Podcasts about medications

382: It can be easy to overdo it with fiber supplements, like gummies, powders, or even natural foods with fiber. And that can cause some unpleasant side effects.  So today, I'm going over 8 signs to look for that may indicate you might be overdoing it on fiber PLUS how to know the right amount of fiber for YOU. Topics Discussed:  → Can too much fiber cause constipation? → Why do fiber supplements make me bloated? → Is psyllium husk bad for everyone? → Can fiber interfere with medications? → How much fiber do I actually need? As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By:  → Manukora | Head to ⁠https://manukora.com/DIGEST⁠ to save up to 31% plus $25 worth of free gifts with the Starter Kit, which comes with an MGO 850+ Manuka Honey jar, 5 honey travel sticks, a wooden spoon, and a guidebook! Timestamps: → 00:00:00 - Introduction  → 00:05:11 - Symptom 1: Bloating + Gas  → 00:06:01 - Symptom 2: Decreased Appetite  → 00:06:49 - Symptom 3: Diarrhea → 00:07:30 - Symptom 4: Constipation  → 00:08:18 - Low Fiber Diet  → 00:10:01 - Symptom 5: Dehydration  → 00:10:49 - Symptom 6: Nausea  → 00:12:02 - Symptom 7: Fatigue  → 00:12:41 - Symptom 8: Medication  → 00:13:29 - Fiber Dosing  Show Links: → The Olive Oil You Deserve — 100% Organic, Always Fresh. - 25% OFF code: LS25 Further Listening: → IBS Support Guide, Fiber, Stress, Fats and Digestion Tips | BOK Check Out Bethany: → Bethany's Instagram: @lilsipper → YouTube → Bethany's Website → Discounts & My Favorite Products → My Digestive Support Protein Powder → Gut Reset Book  → Get my Newsletters (Friday Finds) Learn more about your ad choices. Visit megaphone.fm/adchoices

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.

Naltrexone is often a first-line medication for AUD. It works as an opioid receptor antagonist, reducing the rewarding effects of alcohol and decreasing cravings. Patients frequently report that alcohol becomes less pleasurable while taking the medication. Oral naltrexone is typically dosed at 50 mg daily, while a long-acting injectable formulation is also available. Avoid use in patients taking opioids and use caution in significant liver dysfunction. Acamprosate helps maintain abstinence by modulating glutamate and GABA neurotransmission. Chronic alcohol use disrupts the balance between excitatory and inhibitory pathways in the brain, and acamprosate helps restore equilibrium. It is primarily eliminated renally, making it a useful option in patients with liver disease. The most common adverse effect is diarrhea. Disulfiram works through a completely different mechanism. It inhibits aldehyde dehydrogenase, causing acetaldehyde accumulation when alcohol is consumed. This can lead to flushing, nausea, vomiting, headache, and hypotension. Because of this aversive reaction, patient motivation and adherence are critical for success. Be sure to check out our free Top 200 study guide – a 31 page PDF that is yours for FREE! Support The Podcast and Check Out These Amazing Resources! NAPLEX Study Materials BCPS Study Materials BCACP Study Materials BCGP Study Materials BCMTMS Study Materials Meded101 Guide to Nursing Pharmacology (Amazon Highly Rated) Guide to Drug Food Interactions (Amazon Best Seller) Pharmacy Technician Study Guide by Meded101

GLP-1 medications like Ozempic and others have changed the conversation around weight, diabetes and metabolic health. But while these medications can help reduce appetite, they also make it more important than ever to focus on nutrient quality. In this episode, obesity medicine specialist Dr. Amanda Fontenot joins us to separate fact from fiction around GLP-1 medications, covering who they're for, what to expect, and how to protect muscle, gut health, and overall wellness for the long haul.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Sleep is not just something women need more of. It is something women struggle with in ways that are fundamentally different from men and almost nobody explains why.Dr. Wendy Troxel, PhD is one of the most respected sleep scientists in the world. Her research has shaped sleep policy in the US military. Her book, Sharing the Covers, is one of the most practical and science-backed guides to partnered sleep available. She is the rare researcher who can speak to the biology of sleep, the hormonal shifts of perimenopause, and what is actually happening in your bedroom, all in the same conversation.This episode is sponsored by Zen Basil. Their certified edible basil seeds are designed for human nutrition, deliver 15g of fiber per serving, and are batch-tested for glyphosate and over 400 pesticides. Use the code KAYLA20 for 20% off.https://zenbasil.com/shopzenbasil/zenbasilseedbagJoin the most comprehensive *female-specific community for health and longevity optimization.* After over a decade dedicated to human performance and women's health, I created this space to share everything you need to know to optimize health and lifespan. Inside, you'll get access to exclusive protocols, live Q&As, the latest female longevity science, and a private, supportive community of like-minded women.https://kayla-barnes-lentz.circle.so/female-longevity-communityIn this conversation:Why women are twice as likely to have insomnia as menWhat the new sleep duration research actually says (and why the magic number is not the point)How relationship quality affects women's sleep and long-term health differently than men'sWhy perimenopause is a perfect storm for sleep disruptionThe 5 things that most reliably improve sleep qualityConnect with Kayla:Instagram: https://www.instagram.com/kaylabarnes/TikTok: https://www.tiktok.com/@femalelongevityTwitter:https://x.com/femalelongevityWebsite:https://www.kaylabarnes.com/Spotify:https://open.spotify.com/show/4OLWWn22RGB0argbRPvAaQ?si=8e91b3c9e0ce4054Apple:https://podcasts.apple.com/us/podcast/longevity-optimization-with-kayla-barnes-lentz/id1591130227Follow Her Female Protocol: https://www.protocol.kaylabarnes.comConnect with Dr Wendy:Instagram: https://www.instagram.com/drwendytroxel/ Website: https://www.drwendytroxel.com/LinkedIn: https://www.linkedin.com/in/dr-wendy-troxel  Shownotes:Society of Behavioral Sleep Medicine: https://www.behavioralsleep.orgDr. Wendy Troxel's TEDx Talk: https://youtu.be/G0Zj_InJ4BQ?si=4-p3Iac2gItHlxtX

Experimental Medication

Curious whether peptide therapy is the missing piece in your wellness routine, or just another overhyped trend? This episode breaks down what these powerful chemical messengers do in the body, from healing injuries to balancing brain chemistry, cellular energy and more, plus why sourcing and dosing make all the difference.Host Jenn Trepeck sits down with Dr. Aleksandra Gajer to explore BPC 157, brain-supporting peptides, and mitochondrial function, while tackling how to use peptides safely, who should avoid them, and why they work best as a tool rather than a magic fix-all.What You Will Learn in This Episode:✅ How peptide therapy acts as a chemical messenger system that supports the body's own healing pathways rather than overriding them✅ Why BPC 157 has become one of the most talked about peptides for tendon repair, gut healing, and recovery✅ How neuroinflammation, not just neurotransmitter imbalance, may be driving anxiety, depression, and brain fog✅ The role of mitochondrial function and insulin sensitivity in body composition, energy, and long-term metabolic healthThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store.TIMESTAMPS:00:00 Dr. Aleksandra Gajer's path from emergency medicine to proactive, personalized healthcare08:04 Defining peptides and their relationship to inflammation and healing10:04 Exploring BPC 157 for tendon injury, gut healing, and tissue recovery12:31 How peptides support autoimmune conditions by regulating immune balance15:35 Brain peptides Selank and Semax and the truth behind the neuroinflammation link to anxiety18:57 Understanding mitochondrial function, fatigue, and brain fog as cellular energy issues20:35 MOTS-c, insulin sensitivity, and the connection to body composition22:18 Why peptides work best as a tool, not a replacement for healthy habits26:03 Safe peptide sourcing, endotoxins, and who should avoid peptide therapy33:54 Hormone health, dosing strategy, and cycling peptides for sustainable resultsKEY TAKEAWAYS:

"I struggle with rejection, even when I haven't actually been rejected." At our last Couple's Night, one of the guys put his finger on something that has a name: Rejection Sensitive Dysphoria. Check out the blog post here for more details and links.RSD is a wave of emotional pain that lands way out of proportion to whatever actually happened, and the rejection doesn't even have to be real. It is most strongly tied to ADHD, and in a marriage it can quietly do a lot of damage: over time the higher-desire spouse stops initiating, the marriage slowly goes quiet, and neither spouse understands why.In this episode I unpack what RSD actually is, how it shows up between spouses and in the bedroom, five things that genuinely help, and why none of it means you were woven wrong.In this episode:(0:00) Intro(1:13) What Rejection Sensitive Dysphoria actually is(2:00) When the rejection isn't even real(2:41) The ADHD connection(3:16) How RSD shows up in a marriage(4:11) RSD in the bedroom(5:20) What actually helps - 5 steps(7:05) Medication, and why SSRIs miss it(8:29) You're not woven wrong(11:09) Book a free ADHD discovery callScripture referenced: Psalm 139:13, Revelation 13:8, 2 Timothy 1:9, Ephesians 1:4, Titus 1:2, John 14:2-3, 1 Thessalonians 4:17, Revelation 21:3, Luke 23:42-43, Romans 10:9, Romans 10:13, John 3:16, Revelation 3:20, Revelation 22:17.Links mentioned:Married with ADHD - book a free discovery callMarriage CoachingSubscribe to our newsletterFollow us on Facebook, Instagram and Twitter.If you'd like to discuss topics like this with other married Christians, consider joining our private forum.Thank you to all our faithful champions!If you'd like to support our ministry and see it grow, check out our support page for more info. Even $5/month makes a difference!Lastly, if you like our podcast, click here to give us a rating and leave us a review. They help others know this is a good resource for their marriage. You managed to find us; help someone else do the same.

In this post-conference conversation, Fr. Turbo Qualls joins me to reflect on the themes, insights, and discussions that emerged from the inaugural OINTMENT Conference—an event bringing together clergy, clinicians, and laypeople to explore the relationship between Orthodox Christianity, mental health, and the healing of the human person.   Our discussion moves beyond the usual debates about therapy and religion to examine deeper questions: What is healing? What role do trauma, suffering, and repentance play in spiritual growth? How should Orthodox Christians think about psychology, medication, and mental health treatment? And how do we avoid reducing human beings to either diagnoses or demons?   We explore the Orthodox understanding of the person, the Church as a hospital for the soul, the modern crisis of loneliness and fragmentation, and the ultimate goal of the Christian life—theosis.   Whether you're a priest, clinician, convert, or simply someone seeking healing, this conversation offers a thoughtful and deeply Orthodox vision of what it means to become whole.   In This Episode   * Reflections and takeaways from the OINTMENT Conference * Orthodoxy and modern psychology * Trauma, suffering, and spiritual healing * The relationship between clergy and clinicians * The Church as a hospital for the soul * Medication, therapy, and discernment * Theosis as the goal of the Christian life * The deepest wounds of modern America * Hope for the future of Orthodox ministry and mental health care   About Fr. Turbo Qualls   Fr. Turbo Qualls is the rector of St. Mary of Egypt Orthodox Church in Kansas City, Missouri. He is the founder of the OINTMENT Institute, an initiative dedicated to fostering collaboration between Orthodox clergy and mental health professionals in the care and healing of the human person.   Fr. Turbo holds graduate and postgraduate degrees in Addiction Studies and Pastoral Counseling with an emphasis in crisis response and trauma. He also serves as a spiritual father, speaker, educator, and conference organizer, helping Orthodox Christians think more deeply about healing, suffering, and the therapeutic tradition of the Church.   Learn More:   OINTMENT Institute⁠  A growing network dedicated to fostering collaboration between Orthodox clergy and mental health professionals while remaining rooted in the Orthodox understanding of the human person and the healing of the soul.   OINTMENT Conference    St. Mary of Egypt Orthodox Church⁠  Located in Kansas City, Missouri, St. Mary of Egypt Orthodox Church is known for its commitment to Orthodox evangelism, pastoral care, education, and outreach. The parish also supports ministries including Mt. Tabor School of Liberal Arts and has become a hub for Orthodox formation and discipleship.   Support the Show:   If you enjoyed this conversation, please subscribe, leave a review, and share the episode with a friend.   Your support helps us continue exploring faith, culture, and the pursuit of truth through conversations with Orthodox clergy, scholars, clinicians, and cultural commentators. www.patreon.com/counterflow Sponsor: Podsworth App: https://podsworth.com  Code: BUCK50 for HALF off your first order! Clean up your recordings, sound like a pro, and support the Counterflow Podcast! Full Ad Read BEFORE processing: https://youtu.be/F4ljjtR5QfA  Full Ad Read AFTER processing: https://youtu.be/J6trRTgmpwE Donate to the show here: https://www.patreon.com/counterflow  Visit my website: https://www.counterflowpodcast.com  Leave us a review and rating on Apple Podcasts! Thanks!

