a stop to those now. Relevate from NeuroReserve Make Your Brain Span Match Your LifeSpan With Relevate nutritional supplement, you get science-backed nutrition to help protect your brain power today and for years to come. You deserve a brain span that lasts as long as your lifespan. Join Fading Memories On Social Media! If you've enjoyed this episode, please share this podcast with other caregivers! You'll find us on social media at the following links. Instagram Twitter LinkedIn  Facebook Contact Jen at hello@fadingmemoriespodcast.com

Forever Fit with Carol Covino
Thyroid Health, Hyperthyroidism, and How to Approach Your Doctor with Dr. Michael Biamonte (Ep. 152)

Forever Fit with Carol Covino

Play Episode Listen Later Sep 18, 2023 50:27


I'm so excited to welcome back Dr. Michael Biamonte to the show for his 4th appearance on the show and we're going to cover a different topic than the first 3 episodes. We are going to dive into thyroid health and its many complexities including hashimoto's, hyperthyroidism, and more! We'll also discuss how to approach your doctor with functional medicine studies and how to have a productive conversation in that realm.   Time Stamps:   (0:50) Dr. Biamonte's Background (3:45) Explaining The Thyroid and Thryoid Function (12:12) Hashimoto's (19:26) Compounds and Supplementation (22:00) Hyperthyroidism (26:52) Lifestyle Interventions (32:00) Approaching Your Doctor About the Subject (34:30) Stuck in Dogma (42:50) The State of Health (49:40) Where to Find Dr. Biamonte -------------------- Dr. Biamonte's email: drmichaelcbiamonte@gmail.com Websites: https://www.newyorkcitythyroiddoctor.com https://www.newyorkcitycandidadoctor.com https://health-truth.com Dr. Biamonte's Book: https://www.amazon.com/Candida-Chronicles-Mannual-Yeast-infections/dp/0692756191 -------------------- Check Out My New Book Finding Purpose in the Pause -------------------- Eros Body Composition scale: Use Code: Covino for a 20% off discount http://www.inevifit.com?aff=325 -------------------- Thorne Supplements: https://www.thorne.com/u/Covino -------------------- Check Out My YouTube Channel

Collective Insights
Dementia - Dr. Heather Sandison - Lifestyle Interventions

Collective Insights

Play Episode Listen Later Sep 12, 2023 51:17


With her unwavering dedication to supporting those suffering from dementia, Dr. Sandison has devoted her career to addressing the root causes of imbalances in the brain and body. Today she joins us to share the latest research on lifestyle interventions shown to slow cognitive decline, shattering common misconceptions about Alzheimer's and providing key insights to keeping our brain sharp at any age. Sponsored by Qualia Mind: https://neurohacker.com/podcastdiscount. Use code james when you shop Qualia Mind for 15% off your order. Get in touch. Instagram: https://www.instagram.com/neurohacker/. Facebook: https://www.facebook.com/neurohackercollective. Email: support@neurohacker.com.

The Landing Spot
Ep #09: How Michelle Johnson overcame many PCOS-related problems through simple yet effective lifestyle interventions with Michelle Johnson

The Landing Spot

Play Episode Listen Later Sep 11, 2023 63:54


Are you a woman struggling with hormone-related fatigue, stubborn weight gain, anxiety and/or irregular cycles? Contact me at wholestoryhealth@gmail.com or DM me @allisonhealthcoachnooe on Instagram to chat about possible solutions.

Conversations with Change-Makers
Decoding Your DNA to Reverse Aging with Kashif Khan

Conversations with Change-Makers

Play Episode Listen Later Sep 6, 2023 40:50


In this episode of "Optimize Your Life," I sit down with Kashif Khan, the founder of The DNA Company, a celebrity longevity expert, two-time TEDx speaker and author of The DNA Way. Kashif shares insights into his journey, the significance of understanding one's DNA, and the path to achieving optimal wellness. Show Notes: [1:35] DNA's Role in Disease Reversal and Anti-Aging [3:44] Gene Mapping [4:19] Dietary Choices [7:23] Modern Healthcare [9:21] Tailored Wellness Strategies [10:47] Decoding Genetic Secrets [12:04] The Future of Health [15:20] Practical Wellness Tips [15:34] Genetic Predispositions [21:32] Nutrition & Genetics [22:16] Understanding Genetic Markers for Disease Prevention [24:35] Lifestyle Interventions [28:23] Kashif Khan's Vision [32:07] Deciphering Genetic Reports [32:46] Aging Gracefully [33:31] Beyond Genes: Holistic Approaches to Wellness [37:19] Disease Reversal: Genetic Science [39:10] The DNA Company To get your very own DNA test - click here.

Microbiome Medics
Cancer and the Gut Microbiome Part 2: The Hidden Influence of Gut Microbiome on Cancer Treatment

Microbiome Medics

Play Episode Listen Later Aug 16, 2023 50:43


In this 2nd episode on cancer and the gut microbiome , our Microbiome Medics duo continue their exploration of the impact of the gut microbiome on all aspects of cancer biology focusing on responses to cancer therapies and the potential effects of medications such as antibiotics and proton pump inhibitors on the resident microbes.Dr Sheena discusses practical advice to improve gut health that she discusses with her NHS patients diagnosed with cancer and Dr Shiv introduces a few new concepts including the Oestrobolome and its importance to breast cancer and discusses a paper describing microbiomes within several different types of human cancers which may help further understanding of the impact of microorganisms on the hallmarks of cancer.This podcast is brought to you in collaboration with the British Society of Lifestyle Medicine.Disclaimer:The content in this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor or qualified healthcare provider. Never disregard professional medical advice or delay in seeking it because of something you have heard on this podcast.

Everyday Wellness
Ep. 285 Improving Metabolic Health: Lifestyle Interventions To Optimize Metabolic Health with Kara Collier, RD

Everyday Wellness

Play Episode Listen Later Jul 22, 2023 59:26


Get ready to venture into the realm of cutting-edge health and nutrition as I reconnect with Kara Collier, a registered dietitian and the co-founder of Nutrisense, the revolutionary continuous glucose monitor app!  Our paths last crossed back in January of 2021, and I am thrilled to catch up with Kara again! Today, we delve deep into the ever-evolving landscape of metabolic health in 2023, exploring the pivotal role of CGM labs and glucometers in understanding our bodies.  In today's captivating conversation, Kara unravels the significance of measuring glucose against other metabolites, unveiling the profound impact of macros, exercise, supplements, sleep quality, life stage, and bio-individuality on our well-being. With a plethora of invaluable hacks to optimize your blood sugar, we invite you to join us on a captivating journey that will leave you empowered to take charge of your health and transform your life!  Gear up for an enlightening conversation packed with valuable insights you will not want to miss! Prepare to be inspired and informed as we uncover the secrets to unlocking your metabolic potential! IN THIS EPISODE YOU WILL LEARN: The current state of metabolic health What is leading to obesity in the US? Getting your fasting glucose value below 90 The pros and cons of glucometers Glucose monitoring and the 8020 rule Tracking your data to learn about yourself Hacks to improve your diet The role of movement in metabolic health How important is Zone 2 training for mitochondrial health?  Follicular versus luteal phase and insulin sensitivity The importance of protein and carbohydrates Blood sugar and sleep quality About Kara: Kara Collier is the co-founder and VP of Health at Nutrisense, one of America's fastest-growing wellness-tech startups. After becoming frustrated with the shortcomings of the traditional healthcare system, she made it her mission to help others reach their maximum health potential using modern technology & expert coaching. She is the leading authority on the use of continuous glucose monitoring (CGM) technology for health optimization and disease prevention. Kara is a Registered Dietitian Nutritionist (RDN), Licensed Dietitian/Nutritionist (LDN), and Certified Nutrition Support Clinician (CNSC). Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Connect with Kara Collier On Instagram  Nutrisense Ep. 132 – Continuous Glucose Monitors: Why They're Not Just for Diabetics Anymore with Kara Collier

Frankly Speaking About Family Medicine
Does Metformin Make an Impact in Lowering Cardiovascular Risk in Patients with Prediabetes? - Frankly Speaking Ep 335

Frankly Speaking About Family Medicine

Play Episode Listen Later Jul 3, 2023 10:50


Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-335 Overview: In this episode, we review recent updates from the Diabetes Prevention Program (DPP) trial and Diabetes Prevention Program Outcomes Study (DPPOS). Join us as we discuss the impact of the updates on diabetes prevention strategies for cardiovascular outcomes. Episode resource links: Goldberg RB, Orchard TJ, Crandall JP, Boyko EJ, Budoff M, Dabelea D, Gadde KM, Knowler WC, Lee CG, Nathan DM, Watson K, Temprosa M; Diabetes Prevention Program Research Group*. Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study. Circulation. 2022 May 31;145(22):1632-1641. doi: 10.1161/CIRCULATIONAHA.121.056756. Epub 2022 May 23. PMID: 35603600; PMCID: PMC9179081. Galaviz KI, Weber MB, Suvada K BS, Gujral UP, Wei J, Merchant R, Dharanendra S, Haw JS, Narayan KMV, Ali MK. Interventions for Reversing Prediabetes: A Systematic Review and Meta-Analysis. Am J Prev Med. 2022 Apr;62(4):614-625. doi: 10.1016/j.amepre.2021.10.020. Epub 2022 Feb 10. PMID: 35151523. Guest: Jillian Joseph, MPAS, PA-C   Music Credit: Richard Onorato

Pri-Med Podcasts
Does Metformin Make an Impact in Lowering Cardiovascular Risk in Patients with Prediabetes? - Frankly Speaking Ep 335

Pri-Med Podcasts

Play Episode Listen Later Jul 3, 2023 10:50


Credits: 0.25 AMA PRA Category 1 Credit™   CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-335 Overview: In this episode, we review recent updates from the Diabetes Prevention Program (DPP) trial and Diabetes Prevention Program Outcomes Study (DPPOS). Join us as we discuss the impact of the updates on diabetes prevention strategies for cardiovascular outcomes. Episode resource links: Goldberg RB, Orchard TJ, Crandall JP, Boyko EJ, Budoff M, Dabelea D, Gadde KM, Knowler WC, Lee CG, Nathan DM, Watson K, Temprosa M; Diabetes Prevention Program Research Group*. Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study. Circulation. 2022 May 31;145(22):1632-1641. doi: 10.1161/CIRCULATIONAHA.121.056756. Epub 2022 May 23. PMID: 35603600; PMCID: PMC9179081. Galaviz KI, Weber MB, Suvada K BS, Gujral UP, Wei J, Merchant R, Dharanendra S, Haw JS, Narayan KMV, Ali MK. Interventions for Reversing Prediabetes: A Systematic Review and Meta-Analysis. Am J Prev Med. 2022 Apr;62(4):614-625. doi: 10.1016/j.amepre.2021.10.020. Epub 2022 Feb 10. PMID: 35151523. Guest: Jillian Joseph, MPAS, PA-C   Music Credit: Richard Onorato

