Podcasts about Moderate

In episode 114, we sit down with Dr. Verena Haun, Professor of Work and Organizational Psychology at the University of Würzburg, to explore a question many of us feel every Friday afternoon: Why is it sometimes easy to switch off from work—and other times almost impossible?Drawing on a multi‑week study of more than 150 employees, Dr. Haun's research uncovers three distinct patterns of psychological detachment across weekends:* High and increasing detachment, where people start off disengaged and unwind even more.* Moderate but improving detachment, where people slowly let go of work and ultimately feel most energized by Monday.* Consistently low detachment, where work lingers mentally all weekend long.We discuss why some people struggle to mentally switch off, how unfinished tasks and unresolved problems make detachment more difficult, and why problem‑solving conversations on Friday nights—not supplemental work—predict healthier recovery patterns. You can find Dr. Haun here (https://www.psychologie.uni-wuerzburg.de/ao/team/prof-dr-verena-c-haun/)You can find the paper published in the Journal of Occupational Health Psychology here (https://psycnet.apa.org/fulltext/2026-99066-001.html) This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit healthywork.substack.com

Labour is too scared of losing Muslim voters to address Islamist extremism.That's according to Fiyaz Mughal, the counter-terrorism expert who left the Home Office over concerns it was overlooking radicalisation in the Muslim community for fear of appearing Islamophobic.A moderate Muslim himself, Fiyaz tells Camilla that failed integration has bred ghettoisation of Muslim communities, and how a formal definition of Islamophobia will be “misused by malign actors to curtail free speech”.A Home Office spokesman said: “The Government regularly works with external partners and experts to discuss policy ideas, as broad consultation is an important part of responsible policy development.“The UK has one of the most robust counter-terrorism frameworks in the world with the powers needed for the security services and police to keep us safe.”We want to hear from you! Email us at thedailyt@telegraph.co.uk or find @dailytpodcast on TikTok, Instagram and X► Sign up to our most popular newsletter, From the Editor. Look forward to receiving free-thinking comment and the day's biggest stories, every morning. telegraph.co.uk/fromtheeditorProducers: Lilian FawcettSenior Producer: John CadiganExecutive Producer: Charlotte SeligmanVideo Producer: Will WaltersStudio Operator: Meghan SearleSocial Producer: Nada AggourEditor: Camilla Tominey Hosted on Acast. See acast.com/privacy for more information.

Donate (no account necessary) | Subscribe (account required) Join Bryan Dean Wright, former CIA Operations Officer, as he dives into today's top stories shaping America and the world. In this episode of The Wright Report, Bryan opens with a major update on the war with Iran, including a new Kurdish offensive, the destruction of Iranian missile launchers, and the growing crisis in the Strait of Hormuz that is shaking global energy markets.  Then it is a Listener Q&A episode. Bryan answers your questions about how Iran is still fighting despite losing senior leaders, the risks of regime change, China's oil strategy during the conflict, cartel drone warfare, and whether allies like Israel can influence America's decisions in war.    "And you shall know the truth, and the truth shall make you free." - John 8:32     Keywords: Iran war update, Kurdish offensive Iran, Strait of Hormuz crisis, China oil strategy, regime change Iran debate, cartel drone warfare Ukraine, U.S. Israel Iran conflict, Bryan Dean Wright podcast, The Wright Report, geopolitical intelligence briefing

James Talarico wants Texans to believe he’s suddenly a moderate. The Democrat now running for U.S. Senate in Texas is trying to reinvent himself for a statewide audience. But the problem with reinvention is the internet has a memory. Tonight on Stinchfield, we go to the archives and pull the receipts. From radical policy positions to the kind of rhetoric that would make the far left proud, the real James Talarico is very different from the rebranded version now asking Texans for their vote. We’ll show you exactly what he’s said and why the sudden “moderate makeover” should raise serious questions. Plus, Minnesota Governor Tim Walz finds himself on the hot seat in Congress, and the performance was… painful. Testifying before lawmakers, Walz looked completely out of his depth—dodging questions, stumbling through answers, and struggling to defend the record that made him a darling of the left. Watching it unfold makes one thing crystal clear: America is very lucky this man is not sitting a heartbeat away from the presidency. It’s all ahead on Stinchfield—where the spin stops and the truth comes out.

Democrats are trying to sell James Talarico as the “reasonable moderate” who can flip Texas—but Morning Joe accidentally admitted the truth: he’s a progressive populist with the same positions as Jasmine Crockett. In this breakdown, we expose who’s “casting” him as moderate (hint: the media), trace the Bernie-county playbook, and pull the receipts on his radical worldview—on faith, prisons, gender ideology, and women’s sports. Don’t fall for the rebrand. SHOP OUR MERCH: https://store.townhallmedia.com/ BUY A LARRY MUG: https://store.townhallmedia.com/products/larry-mug Watch LARRY with Larry O'Connor LIVE — Monday-Thursday at 12PM Eastern on YouTube, Facebook, & Rumble! Find LARRY with Larry O'Connor wherever you get your podcasts! SPOTIFY: https://open.spotify.com/show/7i8F7K4fqIDmqZSIHJNhMh?si=814ce2f8478944c0&nd=1&dlsi=e799ca22e81b456f APPLE: https://podcasts.apple.com/us/podcast/larry/id1730596733 Become a Townhall VIP Member today and use promo code LARRY for 50% off: https://townhall.com/subscribe?tpcc=poddescription https://townhall.com/ https://rumble.com/c/c-5769468 https://www.facebook.com/townhallcom/ https://www.instagram.com/townhallmedia/ https://twitter.com/townhallcomBecome a Townhall VIP member with promo code "LARRY": https://townhall.com/subscribeSee omnystudio.com/listener for privacy information.

The Democrats have their "star" of the 2026 cycle, Texas senate nominee James Talarico, who is here to provide a "Christian" and "moderate" spin on the party. But the reality is, Talarico isn't moderate, he's just white. The show dives into the dark truth about the new Democrat standardbearer, and talks to Steve Toth about Texas's other primary outcomes, starting with his upset of Dan Crenshaw. Two TPUSA students describe how young people are reacting to the Iran war, while retired Admiral Bob Harward gives his optimistic take on the tactical situation there. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com! Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

A great all around flow this afternoon. 

The Democrats have their "star" of the 2026 cycle, Texas senate nominee James Talarico, who is here to provide a "Christian" and "moderate" spin on the party. But the reality is, Talarico isn't moderate, he's just white. The show dives into the dark truth about the new Democrat standardbearer, and talks to Steve Toth about Texas's other primary outcomes, starting with his upset of Dan Crenshaw. Two TPUSA students describe how young people are reacting to the Iran war, while retired Admiral Bob Harward gives his optimistic take on the tactical situation there. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com! Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Dramatic regime change. Moderate regime evolution. A calamitous regional conflict. Or … no change at all. Today we consider how the Iran conflict might evolve following the killing of Supreme Leader Khamenei with Karim Sadjadpour, an American policy analyst at the Carnegie Endowment for International Peace. Subscribe to our YouTube channel here: https://www.youtube.com/@PlainEnglishwithDerekThompson If you have questions, observations, or ideas for future episodes, email us at PlainEnglish@Spotify.com. Host: Derek ThompsonGuest: Karim SadjadpourProducer: Devon Baroldi Learn more about your ad choices. Visit podcastchoices.com/adchoices

472 - Is a Disney World Moderate Resort worth the upgrade? In this episode of the Disney Travel Secrets Podcast, #1 best-selling authors and Travel Agents Rob & Kerri Stuart break down everything you need to know about Walt Disney World's four Moderate Resorts — and why they might be the smartest move for your next Disney vacation. Let us help you plan your Disney Vacation - CLICK HERE From the cozy charm of Disney's Port Orleans French Quarter (Rob & Kerri's personal go-to) to the convention-style luxury of Disney's Coronado Springs Grand Destino Tower, the riverboat magic of Port Orleans Riverside, and the Disney Skyliner access at Caribbean Beach Resort — this episode covers it all. Rob & Kerri also share a hilarious personal story about how a septic system emergency led to a spontaneous overnight stay at French Quarter, why Coronado Springs is unmatched for dining and concierge perks, and the real dollar-for-dollar value of stepping up from a Value Resort to a Moderate. In this episode you'll learn: The key differences between Disney's Value, Moderate, and Deluxe Resorts Which Moderate Resort is best for families, couples, and convention travelers Why the Disney Skyliner changed everything for Caribbean Beach Resort The best pools, dining, and theming at each Moderate Resort Whether the ~$90/night price difference is actually worth it (spoiler: Rob & Kerri think so) Insider tips on mobility considerations, room sizes, and transportation options Why Port Orleans French Quarter is the smallest — and most beloved — resort on Disney property

The bags are packed, the MagicBands are charged, and it's time for the BIG reveal! This week on Disney Countdown with The Magical Millennial and The Dapper Danielle, we're checking back in to wrap up our most dreamy travel countdown yet — Top 10 Disney Resort Hotels – Part 2!