If you’ve ever started a new medication and immediately felt worse—you’re not broken, and you’re definitely not alone.  In this episode, I’m diving into one of the most common and most frustrating experiences in the vestibular world: medication sensitivity. And more importantly, what to actually do about it. I’m breaking down why so many people with vestibular disorders struggle to tolerate new medications, how to wean on and off gradually to give yourself the best shot at success, and why going slow is actually the fastest way to feel better. We’re also talking about the nocebo effect—because what you expect from a medication can literally shape what you experience. Plus, I’m making a case for the most underutilized resource in your healthcare team: your pharmacist. Seriously, use them. They know things your doctor might miss. In this episode, we'll dig into: Why medication sensitivity is SO common in the vestibular community The case for weaning onto medications gradually What compounding pharmacies are & how they can be a game changer for hypersensitive people Why you need to understand the nocebo effect before starting a new medication How to tell the difference between “dizziness as a side effect” vs your chronic dizziness How to set yourself up for success when starting a new medication A tool you can use to take the guesswork out of medications Starting a new medication doesn’t feel like as much of a gamble when you know how to prepare, advocate for yourself, and you go slow. Following these tips, you give yourself the very best shot at finally feeling better. Related Episodes: How to Wean Off Your Preventative Medications: https://thevertigodoctor.com/podcast/54-how-to-wean-off-your-preventative-medications/ Links Mentioned: Vestibular Group Fit (code GROUNDED at checkout for 15% off!): https://thevertigodoctor.com/vestibular-group-fit Golden Genetics (mention Dr. Madison for a discount!): https://www.goldengeneticshealth.com/ Free Resources: ⁠The 4 Steps to Managing Vestibular Migraine: https://thevertigodoctor.myflodesk.com/cb5js0y78n ⁠The PPPD Management Masterclass⁠: https://thevertigodoctor.myflodesk.com/new-pppd ⁠What your Partner Should Know About Living with Dizziness⁠: https://thevertigodoctor.myflodesk.com/partnership ⁠The FREE Mini VGFit Workout⁠: https://thevertigodoctor.myflodesk.com/minifit ⁠The FREE POTS – safe Workouts⁠: https://thevertigodoctor.myflodesk.com/pots Connect with Dr. Madison (@TheVertigoDoctor): https://instagram.com/thevertigodoctor Work with Dr. Madison: For 1:1 Vestibular Rehabilitation Therapy, email madison@thevertigodoctor.com Otherwise, I'll see ya in Vestibular Group Fit! Connect with Dr. Jenna (@dizzy.rehab.therapist): https://www.instagram.com/dizzy.rehab.therapist/ Learn about the Oak Method: http://thevertigodoctor.com/why-vestibular-group-fit Love what you heard?Consider leaving a review on your favorite podcast platform to help us reach more vestibular warriors like you! This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— vestibular medication, medication for vestibular disorder, placebo and nocebo effect, side effects, vestibular migraine, VM, vestibular disorders, chronic dizziness, mindset and the nocebo effect, increased anxiety and depression, nervous system and dizziness, vestibular group fit, migraine management, compounding pharmacies

Send us Fan MailRemember when we were kids and everyone over forty seemed ancient?  Well, here we are as Senior Citizens and we are starting to feel the effects of our age.  Our bodies are suddenly experiencing new aches and pains.  Our minds are slowing down and our memories are growing foggy.  Aging is not for the faint of heart.How do we overcome the physical and emotional effects of aging so that we can Finish Strong?  Brian, Terry and Dan have a lot of practical ideas and Biblical advice in this podcast. And always remember, “aging happens to the best of us!”Support the showFearless Faith Websiteffaith.orgTo leave a review - Open Finish Strong on the Apple Podcast app and scroll down until you see "Ratings & Reviews". There will be a link to click so that you can "Write A Review"FacebookYouTubeInstagram

Psychiatric meds can feel like a maze when someone is trying to get sober and also sleep, focus, and stop panic spirals all in the same week. We made this updated, practical overview to simplify psychopharmacology for addiction treatment and recovery, using plain language and real clinical decision-making instead of jargon or hype.We start by clearing up a viral rumor and then zoom out to how medications are actually created: research pathways, FDA indications, “me-too” drugs, and why off-label prescribing is so common in psychiatry. From there, we walk through the major medication classes and what they are truly used for, including antidepressants (SSRIs, SNRIs, mirtazapine, bupropion), anxiety and insomnia options that are less risky in recovery, and the basics of antipsychotics and mood stabilisers for severe symptoms like psychosis and bipolar disorder. We also touch on pharmacogenomics testing such as GeneSight and why individual response can still require careful trial and adjustment.Because addiction medicine demands extra caution, we spend real time on benzodiazepine risks, why Z-drugs like Ambien can be problematic, and what we reach for instead when someone needs immediate anxiety relief while antidepressants take weeks to work. We wrap with a clinical case that shows how we prioritise conditions, pick meds that can treat more than one target, and avoid starting too many at once.If this helps you, subscribe, share it with a colleague, and leave a rating or review so more people can find the show.To contact Dr. Grover: ammadeeasy@fastmail.com

A patient asked me this recently: "Dr. Shelley, I've heard that GLP-1 medications can cause muscle loss. Does that mean they can hurt my bones too?" It's an excellent question—and one we don't talk about nearly enough. In this episode, I'm walking you through what the research actually shows about GLP-1 medications and bone health, why weight loss itself poses a different risk to your skeleton, and the five non-negotiable steps you need to take to protect your bones while losing weight. This is the bone health conversation you need to hear before—or while—taking a GLP-1. Episode Highlights: What GLP-1 medications are and how they work in your body Does GLP-1 directly damage bones? What the research says The real issue: weight loss and how it affects bone health How your bones stay strong and why muscle matters Muscle loss during weight loss on GLP-1s (body composition breakdown) Who's at higher risk for weak bones and should be monitoring Eat enough protein: how much you actually need Strength training and resistance exercises for bone protection Getting enough calcium and vitamin D The DEXA bone density scan and when you should ask for one Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH.  Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014.  In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss,  where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''.   Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)

In this podcast, Dr. Emily Laswell and Dr. McKenzie Grinalds discuss the AJHP Therapy Update, “Rapid administration of antiseizure medications: Review of safety, effectiveness, and implications for pharmacy practice” with host and AJHP Editor in Chief Dr. Daniel Cobaugh. The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.

06/21/2026The Healthy Matters PodcastS06_E01 - High Temps, Higher Stakes - Medications and Substances vs. The Summer HeatWith Special Guest: Brit Culp, ADCT, CPP Summer is finally here, and with it, the HEAT - and yes, the PARTIES!  Whether it's a bar night out, a concert, a festival, or a PRIDE event, the heat can have a big impact on how much fun we can have, and the ill effects can oftentimes be compounded by the prescription drugs, recreational drugs and alcoholic and caffeinated beverages that might be in our bodies.  But how do these substances amplify the effects of the heat?  Which ones should we be most concerned with?  And what are some of the best practices to "party smart"?Research suggests that as temperatures rise, overdoses do, too, so on Episode 1 of Season 6, we'll be joined by Brit Culp (ADCT, CPP) to go over all of the do's and don'ts of adult summer fun.  We'll cover some of the most concerning medications and substances, how to keep the downsides to a minimum, and why the "Lower and Slower" concept is your friend.  The summer heat is no joke, and it's even less funny when it turns a would-be good night into a trip to the ED.  So join us and get wise on how to have a good time, safely - and happy Pride!Got healthcare questions or ideas for future shows?Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Get a preview of upcoming shows on social media and find out more about our show at www.healthymatters.org.

It's been a hot minute since George and Mike last recorded an episode!  Surrendering to the inevitable aging process and time itself, George and Mike talk about what life is like in their 50's and how things have changed over the years.   Chugging Pepto, taking Cialis, prostate issues... there's nothing the two don't talk about in his hilarious comeback Season 8 episode.

Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. Episode Overview Dr. Warrick Bishop, a cardiologist, author, keynote speaker, and CEO of the Healthy Heart Network, hosts this solo episode focused on practical lessons from recent patient consultations. Using two anonymized patient cases, he explores the psychological and emotional dimensions of managing chronic conditions and medication adherence. Key Takeaways: A reframe from frustration to gratitude can transform a patient's relationship with their medications — Dr. Bishop shares his own experience with glaucoma eye drops as a personal example of this mindset shift. Modern medical treatments, whether tablets or eye drops, represent remarkable advances that deserve appreciation rather than resentment. There are only three types of medication side effects: anaphylactic reactions, idiosyncratic reactions, and dose-related intolerances — and only the third is typically negotiable. Anaphylactic and idiosyncratic reactions are absolute contraindications to restarting a medication, while dose-related intolerances can often be managed by adjusting the amount taken. When managing dose-related intolerances, starting at an extremely low dose is a valid and sensible medical strategy, not a compromise. Excessive anxiety about a medication can block productive clinical conversations and prevent patients from receiving beneficial treatment. Patients sometimes invest disproportionate emotional energy into manageable medical decisions, energy better reserved for truly serious life challenges. Doctors should meet patients where they are emotionally before attempting to problem-solve or prescribe. Staying on even partial therapy (such as ezetimibe alone) during a medication dispute is better than stopping treatment entirely. Calm, collaborative problem-solving between doctor and patient leads to better outcomes than fear-driven decision-making.