The Simply Fit Podcast
SCIENCE Based Strategies On How To Look Better, Feel Better & Live Longer: James O'Hara

The Simply Fit Podcast

Play Episode Listen Later Jun 11, 2023 57:29


In the latest episode of the Simply Fit Podcast, I have the pleasure of speaking with James O'Hara. James O'Hara is a Nurse Practitioner with a passion for evidence-based, individualized medicine. He's also a co-host on the very popular Gillette Health Podcast. James utilizes an integrative approach which combines lifestyle interventions, supplementations, and medications when indicated to empower patients to feel better and live longer, healthier lives. Get your notebook ready for this one team. In this episode you can expect to learn: Why so many of us aren't feeling good, aren't living longer lives and aren't looking our best. What changes we should be making as we age to optimise our hormones. Along with some of the best practices you can do to improve your hormone health and longevity. Connect with me on Instagram: @elliothasoon Let's work together: www.ehcoaching.co.uk Get Free Workout Plans: https://bit.ly/EHWorkoutsYT Find James: Instagram: https://instagram.com/jamesoharanp Clinic: https://gilletthealth.com Labs: https://gilletthealth.com/order-lab-panels/ Don't forget to subscribe too so that you don't miss any future episodes.

HeartBEATS from Lifelong Learning™
Hypertrophic Cardiomyopathy (HCM): Lifestyle Interventions and Exercise Recommendations

HeartBEATS from Lifelong Learning™

Play Episode Listen Later May 24, 2023 29:08


People with HCM may need to make lifestyle changes, such as limiting their activity, to accommodate their disease. In this episode, experts will cover behavior modifications for patient with hypertrophic cardiomyopathy, including regular physical activity recommendations as well as sports participation, occupational considerations, pregnancy, and management of comorbidities.

Obesity: A Disease
Episode 82: Clinical Conversations: Phenotype-Guided Lifestyle Interventions for Obesity

Obesity: A Disease

Play Episode Listen Later May 16, 2023 25:51


In this episode, Obesity Medicine Specialist and OMA Clinical Education Director Dr. Nicholas Pennings and Dr. Andreas Acosta discuss the importance of aligning appropriate lifestyle interventions to each of the four key phenotypes that explain about eighty-five percent of patients with obesity. Andreas Acosta, MD, PhD is an assistant professor in the Division of Gastroenterology and Hepatology at the Mayo Clinic in Rochester, MN. Dr. Acosta presented his exciting research at the OMA Fall 2022 Obesity Summit in Anaheim, CA, in a presentation titled “Phenotype-Guided Lifestyle Intervention for Obesity Management" Topics discussed include hungry gut, emotional eater, and slow metabolizer phenotypes. Additional topics include overlapping phenotypes, phenotype profiling, and treatment approaches. Episode Guests Andreas Acosta, MD, PhD Nicholas Pennings, DO, FOMA, FACOFP

Muscle Intelligence
The Metabolic Link to Brain Optimization with Dr. Chris Palmer #323

Muscle Intelligence

Play Episode Listen Later May 11, 2023 63:56


In this day and age, the majority of us have either experienced first-hand a mental health issue such as depression or anxiety, or known someone who has. While mental health is a less popular topic in the health and fitness world than training or nutrition might be, it has just as much value… Today's guest on the Muscle Intelligence Podcast, Dr. Chris Palmer, is working at the interface of metabolism and what we call mental disorders, and is dedicated to improving the lives of people suffering from mental illness. Dr. Christopher Palmer is a Harvard Medical School Physician, Researcher, Consultant, and Educator.  He has extensive experience and expertise in psychopharmacology, psychotherapy, and complementary and alternative treatments for psychiatric disorders. Dr. Palmer is also pioneering the use of the ketogenic diet and other lifestyle mediations as a treatment for psychiatric disorders, and is working with researchers from around the world to assess the effectiveness of these treatments in real people. You'll learn: How Mitochondrial Malfunction Causes Mental Illness The Effects of Stress on Your Human Metabolism Adolescent Mental Health: The Risk Factors to be Aware of Dietary and Lifestyle Interventions to Treat Metabolic Dysfunction Pick up the FREE episode guide at https://muscleintelligence.com/learn Learn more from Dr. Chris Palmer https://brainenergy.com/ https://www.chrispalmermd.com/ Please support our sponsors: Shop 15% off of one of my favorite high protein snacks - grass fed, grass finished beef sticks from PaleoValley.  Head to https://paleovalley.com/muscle to redeem this deal and use code MUSCLE on PaleoValley's full product line! If you're a man over 35 looking for a simple, effective and personalized plan to help you look, feel and perform better than you did in your 20s, click here to learn more about our upcoming programs.

The Superhumanize Podcast
Dr Terry Wahls On Reversing Autoimmune Conditions And Chronic Disease With Diet And Lifestyle Interventions

The Superhumanize Podcast

Play Episode Listen Later Apr 14, 2023 37:34


Welcome to the Superhumanize Podcast, where we explore cutting-edge science and insights that can help us live healthier, happier, more fulfilling lives. In today's episode, I am honored to be joined by Dr. Terry Wahls, a clinical professor of medicine at the University of Iowa, author, and renowned expert in the field of functional medicine. Dr. Wahls is also a patient with secondary progressive multiple sclerosis, which confined her to a tilt-recline wheelchair for four years. Dr. Wahls restored her health using a diet and lifestyle program she designed specifically for her brain and now pedals her bike to work each day. Her personal journey with the disease has led her to develop the Wahls Protocol, a science-backed approach to treating chronic autoimmune conditions, that has helped countless people around the world to stop or slow down the progression of their conditions, or even reverse them.Dr. Wahls' research and clinical practice focus on using diet and lifestyle interventions to treat and prevent chronic disease. She has published numerous scientific papers and has presented her findings at national and international conferences. Dr. Wahls is also the author of three bestselling books, including The Wahls Protocol: A Radical New Way to Treat All Chronic Autoimmune Conditions Using Paleo Principles.In this episode, Dr. Wahls shares her personal journey with MS and how it led her to develop the Wahls Protocol, a nutritional and lifestyle intervention designed to treat chronic autoimmune conditions such as MS. She discusses the principles of functional medicine and how it differs from traditional medicine, as well as the role of nutrition and movement in healing chronic illness. Dr. Wahls also addresses some of the common questions and concerns that people with autoimmune diseases may have about the Wahls Protocol, including how it can help with specific symptoms, how to get started, and how to address financial or logistical barriers to adopting the approach.Whether you are someone who is dealing with an autoimmune condition and are looking for new ways to manage your symptoms or whether you know someone you love who is facing chronic health problems, or whether you are simply interested in the latest research on functional medicine and holistic health, this episode is a must-listen. If you enjoy this episode and feel it helps to elevate your life, please give us a rating or review. And if you feel others may benefit from this podcast as well, spread the word, share and help grow our tribe of Superhumans.When we help heal One, we help heal All.Much gratitude and love.Yours,ArianeIn this episode with Doctor Wahls, you'll discover:-Dr. Wahl's personal journey recovering from MS...04:00-An overview of the Wahls Protocol...11:10-Mindfulness and addressing the mental elements of recovery....15:30-Restoring a sense of agency after feeling you've lost control...19:01-How the Wahls Protocol addresses toxins within and immediately outside the body...21:30-How to balance conventional meds with the principles of the Wahls Protocol...26:00-When will one see results after adopting the Wahls Protocol?...30:45-If you can at least halt the decline, it's a major win...33:00-And much more!Resources mentioned:Superhumanize episode with Montel WilliamsWEBSITESDr Terry WahlsDr. Wahls' page at the University of IowaThe MS study Terry mentionedBOOKS

Southern Remedy
Southern Remedy Healthy & Fit | Lifestyle Interventions for Common Medical Issues

Southern Remedy

Play Episode Listen Later Apr 3, 2023 44:06


Host: Josie Bidwell, Associate Professor of Preventive Medicine and Nurse Practitioner at the University of Mississippi Medical Center.Topic: Lifestyle interventions for common medical issues. Email: fit@mpbonline.org. Hosted on Acast. See acast.com/privacy for more information.

Pathways to Well-Being
Fueling for Fitness: Igniting Metabolism Through Personalized Lifestyle Interventions

Pathways to Well-Being

Play Episode Listen Later Mar 28, 2023 48:32


Jade Teta, ND discusses modifiable lifestyle factors integral to metabolic health, explores the intricate connections between hormones and an individual's metabolism, and shares clinical pearls for collaborative, effective and sustainable personalized interventions. Click here to view episode transcript: https://www.ifm.org/news-insights/fueling-for-fitness-igniting-metabolism-through-personalized-lifestyle-interventions/

The Luke Smith Nutrition Podcast
29: Devyn Cox (@thedevyn32) - Testosterone Optimization: what is it + why's it important, nutrition & lifestyle interventions, optimal levels and when to see a doc, TRT and herbal supplements...

The Luke Smith Nutrition Podcast

Play Episode Listen Later Dec 27, 2022 47:00


On this episode, my Dietetic Intern - Devyn Cox - presents a literature review on testosterone optimization as he finished out his rotation with me. I enjoyed this conversation and think others could benefit from the information presented. Topics Discussed:-What is testosterone + why it's important-Nutrition interventions -Lifestyle considerations-Common lab tests and ranges-TRT and considerations-Popular herbal supplements+so much more in between. Hope you enjoy this episode! TIA for listening.

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.
Mindfulness Training and Exercise for Cognitive Function in Older Adults, Lifestyle Interventions in Adults With Obesity, Guidelines for Reporting Outcomes in Trial Reports, and more

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.