AM Best Directors Bridget Maehr and Ann Modica discuss a new Best's Market Segment Report that finds Caribbean insurers are highly reliant on reinsurance to manage capital, risk retention, and to expand their book of business.

0:30 - WAR ON FRAUD 15:33 - Illegals and CDLs 38:30 - Not going to be shaken down 01:00:08 - Early voting in CPS 01:19:12 - Brian Jodice, National Press Secretary for the American Federation for Children, says demand for federal school choice is surging — so why are some governors refusing to opt in? For more on the American Federation for Children federationforchildren.org 01:33:09 - Alicia Nieves, lawyer focused on immigration and national-security issues who writes from Chicago, explains Why the Democratic Party Can’t Moderate. Follow Alicia on X @alicianieves__ 01:53:22 - Why Dan Proft is Single 02:10:21 - South Side Irish Parade Committee member Jim Smith gets you ready for the big day, spotlighting this year’s Grand Marshals, Tunnel to Towers. Buy a South Side parade T-shirt or poster and help support Tunnel 2 TowersSee omnystudio.com/listener for privacy information.

Science of Spirituality PodcastFIVE PRIMARY POINTS of the PODCAST1. Why We Choke Under PressureChoking occurs when extreme stakes overload the brain's motor system. Research shows:* Large “jackpot” rewards (e.g., Olympic gold) can push neural activity past the optimal preparation zone.* Explicit monitoring (thinking step-by-step about an automated skill) disrupts fluid performance.* Moderate pressure improves performance, but excessive pressure impairs it.* Choking is often linked more to inadequate preparation than lack of talent.2. Three Science-Based Ways to Reduce Choking* Train under pressure (e.g., videotaped practice) to desensitize anxiety.* Shift attention outward if you're an expert (focus on rhythm, target, counting backward) to let automatic systems run.* Novices should instead focus on one simple cue, not the entire process.* Reframe the stakes — focus on process over outcome to prevent mental overload.3. Olympic Gold Medal Lessons: Team Chemistry & Inner WisdomTwo Olympic examples illustrate vitality principles:* U.S. Hockey Team: Built intentionally for chemistry and grit (“F-150 pickup trucks,” not Ferraris). Cohesion > raw star power.* Alysa Liu (Figure Skating): Won gold after burnout by reclaiming autonomy, joy, and intrinsic motivation. She ignored medal pressure and focused on artistry.Lesson:* Teams win through cohesion and resilience.* Individuals win when they align performance with authentic purpose and joy.4. The Vitality Zones & the 60-Day Vital SprintDr. Mishra introduces four zones:* Vitality Zone (energized, purposeful)* Surviving Zone (functional but unfulfilled)* Sliding Zone (declining habits)* Burnout Zone (exhausted, depleted)The 60-day sprint focuses on improving:* Physical vitality (exercise, sleep regularity, proprioception, inflammation control)* Mental vitality (focus training, limiting mind wandering)* Social vitality (cultivating closeness)* Spiritual vitality (serving something larger than oneself)5. Core Vitality Levers Backed by DataKey evidence-based takeaways:* 15–20 minutes of daily exercise reduces mortality and inflammation.* Sleep regularity may matter more than duration.* hsCRP (inflammation marker) may predict heart disease better than cholesterol.* Two to three cups of caffeinated coffee or tea daily are linked to lower dementia risk.* A wandering mind reduces happiness; focused attention increases well-being.* Purpose and closeness are modifiable assets strongly tied to longevity.* Spirituality (belief in something larger than self) supports mental health.Elite execution requires preparation, calibrated pressure, authentic motivation, and alignment across physical, mental, social, and spiritual domains.Dare to Be Vital. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit vitalityexplorers.substack.com/subscribe

A mild one on a grey, rainy day. A great practice for the day after leg day. Lots of hip opening and hamstring lengthening. 

Welcome to The Chrisman Commentary, your go-to daily mortgage news podcast, where industry insights meet expert analysis. Hosted by Robbie Chrisman, this podcast delivers the latest updates on mortgage rates, capital markets, and the forces shaping the housing finance landscape. Whether you're a seasoned professional or just looking to stay informed, you'll get clear, concise breakdowns of market trends and economic shifts that impact the mortgage world.In today's episode, we dive into the ramifications of licensing AI as an originator. Plus, Robbie sits down with Optimal Blue's Erin Wester for a discussion on the extensive lineup of mortgage capital markets innovations unveiled at 2026 Optimal Blue Summit, including an industry-first AI/ML-powered forecasting tool. And we close by looking at what home prices are doing across the nation.This week's podcasts are sponsored by FirstClose. FirstClose Equity gets you to closings faster by empowering borrowers with vital property decisioning data. It is the only end-to-end digital HELOC & HEL solution built specifically for home equity.

Pack your bags and fluff those Disney pillows — we're checking IN to one of our most requested countdowns! This week on Disney Countdown with The Magical Millennial and The Dapper Danielle, we're kicking off Top 10 Disney Resort Hotels – Part 1!

With Ruben Dalfovo, Saxo Equity Market strategist, today we delve into how to approach and rate the prospects for beaten down software-as-a-service (SaaS) stocks with a systematic approach and how some names may have been unfairly punished recently while the business models of others are indeed in doubt. We also look at a number of important software names reporting this week, as well as previewing the biggest hardware name of them all: Nvidia, who reports earnings Wednesday. Also, Trump tariffs, macro and FX and more on today's pod, which is hosted by Saxo Global Head of Macro Strategy John J. Hardy. Today's links: Ruben's piece: The AI stress-test for software stocks: a simple framework to spot disruption risk The JPY carry trade is important to understand, as well as the risks should it be set to unwind in coming weeks and months. Two or three times per week, you will also find links discussed on the podcast and a chart-of-the-day over at the John J. Hardy substack. Read daily in-depth market updates from the Saxo Market Call and the Saxo Strategy Team here. Please reach out to us at marketcall@saxobank.com for feedback and questions. Click here to open an account with Saxo. Intro music by AShamaluevMusic DISCLAIMER This content is marketing material. Trading financial instruments carries risks. Always ensure that you understand these risks before trading. This material does not contain investment advice or an encouragement to invest in a particular manner. Historic performance is not a guarantee of future results. The instrument(s) referenced in this content may be issued by a partner, from whom Saxo Bank A/S receives promotional fees, payment or retrocessions. While Saxo may receive compensation from these partnerships, all content is created with the aim of providing clients with valuable information and options.  

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In this episode, host Michael dives into the controversy surrounding the 2020 census, specifically the Census Bureau's use of differential privacy and whole person imputation. He discusses the landmark lawsuit, USFCR vs. Lutnik, and the allegations of a manipulated census count. Michael breaks down the two main issues: how the Census Bureau decided who gets counted when it couldn't find them, and how they decided what numbers to publish. He also touches on the implications of this on the electoral college count and federal funding.See omnystudio.com/listener for privacy information.

Ready to hit the trails? Join Sandra Parrish and Colleen, the community queen, as they explore the best hiking spots in North Georgia. From the stunning Amicalola Falls to the historic Pickens Mill trail, they share tips, trail highlights, and even a handy app to keep you on track. Follow us on Facebook and Instagram or download our app to stay connected! Saturdays with Sandra www.1011thepulse.com ios App Android App Advertise with Us Chapters:00:00 Introduction and Sandra’s Love for Hiking01:05 Colleen’s Top Hiking Trail Picks02:26 Exploring Carter’s Lake and Pickens Mill03:45 Fort Mountain State Park and Scenic Views04:52 Hiking Tips and the AllTrails AppSee omnystudio.com/listener for privacy information.