Medication is not a morality test. It is a tool — and for AuDHD brains, that tool needs nuance. In this episode, we're unpacking stimulants, non-stimulants, off-label meds, comorbid medication combos, misdiagnosis, and why treating anxiety or depression without recognizing ADHD/autism can leave people stuck in the same nervous system fire drill.Disclaimer: Educational only. Not medical advice. Talk to your prescriber before changing anything. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit carmenauthenticallyadhd.substack.com/subscribe

Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Mariya Farooqi | Book Appointment AROUND THE TABLE Diane Brice | | Book Appoinment In Today's Episode What happens when healthcare providers become patients themselves? In this candid conversation, PharmToTable pharmacists Dr. Mariya and Dr. Diane share the personal health challenges that led them into functional and integrative medicine—from insulin resistance and metabolic dysfunction to autoimmune disease and postpartum health struggles. Their stories reveal the power of looking beyond symptoms, addressing root causes, and becoming your own health advocate. Key Take Aways Personal health challenges often spark the journey into functional medicine, as both Mariya and Diane discovered through their experiences with unexplained symptoms, weight gain, metabolic changes, and autoimmune disease. Insulin resistance is a foundational driver of chronic disease, with blood sugar dysregulation contributing to weight gain, inflammation, autoimmune conditions, cardiovascular disease, and accelerated aging. Healing requires more than symptom management; while medications have an important place in healthcare, lasting improvement often comes from addressing root causes such as nutrition, stress, sleep, gut health, and lifestyle habits. Functional medicine is a journey, not a quick fix, and meaningful health improvements often require consistency, patience, and sustainable lifestyle changes over time. Patients must become active participants in their care by advocating for themselves, asking questions, tracking progress, and partnering with knowledgeable healthcare providers to improve long-term health outcomes.outcomes. Topics Discussed 00:00 – Welcome to Table Talk Melody introduces PharmToTable, the functional medicine team, and the power of sharing personal health stories. 01:28 – Meet Dr. Mariya Mariya shares her background as a pharmacist, nutrition professional, and educator working in lifestyle and functional medicine. 02:29 – Meet Dr. Diane Diane discusses her pharmacy career, medication therapy management experience, and transition toward prevention-focused care. 04:42 – Why Functional Medicine Requires Time The team discusses the limitations of conventional healthcare visits and the importance of deep, individualized patient care. 05:02 – Mariya's Personal Health Journey Navigating motherhood, stress, weight gain, rising A1C levels, and the realization that self-care required more than surface-level solutions. 06:24 – The Continuous Glucose Monitor Wake-Up Call How CGM data revealed hidden blood sugar spikes and transformed Mariya's understanding of nutrition and metabolic health. 08:03 – Why CGMs Can Be Powerful Learning Tools The team discusses how real-time glucose data can motivate meaningful lifestyle changes. 10:00 – Insulin Resistance as a Root Cause Exploring the connection between blood sugar regulation, inflammation, chronic disease, cancer risk, and longevity. 11:10 – Diane's Autoimmune Story Begins A postpartum diagnosis of psoriatic arthritis leads Diane on a search for answers beyond conventional treatment. 13:17 – Receiving a Life-Changing Diagnosis The emotional impact of being told she would need medication for the rest of her life. 14:22 – Discovering Functional and Naturopathic Medicine How acupuncture, nutrition, supplements, elimination diets, and lifestyle changes helped Diane reclaim her health. 16:48 – From Personal Healing to Professional Passion Why Diane became passionate about helping others address chronic disease through lifestyle medicine. 17:14 – The Importance of Self-Advocacy The team discusses navigating the healthcare system and taking ownership of personal health decisions. 18:26 – Why Healing Takes Time Understanding realistic expectations, root-cause healing, and the patience required for lasting change. 20:41 – Tracking Progress Objectively How symptom questionnaires and health metrics help patients recognize improvements they might otherwise overlook. 21:50 – The Role of Family Support Diane shares how support systems can influence long-term health success. 23:00 – Autoimmune Conditions, Food Sensitivities & Gut Health A patient case study illustrates why addressing gut health is critical for long-term autoimmune management. 25:10 – Functional Medicine and Pharmaceuticals Can Coexist The team discusses balancing natural approaches with appropriate medical interventions when necessary. 26:00 – When Medication Is the Right Tool Examples involving ulcerative colitis, eczema, and severe symptoms that require immediate treatment before root-cause work can begin. 28:36 – Conversations Around Statins and Prevention Exploring medication hesitancy, cardiovascular risk, and the importance of individualized decision-making. 30:39 – Mental Health, Medications, and Removing Stigma Why some patients benefit from short-term pharmaceutical support while building sustainable lifestyle foundations. 32:05 – Questions Every Patient Should Ask How to advocate for yourself by discussing treatment goals, timelines, outcomes, and evidence with your healthcare providers. 33:00 – Chronic Disease, Inflammation & Longevity The team reflects on cardiovascular disease, metabolic health, and optimizing long-term wellness. 33:59 – Final Thoughts A closing message on self-advocacy, partnership with healthcare providers, and the value of a functional medicine approach. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapeutic Approaches Discussed Functional Medicine Integrative Medicine Lifestyle Medicine Food as Medicine Mediterranean Diet Elimination Diet Detox Diet Acupuncture Physical Therapy Intermittent Fasting Anti-Inflammatory Nutrition Health Tools & Assessments Continuous Glucose Monitor (CGM) Medical Symptom Questionnaire (MSQ) Food Sensitivity Testing Stool Testing / Gut Microbiome Analysis Organizations & Institutions PharmToTable Long Island University Thomas Jefferson University Hospital Medications Mentioned Prednisone Statins Biologics (general discussion) Antidepressants / Psychiatric Medications (general discussion) Supplement Spotlight Vitamin D / K2 Liquid - 1 fl oz Purchase Today D3 5000 with K2 60 Softgels Purchase Today

Why does our hair stand up when we are scared? Does the animal kingdom experience colour differently? How do cats purr without running out of breath? Can certain types of medication cause tinnitus? What benefits does vaccination afford us? And why do some people struggle to recognise faces? Chris Smith and Clarence Ford have the answers... Like this podcast? Please help us by supporting the Naked Scientists

Why does our hair stand up when we are scared? Does the animal kingdom experience colour differently? How do cats purr without running out of breath? Can certain types of medication cause tinnitus? What benefits does vaccination afford us? And why do some people struggle to recognise faces? Chris Smith and Clarence Ford have the answers... Like this podcast? Please help us by supporting the Naked Scientists

Irritable bowel syndrome (IBS) is one of the most common—and often frustrating—conditions seen in primary care. Patients may come in with chronic abdominal pain, diarrhea, constipation, bloating, or a mix of symptoms, and many have already been told that their testing is “normal.” So how do you confidently evaluate IBS, rule out more serious conditions, and help patients move forward?In this episode, Liz talks with neurogastroenterologist Dr. Zach Spiritos about the real-world approach to IBS, including the underlying pathophysiology, common diagnostic pitfalls, practical workup strategies, and treatment options that go far beyond medication alone.Whether you're a new NP or an experienced clinician, this episode offers practical strategies to help you approach IBS with greater confidence and compassion.Timestamps:00:00 - Introduction to Dr. Zach Spiritos and episode overview02:16 - Pathway into neuro gastroenterology and training background05:06 - What is IBS? Symptoms, diagnosis, and underlying mechanisms07:36 - Factors contributing to IBS: trauma, antibiotics, triggers09:21 - Differential diagnosis: celiac, SIBO, bile acid malabsorption11:54 - When to consider endoscopy and testing strategies14:35 - History-taking tips for primary care clinicians17:54 - Managing expectations in chronic GI conditions20:12 - Overuse of endoscopy and its limited findings22:08 - Understanding what endoscopy can actually reveal24:23 - Communicating with patients who have “all tests normal”27:40 - The multitude of IBS treatment approaches: diet, psychological, medication32:12 - Role of diet and FODMAP in symptom management35:10 - Pharmacological options for IBSC and IBSD39:06 - Medications overview: Linzess, Amitiza, Viberzi, and others44:04 - The role and limitations of probiotics and fiber45:08 - Tips on managing patient expectations and chronicity46:54 - Setting goals and tracking progress with patients48:16 - Final advice: empower patients with knowledge, manage expectations, and tailor treatmentsFor a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/ibs______________________________© 2026 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details. Hosted on Acast. See acast.com/privacy for more information.

In this Supplement Ingredients episode, Nurse Doza breaks down phosphatidylcholine—one of his all-time favorite supplements for your liver and brain. He explains why medications and aging deplete your choline, how phosphatidylcholine delivers fast energy, focus, and mental clarity without stimulants or a crash, and why he finally landed on BodyBio after years of testing. If liver issues or cognitive decline are on your radar, this one's a must-listen. FEATURED PARTNER: BODYBIO BodyBio Phosphatidylcholine (PC) delivers clean, bioavailable phospholipids that rebuild your cell membranes—supporting the liver and brain function discussed in this episode—with a noticeable "crisp" clarity you can feel in about an hour, no jitters and no crash.

Jenna Free is a counselor specializing in ADHD regulation who discovered her own diagnosis while drowning in grad school with two babies 17 months apart. She has since developed a full certification program teaching other mental health professionals her ADHD regulation method, and she runs ADHD regulation groups for clients from her home base in Calgary, Alberta. In this episode, Jenna joined The Dad Edge Alliance for a live Q&A that goes far deeper than a typical ADHD conversation. The focus isn't the diagnosis itself — it's the nervous system, specifically how chronic fight-or-flight mode silently drives the impatience, compulsive behavior, crashes, and parenting struggles so many dads in this community experience. If you've ever wondered why you can't just logic your way into being calmer, this one's for you. Most of us assume ADHD is about the brain you were born with. Jenna reframes it completely — the real problem isn't the diagnosis, it's the dysregulated nervous system underneath it, and that part is something you can actually change. This conversation pulls back the curtain on the frantic-crash cycle, the fight-flight-freeze-fawn response, why pressure feels like performance, and what it looks like to function from a regulated baseline instead of white-knuckling through the day. This is especially powerful for any dad who has ever snapped at his kids in the morning, struggled to slow down, or quietly wondered whether go, go, go is actually working against him.   Timeline Summary [1:02] Jenna's background: how her own ADHD diagnosis in grad school — with a six-month-old and an 18-month-old at home — led her to develop the ADHD regulation method [3:24] Why calendars and timers weren't enough: the frantic-crash cycle Jenna kept seeing in herself and every client she worked with [4:13] The nervous system root cause: why almost every neurodivergent person (and most parents) is running in a chronic state of fight-or-flight [6:36] Can you think your way out of it? Jenna explains why logic alone can't calm a dysregulated nervous system [9:16] Alliance member Jason's question: where to start with regulation for yourself and how to notice when your son is sliding into dysregulation [10:06] The first practical step — learning to physically feel dysregulation in your body: tight shoulders, rushing, impatience, holding your breath [11:49] The rushing reframe every parent needs: shifting from "let's go, let's go" to "let's focus" and why that small shift changes the whole morning [17:55] Breaking down all four modes: fight, flight, freeze, and fawn — including why people-pleasing is a survival response, not a personality trait [25:26] Alliance member Chris's question: the "pressure to perform" cycle and why functioning in high-intensity fight-or-flight leads to hard crashes and compulsive avoidance [30:21] Why a formal diagnosis may not matter: Jenna's framework focuses on nervous system regulation regardless of whether you have a label [40:19] Dysregulation is contagious — but so is regulation: how Jenna's own internal work changed her husband without a single conversation about it [42:16] Joanne's question: how to help a high-achieving son who struggles at school, and why the most powerful thing parents can do happens before they drop the kids off [47:21] Jenna's upcoming book, Full Capacity, and why she believes regulation is the most ambitious thing a driven person can pursue [54:12] The dreamer-freeze type: why a low-motivation, avoidant kid is just as dysregulated as a hyperactive one — it just looks different [57:10] The host shares his own ADHD management tools — exercise and clean eating — and Jenna explains exactly why they work from a nervous system standpoint   Five Key Takeaways You can't think your way out of fight-or-flight because it's not a thought problem — it's a nervous system problem. The primal part of your brain believes you're being chased by a bear, and no amount of self-talk will convince it otherwise until you address the physical and behavioral patterns keeping it on alert. The frantic-crash cycle isn't a productivity style — it's a symptom. When you require pressure to get things done and then collapse afterward, you're not built that way; you've been trained into it. The only way out is to consciously lower the intensity during the good stretches, not just manage the crashes. Rushing is one of the clearest signals your nervous system has flipped into survival mode. When you catch yourself rushing the kids in the morning, the fix isn't to push through faster — it's to physically slow down and shift from "let's go" to "let's focus," which calms everyone's system and actually gets you out the door more effectively. Your regulation — or lack of it — is setting the baseline for your whole family. Kids and partners co-regulate with the people around them. You can't force your kids to be calm, but becoming a regulated, grounded presence does more than any conversation about breathing ever will. Fight-or-flight doesn't always look like intensity. Freeze and avoidance are just as much a dysregulated state as frantic rushing — they're just the other end of the pendulum. A kid who looks unmotivated or a dad who procrastinates for two weeks is dealing with the same nervous system problem as the guy who can't slow down. Links & Resources The Dad Edge Alliance — https://thedadedge.com/join Questions for the Car (free resource) — https://thedadedge.com/kidquestions ADHD with Jenna Free (social media) — @adhdwithjennafree Full Capacity HQ (upcoming content on regulation for ambitious people) — @fullcapacityhq Episode Shownotes: http://thedadedge.com/1492 Closing What Jenna laid out here isn't a quick fix — and she'd be the first one to tell you that. But there's something powerful in knowing that the part of you that snaps at your kids, crashes after a big push, or can't quite slow down no matter how much you want to — that part isn't a character flaw. It's a nervous system that's been running in survival mode, and it can be retrained. If this conversation hit close to home, share it with a dad you know who's quietly fighting the same battle. And if you're not yet part of the Alliance where conversations like this happen every month, head over to thedadedge.com/join. Follow the show, leave a rating and review, and help us get this in front of the dads who need it most. Go out and live legendary.

Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Shelby Williams.

In my perimenopause health journey, I share why I chose progesterone before thyroid medication and how stress, sleep, and hormones intersect.

Oatmeal's Role in Reducing Cholesterol; Berries Block Cholesterol Reabsorption Like Meds; Seeds and Nuts Improve Lipid Profiles—In Moderation; Walnuts and Flaxseed Lower Harmful Lipids; How to Eat Healthy in Limited Space or Budget; Tofu Reduces LDL by Increasing Receptor Activity; Dark Leafy Greens Prevent LDL Oxidation; Leafy Greens Lower Cardiovascular and Stroke Risk; How He Gets His Greens (Thanks to His Mom); Whole Grains Also Lower LDL and Oxidation; Beans as a Superfood for Cholesterol Reduction; Whole Food Diets Can Reduce Hard-to-Treat Risk Markers; Dietary Patterns Like DASH, Mediterranean, Portfolio Lower Cholesterol; Medication and Diet Adherence Are Equally Challenging; Patient Relapse After Life Stress Shows Importance of Follow-up; Case Review: Patient Success with Lifestyle and Medication #HeartHealth #Cholesterol #NutritionTips #HealthTalks

You are not defined by the hardest thing you have been through, the worst decision you have made, or the darkest season of your life. After more than 33 years as a trauma-informed psychotherapist, Scott Stolarick has sat across from people carrying pain most of the world never sees. From psychiatric hospitals and county jails to private practice, Scott has worked with people who have experienced trauma, people who have caused trauma, and people who are trying to understand why their anxiety, depression, anger, or substance use keeps showing up in their lives. This conversation dives into what it really means to understand the whole person, not just the behaviour, diagnosis, or moment that brought them into the room. Scott shares why trauma is often part of the mental health equation, how depression and anxiety can change the way people experience life, and why compassion matters when we are trying to understand someone's story. He also talks about coping, substance use, social media, connection, skill building, and the importance of asking for help before the weight becomes too heavy to carry alone. Through his wisdom, experience, and deeply human approach, Scott reminds us that every person is made up of many pieces. And when you take a step back, you begin to see the whole picture. Guest Bio Scott is a licensed, trauma-informed psychotherapist with 33 years of experience practicing in the state of Illinois. Throughout his career, he has worked as a clinician, administrator, and clinical supervisor, supporting individuals through trauma, mental health challenges, substance use, and complex life experiences. He also holds Management and Leadership Certifications from the University of Notre Dame and Cornell University. Scott is currently the owner of Mosaic Pathway Counseling in Gurnee, Illinois, where he brings a compassionate, whole-person approach to helping people understand their story, build healthier coping skills, and move toward healing. You'll hear About Why trauma is often part of the mental health equation How depression, anxiety, anger, and substance use can connect to deeper pain Why understanding the whole person matters more than judging one behaviour How self-medication can become a warning sign when it is used to cope Why skill building is an important part of managing mental health How social media and technology can quietly affect connection and wellbeing Chapters 00:00 Welcome and Episode Introduction 02:30 Scott's Career in Trauma-Informed Therapy 04:45 Why Trauma Matters in Mental Health 09:00 Why Hurt People May Hurt Others or Themselves 11:15 Seeing the Human Behind the Behaviour 14:30 Trauma, Social Media, and a More Stressed World 17:30 How Trauma Connects to Mental Health 20:30 Understanding Depression and Anxiety 24:30 Medication, Self-Medication, and Coping 29:45 When Substance Use Becomes a Warning Sign 31:30 Building Healthier Coping Skills 34:00 Breaking the Stigma Around Mental Health 37:30 Social Media, AI, and Disconnection 40:30 Learning to Relax Without a Screen 45:45 Reaching Out for Help 48:15 Scott's Message for Anyone Struggling 49:45 Final Reflections and Key Takeaways Chuck's Challenge This week, take one step back before you judge someone else's story — or your own. Look beyond the behaviour. Look beyond the one mistake, the one hard season, or the one piece that seems easiest to focus on. Ask yourself what else might be part of the picture. And if you are the one struggling, remember this: you are not weak for needing help. You are human. Because as Scott shared, we are all mosaics. We are made up of many pieces, and the whole picture is always bigger than one painful moment. Connect with Scott Website: https://www.mosaicpathwaycounseling.org/ LinkedIn: https://www.linkedin.com/in/scott-stolarick-lcpc-cctp-298734252 Connect with Chuck Check out the website: https://www.thecompassionateconnection.com/ LinkedIn: https://www.linkedin.com/in/chuck-thuss-a9aa044/ Follow on Instagram: @warriorsunmasked Join the Warriors Unmasked community by subscribing to the show. Together, we're breaking stigmas and shining a light on mental health, one story at a time.  

In today's r/relationship_advice story, OP's Fiancé compares her anti-depressants to cocaine and wants her off them. Now OP is questioning whether he really cares about her health - or just just controlling it.0:00 Intro0:21 Story 13:18 Story 1 Comments6:32 Story 1 Update 18:33 Story 1 Comments / OP's Replies9:47 Story 1 Update 211:17 Story 1 Comments / OP's Reply11:35 Story 1 Update 312:34 Story 1 Comments13:50 Story 216:06 Story 2 Comments / OP's Replies21:27 Story 2 Update22:44 Story 2 Comments24:27 Story 327:27 Story 3 Update Hosted on Acast. See acast.com/privacy for more information.

Can toxic exposure lead to secondary VA disability conditions years later?In this episode, we discuss how toxic exposures — including burn pits, airborne hazards, particulate matter, solvents, fuels, and other environmental exposures — may contribute not only to primary service-connected conditions, but also to secondary medical complications over time.We break down: What “secondary conditions” actually mean in VA disability claims  How toxic exposure can create long-term systemic health effects  The difference between direct service connection and secondary service connection  Respiratory conditions linked to toxic exposure  Sleep apnea, chronic inflammation, and secondary complications  Mental health effects associated with chronic illness  Medication side effects and downstream conditions  Why medical evidence and chronology matter  Common mistakes veterans make when trying to connect conditions We also discuss the importance of individualized medical analysis and why medically defensible nexus opinions are becoming increasingly important in complex toxic exposure claims.Topics Covered Toxic exposure VA claims  Burn pit exposure  TERA claims  Secondary VA claims  Airborne hazards and burn pits  Chronic sinusitis  Rhinitis and asthma  Sleep apnea secondary claims  Toxic exposure medical evidence  Nexus letters  VA disability claims  Respiratory conditions  Chronic inflammation  Environmental exposure claims  Independent medical opinions About the PodcastThe Veterans Disability Nexus Podcast discusses VA disability medical evidence, nexus letters, DBQs, and the intersection of medicine and veterans disability claims. Hosted by medical professionals experienced in reviewing complex VA disability cases and independent medical opinions.DisclaimerThis podcast is for educational and informational purposes only and does not constitute legal or medical advice. Listening to this episode does not create a provider-patient relationship. Veterans should consult accredited representatives or qualified professionals regarding their individual claims or appeals.

