Podcasts about modifiable

With it being back to school season, this topic feels especially timely. In this episode, I have the pleasure of speaking with family advocate Tracy Spiaggia, founder of Slingshot Health Coaching, about recognizing high sensitivity in children and how to support sensitive children and their parents.We discuss the core traits of the Highly Sensitive Person (HSP) trait, Tracy's great “power strip” analogy for sensory overload, and why the tripping of the power strip (the stress response) can look different in different children (fight, flight, freeze, or shutdown). We talk about challenges that may point to high sensitivity — school behavior problems, breakfast refusal, perfectionism, somatic complaints — and the practical framework Tracy uses with families to sort the “immovables” in their lives from what can actually be changed.We each share our own experience growing up as highly sensitive children, and how we each began our parenting journey largely unaware of this trait. We address the importance of awareness and self-compassion for parents. And, we close with commenting on the value of identifying and addressing pyrrole disorder- a fairly common biochemical imbalance in those with highly sensitive who are struggling with brain and physical symptoms.Timestamps:0:00 Introduction to high sensitivity and its importance2:04 Recognizing high sensitivity in children and adults3:58 Parental support strategies for sensitive children5:52 Stress response styles and their impact7:56 The physiology of high sensitivity and overstimulation9:59 Creating modifiable environments for thriving12:06 The evolutionary purpose of high sensitivity14:04 Practical tips for supporting sensitive children in school and home15:58 The importance of self-awareness and compassion in parenting18:04 The role of nutrition and physical activity in sensitivity management20:02 Supporting adult highly sensitive persons22:11 The power of community and shared experiences24:04 Overcoming shame and embracing sensitivity as a strength25:59 Practical steps for creating supportive environments28:00 The importance of ongoing learning and adaptation29:53 Closing thoughts and resources for further supportIntroductions (0:00)Dr. Courtney SnyderWelcome to the Holistic Psychiatry Podcast. I'm Dr. Courtney Snyder, a physician and holistic child and adult psychiatrist. In this episode, I have the pleasure of having a conversation with Tracy Spiaggia, who is an experienced health coach who works with families. Using Elaine Aron's term of the highly sensitive person, HSP, Tracy and I will discuss high sensitivity in children. This trait, as Tracy will mention, occurs in about 20% of the population. Tracy and I both consider ourselves to be highly sensitive, so in addition to sharing our professional experience, we'll also share insights from our own childhoods, as well as insights from parenting highly sensitive children. Tracy is currently a candidate for a PhD in what will be Whole Health Leadership. She's a Functional Nutrition and Lifestyle Practitioner, Certified Integrative Attachment Theory Coach, Brain Health Specialist, National Board Certified Health and Wellness Coach, and the author of the book From “Chained to Changed. Break Mental Strongholds and Transform Your Life Through Faith.”CourtneyWe have so many intersections in terms of what we care about and are interested in — nutrition, functional medicine, attachment, families.TracyWhy I hang on every word you put out.CourtneyThank you. Thank you.CourtneyOne of the things that I was thinking about is how much people do to support children that have all these different issues, but there's not a lot of recognition of high sensitivity in children, nor what their unique needs are. They're living in a world that's not designed for high sensitivity. As we talk, we can help raise awareness about what that looks like — how to recognize when a child is highly sensitive, and not in a symptomatic, pathologic frame, but really, that's who they uniquely are. And then we'll move into how to help people make choices to support these children so that they can thrive, and also recognize the situations where they're probably not going to thrive as easily.TracyCorrect. And then how, as a mom and dad, can I modify my expectations on the child and give them a lived experience that best aligns with their sensitive nature — so that they can become who they're supposed to be, not vicariously living through the child, especially if you're a non-sensitive parent.CourtneyWe should talk about both — when the parent is also sensitive, and then when they're not necessarily, ‘cause there's different dynamics that would come up.TracyYes, yes, yes, absolutely. Especially if the sensitive parent never knew — hello, never knew anything about HSP. And so you're raising your children, and then when you come to find out, like, your whole brain just explodes in. And then I just kind of really became a completely different parent, almost on a dime, finding this work. And I felt the most free I've ever felt in my life when I came across the work. So yeah, we'll talk about that too.Growing Up Without an Awareness of the HSP Trait(3:21)CourtneyI know — I think like you, I look back and there's things I would have done differently. Now having a daughter who's twenty-one, certainly learning when I did has helped her, and this information helps her even make her own choices at this point. When I thought about parenting, it also made me think about being a highly sensitive person, and my own experience as a child, because there certainly wasn't language back in the sixties and seventies.TracyHere's a great example. I'm going to make it personal instead of hypothetical. My parents — we came from a household where my dad was a police officer, my mom stayed home, four kids, money was super tight. And so the summer would come, and I now, as a seasoned mother, I can only imagine how she'd be like, almost dreading it — like, “oh my gosh, they're all here.” So we would have to go to swim team ‘cause it was free from the town. We'd have to go to the town pool. We'd have a choice — we weren't asked, “you're going to swim team.” And if my memory serves, it started super early, maybe seven, eight o'clock in the morning. Back then I was just a bag of bones, I was so thin, and that water was freezing. I had no idea why I was so terrified to perform in front of others, but that's part of the HSP. Like I shared earlier — when I came across this work and all of the questions that were asked to see if you fall on the spectrum of HSP, I'm like, yep, yep, yep, yep, yep.But when it was my turn to compete, I would nine out of ten times not show up on my block. I would hide in the bathroom. I'd even get good at climbing up on top of the toilet with the door closed, so if my mom came in — you know, you can't see feet. So I would hear my name being called, like, “McMurray, block three,” and I wouldn't show up the vast majority of the time, because I'd rather the punishment on the back end than have to endure a public display of competing in swim team.So I give that as an example — if a parent were skilled, the first time I don't show up for my competition, there should be some really safe but powerful questions being asked, like, “hey, what's going on for you? I noticed you weren't there, you didn't show up.” Obviously you're not doing that to — the parent should be able to say, “obviously you're not doing that just to irritate me,” but we take it all so personally as exhausted parents. But if they were skilled, they could ask questions, and I'd be able to say to them, “this is really scary for me, I don't want to do this, I don't like getting into the pool at seven in the morning, I'm freezing, I'd be blue, I don't like this, I don't want to do this.” And then they'd say, “my goodness, okay, you don't have to do this anymore, you can come and stay home and we can figure out what you enjoy.” I didn't grow up like that.So that's an example of a rule I made up to the game of life — if something is bringing you to the brink of sheer terror, just don't show up for it, go hide somewhere. That's one example of how I started to cobble together rules of the game of life so that I could survive it.CourtneyAnd that's so interesting, because in my own early life, I think I cobbled the rule of “you just do it no matter what.” That has its own problems, because you don't even become aware — you just persist through what's quite uncomfortable. Whether that's sporting events, public speaking, which for me was a complete nightmare — anticipating, many months in advance, a book report or something like that. And I think, even looking back, I could say, “I had anxiety as a child.” But when you think about high sensitivity, and you think about the context with which one is trying to navigate — which is highly stressful, chronic, and in some cases severe stress — that doesn't have to even be anxiety. It could just be a severely, chronically stressful situation, trying to be in a world of extroverts. In my family I was the youngest of four, and I was the only one that was highly sensitive.It's Not Anxiety. It's Physiology. (7:53)TracyAs you describe that, I don't hear an anxious child. I hear a physiology. I hear the brilliant design of the physical body, that your alert system was working perfectly well — trying to say you're living a life that's antithetical to who you are, but you're kind of being forced along for the ride. If there's a lot of children, those at the tail end just kind of get bolted on, as opposed to being seen — not all the time, but most of the time — because parents are just human beings with finite resources and probably very little skill, and are just trying to seriously survive the day.CourtneyYeah, exactly.TracyTrying to survive the day. So the kids just get bolted on, but it's the meaning that we make out of just being bolted on, or being told what you're doing. And so I don't hear anxiety — I hear a physiology that's working beautifully, because your body continuously alerted you to the reality of having to show up in a world where you're not asked, you're told what you're going to be doing, but it goes against the nature you were given.And this is why — I really do have a moral conundrum with just jumping straight into pharmaceutical prescription, because the body's brilliant. It's not broken. So if we have chronic depressive episodes, if we have peaking anxiety, there's something to hear. There is something to be listened to before we go trying to dull and mute all of those sensory, dashboard-like signals. There's something there. And so I feel like those states have been kind of villainized — “get rid of it at all costs” — where it's like, if we can stay in the uncomfortability while we remain super curious and highly supported, you're going to be able to have that body communicate to you where you're living out of order. Could even be a diet that's out of order. If your relationships are okay, and you scratch your head like, “hmm, I feel great with my family, my parents hear me, they see me, I feel heard and seen, I don't feel judged, I'm doing the things I like, I'm not being forced to do things I don't like” — then it's time to say, okay, maybe there's certain foods that I am or am not eating that the body is trying to alert you to, to give you your best life.CourtneyRight — and it can be an alignment of all of those factors.TracyOf course. And it's like a snowball at the top of a mountain that builds to this ginormous thing by the end, because it just collects and builds momentum as it goes down. That's what I try to help parents see — either for themselves, beginning in childhood, or what's going on for their own child, especially the non-sensitive parent coming in with the sensitive child, saying “I don't know what's wrong with him or her, fix—” And it's like, no, no, no, no. You're the most important person on planet Earth. It's me helping you relate to your child in a way that will turn those signals down, because they finally feel seen, heard, understood, unconditionally accepted. And then you will move to create an environment that lets the body relax.The Traits I Look For — and the Power Strip (11:08)CourtneyYeah. So let's talk about HSP first in adults, and then how that translates to children — because the reality too is that chronic stress in childhood has different implications. The pillars that I think about — and a lot of this is abilities as well as potential liabilities — ability to process a lot of information, being a deep thinker, feeling things deeply, problems with stress tolerance, and then sensory sensitivity, whether that's picking up on the emotions in a room or sensitivity to bright light, loud noises, textures. People don't have to have all of these to fall on the spectrum. Being empathic, tuned into other people's feelings, maybe even being more emotionally reactive.TracyI wonder how you'll feel about the way I try to explain it to the clients I work with, because it is — when you're not interested, you and I could geek out on this for a whole week straight with no naps. But you have to really capture the essence of what we're trying to share with people so it can change the way they live and operate and relate to other people.So the way I offer it in a layperson's framework: I point to a particular outlet on the wall, with one lamp plugged into it. An electrician, when they wire a house, the same number of volts is going to come out of each outlet — the lamp is the only device plugged into that one outlet, drawing its 120 volts, and it lights the lamp, and the lamp is fine. But over here by my desk, there's still only one outlet, but I need many, many things to operate off that 120 volts. So I have a power strip, and in that same 120-volt outlet, I have the power strip with five things plugged in. And it has a mechanism — this is the whole purpose of the power strip — to shut down when I'm trying to draw too much energy out of that same outlet.We have the same thing built into our nervous system. When the world is tugging and pulling at a highly sensitive nervous system — through forced clothing that has seams, a rough turtleneck — I'll talk from personal experience, like being in a wet, sandy bathing suit on a hot beach. I just wanted to be dead. It was so overstimulating for me. I am the power strip, and life is plugging in without my permission — stealing bandwidth, stealing nervous system resiliency from me. So then when I'm left with the last thing to be plugged in, which is like, “hey, come for dinner,” and it's something I don't like — that could trip my whole nervous system. And the uninformed family members: “you're always the problem, it's always you.” And it's like, no, you don't understand all the things that were plugged in before that, stealing all of that nervous system bandwidth from me. This last thing is what you observe, but that was what tripped the nervous system.My stress response style, by nature, is fighter — so that trip will manifest in your preferred stress response style. For me it's combative. For other people it could be complete shutdown, or “I'm getting out of here” and they flee. Other people, they dissociate — they just kind of freeze, they're there but they're not there, nobody's home. That's where that innate preferred stress response style shows up when the power strip trips. And then what we do is we assign — “that's their personality.” And it's not their personality, this is their stress response style. You have to get curious about each person — how much bandwidth do you have before you trip, how much is stealing from you? Some people could wear a wet bathing suit and just lay there, nothing plugged into their strip. Me — “when do we get to go back and take a shower? Please, can I leave?”So that's the analogy I use: examine yourself, then consider your child. Do you believe they're a one-outlet person, where life is good and nothing else is going to get into that outlet? Or are they a power-strip person, where there's all kinds of opportunity to plug into that same voltage, causing that person to go into a sympathetic-dominant state.CourtneyRight, right, right, that's great. Really helpful — you and I are good examples from our own experience, because I was more the shutdown-and-comply kid. So less obvious — I think both are struggling in different ways. Some children it might be more externalized, and others it might not be at all.TracyYeah, and then not at all — unfortunately, parents can easily miss that and say, “you're such a good girl, you're such a good boy.” They're actually in shutdown. They have no voice.CourtneyExactly. Right — or having headaches and stomachaches, somatic-type symptoms.TracyAbsolutely, absolutely. See that all the time — I'm sure you do too.What Families May Notice First (17:16)CourtneySo we should talk about what types of problems people might notice before they actually notice the sensitivity itself — whether that's meltdowns, withdrawing from activities. What would you say are common things families come to you with that relate to this?TracyThe most common would be problematic behaviors in school. Being woken out of a dead sleep, refusing breakfast because you're so high-stress, under-rested — it's almost like a nauseous feeling. So unknowingly, they send their child into an incredibly stressful environment, undernourished, without any nutrition on board to blunt the effects of all that myriad stress — all those plugs going into that power strip. A lot of parents will bring their child in — mothers, let's just say it's almost always moms — “help me, they're not allowing my child to come into the mainstream class.” And I'm like, has anybody, including the school counselor, gotten curious around energy reserves, the status of stress, the nutrition that's on board? If the child is refusing to eat, we need to really look at that, because there is stress that has got to be pruned from this child's life, so their biochemistry normalizes to the degree where they can tolerate a small breakfast to start.That's not normal human behavior, to break your fast upon waking and have a nauseous reaction to food. You have to understand that body is communicating, once again, brilliantly — it's deprioritizing nourishment and digestion and prioritizing stress response. People don't understand that. So I'd say one of the most common is just combativeness or non-compliance in these domains of life, in school, or when I tell them to do such and such at home. And listen — there's going to be some non-pathological defiance. That's normal, progressive development for a child. They test the boundaries, depending on their temperament, because they're always on a trajectory to individuate. Once they get to around eight, nine years old, and that nervous system's cement has kind of cured a little bit, now they're looking out into the world to figure out, “who am I, I want to separate a little bit from this family of origin and figure myself out.” That may look like being difficult or combative, but they're trying to individuate.Sometimes when I hear myself talk, Courtney, I feel badly for the child, but I also feel badly for us parents, because we're calling parents higher and higher to awareness and education when they're so exhausted trying to pay the bills, keeping the lights on, food in the fridge — who lost their job, who's getting a divorce, who has an incurable disease. And at the same time I'm trying to call you higher with your parental skills so you can better attune to your child. I know how that lands on a tired parent, because I was hurt too. But we have to understand that the reason we'd have that type of response to this information is because nobody supported us when we were little. So we just learned “this is life, buck up and deal with it,” and we live from those rules we cobbled together as a kid — “I guess I just have to figure it out on my own.” And a parent, unknowingly, is doing the same thing — telling this struggling little child, “figure it out, man, I'm spent, I'm tired, I can't.”CourtneyI mean, ultimately this should make parents' lives easier if they can understand what the needs are of the child, so there's not meltdowns at school in the cafeteria where it's so loud, or on the school bus — there would be just peace overall for everybody.TracyYou're a hundred percent right, and that is the critical message. If there's any takeaway from this conversation for your listeners, it's — it will get a little worse before it gets better. And that's true with any healing journey. You broke a bone, okay, it's gonna hurt, I have to reset the bone. It gets worse before it gets better. But when you come alongside professionals like you and I, we have a path, a strategy to bring you along — we'll hold you really well during the worse part, but then you will be liberated into not just a future, but potentially a legacy that you can completely change. You can leave this mark as a patient person, a considerate person, a forgiving person, a compassionate person — all of the beautiful traits of the highly sensitive get to just flourish unabated if we create an environment for it.Self-Compassion and the Family Timeline (24:27)CourtneySo it can be meltdowns, or children withdrawing from activities. It could be perfectionism almost, or self-consciousness — being so in tune and observant that they might assume everyone else is as observant, and be highly self-conscious or perfectionistic about themselves or even others. Is that something you see in the families you work with?TracyJust as much. The perfectionism, the overachievement, the over-giving. These kids need to be able to look to us when they're in crisis — “I'm freaking out, but you're steady, you're the rock I can cling to.” So if we freak out when they freak out — and listen, a lot of what I'm sharing are insights after I've made the mistakes. I would give anything to know then what I know now, but I can't go back. So I did a lot of things right, but I did some things not so great. And now I repackage and repurpose the mistakes into something we can offer to the world — “moms, dads, you don't have to make the same mistakes I did, you can learn from me.” And I believe God will honor that, and even allow forgiveness and grace and mercy to flow in my children towards me for the things I didn't do well.CourtneyI think those are really valuable conversations to have — one, for parents to be able to apologize and teach their children the value in that, but also just this own self-compassion, that we're all doing the best we can. And it leads into this idea of — if you're a highly sensitive parent with a highly sensitive child, which would have been my experience — there are a lot of both gifts in terms of recognizing their needs, and also a lot of challenges in terms of not wanting to project too much onto them what their needs might be. I think there were times when my own concern about how the world operates in relation to sensitive people was almost problematic, and other times where I was sort of going along with the culture. I think it can go both ways, and the main thing is just to be conscious of it if you're a sensitive parent.Sort the Immovable From the Modifiable (30:36)CourtneyWhich actually leads us to this idea of what types of choices might parents make that would help support a child who is highly sensitive — whether that's in the home, at school (there's not always a lot of choice in terms of school options), or activities. I think that's worth grappling with — the real practicalities of, within a home, how might things be different if someone's going with the flow versus recognizing, “I have a child that's highly sensitive.”TracyYeah, I think it's important — I don't think we stated it — if there are listeners new to the concept, only about twenty percent of the population is thought to have this trait, and that trait lives on a spectrum. So if you're in the twenty percent, we have to explore how full you are on that spectrum. This journey is very unique and individualized — you have to study each individual child and each parent separately to know exactly what you're working with. I think the next step would be to make a two-column list: these are the immovable, unmodifiable realities in our lives. “This is where we live, we're a two-income household, I'm a single-parent house, I have to go to work, you have to go to public school, I don't have resources otherwise” — okay, that's an immovable reality, put it in that column, because it is what it is, and that doesn't set you up for a worse outcome. We have to start appreciating that none of us are a victim, we're all victors — if we just do the work of taking inventory of the reality of our lives and create a schematic of sorts, we all will be given the same opportunity for thriving and flourishing. Nobody's at some gross disadvantage — I know some people might think I'm talking financially, but I'm really talking about inner resources.CourtneyI was just going to say — even if a child is in a public-school setting, there are still ways to create some downtime in their life, versus going from school to activity to activity to lots of stimulation.TracyA hundred percent. Even within the school experience, you can ask for certain accommodations — and we do this all the time. If you have a profoundly highly sensitive child who's being flooded with fluorescent lights, sitting in hard chairs amongst peers who are loud — if it turns out the mom and dad say, “you know what, I think it'd be really helpful if they could just get a 10-minute snack break, high protein, moderate fat, not sugar,” and maybe 10 minutes with the school counselor to recharge that battery — exactly. So you might have public school as an immovable, but that doesn't mean it's not modifiable. You can still branch it over to the modifiable and figure out what aspects of that day are draining the nervous system resilience and causing chronic stress, and what's modifiable there. Schools have really embraced their role in improving mental health outcomes, by and large. So as long as you advocate for your child in a respectful and reasonable way, there are aspects of this immovable reality that can be modified to give some resilience back to the child. But the most influence is obviously going to come from their home environment and experiences.CourtneyJust thinking through this lens can impact what choices are available to people.TracyPeople by and large have no understanding — again, because they're not interested in this sphere of learning and knowing. They have very little understanding and appreciation of all of the modifiable factors of their daily lives. It's like removing one plug from a really burdened power strip — that's what we try to do, remove some of the plugs we can, proactively, to give some of that bandwidth back to the child. That's what makes this work very customized, very individualized. I do groups — I don't know if you do groups — so it's more affordable and accessible, and I'm saying the same thing to larger groups of people, and they can begin to process the information and create their own customized strategy.CourtneyYeah — and in the groups, they can hear each other, and there's some degree of support, because that's the other huge part — however people can find like-minded people and families, and it sounds like your group is a way to do that.TracyYeah, it normalizes your experience — and don't we all, frankly, want that as adults and parents, but even more so a child wants to be normalized. There's nothing wrong with you that you get really overstimulated on the beach, in the sun, in a wet sandy bathing suit for eight hours straight with very little food. There's nothing wrong with you — there's something profoundly wrong with that experience. So it takes the shame off, and if we can throw off the shame, the body feels liberated to start to migrate its way back to parasympathetic — maybe we can actually take a deep breath, because we're not in imminent danger.It's Not a Flaw — It's a Design (36:34)CourtneyRight. So things like being mindful of downtime, opportunities to be in less stimulating environments. Routine can be important too, as far as anticipating and knowing something's not going to come out of left field and derail things.TracyCritically important, I think.CourtneyAnd I think about it even with this idea of “they're going to have to live in the real world” — many adults wouldn't choose for themselves to be in situations with a lot of people and a lot of loud noise. Working adults are better able to recognize a preference for certain types of work, depending on what's practical for them. But we expect children to do what every other child is doing, and expect them to thrive in that way. Most adults aren't living in “the real world” like that.TracyEspecially today, with remote working, where you could be a grown adult making a wonderful salary right from the comfort of your own living room — at least for my generation, there was obviously no such thing.CourtneyAnd we haven't talked about how many strengths come with this, and how many strengths and abilities can be lost trying to navigate or fit into a world that's largely not built around high sensitivity. As the research shows, this is evolutionarily here for a reason — everyone should want people with high sensitivity to be thriving, and want the children to have the opportunity to thrive.TracyAbsolutely. Another really helpful point for your listeners: when Dr. Aron discovered the trait, researchers have continued to discover it in over 100 species of animals and insects, and that work continues. This is something innate in all creatures, and it's brilliant — not too many of us, but just enough of us to sound the alarm for dangers that the non-sensitive can't see coming. We can see the headlights of the train where these people are oblivious, standing on the tracks. So to live in a world without people with these fine, highly tuned senses to alert the masses — it's kind of like the carbon monoxide detector in a home. You probably don't pay much mind, but let me tell you, when it goes off, it's saving your life. We are the carbon monoxide detectors. We are the ones alerting you long before you're aware there's danger afoot. It's a gorgeous trait — I wouldn't trade it for anything.CourtneyYeah.TracyI really wouldn't. It fills me with so much purpose and passion, and I'm able to move through this world and feel so deeply — really high highs, yes, really low lows, but I feel alive. I don't feel kind of in that middle of “meh.” I'm never meh, that's never me. I think it's a beautiful thing if people can get over the stigma the world would probably want to attach to it.Pyrrole DisorderCourtneyRight, right, right. And I'll just mention too, for people who are highly sensitive and struggling maybe with mental health or physical health issues, in part because of chronic stress — the issue around pyrrole disorder, which is more common in those of us who are highly sensitive, results in specific nutrient imbalances that are not difficult to treat. That doesn't apply to everyone we're talking about, but some people dipping into more severe issues could really benefit from that kind of information.Where to Find Tracy (41:04)TracyMy goodness — to me that's almost the lowest-hanging fruit. That's why I love functional nutrition — trying to repair a familial relationship is hard work, but elevating your zinc and B6 levels, that's pretty low-hanging fruit.CourtneyI know, right, right. Tell everyone how they can find you, the work that you do — do you have an active group right now that you're working with?TracyNo, we'll kick off the next group — I run them in the fall and in the spring, so the next group will kick off, I believe, mid-September. They can find me — my practice is called Slingshot Health Coaching, after the David and Goliath story in scripture. Slingshot Health Coaching on Facebook and Instagram — I'm not a huge social media person, but there's a presence there. Website is just slingshothc.com. Anybody can book a complimentary call to explore — you have to meet the person, make sure the chemistry is good, that I'm actually the right practitioner for you. That's available to anybody, and you can certainly subscribe — I send out a fair amount of content by email, and I run a lot of complimentary studies and things people can do for free, to build community.CourtneyGreat. Thank you so much.I hope you enjoyed our conversation. As always, I welcome your thoughts and questions. Until next time,CourtneyCourtney Snyder MDResources:* Tracy Spiaggia at Slingshot Health Coaching* High Sensitivity Through 3 Lenses (HSP, Pyrrole Disorder & RCCX Theory)→* Elaine Aaron - The Highly Sensitive Person (website)Dr. Courtney Snyder MD is a holistic, functional, and environmental psychiatrist for children and adults. Find her at courtneysnydermd.com and on the Holistic Psychiatry Podcast on all major platforms.Medical Disclaimer: This newsletter is for educational purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis, or treatment. Consult your own physician for any medical issues you may be having. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit courtneysnydermd.substack.com/subscribe