Senator Catherine Cortez Masto of Nevada is nobody's idea of a partisan firebrand. She's a moderate, swing-state Democrat with a résumé steeped in law enforcement — all of which makes her an unlikely leader of the Democratic-led shutdown of the Department of Homeland Security, which has now entered its sixth day.But over the past few months, Senator Cortez Masto said she was horrified by the conduct of federal immigration enforcement agents in her own state and across the country. By last week, she and many of her Democratic colleagues in the Senate decided to act on their outrage.In an interview with her on “The Daily,” Senator Cortez Masto talks about why she decided to support withholding homeland security funding, the political perils for her party in blocking that funding and why she believes most Americans support the strategy.Guest: Catherine Cortez Masto of NevadaBackground reading: Democrats and the White House traded offers, but a deal to reopen the Department of Homeland Security remained elusive.A polling memo circulated among centrist senators urged Democrats to talk tougher on crime, while noting an opportunity for the party to appeal to voters with criticism of ICE.Photo: Eric Lee for The New York TimesFor more information on today's episode, visit nytimes.com/thedaily. Transcripts of each episode will be made available by the next workday.  Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

A stronger one tonight. Lots of shoulder opening and standing on one leg. 

In this episode:00:26 Moderate caffeine intake might reduce dementia risk, study suggestsNature: Coffee linked to slower brain ageing in study of 130,000 people04:15 Using AI to work out the rules of a long-forgotten board gameScientific American: Rules of mysterious ancient Roman board game decoded by AISubscribe to Nature Briefing, an unmissable daily round-up of science news, opinion and analysis free in your inbox every weekday. Hosted on Acast. See acast.com/privacy for more information.

Can I Moderate? Why This Question Matters More Than We Talk About For most of my recovery journey, I held a pretty firm belief: If you're questioning your drinking, the answer is probably abstinence. That belief came from both lived experience, as well as observing other people who struggle with alcohol. Personally, I never drank normally. From the very first drink, the switch flipped on—and it stayed on. I hit a hard bottom early, and after years of trying to moderate, the answer for me was clear: I could not moderate. As it turned out, for me abstinence meant freedom. And still… Over time, something softened in me. Not because I changed my relationship with alcohol—but because I started listening more closely to other people's experiences. The Question Everyone Has to Answer for Themselves I've come to believe this: "Can I moderate?" is not a denial question. It's a developmental one. For many people, it's the pivot point of their entire recovery journey. Some people answer it quickly. Some answer it painfully. Some don't answer it until years—sometimes decades—later. But skipping the question doesn't make it disappear. And that's why my conversation with Nick Allen, CEO and co-founder of Sunnyside, felt so important. Nick grew up in an AA household. Both of his parents are in long-term recovery. He understands abstinence deeply—and still, his own relationship with alcohol took a different path. Instead of waiting for a crisis, he began asking a quieter question early on: What does a healthy relationship with alcohol look like for me—right now? That question eventually became Sunnyside: a platform designed to help people explore change before things fall apart. The Missing Middle Here's the reality I see again and again: Most people are offered two options: Figure it out Quit forever And when those are the only choices on the table, a huge number of people choose to keep trying to figure it out. Not because they're reckless. Not because they don't care. But because abstinence can feel overwhelming, stigmatizing, or premature—especially for people who are still functioning "well enough." Research suggests there's often a 10-year gap between when alcohol becomes a problem and when someone seeks help. Ten years. Think about what happens in ten years: Careers strained Health eroded Relationships damaged Kids absorbing instability they can't name yet Waiting is not neutral. Why Willpower Isn't the Answer One thing Nick and I aligned on immediately: Willpower is a terrible long-term strategy. Willpower is finite. It's lowest at the exact moments people need it most: After a long day During stress At the witching hour (5–7pm) On Fridays when it's "been a week" Sunnyside takes a different approach: Decisions are made ahead of time, when clarity is high Habits are supported with structure, not shame Accountability is externalized, not moralized This is how real behavior change works. A Word About Naltrexone (And Nuance) We also talked openly about naltrexone, a medication that's been FDA-approved for decades to help reduce alcohol cravings. Here's what matters: It doesn't make people sick It doesn't require abstinence It reduces the reward loop that drives compulsive drinking I've had clients use it successfully—particularly high-functioning people who struggled with the "off switch," not daily drinking. But for people earlier in the process—people quietly wondering, "Is this still working for me?"—tools like this can interrupt years of silent suffering. Language Matters More Than We Think One of the most powerful parts of this conversation was about vocabulary. Words like addict, alcoholic, relapse, recovery—they carry weight. For some people, they offer clarity and belonging. For others, they create shame, fear, and avoidance. If the language feels too heavy, people wait. Sunnyside intentionally avoids labels and instead talks about: Alcohol overuse Habit change Awareness Experimentation That shift alone can make change feel possible. Where I Land Now I'm still sober and have no desire to drink again. I still believe abstinence is the right path for most people who struggle with alcohol. And I also believe we need earlier, gentler, more honest entry points into change. The goal of sobriety—or moderation, or reduction—isn't the absence of alcohol. It's: Freedom Health Presence A life that actually works If someone can get there sooner, with less damage along the way, I'm all for it.     Action Steps If this resonated, here are a few grounded next steps: Ask the question honestly Is alcohol adding to my life—or quietly taking from it? Move from judgment to curiosity You don't need a label to run an experiment. Plan ahead of cravings Decisions made in advance beat willpower every time. Seek support early Coaching, tracking, community, and medical tools are preventative—not last resorts. Protect what already works If abstinence is serving you, honor that. No need to second-guess stability.     Resources Sunnyside: https://www.sunnyside.co/arlina Sunnyside Med (Naltrexone access) NIH research on alcohol use disorder and treatment gaps AA and abstinence-based recovery programs (for those who already know)     If you're listening to this podcast, reading this post, or even asking the question quietly to yourself—you're already earlier than most. And earlier matters.   Guest Contact Info: https://get.sunnyside.co/arlina

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A friendly flow this afternoon, leaning fundamental without being basic. 

In this episode, host Courtney Allison speaks with Dr. Jessica Hennessey, cardiologist at NewYork‑Presbyterian and Columbia, about the trend of cozy cardio and how accessible, home‑based movement can support cardiovascular health. Dr. Hennessey explains why moderate‑intensity exercise is both sustainable and effective, offering improvements in cardiovascular function, metabolism, and daily energy levels. The discussion explores the benefits of walking versus running, how heart rate zones help guide workout intensity, and the importance of rest and active recovery. Dr. Hennessey also highlights how movement helps regulate stress and why strength training—especially for women—is essential for long‑term metabolic and bone health. Chapters:Chapter 1: Understanding Cozy Cardio – Convenience, Comfort, and Where it Fits in Heart HealthUnderstanding cozy cardio and how low‑impact movement supports heart health, and how it lowers barriers to exercise and makes movement feel inviting.Chapter 2: Why Moderate Exercise MattersChapter 3: Cozy Doesn't Mean Easy—Just AccessibleChapter 4: Walking vs. Running: Which Is Better for the Heart?Chapter 5: Using Heart Rate to Guide Your WorkoutChapter 6: The Importance of Rest Days and RecoveryChapter 7: HIIT: Benefits, Risks, and When to Use ItChapter 8: Strength Training & Heart Health, Especially for WomenChapter 9: Building a Sustainable Exercise RoutineChapter 10: Final Takeaway Key Topics CoveredWhat cozy cardio is and examplesHow cozy cardio focuses on convenience, comfort and lowering barriers to exercise.Moderate vs. High-Intensity ExerciseHow it can improve VO2 maxAccessibility and sustainability in fitnessWalking vs. runningUsing heart rate as a guide for exerciseThe importance of rest daysExercise as stress reductionHIIT workouts: explanation, benefits and riskStrength training and heart healthBuilding a sustainable routine by choosing activities you enjoy and making movement a natural part of the dayTakeaway MessageMeaningful improvements in cardiovascular health do not require high‑intensity workouts. Moderate, accessible forms of exercise—such as “cozy cardio”—can effectively enhance heart and metabolic function, support stress regulation, and promote long‑term adherence. By prioritizing comfort, sustainability, and consistency, individuals can integrate movement into their daily routines in ways that are both achievable and beneficial for overall health.Expert GuestDr. Jessica Hennessey is an electrophysiologist who specializes in arrhythmia management with a special focus on catheter ablation, pacemakers/defibrillators, and atrial fibrillation at NewYork-Presbyterian/Columbia University Irving Medical Center. Dr. Hennessey is also the Esther Aboodi Assistant Professor of Cardiology (in medicine) at Columbia University Vagelos College of Physicians and Surgeons. She is board-certified in cardiovascular disease and cardiac electrophysiology.For more health and wellness news, visit NewYork-Presbyterian's Health Matters website. 

Get ready for a no‑holds‑barred ride through the mess of the 2026 Super Bowl halftime show, the FCC petition from Hispanic groups, and the NFL's reckless bid to chase new audiences while abandoning its core fans. Jeff Sherman and Eric Lopkin tear apart Hollywood's blockbuster drought, the shocking box‑office flop of the documentary “Melania,” and the chaotic shift inside the Democratic Party—from moderate caucuses to extreme rhetoric. Their razor‑sharp takes slice through partisan spin, exposing how woke culture, voter‑ID battles, and corporate greed are reshaping America's cultural landscape. If you demand blunt analysis and fearless debate, this episode delivers it raw and unfiltered. Tune in now and hear the truth they won't let you hear on mainstream media. Listen today.

Virginia Governor Abigail Spanberger, the first woman to hold the office, is just weeks into her first term and already facing a high-velocity legislative session under unified Democratic control. As lawmakers move quickly on long-standing priorities, can the self-described moderate governor hold Virginia's political “purple” center, or will progressives pull the state left? As the 2026 midterms approach, could Virginia offer an early preview of how governing realities collide with electoral politics? Featuring Public Strategies' Howard Schweitzer (DC), Julia Hammond (VA), and Heidi Hertz (VA).

Former White House Chief of Staff & Mayor of Chicago, Rahm Emanuel joins the Chuck ToddCast for a wide-ranging conversation on the forces shaping America’s political and economic future. He discusses why the 2028 election will be about what’s ahead—not what’s behind—and argues that understanding AI, energy, and the changing nature of work is now essential for anyone seeking leadership. Emanuel makes the case that education and vocational training remain the clearest pathway to the middle class, warns about declining reading proficiency, and examines what schools must do to prepare students for a rapidly evolving world. He also explores how both parties lost their way on education, why fundamentals matter, and what voters are really demanding from the system. The discussion then turns sharply to politics, power, and the health of American institutions. Emanuel weighs in on Trump-era controversies, Congress’s weakened role, and concerns about election integrity and the post-election environment. He outlines how Democrats can rebuild a winning coalition by welcoming independents and former Republicans, focusing on economic fairness, and preparing for a potential 2026 wave election. The episode closes with a global lens—covering U.S.–Israel dynamics, political polarization, wealth inequality, and whether national service could help reunite a fractured country—framing a central question: if the midterms fail to reset the trajectory, what comes next for American democracy? Get your wardrobe sorted and your gift list handled with Quince. Don't wait! Go to https://Quince.com/CHUCK for free shipping on your order and 365-day returns. Now available in Canada, too! Protect your family with life insurance from Ethos. Get up to $3 million in coverage in as little as 10 minutes at https://ethos.com/chuck. Application times may vary. Rates may vary. Thank you Wildgrain for sponsoring. Visit http://wildgrain.com/TODDCAST and use the code "TODDCAST" at checkout to receive $30 off your first box PLUS free Croissants for life! Link in bio or go to https://getsoul.com & enter code TODDCAST for 30% off your first order. Timeline: (Timestamps may vary based on advertisements) 00:00 Rahm Emmanuel joins the Chuck ToddCast 01:30 What does the average week look like for Rahm Emmanuel? 02:30 Trying to get a good understanding of AI & energy distribution 03:30 Candidates better understand AI because it’s driving economy 04:00 2028 election will be about the future not the past 05:30 Education and vocational training are the ticket to middle class 07:00 Coding used to be the most sought after skill, now it’s irrelevant 08:00 How to prepare students for a rapidly changing world? 09:30 AI won’t eliminate vocational professionals 11:15 Students are at a 30 year low in reading proficiency 12:00 Education is a highly motivating issue for voters 12:30 Vouchers don’t help rural communities 13:30 GOP has abandoned public ed, Dems abandoned accountability 14:45 Governors used to compete to be the “education governor” 15:30 Lotteries became the popular way to fund public education 16:15 Mississippi found a successful education model & it was copied 18:45 If schools focus on the fundamentals, scores go up 20:15 Trump’s UAE corruption scandal the worst in history 21:45 Trump is supposed to work for the voters checkbook, not his own 22:30 Trump’s pardons are almost exclusively for white collar crime 24:15 Congress has completely abdicated their responsibility 25:45 Founders were very worried about a corrupt executive 27:15 Major international shakeups and DNI is at Georgia election office 28:45 There are certain features of elections Trump can’t screw with 30:30 Rahm is more worried about the post election environment 31:15 The institutions have failed, but the people will protect this country 32:00 Worried that Mike Johnson may screw with the seating of new congress 33:00 Mike Johnson doesn’t have Mike Pence’s courage 35:30 What issues should Democrats should prioritize to win elections 36:30 2026 will be a wave election, presents chance to win local/state races 38:00 Tax refunds won’t be the electoral boon Republicans think they will 38:45 There’s no upside to being a long-term planner in American politics 40:00 What states should Dems target outside the 7 battlegrounds? 40:45 Never Trump Republicans finding more affinity with Democratic party 41:45 Democrats need to welcome former Republicans & independents 43:00 Unaffiliated voters are where you get your electoral majority 44:30 Progressive vs. Moderate viability for Democrats 47:00 Democratic electorate is always looking for someone new 48:00 The future will be on the ballot in 2028 50:15 Biden promised to unite the country & only united his party. It’s why he failed 51:45 Mandatory national service could help reunite the country 55:00 Entire tax code is built around wealth preservation, not creating wealth 57:00 People are tired by the ultra rich playing by their own set of rules 58:00 WaPo is an institution, and Bezos is gutting it against public interest 1:00:30 How welcome will a Jewish candidate be in a Democratic primary? 1:02:00 Separating the Jewish people/religion from Bibi’s government 1:03:45 Bibi’s governance has made Israel more vulnerable and isolated 1:04:45 Did we export our politics to Israel or are we emulating them? 1:05:45 If Democrats fail to win the midterms… then what?See omnystudio.com/listener for privacy information.

In this episode, Chuck Todd reacts to the Seahawks winning the Super Bowl, then examines the political shockwaves rippling through Washington after Donald Trump’s controversial and widely condemned post about the Obamas, placing it within the broader context of Trump’s long history of racial controversies and growing unease inside his own coalition. As criticism emerges from Republican lawmakers, conservative legal voices, and even Olympic athletes, Todd explores signs that Trump’s influence may be weakening—fueled by internal party fractures, controversial foreign policy moves, and a leadership circle increasingly insulating him from reality. With a surge of congressional retirements, warning signs from special elections, and historical trends favoring the opposition party, the conversation turns to whether Republicans are heading toward a major electoral setback—and whether worsening controversies, including ongoing fallout from Epstein-related revelations, could further reshape the political landscape before November. Then, former White House Chief of Staff & Mayor of Chicago, Rahm Emanuel joins the Chuck ToddCast for a wide-ranging conversation on the forces shaping America’s political and economic future. He discusses why the 2028 election will be about what’s ahead—not what’s behind—and argues that understanding AI, energy, and the changing nature of work is now essential for anyone seeking leadership. Emanuel makes the case that education and vocational training remain the clearest pathway to the middle class, warns about declining reading proficiency, and examines what schools must do to prepare students for a rapidly evolving world. He also explores how both parties lost their way on education, why fundamentals matter, and what voters are really demanding from the system. The discussion then turns sharply to politics, power, and the health of American institutions. Emanuel weighs in on Trump-era controversies, Congress’s weakened role, and concerns about election integrity and the post-election environment. He outlines how Democrats can rebuild a winning coalition by welcoming independents and former Republicans, focusing on economic fairness, and preparing for a potential 2026 wave election. The episode closes with a global lens—covering U.S.–Israel dynamics, political polarization, wealth inequality, and whether national service could help reunite a fractured country—framing a central question: if the midterms fail to reset the trajectory, what comes next for American democracy? Finally, Chuck comments on the fallout from the mass layoffs at the Washington Post, hops in the ToddCast Time Machine to revisit the history of the Iranian revolution and answers listeners’ questions in the “Ask Chuck” segment. Get your wardrobe sorted and your gift list handled with Quince. Don't wait! Go to https://Quince.com/CHUCK for free shipping on your order and 365-day returns. Now available in Canada, too! Protect your family with life insurance from Ethos. Get up to $3 million in coverage in as little as 10 minutes at https://ethos.com/chuck. Application times may vary. Rates may vary. Thank you Wildgrain for sponsoring. Visit http://wildgrain.com/TODDCAST and use the code "TODDCAST" at checkout to receive $30 off your first box PLUS free Croissants for life! Link in bio or go to https://getsoul.com & enter code TODDCAST for 30% off your first order. Timeline: (Timestamps may vary based on advertisements) 00:00 Chuck Todd’s introduction 00:30 Super Bowl reaction 03:15 Bad Bunny’s halftime show was a great tour of Latin culture 04:30 The AI de-aging in the commercials is creepy 06:00 Half of the AI companies advertising likely won’t exist in 3 years 10:00 Fallout from Trump’s racist post about the Obamas 11:00 Trump’s entire history has included accusations of racism 11:45 Trump definitely made the post, Republicans push back on it 13:30 The cracks in the Trump coalition grow deeper by the week 14:30 Trump didn’t have much filter before, losing it as he ages 15:30 Olympic athletes voiced concerns & opposition to administration 16:30 Trump’s inner circle keep him in a “safe space” cocoon 17:30 In six weeks of 2026, Trump has put the GOP on the defensive 19:15 Close Trump allies in congress willing to criticize him 21:00 Conservative legal analysts rip Trump for corrupt UAE deal 23:15 Trump’s Greenland posturing turned allies against the U.S. 24:00 An electoral disaster is brewing for the Republicans 24:30 Nearing a record number of incumbents retiring from congress 27:00 Historical trends suggest massive gains for the out party 28:30 Retiring members sound like they are done with politics 29:45 Retirements will create an institutional knowledge gap 31:15 Retirements are a warning sign for disastrous upcoming election 35:00 Redistricting could create even more retirements 36:15 Two more special elections swung massively toward Democrats 37:15 Any Republican in a 59% or less Trump district is in danger 39:30 Almost no scenario where Republicans hold the house 40:45 Inconceivable that Trump recovers his approval rating by Nov. 42:30 The Epstein file releases keep getting worse and worse for Trump 56:15 Rahm Emmanuel joins the Chuck ToddCast 57:45 What does the average week look like for Rahm Emmanuel? 58:45 Trying to get a good understanding of AI & energy distribution 59:45 Candidates better understand AI because it’s driving economy 1:00:15 2028 election will be about the future not the past 1:01:45 Education and vocational training are the ticket to middle class 1:03:15 Coding used to be the most sought after skill, now it’s irrelevant 1:04:15 How to prepare students for a rapidly changing world? 1:05:45 AI won’t eliminate vocational professionals 1:07:30 Students are at a 30 year low in reading proficiency 1:08:15 Education is a highly motivating issue for voters 1:08:45 Vouchers don’t help rural communities 1:09:45 GOP has abandoned public ed, Dems abandoned accountability 1:11:00 Governors used to compete to be the “education governor” 1:11:45 Lotteries became the popular way to fund public education 1:12:30 Mississippi found a successful education model & it was copied 1:15:00 If schools focus on the fundamentals, scores go up 1:16:30 Trump’s UAE corruption scandal the worst in history 1:18:00 Trump is supposed to work for the voters checkbook, not his own 1:18:45 Trump’s pardons are almost exclusively for white collar crime 1:20:30 Congress has completely abdicated their responsibility 1:22:00 Founders were very worried about a corrupt executive 1:23:30 Major international shakeups and DNI is at Georgia election office 1:25:00 There are certain features of elections Trump can’t screw with 1:26:45 Rahm is more worried about the post election environment 1:27:30 The institutions have failed, but the people will protect this country 1:28:15 Worried that Mike Johnson may screw with the seating of new congress 1:29:15 Mike Johnson doesn’t have Mike Pence’s courage 1:31:45 What issues should Democrats should prioritize to win elections 1:32:45 2026 will be a wave election, presents chance to win local/state races 1:34:15 Tax refunds won’t be the electoral boon Republicans think they will 1:35:00 There’s no upside to being a long-term planner in American politics 1:36:15 What states should Dems target outside the 7 battlegrounds? 1:37:00 Never Trump Republicans finding more affinity with Democratic party 1:38:00 Democrats need to welcome former Republicans & independents 1:39:15 Unaffiliated voters are where you get your electoral majority 1:40:45 Progressive vs. Moderate viability for Democrats 1:43:15 Democratic electorate is always looking for someone new 1:44:15 The future will be on the ballot in 2028 1:46:30 Biden promised to unite the country & only united his party. It’s why he failed 1:48:00 Mandatory national service could help reunite the country 1:51:15 Entire tax code is built around wealth preservation, not creating wealth 1:53:15 People are tired by the ultra rich playing by their own set of rules 1:54:15 WaPo is an institution, and Bezos is gutting it against public interest 1:56:45 How welcome will a Jewish candidate be in a Democratic primary? 1:58:15 Separating the Jewish people/religion from Bibi’s government 2:00:00 Bibi’s governance has made Israel more vulnerable and isolated 2:01:00 Did we export our politics to Israel or are we emulating them? 2:02:00 If Democrats fail to win the midterms… then what? 2:04:00 Send us your guest requests & suggestions! 2:05:45 Will Lewis resigns, cements himself as worst publisher of WaPo 2:06:45 The Washington Post will fade into irrelevance after layoffs 2:08:00 Lack of local coverage bad for DC sports teams & venues 2:09:30 Team owners in DC should help fund local coverage 2:11:30 WaPo owner & publisher weren’t willing to own the layoffs 2:12:00 ToddCast Time Machine - February 11th 1979 2:12:15 Iranian shah’s regime collapsed, created Islamic Republic 2:13:15 Iran/Persia is one of the longest continuing states in history 2:14:45 Persia was neutral in WW1 & had its sovereignty violated 2:15:30 Collapse of Ottoman empire led to new states created by European powers 2:16:30 There’s a long history of small D democracy in Iran 2:17:30 The Shah’s project was forced modernization 2:18:45 The coup turned the Shah into the central pillar of the state 2:19:45 U.S. violating Iran’s sovereignty created anti-Americanism 2:21:00 Ayatollah Khamenei emerged as symbol of the resistance 2:21:45 Shah decided to expel Khamenei, gave him more rhetorical power 2:23:00 The Iranian revolution was broad based, but the clerical faction won 2:23:45 Hostage crisis came 9 months after the revolution 2:24:15 If we intervene now, it would be on the side of the Iranian people 2:25:30 Intervening on behalf of democracy works better than self-interest 2:26:15 Transactional politics without a moral code bites us in the ass 2:27:30 Ask Chuck 2:27:45 If Trump proved he was 2020 winner, does that make 2024 win unconstitutional? 2:31:30 Is it better for ethical people to stay in government to prevent someone worse? 2:35:30 Why not include Mississippi as state for Dems to target by 2032? 2:38:45 Causes for both alarm & optimism 2:42:00 Should MLB change the rule for intentional walks to make it two bases? 2:44:15 Some nicknames for the Trump/UAE corruption scandalSee omnystudio.com/listener for privacy information.

Episode 211: Understanding HFpEF.  Hyo Mun and Jordan Redden (medical students) explain the pathophysiology of heart failure with preserved ejection fraction (HFpEF) and how it differentiates from HFrEF. Dr. Arreaza asks insightful questions and summarizes some key elements of HFpEF. Written by Hyo Mun, MS4, American University of the Caribbean; and Jordan Redden, MS4, Ross University School of Medicine. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.What is EF? Just imagine, the heart is a pump, blood gets into the heart through the veins, the ventricles fill up and then squeeze the blood out. So, the percent of blood that is pumped out is the EF. Let's start at the beginning. What is HFpEF?Mike: HFpEF stands for heart failure with preserved ejection fraction. Basically, these patients squeeze normally—their ejection fraction is 50% or higher—but here's the thing: the heart can't relax and fill the way it should. The muscle gets stiff, almost like a thick leather boot that just won't stretch. And because the ventricle can't fill properly, pressure starts backing up into the lungs and the rest of the body. That's when patients start experiencing shortness of breath, leg swelling, fatigue—all those classic symptoms.Dr. Arreaza: And this is where people get fooled by the ejection fraction.Mike: Exactly. The ejectionfraction tells you total left ventricular emptying, not just forward flow.Jordan: The classic example is severe mitral regurgitation. You can eject 60% of your blood volume and still be in cardiogenic shock because most of that blood is leaking backward into the left atrium instead of going into the aorta. So, you get pulmonary edema, hypotension, fatigue, all with a “normal” EF. Which is honestly terrifying if you're over-relying on echo reports without thinking clinically.Dr. Arreaza: And in HFpEF, functional mitral regurgitation often shows up later in the disease. It's not usually the primary cause; it's more of a marker of advanced disease. Moderate to severe MR in HFpEF independently predicts worse outcomes, including a higher risk of mortality or heart failure hospitalization. So, let's contrast this with HFrEF. How are these two different?Mike: HFrEF—heart failure with reduced ejection fraction—is a pumping problem. The heart muscle is weak and can't contracteffectively. Ejection fraction drops below 40%, and this is your classic systolic dysfunction.Jordan: HFpEF, on the other hand, is diastolic dysfunction. The heart muscle is thick, fibrotic, and noncompliant. It squeezes fine, but it just doesn't relax, even though the EF looks reassuring on paper.Mike: I like to explain it this way: HFrEF is a weak heart that can't squeeze. HFpEF is a stiff heart that can't relax. Totally different problems.Dr. Arreaza: And then there's the gray zone: heart failure with mildly reduced EF, or HFmrEF. That's an EF between 41 and 49% with evidence of elevated filling pressures. It really shares the features of both worlds. So, what actually causes HFpEF versus HFrEF?Jordan: HFpEF is basically what happens when all the problems of modern living catch up with you. You've got chronic hypertension, obesity, diabetes, metabolic syndrome, aging, systemic inflammation—all of these things slowly remodel the heart over years. The muscle gets thick and stiff, and eventually the ventricle just loses its ability to relax. So, HFpEF is really a disease of metabolic dysfunction and chronic stress in the heart. Mike: HFrEF is more about direct injury. Think about myocardial infarctions, ischemic cardiomyopathy, viral myocarditis, alcohol toxicity, chemotherapy like doxorubicin, genetic cardiomyopathies, or chronic uncontrolled tachycardia. These insults actually damage or kill heart muscle cells, leading to a dilated, weak ventricle that can't pump effectively.Dr. Arreaza: So the short version: HFpEF is caused by chronic metabolic and hypertensive stress, while HFrEF is caused mainly by myocardial damage. A question we get a lot: does HFpEF eventually turn into HFrEF? What do you guys think?Mike: In most cases, no. HFpEF patients usually stay HFpEF throughout their disease course. They don't just “burn out” and turn into HFrEF.Jordan: They're generally separate disease entities with different pathophysiology. A patient with HFpEF can develop HFrEF if they have a big myocardial infarction or ongoing ischemia that damages the muscle, but that's not the natural progression.Mike: Interestingly though, the opposite can happen. Some HFrEF patients actually improve their ejection fraction with good medical therapy—that's called HF with improved EF—and it's a great sign that treatment is working.Dr. Arreaza: Another question. How do HFpEF and HFrEF compare to restrictive cardiomyopathy and constrictive pericarditis?Jordan: Clinically, they can all look very similar: dyspnea, edema, fatigue, but the underlying mechanisms are completely different.Mike: In HFpEF, the myocardium itself is stiff from hypertrophy and fibrosis. The problem is intrinsic to the heart muscle, and EF stays preserved. Echoshows diastolic dysfunction with elevated filling pressures.Jordan: In HFrEF, the myocardium is weak. The ventricle is often dilated and contracts poorly, with a reduced EF.Mike: Restrictive cardiomyopathy is different. Here, the myocardium gets infiltrated by abnormal stuff—amyloid, iron, sarcoid—and that makes it extremely stiff. It can look like HFpEF on the surface, but it's usually more severe. On Echo You'll see biatrial enlargement, small ventricles, and preserved EF. And importantly, it's a pathologic diagnosis, so you need advanced imaging or biopsy to confirm it.Jordan: Constrictive pericarditis is another mimic, but here the myocardium is usually normal. The problem is that the pericardium is thickened, calcified, and rigid. This will physically prevent the heart from being filled. Imaging shows pericardial thickening, septal bounce, and respiratory variation in flow, and cath shows equalization of diastolic pressures, which is the hallmark of constrictive pericarditis.Dr. Arreaza: So the takeaway is: HFpEF is a clinical syndrome driven by common metabolic and hypertensive causes, while restrictive and constrictive diseases are specific pathologic entities. If “HFpEF” is unusually severe or not responding to treatment, you need to think beyond HFpEF. Which type of heart failure is more common right now?Mike: Good question, the answer is: HFpEF. It now accounts for up to 60% of all heart failure cases, and it's still rising.Dr. Arreaza: Why is that?Jordan: Because people are living longer, gaining weight, and developing more metabolic syndrome. HFpEF thrives in older, or people with obesity, hypertension, or diabetes: basically, the modern American population. At the same time, better treatment of acute MIs means fewer people are developing HFrEF from massive heart attacks.Mike: HFpEF is the heart failure epidemic of the 21st century. It's honestly the cardiology equivalent of type 2 diabetes.Dr. Arreaza: Let's talk aboutCOVID-19. (2025 and still talking about it) Does it actually increase heart failure risk?Mike: Yes, absolutely. COVID increases both acute and long-term heart failure risk.Jordan: During acute infection, COVID can cause myocarditis, trigger massive inflammation, and precipitate acute decompensated heart failure, especially in patients with pre-existing disease. It also causes microthrombi, which can injure the myocardium.Mike: And after infection, even mild cases are linked to a significantly higher risk of developing new heart failure within the following year. Both HFpEF and HFrEF rates go up.Dr. Arreaza: I remember seeing this in 2021, we had a patient with acute COVID and HFrEF, her EF was about 10%, I lost contact with the patient and at the end I don't know what happened to her. What's the pathophysiology of COVID and heart failure?Mike: COVID causes direct viral injury through ACE2 receptors, triggers massive inflammation that damages the endothelium and heart muscle, leads to microvascular clotting and fibrosis—all mechanisms that promote HFpEF.Jordan: Add autonomic dysfunction, persistent low-grade inflammation, and worsening metabolic syndrome, and you've got a perfect storm for heart failure.Dr. Arreaza: Bottom line: COVID is a cardiovascular disease as much as a respiratory one. If someone had COVID and now has unexplained dyspnea or fatigue, think about heart failure. Get an echo, get a BNP, start treatment. Last big question: why did we have so many therapies for HFrEF but essentially none for HFpEF for years?Mike: HFrEF is mechanistically straightforward. You've got a weak heart with excessive neurohormonal activation going on — so you block RAAS, block the sympathetic system, drop the afterload. The drugs make sense.Jordan: HFpEF is messy. It's not one disease. It's stiffness, fibrosis, inflammation, microvascular dysfunction, metabolic disease, atrial fibrillation, all overlapping. One drug can't fix all of that.Mike: And some drugs that worked beautifully in HFrEF actually made HFpEF worse. Take Beta blockers, for example.  They slow heart rate, which is a problem because HFpEF patients rely on heart rate to maintain their cardiac output.Jordan: The breakthrough came with SGLT-2 inhibitors: diabetes drugs that unexpectedly addressed multiple HFpEF mechanisms at once: volume, metabolism, inflammation, and myocardial energetics.Dr. Arreaza: The miracle drug for HFpEF! Alright, let's wrap up.Mike: Bottom line: HFpEF is common, complex, and dangerous: even if the EF looks “normal.”Jordan: And if you're relying on ejection fraction alone, HFpEF will humble you every time.Dr. Arreaza: If you liked this episode, share it with a friend or a colleague and rate us wherever you listen. This is Dr. Arreaza, signing off.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Barzin A, Barnhouse KK, Kane SF. Heart Failure With Preserved Ejection Fraction. Am Fam Physician. 2025;112(4):435-440.Heidenreich PA, Bozkurt B, Aguilar D, et al. 2022 AHA/ACC/HFSA guideline for the management of heart failure. Circulation. 2022;145(18):e895-e1032.Kittleson MM, Panjrath GS, Amancherla K, et al. 2023 ACC expert consensus decision pathway on management of heart failure with preserved ejection fraction. J Am Coll Cardiol. 2023;81(18):1835-1878.Anker SD, Butler J, Filippatos G, et al. Empagliflozin in heart failure with a preserved ejection fraction. N Engl J Med. 2021;385(16):1451-1461.Solomon SD, McMurray JJV, Claggett B, et al. Dapagliflozin in heart failure with mildly reduced or preserved ejection fraction. N Engl J Med. 2022;387(12):1089-1098.Pitt B, Pfeffer MA, Assmann SF, et al. Spironolactone for heart failure with preserved ejection fraction. N Engl J Med. 2014;370(15):1383-1392.Yusuf S, Pfeffer MA, Swedberg K, et al. Effects of candesartan in patients with chronic heart failure and preserved left-ventricular ejection fraction. Lancet. 2003;362(9386):777-781.Solomon SD, McMurray JJV, Anand IS, et al. Angiotensin-neprilysin inhibition in heart failure with preserved ejection fraction. N Engl J Med. 2019;381(17):1609-1620.Kosiborod MN, Abildstrøm SZ, Borlaug BA, et al. Semaglutide in patients with heart failure with preserved ejection fraction and obesity. N Engl J Med. 2023;389(12):1069-1084.Xie Y, Xu E, Bowe B, Al-Aly Z. Long-term cardiovascular outcomes of COVID-19. Nat Med. 2022;28(3):583-590.Puntmann VO, Carerj ML, Wieters I, et al. Outcomes of cardiovascular magnetic resonance imaging in patients recently recovered from COVID-19. JAMA Cardiol. 2020;5(11):1265-1273.Basso C, Leone O, Rizzo S, et al. Pathological features of COVID-19-associated myocardial injury. Eur Heart J. 2020;41(39):3827-3835.Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med. 2021;27(4):601-615.Badve SV, Roberts MA, Hawley CM, et al. Effects of angiotensin-converting enzyme inhibitors and angiotensin receptor blockers in adults with estimated GFR less than 60 mL/min per 1.73 m². Ann Intern Med. 2024;177(8):953-963.Navis G, Faber HJ, de Zeeuw D, de Jong PE. ACE inhibitors and the kidney: a risk-benefit assessment. Drug Saf. 1996;15(3):200-211.Textor SC, Novick AC, Tarazi RC, et al. Critical perfusion pressure for renal function in patients with bilateral atherosclerotic renal vascular disease. Ann Intern Med. 1985;102(3):308-314.Hackam DG, Spence JD, Garg AX, Textor SC. Role of renin-angiotensin system blockade in atherosclerotic renal artery stenosis and renovascular hypertension. Hypertension. 2007;50(6):998-1003.Ronco C, Haapio M, House AA, et al. Cardiorenal syndrome. J Am Coll Cardiol. 2008;52(19):1527-1539.Prins KW, Neill JM, Tyler JO, et al. Effects of beta-blocker withdrawal in acute decompensated heart failure. JACC Heart Fail. 2015;3(8):647-653.Jondeau G, Neuder Y, Eicher JC, et al. B-CONVINCED: Beta-blocker CONtinuation Vs. INterruption in patients with Congestive heart failure hospitalizED for a decompensation episode. Eur Heart J. 2009;30(18):2186-2192.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

The sound was funny for the first minute of this class but then it corrected. Start seated please, sukhasana or any comfortable cross legged position. Then please enjoy a moderate one with some unusual challenges. 

A surprising new name entered California governor's race this week: San Jose Mayor Matt Mahan. The media and donor class are already branding him as a more “sensible” Democrat, but a closer look shows he's far from the moderate he pretends to be. David Johnson, chairman of the Santa Clara County Republican Party, joins us to expose Mahan's troubling record on taxes, crime, and homelessness. Steve also breaks down California's proposed “mileage tax” and how it would hit working-class families hardest to satisfy climate ideologues. And Susan Shelley joins the show to cover Dr. Oz's investigation into the LA hospice system, a city councilman on trial for corruption, and the absurd reason Los Angeles stopped repaving its streets.

Which Disney moderate resort is better: Port Orleans French Quarter or Caribbean Beach Resort? In this episode of Where We Roam, John, Dayna, and Shawn bring back the fan-favorite Resort Showdown to compare two of Walt Disney World's most popular moderate resorts. We score French Quarter and Caribbean Beach across the categories Disney travelers care about most—location and transportation, theming, room layout, food and beverage, pools, and on-site amenities—plus a bonus round that can completely change the outcome. From Skyliner access and park convenience to beignets, bars, and resort vibes, we break down the real pros and cons of each resort and explain who each one is best for. Whether you're planning a Disney vacation, choosing a moderate resort, or deciding between French Quarter vs Caribbean Beach, this episode will help you book with confidence.

Shared decision-making isn't just a buzzword—it's the key to better adherence, fewer exacerbations, and improved quality of life for your patients. Credit available for this activity expires: [01/30/27] Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/empowering-choices-moderate-severe-asthma-partnering-2026a10001d4?ecd=bdc_podcast_libsyn_mscpedu

74 MinutesPG-13Karl Dahl is an author specializing in the Spanish Civil War and historical "fiction." Morghur lives in Spain and translates writings about the Spanish Civil War that are only available in Spanish.Karl is joined by his compadre Morghur to conclude this chapter in his "Anatomy of a Leftist" Substack series. In part two of this lengthy episode, they complete their discussion of Largo Caballero, who became Prime Minister of Spain three months into the conflict.Now and Then: Anatomy of a Leftist, Part 2Now and then: Women in the Spanish Civil WarFaction: With the CrusadersKarl's SubstackKarl's MerchPete and Thomas777 'At the Movies'Support Pete on His WebsitePete's PatreonPete's SubstackPete's SubscribestarPete's GUMROADPete's VenmoPete's Buy Me a CoffeePete on FacebookPete on TwitterBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-pete-quinones-show--6071361/support.

On this podcast episode, I discuss important practice pearls and important test prep information about statins. Statins are cornerstone agents for ASCVD risk reduction, so test questions often focus on indication, intensity, and monitoring. Health care professionals should quickly identify statin intensity: high-intensity therapy (atorvastatin 40–80 mg, rosuvastatin 20–40 mg) lowers LDL by ~50% and is indicated for patients with clinical ASCVD, LDL ≥190 mg/dL, or high-risk diabetes patients age 40–75. Moderate-intensity statins (e.g., atorvastatin 10–20 mg, simvastatin 20–40 mg) are commonly tested for primary prevention. Statin-associated muscle symptoms range from myalgias (most common, normal CK) to rare but serious rhabdomyolysis (marked CK elevation and AKI). Risk factors include high doses, advanced age, hypothyroidism, drug interactions, and renal impairment. If muscle symptoms occur, stopping the statin, ruling out secondary causes (like hypothyroidism), and rechallenging with a lower dose or different statin is often the correct clinical approach. Drug interactions and statin selection frequently separate good from great test-takers. Lipophilic statins (simvastatin, atorvastatin, lovastatin) are more prone to muscle effects and CYP3A4 interactions, while hydrophilic statins (pravastatin, rosuvastatin) are preferred in patients with prior intolerance or complex drug regimens. Grapefruit juice, strong CYP3A4 inhibitors, and certain calcium channel blockers raise simvastatin levels—often prompting dose limits or avoidance on exams. If LDL goals aren’t met, adding ezetimibe or a PCSK9 inhibitor is the next evidence-based step. 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

A great strong cleansing kind of practice tonight. Lots of leg strength and twists with a deep hip finish. 

70 MinutesPG-13Karl Dahl is an author specializing in the Spanish Civil War and historical "fiction." Morghur lives in Spain and translates writings about the Spanish Civil War that are only available in Spanish.Karl returns and is joined by his compadre Morghur to continue a look into his "Anatomy of a Leftist" Substack series. In part one of this lengthy episode, they discuss Largo Caballero, who became Prime Minister of Spain three months into the conflict.Now and Then: Anatomy of a Leftist, Part 2Now and then: Women in the Spanish Civil WarFaction: With the CrusadersKarl's SubstackKarl's MerchPete and Thomas777 'At the Movies'Support Pete on His WebsitePete's PatreonPete's SubstackPete's SubscribestarPete's GUMROADPete's VenmoPete's Buy Me a CoffeePete on FacebookPete on TwitterBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-pete-quinones-show--6071361/support.

In this episode, Ben Azadi reveals why stubborn belly fat is not a calorie issue or a willpower problem but a visceral fat problem driven by inflammation, stress hormones, and faulty metabolic signals. Ben explains the critical difference between subcutaneous fat and visceral fat and why traditional approaches like excessive cardio, crunches, caloric restriction, and chronic OMAD fail to eliminate deep belly fat. Drawing on over 200 years of Japanese metabolic wisdom, he shares a simple yet powerful three-pillar approach to melting visceral fat naturally: Deeply colored foods that activate fat-burning genes Green tea catechins that increase fat oxidation and block fat absorption Moderate-intensity movement using the 75% talk-test rule You'll also learn: How to identify visceral fat with a simple self-test Why bottled green tea sabotages fat loss Why fat loss is about signals, not discipline How “thin on the outside, fat on the inside” (TOFI) applies to many people How fast visceral fat can drop once the right signals are restored This episode delivers a clear, actionable plan to reduce inflammation, protect metabolism, and restore your body's natural fat-burning ability without starvation or punishment.

As the deadline arrives this week for the credit card industry to implement White House demands to cap credit card interest rates, Gene Marks shares that there is no outline of a plan of how this might be handled. He also says there are mixed reviews as to how this could impact small businesses, especially around cash flow. A report about workplace flexibility shows mothers taking the brunt, but Gene suggests businesses need transparency and to work with employees to find a balance. Also, consumer prices are up 2.7% year over year, but inflation remains moderate. Listen to the podcast. Additional Resources Meet Paychex: https://bit.ly/3VtM6bs 2026 benefit trends: https://bit.ly/benefit-trends-2026  On-demand webinar on top regulatory issues: https://bit.ly/2026-top-regs-webinar Top Regulatory Issues of 2026 article: https://bit.ly/top-regs-2026 No Tax on Tips and OT webinar registration: https://bit.ly/no-tax-on-tips-ot No Tax on Tips article: https://bit.ly/no-tax-tips-ot DISCLAIMER: The information presented in this podcast, and that is further provided by the presenter, should not be considered legal or accounting advice, and should not substitute for legal, accounting, or other professional advice in which the facts and circumstances may warrant. We encourage you to consult legal counsel as it pertains to your own unique situation(s) and/or with any specific legal questions you may have.

Hour 3 of the Chris Hand Show | Thursday 01-22-26See omnystudio.com/listener for privacy information.

Over the last 30 years, the number of Americans who say they highly value patriotism, religion, community, and family has dropped dramatically. At the same time, the number of Americans who care about making more money has gone up. Phil, Kaitlyn, and Skye discuss David Brooks' new article about the culture's shift toward autonomy and away from loving attachments, and how Christians can begin rebuilding their social muscles. Sociologist and former pastor, Ryan Burge, is back to discuss why the political polarization of Christianity is hurting both the church and democracy. Also this week, why small houses are better for your soul, and monkeys are missing in St. Louis—or are they?   Holy Post Plus: Ad-Free Version of this Episode: https://www.patreon.com/posts/148707266/   Bonus Interview with Ryan Burge: https://www.patreon.com/posts/148694023/   0:00 - Show Starts   3:38 - Theme Song   4:45 - Sponsor - Poncho - If you've been looking for the perfect shirt—something breathable, fits great, feels even better, and stands out in a good way—give Poncho a try. Get $10 off your first order by using this link: https://www.ponchooutdoors.com/holypost   5:12 - Sponsor - Tyndale - The Life Application Study Bible is here to give you resources to help you understand why scripture matters and how it applies today! Check it out now at: https://www.tyndale.com/sites/lasb/?utm_campaign=Bibles%20-%20NLT%20Life%20Applicati[…]ource=Holy%20Post%20Podcast&utm_medium=Microsite%20Nov%202025   7:00 - The Monkeys are Loose in St. Louis!   15:24 - David Brooks on Love   38:00 - Are You Socially Muscular?   50:33 - Sponsor - BetterHelp - This episode is sponsored by BetterHelp. Give online therapy a try at https://www.betterhelp.com/HOLYPOST and get 10% off your first month!   51:30 -  Sponsor - PolicyGenius - Secure your family's tomorrow so you have peace of mind today. Go to https://www.policygenius.com/HOLYPOST to find the right life insurance for you   52:34 - Interview   55:34 - Number of Christians Holding Steady   1:00:23 - Do Revivals Need to be Inside the Church?   1:09:38 - What is a Moderate Congregation?   1:17:50 - Evangelicalism Became Fundamentalism   1:24:00 - End Credits   Links Mentioned in News Segment: Monkeys! On the Loose! https://www.nytimes.com/2026/01/10/us/monkeys-loose-st-louis.html   We're Living Through the Great Detachment: https://www.nytimes.com/2026/01/02/opinion/americans-marriage-loneliness-love.html   Elizabeth Oldfield on Social Muscles: https://www.nytimes.com/2025/12/24/opinion/community-housing-friendship.html   Other Resources: The Vanishing Church: How the Hollowing Out of Moderate Congregations Is Hurting Democracy, Faith, and Us (Why the Culture War Led to Polarization and What We Can Do About it) by Ryan Burge: https://amzn.to/4r1rbKL   Holy Post website: https://www.holypost.com/   Holy Post Plus: www.holypost.com/plus   Holy Post Patreon: https://www.patreon.com/holypost   Holy Post Merch Store: https://www.holypost.com/shop   The Holy Post is supported by our listeners. We may earn affiliate commissions through links listed here. As an Amazon Associate, we earn from qualifying purchases.  

A sweet one with a fair amount of back bends aimed at strengthening posture (spine and upper back). 

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Other Episodes You Might Like: Previous Episode - Fix Your Blood Sugar and Reverse Type 2 Diabetes and Prediabetes Next Episode - Are Your Hormones Out of Balance? More Like This: Muscle Mass and Strength Gains After Menopause How Much How Fast? 12 Strength Training Mistakes in Menopause Robbing Your Results Bone Density Updates for Women Over 50 Resources: Track your muscle and body composition with the InBody Smart Scale. Use FLIPPING50 code to get 15% off! Measure at home with the Flipping 50 Fitness Scorecard! We don't need to do VO2 max tests to know how hard to work and if we're improving there are easy tests to give you an idea where you are right now… and give you a suggestion for training to improve. My favorite Blood Glucose Monitor here! Analyze in real-time how your body responds to food, exercise, stress, and sleep. When you improve your muscle quality and quantity blood glucose levels naturally benefit This episode is sponsored by Flipping 50 Menopause Fitness Specialist. Become a health & fitness coach who finally speaks midlife women's language. Learn how to design workouts that balance hormones that actually get results for women in menopause. You don't need the perfect rep range for muscle, strength and bone after 50. You need the right effort, the right frequency, and a plan your joints and schedule can repeat. We're clearing up one of the most persistent myths in menopause fitness: The Rep Range Rulebook for muscle, strength and bone after 50. For decades the “repetition continuum” told us: Heavy = strength Moderate = hypertrophy Light = endurance The problem? The research says it's not that simple—or better said, it's not that limiting, especially when you train close to failure and especially when your recovery and joints matter (hello, menopause). I'm going to walk you through what the studies actually DID—step-by-step—and then we'll translate it into women's rep-range for muscle, strength, and bone density after 50.

A challenging one tonight with a lot of single-leg balance and a fair amount of vinyasa.