Hosts: Ed Jones (Owner of Nutrition World) & Clint Powell A variety of topics all to living a healthy life Presented by: Nutrition World www.nutritionw.com Broadcasting from the Nooga Dentistry Studio www.noogadentistry.com Production of: Whitfield Media Group www.vitalhealthradio.com Title: All about Eggs & Pasture Raised Chickens with Kristy, Deprescribing & “De-Supplementing” with Dr. Curt Dearing [0:00:00] Intro, Nutrition World Updates, and Ed's Bodybuilding Prep Ed announces a new partnership with Azure: Bringing ~100 new holistic food items into Nutrition World. Examples: maple syrup, coconut oil, apple cider vinegar, organic chicken breast, cheeses, farm butters. Ed shares he's preparing for the Chattanooga Fitness Bodybuilding Contest (his 4th year): Being coached by Matt Davis (Train Station gym). Current approach: high protein, ~40% fewer calories, focused fat loss. Matt had him do a high-carb refeed day (~300g carbs vs his usual 50g) which dramatically improved his energy and look. [0:9:11] Protein, Longevity, and Why Ed Focuses on Eggs Ed emphasizes a higher-protein diet, especially for aging, muscle maintenance, and longevity. Core diet elements he advocates: Higher protein Healthy fats Colorful vegetables (in smaller but consistent amounts) Notes many women under-consume protein, which accelerates muscle loss and impacts longevity. Introduces guest Kristy, a long-time friend and staff member who homesteads and raises eggs that Ed eats 12–18 per week. [0:11:04] Homesteading with Kristy: How She Raises Chickens and Protects the Flock Kristy's setup: Around 100 chickens, plus goats, dogs, cats, and a donkey (Bradford). Lives “on the prairie” (rural, wooded property). Uses no chemicals on the property (no weed killers, pest sprays, etc.). She wants chickens to “do chicken things”—roam, peck, eat bugs, move soil—rather than be treated like pets or indoor animals. Predator control: No perimeter fence; previously lost some chickens to a fox attack. Now uses Bradford the donkey and a Great Pyrenees dog for protection: Donkey alerts and deters daytime predators like hawks and owls (stomping and loud calls). Pyrenees patrols at night, primarily deterring coyotes. Roosters herd hens into cover when threats appear. Motivator: Kristy's passion for knowing where her food comes from, and controlling at least part of her family's food system. [0:15:09] Structured Water, and Animal Hydration Kristy filters all animal water with a high-grade system (not just a basic fridge filter): Removes contaminants without completely stripping all minerals (not full RO). Then she “restructures” the water with a swirling device (structure unit): Mimics water flowing over rocks in nature, believed to add “life” and energy back to the water. She and Ed both report feeling better hydration from structured water (less persistent thirst). All of her animals receive this filtered/structured water. [0:17:26] Egg Production, Breeds, and Why Yolk Color Matters Kristy keeps multiple chicken breeds: Shell color = breed, not nutrition (white, brown, cream, etc., are just different breeds). Example: White Leghorn → white eggs, Rhode Island Red → darker brown eggs. Key nutritional indicator: yolk color She aims for deep orange yolks. Pale yellow yolks signal lower nutrient density, especially protein and nutrient intake from the chickens' diet. Production basics: Most hens lay about 5–6 eggs per week, especially in their first 3 years. Ed and Clint estimate she's getting hundreds of eggs per week in total. Kristy's flock policy: She has a “no-kill” policy for older hens, keeping them for tick and bug control and the social flock structure. Acknowledges some people cull flocks after 2–3 years, but she tends to keep productive, healthy hens past 4 years. [0:19:37] Industrial Eggs vs. Pasture-Raised: Animal Welfare and Nutrition Ed contrasts Kristy's setup with CAFO operations (Concentrated Animal Feeding Operations): Chickens crowded in small cages, poor conditions, bad feed. Notes such operations often use antibiotics—partly for disease, but also because they fatten animals. Kristy's holistic management: No antibiotics; uses natural anti-parasite and immune support: Pumpkin seeds for worms Homegrown herbs like oregano and rosemary She builds a strong “terrain” (internal environment) in the animals so they resist disease better. Discussion that what chickens eat (seed oils, moldy grains, etc. in industrial systems) ultimately affects the nutritional quality of the eggs humans eat. Nutritional highlights of eggs: Choline in yolks (brain and cognitive health). A “perfect protein” with high biological value and broad micronutrients. Eggs historically rank at the top for turning dietary protein into muscle due to a complete amino acid profile. Cholesterol discussion: Ed challenges the blanket fear of cholesterol: Cholesterol supports hormone production and brain function. Notes that the real risk markers are advanced lipoproteins like ApoB and Lp(a), not total cholesterol alone. Personal example: Ed eats 12–18 eggs per week. & his cholesterol is extremely low by clinical standards. Conclusion: Quality eggs are encouraged, especially from pasture-based systems like Kristy's, or higher-quality options in stores. [0:23:15] “Organic” vs. “Pasture-Raised” and Misleading Egg Labels “Organic eggs”: fed organic feed but may still be confined indoors with no outdoor access. “Pasture-raised”: hens are outdoors on pasture, doing natural chicken behaviors; often superior in welfare and nutrition. Both agree: If forced to choose, pasture-raised is preferable to organic-only. They call out labels bragging about “vegetarian-fed” hens as misleading: Chickens are not natural vegetarians; they're omnivores that eat bugs. Forcing a vegetarian diet moves them away from their natural food and may reduce egg quality. Kristy shares a quirky but natural behavior: Chickens love scrambled eggs as a treat. She feeds them scrambled eggs and crushed shells. Rationale: Eggshells are rich in calcium, which hens need to build strong new shells. She simply cracks and throws shells; no elaborate processing.. [0:27:25] Refrigeration vs. Room-Temperature Egg Storage Kristy's explanation: Freshly laid eggs have a “bloom” or natural protective coating that makes them shelf-stable if not washed. Unwashed farm eggs can sit at room temperature for ~6 weeks or more. Store-bought eggs are washed and must be refrigerated, because washing removes that protective coating. You cannot safely leave standard grocery-store eggs on the counter. Ed highlights this as another example of nature's built-in protective design. [0:32:28] Deprescribing and “De-Supplementing” with Dr. Curt Dearing Ed reintroduces Dr. Curt Dearing to expand on a prior show about deprescribing (reducing excessive medications). Common scenario Curt sees: People on many prescription meds plus a large number of supplements, overwhelmed and confused. They want to simplify, optimize, and know what really matters. Curt's consult approach: Review all meds and all supplements, then: Remove what isn't necessary. Emphasize foundational lifestyle and core supplements. They warn about a false sense of security: Some people think “I'm taking a pill, so I don't have to change my habits.” This applies to both pharmaceuticals and nutraceuticals. [0:36:00] The Core Four, Lifestyle First, and Limits of Medication-Only Approaches Ed references his “Core Four” foundational supplements (detailed in a free ebook on The Holistic Navigator): Designed as tier 1 essentials vs. lower-tier “nice-to-have” supplements. Curt's stance: Diet and exercise are the primary pillars. Supplements should support, not replace, healthy habits. Example: People on metformin or berberine may keep eating poorly yet feel “covered” because their blood sugar numbers look better. This is managing symptoms, not addressing root causes. [37:15] “Beyond Cholesterol” and Advanced Heart Risk Testing Curt mentions his upcoming ebook “Beyond Cholesterol” (targeting Amazon release): Argues standard lipid panels (total cholesterol, LDL, HDL) are not enough. Advocates for advanced tests like ApoB, Lp(a), and coronary calcium scores. Example case: A patient with LDL of 212 on atorvastatin. Curt notes that LDL alone can be “dangerous or harmless” depending on the underlying particle types and inflammation. Coronary Calcium Score: Patient's score is 0, which is reassuring but not a free pass. Calcium score detects calcified plaque, not soft plaque, and doesn't capture inflammation. Curt emphasizes HS-CRP (high-sensitivity C-reactive protein) as a marker of systemic inflammation, which drives soft plaque formation. [0:40:22] Medications in the Case Study: Statin, Nexium, Amlodipine, Zoloft Curt walks through a specific patient on multiple meds: Atorvastatin (statin) Curt questions its necessity given: Calcium score of 0 Lipid values that don't look catastrophic Recommends advanced lipid testing and provides patients with evidence-based reasons to discuss with their provider if they want to stop. Nexium (PPI) Discusses risks of long-term proton pump inhibitor use: Impaired absorption of magnesium, calcium, micronutrients Possible cognitive, kidney, and bone issues. Insists on a taper, not cold turkey, due to rebound reflux. Amlodipine (blood pressure med) Often can be tapered fairly quickly, especially when: Lifestyle changes are implemented (diet, exercise). Magnesium intake is optimized (many people take too little magnesium). Curt's view: conventional medicine often drives blood pressure too low in older adults; some elevation is physiologically adaptive. Zoloft (SSRI) Must be tapered, like most psychiatric meds, to avoid withdrawal and symptom flare. [0:46:10] Magnesium, Omega-3s, and Simplifying the Supplement Stack Curt reviews the patient's supplement list and simplifies: Multivitamin: Advocates a high-quality multi (not basic synthetics like Centrum). Prefers one that already includes CoQ10 (e.g., 100 mg), so separate CoQ10 can be discontinued. Vitamin D: Should be taken with vitamin K to direct calcium into bone and away from arteries and organs. Omega-3s: Many people take half the necessary dose. Recommends triglyceride-form omega-3s like DHA Extra (~960 mg DHA) for inflammation and blood pressure. Magnesium: Suggests glycinate or taurate forms for better absorption and blood pressure benefits. Probiotics: Curt suggests taking breaks (e.g., a month off) and rotating brands/strains, including spore-based types. Seasonal products: The patient takes quercetin + stinging nettle for allergies. Curt recommends seasonal use only for seasonal allergies, saving money and reducing pill fatigue. For lipids and blood sugar, Curt favors BerberCol (berberine + bergamot) to: Improve numbers (to satisfy doctors). More meaningfully affect ApoB and related risk markers. Weight & energy: Patient had been using weight-loss products. Curt shifts focus to fixing sleep and overall lifestyle rather than stacking more “fat burners.” Saffron: He distinguishes between saffron extracts for mood vs. saffron for weight management—formulation details matter. [0:54:57] Closing: Funding for Alternative Health and Supplement Tax Benefits Ed shares policy/legislative updates: Alternative health funding preserved in the federal budget. Initial fear that support would be cut; instead, it was kept in the proposed budget. The Dietary Supplement Access Act proposal: Would classify dietary supplements as a qualified medical expense in the IRS code. Allow individuals to claim up to $500/year (and $250 for married filing separately) for supplements. Could apply to common products like multivitamins, vitamin D, etc. if/when finalized.  The post Radio Show / Podcast – June 14, 2026 first appeared on Vital Health Radio.

In this episode, I sit down with Houston-based plastic surgeon Dr. Vinaya Rednam, who specializes in surgery for patients who've lost massive amounts of weight. We get into everything from GLP-1 medications and how they affect tissue quality, to the most common body contouring surgeries after major weight loss, and what you need to know before going under the knife.  Topics Discussed: → Who is a good candidate for massive weight loss body contouring? → How do GLP-1 medications affect loose skin and surgical results? → Can you prevent loose skin while losing weight? → What should you know before getting a lower body lift? → Are non-surgical skin tightening treatments worth it? → What should you expect from arm lifts, breast lifts, and thigh lifts? → When is the right time to consider surgery after major weight loss?

I cover the most important insomnia medications. We cover adverse effects, drug monitoring, and much more. You can find the full 16+ hour nursing pharmacology review course, including PDF handouts, cheat sheets, practice questions, and on-demand videos at meded101.com!