Play Episode Listen Later Dec 13, 2022 8:21


Editor's Summary by Mary McDermott, MD, Deputy Editor of JAMA, the Journal of the American Medical Association, for the December 13, 2022, issue. Related Content: Audio Highlights

Dhru Purohit Show
How to Optimize Your Hormone Health with Diet and Lifestyle Interventions with Dr. Stephanie Estima

Dhru Purohit Show

Play Episode Listen Later Dec 5, 2022 39:13


This episode is brought to you by InsideTracker and Big Bold Health.A woman's hormonal landscape changes dramatically throughout her life. Because of this unique biology, understanding her menstrual cycle and its rhythm can be incredibly useful for optimizing productivity, weight, sex drive, energy, and mood.On today's mini-episode, Dhru sits down with Dr. Stephanie Estima to talk about how to eat and work out in a way that honors a woman's natural cycle in her reproductive years. They also talk about how chronic stress affects women differently than men, the importance of listening to your body, and why loving yourself is one of the most radical things you can do.Dr. Estima is an expert in female metabolism and body composition. She is a doctor of chiropractic with a special interest in functional neurology, brain metabolism, and the specific application of the ketogenic diet and fasting to female physiology. She is particularly focused on distilling strategies in nutritional proxies, movement, posture, and mindset to actualize human potential, healthspan, longevity, and achievement. In this episode we dive into:- The big mistake women make when it comes to their hormonal health- How the accumulation of low-grade stress impacts metabolic health- The importance of listening to your body and attuning to your symptoms- The Estima Method for optimal hormone health Listen to the full episode here. For more on Dr. Estima, follow her on Instagram @Dr.Stephanie.Estima and through her website, hellobetty.club. Get her book, The Betty Body here.For more on Dhru Purohit, follow him on Instagram @dhrupurohit, Facebook @dhruxpurohit, Twitter @dhrupurohit, YouTube @dhrupurohit, and TikTok @dhru.purohit. Text Dhru at 302-200-5643 or click here. InsideTracker provides detailed nutrition and lifestyle guidance based on your individual needs. Right now, they're offering my podcast community 20% off. Just go to https://www.insidetracker.com/DHRU to get your discount and try it out for yourself.Right now, Big Bold Health is offering my listeners $20 dollars off all of their products. Just go to https://www.bigboldhealth.com to get all of their products for $20 off with code DHRU20. Hosted on Acast. See acast.com/privacy for more information.

Medicine Redefined
82. Cardiovascular Disease, Cholesterol & Lipids, Lifestyle Interventions for a Healthy Heart | Nicole Harkin, MD (Ep 55/56 Rebroadcast)

Medicine Redefined

Play Episode Listen Later Dec 5, 2022 133:59


Dr. Nicole Harkin is board-certified in Internal Medicine, Cardiology, and Lipidology. She earned her medical degree from Boston University and completed residency training at Columbia University followed by a fellowship in Cardiology at New York University, in which she served as a chief fellow. Dr. Harkin is the founder of Whole Heart Cardiology, with the mission of providing patient-centered cardiac care, evidence-based nutritional guidance, and personalized lifestyle plans for her patients in a modern setting. In this rebroadcast episode, we discuss: - Her journey and passion for lipidology - The current state of metabolic ill-health in developed countries Identifying lab markers for risk stratification - Lipid panels, cholesterol, LDL particle number/size, APO-B, Lp(a), Hs-CRP Coronary Artery Calcium Scoring Statins and PCSK9 inhibitors - What is preventive cardiology? - Benefits of eating plants for reducing cardiovascular disease - The effects of nutrition, exercise, sleep, and supplements on cardiovascular health Resources mentioned in the show Diet Debates on the Dr. John Berardi Show: https://drjohnberardishow.com/ Allan Sniderman on The Drive Studies mentioned in the show Broken sleep predicts hardened blood vessels (PMID: 32497046) Statin treatment and muscle symptoms: series of randomized, placebo-controlled n-of-1 trials (PMID: 33627334) Find Dr. Harkin Website: https://www.wholeheartcardiology.com/ Instagram: @nicoleharkinmd Twitter: @nicoleharkinmd

The Landing Spot
Ep #09: How Michelle Johnson overcame many PCOS-related problems through simple yet effective lifestyle interventions with Michelle Johnson

The Landing Spot

Play Episode Listen Later Nov 21, 2022 63:54


Have you struggled with crippling anxiety, stubborn weight gain, low energy and poor sleep? And no matter what meds or diets you've tried, nothing seems to make a dent in the severity of your symptoms? These very things plagued today's guest when she first came to me for a consultation on how to manage her PCOS. Michelle had tried EVERYTHING she knew to do over the course of 20 years to try to lose weight and calm her anxiety. She even suffered frequent and severe hormonal migraines. Michelle shares with us the details of struggling through life with PCOS and how she was finally able to find relief and GET SUSTAINABLE RESULTS. We hope you will be informed, inspired and hopeful from hearing this powerful testimony of life change! Enjoy! Are you a woman struggling with hormone-related fatigue, stubborn weight gain, anxiety and/or irregular cycles? Contact me at wholestoryhealth@gmail.com or DM me @allisonhealthcoachnooe on Instagram to chat about possible solutions.

Heal Nourish Grow Podcast
Maximize Fertility with Diet and Lifestyle Interventions: 42

Heal Nourish Grow Podcast

Play Episode Listen Later Aug 31, 2022 51:58


In this week's episode, Dr. Jane Levesque shares her insight on the relationship between diet, fertility, and lifestyle. Her own journey led her to focus on her health and provoked curiosity about the effects of diets and lifestyle on fertility. This eventually led her to study naturopathy. She now teaches others about how to manipulate lifestyle factor to help with fertility and easier pregnancies.  She learned that birth is just the beginning; women tend to treat pregnancy as the marathon, but the marathon officially begins after child birth. After learning more about individualized healthcare, she realized that every woman needs a different routine, pre-pregnancy, during pregnancy, and post-partum. Dr.Levesque uses her passion and personal experiences to help other women and men through fertility, childbirth and parenthood. She shares how important diet is to maintain a balanced nervous system, personalized diet plans vs. generalized diet plans, her individualized program, and much more! Watch the interview on YouTube

Super Human Radio
The Role of Time Restricted Eating Relevant to Cancer

Super Human Radio

Play Episode Listen Later Jun 13, 2022 88:29


SHR # 2881:: The Role of Time Restricted Eating Relevant to Cancer - Dr. Amy Kirkham, Ph.D. - Older breast cancer survivors with cardiometabolic risk factors who restricted food intake to eight hours during the weekday, followed by 16 hours of fasting, lowered their risk of cardiovascular disease (CVD) after a few weeks, according to a new research letter publishing today in JACC: CardioOncology. The study is a part of the upcoming mini-focus issue, “Physical Activity and Lifestyle Interventions in Cancer.” The authors looked at 22 individuals with a body mass index who were classified as overweight or obese (>25kg/m2), had completed cardiotoxic treatment (anthracyclines, a commonly used chemotherapy drug) within the past one to six years, and were an average age of 66 years. For eight weeks participants were allowed to eat freely between 12-8 p.m. on weekdays and at any time on the weekends. Outside of those hours, participants were asked to consume only water, black coffee or black tea. Using the Canadian Cardiovascular Society scoring system to calculate the 10-year Framingham Risk Score, the authors found that CVD risk decreased from 10.9% to 8.6% at the end of the trial period.

The Real Truth About Health Free 17 Day Live Online Conference Podcast
You Can Do Better Using Aggressive Lifestyle Interventions Optimally To Lower Cholesterol Than Adding Medications - Baxter Montgomery, MD

The Real Truth About Health Free 17 Day Live Online Conference Podcast

Play Episode Listen Later Jun 6, 2022 12:55


You Can Do Better Using Aggressive Lifestyle Interventions Optimally To Lower Cholesterol Than Adding Medications -  Baxter Montgomery, MDBaxter Montgomery, M.D. •           https://montgomeryheart.com/•           Book - The Food Prescription for Better Health: A Cardiologists Proven Method to Reverse Heart Disease, Diabetes, Obesity, and Other Chronic Illnesses Naturally! Dr. Baxter D. Montgomery is a Board Certified Cardiologist with years of experience in the latest medical practices and nutritional health. He is a Clinical Assistant Professor of Medicine in the Division of Cardiology at the University of Texas in Houston, a Fellow of the American College of Cardiology (FACC) and the founder and president of the Houston Cardiac Association (HCA). Having seen many patients suffer the consequences of chronic heart disease, Dr. Montgomery founded the Montgomery Heart & Wellness Center in 2006 with the mission to reverse and prevent life-threatening illnesses. Located in Houston, Texas, The Montgomery Heart & Wellness Center is a state-of-the-art wellness facility complete with all the technology and resources to provide comprehensive medical and wellness care. Combining his medical practice with a food-driven lifestyle intervention, Dr. Montgomery introduces patients to a novel food classification system that helps reverse chronic conditions such as heart disease, hypertension, obesity and diabetes without medications or surgeries. He has refined this process over the past 10 years with profound positive results in severely ill patients. In addition to running Montgomery Heart & Wellness, Dr. Montgomery manages arrhythmias and coronary disease, performs angiographies, defibrillator implants and other hospital procedures, and teaches young physicians. Dr. Montgomery earned his undergraduate degree from Rice University in Houston and his Medical Degree from The University of Texas Medical Branch in Galveston, Texas. He is also the author of The Food Prescription for Better Health, a comprehensive guide for reversing chronic illnesses. #BaxterMontgomery #TheRealTruthAboutHealth  #HeartDisease #PlantBasedNutrition #DiseasePrevention #IntermittentFasting CLICK HERE - To Checkout Our MEMBERSHIP CLUB: http://www.realtruthtalks.com Social Media ChannelsFacebook: https://www.facebook.com/TRTAHConferenceInstagram : https://www.instagram.com/therealtruthabouthealth/Twitter: https://twitter.com/RTAHealthLinkedin: https://www.linkedin.com/company/the-real-truth-about-health-conference/Youtube: https://www.youtube.com/c/TheRealTruthAboutHealth    Check out our Podcasts Visit us on Apple Podcast and Itunes search:  The Real Truth About Health Free 17 Day Live Online Conference Podcast Amazon: https://music.amazon.com/podcasts/23a037be-99dd-4099-b9e0-1cad50774b5a/real-truth-about-health-live-online-conference-podcastSpotify: https://open.spotify.com/show/0RZbS2BafJIEzHYyThm83JGoogle:https://www.google.com/podcasts?feed=aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS8yM0ZqRWNTMg%3D%3DStitcher: https://www.stitcher.com/podcast/real-truth-about-health-live-online-conference-podcastAudacy: https://go.audacy.com/partner-podcast-listen-real-truth-about-health-live-online-conference-podcastiHeartRadio: https://www.iheart.com/podcast/269-real-truth-about-health-li-85932821/Deezer: https://www.deezer.com/us/show/2867272 Other Video ChannelsYoutube:  https://www.youtube.com/c/TheRealTruthAboutHealthVimeo:  https://vimeo.com/channels/1733189Rumble:   https://rumble.com/c/c-1111513Facebook:  https://www.facebook.com/TRTAHConference/videos/?ref=page_internalDailyMotion: https://www.dailymotion.com/TheRealTruthAboutHealthBitChute:  https://www.bitchute.com/channel/JQryXTPDOMih/ Disclaimer:Medical and Health information changes constantly. Therefore, the information provided in this podcast should not be considered current, complete, or exhaustive. Reliance on any information provided in this podcast is solely at your own risk. The Real Truth About Health does not recommend or endorse any specific tests, products, procedures, or opinions referenced in the following podcasts, nor does it exercise any authority or editorial control over that material. The Real Truth About Health provides a forum for discussion of public health issues. The views and opinions of our panelists do not necessarily reflect those of The Real Truth About Health and are provided by those panelists in their individual capacities. The Real Truth About Health has not reviewed or evaluated those statements or claims. 

Circulation on the Run
Circulation May 31, 2022 Issue

Circulation on the Run

Play Episode Listen Later May 31, 2022 30:33


This week, please join author Ronald Goldberg, Editorialist Hertzel Gerstein, and Guest Editor Rury Holman as we discuss the article "Effects of Long-term Metformin and Lifestyle Interventions on Cardiovascular Events in the Diabetes Prevention Program and Its Outcome Study" and the editorial "Shouldn't Preventing Type 2 Diabetes Also Prevent Its Long-Term Consequences?" Dr. Carolyn Lam: Welcome to Circulation on the Run, your weekly podcast summary and backstage pass to the journal and its editors. We're your co-host. I'm Dr. Carolyn Lam, Associate Editor from the National Heart Centre and Duke National University of Singapore. Dr. Greg Hundley: And I'm Dr. Greg Hundley, Associate Editor, Director of the Pauley Heart Center at VCU Health in Richmond, Virginia. Dr. Carolyn Lam: Today. Oh, this feature discussion involves the glance of diabetes. Truly this interview, I felt like I was sitting among gurus and just learning so much about diabetes, the history and the whole topic is about long term metformin and lifestyle interventions on cardiovascular events in the Diabetes Prevention Program and its outcome study. Now, way more than that, we discussed. You have to have to listen. But okay, before that, let's summarize today's issue for our listeners. Shall we, Greg? Dr. Greg Hundley: You bet Carolyn. So the first paper that I've got to discuss today really comes to us from the world of interventional cardiology and it's led by Dr. William Fearon from Stanford University Medical Center. Well, Carolyn previous studies have shown quality of life improves after coronary artery revascularization, more so after coronary artery bypass grafting than after PCI. Now this study aimed to evaluate the impact of fractional flow reserve guidance, and current generation zotarolimus drug-eluting stents on quality of life after PCI compared with CABG. Dr. Greg Hundley: Now the study emanates from fractional flow reserve versus angiography for multi vessel evaluation or the fame three trial. And Carolyn, that's a multicenter international trial that included 1500 patients with three vessel coronary artery disease who were randomly assigned to either CABG or FFR guided PCI. Now, what did they assess? So quality of life was measured using the European Quality of life Five Dimensions. And we're going to abbreviate that EQ-5D questionnaire baseline, one, and then 12 months following the procedure. Also, Canadian cardiovascular class angina grade and working status were assessed at the same time points, and then also an additional time point in six months. And the primary objective was to compare the EQ-5D summary index at 12 months, and secondary endpoints included angina grade and work status. Dr. Carolyn Lam: Ooh, interesting Greg. So quality of life in the theme three trial. All right. So what did they find? Dr. Greg Hundley: Right, Carolyn. So the EQ-5D, so that... European Quality of life Five Dimensions summary index at 12 months did not differ between the PCI and CABG groups, but the trajectory over the 12 months at the one month time interval between PCI and CABG did differ. Now, the proportion of patients with the Canadian cardiovascular class or CCS2 or greater angina 12 months was 6.2% versus 3.1% respectively in the PCI group compared with the CABG group. Additionally, a greater percentage of younger patients, so those less than 65 years old were working at 12 months in the PCI group compared with the CABG group. So in summary, Carolyn, in the fame three trial, quality of life after fractional flow reserve guided PCI with current generation DS compared with CABG was similar in one year. And the rate of significant angina was low in both groups and not significantly different. However, the trajectory of improvement in quality of life was significantly better with PCI as was working status in those less than 65 years old. Dr. Carolyn Lam: Wow. Thanks Greg. Hey, guess what? It's time for Greg quiz. The next paper is about the Chocolate Touch Study. So, Greg, is this about, A, the benefits of eating chocolate? B, the benefits of chocolate mud baths? Or C, the benefits of a second generation drug coated balloon? Dr. Greg Hundley: So, Carolyn, I just have one question. Where in the world do we get the benefits of chocolate mud bath? I don't think that's right. I do love eating chocolate, but I am going to go with the benefits of the second generation drug coated balloon. Dr. Carolyn Lam: Yeah, yeah, yeah. I made it easy for you. All right. So first generation drug coated balloons have significantly reduced the rate of restenosis compared to balloon angioplasty alone. However, high rates of bailout stenting and dissections persist. The chocolate touch drug coated balloon is a nitinol constrained balloon designed to reduce acute vessel trauma and inhibit neointima formation and restenosis, so you were right, Greg. In today's study led by Dr. Shishehbor, from University Hospital's Harrington Heart and Vascular Institute at Cleveland, Ohio. They studied 313 patients with claudication or ischemic rest pain, and superficial femoral or popliteal disease. And randomized them one to one to the chocolate touch or Lutonix Drug Coated Balloon at 34 sites in the United States, Europe and New Zealand. The primary efficacy endpoint was drug coated balloon success defined as primary patency at 12 months. The primary safety endpoint was freedom from major adverse events at 12 months. A composite of target limb related death, major amputations, or reintervention. Both primary endpoints was assessed for non-inferiority and have met sequential superiority testing for efficacy was pre-specified. Dr. Greg Hundley: Interesting, Carolyn. So this nitinol constrained balloon designed to reduce acute vessel trauma. So, what were the results of this study? Dr. Carolyn Lam: So in this trial, the second generation chocolate touch drug coated balloon met both non-inferiority endpoints for efficacy and safety. And was more effective than the Lutonix Drug Coated Balloon at 12 months for the treatment of femoral popliteal disease. Cool, huh? Dr. Greg Hundley: Very interesting. Great summary, Carolyn. So Carolyn, my next paper comes to us from the world of preclinical science. And the impact of three dimensional chromatin topology on transcriptional dysregulation and pathogenesis in human dilated cardiomyopathy remains elusive. And so these authors led by Professor Lei Jiang from Guangdong Provincial People's Hospital, and Guangdong Academy of Medical Science, generated a compendium of 3D epigenome and transcriptome maps from 101 biobank human dilated cardiomyopathy, and non-filing heart tissues and mouse models to further interrogate the key transcription factor implicated in 3D chromatin organization, and transcriptional regulation in dilated cardiomyopathy pathogenesis. Dr. Carolyn Lam: Oh, wow. Sounds like a lot of work. What did they find, Greg? Dr. Greg Hundley: Right, Carolyn. So they found that enhancer promoter connectomes are extensively rewired in human dilated cardiomyopathy, which reside in pre accessible chromatin size and also hand one drives the rewiring of enhancer promoter connectome to induce dilated cardiomyopathy pathogenesis. Dr. Carolyn Lam: Okay, Greg. So what are the clinical implications? Dr. Greg Hundley: Right, Carolyn. So first, dilated cardiomyopathy enriched enhancer promoter loops identified in this study could be developed as novel 3D genomic biomarkers for dilated cardiomyopathy. And then second Carolyn, targeting hand one might be used as a novel approach for therapeutic intervention in patients with dilated cardiomyopathy. Dr. Carolyn Lam: Oh, nice. Greg. Well, also in today's issue, there's an On My Mind paper by Dr. Brook, entitled, “The Doctor is Out, New Tactics and Soldiers For our Losing Battle against Hypertension.” In another paper, we have Molly Klemarczyk bringing us highlights from the Circulation Family of Journals. Dr. Greg Hundley: Right, Carolyn. And also from the mailbag, there's a Research Letter from Professor Baggish, entitled, “Cardiovascular Outcomes in Collegiate Athletes, Following SARS-CoV-2 Infection: The 1-Year Follow Up From the Outcomes Registry for Cardiac Condition in Athletes.” Well, Carolyn, how about now we get onto that feature discussion and learn a little bit more about the long term metformin and lifestyle interventions on cardiovascular events in the Diabetes Prevention Program. Dr. Carolyn Lam: Hold on to your seats, everyone. Here we go. We know that lifestyle intervention and metformin have been shown to prevent diabetes. However, what is their efficacy in preventing the cardiovascular disease associated with diabetes development? Well, guess what? We're going to have data on that through today's feature paper and what a star crowd I'm talking to today. We have Dr. Ron Goldberg and he's a first end corresponding author from the University of Miami Diabetes Research Institute. We have the editorialist Dr. Hertzel Gerstein from McMaster University Population Health Research Institute. And a guest editor for this paper, Dr. Rury Holman from University of Oxford. I have to admit I'm starstruck. You gentlemen have totally defined the field. I cannot wait to learn more, but shall we start with you, Dr. Goldberg? Could you tell us a little bit more about your paper, what you did, what'd you found? Dr. Ronald Goldberg: So the background is that the Diabetes Prevention Program started in 1996 was a Diabetes Prevention Program to test the effects of intensive lifestyle intervention versus metformin, versus placebo on the prevention of diabetes in over 3000 individuals with impaired glucose tolerance, a form of prediabetes. And after demonstrating the efficacy of those interventions over about three years, we went on to do a follow up study in which the metformin group continued to receive it. Everybody got lifestyle because it worked so effectively. And we are now reporting after a further 18 years of follow up on the question of whether these interventions, now 21 years later, had any effect on cardiovascular outcomes. The background to that of course, is that people with prediabetes have a somewhat increased risk for heart disease and that rate increases as diabetes develops, particularly with severity of hyperglycemia and duration of diabetes. So, that was the study and we're now reporting on whether these interventions had a significant effect on the major cardiovascular. Dr. Carolyn Lam: Well, first Dr. Goldberg, congratulations on the foresight to get the informed consent and to plan ahead to be able to get these valuable data. But because I know this is going to be a critical point later. Could you tell us a little bit about the completeness of follow up and perhaps surveillance for outcomes before you share the results? Dr. Ronald Goldberg: Absolutely. So, 86% of the original randomized group of participants agreed to continue with a follow up study, so there was a loss at that point. And then of course, over 18 years of follow up, there's going to be a further loss. Some due to death and some due to loss to follow up. But despite that, I would say the group that entered the follow up study, we were able to maintain follow up in 85%. Dr. Carolyn Lam: Fantastic. And the results? Dr. Ronald Goldberg: The findings were that we found no significant effect of either of the two active interventions on our primary cardiovascular outcome, which was nonfatal myocardial infarction, stroke and fatal cardiovascular disease. We also had an extended outcome with more events in it, and similarly found no significant benefit or harm from either of those two intervention. Dr. Carolyn Lam: Oh, I love that paper. What a great, great, perhaps surprising conclusion that Dr. Gerstein loved the title of your editorial, you crystallize it. Shouldn't preventing type two diabetes also prevent long term consequences? So please tell us what was your thoughts when you saw this paper and how you frame it? Dr. Hertzel Gerstein: Thanks very much, Carolyn. And first of all, I was very impressed by the extensive amount of work and analysis done by Dr. Goldberg and his team. I thought that it's wonderful to see this sort of long term follow up. I've had the privilege in the past of speaking together with the DPP team on their trial and in their long term follow up. And I continue to be impressed by the extensive amounts of work and data collected and a rigor and academic value of the analysis. So, that was my very first impression and obviously it's a pleasure to write on this. I think the findings are clearly important and they both highlight the importance of long-term follow up as well as highlight the difficulties of long-term follow up in a study like this. Dr. Hertzel Gerstein: So this was a study done in a trial, originally done in a fairly young cohort of individuals who had very low risk for cardiovascular events. And over their 18 year follow up that Dr. Goldberg Ron described, the actual annual event rate for the primary outcome was 0.6% per year in that ballpark. Now, anybody... I've had the privilege as Ron Avery of doing many cardiovascular trials and we all know that we would never start a trial recruiting people with an event rate of 0.5% per year, 0.6% per year, because we would have to recruit 30,000 people and follow them for seven years in order to accrue enough events to be able to detect a clinically relevant benefit of the therapy. So because of this low event rate, the advantage was the long term follow up, the 26th year, I think it was in the end follow up. No, it was a 21 year median follow up period, because of the long follow up, you get a little bit away from the advantage of the low event rate. Dr. Hertzel Gerstein: But even then, over the course of the 21 years, there were only about 310 first cardiovascular events and most cardiovascular outcomes trials, for instance, we need close to at least a 1000, 500 to a 1000 is what we like to see. So that being said, it's perhaps not surprising that we didn't see a benefit of diabetes prevention because even if diabetes reduces the risk of a cardiovascular event by a quarter, by 25%, there would've only been a 50, 50 chance of detecting that with this particular cohort of people. Dr. Hertzel Gerstein: So I would say that the most conservative assumption is that diabetes prevention doesn't reduce the event rate by 25% or less or 30, but it's certainly... pardon me, by 25% or more, it could reduce it by 20%, 15% we would not have detected at all, or Ron would not have detected and his team would not have detected it with this thing. So I think that to me is the most important caveat in interpreting this does not mean that diabetes prevention has no effect on cardiovascular outcomes. Dr. Hertzel Gerstein: It means that diabetes prevention doesn't have a moderate or smaller effect. So, that's I think the most important message to take and as is even mentioned in the paper by Ron and the team is that there has been at least one diabetes prevention trial conducted in China many, many years ago that showed clearly that people who were randomly assigned to the diabetes prevention arm, 26 years later did have lower cardiovascular events and even death than people who were in the control arm. So, I think this adds to the story but it's clearly like everything, not the final word in this, but it certainly adds a lot of important data. Dr. Carolyn Lam: Oh, I would love to hear Dr. Goldberg's response to that. But before that, Dr. Holman, could I ask you to weigh in as well? Dr. Rury Holman: Yes. Sure. So, I agree with Hertzel that this is underpowered, but this is a question I've long wanted to see the answer to. And I congratulate Ron and his team for actually doing the work. All major studies should have long term follow up. People should be consented for life so that we can answer these questions. And Hertzel even though the power is perhaps minimal, we still need to do this analysis. Dr. Rury Holman: And if there had been a dramatic result, then we'd have all been very excited. I think one of the issues... one, if I could just bring it up, you mentioned the look ahead study in your discussion as being a negative dietary intervention. But I have a slightly different take on that. When you look at that paper in detail, what you see is that the people in the usual care group forgot quite a lot more risk factor reduction medications, and that's because their usual care physicians spotted the fact that their risk factor levels were higher than in the intensive care group, of course it was blinded at that point. But there's a whole point here is, in your paper you show an increase in the statin proportion, which is higher in the placebo group compared with the metformin and your intensive lifestyle, significantly so for the lifestyle one. So I'm just wondering whether even the low power was further blunted by the drop in effects of these other medications. Dr. Ronald Goldberg: Thanks very much for those comments guys, I think they're spot on. Let me first respond Hertzel with my thoughts on this, and then go over to your point, Rury. I think it's really interesting to look back over time and realize how much medical management has changed. And that goes right to your point, Rury, that doing a clinical trial like this where the primary care physicians are informed about what we're doing, what... communicated with on a regular basis, particularly when their patients develop diabetes, it just heightens the entire level of medical management. And I think you're absolutely right, but it's interesting to see what's happened to cardiovascular disease over the last 25 years, both in the general population and in the prediabetic population, the risk of cardiovascular disease has gone down. And then on top of that, we've got this very intensive cardio prevention intervention by primary care physicians, with high rates of statin usage, high rates of any hypertensive treatment, even the placebo group to your question, really lost weight. Dr. Ronald Goldberg: And they knew full well what was... and this was a very hands on type of study where our participants were really followed now for all these years, really became integrated with the research team. And so everybody knew what everybody else was doing. And so I'm sure the placebo effect was very strong, but I think nevertheless... Oh, and the last point I wanted to make was of course, the severity of the diabetes, even though 60% are developed diabetes, the severity of the diabetes was relatively mild. Even in those who developed diabetes, we know their average A1C was only about 6.7. And so I think that has a lot to do with blunting the acceleration effect of diabetes on cardiovascular disease. So, I think all of these factors contributed together to produce a negative result. But I think an important message, nevertheless. Dr. Hertzel Gerstein: I can highlight that point, that Ron was saying is that if diabetes prevention is going to prevent cardiovascular outcomes, it's going to do that because of a difference in glycemic exposure. The diabetes is by definition a disease of an elevated blood sugar. So if diabetes prevention prevents cardio, it means that the blood sugar's going to be lower than it would otherwise be. So if there's very little difference over the long term follow up in blood sugar because of co-intervention and therapy of all the treatment groups, then that would eliminate a lot of the benefits of diabetes prevention, because these are patients who are in this trial, who are being scrutinized even more than they would be if they were out there free range without being involved in any follow up. So, that's a spot on point. Rury, you wanted to comment. Dr. Rury Holman: Yeah. So, Hertzel just to expand on that. Obviously the glycemic impact on macrovascular disease is relatively modest compared to the impact on microvascular disease, which of course is what we all saw originally with type 2 diabetes. In fact, in KPDS35, when we looked or calculated what 1% reduction in A1C would do, it would only reduce stroke or MI by about 12 to 14%. So it's quite a shallow slope if you like. And your point is spot on is if that glucose levels are kept low by good treatment and good management role tell us about the great team they have. Then there was no room for a glycemic impact in this particular study. It's another question, whether you think metformin acts by different mechanisms to reduce cardiovascular disease, that's another question I had for Ron that he might like to address, is if there was a magic effect of metformin, why didn't we see that? Dr. Ronald Goldberg: And that's a really interesting question, Rury, because you may be aware that we published a paper a few years ago on our assessment of coronary calcification in a subgroup, in about 60% of the population who agreed to do this and who were eligible. And interestingly found that metformin did was accompanied by a reduction in the prevalence of coronary calcium in men, not women. Dr. Ron Goldberg: And the effect was actually when we did subgroup analysis, we found it was particularly strong in young men. And actually that gave us some sense of optimism that we might see something when we came to actual events. And of course, as you all know, metformin has beneficial effects on several cardiovascular risk factors. And so the question is whether there is some effect of metformin that might yet be identified, a coronary calcium after all is a surrogate of events and may take time, or it may be that... And we are really interested in the idea that both prediabetes and diabetes are heterogeneous. There's more and more interest in looking at subgroups of individuals who may be more predisposed. And it may be that metformin might have beneficial effects in some of those subgroups. Dr. Hertzel Gerstein: But also remember on the other hand, there was a lot of co-intervention with metformin in all groups after the trial was over. So all groups were offered metformin, et cetera. So even if metformin had an effect, it could have easily been washed out by the exposure of all the other groups to metformin during follow up. But Ron, you also touched on both the hope and the frustration too, because if we start thinking about subgroups, we can always think of subgroups. Yeah. But then the problem with subgroups is you have a study, let's say you have a cohort study with 7,000 or 10,000 people and it followed for five years and, oh, well the effect isn't in all 10,000, it's only in 20% of them. So now you have a study of 2000 people, that's not enough to detect an effect in a subgroup. Dr. Hertzel Gerstein: So, subgroups just eat away at power in an exponential, not a linear way, so that you just rapidly lose any ability to detect anything. And so, yes, this is going to work in people with these three snips on this gene, in this subpopulation. Good luck, that's the difficulty and the challenge of... We need to find sometimes better or more efficient ways of identifying outcome protective therapies, because we can't keep drilling into some groups because we just don't have the resources to find it really. I don't know what other people feel about that, but. Dr. Carolyn Lam: I'm personally so enjoying this conversation as I know the audience is and we covered a lot. I'm sure everyone wants to pick up the paper and the editorial. Now, we talked about being underpowered for the number of studies. We talked about profitable dilution of things like statins, antihypertensive agents, even the crossover of potential treatment in the placebo arm and so on. And then we started talking about, or is it the how you got there and the drug that was used. And here, please don't shoot me, but I just know I have the answers on behalf of everyone else's thinking it. What do you say of people who go, "Well, it's because it's metformin. What if it was an SGLT2 inhibitor? What if it was a GLP-1 receptor agonist?" And as you know, a lot of people say those would in spite of the effect on glucose. Dr. Hertzel Gerstein: I can quickly jump in. It's very clear. We've learned this in the last 10 years, is that there are glucose lowering drugs and there are glucose lowering drugs with benefits. And the GLP-1 receptor agonist and the SGLT2 inhibitors are glucose lowering drugs with benefits. They lower glucose, but they seem to have a separate cardioprotective effect. And with the SGLT2 inhibitors that cardioprotective effect does not seem to be related to the glucose lowering. There are a few meta regression analyses that suggest that with the GLP-1 receptor agonist, part of the cardioprotective effect is related to glucose lowering and part is not. And clearly mediation analysis with some of the trials have shown the same thing with the GLP-1 receptor agonist, not really with the SGLT2 inhibitors. So, maybe, that's my spin on this. Dr. Carolyn Lam: Dr. Holman. Dr. Rury Holman: Yeah. I was going to echo what Hertzel said in that regard, these other agents do have multiple effects. They change weight, they change blood pressure. And so other risk factors are brought into play other than glucose lowerings. We've already agreed, glucose lowering impact on cardiovascular disease is quite modest. I'd rather have it than not, but it wouldn't be my primary way to treat cardiovascular disease. And coming back to Ron's study, which is crucial today, the issue here is whether we could untangle an impact particularly of metformin, which has been foundation drug for type 2 diabetes for so long. Dr. Rury Holman: But clearly within the dataset we have here, underpowered it is. There are no clear messages in that respect, which is disappointing, but it doesn't mean that there isn't an effect. With longer follow up, with more data than you might see it. When the study... I'm coming for you Hertzel, was stopped for futility then the hazard ratio has changed, that often the way, not for the right way, but it's often what happens when you stop studies. I wondered if you wanted to comment on that aspect, because I know it's something that you've talked a lot about. Dr. Carolyn Lam: Dr. Gerstein. Did you want to? Dr. Hertzel Gerstein: I agree with what Rury said. I think the point you're making Rury goes back to power, and the ability to have enough people and enough events to detect and effect and that's clearly true, so... Dr. Carolyn Lam: Well, I hate to be the one to break the party up, but we have gone over time and intentionally so, there's just so much learning here. But Dr. Goldberg, could I give you the last say please? What do you think is the important clinical take home message of your paper? Dr. Ron Goldberg: Well, I think that the fact that we demonstrated that our study has been able to maintain really low levels of cardiovascular risk factors, low levels of A1C, even though that likely contributed to the negative finding still leaves the physician where the recognition that it is important to identify individuals with prediabetes to Institute Diabetes Prevention Programs, because I think it's entirely possible as I said earlier, and we've begun to identify them, subgroups of individuals who do progress more rapidly and who do warrant a more effective treatment, which would come from an early intervention program. Dr. Carolyn Lam: Wow. Thank you so, so much for that. Thank you so much. All three gentlemen for this amazing discussion. Well, audience, you heard it right here on Circulation on the Run from Greg and I thank you for joining us today and don't forget to tune in again next week. Speaker 6: This program is copyright of the American Heart Association, 2022. The opinions expressed by speakers in this podcast are their own and not necessarily those of the editors or of the American Heart Association. For more, please visit ahajournals.org.

Medicine Redefined
56. Nicole Harkin, MD - Part II of II: Lifestyle Interventions for a Healthy Heart

Medicine Redefined

Play Episode Listen Later May 15, 2022 70:06


Dr. Nicole Harkin is board-certified in Internal Medicine, Cardiology, and Lipidology. She earned her medical degree from Boston University and completed residency training at Columbia University followed by a fellowship in Cardiology at New York University, in which she served as a chief fellow. Dr. Harkin is the founder of Whole Heart Cardiology, with the mission of providing patient-centered cardiac care, evidence-based nutritional guidance, and personalized lifestyle plans for her patients in a modern setting. In this episode, we discuss: - What is preventive cardiology? - Benefits of eating plants for reducing cardiovascular disease - The effects of nutrition, exercise, sleep, and supplements on cardiovascular health Resources mentioned in the show Diet Debates on the Dr. John Berardi Show: https://drjohnberardishow.com/ Studies mentioned in the show Broken sleep predicts hardened blood vessels (PMID: 32497046) Find Dr. Harkin Website: https://www.wholeheartcardiology.com/ Instagram: @nicoleharkinmd Twitter: @nicoleharkinmd

The Longevity & Lifestyle Podcast
Longevity & Biohacking Products Series #4 - Biological Age Testing, Personalized Lifestyle Interventions, How to Control the Aging Process, the Future of Perimenopause Research and much more (Episode #50)

The Longevity & Lifestyle Podcast

Play Episode Listen Later Apr 13, 2022 32:58


Today's episode is from my Instagram Live deep-dive conversation with a seasoned guest GlycanAge CEO & Co-Founder Nikolina Lauc. If you want to optimize your health for longer, the foundation is testing to know where you are - however good or bad - in order to have a baseline to improve from there. One of the best ways I've found is by measuring your biological age through GlycanAge - and then tweaking lifestyle interventions to improve your health, wellbeing, and life from there! In this episode, we dig into: What is personalized biological age testing, What are glycans, Why we want to know our biological age, What can influence it, What are good and not so good influences on biological age, What makes GlycanAge unique as an aging marker, Details on how the testing process works, And much more. Get 15% off your GlycanAge test by going to: https://glycanage.com//price-and-plans?discount=CLAUDIA or using code CLAUDIA at checkout! ==>>  Also for your dear audience, I've created a freebie with my 10 Hacks to Improve Your Life & Longevity Playbook. Just go to longevity-and-lifestyle.com and sign up to get your free copy of my playbook!    Please enjoy!   Follow GlycanAge on: Home - GlycanAge Instagram: GlycanAge (@glycanage) • Instagram photos and videos Facebook: GlycanAge | Facebook LinkedIn: https://www.linkedin.com/company/glycanage-ltd/  Twitter: GlycanAge Science (@glycanage) / Twitter   Follow Claudia on: Instagram: instagram.com/longevityandlifestyle Facebook: facebook.com/longevityandlifestyle YouTube: youtube.com/channel/UCZF-s8jsUejc0TpVqnFE1lQ LinkedIn: linkedin.com/company/longevity-lifestyle Twitter: twitter.com/LongevityLifest   Past guests on The Longevity & Lifestyle Podcast include Dr. David Perlmutter, Dr. Amy Killen, Sergey Young, Dr. Dale Bredesen, Dr. Kristen Willeumier, Dr. Louise Newson, Dr. Kien Vuu, Dr. Carolina Reis, Nikolina Lauc, Mohamed Massaquoi, Nick Potter, Dr. Pamela Kryskow, Dr. Julia Mirer, Isabella Channing, Dina Burkitbayeva, Mario Chamorro, Mariko Bangerter, Dr. Stephanie Manson Brown, Dr. Mohammed Enayat, Helen Reavey, Elena Letyagina, and many more!  

Common Ground
Diabetes, nutrients & lifestyle interventions....with Melanie Turner

Common Ground

Play Episode Listen Later Apr 7, 2022 22:12


Why is diabetes type one considered an autoimmune disease?What role does diet play in regulating blood sugar control? what herbs, nutrients and lifestyle interventions can also support? Tune in here to hear Melanie's clinical insights and much more…

Your Weight Loss Journey with Dr. Brian Yeung
Lifestyle Interventions in Childhood Obesity

Your Weight Loss Journey with Dr. Brian Yeung

Play Episode Listen Later Mar 15, 2022 4:44


How can you manage lifestyle for childhood obesity? Let's take a look at effective and healthy lifestyle measures you can take to support healthy weight control in children.

Success is Subjective Podcast
Episode 116 - From Planning to Go to Jail to Owning Two Business —Chris Howard

Success is Subjective Podcast

Play Episode Play 60 sec Highlight Listen Later Jan 25, 2022 50:55


We get so caught up in the idea of education and college, but what if someone doesn't even have the option to go to school or doesn't think they do because of their upbringing? Is it possible to go to college after growing up in poverty, surrounded by drugs and hopeless people?Chris Howard, the founder of Ethos Recovery and Lifestyle Interventions, knows firsthand the struggle of poverty, addiction and mental health. He grew up poor and living in a home with a mentally ill mother, causing him to turn to drugs and alcohol to help escape. After more than a decade of struggling with addiction, Chris was forced to make a change and go to treatment. After finding himself sober for over 6 months, Chris found his pupose in helping others take back their life. In his pursuit, he went to college and eventually created Ethos House, where he now helps walk young men through their challenges in sobriety.In this episode of Success is Subjective, Chris joins Joanna to share his journey going from growing up in poverty and planning to go to jail, to acquiring a 3.9 GPA in college and owning his own treatment center. His journey was nowhere near easy but the lessons he's learned and growth he's experienced doesn't go to waste, as he gives back to young men at Ethos and Lifestyle Interventions. Listen in for Chris's insight on the importance of traveling prior to college and the impact that third-world countries and college has made on him. What You Will LearnWhat it was like growing up in poverty and with a mentally ill motherThe route that Chris was set on at a young age and when that idea finally changedWhen Chris was forced to go to treatment for his addictionsHow Chris got past his self-doubt around college How school was able to help Chris with discipline and skillsThe journey to a 3.9 GPA while worked 50 hours a week managing a sober living and taking on a full course load of classesWhen Chris decided he wanted to start his own sober livingChris's insight on treatment The importance of taking care of yourself - you are human!Chris's insight on traveling and how it has drastically affected his life Connect with Chris Howard Ethos Recovery: Los Angeles Sober Living and MentoringLifestyle Interventions Real Chris Howard on Tik TokConnect with Joanna Lilley  Lilley ConsultingLilley Consulting on Instagram Lilley Consulting on Facebook Success is Subjective on Apple PodcastSuccess is Subjective on Google PodcastSuccess is Subjective on SpotifySponsored by: College Parent Survival NetworkEmail joanna@lilleyconsulting.com

AMiNDR: A Month in Neurodegenerative Disease Research
239 - Prevention & Intervention Strategies for Alzheimer's Disease: October 2021

AMiNDR: A Month in Neurodegenerative Disease Research

Play Episode Listen Later Dec 20, 2021 20:26


We've got a short and sweet episode for you today, with 7 papers from October 2021 on the intervention and prevention of AD. Tune in to hear Naila ramble on about pet therapy, update you on diet and exercise research in animal models, and provide a stimulating overview of neuromodulatory techniques.  Sections in this episode:  Complimentary Therapies (2:55)  Lifestyle Interventions (9:30)  Stimulation Techniques (13:28) -------------------------------------------------------------- You can find the numbered bibliography for this episode by clicking here, or the link below:https://drive.google.com/file/d/1C7WBstTEh5Fhfr_bsOdjXhz2SwIfDMdN/view?usp=sharingTo access the folder with all the bibliographies for 2021 so far, follow this link (it will be updated as we publish episodes and process bibliographies), or click the following link below:https://drive.google.com/drive/folders/1N1zx_itPkCDNYE1yFGZzQxDDR-NiRx3p?usp=sharingYou can also join our mailing list to receive a newsletter by filling this form. Or tweet at us: @AMiNDR_podcast  --------------------------------------------------------------Follow-up on social media for more updates!Facebook:  AMiNDR  Twitter: @AMiNDR_podcastInstagram: @AMiNDR.podcastYoutube: AMiNDR PodcastLinkedIn: AMiNDR PodcastEmail: amindrpodcast@gmail.com  -------------------------------------------------------------- Please help us by spreading the word about AMiNDR to your friends, colleagues, and networks! Another way you can help us reach more listeners who would benefit from the show is by leaving us a review on Apple Podcasts or wherever you listen to podcasts. It helps us a lot and we thank you in advance for leaving a review! Our team of volunteers works tirelessly each month to bring you every episode of AMiNDR. This episode was scripted and hosted by Naila Kuhlmann, edited by Alexandra Pavel,  and reviewed by Alexandra Pavel and Ellen Koch. The bibliography was generated by Lara Onbasi and the wordcloud was created by Sarah Louadi (www.wordart.com). Big thanks to the sorting team for taking on the enormous task of sorting all of the Alzheimer's Disease papers into episodes each month. For October 2021, the sorters were Jacques Ferreira, Christy Yu, Kate Van Pelt, Eden Dubchak, Kira Tosefsky, Dana Clausen, Ellen Koch and Elyn Rowe.Also, props to our management team, which includes Sarah Louadi, Ellen Koch, Naila Kuhlmann, Elyn Rowe, Anusha Kamesh, Jacques Ferreira, and Shruti Kocchar for keeping everything running smoothly.Our music is from "Journey of a Neurotransmitter" by musician and fellow neuroscientist Anusha Kamesh; you can find the original piece and her other music on soundcloud under Anusha Kamesh or on her YouTube channel, AKMusic.   https://www.youtube.com/channel/UCMH7chrAdtCUZuGia16FR4w   -------------------------------------------------------------- If you are interested in joining the team, send us your CV by email. We are specifically looking for help with sorting abstracts by topic, abstract summaries and hosting, audio editing, creating bibliographies, and outreach/marketing. However, if you are interested in helping in other ways, don't hesitate to apply anyways.  --------------------------------------------------------------*About AMiNDR: *  Learn more about this project and the team behind it by listening to our first episode: "Welcome to AMiNDR!" 

The Nonlinear Library: LessWrong Top Posts
Lifestyle interventions to increase longevity by RomeoStevens

The Nonlinear Library: LessWrong Top Posts

Play Episode Listen Later Dec 12, 2021 21:50


Welcome to The Nonlinear Library, where we use Text-to-Speech software to convert the best writing from the Rationalist and EA communities into audio. This is: Lifestyle interventions to increase longevity, published by RomeoStevens on the LessWrong. There is a lot of bad science and controversy in the realm of how to have a healthy lifestyle. Every week we are bombarded with new studies conflicting older studies telling us X is good or Y is bad. Eventually we reach our psychological limit, throw up our hands, and give up. I used to do this a lot. I knew exercise was good, I knew flossing was good, and I wanted to eat better. But I never acted on any of that knowledge. I would feel guilty when I thought about this stuff and go back to what I was doing. Unsurprisingly, this didn't really cause me to make any positive lifestyle changes. Instead of vaguely guilt-tripping you with potentially unreliable science news, this post aims to provide an overview of lifestyle interventions that have very strong evidence behind them and concrete ways to implement them. A quick FAQ before we get started Why should I care about longevity-promoting habits at a young age? First, many longevity-promoting lifestyle changes will increase your quality of life in the short term. In doing this research, I found a few interventions that had shockingly large impacts on my subjective day-to-day wellness. Second, the choices you make have larger downstream effects the earlier you get started. Trying to undo years of damage and ingrained habits at an advanced age really isn't a position you want to find yourself in. Third, extending your life matters more the more you believe in the proximity of transformative tech. If the pace of technological improvement is increasing, then adding a decade to your life may in fact be the decade that counts. Missing out on life extension tech by a few years would really suck. Isn't longevity mostly just genetics? That's what I believed for a long time, but a quick trip to wikipedia tells us that only 20-30% of the variance in longevity is heritable. What sort of benefits can I expect? The life satisfaction of people who remain independent and active actually increases significantly with age. Mental and physical performance are strongly correlated, meaning maintaining your body will help maintain your mind. The qualitative benefits for life satisfaction of many of these interventions can be so dramatic that it is hard to estimate them. The gulf in quality of life between people maintaining good habits and those who do not widens with age. How were these recommendations generated?/Why should I believe you? This post summarizes studies at the intersection of having large effects, large sample sizes, and being well-designed in terms of methodology. The cutoff for an intervention being “worth it” is somewhat subjective given that there is often only a rough estimate of the overall effect sizes of various interventions in comparison to one another. CDC mortality statistics were used to determine the most likely causes of death in various age brackets. The list of things that kill people balloons significantly as you get towards the less common causes of death and I have limited research time. Individuals who face unusual health circumstances should of course be doing their own research and consulting health professionals. This brings me to my disclaimer: This post is not intended to diagnose, treat, cure, or prevent any disease. No claim or opinion on these pages is intended to be, nor should be construed as medical advice. Please consult with a healthcare professional before starting any diet or exercise program. None of these claims have been evaluated by the Food and Drug Administration. Suggestions herein are intended for normal healthy adults and should not be used if you are under the age of 18 or have any known medical condition. Alright, let's dive in. Things that will eventually kill you CVD At the top of our list ...

Diabetes Core Update
Diabetes Core Update December 2021

Diabetes Core Update

Play Episode Listen Later Nov 25, 2021 24:19


Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 20 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. This issue will review: The Effect of Discontinuing CGM in Adults With Type 2 Diabetes Treated With Basal Insulin Long-Term Occupational Consequences for Families of Children With Type 1 Diabetes: The Mothers Take the Burden Effect of Metformin and Lifestyle Interventions on Mortality in the Diabetes Prevention Program and Diabetes Prevention Program Association of Sodium-Glucose Cotransporter–2 Inhibitors With Fracture Risk in Older Adults With Type 2 Diabetes Prediabetes Defined by First Measured HbA1c Predicts Higher Cardiovascular Risk Compared With HbA1c in the Diabetes Range Trend of Diabetes-Related Hospital Admissions During the Transition Period From Adolescence to Adulthood   For more information about each of ADA's science and medical journals, please visit www.diabetesjournals.org. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Director, Family Medicine Residency Program, Chair-Department of Family Medicine, Abington Jefferson Health

Surfing the Nash Tsunami
S2-E31.1 - Previewing Digital ILC 2021 -- Part II -- "Favorite Things" and Discussing Metabolic issues

Surfing the Nash Tsunami

Play Episode Listen Later Jun 19, 2021 14:46


Jörn Schattenberg and the regular Surfers identify one thing about the Digital ILC 2021 meeting they anticipate eagerly and fall into a discussion about pharmacologic and non-pharmacologic approaches to managing metabolic issues.As the group looked forward to Digital ILC 2021, each panelist identified one source of particular excitement. The answers varied all the way from process (enough time for interaction between speakers) to session themes to individual pieces of content. In the end, discussion of a NAFLD Therapy abstract session served as a springboard to a broader discussion about different ways to reduce or resolve steatohepatitis regardless of effect on fibrosis. The end of the discussion focused on the under-appreciated issue of omega-oil types found in diet.

Surfing the Nash Tsunami
S2-E29.2 - Previewing Digital ILC 2021 -- Part 1 -- Interests and Issues

Surfing the Nash Tsunami

Play Episode Listen Later Jun 5, 2021 12:16


EASL Scientific Committee member Luca Valenti joins the Surfers to discuss some of the issues that will be discussed at Digital ILC 2021.After Luca and Stephen Harrison discuss what they consider highlights of this month's Digital ILC meeting, Louise Campbell and Roger Green join them to discuss some of the key issues they anticipate being address at EASL's signature annual event.

THE MIND FULL MEDIC PODCAST
How our food can influence our mood, lifestyle interventions in scientific research and translating evidence into practice with Associate Professor Adrienne O'Neil.

THE MIND FULL MEDIC PODCAST

Play Episode Play 60 sec Highlight Listen Later May 16, 2021 72:41


In episode 5 I am delighted to speak to Associate Professor Adrienne O' Neil.   Adrienne is a behavioural scientist and director of Heart and Mind Research at IMPACT. For over a decade she has been researching the link between mental and cardiovascular health and particularly investigating the role lifestyle plays in the onset and outcomes of depression and cardiovascular disease.  More recently she was appointed as deputy director of Food and Mood Centre at Deakin.  She is one of the lead investigators in the landmark SMILEs trial which is one of the first clinical trials showing a positive adjunctive role for a dietary intervention in depression.  As a behavioural scientist she has a particular interest in the translation of evidence into clinical practice and is part of an International Taskforce collaborating to produce guidelines on the implementation of lifestyle interventions in practice.  In this episode we discuss her fascinating research including the SMILEs trial and current and future research and the implication and application for clinicians and patients.  We discuss the challenges of lifestyle research and application and Adrienne particularly emphasises and discusses equity of provision of preventative and adjunctive lifestyle interventions for communities and individuals where resources are limited.  We reference the work of Professor Felice Jacka Director of The Food and Mood Centre and author of Brain Changer and There's a zoo in my poo.      I left this conversation optimistic and energised and look forward to seeing where Adrienne and her team's research work leads in the near future. More about Associate Professor Adrienne O'Neil:https://www.deakin.edu.au/about-deakin/people/adrienne-oneilLinks and resources discussed in this episode:https://foodandmoodcentre.com.auhttps://foodandmoodcentre.com.au/smiles-trial/https://www.panmacmillan.com.au/9781760556518/https://www.audible.com.au/pd/Brain-Changer-Audiobook/1760786128https://www.panmacmillan.com.au/9781760783044/https://www.booktopia.com.au/there-s-a-zoo-in-my-poo-felice-jacka/book/9781760783044.htmlDisclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not  necessarily reflect those of  our employers or other official organisations.

The Rheumatoid Solutions Podcast
JIA Challenges And Excellent Lifestyle Interventions

The Rheumatoid Solutions Podcast

Play Episode Listen Later May 11, 2021 30:20


Having been diagnosed with JIA at 13, Natasha explains the benefits she is having by following the Paddison Program, in terms of pain reduction and overall well being.

Integrative Nurse Coaches in ACTION!
Ep1: How Silence Changes Everything - Alice Teall, DNP, APRN-CNP, NC-BC, FAANP

Integrative Nurse Coaches in ACTION!

Play Episode Listen Later Feb 14, 2021 42:30


"Nurse Coaching is purposeful and strength based, and it is intended to connect with someone in a way that creates a really valuable partnership.  ​That partnership allows people to develop self-confidence and to take steps towards their wellness."  ~Alice TeallSilence and listening changes the dynamics of all relationships, making them more dynamic and authentic.It matters to teach healthcare professionals how to coach their patients and clients. It matters to the person using the coaching strategies, because they can feel effective, and it matters to the person they're coaching because instead of being told what to do, they can recognize they have strengths, and that they can change behavior.Health Coaching can happen in healthcare practitioner visits, and it doesn't take long to do!Coaching can happen in 5-minute sessions, or an hour session, or anywhere in between. It can happen in a hallway discussion, or an actual scheduled coaching session.  It can happen 1:1, or in groups.People need connection, and to know they have the ability within themselves to make a change that they want to make, or to be well in an area where they want to be well.Self-care does not need to be complicated. Self-care can mean doing something nurturing for one's self.A simple way to learn about yourself is to understand how silence impacts you and your relationships.Many people newly diagnosed with a disease process can experience grief. Nurse Coaching conversations can help patients connect with these feelings and move forward.Nurses are incredible health coaches, because they bring their knowledge, skill, and expertise to every coaching interaction.Why the acronym W.A.I.T. (why am I talking?) is so important to all humans!

The Clovis Culture Podcast
#2 - Autumn Smith - Beef Sticks, Leaky Gut, Mental Health & Daily Habits

The Clovis Culture Podcast

Play Episode Listen Later Nov 27, 2018 55:58


An in-depth discussion about health & wellness with Autumn Smith from Paleo Valley! Full Show Notes - https://clovis.show/autumn Clovis Free 7 Day Trial - http://pix.iamclovis.com/start 05:00 - Introducing Autumn Smith! 06:13 - Autumn's Personal Story… 09:13 - Nutrition Credentials… 11:08 - The Beginnings of Paleo Valley… 12:33 - Beef and… Mental Health? 18:27 - Lifestyle Interventions for mental health… 21:23 - Tips and Tricks for Gut Health… 25:46 - False Positive Foods Sensitivities… 28:29 - How to spot dishonest food labeling… 34:08 - Micronutrient Deficiencies and Caloric Restriction… 36:57 - Triage Theory of Micronutrient Deficiency… 40:30 - The RDA for micronutrients is not enough… 41:15 - Hyper-palatable Foods and Kids… 46:45 - Autumn's Daily Habits for High-Performance! 53:26 - How to connect with Autumn and Paleo Valley! --- Support this podcast: https://anchor.fm/theclovisculture/support

Black Dog Institute Podcasts for Health Professionals
Lifestyle Interventions on Mental Health - Expert Insights forum for health professionals

Black Dog Institute Podcasts for Health Professionals

Play Episode Listen Later Feb 1, 2017 45:44


For many people living with mental illness, discovering tangible ways in which they can positively contribute to their own well-being engenders a sense of hope and purpose. In our October forum the panel explores the impact of exercise, diet and meditation on mental well-being – which interventions are useful and how are they best applied? Panel members: Simon Rosenbaum - Lecturer UNSW, Honorary Fellow, Black Dog Institute & The George Institute for Global Health, Director, Exercise Sports Science Australia Scott Teasdale - Dietitian Keeping the Body in Mind, Eastern Suburbs Mental Health Service Tania Perich - Post-doctoral Research Fellow School of Social Sciences and Psychology Richie - Lived Experience Representative Facilitated by: Dr Vered Gordon, Black Dog Institute GP Consultant Recording and sound production: James Stewart, audioPost Voiceover: Cameron Banks, Black Dog Institute

The Wellness Mama Podcast
44: Diet & Lifestyle Interventions

The Wellness Mama Podcast

Play Episode Listen Later Mar 7, 2016 33:56


We’re in the midst of a podcast series all about thyroid health, featuring the expertise of Dr. Izabella Wentz and in this episode, we’re focusing on positive solutions including thyroid diet and lifestyle interventions. Dr. Izabella Wentz and I cover a lot of ground, including medication, dietary triggers, adrenal health, treatment myths and supplements. We’ll also share …

The Wellness Mama Podcast
044: Dr. Izabella Wentz on Diet & Lifestyle Interventions

The Wellness Mama Podcast

Play Episode Listen Later Mar 7, 2016 33:56


We’re in the midst of a podcast series all about thyroid health, featuring the expertise of Dr. Izabella Wentz and in this episode, we’re focusing on positive solutions including thyroid diet and lifestyle interventions. Dr. Izabella Wentz and I cover a lot of ground, including medication, dietary triggers, adrenal health, treatment myths and supplements. We’ll also share …

The Addicted Mind Podcast
163: Healing as a Family with Chris Howard

The Addicted Mind Podcast

Play Episode Listen Later Jan 1, 1970 40:53


On today's episode, Duane speaks with Chris Howard, the founder of Ethos Recovery, a long-term recovery house for men. He's also the founder of Lifestyle Interventions where he offers family intervention mentoring. Chris shares his journey of addiction and recovery and his experience working with families, helping them deal with addiction, and helping them heal as a whole system. A Los Angeles native, Chris grew up in a home with a schizoaffective mother and ended up in foster care. As a young man, Chris turned to drugs and alcohol to help escape his troubles in life and thought that his rite of passage into adulthood was going to prison. Chris eventually became a drug addict and drug dealer. He was engaging in all this maladaptive behavior without anyone telling him anything. After more than a decade of struggling with addiction, Chris finally decided to change his course and help other people going through the same thing.Now working in a helping field, Chris wants to help people without belittling them or making them feel worse about their suffering. He believes that his job is to help people question their maladaptive belief systems, their coping strategies, and why they (and even their families) are afraid of being honest. During the conversation, Chris explains that we're now seeing a pendulum shift in treatment and recovery from being a heavily social model – that could be lacking in accountability – into one that is very clinical and lacking in empathy. These two have to meet somewhere in the middle. We must hold people accountable while also having love and compassion as we walk them through their recovery journey. There has to be a balance between both in order to create a potent formula for healing, personal growth, and being your best self. In this episode, you will hear:Chris' journey through addiction and recoveryHow he began working with familiesUnderstanding the family dynamicWhy trauma isn't always the root cause of addictionEmotional reasoning tied into traumaThe accountability perspective with DBT or Dialectical Behavior TherapyIf drugs aren't the problem, what is?The need to balance accountability and empathyHow to heal as a family unitKey Quotes:[07:54] - “The group dynamic at times can help elevate your level of consciousness.”[12:30] - "The hardest thing to watch is people who maybe are more personality disordered and the families can't let go... they put themselves through so much pain and suffering as a result of their love for this person who either can't or will not change."[13:28] - “Trauma is the dominant narrative in mental health and substance abuse treatment at this point. It's not that I don't believe in trauma, I just don't believe every addict is a result of trauma.”[20:31] - “Working on mental health and substance abuse problems, it often gets worse before it gets better because you no longer have that to shield you to cope.”[21:14] - “Drugs aren't the problem. They're actually a phenomenal solution for human beings. The problem is they can't cope for some reason.”[24:40] - “The empathy aspect might actually even be one of the most important aspects because a lot of times, the mental state that individuals who struggle with mental health and substance abuse are in, is so deprived as a result of their life experience.”[32:48] - "Families often equate more money with better treatment. And it's not necessarily true."Subscribe and ReviewHave you subscribed to our podcast? We'd love for you to subscribe if you haven't yet. We'd love it even more if you could drop a review or 5-star rating over on Apple Podcasts. Simply select “Ratings and Reviews” and “Write a Review” then a quick line with your favorite part of the episode. It only takes a second and it helps spread the word about the podcast.If you really enjoyed this episode, we've created a PDF that has all of the key information for you from the episode. Just go to the episode page at www.theaddictedmind.com  to download it.Supporting Resources:Ethos Recovery Lifestyle InterventionsTikTokEpisode CreditsIf you like this podcast and are thinking of creating your own, consider talking to my producer, Danny Ozment.He helps thought leaders, influencers, executives, HR professionals, recruiters, lawyers, realtors, bloggers, coaches, and authors create, launch, and produce podcasts that grow their business and impact the world.Find out more at https://emeraldcitypro.comSupport this podcast at — https://redcircle.com/the-addicted-mind-podcast/donations