It's our 200th episode of RECESS, and Juliet and I are marking the milestone with laughs, a little blood, and a lot of gratitude. We look back at the last 50 episodes — we runs through the extraordinary lineup of women guests who've joined us, a powerhouse group that deserves more ears, and highlight one of our favorite recent episodes with John John Florence.Then yes, we have to address the incident. On the 4th of July, at the Marin County Fair, I picked up the child's sledgehammer, went a little too hard on the high striker, and the thing bounced back and opened up my head. A surgeon friend materialized to administer three staples and with zero blood on the white shirt, we were on our way back into the fair for fireworks. But it will go down in history as "the year that Kelly sledgehammered his head".From there, we get into the World Cup and give a long-overdue shoutout to the coaches and support staff doing the invisible, exhausting work that makes elite performance possible at that level. We also land on why Haaland wearing his mom's name on his jersey might be the coolest thing happening in sports right now.We just got back from a week on the Klamath River - no cell service, no Wi-Fi, days of being barefoot and sleeping under the stars. We were stoked to run into the Paddle Tribal Waters group on the river - a program reconnecting indigenous youth to their land through whitewater kayaking. Our bodies felt incredible. Our nervous systems got a full reset. We can't recommend fully disconnecting out in nature enough.And finally, we share a note we got from Jason Sacks (CEO of Positive Coaching Alliance, and prior TRS Podcast guest), who emailed us after reading an Ambush newsletter piece we ran on hearing loss and dementia risk — because hearing loss is the single biggest modifiable dementia risk factor. After getting his first hearing aid, Jason is here to say that the stigma around doing something about it needs to go.What You'll Learn in This EpisodeWhy the women guests on RECESS over the last 50 episodes represent some of the most essential health and performance conversations in the feedWhat actually happens when Kelly takes a child's sledgehammer to the head at a county fair — and why zero blood ended up on the white shirtHow elite coaching staffs manage travel, fueling, and real-time decision-making during the World CupWhy Haaland putting his mom's name on his jersey is about more than a jersey — and what mitochondria have to do with athletic potentialWhat the removal of the Klamath River dams has made possible for salmon, ecosystems, and indigenous communitiesHow the Paddle Tribal Waters program is using whitewater kayaking to reconnect lindegenous youth to their riverWhy a week barefoot on uneven terrain, off your phone, and sleeping outside resets your body and nervous system in ways daily training can't replicateWhy hearing loss is the #1 modifiable dementia risk factor — outranking smoking, education, and depression — and how treating it can change everythingKey Highlights: (00:00) Welcome back to RECESS and a milestone: 200 episodes(01:30) Kelly's pick: John John Florence, humility, and what makes a truly extraordinary athlete(02:20) Highlights from the last 50 episodes: the women guest lineup and why it matters that downloads drop when women are featured(04:10) Lisa's pick: Cesalina Gracie, training for Everest, and the unexpected controversy the episode sparked(05:00) The 4th of July high striker incident: one child's sledgehammer, three staples, and a surgeon who showed up to the fair(09:44) Kelly reads the actual text exchange from that night, including Kelly's medical self-assessment: "cut plus"(11:10) World Cup and a shoutout to the coaches and support staff doing the invisible work behind elite performance(14:45) Haaland's jersey, mitochondria inheritance, and why your mom is the reason you can suffer(16:47) Kelly's session with Rich Roll on his new Open Container format and what it looked like to problem-solve in real time with an elite athlete(20:06) The Klamath River: 300 miles of free-flowing water following the largest dam removal project in U.S. history(20:50) Paddle Tribal Waters: indigenous youth returning to the river through whitewater kayaking, two years in the making(22:29) Running into the group at camp, and what it feels like to watch teenagers discover a superpower(25:29) What a week on the river — barefoot, phone-free, sleeping outside — actually does to your body and nervous system(27:08) Bird Club, the initiation ritual, and a golden eagle with a seven-foot wingspan at ten feet off the windshield(29:30) Hearing loss as the #1 modifiable dementia risk, and a follow-up from podcast guest Jason Sacks on his first week with a hearing aid(32:54) Summer to-do list and send-off

Commentary by Dr. Jian'an Wang.

In the latest episode of The Health Literacy 2.0 Podcast, host Seth Serxner welcomes renowned preventive medicine expert Dr. David Katz for a profound discussion on the root causes of chronic disease, the power of nutrition, and the challenge and importance of true health literacy.A trailblazer in public health and nutrition, David has spent over 30 years as an academic physician, researcher, and founding director of Yale's Prevention Research Center. Board-certified in both internal and preventive medicine, he's dedicated his career to translational research - turning what we already know about health into real-world action - and to advancing our understanding of how lifestyle choices, especially diet, account for the vast majority of premature death and chronic disease.Seth Serxner and Dr. David Katz also discuss:Root Causes, Not Just Symptoms: Most chronic diseases can be traced to modifiable behaviors, especially tobacco use, poor diet, and physical inactivity, rather than their presenting medical diagnoses 03:01.Diet as a Leading Killer: Today, poor diet has overtaken tobacco as the number one cause of premature death in the U.S., responsible for over 500,000 deaths annually 10:35.The Misguided System: Our healthcare model is like lining up ambulances below Humpty Dumpty's wall—far too reactive, fixing people after the fall rather than preventing the damage in the first place 08:31.Making Diet Measurement Easy: Dr. David Katz developed Diet ID, a novel, image-based tool that lets anyone quickly and easily assess their diet quality through pattern recognition, making nutritional assessment scalable and user-friendly 16:27.Skill Power Over Willpower: The current food environment works against healthy eating; it's not just about willpower, but about building the skills to navigate an unhealthy culture 21:27.Behavior Change Science: The path to better eating is rooted in proven behavioral strategies, including small, individualized changes and an understanding of emotional and social eating cues 22:08.Diet Quality as a Vital Sign: Just as we routinely track blood pressure, diet quality should be an essential health metric, but the right tools are needed to make it happen 14:28.Consensus Over Confusion: Through the True Health Initiative, Dr. David Katz brings together leading experts across nutrition philosophies to agree on the core fundamentals: real food, mostly plants, and moderation, cutting through the noise of dietary debate 26:33.Health of People and Planet: Individual health cannot be separated from planetary health; the choices we make about food impact not just our own well-being, but the earth itself 31:25.As misinformation spreads and wellness challenges continue to mount, this episode is a call to action: empowering people with real knowledge, practical tools, and a sense of agency to build healthier lives - and a healthier world.Learn About EdLogicsWant to see how EdLogics' gamified platform can boost health literacy, drive engagement in health and wellness programs, and help people live happier, healthier lives?Visit the EdLogics website: www.edlogics.com.Get Seth's BookCheck out The Wellbeing Effect by Seth Serxner.

If your mom was diagnosed with Alzheimer's, you may already be wondering, “Am I next?” But if your dad, husband, brother, or partner is the one you're worried about, this episode is for you too.Amy breaks down the differences in Alzheimer's risk in women and men, including why women carry more modifiable risk factors, why certain risk factors may hit women's cognition harder, and why Alzheimer's may show up in men in ways that can blindside you.What to Listen For[00:00] Why this episode is for women and the men they love [02:00] Why “early is everything” in Alzheimer's prevention [05:00] Why women's Alzheimer's risk is not just about longevity [07:00] The UC San Diego study findings that surprised researchers [10:00] The 13 modifiable dementia risk factors studied [12:00] Who carries more risk factors versus who is more affected by them[15:00] How BMI affects cognitive performance differently in women vs men [18:00] What you need to know about the effects of cholesterol management [22:00] How heart health affects Alzheimer's risk in men[27:00] What behavioral symptoms show up more often in men with Alzheimer'sOver 7.2 million adults in the U.S. have clinical Alzheimer's, and 2 out of 3 are women. But men are not immune, and there are significant differences. Knowing what they are and which modifiable risk factors to pay attention to means more effective prevention as well as treatment. Listen to the full episode, subscribe to Happy and Healthy with Amy, and download Amy's free RESTORED Protocol guide so you can start building an Alzheimer's-resistant brain—one habit at a time.RESOURCES:Book a FREE Discovery Call with AmyDownload After Mom's Alzheimer's Diagnosis: The First 8 Things to Know and learn how to support her with more calm, clarity, and confidence.Download the RESTORED Protocol: Eight Essential Protective Factors to Build an Alzheimer's-Resistant BrainSchedule your Breakthrough Roadmap session with AmyFollow Amy on Instagram @amylangcoaching  and on Facebook @amylangcoachingSubscribe to Amy's YouTube channel @happyandhealthywithamy

HOST: Dr. Daina Parent, ND GUEST: Sarah Thompson, Dpl.OM, L.Ac., CFMP, and Birth Doula Sarah Thompson brings a wealth of knowledge and a unique perspective on preparing for motherhood and maternal care. Host Dr. Daina Parent, ND and Sarah Thompson, Dpl.OM, L.Ac., CFMP, and Birth Doula, engage in an important conversation around the need for improved care for the mother in preconception, fertility and pregnancy. They discuss how whole food nutrition, lifestyle, functional lab testing and interpretation, and collaborative care can significantly improve pregnancy outcomes for mom and baby. Throughout the episode Sarah offers clinical pearls on how to improve diets of pregnant patients and influencing positive lifestyle changes. Sarah Thompson is the author of Functional Maternity - Using Functional Medicine and Nutrition to Improve Pregnancy and Childbirth Outcomes and Beyond Results – A Practitioner's Guidebook to Functional Lab Analysis in Pregnancy. She is a certified functional medicine practitioner, licensed acupuncturist, board-certified herbalist, birth doula, and educator with a passion for pregnancy care. She is a leader in the practice and education of maternity functional medicine. Sarah combines evidence-based research in prenatal and maternity nutrition with functional medicine and nutrition principles. Sarah's clinical experience spans nearly 20 years. Highlights of the episode include: Foods for preconception – antioxidants from colorful whole food fruits and vegetables, omega-3s, and more The Whole Food Matrix – benefits of consuming vitamins, minerals, and phytonutrients in a whole food form Functional approach to interpreting labs during pregnancy   Podcast Summary 2:15 Discovering the passion for functional maternity care 5:32 Inspiring birth stories and navigating fear around childbirth 6:52 Opportunities for growth and improvement in conventional model of pregnancy care 8:06 "Prenatal care is the care of the baby. Maternity care is the care of the mother. We have lost the care of mothers through the care of pregnancy." 9:00 How nutrition and lifestyle affects mother and baby 13:07 Preconception preparation – preparing the body for pregnancy 18:34 Foods for preconception – antioxidants from colorful whole food fruits and vegetables (polyphenols, flavonoids, anthocyanins, and others), omega-3s, and more 22:54 Oxidative Stress Defined 25:22 The Whole Food Matrix – benefits of consuming vitamins, minerals, and phytonutrients in a whole food form 28:09 Managing cravings for unhealthy foods during pregnancy and balancing with nutrient dense foods 30:04 "How do I make what you're doing work better for you?" - individualized nutritional support 33:04 Simple ways to add polyphenols to meals 36:19 Elevating everyday recipes to increase nutrient density and phytonutrient content 39:42 An individualized approach to herbs in pregnancy 42:52 Functional Medicine approach to common issues in pregnancy 49:43 The interconnectedness of systems and functions of the body in pregnancy 50:59 Modifiable lifestyle factors to improve pregnancy complications 53:47 Functional approach to interpreting labs during pregnancy 1:04:00 Collaboration in Care – it takes a village of practitioners working together to deliver holistic pregnancy care 1:06:00 Advice to practitioners and patients: importance of individualized maternal care and focusing on aspects of pregnancy and birth we can control  

In this episode, Danny answers questions submitted by Premium subscribers. Questions Answered in This Episode: [00:05:13] Is eating too early (relative to chronotype) metabolically problematic? [00:16:55] Can plant-based diets reverse cardiovascular disease? [00:32:54] Are multivitamins useful insurance, or a waste with a good diet? [00:44:56] Does coevolution with foods determine human compatibility and benefit? [00:56:25] How should consumers choose supplement formulations and brands? [01:04:46] Folate vs folic acid: differences and best choice for women of childbearing age? [01:12:37] How reliable is omega-3 content in farmed salmon, especially imported frozen salmon? [01:19:18] How accurate are food labels for metabolizable energy and absorption, especially across processing levels? [01:23:58] Protein needs in breastfeeding and general rehabilitation (non-sport injury)? To listen to the full episode, subscribe to Sigma Nutrition Premium. Related Resources Go to episode page (with full resource list) Subscribe to Sigma Nutrition Premium Resources for this episode: Eckel et al., 2015 – Morning Circadian Misalignment during Short Sleep Duration Impacts Insulin Sensitivity Stothard et al., 2020 – Early Morning Food Intake as a Risk Factor for Metabolic Dysregulation Ep. #470: Melatonin, Meal Timing & Glucose Tolerance Ep. #579: Is Your Chronotype Hard-Wired or Modifiable? Article: A Plant Based Diet Reverses Heart Disease: True or False?

In this episode, Sabrina sits down with Dr. Jennifer Ritonja, a scientist in the Department of Population Health Sciences at the BC Cancer and epidemiologist specializing in modifiable risk factors for women's cancers. Together, they explore what life-course research tells us about physical activity, body fatness, vitamin D, and the realistic potential of lifestyle-based prevention for ovarian cancer. Does timing matter? Is being active at one stage of adulthood enough? And how do we distinguish between what's truly modifiable versus what's simply associated? This conversation dives into the science behind prevention — and the methodological challenges of identifying meaningful risk factors across decades of life.

In this episode of Rounding@IOWA, Dr. Gerry Clancy sits down with breast cancer experts Dr. Katherine Huber‑Keener and Dr. Nicole Fleege for a discussion of modifiable and non‑modifiable risk factors, modern screening tools, and practical strategies clinicians can use to guide prevention and early detection. CME Credit Available:  https://uiowa.cloud-cme.com/course/courseoverview?P=0&EID=82146  Host: Gerard Clancy, MD Senior Associate Dean for External Affairs Professor of Psychiatry and Emergency Medicine University of Iowa Carver College of Medicine Guests: Nicole Fleege, MD Clinical Assistant Professor of Internal Medicine-Hematology, Oncology, and Blood and Marrow Transplantation University of Iowa Carver College of Medicine Kathryn Huber-Keener, MD PhD Clinical Associate Professor of Obstetrics and Gynecology - General Obstetrics and Gynecology University of Iowa Carver College of Medicine Financial Disclosures:  Dr. Gerard Clancy, his guests, and Rounding@IOWA planning committee members have disclosed no relevant financial relationships. Nurse: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this activity for a maximum of 0.75 ANCC contact hour. Pharmacist and Pharmacy Tech: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this knowledge-based activity for a maximum of 0.75 ACPE contact hours. Credit will be uploaded to the NABP CPE Monitor within 60 days after the activity completion. Pharmacists must provide their NABP ID and DOB (MMDD) to receive credit. JA0000310-0000-26-035-H99 Physician: The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this enduring material for a maximum of 0.75 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Providers: A certificate of completion will be available after successful completion of the course. (It is the responsibility of licensees to determine if this continuing education activity meets the requirements of their professional licensure board.)      

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Lisa Mosconi is a world-renowned neuroscientist and the director of the Women's Brain Initiative at Weill Cornell Medicine, where she studies how sex differences and hormonal transitions influence brain aging and Alzheimer's disease risk. In this episode, Lisa explores why Alzheimer's disease disproportionately affects women and why longer lifespan alone does not explain their nearly twofold risk compared to men. She explains why Alzheimer's disease may be best understood as a midlife disease for women, beginning decades before symptoms appear, and how menopause represents a fundamental brain event that reshapes brain energy use, structure, and immune signaling. The conversation also examines what advanced brain imaging reveals about preclinical Alzheimer's disease, estrogen receptors in the brain, and why genetic risks such as APOE4 appear to affect women differently from men. Finally, Lisa discusses the nuanced evidence around menopause hormone therapy, the legacy of the WHI, her new CARE Initiative to cut women's Alzheimer's risk in half by 2050, and practical, evidence-based strategies to support brain health through midlife—including lifestyle, sleep, metabolism, mood, and emerging therapies such as GLP-1 agonists and SERMs (selective estrogen receptor modulators). We discuss: How Lisa's personal family history and scientific background led her to focus on the intersection of women's health, brain aging, and Alzheimer's disease (AD) [2:45]; The long preclinical phase of AD and the emotional burden carried by patients before dementia becomes severe [7:15]; How AD compares to other common forms of dementia: prevalence, pathology, symptoms, diagnostic challenges, and more [10:45]; Why AD disproportionately affects women: how AD is not simply a disease of old age or longevity but a midlife disease in which women develop pathology earlier [16:15]; Menopause as a leading explanation for women's increased Alzheimer's risk, and how advanced braining imaging can detect early changes in the brain [26:15]; How a new method for imaging estrogen receptors in the brain is changing how we think about the menopause transition [35:45]; What estrogen receptor imaging can and cannot tell us about hormone therapy's potential impact on brain health [48:45]; Lisa's studies on the relationship between levels of systemic estrogen and density of estrogen receptors in the brain [58:00]; Why blood estrogen levels poorly reflect brain estrogen signaling, and how tightly regulated brain hormone dynamics complicate our understanding of menstrual-cycle and lifestyle effects [1:02:15]; The CARE Initiative: Lisa's research program looking to slash AD rates in women [1:07:45]; The dramatic difference in AD risk between men and women associated with APOE4 [1:10:45]; What the evidence suggests about menopausal hormone therapy (MHT) and AD risk, and why timing, formulation, and uterine status appear to matter [1:12:00]; How the CARE initiative plans to study MHT and AD risk, within the practical constraints of a three-year research window [1:17:30]; How to think about starting hormone therapy during perimenopause: balancing symptom relief, hormonal variability, and individualized care [1:21:00]; Investigating selective estrogen receptor modulators (SERMs) as a targeted approach to brain health during and after menopause [1:25:00]; Why estrogen became wrongly associated with cancer risk and what the evidence actually shows [1:29:30]; Why better biomarkers are central to advancing women's Alzheimer's research [1:38:30]; Modifiable risk factors for dementia, the limitations of risk models, and questionable conclusions drawn from observational data [1:44:15]; GLP-1 agonists and brain health: exploring potential neuroprotective effects of GLP-1 agonists beyond metabolic benefits [1:49:00]; The importance of lifestyle factors in reducing risk of dementia: practical strategies for women to support brain health [1:53:45]; Why long-term, consistent lifestyle habits are essential for building cognitive resilience and protecting brain health over decades [2:01:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

D'après l'initiative SONG PD, la survie technique constitue l'un des 5 facteurs les plus importants à la fois pour les patients et les professionnels de santé.1 Pourtant, une proportion importante des sorties de technique s'effectue dans les premiers mois après le démarrage de la DP et sont liées à des causes dites modifiables.1,2 Alors, quelles sont les principales difficultés rencontrées pour maintenir les patients sur la technique ? Quelles mesures peuvent être mises en place et comment évaluer leur efficience dans la prévention des sorties de technique précoces ?Le Dr François Paquot, néphrologue au CHU de Liège, répond à ces questions et partage son expérience sur le sujet. Invité :Dr François Paquot, néphrologue au CHU de Liège.Le Dr François Paquot déclare ne pas avoir de liens d'intérêt. L'équipe :
Animation :  Pyramidale CommunicationProduction : Pyramidale Communication Crédits : Pyramidale Communication, Sonacom Ce podcast est uniquement destiné à des fins d'information. Si vous souhaitez contacter Baxter pour de plus amples informations ou pour signaler un événement indésirable, veuillez consulter notre site web à l'adresse suivante : https://www.baxter.fr/fr/contact-us Références :1. Manera, K. E., Johnson, D. W., Craig, J. C., Shen, J. I., Gutman, T., Cho, Y., ... & Butt, Z. (2020). Establishing a core outcome set for peritoneal dialysis: report of the SONG-PD (Standardized Outcomes in Nephrology–Peritoneal Dialysis) consensus workshop. American Journal of Kidney Diseases, 75(3), 404-412.2. Bonenkamp, A. A., van Eck van der Sluijs, A., Dekker, F. W., Struijk, D. G., de Fijter, C. W., Vermeeren, Y. M., van Ittersum, F. J., Verhaar, M. C., van Jaarsveld, B. C., & Abrahams, A. C. (2023). Technique failure in peritoneal dialysis: Modifiable causes and patient-specific risk factors. Peritoneal Dialysis International, 43(1), 73-83.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/UAH865. CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE credit will be available until December 13, 2026.Remembering Brain Health: Targeting Modifiable Risk Factors and Early Detection of Cognitive Symptoms to Reduce the Burden of Dementia In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and BrightFocus Foundation. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/UAH865. CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE credit will be available until December 13, 2026.Remembering Brain Health: Targeting Modifiable Risk Factors and Early Detection of Cognitive Symptoms to Reduce the Burden of Dementia In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and BrightFocus Foundation. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/UAH865. CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE credit will be available until December 13, 2026.Remembering Brain Health: Targeting Modifiable Risk Factors and Early Detection of Cognitive Symptoms to Reduce the Burden of Dementia In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and BrightFocus Foundation. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE information, and to apply for credit, please visit us at PeerView.com/UAH865. CME/MOC/NCPD/AAPA/ASWB-ACE/APA/IPCE credit will be available until December 13, 2026.Remembering Brain Health: Targeting Modifiable Risk Factors and Early Detection of Cognitive Symptoms to Reduce the Burden of Dementia In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and BrightFocus Foundation. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

Mel Haberfield and Brooke Patterson are leading sports physiotherapists with expertise at the intersection of elite performance and cutting-edge research. Mel has worked extensively in elite sport across basketball, gymnastics, and the AFL, and is currently completing a PhD focused on knee injuries in athletes. Her work bridges high-performance sport and evidence-based injury prevention and rehabilitation. Brooke is an Australian Research Council Early Career Industry Research Fellow whose research is shaping the future of knee injury and concussion prevention in women's Australian Football. Her PhD examined the long-term impact of ACL reconstruction on young adults, including early osteoarthritis, symptoms, and quality of life. A former elite Australian footballer and semi-professional basketball player, Brooke also brings firsthand experience as an elite-level coach, giving her a unique athlete-to-clinician perspective. In this episode of the How I Rehab podcast, Mel and Brooke share their initial motivation in dedicating their careers to improving female athlete health. As well as discussing: Gender bias in elite sport and actionable changes that are required to improve this moving forward. How clinicians can implement the Prep-to-Play program at a community and sub-elite level. What do women want when it comes to their knee health? What did the FAIR consensus tell us about modifiable risk factors for injury? Key considerations for female athlete rehabilitation post ACL Injury - the 7 key clusters. The TRAIL-W - Knee health, and associations with female-specific health, physical, psychological, and social-gendered factors in women runners.  https://youtu.be/uFnVsz_ezAg Additional References Injury prevention for women and girls playing Australian Football: programme cocreation, dissemination and early adopter coach feedback. What Do Women (With Serious Knee Injury) Want to Know About Knee Health? Identifying Research Priorities with a Consumer Advisory Group Considerations for a women's rehabilitation programme following anterior cruciate ligament reconstruction: a concept mapping approach to enhance women's outcomes. Modifiable risk factors for lower-extremity injury: a systematic review and meta-analysis for the Female, woman and/or girl Athlete Injury prevention (FAIR) consensus Patterson et al (2024). Injury prevention for women and girls playing Australian Football: programme cocreation, dissemination and early adopter coach feedback. Patterson et al (2022). Evaluation of an injury prevention programme (Prep-to-Play) in women and girls playing Australian Football: design of a pragmatic, type III, hybrid implementation-effectiveness, stepped-wedge, cluster RCT. BMJ Open, 12(9), e062483 Prep to Play program resources

Guest: Brian Slomovitz, MD Endometrial cancer is closely tied to modifiable risk factors such as obesity, diabetes, hypertension, and insulin resistance—all components of a chronic inflammatory state that heightens cancer susceptibility. Dr. Brian Slomovitz discusses how lifestyle interventions and emerging therapies may reduce cancer recurrence. He's the Director of Gynecologic Oncology and Co-Chair of the Cancer Research Committee at Mount Sinai Medical Center as well as a Professor of Obstetrics and Gynecology at Florida International University in Miami.

Had the pleasure of having Dr. Nicole Lippman-Barile (@feedyourmental) on to talk about all things mental health and depression. Topics discussed:-What is depression? How do we define it? Does everyone experience the same symptoms?-Does a healthy diet 'cure' depression? What the research says + some common misconceptions-Impacts of exercise on depression and mental health-Modifiable + non-modifiable risk factors as it pertains to developing/working through depression-Challenges people face when dealing with depression and why common messaging online might not be helpful,-A conversation around ADHD and autism + how nutrition might/might not impact it. -Benefits of therapy, when to see a therapist + who might benefit+ so much more in-between.I loved this chat and I know you will too.Where to find Nicole:IG: @feedyourmentalTikTok: @feedyourmentalWhere to find me:IG: @lukesmithrdCheck out my website HERETIA for listening!!

As a nurse practitioner, I feel a deep responsibility to my listeners and community to ensure that every guest I bring on shares accurate, evidence-based information. A few months ago, I decided to remove two podcasts from earlier this year to make way for an expert who could speak specifically and authoritatively on breast cancer health. So, I am honored to welcome Dr. Robin Roth today, better known as The Boobie Docs, on her popular breast health social media platform, where she shares information about breast cancer in a fun and educational way.  Dr. Roth is an associate professor of radiology, specializing in breast and abdominal imaging. She is also the host of The Girlfriend's Guide to Breast Cancer podcast, created to support those navigating a breast cancer diagnosis or caring for a loved one. In our discussion today, we dive into misinformation about breast health and breast imaging. We explore the importance of acknowledging disinformation on social media, risk factors for early breast cancer screening, significant and modifiable risk factors, and the effects of dense breast tissue. We examine breast imaging, exploring ultrasound and mammography, the differences between 2D and 3D mammograms (the gold standard), and when to use MRIs. We clarify why thermography and QT imaging are not the gold standard, and why we need to request different types of imaging modalities. We discuss the importance of screenings, challenges, including diagnoses like DCIS, personalized approaches to breast cancer screening, breast cancer staging, and issues with imaging after mastectomies and with implant placement. Dr. Roth also explains how 80% of breast biopsies end up being benign, how to manage anxiety and callbacks for mammograms, how to understand lab reports in plain language terms, and the benefits of supportive resources like cancerbesties.com. With her expertise and approachable style, Dr. Roth reminds us that proper information can make all the difference when it comes to breast health. You will not want to miss this conversation, especially during Breast Cancer Awareness Month. IN THIS EPISODE, YOU WILL LEARN: How online platforms fuel confusion around breast health and imaging Disinformation may influence breast cancer screening decisions Modifiable factors that can reduce or increase your risk of breast cancer Why dense breast tissue matters for imaging accuracy Ultrasounds, 2D and 3D mammograms, and MRIs  Thermography and QT imaging are not gold standards Why every individual DCIS diagnosis needs a personalized approach Breast cancer staging and how it guides treatment 80% of biopsies are benign, but still essential How to manage anxiety around callbacks and make sense of lab reports Connect with Cynthia Thurlow   Follow on X Instagram LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Robyn Roth On her website Social Media: @the boobie docs Preorder a copy of Everyone Has Boobies

In this episode, we explore the concept of chronotype, which reflects an individual's biological circadian timing and how it manifests in preferred sleep–wake patterns. Understanding chronotype is important because it differs from simple diurnal preference, which may be shaped by lifestyle or psychological factors rather than biology. We examine how chronotype is measured, from gold-standard laboratory methods to validated questionnaires used in field studies. The discussion also highlights the importance of accounting for sleep debt when estimating true biological timing. Finally, we consider the limitations of consumer devices and the practical implications of assessing chronotype in real-world settings. Timestamps [02:02] Understanding chronotypes [06:26] Measuring chronotypes [15:12] Genetic and environmental influences on chronotypes [28:34] Health implications of chronotypes [52:21] Practical applications Related Resources Join the Sigma email newsletter for free Subscribe to Sigma Nutrition Premium Become a member of Alan Flanagan's Alinea Nutrition Education Hub Enroll in the next cohort of our Applied Nutrition Literacy course Related previous episodes: 495, 470, 469

Dr. Kelly Arps, Dr. Naima Maqsood, and Dr. Sahi Allam discuss modifiable risk factors and lifestyle management of atrial fibrillation with Dr. Prash Sanders. Atrial fibrillation is becoming more prevalent across the world as people are living longer with cardiovascular disease. While much of our current focus lies on the pharmacological and procedural management of atrial fibrillation, several studies have shown that targeted reduction of risk factors, such as obesity, sleep apnea, hypertension, and alcohol use, can also significantly reduce atrial fibrillation burden and symptoms. Today, we discuss the data behind lifestyle management and why it is considered the “4th pillar” of atrial fibrillation treatment. We also explore ways to incorporate prevention strategies into our general cardiology and electrophysiology clinics to better serve the growing atrial fibrillation population. Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes.  CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls More people have atrial fibrillation because it is being detected earlier using wearable technology, and patients are living longer with subclinical or clinical cardiovascular disease  There are 3 components of atrial fibrillation: an electrical “trigger” + a susceptible substrate (due to age, sex, genetics) + “perpetuators” that cause the trigger to continue stimulating the substrate (lifestyle risk factors such as obesity, smoking, diabetes, etc.)  Obesity is the highest attributable risk factor for atrial fibrillation. Treating obesity often helps to treat other risk factors, such as hypertension and sleep apnea.  Counseling is patient-dependent. Most patients are unable to make major behavioral changes cold-turkey and will need to make small, incremental changes.  Dr. Sanders' tip: He tells his own patients that “atrial fibrillation is the body's response to stress.” The key to treating atrial fibrillation is to control your underlying stressors - procedures and medications are simply band-aids that do not fix the root of the problem.  Notes Notes drafted by Dr. Allam. 1. How common is atrial fibrillation?  Atrial fibrillation is the most common sustained arrhythmia. Currently, an estimated 50-60 million individuals worldwide are estimated to have atrial fibrillation, or roughly 1 in 4 individuals over the age of 45.1  The rising global prevalence of atrial fibrillation can be attributed to the aging of the population, increased rates of obesity, and greater accumulation of cardiovascular risk factors and survival with clinical cardiovascular disease.2 Atrial fibrillation is also being detected earlier through digital and wearable devices.2  Annually, we spend approximately $5,312 per adult on the management of atrial fibrillation in the United States.3  2. What is the underlying pathophysiology of atrial fibrillation? How do risk factors like sleep apnea or obesity “trigger” atrial fibrillation?  For atrial fibrillation to occur, there is an electrical “trigger”, a susceptible substrate (due to age, sex, genetics), and “perpetuators” that allow the trigger to continue stimulating the substrate.2  90% of electrical “triggers” come from the pulmonary veins  “Perpetuators” influence how the autonomic nervous system interacts with the triggers and substrate to perpetuate atrial fibrillation. Sleep apnea, obesity, and other risk factors are the “perpetuators”  Over time, as atrial fibrillation recurs, the substrate remodels to result in persistent atrial fibrillation.  3. What are some of the risk factors for atrial fibrillation and what are the possible benefits of controlling them? 

Send us a textEpisode Summary: Dr. Eugene Chang talks about the microbiome's role as a vital organ, the impacts of antibiotics and Western diets on microbial health, and strategies for restoring a damaged microbiome through diet and fecal microbial transplants. They delve into microbiome dysbiosis, its links to modern diseases, and Chang's research on personalized microbiome interventions.About the guest: Eugene Chang, MD is a physician-scientist and Professor of Medicine at the University of Chicago, specializing in gastroenterology. His research focuses on the gut microbiome as a vital organ influencing metabolic and immune health.Discussion Points:The gut microbiome is a vital organ, acquired early in life, that supports metabolic and immune functions, but can be disrupted by antibiotics, leading to diseases like C. difficile colitis.Western diets, high in saturated fats and low in fiber, contribute to microbiome dysbiosis, linked to modern conditions like inflammatory bowel diseases, obesity, and allergies.Microbiome health is better assessed by functional markers (e.g., short-chain fatty acid production) than taxonomic diversity, as diversity varies widely among healthy individuals.A patient with severe food intolerance due to antibiotic-induced microbiome damage was treated over 50 weeks with a tailored diet, restoring healthy microbiome function.Different dietary fibers (e.g., beans vs. seaweed) are metabolized at varying rates, affecting gut health; fermented foods like kefir can bypass digestion issues.Diet can rapidly reshape the microbiome within 24-48 hours, but severe dysbiosis may require microbial transplants if key microbes are extinct.Chang's research shows a high-fiber, low-fat diet outperforms fecal microbial transplants in restoring microbiome resilience in mice post-antibiotics.Future microbiome medicine may involve personalized “omni microbial transplants” targeting both small and large intestines for comprehensive restoration.Related episode:M&M 203: Metagenomics, Microbiome Transmission, Gut Microbiome in Health & Disease | Nicola Segata*Not medical advice.Support the showAll episodes, show notes, transcripts, and more at the M&M Substack Affiliates: KetoCitra—Ketone body BHB + potassium, calcium & magnesium, formulated with kidney health in mind. Use code MIND20 for 20% off any subscription (cancel anytime) Lumen device to optimize your metabolism for weight loss or athletic performance. Code MIND for 10% off Readwise: Organize and share what you read. 60 days FREE through link SiPhox Health—Affordable at-home blood testing. Key health markers, visualized & explained. Code TRIKOMES for a 20% discount. MASA Chips—delicious tortilla chips made from organic corn & grass-fed beef tallow. No seed oils or artificial ingredients. Code MIND for 20% off For all the ways you can support my efforts

Commentary by Dr. Jian'an Wang.

Christian ; Follower of GOD Servant of CHRIST        Decorated Combat VeteranCorporate; U.S. Marine Corps Urban Warfare Instrictor;       S.R.T. Commander Active Shooter Response Team Law Enforcement Los Angeles Police (L.A.P.D.) Police Officer / Fugitive RecoveryF.B.I. Instructor N.R.A Instructor Competition Shooter; Multi Time State Rifle Pistol Champion Hunting; Life Long Hunter Proffessional Hunter and Guide Private Security Contractor; Several Agencies,  Current. GOD Provides / JESUS SavesPatreon https://bit.ly/3jcLDuZBecome a supporter of this podcast: https://www.spreaker.com/podcast/gunfighter-life-survival-guns-tactical-hunting--4187306/support.

Can you delay menopause? Yes, in some ways we can. Let's cover what the science says about the Age at Natural Menopause, or ANM.  This matters—a lot—because early menopause has been linked to higher risks of cardiovascular disease, osteoporosis, and even increased all-cause mortality. Delayed menopause is associated with a longer reproductive span and lower risk of diseases of aging.  So, what determines when you hit menopause?  We cover: Modifiable factors of menopause age What can we control and what we can't Research on the Age of Natural Menopause How alcohol intake suprisingly affects your menopause birthdate What is more potent? Genetics or Lifestyle and Diet? Global statistics on menopause age  Surgical menopause   Give thanks to our sponsors: Qualia senolytics and brain supplements. 15% off with code ZORA here. Try BEAM minerals at 20% off with code ZORA here.http://beamminerals.com/ZORA Get Primeadine spermidine by Oxford Healthspan. 15% discount with code ZORA ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠. Get Mitopure Urolithin A by Timeline. 10% discount with code ZORA at https://timeline.com/zora Get Magnesium Breakthrough by Bioptimizers. 10% discount with code HACKMYAGE at https://bioptimizers.com/hackmyage Try OneSkin skincare with code ZORA for 15% off https://shareasale.com/r.cfm?b=2685556&u=4476154&m=102446&urllink=&afftrack= Join ⁠⁠⁠Biohacking Menopause⁠⁠⁠ before May 1, 2025 to win a bottle of Accelerated Health iodine and Essential Amino Acids! 10% off with code ZORA at AcceleratedHealth.com   Join the Hack My Age community on: Facebook Page: ⁠⁠⁠⁠⁠@⁠Hack My Age⁠     Facebook Group: ⁠⁠⁠⁠⁠⁠@⁠Biohacking Menopause⁠⁠⁠⁠⁠⁠ ⁠ Private Women's Only Support Group: https://hackmyage.com/biohacking-menopause-membership/ Instagram: ⁠⁠⁠⁠⁠@⁠HackMyAge⁠    Website: ⁠⁠⁠⁠⁠⁠HackMyAge.com⁠   

Send us a textIn this conversation we talk with Dr. Vivian Asamoah, MD, FACG, IFMCP, a gastroenterologist with a passion for integrative and functional medicine. Dr. Asamoah is the founder and CEO of Houston Gastro Institute in Katy, Texas. She discusses the importance of nutrition in patient care, the role of modifiable risk factors in cancer prevention, and the various screening methods available for colon cancer. Dr. Asamoah blends conventional and integrative medicine in her practice.Collaboration between dietitians and physicians is crucial for patient care.Modifiable risk factors significantly impact colon cancer rates.Alcohol consumption is often overlooked in cancer prevention discussions.Increasing fiber intake is vital for gut health.Screening methods for colon cancer include blood tests and colonoscopies.Colonoscopy is a preventative measure for detecting precancerous polyps.Patient education on nutrition is essential for long-term health. Colonoscopy frequency should be based on individual patient needs.There are a few options with prep methods that can ease patient discomfort.Nutrition plays a crucial role in reducing colon cancer risk.Diversifying fruits and vegetables can enhance health benefits.Group nutrition programs can improve patient outcomes.Early screening can significantly reduce colon cancer mortality.Colon cancer is increasingly affecting younger individuals.You can find out more about Dr. Asamoah and Houston Gastro Institute here: https://www.houstongastroinstitute.comDr. Asamoah is on Instagram at: @drvivianasamoah0:00- Introduction to Dr. Vivian Asamoah01:51- The Journey to Gastroenterology04:06- Daily Life of a Gastroenterologist06:10- Research Interests and Innovations08:08- Integrating Nutrition in Gastroenterology11:55- Understanding Colon Cancer Trends16:07- Colon Cancer Prevention Strategies18:00- Screening Methods for Colon Cancer20:49- Addressing Concerns About Colonoscopies24:12- Understanding Colonoscopy and Patient Care28:36- Innovative Approaches to Colon Preparation31:27- Nutrition's Role in Colon Cancer Prevention34:23- Collaborative Care: Integrating Dietitians in GI Practice40:30- The Importance of Early Screening for Colon CancerWant to work with The Crohn's and Colitis Dietitians but have questions?Book a call - http://bit.ly/4anBnGqMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/the-lakes/bluebirdLicense code: FTTITUEPIFFollow us on instagram @crohns_and_colitis_dietitiansFollow us on youtube @thecrohnscolitisdietitiansWe love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to you tube and telling others about us (your doctors, friends, family, forums/reddit etc). Can you do this for us? In return, I promise to continually level up what we do here.

Sleep is increasingly being recognized as important in human maladies. Charlene Gamaldo, a sleep expert at Johns Hopkins, says sleep quality is important in both management and prevention strategies. Gamaldo: How is sleep potentially impacting the management and the progression … Increasingly sleep is recognized as a modifiable risk factor for disease, Elizabeth Tracey reports Read More »

Many of us are lucky to grow older, and in Europe there is an aging demographic. With this come the diseases of aging such as dementia. For a long time people have thought this inevitable but we will learn today that, as with so many diseases, lifestyle changes from a young age can counteract this, to reduce the risk of getting dementia and also stabilising mental decline. In 2021, 20.8% of the EU population was aged 65 years or older. In 2019, an Alzheimer Europe report on the prevalence of dementia estimated that there were about 9 million people living with the disease in Europe. This number is projected to double by 2050, rising towards 19 million in the European region. Globally, there are around 55 million people worldwide who are living with dementia. However, research is now showing that up to 45% of dementias could be prevented: by addressing a range of modifiable risk factors, at different stages of our lives. My guests today are: Dr. Ange Bradshaw: Director for Research at Alzheimer's Europe Dr. Joëlle Fritz: Research and Strategy Specialist, Luxembourg Institute of Health Dr. Francesca Mangialasche: Geriatrician, Division of Clinical Geriatrics: Alzheimer Research Center Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Executive Director of the World-Wide FINGERS Global Scientific Coordinating Center at the FINGERS Brain Health Institute Hassan Fadli: Founder, 5 Ironmans Beat Alzheimer's Association The 2024 World Alzheimer's report noted that 80% of people think dementia is a normal part of ageing, and 65% of healthcare professionals. Only 2% of the population are affected by rare genetic factors but for most of us this is not the case. ‘Modifiable risk factors' can be replaced to deter and stall dementia. Francesca Mangialasce is based at the Karolinska Institute in Sweden, and also works as executive director of the ‘FINGERS' Brain Health Institute, founded by Professor Mija Kivipelto, a world renowned researcher in the field of Alzheimer's disease and Dementia. FBHI is dedicated to promoting healthy brain aging and preventing cognitive impairment and dementia through innovative multi-domain clinical research and the fast translation of these results into personalised clinical practice. Brain is our main capital, and there is so much we can do to promote brain health. Studies have show that cardiovascular and metabolic disorders such as high blood pressure, high blood cholesterol, high blood sugar or diabetes are risk factors for dementia. There are many other emerging factors such as hearing impairment, vision loss, impaired oral health.  Being mentally, physically and socially active during life is important to reduce the risk of memory problems in old age. Secondary and tertiary prevention is also really important, even at the later stages of disease with therapies including art, dance and cognitive stimulation therapy .  The FINGER study across 70 countries shows that a multi-domain approach can benefit cognition:exercise, healthy diet, cognitive training, good control of metabolic/vascular disorders, and social stimulation. Stigma Hassan Fadli's father faced stigma in the village he lived all his life. This stigma deepens the pain of the suffering, knowing you are losing ‘yourself'. It is also a burden for the caregivers at a time when family and friends need the most help to support their loved one.   Hassan promised his father to work towards breaking this stigma and founded the 5 Ironmans initiative. Hassan has also made a documentary of his advocacy work alongside the endurance sport to reach people from children in schools across Europe to the Queen of Sweden.  His aim is to bring brain health into normal conversation, break the stigma, and integrate brain health awareness into public discourse.  Luxembourg support Joëlle Fritz is working  as Research and Strategy Specialist at the Luxembourg Institute of Health where she aims to bridge research to clinical care. "Programme démence prevention" (pdp) is a programme raising awareness on modifiable risk factors for dementia prevention and promotes life style changes. PDP is an integrated prevention concept funded by Luxembourg's Ministry of Health and Social Security. PDP is currently coordinated by the Centre Hospitalier  de Luxembourg in collaboration with national institutions (Luxembourg Institute of Health and Luxembourg Centre for System's Biomedicine at the University of Luxembourg) and partner associations (listed below). It is important to start as early as possible in the prevention of dementia, and so the PDP Braincoach app was created, accessible via browser to everyone also outside Luxembourg: www.pdp-app.lu Associations related in Luxembourg: L'Association nationale des diététiciens du Luxembourg: www.andl.lu ZithaAktiv: www.zithaaktiv.lu   Club Seniors of HELP asbl: www.help.lu Club Senior “Schwaarze Wee” Dudelange:   www.schwaarzewee.lu Lëtzebuerger Verein fir Gediechtnistraining: www.lvgt.lu NEUROvitalis home and digital Info-Zenter Demenz:   www.demenz.lu Association Luxembourg Alzheimer (ala) : www.ala.lu  Longevity with health  The results are clear, for dementia and living a long life with good health: we need to put in place good habits of physical, social and mental health.  Links to the notes above: https://www.5ironmansbeatalzheimer.com www.pdp.lu https://www.alzheimer-europe.org https://fbhi.se/sv/ https://www.linkedin.com/company/fingers-brain-health-institute/ https://www.linkedin.com/in/miia-kivipelto-8a8b1b3b/ https://www.chl.lu/fr https://m3s.gouvernement.lu/en.html https://www.uni.lu/lcsb-en/ https://ki.se/en

Many of us are lucky to grow older, and in Europe there is an aging demographic. With this come the diseases of aging such as dementia and a burden on family and society for care. For a long time people have thought this inevitable but we will learn today that, as with so many diseases, lifestyle changes from a young age can counteract this, to reduce the risk of getting dementia and also stabilising mental decline. In 2021, 20.8% of the EU population was aged 65 years or older. In 2019, an Alzheimer Europe report on the prevalence of dementia estimated that there were about 9 million people living with the disease in Europe. This number is projected to double by 2050, rising towards 19 million in the European region. Globally, there are around 55 million people worldwide who are living with dementia. However, research is now showing that up to 45% of dementias could be prevented: by addressing a range of modifiable risk factors, at different stages of our lives. My guests today are: Dr. Ange Bradshaw: Director for Research at Alzheimer's Europe Dr. Joëlle Fritz: Research and Strategy Specialist, Luxembourg Institute of Health Dr. Francesca Mangialasche: Geriatrician, Division of Clinical Geriatrics: Alzheimer Research Center Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Executive Director of the World-Wide FINGERS Global Scientific Coordinating Center at the FINGERS Brain Health Institute Hassan Fadli: Founder, 5 Ironmans Beat Alzheimer's Association The 2024 World Alzheimer's report noted that 80% of people think dementia is a normal part of ageing, and 65% of healthcare professionals. Only 2% of the population are affected by rare genetic factors but for most of us this is not the case. ‘Modifiable risk factors' can be replaced to deter and stall dementia. Francesca Mangialasce is based at the Karolinska Institute in Sweden, and also works as executive director of the ‘FINGERS' Brain Health Institute, founded by Professor Mija Kivipelto, a world renowned researcher in the field of Alzheimer's disease and Dementia. FBHI is dedicated to promoting healthy brain aging and preventing cognitive impairment and dementia through innovative multi-domain clinical research and the fast translation of these results into personalised clinical practice. Brain is our main capital, and there is so much we can do to promote brain health. Studies have show that cardiovascular and metabolic disorders such as high blood pressure, high blood cholesterol, high blood sugar or diabetes are risk factors for dementia. There are many other emerging factors such as hearing impairment, vision loss, impaired oral health.  Being mentally, physically and socially active during life is important to reduce the risk of memory problems in old age. Secondary and tertiary prevention is also really important, even at the later stages of disease with therapies including art, dance and cognitive stimulation therapy .  The FINGER study across 70 countries shows that a multi-domain approach can benefit cognition:exercise, healthy diet, cognitive training, good control of metabolic/vascular disorders, and social stimulation. Stigma Hassan Fadli's father faced stigma in the village he lived all his life. This stigma deepens the pain of the suffering, knowing you are losing ‘yourself'. It is also a burden for the caregivers at a time when family and friends need the most help to support their loved one.   Hassan promised his father to work towards breaking this stigma and founded the 5 Ironmans initiative. Hassan has also made a documentary of his advocacy work alongside the endurance sport to reach people from children in schools across Europe to the Queen of Sweden.  His aim is to bring brain health into normal conversation, break the stigma, and integrate brain health awareness into public discourse.  Luxembourg support Joëlle Fritz is working  as Research and Strategy Specialist at the Luxembourg Institute of Health where she aims to bridge research to clinical care. "Programme démence prevention" (pdp) is a programme raising awareness on modifiable risk factors for dementia prevention and promotes life style changes. PDP is an integrated prevention concept funded by Luxembourg's Ministry of Health and Social Security. PDP is currently coordinated by the Centre Hospitalier  de Luxembourg in collaboration with national institutions (Luxembourg Institute of Health and Luxembourg Centre for System's Biomedicine at the University of Luxembourg) and partner associations (listed below). It is important to start as early as possible in the prevention of dementia, and so the PDP Braincoach app was created, accessible via browser to everyone also outside Luxembourg: www.pdp-app.lu Associations related in Luxembourg: L'Association nationale des diététiciens du Luxembourg: www.andl.lu ZithaAktiv: www.zithaaktiv.lu   Club Seniors of HELP asbl: www.help.lu Club Senior “Schwaarze Wee” Dudelange:   www.schwaarzewee.lu Lëtzebuerger Verein fir Gediechtnistraining: www.lvgt.lu NEUROvitalis home and digital Info-Zenter Demenz:   www.demenz.lu Association Luxembourg Alzheimer (ala) : www.ala.lu  Longevity with health  The results are clear, for dementia and living a long life with good health: we need to put in place good habits of physical, social and mental health.  Links to the notes above: https://www.5ironmansbeatalzheimer.com www.pdp.lu https://www.alzheimer-europe.org https://fbhi.se/sv/ https://www.linkedin.com/company/fingers-brain-health-institute/ https://www.linkedin.com/in/miia-kivipelto-8a8b1b3b/ https://www.chl.lu/fr https://m3s.gouvernement.lu/en.html https://www.uni.lu/lcsb-en/ https://ki.se/en

The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts:  Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan. Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan Learning Objectives -  Review the definition and prevalence of burnout - Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout  - Review the effects of burnout on trainees and attending surgeons References 1.    Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/ 2.    Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057. https://pubmed.ncbi.nlm.nih.gov/39233022/ 3.    Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence and risk factors for burnout in U.S. vascular surgery trainees. J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476.  https://pubmed.ncbi.nlm.nih.gov/34298120/ 4.    Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg. 2019 Sep;70(3):913-920.e2. doi: 10.1016/j.jvs.2018.11.026.  https://pubmed.ncbi.nlm.nih.gov/31279532/ 5.    Pillado E, Li RD, Chia MC, Eng JS, DiLosa K, Grafmuller L, Conway A, Escobar GA, Shaw P, Sheahan MG 3rd, Bilimoria KY, Hu YY, Coleman DM. Reported pain at work is a risk factor for vascular surgery trainee burnout. J Vasc Surg. 2024 May;79(5):1217-1223. doi: 10.1016/j.jvs.2024.01.003.  https://pubmed.ncbi.nlm.nih.gov/38215953/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Episode 183: Colorectal Cancer in Young AdultsFuture Dr. Avila and Dr. Arreaza present evidence-based information about the screening and diagnosis of colorectal cancer and explain the increasing incidence among young adult and the importance to screen early in high risk groups.  Written by Jessica Avila, MS4, American University of the Caribbean School of Medicine. Edits and comments 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.IntroductionJessica: Although traditionally considered a disease only affecting older adults, colorectal cancer (CRC) has increasingly impacted younger adults (defined as those under 50) at an alarming rate. According to the American Cancer Society, CRC is now the leading cause of cancer-related death in men under 50 and the second leading cause in women under 50 (American Cancer Society, 2024). Arreaza: Why were you motivated to talk about CRC in younger patients?Jessica: Because despite advancements in early detection and treatment, younger patients are often diagnosed at later stages, resulting in poorer outcomes. We will discuss possible causes, risk factors, common symptoms, and why early screening and prevention are important. Arreaza: This will be a good reminder for everyone to screen for colorectal cancer because 1 out of every 5 cases of colorectal cancer occur in adults between the ages of 20 and 54. The Case of Chadwick BosemanJessica: Many people know Chadwick Boseman from his role as T'Challa in Black Panther. His story highlights the worrying trend of increasing CRC in young adults. He was diagnosed with stage III colorectal cancer at age 39. This diagnosis was not widely known until he passed away at 43. His case shows how silent and aggressive young-onset CRC can be. Like many young adults with CRC, his symptoms may have been missed or thought to be less serious issues. His death drew widespread attention to the rising burden of CRC among young adults and emphasized the critical need for increased awareness and early screening efforts.Arreaza: Black Panther became a hero not only in the movie, but also in real life, because he raised awareness of the problem in young AND in Black adults. EpidemiologyJessica: While rates of CRC in older populations have decreased since the 1990s, adults under 50 have seen an increase in CRC rates of nearly 50%. (Siegel et al., 2023). Currently, one in five new CRC diagnoses occurs in individuals younger than 55 (American Cancer Society, 2024).Arreaza: What did you learn about the incidence by ethnic groups? Are there any trends? Jessica: Yes, certain ethnic groups are shown to have higher rates of CRC. Black Americans, Native Americans, and Alaskan Natives have the highest incidence and mortality rates from CRC (American Cancer Society, 2024). Black Americans have a 20% higher incidence and a 40% higher mortality rate from CRC compared to White Americans, primarily due to disparities in access to screening, healthcare resources, and early diagnosis. Hispanic and Asian American populations are also experiencing increasing CRC rates, though to a lesser extent.Arreaza: It is important to highlight that Black Americans have the highest rate of both diagnoses and deaths of all groups in the United States. Who gets colorectal cancer?Risk FactorsJessica: Anyone can get colorectal cancer, but some are at higher risk. In most cases, environmental and lifestyle factors are to blame, but early-onset CRC are linked to hereditary conditions. Arreaza: There is so much to learn about colorectal cancer risk factors. Tell us more.Jessica: The following are key risk factors:Modifiable risk factors:Diet and processed foods: A diet high in processed meats, red meat, refined sugars, and low fiber is strongly associated with an increased risk of CRC. Fiber is essential for gut health, and its deficiency has been linked to increased colorectal cancer risk (Dekker et al., 2023).Obesity and sedentary lifestyle: Obesity and physical inactivity contribute to CRC risk by promoting chronic inflammation, insulin resistance, and metabolic disturbances that promote tumor growth (Stoffel & Murphy, 2023).Gut microbiome imbalance: Disruptions in gut microbiota, especially an overgrowth of Fusobacterium nucleatum, have been noted in CRC pathogenesis, potentially causing tumor development and progression (Brennan & Garrett, 2023).Arreaza: As a recap, processed foods, obesity, sedentarism, and gut microbiome. We also have to mention smoking and high alcohol consumption as major risks factors, but the strongest risk factor is a family history of the disease.Non-modifiable risk factors:Genetic predisposition: Although only 20% of early-onset CRC cases are linked to hereditary syndromes such as Lynch syndrome and familial adenomatous polyposis (FAP), individuals with a first-degree relative with CRC are at a significantly higher risk and should undergo earlier and more frequent screening (Stoffel & Murphy, 2023).Arreaza: Also, there is a difference in incidence per gender assigned at birth, which is also not modifiable. The rate in the US was 33% higher in men (41.5 per 100,000) than in women (31.2 per 100,000) during 2015-2019. So, if you are a man, your risk for CRC is slightly higher. Protective factors, according to the ACS, are physical activity (no specification about how much and how often) and dairy consumption (400g/day). Jessica, let's talk about how colon cancer presents in our younger patients.Clinical Presentation and Challenges in DiagnosisJessica: Young-onset CRC is often diagnosed at advanced stages due to delayed recognition of symptoms. Common symptoms include:Rectal bleeding (often mistaken for hemorrhoids)Young individuals may ignore it, believe they do not have time to address it, or lack insurance to cover a comprehensive evaluation.Unexplained weight lossFatigue or weaknessChanges in bowel habits (persistent diarrhea or constipation)This may also be rationalized by dietary habits.Abdominal pain or bloatingIron deficiency anemia.Arreaza: All those symptoms can also be explained by benign conditions, and colorectal cancer can often be present without clear symptoms in its early stages. Jessica: Yes, in young adults, symptoms may be dismissed by healthcare providers as benign conditions such as irritable bowel syndrome (IBS), hemorrhoids, or dietary intolerance, leading to significant diagnostic delays. Arreaza: We must keep a low threshold for ordering a colonoscopy, especially in patients with the risks we mentioned previously. Jessica: We may also be concerned about the risk/benefit of colonoscopy or diagnostic methods in younger adults, given the traditional low likelihood of CRC. Approximately 58% of young CRC patients are diagnosed at stage III or IV, compared to 43% of older adults (American Gastroenterological Association, 2024). Early recognition and prompt evaluation of persistent symptoms are crucial for improving outcomes. Empowering and informing young adults about concerning symptoms is the first step in better recognition and better outcomes for these individuals.Arreaza: This is when the word “follow up” becomes relevant. I recommend you leave the door open for patients to return if their common symptoms worsen or persist. Let's talk about screening. Screening and PreventionJessica: Due to the trend of CRC being identified in younger populations, the U.S. Preventive Services Task Force (USPSTF) lowered the recommended screening age for CRC from 50 to 45 in 2021 (USPSTF, 2021). Off the record, some Gastroenterologists also foresee the USPSTF lowering the age to 40. Arreaza: That is correct, it seems like everyone agrees now that the age to start screening for average-risk adults is 45. It took a while until everyone came to an agreement, but since 2017, the US Multi-Society Task Force had recommended screening at age 45, the American Cancer Society recommended the same age (45) in 2018, and the USPSTF recommended the same age in 2021. This podcast is a reminder that the age of onset has been decreased from 50 to 45, for average-risk patients, according to major medical associations.Jessica: For individuals with additional risk factors, including a family history of CRC or chronic gastrointestinal symptoms, screening starts at age 40 or 10 years before the diagnosis of colon cancer in a first-degree relative. Dr. Arreaza, who has the lowest and the highest rate of screening for CRC in the US? Arreaza: The best rate is in Massachusetts (70%) and the lowest is California (53%). Let's review how to screen:Jessica: Recommended Screening Methods:Colonoscopy: Considered the gold standard for CRC detection and prevention, colonoscopy allows for identifying and removing precancerous polyps.Fecal Immunochemical Test (FIT): A non-invasive stool test that detects hidden blood, recommended annually.Stool DNA Testing (e.g., Cologuard): This test detects genetic mutations associated with CRC and is recommended every three years.Arreaza: Computed tomographic colonography (CTC) is another option, it is less common because it is not covered by all insurance plans, it examines the whole colon, it is quick, with no complications. Conclusion:Colorectal cancer is rapidly emerging as a serious health threat for young adults. The increase in cases over the past three decades highlights the urgent need for increased awareness, early symptom detection, and proactive screening. While healthcare providers must weigh the risk/benefit of testing for CRC in younger adults, patients must also be equipped with knowledge of concerning signs so that they may also advocate for themselves. Early detection remains the most effective tool in preventing and treating CRC, emphasizing the importance of screening and risk factor modification.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:American Cancer Society. (2024). Colorectal Cancer Statistics, 2024. Retrieved fromhttps://www.cancer.orgAmerican Gastroenterological Association. (2024). Delays in Diagnosis of Young-Onset Colorectal Cancer: A Systemic Issue. Gastroenterology Today.Brennan, C. A., & Garrett, W. S. (2023). Gut Microbiota and Colorectal Cancer: Advances and Future Directions. Gastroenterology.Dekker, E., et al. (2023). Colorectal Cancer in Adolescents and Young Adults: A Growing Concern. The Lancet Gastroenterology & Hepatology.Siegel, R. L., et al. (2023). Colorectal Cancer Statistics, 2023. CA: A Cancer Journal for Clinicians.Stoffel, E. M., & Murphy, C. C. (2023). Genetic and Environmental Risk Factors in Young-Onset Colorectal Cancer. JAMA Oncology.U.S. Preventive Services Task Force. (2021). Colorectal Cancer Screening Guidelines.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.

durée : 00:20:50 - L'invité de 8h20 : le grand entretien - par : Nicolas Demorand, Léa Salamé - À 8h20, Marc Fesneau, président du groupe Les Démocrates à l'Assemblée nationale est l'invité du Grand Entretien de Nicolas Demorand et Lea Salame. - invités : Marc Fesneau - Marc Fesneau : Député du Loir-et-Cher et président du groupe Les Démocrates (MoDem) à l'Assemblée nationale

durée : 00:20:50 - L'invité de 8h20 : le grand entretien - par : Nicolas Demorand, Léa Salamé - À 8h20, Marc Fesneau, président du groupe Les Démocrates à l'Assemblée nationale est l'invité du Grand Entretien de Nicolas Demorand et Lea Salame. - invités : Marc Fesneau - Marc Fesneau : Député du Loir-et-Cher et président du groupe Les Démocrates (MoDem) à l'Assemblée nationale

My guest today is Dr. Kristen Lyall, ScD. Dr. Lyall received a Doctor of Science in Epidemiology from Harvard School of Public Health. During her postdoctoral training, she received training in Nutrient Science at Harvard and Pediatric Epidemiology at UC-Davis MIND Institute's Autism Research Training Program. Currently, Dr. Lyall is an Associate Professor at Drexel University's A.J. Drexel Autism Institute – Modifiable Risk Factors Program.The overarching goal of the Modifiable Risk Factors program is to identify factors that can be changed to prevent or mitigate the adverse effects associated with Autism, thereby potentially improving outcomes for individuals and informing public health policy and practice. Dr. Lyall's expertise provides actionable tools for listeners to understand the environmental risks of Autism. By the end of the episode, we hope you gain insight into the identified modifiable risk factors for Autism.Dr. Kristen Lyall: https://drexel.edu/autisminstitute/about/our-team/all-staff/Kristen-Lyall/Dr. Lyall publications link: https://pubmed.ncbi.nlm.nih.gov/?term=Kristen%20Lyall&sort=pubdateECHO: https://echochildren.orgFish not Supplements: https://echochildren.org/research-summaries/fish-but-not-supplements-consumed-in-pregnancy-associated-with-lower-rates-of-autism-diagnosis-and-related-traits-echo-cohort-study-finds/Other Resources:Biological Energy: Quantum Mechanisms, Water, DHA, and NF-kB (Autism is a loss of energy- electrons, photons, protons)https://youtu.be/2-IA_gunXbw0:00 Dr. Kristen Lyall2:30 Her Journey into Epidemiology & Autism7:50 The Role of Epidemiology & Autism12:15 Modifiable Risk Factors17:32 Dietary Influences on Autism Risk; Eat more FISH (DHA!)22:53 Assessing Exposure & Risk Factors32:35 Immune & Hormonal Factors in Autism; Cytokines & Inflammation39:17 The Impact of Acute Events during Pregnancy44:45 Air Pollution & its Effects in Neurodevelopment; Oxidative Stress48:14 Current & Future Research; ECHO & EARLI56:34 Reviews/Ratings, Contact InfoX: https://x.com/rps47586YouTube: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAHopp: https://www.hopp.bio/fromthespectrumemail: info.fromthespectrum@gmail.com

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Lab Coat," where we break down complex medical science in an engaging and relatable way. In today's episode, our hosts, Dr. Mark Bonta and Dr. Zachary Laksman, dive deep into the nuances of managing atrial fibrillation (AFib). We'll dissect the foundation and challenges of current treatment guidelines, explore the growing role of atrial fibrillation ablation, and discuss the fascinating phenomenon of "Holiday Heart."Dr. Laksman will also share insights from his cutting-edge work at the intersection of genetics and personalized medicine, including the innovative MyTrials AI platform he's co-founded. This tool aims to democratize access to clinical trials using artificial intelligence, making them accessible irrespective of personal networks. We'll cover the emerging potential of wearables in heart rhythm monitoring, the importance of lifestyle interventions, and the evolving landscape of AFib treatment.Whether you're a medical professional or simply curious about heart health, this episode offers valuable perspectives and practical advice. Stay tuned as we unravel these topics and more with the expertise of Dr. Zachary Laksman, an acclaimed heart rhythm specialist and leader in cardiogenetics. Don't forget to check out our new website and engage with us for more insightful content. Let's get started!00:00 - Seek professional advice, not podcast opinions.05:50 - Wearable devices: Reliable, clinically relevant, widely used.08:50 - Heart doctor: Electrician managing heart's nerve impulses.12:50 - Atrial fibrillation increases stroke risk despite rhythm.14:19 - Smartwatch inconsistencies in detecting atrial fibrillation.19:33 - Rhythm control improves life quality and longevity.20:17 - Modifiable and unmodifiable risk factors affect atrial fibrillation.25:56 - Researching interventions for high-risk patient outcomes.28:24 - Lifestyle changes reduce recurrent atrial fibrillation likelihood.31:10 - Shock hearts carefully; consider anticoagulants beforehand.33:52 - Are guidelines fear-mongering or evidence-based?37:55 - Electrophysiology advances improve atrial fibrillation ablation.41:54 - Tailoring medicine to individuals for better outcomes.46:02 - AI aids connection, education, breaking trial barriers.48:43 - Helping people navigate medical concerns and care.53:44 - Heart rhythms, paddles, blood thinners, stroke prevention.55:27 - Zach's AI project expands clinical trial access.

Is there anything you can start doing right now to protect your cognitive health as you age?Dementia and Alzheimer's are often viewed as an inevitable risk of aging. In fact, approximately 64% of Americans say their biggest fear around getting older is dementia. It's not an irrational fear. By 2040, it's estimated that over 11 million American's will be diagnosed with Alzheimer's disease. But that doesn't mean there isn't hope.Today's guest challenges many assumptions around aging and brain health. Dr. Heather Sandison is a renowned naturopathic doctor specializing in neurocognitive medicine. She's the founder of Solcere Health Clinic, San Diego's premier brain optimization clinic, and Marama, a residential program turning memory care into memory recovery. Dr. Sandison is also the author of the bestselling book, Reversing Alzheimer's: The New Toolkit to Improve Cognition and Protect Brain Health.Decades before you ever experience a sign or symptom of Alzheimer's disease, your brain is already changing. But you don't have to hope for a miracle drug or treatment because there are proactive steps you can take right now. Listen in as Dr. Sandison shares the critical lifestyle factors that contribute the most to cognitive health so you can support your brain health as you age./ / / Are you ready to take the next step on your brain optimization journey? / / /Choose your own adventure. Below are the best places to start:>>> Free Kwik Brain Starter Pack>>> Discover Your Unique KWIK BRAIN C.O.D.E To Activate Your Genius>>> Explore My Top Brain Health Supplements for Focus, Memory, and EnergyTake your first step by choosing one of the options above, and you will find everything you need to ignite your brilliant brain and unlock your exceptional life, allowing you to achieve and surpass all of your personal and professional goals.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, Dr. Valentin Fuster discusses a groundbreaking study on Brugada Syndrome, exploring how non-modifiable risk factors—such as male sex, SCN 5A mutations, and polygenic risk scores—can predict life-threatening arrhythmic events in patients. The research, published in JACC (November 2024), offers new insights into personalized risk assessment for this inherited arrhythmia syndrome, though its clinical implications remain limited for now.

In this Q&A episode, Dr. Fred Gandolfo addresses a listener's concern about the risk of pancreatic cancer, especially in the context of family history. Dr. Gandolfo dives deep into understanding pancreatic cancer, its symptoms, and the importance of early detection. He explains who should consider screening, the methods used for screening, and the balance between the benefits and potential harms of such screenings. Topics covered in this episode: - The role and function of the pancreas. - Why pancreatic cancer is often diagnosed late. - Symptoms and risk factors for pancreatic cancer. - Statistics on the prevalence and survival rates of pancreatic cancer. - Who should be screened for pancreatic cancer. - Genetic syndromes and their link to pancreatic cancer. - Screening methods: MRI and Endoscopic Ultrasound (EUS). - Modifiable risk factors: Smoking, chronic pancreatitis, obesity, and diet. - Importance of consulting with a healthcare provider for personalized advice. Referenced in today's episode: AGA Clinical Practice Update on Pancreas Cancer Screening Be sure to subscribe to The Real GI Doc Show for more insights, and reach out with your questions on social media @realgidoc or leave an audio question for Dr. Gandolfo here. Find The Real GI Doc Show on social media, join the newsletter, read Dr. Gandolfo's bio, or ask a question using this link.

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 “Ask Me Anything” (AMA) episode, Peter dives into two important health topics: uric acid and protein, examining them from unique perspectives. For uric acid, he explores its metabolic role and connection to various diseases, focusing on the potential causal link with cardiovascular disease. He also discusses factors influencing uric acid levels, such as diet, genetics, and lifestyle, providing practical tips for effective management. Shifting to protein, Peter delves into its role in appetite and weight management, the consequences of insufficient protein, and the “protein leverage hypothesis” linking protein deficiency to obesity. He covers optimal protein intake and its impact on energy expenditure, and he compares the satiety effects of solid versus liquid protein. Finally, Peter shares his strategy for incorporating protein into a comprehensive weight management plan. If you're not a subscriber and are listening on a podcast player, you'll only be able to hear a preview of the AMA. If you're a subscriber, you can now listen to this full episode on your private RSS feed or our website at the AMA #62 show notes page. If you are not a subscriber, you can learn more about the subscriber benefits here. We discuss: Overview of episode topics (and an important discussion on fanny packs) [2:00]; Understanding uric acid: its role in metabolic processes, its association with gout and kidney stones, its impact on blood pressure, and more [6:00]; Non-modifiable factors that influence uric acid levels [11:00]; Modifiable factors that influence uric acid levels [14:15]; Association between high uric acid levels and cardiovascular disease [20:00]; Evidence suggesting a causal link between high uric acid levels and cardiovascular disease [24:00]; Inconclusive evidence about the cardiovascular benefits of lowering uric acid pharmacologically [28:15]; Exploring the potential risks of low uric acid levels in neurodegenerative diseases [37:00]; Managing uric acid levels: dietary interventions and pharmacological approaches [42:00]; The impact of protein on appetite and weight management [44:00]; The consequences of insufficient protein on eating behaviors and satiety [52:15]; The relationship between protein deficiency and obesity: exploring the “protein leverage hypothesis” [57:15]; The impact of protein intake on energy expenditure [1:02:15]; Determining optimal protein intake to avoid deficiency and support health [1:05:45]; The role of different amino acids and protein sources in promoting satiety [1:08:15]; Comparing the satiety effects of solid vs. liquid protein sources [1:10:30]; Peter's framework for incorporating protein intake into a strategy for controlling body weight [1:12:00]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Which modifiable factors can cut risk of dementia in half? Find out about this and more in today's PeerDirect Medical News Podcast.

Max Lugavere is a renowned health and science journalist, filmmaker, podcaster, and New York Times bestselling author. Max's journey into researching brain diseases began with personal motivation and has led to groundbreaking insights on how nutrition can impact the preventability of brain diseases. This episode discusses how Max has transformed our understanding of brain health by highlighting key risk factors such as genetics, ultra-processed foods, pollution, and chemical exposure. Now is the time to optimize brain health and reduce the risk of cognitive decline through informed lifestyle choices. Gain expertise and take actionable steps towards a healthier brain and a more informed approach to nutrition and overall well-being. Strength, endurance, and wellness supplements to fuel your performance.SAVE 10% at BPN Supps:https://bit.ly/nickbare10audio Follow:IG: instagram.com/nickbarefitness/YT: youtube.com/@nickbarefitness Keep up with Max:IG: instagram.com/maxlugavere/Max's Documentary: littleemptyboxes.com/ Topics:0:00 Intro0:38 Welcome7:25 Working on Max's documentary for 10 years11:29 Preventing brain disease14:58 Improving your genetic risk factor17:38 Modifiable and non-modifiable risk factors23:23 Different diagnoses of brain disease27:55 How Max's research started38:18 Max documenting the hard moments51:06 Slowing the degeneration of the brain57:38 Adjusting your diet for brain health1:17:08 If it fits your macros diets1:27:04 Monounsaturated fats1:29:44 The benefits of saunaing1:35:08 Little Empty Boxes TAGS: Max Lugavere, brain health, nutrition, brain diseases, preventability, genetics, ultra-processed foods, pollution, chemical exposure, cognitive decline, health optimization.

Dr. April Dominick // #ICEPelvic // www.ptonice.com  In today's episode of the PT on ICE Daily Show, #ICEPelvic faculty member April Dominick shares how YOU can make a huge impact on the quality of life of a client with an upcoming prostatectomy simply through education on pelvic floor muscle retraining, lifestyle changes and physical activity AND learn the ESSENTIAL clinical pearls to include in a pre-operative physical therapy session when working with this population. Take a listen to learn how to better serve this population of patients & athletes or check out the full show notes on our blog at www.ptonice.com/blog. If you're looking to learn more about our live pregnancy and postpartum physical therapy courses or our online physical therapy courses, check our entire list of continuing education courses for physical therapy including our physical therapy certifications by checking out our website. Don't forget about all of our FREE eBooks, prebuilt workshops, free CEUs, and other physical therapy continuing education on our Resources tab. Are you looking for more information on how to keep lifting weights while pregnant? Check out the ICE Pelvic bi-weekly newsletter! EPISODE TRANSCRIPTION APRIL DOMINICK This is Dr. April Dominick. I am on faculty with the ICE Pelvic Division. Today we are chatting about prehab for a prostatectomy surgery. Why is prehab important and what should be included in your PT session with that pre prostatectomy client? This topic, it is so near and dear to my heart. it's because these humans just don't have the treatment or education that they deserve prior to going into these surgeries and afterwards when they come out. And if I can convince you why it is so important to be able to connect with these humans and to even just educate them on, hey, there is Help for you. There's pelvic floor muscle training that can be done education about behaviors whether that is you actually doing the PT session or you referring them to someone else it can have incredible outcomes for them post-op just because they are aware of pelvic floor physical therapy for their surgery the prostatectomy so Let's dive into what a prostatectomy surgery actually is. It is something to treat prostate cancer, and that's going to be by removing part or the full gland of the prostate. They're also going to remove surrounding tissues and seminal vesicles. The gold standard for surgery is a radical prostatectomy where they remove the entire prostate gland. I didn't have a walnut, so here's what we're working with. This fig represents the prostate. So let's run through some real estate of where everything is situated in someone with a prostate in terms of the pelvic floor and the organs. So we have our bladder here and then we have the bladder neck with the urethra that goes through our prostate. and this is going to be representative of the urethra itself. So the urethra goes from the bladder neck through this fig or the prostate and then down into the penis and that is how everything is set up. With a prostatectomy, after the prostate is removed, that extra support around the urethra is now lost, and the remaining bit of that urethra now needs to be reconnected back to the bladder. This reconnection, we can think about it like a bridge, or a fancy term is the anastomosis, and that anastomosis needs time to heal. So a Foley catheter is placed in for about five to ten days. That means that the bladder is or the urine is emptying passively. The bladder is not doing its job. It's off on vacation. And then once the catheter is removed, the bladder acts like it forgot how to start or how to store urine. It doesn't know what to do with it. And so we have a lot of urinary leakage. So among other things, this is why urinary incontinence or urinary leakage is a major side effect with these prostatectomy surgeries. post-op, the external urethral sphincter is relied on for maintaining continence. So good news for us, the pelvic floor muscles help to close that sphincter and keep pee in until it's appropriate to release it. And that's why pelvic floor muscle training with physical therapy can be so important pre-op and post-op, at least from the bladder side of things. So who does the prostatectomy surgery affect? Well, obviously those diagnosed with prostate cancer. It is the second leading cause of death from cancer in males. It's going to affect our individuals who are older than 50 years old and who are African-American. So if you think about who you are treating currently, if you're treating individuals who have prostates who are older than 50, one in eight of them are probably gonna have some run-in with prostate cancer, whether that's treated with a surgery or not. That's where you come in. You could have such a profound effect with these individuals just by educating them that pelvic floor muscle training exists And whether you're again, whether you're doing the treatment or you're referring out to someone else, you can have such an incredible impact on their post-op outcomes potentially. So, We talked about with a post-prostatectomy, we talked about that surgery can result in urinary incontinence or leakage. It can also affect sexual function. There can be reduced physical function. Think about it. If you're leaking all the time, is that really going to convince or motivate you to go work out? For some, no. And then it'll also affect the overall health-related quality of life. Take 65 year old Phil. You've got a Phil in your clinic. You're already treating him for low back pain, um, with his hikes and his weightlifting, say. And he went in for his annual physical, and then he walked out with a date for a surgery for radical prostatectomy. Besides being in shock that he now has this potentially life threatening diagnosis, Phil comes in and is like, this happened. He's like, am I, am I ever going to be able to hike with my hiking group and not be the person that smells like pee? Am I going to be able to be cool with being in the changing room in the, in the locker room after my weightlifting session, like removing this soggy pair of underwear, or am I going to be able to enjoy sexy times with his partner? Well, since you're here and you intently are listening to this podcast, You, your first line of question is, hey, Phil, did they recommend any sort of physical therapy for you? Um, whether it's pre-op or post-op. And of course, Phil's like, no. So you teach him that pelvic floor muscle training can be so effective and helpful, um, and play a huge role in those side effects that he's worried about. Y'all, what if we could have an incredibly bigger impact, building the foundation, setting the stage for what to expect post-surgery, just with PT sessions? Clinically, I've been treating this population, hopefully you can hear my passion behind it, for about seven years. I've interacted with so many fills that come in, if they even get to me, right? and they are just slapped with that surgery date, and the side effects are kind of breezed through during their appointment, it seems like. And their concerns aren't really heard, their well-being and their questions, they're just kind of like not given a lot of attention. I didn't always do pre-op sessions, but once I started, hoo-wee, I was just blown away by how different the clinical outcomes were in terms of improving, whether that was decreasing the volume of urinary leakage for some or having them return back to their ADLs exercise a little bit sooner. The biggest thing, which was so powerful for me, is these people came in extremely uncertain, having no idea even why, if their doctor did send them to PT, why they were there. And they were just uncertain about these really scary side effects, about how maybe for the first time they were going to experience some sort of losing control of their bodies, from peeing unexpectedly to changes in their erections. And they walked out of that first session feeling a little more confident, a little more certain. And that is the power, I believe, of these pre-op sessions. And then from a research side of things, what's shaking out in the few RCTs that we have for these pre-op sessions and their effects on prostatectomy, some may be helpful in improving quality of life. they may affect a shorter hospital stay. They may reduce post-op urinary leakage in the short term. So some studies find around month one, three, or six, that the individual is leaking less, meaning they're drier faster. Now, when you compare someone who had some pre-op PT to someone who did not around 12 months, they are about the same with their rate. But I would argue that I bet folks are going to be a lot more satisfied if they did that prehab and they are drier sooner, right? So let's go into what a prostatectomy PT session entails before that surgery. We've got these sessions already in place. for folks who are going in for surgery for their ACL repair, for their hip replacement. But just like we're fighting with our pregnant and postpartum population, we are somehow having to fight for someone to have a pre-obsession for something like a prostatectomy, and that impacts so many daily functions. Let's outline what is involved in that pre-op PT session. Again, you can educate someone on what to expect if you're referring them to someone to do this. So we'll go over subjective, objective, and the treatment. From an assessment side of things, from that subjective piece, what you can be talking to your patient about is what are their current bladder and sexual habits? How many voids do they have during the day? How many times do they go pee? Do they have an urge? Do they have urinary leakage or hesitancy? And there are some outcome measures that go over these things. The International Prostate Symptom Score goes over those things. Plus they ask about nocturia or nighttime urination. And then the NIH Chronic Prostatitis Symptom Index is another outcome measure. And I love it because it asks about the impact of these symptoms. How is it affecting your quality of life? Then you want to also ask about their sexual function. How would they rate their erection strength or their satisfaction with their sexual life? From an outcome measure standpoint, you can give them the International Index of Erectile Function. This is something that asks them to rate qualities of their erection from the past four weeks. Then you want to also get a good idea of their current physical activity regimen. What a wonderful time to, if they're already a little physically inactive, hey, let's like plug in for, here's why it would be really great if you could up that physical activity. Not just for that immediate post-op surgical outcome, but also, hey, we can lower all cause mortality. And then from an objective side of things, so we went over the subjective, objectively speaking, we want to get a pelvic assessment. Whether that is over the clothes, external, near that midline, or it is a visual or tactile palpation, or an internal rectal assessment, if that's what you're trained in. So we're looking for, what's their awareness? Do they even know that they have this group of muscles that they can control? called the pelvic floor. We want to be looking at their coordination, timing of the pelvic floor, and then also getting an idea of what is their breathing and bracing strategies for things that increase interabdominal pressure, like fitness activities or functional lifting of the groceries, coughing, running, weightlifting. Typically, this population tends to be a breath holder. So we're gonna spend some time, there's just so much that we can do to help them in this area, to help them have improvements in their methods with that. And then we also wanna be doing some sort of general orthoscreen because what if their hips are cranky? Obviously that's gonna affect pelvic floor, low back, and all those surgical outcomes. From a treatment side of things, so we went over subjective, objective, highlights from the treatment side of things. where we'll talk about education, what to expect post-op, and some homework for them to work on. Education. I cannot stress this enough. The education piece here is vital for affecting their outcomes and well-being. Let's educate them on the pelvic floor. Here's what it is. Here's the anatomy and physiology. Here's how it affects your penis. whether that's for sexual health or for the urethra for urination. Here is what happens during the surgery. Get to know the surgeons in your area and which methods they use. What are their outcomes, right? And then you want to be explaining the risk factors for these side effects like urinary leakage and sexual function. dysfunction. Non-modifiable factors. If you're older, it's not going to help you as much. And if you already have some reductions in urinary function, like you're already leaking, that is not going to help you on the backside. Modifiable factors, tons. So things like smoking, poor nutrition, That is gonna delay healing post-op. Can we identify some current bladder irritants and reduce those immediately post-op? What about poor mental health? Things like low self-efficacy or if they're experiencing anxiety or depression, helping them ID these things and finding them some psychosocial support to have upcoming for the surgery and post-op, so key. and then reduced physical activity. Hard health is heart health. What do I mean by that? Erections, ejaculation, is related to vascular health. Hard health is heart health. So what affects our vascular system? Aerobic and resistance training exercise. If we can have them and talk to them about how it's important and how increasing that physical activity is going to improve their physiologic resilience to the surgery itself and any complications that come up, that is gonna be having such a huge impact on their quality of life. Regarding physical activity, in a 2014 RCT by Mina et al, they found that men who were meeting physical activity guidelines prior to surgery had greater health-related quality of life at six and 26 weeks post-op compared to men who were not meeting those physical activity guidelines. So, from a post-op perspective, we want to tell them what to expect. Urinary incontinence and sexual dysfunction. From the urinary incontinence side of things, they will have a Foley catheter in for five to 10 days. Remember, the bladder doesn't work during this time. Once that catheter is removed, we gotta retrain that neural pathway to help control the bladder so that they know, oh, my bladder is filling, or this is how I'm gonna stop that leakage from coming out, and how to fully empty the bladder. Another huge tip, have them bring a hygiene product, whether that's a pad or a diaper or something, with them to the hospital so that when they are discharged, they have something to help protect them on their way home or on their way to the store to grab their meds. And then urinary incontinence could be present from a couple of months to a year post-op. We see a significant improvement in that three to six month range, but it could be affected by things like, hey, it gets worse at the end of the day because the pelvic floor muscles are tired, or with transitional movements like sitting to stand. So working on these movements with them is gonna be super helpful pre-op. And then maybe talking to them about how, if you're not going to see them for 10 days or so post-op, we may be using the pad weight or the number of pads in a 24-hour period as a marker for our progress. So just having that in the back of their mind. When it comes to what to expect from a sexual function standpoint post-op, it can take up to two years to recover to baseline function from an erection standpoint. We want to set these expectations from an ejaculation standpoint. Dry ejaculate is going to happen now because those seminal vesicles were removed, and that's what helps produce that ejaculate. There may be some changes in their orgasm sensation. Erections, it could be dependent on surgery outcomes. How much nerve sparing was there in that procedure? They have the potential to get better with this, especially with pelvic floor muscle training or things like pumps. And then loss of penile length. This is something that we want to let them know can happen so they don't get a little surprise. Homework wise, we want to address any of those pelvic floor deficits we found from that objective piece, especially that breathing and bracing strategy. We can do that with biofeedback, whether that's with a mirror, with a palpation from the therapist or from them, and just to really improve their awareness and coordination there. And then giving them cues that connect them to the pelvic floor. Evidence supports, hey, pelvic floor contractions with the following cues, like shortening the penis, though I've been told nobody wants to have that. So something like nuts to guts or stopping the flow of urine is great for that. One side of the range of motion, the contraction side of the range of motion of the pelvic floor, and then something for the relaxation side, like let the testicles or base of penis hang loose. I did an Instagram post recently, so you can check that out on the ICE or Revitalize Pelvic Physio page. And then we wanna be, for homework, modifying their poor lifestyle habits. Can we reduce those bladder irritants, process sugar? Can we increase your physical activity and mental health? And then finally, we want to be scheduling their followup visits on the calendar. So whether that's for pre-op, a couple more sessions, or as early as 10 days, once that catheter is removed, they can pop back in to your office. SUMMARY So, I hope you found that information helpful. We reviewed how prevalent prostate cancer is, especially for those who are 50 plus. We know that radical prostatectomy is the gold standard for treatment. Two major things that are affected post-op are urinary incontinence and erectile dysfunction. Pre-op PT sessions are fairly new, but we have some evidence that says, hey, those who partake in pre-op sessions are drier sooner than their counterparts. And then from a PT session standpoint, thinking about asking what their current bladder and sexual function is, asking them about physical activity, mental health, objectively getting a measurement of the pelvic area, and helping them connect with that area a little bit more. Treatment-wise, we want to really harp on that education. about what the pelvic floor is, how it can help with their function, and also what to expect, possible side effects, modifiable risk factors, and then giving them homework to work on those deficits, and then finally scheduling that additional follow-up before surgery and then getting their post-op session on the calendar. My next podcast, I'm going to go into detail on what a post-op session post prostatectomy looks like. So tune in for that. And then if you want to learn more about pelvic floor examination, join us live. We have our next two courses. One is July 20th, 21st in Cincinnati, Ohio. And then July 27th and 28th, we are gonna be in Laramie, Wyoming. If you're wanting more of a virtual option, we have our two different courses that are eight weeks, L1 and L2. And in L2, we go over the male pelvic health conditions as well. Thank y'all so much for tuning in from my prostate slash walnut. Happy Monday, and I'll see you next time. OUTRO Hey, thanks for tuning in to the PT on Ice daily show. If you enjoyed this content, head on over to iTunes and leave us a review, and be sure to check us out on Facebook and Instagram at the Institute of Clinical Excellence. If you're interested in getting plugged into more ice content on a weekly basis while earning CEUs from home, check out our virtual ice online mentorship program at ptonice.com. While you're there, sign up for our Hump Day Hustling newsletter for a free email every Wednesday morning with our top five research articles and social media posts that we think are worth reading. Head over to ptonice.com and scroll to the bottom of the page to sign up.

Hearing Loss: Could It Be Affecting Your Brain Health?  Hearing loss is more than just a quiet world - it could be a risk factor for dementia. This episode explores the surprising link between hearing impairment (alternative keyword: deafness) and cognitive decline. Discover how: Hearing Keeps Your Brain Sharp: Learn about the role of auditory input in maintaining brain function and how hearing loss can impact cognitive processes. The Effort to Hear Takes a Toll: Explore how struggling to understand speech can strain your brain, potentially contributing to cognitive decline. Isolation Fuels the Problem: Uncover how social isolation, often associated with hearing loss, can further harm brain health. Protecting Your Brain Through Hearing: Learn how timely interventions like hearing aids and rehabilitation programs may help reduce dementia risk. Join us as we delve into the science behind hearing loss and dementia. Discover how prioritizing your hearing health could be a powerful strategy for protecting your brain and preventing cognitive decline. ++++++++++++++++++++++++++++++++++++++++ Related Episodes: The Brain's Fountain of Youth: Innovative Paths to Dementia Prevention Dementia Brain Protection: Health for Life ++++++++++++++++++++++++++++++++++++++++ Sign Up for more Advice & Wisdom - email newsletter. +++++++++++++++++++++++++++++++++++++++++++++++++++++++ Please help us keep our show going by supporting our sponsors. Thank you. ++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Feeling overwhelmed? HelpTexts can be your pocket therapist. Going through a tough time? HelpTexts offers confidential support delivered straight to your phone via text message. Whether you're dealing with grief, caregiving stress, or just need a mental health boost, their expert-guided texts provide personalized tips and advice. Sign up for a year of support and get: Weekly texts tailored to your situation Actionable strategies to cope and move forward Support for those who care about you (optional) HelpTexts makes getting help easy and convenient. ++++++++++++++++++++++++++++++++++++++++ Make Your Brain Span Match Your LifeSpan Relevate from NeuroReserve I've been focusing a lot on taking care of my brain health, & I've found this supplement called RELEVATE to be incredibly helpful. It provides me with 17 nutrients that support brain function & help keep me sharp. Since you're someone I care about, I wanted to share this discovery with you. You can order it with my code: FM15 & get 15% OFF your order. With Relevate nutritional supplement, you get science-backed nutrition to help protect your brain power today and for years to come. You deserve a brain span that lasts as long as your lifespan. ++++++++++++++++++++++++++++++++++++++++ Join Fading Memories On Social Media! If you've enjoyed this episode, please share this podcast with other caregivers! You'll find us on social media at the following links. Instagram Twitter LinkedIn  Facebook Contact Jen at hello@fadingmemoriespodcast.com or Visit us at www.FadingMemoriesPodcast.com

Did you know that 1 in 5 Americans have tried marijuana at least once in their life? It is the most commonly used recreational drug in the U.S. but many do not realize how it impacts fertility, success with IVF, miscarriage risk, and pregnancy health.  It's easy to assume that something that is legal medically and sometimes recreationally in many states could be harmful to your health, especially your reproductive health.   If you've been curious about marijuana use and fertility - this episode is a valuable resource full of studies on cannabis use on female and male fertility, time to pregnancy, menstrual cycles, IVF outcomes, and pregnancy risks.  In this episode you'll hear: [0:59] Marijuana use in the U.S - both recreational & medical [2:19] Facts about cannabis - THC and CBD Risks to general health Risks to reproductive health [4:17] Let's review the evidence: Male fertility & marijuana [9:13] Let's review the evidence: Female fertility & marijuana [13:03] Recap and suggestions for next steps Resources mentioned:  Association Between Use of Marijuana and Male Reproductive Hormones and Semen Quality: A Study Among 1,215 Healthy Young Men pubmed.ncbi.nlm.nih.gov26283092 Modifiable and non-modifiable risk factors for poor sperm morphology (regular marijuana use associated with poor sperm morphology) pubmed.ncbi.nlm.nih.gov/24899128 Effects of delta-9-tetrahydrocannabinol, the primary psychoactive cannabinoid in marijuana, on human sperm function in vitro. pubmed.ncbi.nlm.nih.gov/16500334 Human sperm express cannabinoid receptor Cb1, the activation of which inhibits motility, acrosome reaction, and mitochondrial function hpubmed.ncbi.nlm.nih.gov/15562018 A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631 Male Preconception Marijuana Use and Spontaneous Abortion: A Prospective Cohort Study pubmed.ncbi.nlm.nih.gov/33165011 Impact of Tobacco and Marijuana on Infertility and Early Reproductive Wastage pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/35125388 Cannabis use while trying to conceive: a prospective cohort study evaluating associations with fecundability, live birth and pregnancy loss pubmed.ncbi.nlm.nih.gov/33421071 Marijuana smoking and outcomes of infertility treatment with assisted reproductive technologies pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/31505640 A prospective study of the effects of female and male marijuana use on in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) outcomes pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/16458631 Cannabis use during pregnancy and postpartum pubmed-ncbi-nlm-nih-gov.ucsf.idm.oclc.org/32060189 Stay Up to Date in Fertility News and Events:  Weekly Newsletter Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

The McCullough Report with Dr. Peter McCullough – Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg. Modifiable risk factors include unhealthy diets, physical inactivity, consumption of tobacco and alcohol, and being overweight or obese...

The McCullough Report with Dr. Peter McCullough – Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg. Modifiable risk factors include unhealthy diets, physical inactivity, consumption of tobacco and alcohol, and being overweight or obese...

Have you ever wondered how you would navigate through the unimaginable, such as stage 3 triple-negative breast cancer? Maybe you're currently grappling with the aftermath of tragedy and finding it challenging to navigate through. Michelle Hutchings-Medina embodies resilience in the face of adversity on multiple fronts. As a former oncology professional turned keynote speaker and certified professional coach, Michelle brings a unique blend of expertise to her mission. That mission is to assist others in not only surviving but also thriving in the aftermath of the unimaginable.✨Highlights from the show:[00:08:10] Modifiable risk factors for breast cancer.[00:16:12] Prioritizing health and awareness.[00:25:37] Supporting loved ones with cancer.[00:27:55] Clinical trial participation advice.[00:34:15] Clinical trial importance.[00:36:16] Resilience.[00:41:32] Unprocessed trauma and grief.

This episode is brought to you by Rupa Health, Essentia, Cozy Earth, and AirDoctor.It's never too early to start protecting your brain, and with more than 6 million Americans living with Alzheimer's—projected to rise to nearly 13 million by 2050—this is something we should all contemplate more often.On today's episode of The Doctor's Farmacy, I'm excited to talk to Dr. Majid Fotuhi about the top actions we can take to prevent cognitive decline and optimize brain function.Dr. Majid Fotuhi is a neurologist with expertise in the fields of memory, concussion, and successful aging. Through his 30 years of teaching, clinical work, and neuroscience research at Harvard Medical School and Johns Hopkins, Dr. Fotuhi has developed a multidisciplinary program for helping people of all ages improve their memory and attention. His innovative Brain Fitness Program addresses lifestyle factors and cognitive stimulation, and he has published the successful results of this program in several scientific journals and three books, including Boost Your Brain: The New Art and Science Behind Enhanced Brain Performance. Dr. Fotuhi received his doctorate degree in neuroscience from Johns Hopkins University in 1992 and his Medical Degree from Harvard Medical School in 1997. He serves as an adjunct professor at George Washington University.This episode is brought to you by Rupa Health, Essentia, Cozy Earth, and AirDoctor.Access more than 3,000 specialty lab tests with Rupa Health. You can check out a free live demo with a Q&A or create an account at RupaHealth.com today.Receive an extra $100 off your mattress purchase on top of Essentia's Huge Black Friday Sale! Go to myessentia.com/drmarkhyman and use code HYMAN at checkout to get this great deal.Right now, get 40% off your Cozy Earth sheets. Just head over to cozyearth.com and use code DRHYMAN.Right now, if you go to drhyman.com/filter you can get the AirDoctor filter for $349. That's $280 off the normal price.Here are more details from our interview (audio version / Apple Subscriber version):The evolution of Dr. Fotuhi's understanding of memory and brain health (7:34 / 5:41)Why Dr. Fotuhi started his own brain center (14:10 / 12:17)Incredible science to slow and prevent memory loss (19:07 / 17:14)The myth of diagnosis (23:03 / 21:10)Four ways to support the brain (30:03 / 26:10) The connection between belly size and brain size (31:36 / 27:43)Common culprits of poor brain function (36:29 / 32:36Reactions of Dr. Fotuhi's colleagues to his work (47:07 / 43:14)Lifestyle practices for a healthy brain (54:17 / 50:24)Modifiable risk factors for brain dysfunction (1:00:14 / 56:24)Learn more at Drfotuhi.com and try the Brain Portfolio/Brain Fitness Calculator. Hosted on Acast. See acast.com/privacy for more information.

Episode #254. How does a plant-based diet weigh up against a ketogenic diet when it comes to cancer treatment and prevention? Discover the answer to this question and more in The Proof's first episode dedicated to understanding cancer. In this episode, I sit down with Dr Urvi Shah and Dr Neil Iyengar to examine how cancer develops and the lifestyle measures that can be taken to reduce the risk of cancer, treat cancer, and prevent cancer recurrence. Specifically, we discuss: Intro (00:00) Cancer and precancerous cells (06:51) Genetics and cancer risk (20:58) Obesity and cancer risk (24:30) Modifiable factors and reducing recurrence risk (36:44) The role of nutrition in cancer treatment (47:34) Plant-based diet vs ketogenic diet (51:50) Dr. Neil investigates the effects of plant-based diets and exercise on breast cancer (1:13:12) Soy, dairy, protein, and cancer risk (1:17:04) Unprocessed red meat and colorectal cancer (1:30:52) Organic foods vs conventional produce (1:37:10) Ultra-processed food and cancer risk (1:40:52) Alcohol intake and exercise recommendation (1:43:11) Strong predictors of breast cancer (1:49:33) Stress and sleep (1:51:56) Importance of screening (1:52:46) Outro (2:01:54) You can connect with Dr Neil Iyengar on Twitter, and learn more about him here. Connect with Dr Urvi Shah on Instagram, Twitter, and LinkedIn, and learn more about her here. Enjoy, friends. Simon Want to support the show? The best way to support the show is to use the products and services offered by our sponsors. To check them out, and enjoy great savings, visit theproof.com/friends. You can also show your support by leaving a review on the Apple Podcast app and/or sharing your favourite episodes with your friends and family. Simon Hill, MSc, BSc (Hons) Creator of theproof.com and host of The Proof with Simon Hill Author of The Proof is in the Plants Watch the episodes on YouTube or listen on Apple/Spotify Connect with me on Instagram, Twitter, and Facebook Nourish your gut with my Plant-Based Ferments Guide Download my complimentary two-week meal plan and high protein Plant Performance recipe book