Dr. Bradley Ong discusses the use of eptinezumab in combination with patient education is an effective treatment for reducing disease burden in patients living with chronic migraine complicated by medication overuse.  Show citation:  Jensen RH, Lundqvist C, Schytz HW, et al. Eptinezumab With Patient Education for Chronic Migraine and Medication-Overuse Headache: The Randomized, Placebo-Controlled RESOLUTION Trial. Neurology. 2026;106(8):e214863. doi:10.1212/WNL.0000000000214863 

For most people, donor eggs is at the bottom of the list. It is not where you wanted to land. And if your clinic is recommending it, something in you is saying there has to be more to look at first. Here is what we see every week. The donor egg recommendation rarely arrives after a complete workup. It arrives after looking at the AMH, the FSH, the follicle count, maybe a basic semen analysis, and maybe being told your TSH is normal. Those numbers are real. The diagnosis is real. What gets called complete is the question. This episode is the 11 specific things we most often find skipped before the recommendation gets made. Pull it up. Take notes. Bring it to your next appointment. The 11 patterns: 1. Thyroid, the full panel, not just TSH 2. The gut, including H. pylori 3. Hidden food sensitivities 4. Medications you are already on that affect fertility 5. The vaginal microbiome 6. The seminal microbiome 7. The male partner's full bloodwork 8. Sperm DNA fragmentation 9. Vaginal and seminal cross-contamination between partners 10. The nervous system and HPA axis 11. Liver function and hormone clearance These are the tests that sit outside the standard fertility workup. A 2024 study in Archives of Gynecology and Obstetrics found that ovarian reserve markers like AMH do not significantly predict natural conception in women with regular cycles. The donor egg recommendation comes from one snapshot, not the full investigation. If this is the first episode you have landed on in this series, go back and listen to "Told Donor Eggs Are Your Only Option? Ask This First," then "How Long Should I Try With My Own Eggs Before Donor Eggs?" then "The Gut Findings Your Clinic Did Not Look For," and "Multiple Failed IVF And Told Donor Eggs?" This episode brings all of it together. WHAT YOUR CLINIC MISSED The companion guide walks through all 11 of these patterns in more detail, so you can take it to your next appointment and ask the questions. Email hello@fabfertile.ca, subject line MISSED, and we will send you the guide. FUNCTIONAL FERTILITY SECOND OPINION A free 45-minute call where I review your labs, your history, and your partner's results with you. You leave knowing what your biology has been telling you and what your next decision could be. Email hello@fabfertile.ca, subject line FERTILE, or book here. ABOUT THE HOST I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally, a podcast with over one million downloads. My functional fertility team works with couples navigating low AMH and failed IVF, reviewing functional lab results, gut microbiome, food sensitivity, vaginal microbiome, nutrigenomics, HTMA, DUTCH, toxin testing, and bloodwork alongside nervous system work, to help identify patterns that may not have been considered. We work alongside your medical team, not instead of them. Sarah Clark, founder of Fab Fertile, host of Get Pregnant Naturally (1M+ downloads), and author of Fabulously Fertile. If this episode helped, leave a review on Apple Podcasts. It is how other women find this work. TIMESTAMPS 00:00 The Donor Egg Recommendation and What Gets Called Complete 01:00 Who's Reviewing Your Case at Fab Fertile 02:00 Thyroid: The Full Panel, Not Just TSH 03:00 The Gut and H. pylori 04:00 Hidden Food Sensitivities 05:00 Medications That Affect Fertility 06:30 The Vaginal Microbiome 08:00 The Seminal Microbiome 08:30 The Male Partner's Full Bloodwork 09:00 Sperm DNA Fragmentation 09:30 Cross-Contamination Between Partners 11:00 The Nervous System and HPA Axis 11:30 Liver Function and Hormone Clearance 13:00 The Functional Fertility Second Opinion

This is part two of our conversation on the Pepcid and Allegra trend that has exploded across social media, particularly among women navigating Pmdd, histamine intolerance, mast cell activation syndrome, hormonal fluctuations in perimenopause. If you missed last week's episode, I highly encourage you to pause here and go back to episode one thirty first, because today's conversation builds directly on that foundation. Last week, we unpacked the relationship between histamine and estrogen, the connection between Pmdd and perimenopause, my personal experience with histamine issues throughout my lifetime, and some fascinating research suggesting Pepcid may be doing much more than simply blocking histamine.  Today, we're picking up exactly where we left off. At the end of part one, I said something that I think is incredibly important. Medications including Pepcid and Allegra, come with trade offs. There are benefits. There are risks. For some women, the benefit may absolutely outweigh the risk, and that doesn't mean the risk disappears. And that's what we're unpacking today. This isn't about creating fear around medications. And this isn't about convincing anyone to stop taking something they think may be helping. This is about understanding the entire picture so you can make informed decisions with greater confidence and self-awareness.   Time Stamps:   (0:45) Last Week's Episode (2:40) What Works vs What It Costs (6:50) What Happens After Digestion (13:17) Risk Vs Benefit (18:50) Becoming A Student Of Your Physiology ----------  Apply for SF Coaching Method  https://sarahfechter.ac-page.com/sfhq-cc Complimentary Health Content  https://sarahfechter.ac-page.com/Health_Wellness_Community ----------  Follow Me On Instagram - https://www.instagram.com/sarahfechter.ifbbpro/   Check Out My Website - https://www.sarahfechter.com ----------  This Podcast is for general informational purposes only and does not constitute the practice of medicine, nursing, other professional health care services, or any professional practice of any kind. Any reliance on the information provided in this Podcast is done at your own risk and Sarah Fechter Fitness LLC expressly disclaims any and all liability or responsibility for any direct, indirect, incidental, special, consequential or other damages arising out of any individual use of, reference to, reliance on, or inability to use, this Podcast or the information presented in this Podcast. All contents and design for this Podcast are owned by Sarah Fechter Fitness LLC. Always consult your professional team before beginning any exercise or nutrition program.

Worried about gaining weight back after Ozempic, Wegovy, Mounjaro, or Zepbound?You're not alone. One of the biggest concerns people have during their GLP-1 journey is what happens after the weight loss phase—and how to actually maintain their results long-term.In this episode, Registered Dietitian and GLP-1 expert Gianna breaks down what sustainable weight maintenance really looks like, why maintaining weight loss is different from losing weight, and the habits that support long-term success.Because keeping weight off isn't about being perfect. It's about building routines that you can realistically maintain for years to come.We're covering:Why weight maintenance is different than weight lossCommon reasons people regain weight after losing itThe role of appetite, food noise, and long-term behavior changeWhy protein and strength training matter for maintenanceHow muscle supports long-term health and weight managementThe mindset shifts that make maintenance easierWhy all-or-nothing thinking keeps people stuckWhat successful long-term maintenance actually looks likeWhether you're currently taking Ozempic, Wegovy, Mounjaro, or Zepbound—or simply thinking ahead to the future—this episode will help you focus on the habits that support lasting results.

Spouting Off with Karen Kataline Borders, Western Memory, Medicine, and the Green Energy Fight in a Post–Alan Nathan Era Guests, Mark Krikorian, James Hankins, Dr. Toby Watson and Steve Goreham Carrying Forward the Alan Nathan Tradition In this episode of Spouting Off, host Karen Kataline continues what she describes as a new era for The Alan Nathan Show and the Alan Nathan All-Stars following Alan Nathan's untimely passing. She explains that the show will continue in his memory and honor, with her likely continuing to host many Monday editions. The program includes a mix of political commentary, interviews, tribute references, sponsor segments, and closing reflections on the Main Street Radio Network's transition after Alan Nathan's death. Mark Krikorian on Immigration, Libertarianism, and Sanctuary Policies Karen's first major guest is Mark Krikorian, executive director of the Center for Immigration Studies. They discuss immigration policy, libertarian support for open immigration, and the conflict between open borders and a welfare state. Krikorian argues that libertarians once aligned more often with conservatives on taxes, regulation, and government size, but now often align with the left on issues of sovereignty, borders, and immigration. Karen presses the question of whether open immigration can coexist with government benefits and public services. Chicago, Illinois, and Immigration Enforcement The conversation then focuses on Chicago, Cook County, and Illinois as sanctuary jurisdictions. Krikorian says local law enforcement is prevented from cooperating with immigration enforcement, even when people arrested for local crimes are found to be deportable. He says ICE primarily wants local authorities to hold such individuals long enough for federal agents to take custody, but sanctuary policies interfere with that process. Karen and Krikorian also discuss Illinois Governor J.B. Pritzker, Chicago Mayor Brandon Johnson, and conflicts involving ICE facilities and federal officers. Karen's Commentary on Communism, Democracy, and the Mayoral Race After the first interview, Karen turns to commentary about an upcoming mayoral race and expresses concern about a candidate she describes as Marxist, communist, or democratic socialist. She argues that communist movements often misrepresent their intentions and that terms such as democracy, republic, socialism, and communism are being confused or misused. Her commentary frames the political moment as one in which the left has embraced ideas she sees as hostile to private property, constitutional government, and individual liberty. James Hankins and the Lost Western Tradition Karen then interviews James Hankins, Harvard University historian and co-author of The Golden Thread: A History of the Western Tradition. Hankins describes the book as an effort to recover the history of Western civilization from the ancient Greeks and Romans through the Middle Ages and into the modern world. He argues that Western civilization has not been adequately taught in schools or universities for decades and says that ignorance of history contributes to political confusion, especially around communism, democracy, and republican government. Harvard, Communism, and Historical Amnesia Karen asks Hankins about teaching at Harvard, which she criticizes as politically hostile to conservative viewpoints. Hankins responds that he does not believe the entire university is corrupt, but says some of the loudest voices tend to come from administrators and graduate students rather than the whole institution. The short interview emphasizes the importance of understanding the past, learning clear definitions, and recognizing that terms like democracy and republic carry meanings rooted in Western history. Dr. Toby Watson on Psychiatric Medication and Violence Another major guest is Dr. Toby Watson, a clinical psychologist from Wisconsin. He describes his background researching psychotropic medications, presenting data to the FDA, working on black-box warning labels for SSRIs, and consulting in forensic cases where medication may be connected to violent or self-destructive behavior. Karen asks whether antidepressants and psychiatric medications can fuel violence, and Watson says that SSRIs are known to increase suicidal thoughts and behavior in some patients, especially through a condition he identifies as akathisia, which involves intense restlessness, agitation, and emotional distress. Politics, Medication, and Social Contagion Karen asks whether the issue may involve more than money and whether political motives could be connected to the suppression of information about medication risks. Watson says he believes political factors are involved and connects the issue to broader claims about family breakdown, poverty, medication use among vulnerable populations, and disability outcomes. Karen also raises gender ideology, social contagion, and the assassination of Charlie Kirk. Watson says he does not have direct knowledge of that case but suggests the profile could fit someone who had used psychiatric medication, while making clear he cannot confirm it. Steve Goreham on Climate Policy and Rising Energy Costs The final interview features Steve Goreham, executive director of the Climate Science Coalition of America and author of Green Breakdown: The Coming Renewable Energy Failure. Karen asks him about rising electricity prices and green-energy mandates. Goreham argues that wind, solar, and other renewable-energy policies are driving costs higher, particularly in blue states. He contrasts states such as California, Maine, New York, Maryland, Massachusetts, and Connecticut with states that still rely more heavily on natural gas or coal, saying the latter have seen lower electricity-price increases. Green Energy, Pipelines, and the AI Power Demand Goreham also discusses the effects of federal policy, the “one big beautiful bill,” pipeline politics, and Donald Trump's opposition to green-energy mandates. He says Trump is using leverage over offshore wind and pipeline approvals, particularly involving New York and New England energy access. The discussion then shifts to artificial intelligence and the rapid growth of data centers, which Goreham says require reliable twenty-four-hour power that cannot be supplied by wind and solar alone. He argues that the AI energy demand may overwhelm net-zero and green-energy policies. A Show in Transition Karen closes the program by emphasizing that the Alan Nathan All-Stars are entering a new chapter while keeping Alan Nathan as their guiding star. Across the episode, she uses interviews and commentary to connect immigration, political ideology, Western civilization, psychiatric medication, climate policy, energy costs, and media narratives. The program remains strongly opinion-driven, with Karen and her guests framing current events through themes of sovereignty, liberty, historical memory, institutional mistrust, and resistance to centralized control.

In this episode, George explores "The Gut Feeling Behind Common Medications," diving into the surprising ways everyday drugs can alter the gut microbiome and influence brain health, mood, and overall well-being. From antibiotics to acid reducers and beyond, he unpacks the science behind the gut-brain connection and what it means for your long-term health.Then, John shifts the conversation to the mental side of healthy living. How do you stay committed to your health goals when friends, family, or coworkers think you're obsessive, extreme, or just plain weird? He discusses the mindset needed to maintain healthy habits, navigate social pressure, and stay confident in your choices when living a healthier lifestyle isn't the norm.Whether you're curious about the science of the microbiome or looking for motivation to stay the course on your health journey, this episode offers practical insights for both your body and mind.www.georgebatista.comwww.johnhenrysoto.com

Pharmac has recently proposed changing who can receive funded treatment for key diabetes medication, moving it in line with a cabinet directive from 2024 saying public services should be prioritised on the basis of need, not race. There has been an outcry from health professionals, such as the cardiac network, saying data shows that Maori and Pacific people are more at risk of diabetes, regardless of their socio-economic status, and the best way to maximise health benefit for dollars spent is by targeting these groups. Further criticism has been directed at Health NZ, which has banned the cardio network from objecting to the removal of eligibility criteria, saying it would breach the 2024 cabinet directive. Cardiologists will be forced to make submissions as individuals, a move the network has said is silencing scientific evidence in the name of politics  To discuss the eligibility changes and Health NZ silencing cardiologists, host Thomas spoke to Association of Salaried Medical Specialists executive director Sarah Dalton.

Pain is an important warning signal, helping you protect your body from damage. That's why we can view acute pain as an asset. Chronic pain, though, can be debilitating. In this episode, a pain psychologist offers a roadmap for managing chronic pain. At The People's Pharmacy, we strive to bring you up to date, rigorously researched insights and conversations about health, medicine, wellness and health policies and health systems. While these conversations intend to offer insight and perspective, the content is provided solely for informational and educational purposes. Please consult your healthcare provider before making any changes to your medical care or treatment. How You Can Listen You could listen through your local public radio station or get the live stream at 7 am EST on Saturday, June 13, 2026, through your computer or smart phone (wunc.org). Here is a link so you can find which stations carry our broadcast. If you can't listen to the broadcast, you may wish to hear the podcast later. You can subscribe through your favorite podcast provider, download the mp3 using the link at the bottom of the page, or listen to the stream on this post starting on June 15, 2026. Managing Chronic Pain Nobody likes feeling pain. Joe remembers that as a child, he would ask the doctors and nurses if the procedure was going to hurt. They always lied and told him it would not. As a result, he ended up not trusting them. We often think of pain as located in the body part that hurts (hence, tell me where it hurts). In actuality, though, pain is a complex phenomenon the brain and its interpretation of the situation at least as much as the body. That is why Dr. Rachel Zoffness maintains that pain is biopsychosocial–the result of three overlapping circles in a Venn diagram: biological, psychological and sociological. The biological circle includes our genetics, tissue damage, diet, sleep and movement. Psychological factors are never just psychological. The brain uses the same limbic system to process emotions and pain, so our feelings about our situation have a major impact on our pain experience. In the sociological realm, we find access to care, a history of trauma, and factors like racism or poverty. One result is that pain is incredibly subjective, varying from one individual to another and even from day to day. Another example of the power of the brain to generate pain is phantom limb pain. You may have heard of someone whose foot hurts even though the leg was amputated. Dr. Zoffness tells us about a boy with hand pain after a fireworks accident that resulted in his arm being amputated. The hand wasn't there, but the pain was real. What Is Your Pain Recipe? In managing chronic pain, it helps to know what your pain recipe is. What factors contribute to a bad pain day? A few common ones are poor sleep, too much junk in the diet, lots of stress, too little movement. Once you have the recipe for a bad pain day, you may be able to turn that around to find the recipe for a low pain day. If you get enough sleep, does that turn down the pain dial? How about diet? We also discuss the power of self-hypnosis and biofeedback. If you can practice warming your hands up, as Dr. Zoffness has learned to do, you can also practice making yourself more comfortable. She shares another story of a teenager who suffered from crippling migraines, social anxiety and generalized body pain. He had not been to school in years, but taking very small steps at first–just standing in the sun on his front porch–he was gradually able to build himself a low-pain recipe. Taking the dog to the dog park helped him move his body and his brain started producing chemicals like dopamine and serotonin. Eventually Sam was able to return to high school, even graduating. Using Pain Medicines in Managing Chronic Pain Physicians have often learned that managing chronic pain is something of a prescription puzzle. Which drug will work best for this patient? A decade or more ago, the answer was frequently opioids. That's no longer the case. As a result of the overdose epidemic, doctors usually try to prescribe some other type of medication. Two of the most popular are gabapentin and tramadol. When our listeners tell us about their experience with gabapentin, the results range widely. For some people, it seems to be a life-changing medication. For many others, it is lackluster at best, and for some, the side effects of brain fog, dizziness, breathing problems, edema and an increased risk of dementia are too much. Dr. Zoffness has heard similar reports about gabapentin. Her guideline for pain medicine is to try it for three months and see if it makes a (positive) difference. If not, ask the prescriber to help you taper off. Stopping any pain medicine suddenly could be a mistake. For managing chronic pain, people need a healthcare professional who can help them create a personalized pain management plan. For improving sleep, which is often a key ingredient in the pain recipe, she recommends cognitive behavioral therapy for insomnia (CBTI). The sleep hygiene protocol she suggests can also be helpful, dimming lights and gearing down as the day comes to a close. The Roadmap for Managing Chronic Pain The last section of Dr. Zoffness's book is a detailed pain protocol. She reminds us that there is no quick hack for pain. If trauma is part of the pain recipe, addressing the trauma will be useful. Medications are important tools, but they are not a permanent fix for chronic pain. She wants us all to remember that if the brain can change, pain can change. It is in our power. This Week’s Guest Dr. Rachel Zoffness is a leading global pain expert, pain psychologist, speaker, author, and thought leader in pain medicine. She is faculty at the UCSF School of Medicine, teaches pain science at Stanford, and is a winner of the prestigious Mayday Fellowship. Dr. Zoffness is the author of Tell Me Where It Hurts: The New Science of Pain and How to Heal. Her website is www.zoffness.com Dr. Rachel Zoffness, pain expert at UCSF The People's Pharmacy is reader supported. When you buy through links in this post, we may earn a small affiliate commission (at no cost to you). Listen to the Podcast The podcast of this program will be available Monday, June 15, 2026, after broadcast on June 13. You can stream the show from this site and download the podcast for free. Download the mp3, or listen to the podcast on Apple Podcasts or Spotify.

In this episode of Talk Dizzy To Me, vestibular physical therapists Dr. Abbie Ross, PT, NCS and Dr. Danielle Tolman, PT sit down with neurologist Dr. Kristin Steenerson to unpack Persistent Postural Perceptual Dizziness, also known as 3PD or PPPD.If you feel dizzy, floaty, rocking, disoriented, or visually overwhelmed most days — especially in places like grocery stores, airports, busy restaurants, or while scrolling screens — this episode explains what may be happening in the brain and nervous system.Dr. Steenerson breaks down the diagnostic criteria for 3PD, why symptoms can continue even after the original vestibular problem improves, how 3PD overlaps with vestibular migraine, and why treatment often requires a combination of education, vestibular therapy, medication, cognitive strategies, lifestyle support, and gradual exposure.This conversation also addresses why 3PD is sometimes misunderstood, how hypervigilance plays a role, and why there is real hope for recovery and improved quality of life. Hosted by:

377: In today's episode, thyroid expert McCall McPherson joins me to discuss the signs, symptoms, and root causes of thyroid dysfunction. We break down hypothyroidism, hyperthyroidism, Hashimoto's, and why so many people are told their labs are “normal” despite struggling with fatigue, weight gain, brain fog, and other symptoms. McCall also shares her perspective on GLP-1 medications, thyroid testing, thyroid medication, and the lifestyle factors that can support better thyroid health and long-term wellness. Topics Discussed: → What are the signs and symptoms of thyroid dysfunction? → How does thyroid health affect metabolism, hormones, and digestion? → Why do so many people have normal labs but still feel unwell? → Can Hashimoto's be improved through diet and lifestyle? → What should you know about GLP-1 medications and thyroid health? → Which thyroid tests are most important to run? As always, if you have any questions for the show please email us at digestthispod@gmail.com. And if you like this show, please share it, rate it, review it and subscribe to it on your favorite podcast app.  Sponsored By:  → Kasandrinos | Go to https://www.kasandrinos.com/digest and use code DIGEST for 25% off → LMNT | Get your FREE sample pack with any LMNT purchase at https://drinklmnt.com/DIGEST Timestamps: → 00:00:00 - Introduction → 00:03:21 - Meet Thyroid Expert McCall McPherson → 00:05:35 - What Does The Thyroid Do? → 00:06:42 - Hypothyroidism vs. Hyperthyroidism → 00:07:40 - Common Thyroid Symptoms → 00:10:15 - Hashimoto's + Root Causes → 00:11:59 - Diet, Inflammation + Environmental Triggers → 00:12:40 - Can Over-Exercising Harm Your Thyroid? → 00:13:35 - Why Thyroid Issues Go Undiagnosed → 00:15:00 - The Problem With Conventional Thyroid Treatment → 00:18:05 - Understanding T3 Therapy → 00:20:40 - Bethany Challenges McCall On Ozempic → 00:22:00 - Microdosing GLP-1s + Thyroid Health → 00:24:20 - The Benefits Of GLP-1 Medications → 00:28:05 - Common GLP-1 Side Effects Explained → 00:30:20 - The Truth About Thyroid Cancer Risks + GLP-1s → 00:33:55 - What If You Don't Want To Take Ozempic? → 00:35:20 - Thyroid Function + Weight Loss Resistance → 00:36:45 - How Quickly Can People Start Feeling Better? → 00:39:00 - Do You Have To Stay On Thyroid Medication Forever? → 00:41:00 - Iodine + Hashimoto's Misconceptions → 00:42:12 - Is Soy Bad For Your Thyroid? → 00:44:00 - Thyroid Issues In Children → 00:46:20 - Which Thyroid Labs Should You Request? → 00:47:25 - Why "Normal" Labs Can Be Misleading → 00:49:25 - Finding The Right Thyroid Support → 00:50:35 - Final Thoughts Further Listening: → 5 Health Benefits of Frankincense for Gut, Joints, Inflammation | BOK Check Out McCall McPherson: → Website → Instagram → TikTok → Thyroid Chart → Podcast Check Out Bethany: → Bethany's Instagram: ⁠@lilsipper⁠ → ⁠YouTube⁠ → ⁠Bethany's Website⁠ → ⁠Discounts & My Favorite Products⁠ → ⁠My Digestive Support Protein Powder⁠ → ⁠Gut Reset Book ⁠ → ⁠Get my Newsletters⁠ (Friday Finds) Learn more about your ad choices. Visit megaphone.fm/adchoices

Are your hormones running your life, and not in a good way? If you are struggling with fatigue, mood swings, weight gain, or sleepless nights, this episode is the missing piece you have been looking for. Understanding hormone balance is not just about estrogen and progesterone. It starts much earlier in the hormonal chain, and getting to the root cause changes everything.In this episode of Salad with a Side of Fries, host Jenn Trepeck sits down with Dr. Andrea Colon, a naturopathic doctor and founder of Reclaim Integrative in Newport Beach, California, who specializes in women's hormone health and metabolic medicine. Together, they walk through the steps for lifestyle, nutrition, supplementation, and bioidentical hormone replacement therapy to restore balance, energy, and vitality. From understanding why cortisol imbalance is the upstream driver of so many symptoms women dismiss as inevitable aging, to exploring how to balance hormones naturally for women before ever adding HRT, this conversation is both practical and empowering.What You Will Learn in This Episode:✅ Why cortisol imbalance is the overlooked driver behind perimenopause symptoms, disrupted sleep, and stubborn menopause weight gain, and how chronic stress depletes your hormone production over time✅ How to use foundational nutrition strategies, including adequate protein intake, quality carbohydrates, and consistent meals, to begin restoring hormone balance before reaching for supplements or medications✅ Which key micronutrients, including vitamin D, iron, and B vitamins, are commonly depleted in women and how those deficiencies directly suppress healthy hormone function✅ How practitioners assess when lifestyle and herbs are enough versus when bioidentical hormone replacement therapy is the appropriate next step, including the role of pregnenolone, DHEA, and testosterone in womenThe Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store.TIMESTAMPS: 00:00 Dr. Andrea Colon shares why restrictive diets backfire and how skipping meals worsens cortisol imbalance and hormone balance in women03:54 Dr. Colon shares her personal journey to naturopathic medicine after battling cystic acne 06:48 How stress and hormones connect and why women in their early 40s are entering perimenopause earlier due to cortisol09:16 Nutrition foundations for hormone balance, including protein, complex carbs, and avoiding coffee on an empty stomach 12:04 The truth about exercise and cortisol, why over-training causes menopause, weight gain and disrupts hormone function 14:39 Why sleep is the most underrated tool for hormone health and why catching up on sleep is a myth 18:53 Supplement strategies including vitamin D, iron, B vitamins, ashwagandha, and rhodiola for adrenal support 23:29 When to consider bioidentical hormone replacement therapy, including pellets, patches, creams, and pregnenolone29:05 Using a GLP-1 properly and when it is neededKEY TAKEAWAYS:

Summary This episode features Shenelle Green, founder of Bariatric Rewrite, discussing the realities of weight loss surgery, medication, and long-term recovery. She emphasizes the importance of addressing emotional health, habits, and mindset for sustainable transformation. Key Topics Weight regain after bariatric surgery The role of habits and mindset in recovery Food addiction and emotional eating The limitations of surgery and medication as solutions The importance of community and support in long-term health Sound Bites "Regain is a hard pill to swallow" "Shame and secrecy keep women trapped" "Support from community is vital" Chapters 00:00 Understanding the Misconceptions of Weight Loss Solutions 04:03 The Role of Surgery and Medication in Long-Term Recovery 06:35 The Importance of Addressing Emotional Eating 12:01 The Overlooked Issue of Food Addiction 18:30 The Need for Community and Support 24:11 Challenges in Post-Surgery Care 28:42 Defining True Recovery and Freedom Around Food 31:17 Podcast Outro.mp3

Show notes at pharmacyjoe.com/episode1137 In this episode, I'll discuss using a heparin bolus in the prehospital setting for patients with STEMI.

Kent and this wife had a very open marriage but it all stoped once they both went on medication and he called in to talk all about it. Tune in to hear all the details including how and when they decided to open up their marriage and the first guy they met up with and what went down, when she started seeing the guy solo, his first heteroflexible experience and what went down and how he felt about it, the dp and dvp experiences his wife had, all the other things his wife got into including flogging, being blindfolded, being fisted and more, how being open changed their marriage and all the positives that came out of it, how and why they both wound up on SSRI medication and how it effected the both of them, how his wife wound up on even more meds over time and all the side effects she had, what his wife's can do to try and get off her meds, what his medications do to him and what he's been looking into to get off of his meds plus a whole lot more. GET A COPY OF THE STRICTLY ANONYMOUS BOOK! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY HERE: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/4i7hBCd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  or Pre-order audiobook version ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠   To see HOT pics of VERONICA plus my other female guests + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/StrictlyAnonymousPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and when you join, I'll throw in a complimentary link to my private Discord! To join SDC and get a FREE Trial! click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.sdc.com/?ref=37712⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to SDC.com and use my code 37712 Want to be on the show? Email me at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠strictlyanonymouspodcast@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and click on "Be on the Show." Want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. All voices are changed.   Sponsors:   ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://VB.Health⁠⁠⁠⁠⁠⁠⁠⁠⁠ - To get 10% off DRIVE BOOST by VB Health, use code: STRICTLY   ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bluechew.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — Buy 2 months of Bluechew GOLD and get the third month FREE! Use code: STRICTLYANON⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  ⁠⁠⁠⁠⁠⁠⁠http://bollandbranch.com/strictlyanon⁠⁠⁠⁠⁠⁠⁠ Use code STRICTLYANON for 20% off plus FREE shipping ⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.promescent.com/kathykay15⁠⁠⁠⁠⁠⁠⁠⁠⁠ - New customers get 15% off entire order, automatically applied at checkout ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://beduc.at/pd2618-anonymous⁠⁠⁠ Click here to take the quiz and  get your personalized roadmap to sexual happiness ⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://RYTHM.HEALTH.com/STIRCTLYANON⁠⁠⁠⁠⁠⁠⁠ ⁠⁠for 15% OFF your first month  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.quince.com/strictlyanon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — For premium quality Quince clothing plus FREE shipping and 365 day returns! Follow me! Instagram  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/strictanonymous/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ X  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/strictanonymous?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Everything else: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Strictlyanonymouspodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Depression is often treated as a single condition. But two people with the same diagnosis can have completely different underlying causes. On this episode of The Dr. Hyman Show, I'm rejoined by Dr. James Greenblatt to explore why depression may be less of a disease and more of a signal that something deeper is going on. We discuss how a root-cause approach can uncover what's driving symptoms and why finding what's beneath them matters. Watch the full conversation on YouTube or listen wherever you get your podcasts. We discuss: Could nutrient deficiencies, inflammation, or gut issues be contributing to symptoms of depression What tests can help uncover the biological factors that may be affecting mood and mental health Why can two people with depression have different root causes—and require different solutions How do blood sugar imbalances, hormone changes, and metabolic health influence the brain What should you know about antidepressants, tapering, and addressing the factors that may affect recovery Hope doesn't come from ignoring symptoms—it comes from understanding them. Sometimes the most important question isn't "What's wrong with me?" but "What might my body be trying to tell me?" One of the key themes in this conversation is that mental health is deeply connected to what's happening throughout the body. In my Brainshaping Academy, you'll learn how to support the biological systems that shape cognitive, emotional, and mental well-being. View Show Notes From This Episode Depression symptoms aren't always just “in your head.” Dr. Hyman's Brainshaping Academy shows how your gut, immune system, and nutrient levels may be responsible—and what you can do about it. → https://drhyman.com/products/brainshaping?utm_source=dr_hyman_show&utm_medium=newsletter&utm_campaign=may_27&utm_content=link Get Free Weekly Health Tips from Dr. Hyman https://drhyman.com/pages/picks?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Sign Up for Dr. Hyman's Weekly Longevity Journal https://drhyman.com/pages/longevity?utm_campaign=shownotes&utm_medium=banner&utm_source=podcast Join the 10-Day Detox to Reset Your Health https://drhyman.com/pages/10-day-detox Join the Hyman Hive for Expert Support and Real Results https://drhyman.com/pages/hyman-hive This episode is brought to you by Seed, Made In Cookware, Perfect Amino, BON CHARGE, and Big Bold Health.Go to seed.com/hyman and use code 20HYMAN to get 20% off your first month.Visit madeincookware.com and use code HYMAN10 for 10% off your order.Go to bodyhealth.com and use code HYMAN20 to get 20% off your first order.Head to boncharge.com/hyman and use code HYMAN for 15% off.Go to bigboldhealth.com/drhyman and use code HYMAN15 to save 15% on your first order. (0:00) Antidepressants, Cooking at Home, and Introducing the Brain Shaping Academy (3:14) Prevalence of Depression and Personal Stories (4:27) Exploring Root Causes of Depression (5:07) Influential Figures and Orthomolecular Psychiatry (12:29) Gut Health, Gluten Sensitivity, and Brain Inflammation (20:22) Neuroinflammation and Root Causes of Depression (22:10) Biomarkers, Hormonal Imbalances, and Insulin Resistance (25:34) The Role of Toxins and Diagnostic Testing (31:15) Case Studies and Patient Stories (34:29) Challenges in the Mental Health System (37:05) Effectiveness of Antidepressants and Patient Resistance (43:17) Role and Need for Nutritional Lithium (45:00) Sponsor: Big Bold Health (46:00) Identifying Nutritional Lithium Need (47:13) Integrating Modalities and Supplements vs. Medications (48:04) Psychotherapy Methods and Addressing Root Causes (49:34) Dr. Greenblatt's Book and the Finding a Living Platform (51:03) Systematic Approach and Global Impact of Depression (52:39) Sharing, Disclaimer, and Closing Remarks

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 episode, Peter dives into the pharmacology of sleep, exploring where sleep medications fit within the broader framework of achieving healthy, restorative sleep. He explains why sleep is a biological imperative, why behavioral and environmental interventions must remain the foundation of good sleep, and how medications can serve as useful tools when carefully matched to a person's specific sleep problem. Peter examines the major classes of prescription sleep medications, including how they work, their effects on sleep architecture, their duration of action, side effects, and risks of tolerance and dependence. He also discusses the dangers of using sleep drugs without a clear understanding of the underlying problem being treated, the role of medications as short-term bridges during periods of acute stress, pain, or anxiety, and the promise that newer drugs like DORAs may hold for Alzheimer's prevention in high-risk individuals. Finally, Peter reviews the evidence for select off-label medications and supplements commonly used for sleep. We discuss: The biological foundations of sleep, the major drivers of sleep dysfunction, and the role sleep medications can play when appropriately matched to specific sleep problems [1:00]; Sleep hygiene, circadian alignment, and the medical causes of insomnia: building the foundation for effective sleep treatment [7:15]; Understanding insomnia: hyperarousal, CBT-I, paradoxical insomnia, and why different sleep problems require different treatments [12:45]; The difference between sedation and physiologic sleep: sleep architecture, restorative sleep stages, and matching medications to specific sleep problems [17:00]; Benzodiazepines for insomnia: mechanisms, effects on sleep architecture, and the risks of long-term use [18:45]; Z-drugs for insomnia: how Ambien, Sonata, and Lunesta work, and the ongoing risks of sleep medications targeting GABA systems [23:00]; Dual orexin receptor antagonists (DORAs) and the future of sleep medicine: orexin signaling, sleep architecture, and the emerging connection between sleep and Alzheimer's disease [27:15]; Melatonin for circadian timing: how timing signals differ from sedatives in the treatment of sleep disorders [36:30]; Trazodone for insomnia: preserving deep sleep while minimizing the risks of traditional sedative-hypnotics [42:00]; First-generation antihistamines for sleep: short-term sedation, anticholinergic risks, and concerns about long-term cognitive health [44:00]; Sleep supplements and the evidence behind them: glycine, magnesium, ashwagandha, phosphatidylserine, and more [45:45]; Takeaways: supplement quality, individualized sleep treatment, and the importance of matching interventions to the biology of insomnia [52:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube