Podcasts about Mount Sinai School

Synopsis: What happens when a world-class scientist and a philanthropic legacy collide with one of medicine's greatest challenges? Dr. Howard Fillit and Mark Roithmayr of the Alzheimer's Drug Discovery Foundation (ADDF) join host Alok Tayi for an inspiring conversation on bold science, visionary funding models, and the future of Alzheimer's research. From treating Estée Lauder in the 1990s to building a $100M venture philanthropy engine, they trace ADDF's evolution into a global leader in high-risk, high-reward drug development. The discussion covers the rise of biomarkers and digital diagnostics, the foundation's partnerships with visionaries like Bill Gates and Jeff Bezos, and how ADDF's venture philanthropy approach bridges the “valley of death” in biotech. They also dive into global regulatory challenges, the economic urgency of Alzheimer's, and why the future lies in prevention, precision medicine, and a patient-first mindset. This episode is a masterclass in scientific grit, ecosystem thinking, and turning urgency into progress. Biography: Howard Fillit, MD Founding Executive Director and Chief Science Officer of the Alzheimer's Drug Discovery Foundation Howard Fillit, MD, is a geriatrician, neuroscientist, and innovative philanthropy executive, who has led the Alzheimer's Drug Discovery Foundation (ADDF) since its founding. Dr. Fillit has held faculty positions at The Rockefeller University, the SUNY-Stony Brook School of Medicine and the Cornell University School of Medicine. In 1987, he joined the Mount Sinai School of Medicine, where he is a clinical professor of geriatric medicine and palliative care, medicine and neuroscience. Dr. Fillit also maintains a limited private practice in consultative geriatric medicine with a focus on Alzheimer's disease and related dementias. He has authored or co-authored more than 300 publications and is the senior editor of Brocklehurst's Textbook of Geriatric Medicine and Gerontology. Dr. Fillit is the recipient of many awards and honors including the Rita Hayworth Award from the Alzheimer's Association. Mark Roithmayr Chief Executive Officer Mark Roithmayr is an admired nonprofit leader with four decades of experience in both start-ups and mature organizations. As CEO of the ADDF, he is responsible for steering the Foundation's overall strategy, focus, and business operations. Since joining the ADDF in 2017, the organization has transformed dramatically in impact, scale, presence, and brand. Under his leadership, the ADDF's revenue has increased five-fold from $17M to over $90M, and mission-related investing has grown over 100%. He works closely with Dr. Fillit, executive leadership, and the board to advance the ADDF's mission of accelerating the discovery of drugs to prevent, treat, and cure Alzheimer's disease and related dementias. His key accomplishments include securing donations from Bill Gates, Jeff Bezos, and MacKenzie Scott, and a 10-figure gift from the Lauder family to cover ADDF's overhead for the next 20 years.

When's the last time you really looked at your nails? Could they be revealing something more than just your latest manicure? What if they were giving you clues about your internal health? This week on Salad with a Side of Fries, host Jenn Trepeck welcomes renowned dermatologist and nail health expert Dr. Dana Stern to uncover what your nails are trying to tell you. From decoding nail color and shape to the truth about nail polish, gel manicures, and whether nails need to "breathe"—this episode is packed with everything you need to know for healthy nails from the cuticle to the tip. Tune in to learn how your nails can serve as your body's early warning system—and what you can do to care for them, inside and out. The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, who discusses wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE:(05:43) Dr. Dana explains some of the underlying health conditions indicated by your nails(11:49) Breakthrough study on brittle nails(15:36) Discussion about gel manicures, nail polishes, and UV exposure (20:50) Do nails breathe, and cuticle care(22:52) What does the cuticle tell us about our nails(28:36) Giving your nails a break, and what about polish removers(33:11) What products and supplements will promote nail health, and what about biotin(42:44) Get a precision glass nail file for ultimate nail careKEY TAKEAWAYS:Nails can be indicators of underlying health conditions. Changes in the nails, such as unusual color or shape (like spoon-shaped nails indicating iron deficiency or white nails potentially signaling diabetes or heart issues), can be early signs of systemic diseases.  Observing nail health can provide valuable clues for early diagnosis and intervention.  Many standard nail enhancements, like gels, acrylics, and dips, can damage the nail plate and surrounding skin. In particular, the removal process of soak-off gels has been scientifically proven to thin and weaken the nail plate, making it more prone to brittleness and breakage. Potential risks are associated with UV lamps used in gel manicures. Switch to a precision glass nail file for smoother, healthier nail edges and reduced breakage. Nails don't breathe, but good blood flow is crucial for their health. Therefore, maintaining good peripheral circulation through cardiovascular activity or even hand massage is vital for healthy nail growth and preventing issues like brittleness and peeling, especially as we age and tend to have poorer circulation.The cuticle is a vital protective barrier for the nail and should not be removed. It acts as a natural seal, protecting the nail matrix (the nail's growth center) from water, moisture, and pathogens. Disrupting the cuticle can lead to nail abnormalities like patches, surface irregularities, bumps, and even separation. Liquid cuticle removers essentially destroy the cuticle, just like cutting it.  QUOTES:         (08:46) “If I see a white situation in someone's nails, I get general labs. I'm taking a thorough history and trying to uncover it. Something has been missed or something is brewing.” - Dr. Dana Stern(09:21) “We see this a lot with oral health too, that it's, you're seeing things before it manifests in the symptoms that everybody seems to be looking for.” - Jenn Trepeck(10:51) “If you have spec, a single pigmented band, meaning that one of your nails has this brown streak, that's something you want to see a board-certified dermatologist for, to examine.” - Dr. Dana Stern(18:47) “The take-home message is use protection because we know that UV radiation is definitively associated with skin cancer, UVA specifically in the case of the nail lights they use.” - Dr. Dana Stern(42:24) “I think at some point, a greater commitment to supplementation, a greater commitment to the quality of protein choices is really helpful and important.” - Jenn Trepeck(51:44) “The nails are the crystal ball to your internal health. So let's remove our polish for a minute or two or more. Take a look and choose quality nail care.” - Jenn TrepeckRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramGUEST RESOURCES:Dr. Dana Nails - WebsiteDr. Dana Nails -  Instagram Dr. Dana Nails - FacebookDr. Dana Nails - LinkedInDr. Dana Nails  - TikTokGUEST BIOGRAPHY:Dr. Dana Stern is the only board-certified dermatologist in the U.S. who devotes her entire practice to the diagnosis, treatment, and surgery of the nails. As one of the country's most trusted and respected nail specialists, patients worldwide, from celebrities to luminaries, come to see Dr. Dana at her bustling Fifth Avenue, New York City and Hamptons practices. After observing what her patients used on their nails, she determined that nail care products were formulated with harsh chemicals and not backed by science. She knew there needed to be a change, and that she was the person to do it. Drawing from almost two decades of nail expertise and her vast knowledge of product chemistry, she founded her eponymous nail care brand, Dr.Dana's mission is to revolutionize the at-home nail treatment industry and change how we care for our nails. She is the Nail Expert Choice for the media, and Vogue magazine called her the“Go-to Dermatologist for nail disorders and cosmetic conditions relating to nail disease”. She is also a contributing editor for Nails Magazine, where she writes a column entitled “A Day in the Life of a Nail Doctor.” In addition to her impressive career, which includes a position as Assistant Clinical Professor of Dermatology at The Mount Sinai School of Medicine in New York City,Dr. Dana is also a busy mom of three boys and a rescue Basset hound named Bo.

Send us a textDr. Anastasia Liapis, Ph.D. is Global Head of Innovation & New Business Creation, HP Health Solutions ( https://www.izb-online.de/en/companies/hp-health-solutions-germany-gmbh/ ), a division of HP ( https://www.hp.com/us-en/home.html ) , that develops technology specifically for the healthcare industry and reimagines healthcare tech for diagnostics and precision medicine of the future.Dr. Liapis' team leads innovation in diagnostics and health-tech, driving the development and commercialization of ultrafast PCR and microfluidic-based diagnostic platforms, as well as focuses on early-stage technology development, partnerships, and business strategy, ensuring breakthrough innovations translate into real-world impact.Previously, Dr. Liapis served as Vice President of Strategic Marketing & Partnerships at GNA Biosolutions GmbH, a molecular diagnostics start up that was acquired by HP, and she played a pivotal role in enhancing the organization's strategic vision, focusing on innovative solutions in the bioscience sector.Before taking her role at GNA Biosolutions, Dr. Liapis made significant contributions to various notable organizations such as TBWA, the healthcare agency creative collective, where she served as a Group Account Supervisor, and as of Vice President of Medical Affairs at Medical Dynamics, developing medical education programs and fostering key opinion leader (KOL) relationships.Dr. Liapis completed her doctoral training in Genetics at the Mount Sinai School of Biomedical Sciences and her post-doctoral fellowship in Immunology at the Skirball Institute of Biomolecular Medicine at NYU Langone. She earned both her Master's and Bachelor's degrees in Biology from Washington University in St. Louis.#AnastasiaLiapis #HPHealthSolutions #HP #HewlettPackard #Healthtech #Biosecurity #LifeSciences #FoodSafety #NucleicAcidAmplification #MolecularAssays #Biotechnology #Nanotechnology #GNABiosolutions #MolecularDiagnostics #Microfluidics #PolymeraseChainReaction #PCR #Bioscience #CarT #LysosomalStorageDisorders #BrandStrategy #ScientificWriting #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

Daniel S. Lobel, PhD, author of Adult Children of Borderline Parents, joins us to discuss how adult children can recover from a toxic childhood and discover a healthy sense of self. Daniel is a clinical psychologist who practices in Katonah, NY. He is an internationally known expert on borderline personality disorder (BPD), and consults with families all over the world who suffer with this disorder. He has taught at Mount Sinai School of Medicine, State University of New York, Hofstra School of Law, and lectures with the National Alliance on Mental Illness (NAMI). He has written four books on the topic of BPD, and also writes a blog on the Psychology Today website. He is author of When a Loved One Has Borderline Personality Disorder, When Your Mother Has Borderline Personality Disorder, and When Your Daughter Has BPD. Visit our website at www.newharbinger.com and use coupon code 'Podcast25' to receive 25% off your entire order. Buy the Book: New Harbinger - https://bit.ly/3EIhRZz Amazon - https://a.co/d/je7Zv9R Barnes & Noble - https://www.barnesandnoble.com/w/1146033740 Bookshop.org - https://bit.ly/4122Itv If you have ideas for future episodes, thoughts, or questions, we'd love to hear from you! Send us an email at podcast@newharbinger.com 

We welcome Dr. Humbyrd once again in this episode as we explore the continuum of Achilles tendinopathy. From tendinosis & microtears to peritendinitis, we break down the clinical signs, imaging findings, and the latest treatment options—both non-operative and surgical. Dr. Humbyrd received her B.A. from the University of Pennsylvania and her M.D. from the Mount Sinai School of Medicine. During medical school, she participated in a month-long ethics fellowship at the University of Oxford. After medical school, Dr. Humbyrd completed her residency in Orthopaedic Surgery at Johns Hopkins School of Medicine followed by a foot and ankle fellowship at Mercy Medical Center. Dr. Humbyrd specializes in the treatment of post-traumatic arthritis and complex sports injuries of the foot and ankle, as well as foot and ankle deformities and arthritis. She has extensive surgical experience in complex reconstructions, including ankle replacement. Dr. Humbyrd is Chief of Foot and Ankle Orthopedics at the University of Pennsylvania, Founder and Director of Program in Surgical Ethics and Health Policy at the University of Pennsylvania, USA. Goal of episode: To develop a baseline knowledge of achilles tendinopathy. In this episode, we discuss: ✅ How to recognize Achilles tendinopathy in the clinic ✅ Imaging clues: X-ray vs. MRI findings

How do peroneal tendonitis and tendon tears contribute to lateral ankle instability? What are the key mechanisms, risk factors, and treatment options? Dr. Humbyrd joins us as we take a deep dive into the anatomy of the peroneal tendons, how these injuries present clinically, and the best imaging techniques to confirm a diagnosis. We also break down non-surgical vs. surgical treatment options, including when a boot and physical therapy might be enough and when procedures like SPR repair, groove deepening, or tenodesis become necessary. Dr. Humbyrd received her B.A. from the University of Pennsylvania and her M.D. from the Mount Sinai School of Medicine. During medical school, she participated in a month-long ethics fellowship at the University of Oxford. After medical school, Dr. Humbyrd completed her residency in Orthopaedic Surgery at Johns Hopkins School of Medicine followed by a foot and ankle fellowship at Mercy Medical Center. Dr. Humbyrd specializes in the treatment of post-traumatic arthritis and complex sports injuries of the foot and ankle, as well as foot and ankle deformities and arthritis. She has extensive surgical experience in complex reconstructions, including ankle replacement. Dr. Humbyrd is Chief of Foot and Ankle Orthopedics at the University of Pennsylvania, Founder and Director of Program in Surgical Ethics and Health Policy at the University of Pennsylvania, USA. Goal of episode: To develop a baseline knowledge of peroneal tendonitis. In this episode, we discuss: Mechanisms & Risk Factors – Causes of peroneal tendonitis and tendon tears. Anatomy Breakdown – Understanding the peroneal tendons and their function. Clinical Presentation & Imaging – How to recognize and diagnose these injuries. Treatment Approaches – When to go non-op vs. surgical, and key procedures for instability and chronic cases. Tune in now to level up your orthopedic knowledge!   This episode is sponsored by Arthrex: Do you ever find yourself explaining the same orthopedic conditions over and over to your patients? Save time and enhance patient understanding with OrthoPedia Patient. This incredible website offers a comprehensive library of videos on everything from shoulder arthritis to ACL tears, all in patient-friendly language. Each condition is covered in a series of videos that includes an overview, treatment options, a surgical animation, and more. Plus, it's regularly updated to reflect the latest research. Educate, engage, and empower your patients. Visit Patient.OrthoPedia.com today. OrthoPedia Patient—Educate, Engage, Empower.

What if doctors led the next wave of healthcare innovation? Join us for an eye-opening conversation with Dr. Manju Dawkins, board-certified dermatologist and co-founder of Thimble Health—the first comprehensive solution for alleviating needle pain and stress. She'll share why physicians should get involved in startups, how innovation can transform patient care, and why compassion is key to healthcare advancements.Dr. Dawkins earned her B.A. from Columbia University and her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. As an Assistant Professor at Mount Sinai School of Medicine, she was twice named Teacher of the Year. With experience in academic, private, hospital-based, and group practice settings in New York and Los Angeles, she brings a wealth of knowledge to the conversation.Fun fact: She is 5'2" (on a good day). Dr. Dawkins played Division I basketball at Columbia University and served as team captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Don't miss this inspiring discussion on how physicians can drive meaningful change in healthcare!Website: thimblehealth.comInstagram:@thimble.healthManju's LinkedIn https://www.linkedin.com/in/manju-dawkins-md-a0224359/Thimble's LinkedIn https://www.linkedin.com/company/thimblehealth/Tik Tok: https://www.tiktok.com/@thimble.health

Dr. Vincent Pedre, medical director of Pedre Integrative Health, is a board-certified internist and a Functional Medicine–certified practitioner in private practice in New York City. Dr. Pedre's integrative medical approach combines both Western and Eastern traditions. He is a clinical instructor at the Mount Sinai School of Medicine, and is also certified in yoga and medical acupuncture. His holistic philosophy is patient-centered and focuses on uncovering the root causes of illness to create long-term wellness. He is also the founder of Dr. Pedre Wellness, which offers health-enhancing programs, content and lifestyle products, dietary supplements, and weight loss programs. In our conversation, Dr. Pedre and I explore the critical role of gut health in overall wellness, the personalized approach outlined in his books, and strategies for optimizing gut health. He underscores the critical intersection of gut health and a productive immune system, highlights the danger of claiming that one health plan will fix all gut problems, and shares the sequence of his personalized patient protocol. He also shares his approach to dosings for prebiotics and gut healing nutrients, and shares his enthusiasm for meeting patients wherever they are in their journey toward optimal gut health.  I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Vincent Pedre - https://pedremd.com/ The GutSMART Protocol: Revitalize Your Health, Boost Your Energy, and Lose Weight in Just 14 Days with Your Personalized Gut-Healing Plan Happy Gut: The Cleansing Program to Help You Lose Weight, Gain Energy, and Eliminate Pain Happy Gut Coffee Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education Chapters: 00:00 Intro 01:40 Dr. Pedre is finding gratitude amidst the fires in California.  2:35 The power of a practitioner's ability to impact on a patient's overall life and health.  06:55 Dr. Pedre's journey with gut healing began in childhood and shaped his career. 10:35 The critical intersection of gut health and a productive immune system.  14:28 Dr. Pedre's books were inspired by his becoming an accidental gut expert.  19:48 The danger of claiming that one health plan will fix all gut problems.  24:04 Recommended Vagus nerve techniques including breathing and humming to counter depression.  28:16 The sequence of Dr. Pedre's patient protocol starts with a thorough interview and a personalized diet protocol.  33:54 Dosings for prebiotics, gut healing nutrients and serum bovine immunoglobulin.  37:48 Microplastics and the microhabits that are endangering gut health including K-cups and espresso machines. 45:27 Recommendations for minimizing exposures and increasing detox practices.  48:38 Emerging research and health trends surrounding gut health and the microbiome.  52:03 Top personal supplements, top health practices, and the stress-management priority that Dr. Pedre has changed his mind about. 

This week, we delve into the pervasive presence of PFAS (per- and polyfluoroalkyl substances) in everyday household items, such as cosmetics, cookware, and dental floss, and the significant health risks they pose. Linked to cancer, hormone disruption, liver and thyroid issues, reproductive harm, and abnormal fetal development, PFAS exposure has become a growing public health concern. Advocates are urging the state legislature to act by passing four critical bills to protect consumers before the session ends in June 2025. Joining the conversation are two leading experts in the fight against PFAS: Dr. Charles Moon, Pediatric Environmental Health Fellow at Mount Sinai School of Medicine, and Kate Donovan, Director of Northeast Environmental Health and Senior Attorney for the Natural Resources Defense Council. Together with Tee, they explore the history and health implications of PFAS, discuss current legislative efforts to reduce exposure, and share practical advice for minimizing PFAS in daily life. This insightful episode highlights the vital role of government action, public advocacy, and individual awareness in tackling this environmental and health challenge. Connect with Kate & Charles:  Website Instagram X Follow Therese "Tee" Forton-Barnes and The Green Living Gurus: Tee's Organics - Therese's Healthy Products for You and Your Home: Check out these incredible products made only with purified water, seven essential oils, and vinegar. Once you clean with them, you will be addicted! No more spraying chemicals in your home. Use the code Healthyliving for a 15% discount on my products at Shop Tee's Organics Austin Air Purifiers: For Podcast listeners, take 15% off any Austin Air product; please email Tee@thegreenlivinggurus.com and mention that you want to buy a product and would like the discount. See all products here: Austin Air The Green Living Gurus Website  Instagram YouTube Facebook Healthy Living Group on Facebook Tip the podcaster! Support Tee and the endless information that she provides: Patreon Venmo: @Therese-Forton-Barnes last four digits of her cell are 8868 For further info contact Tee: Email: Tee@thegreenlivinggurus.com Cell: 716-868-8868 DISCLAIMER: ALL INFORMATION PROVIDED HERE IS GENERAL GUIDANCE AND NOT MEANT TO BE USED FOR INDIVIDUAL TREATMENT. PLEASE CONTACT YOUR PROVIDER OR DOCTOR FOR MEDICAL ADVICE. Produced By: Social Chameleon

Ali Block danced professionally as Clara with the Radio City Christmas Spectacular, as a Principal Dancer with Eglevsky Ballet, and as a dancer with Texas Ballet Theater and Eugene Ballet Company. She earned her Bachelor's degree in psychology and is currently working as a psychology researcher at Mount Sinai School of Medicine.Ali is incredibly transparent in this interview about the good, the bad and everything in between. We talked all about Ali's experience moving away from home at a young age to study ballet and her first pro contract as Clara in the Radio City Christmas Spectacular. She is incredibly candid about her struggle with an eating disorder as she was preparing to enter her professional dance career and the impact her community had on recovery.Ali shares what that first audition season was like, her first pro contracts and how she decided to make the leap to freelance. We also learn about Ali's transition from full-time dancer to psychology researcher and her future dreams for her career and life!Key Moments: Ali's early dance training [1:53] Her experience moving away at a young age to train at UNCSA and Miami City Ballet [5:14] Ali's struggle with an eating-disorder while preparing to enter her pro career [12:03] Ali's first professional contract as Clara in the Radio City Christmas Spectacular [15:50] Her first audition season and getting her first pro contract [27:00] How Ali made the transition to a freelance dance career [41:30] What made Ali want to study psychology and how she made the transition into research [50:41] Her biggest piece of advice for dancers pursuing a career [1:04:33]Connect with Ali:INSTAGRAM: instagram.com/ali_p_blockWEBSITE: alipaigeblock.com/LINKEDIN: https://www.linkedin.com/in/ali-paige-block-b8798a112/Links and Resources:Get your copy of The Intentional Career HandbookGet your copy of The Ultimate Audition GuideSecond Act Mentorship: https://www.secondactnetwork.org/1-1 Career Mentoring: book your complimentary career callLet's connect!My WEBSITE: thebrainyballerina.comINSTAGRAM: instagram.com/thebrainyballerinaQuestions/comments? Email me at caitlin@thebrainyballerina.com

Ready to diversify outside the stock market? EquityMultiple brings you streamlined real estate investing. Access vetted, cash-flowing opportunities from anywhere. Start today, with just $5K, at equitymultiple.com____________Here's another 2024 favorite for the holiday season!This rerun of episode 317 features Dr. Jordyn Feingold, interviewed by Dr. Bradley Block as she shares her journey, discussing how the challenges of the COVID-19 pandemic shaped her understanding of well-being and led to co-authoring Choose Growth: A Workbook for Transcending Trauma, Fear, and Self-Doubt.The conversation explores post-traumatic growth, the importance of social connections, and strategies for building resilience. Dr. Feingold introduces the "active constructive response," a tool for strengthening relationships by deeply engaging with others' positive experiences. Using the metaphor of a sailboat, she explains how addressing security needs and fostering growth systems can propel individuals toward purpose and fulfillment. More on Dr. Jordyn Feingold:Dr. Jordyn Feingold is a physician, well-being researcher, positive psychology practitioner, and the founder of the emergent field of positive medicine, dedicated to bringing the science of well-being to people everywhere. She graduated from the University of Pennsylvania, her alma mater, with a B.A. and a Master's in Applied Positive Psychology (MAPP). She then attended Mount Sinai School of Medicine for her medical degree and also earned a Master of Science in Clinical Research. Currently, she is completing her residency in psychiatry at Sinai and will begin a fellowship in child and adolescent psychiatry next year.As a resident, Dr. Feingold developed and teaches elective courses in positive medicine at Sinai and is the co-founder of the Trainee Well-Being Curriculum (Peers Practice Enhancement, Engagement, Resilience, and Support). She also created ThriveRx, an online well-being program for physicians. Dr. Feingold is the co-author of Choose Growth: A Workbook for Transcending Trauma, Fear, and Self-Doubt, written with her undergraduate professor, Dr. Scott Barry Kaufman.Website:About Us | Positive Medicine _____________________Did you know?...You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB @physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.

Episode 039 | Dr. Manju Dawkins is a board-certified dermatologist and creator/co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. Thimble is a holistic platform of pain and stress reducing products for common needle procedures. Thimble is changing the way healthcare feels.Dr. Dawkins received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She served as Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year. She has practiced in academic, private, hospital-based, and group practice settings in New York and Los Angeles.Connect with and learn more about Dr. Dawkins & ThimbleThimble's WesbiteThimble on InstagramThimble on TikTokThimble on LinkedInDr. Dawkins on LinkedIn Team@thimblehealth.comMore from Dr. LewellisNeed a dermatologist? Fill out this short interest form, text or call me at 715-391-9774, or email me at drlewellis@aboveandbeyondderm.com if you'd like to have a no obligation discovery call. I can do in office and virtual care in WI and virtual care in IL, NE, AL, and CO.Have an idea for a guest or want to be on the show yourself? Send me a text or email, and we'll see if it's a good fit.

This week on Green Street, Patti and Doug talk about the EPA's ban on two toxic chemicals (finally!), the failure of the worldwide plastic treaty in South Korea, and the promise and problems associated with new types of biodegradable plastic. Then Kate Donovan of the NRDC and Dr. Charles Moon of Mount Sinai School of Medicine give an overview of the chemical class known as PFAS and how consumers can reduce their exposure to these toxic “forever” chemicals.

Join us for the 5th Annual JOWMA Conference: Transforming Healthcare Through Innovation & Research on January 5, 2025, from 8am to 5pm in NYC! Spend the day immersed in expert-led scientific sessions, hands-on surgical simulations, specialty roundtables, and a networking lunch tailored for healthcare professionals and students. PLUS, we're offering a full premed program with panels, roundtables, and networking dedicated to aspiring medical students.

In this episode, my guest is Dr. Shanna Swan, Ph.D., professor of environmental medicine and reproductive health at the Mount Sinai School of Medicine. Dr. Swan is the world's leading expert on the harmful impact of chemicals in our food, water, cosmetics, and various household and consumer products on our hormones, and the consequences for fertility and overall reproductive health. She explains how exposure to phthalates and other endocrine disruptors adversely impacts fetal development, puberty, and the adult brain and body. We discuss the global decline in human fertility due to disruptive environmental toxins, such as pesticides, and certain foods and beverages we consume. We discuss practical strategies to minimize exposure to harmful chemicals, such as phthalates, bisphenol A (BPA), BPS, and PFAS. This includes reducing disposable plastic use, making healthier food preparation, consumption, and storage choices, and selecting personal and household products that don't contain harmful toxins. This episode allows you to assess your risk of exposure to endocrine disruptors accurately and empowers you to take control of your hormone health and fertility. Access the full show notes for this episode at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman LMNT: https://drinklmnt.com/huberman ROKA: https://roka.com/huberman BetterHelp: https://betterhelp.com/huberman Function: https://functionhealth.com/huberman Timestamps 00:00:00 Dr. Shanna Swan 00:02:58 Sponsors: LMNT, ROKA & BetterHelp 00:06:49 Environmental Chemicals, Fertility, Hormones, Phthalates 00:13:30 Phthalate Syndrome, Animal Data, Male Offspring 00:19:11 Phthalate Syndrome in Humans, Pregnancy & Babies 00:27:30 Hyenas; Phthalate Syndrome in Males 00:32:49 Sponsor: AG1 00:34:22 Polycystic Ovary Syndrome (PCOS), Mothers & Female Offspring 00:39:03 Anogenital Distance & Sperm Count 00:45:03 Sperm Count & Fertility 00:49:24 Sponsor: Function 00:51:11 Sperm Count Decline 00:58:19 Sperm Quality & Pesticides 01:04:12 Atrazine, Amphibians, Sexual Dimorphism, Behavior 01:09:00 Preschoolers, Phthalate Exposure, Sexually Dimorphic Behaviors 01:14:08 Tools: Lowering Exposure to Endocrine Disruptors, Fertility 01:24:52 Tools: BPA, BPS, BPF & Can Linings; Drinkware; Plastics & Microwave 01:30:07 Tools: Buying Organic; Skin Products, Fragrance; Sunscreens, Consumer Guides 01:32:58 Funding 01:34:31 Tools: Distilling Water, Shoes, Clothing, Food Sourcing; Building Materials 01:40:12 Europe vs. US Chemical Safety, REACH Program 01:46:20 Tool: Pregnancy & Fetal Health 01:49:23 Plastics & Environmental Concern; Fertility 01:55:26 Sperm Quality, Fertility, Cell Phone, Temperature 01:58:04 Other Animals & Fertility Decline, Ecosystems 02:01:58 Advancing Technologies, Fertility, Offspring & Adverse Effects 02:06:02 Tool: Consumer Guides, Personal & Household Products 02:09:39 Tool: Receipts; Thyroid System; Non-Stick Pans 02:15:18 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures

Above is a brief video snippet from our conversation. Full videos of all Ground Truths podcasts can be seen on YouTube here. The audios are also available on Apple and Spotify.Transcript with links to audio and external citationsEric Topol (00:06):Well, hello it's Eric Topol with Ground Truths, and I'm really delighted to welcome Dr. Rachael Bedard, who is a physician geriatrician in New York City, and is actually much more multidimensional, if you will. She's a writer. We're going to go over some of her recent writings. She's actually quite prolific. She writes in the New Yorker, New York Magazine, New York Times, New York Review of Books. If it has New York in front of it, she's probably writing there. She's a teacher. She works on human rights, civil rights, criminal justice in the prison system. She's just done so much that makes her truly unique. That's why I really wanted a chance to meet her and talk with her today. So welcome, Rachael.Rachael Bedard (00:52):Thank you, Dr. Topol. It's an honor to be here.Eric Topol (00:55):Well, please call me Eric and it's such a joy to have a chance to get acquainted with you as a person who is into so many different things and doing all of them so well. So maybe we'd start off with, because you're the first geriatrician we've had on this podcast.Practicing Geriatrics and Internal MedicineEric Topol (01:16):And it's especially apropos now. I wanted maybe to talk about your practice, how you got into geriatrics, and then we'll talk about the piece you had earlier this summer on aging.Rachael Bedard (01:32):Sure. I went into medicine to do social justice work and I was always on a funny interdisciplinary track. I got into the Mount Sinai School of Medicine through what was then called the Humanities and Medicine program, which was an early acceptance program for people who were humanities focused undergrads, but wanted to go into medicine. So I always was doing a mix of politics and activist focused work, humanities and writing, that was always interested in being a doctor. And then I did my residency at the Cambridge Health Alliance, which is a social medicine program in Cambridge, Massachusetts, and my chief residency there.(02:23):I loved being an internist, but I especially loved taking care of complex illness and I especially loved taking care of complex illness in situations where the decision making, there was no sort of algorithmic decision-making, where you were doing incredibly sort of complex patient-centered shared decision making around how to come up with treatment plans, what the goals of care were. I liked taking care of patients where the whole family system was sort of part of the care team and part of the patient constellation. I loved running family meetings. I was incredibly lucky when I was senior resident and chief resident. I was very close with Andy Billings, who was one of the founders of palliative care and in the field, but also very much started a program at MGH and he had come to work at Cambridge Hospital in his sort of semi-retirement and we got close and he was a very influential figure for me. So all of those things conspired to make me want to go back to New York to go to the Sinai has an integrated geriatrics and palliative care fellowship where you do both fellowships simultaneously. So I came to do that and just really loved that work and loved that medicine so much. There was a second part to your question.Eric Topol (03:52):Is that where you practice geriatrics now?Rachael Bedard (03:55):No, now I have ever since finishing fellowship had very unusual practice settings for a geriatrician. So right out of fellowship, I went to work on Rikers Island and then New York City jail system, and I was the first jail based geriatrician in the country, which is a sort of uncomfortable distinction because people don't really like to think about there being a substantial geriatric population in jails. But there is, and I was incredibly lucky when I was finishing fellowship, there was a lot of energy around jail healthcare in New York City and I wrote the guy who was then the CMO and said, do you think you have an aging problem? And he said, I'm not sure, but if you want to come find out, we'll make you a job to come find out. And so, that was an incredible opportunity for someone right out of fellowship.(04:55):It meant stepping off the sort of academic track. But I went and worked in jail for six years and took care of older folks and people with serious illness in jail and then left Rikers in 2022. And now I work in a safety net clinic in Brooklyn that takes care of homeless people or people who have serious sort of housing instability. And that is attached to Woodhull Hospital, which is one of the public hospitals in New York City. And there I do a mix of regular internal medicine primary care, but I preferentially see the older folks who come through, which is a really interesting, painful, complicated patient population because I see a fair amount of cognitive impairment in folks who are living in the shelter system. And that's a really hard problem to address.Frailty, The Aged, and LongevityEric Topol (05:54):Well, there's a theme across your medical efforts. It seems to me that you look after the neglected folks, the prisoners, the old folks, the homeless people. I mean that's kind of you. It's pretty impressive. And there's not enough of people like you in the medical field. Now, no less do you do that, but of course you are a very impressive author, writer, and of many topics I want to get into with you, these are some recent essays you've written. The one that piqued my interest to start to understand who you were and kind of discover this body of work was the one that you wrote related to aging and President Biden. And that was in New York Times. And I do want to put in a quote because as you know very well, there's so much interest in longevity now.Eric Topol (06:51):Interrupting the aging process, and this one really stuck with me from that op-ed, “Time marches forward, bodies decline, and the growing expectation that we might all live in perfect health until our 100th birthdays reflects a culture that overprizes longevity to the point of delusion.” So maybe if you could tell us, that was a rich piece, you got into frailty, you related it to the issues that were surrounding President Biden who at that time had not withdrawn from the race. But what were you thinking and what are your thoughts about the ability to change the aging process?Rachael Bedard (07:36):I am very interested in, I mean, I'm incredibly interested in the science of it. And so, I guess I think that there are a few things.(07:49):One thing is that the framework that, the part that gives me pause the most is this framework that anything less than perfect health is not a life worth living. So if you're going to have a long life, life should not just be long and sort of healthy in relative terms to your age cohort, but healthy that when you're 80 you should feel like you have the health of a 45-year-old is my understanding of the culture of longevity science. And while I understand why that's aspirational and everybody worry about my body's decline, I think it's a really problematic thing to say that sick bodies are bodies that have disability or people who have cognitive difference are somehow leading lesser lives or lives that are not meaningful or not worth living. I think it's a very, very slippery slope. It puts you in a place where it sort of comes up against another trend or another emerging cultural trend, which is really thinking a lot about physician-assisted suicide and end of life choices.(09:04):And that in some ways that conversation can also be very focused on this idea that there's just no way that it's worth living if you're sick. And that's just not true, I think, and that's not been true for many, many, many of my patients, some of whom have lived with enormous disability and incredible burden of illness, people who are chronically seriously ill and are still leading lives that for them and for the people who love them are filled with meaning. So that's my concern about the longevity stuff. I'm interested in the science around the longevity stuff for sure. I'm interested in, I think we're living in this really interesting moment where there's so much happening across so many of the chronic disease fields where the things that I think have been leading to body decay over the last several decades for the majority of the population, we're sort of seeing a lot of breakthroughs in multiple fronts all at once. And that's really exciting. I mean, that's really exciting. And so, certainly if it's possible to make it to 100 in wonderful health, that's what I'd wish for all of us. But to hold it up as the standard that we have to achieve, I think is both unrealistic and a little myopic.Eric Topol (10:28):Yeah. Well, I certainly agreed with that and I think that that particular essay resonated so well and you really got into frailty and the idea about how it can be potentially prevented or markedly delayed. And I think before we move on to one of those breakthroughs that you were alluding to, any comments about the inevitability of frailty in people who are older, who at some point start to get the dwindles, if you will, what do you have to say about that?Rachael Bedard (11:11):Well, from a clinical standpoint, I guess the caveat versus that not everybody becomes frail and dwindles exactly. Some people are in really strong health up until sort of their final years of life or year of life and then something happens, they dwindle quickly and that's how they die. Or some people die of acute events, but the vast majority of us are going to become more frail in our final decades than we are in our middle decades. And that is the normal sort of pattern of wear and tear on the body. And it is an extraordinary framework, I think frailty because the idea of this sort of syndrome of things where it's really not a disease framework, it is a syndrome framework and it's a framework that says many, many small injuries or stressors add up to create a lot of stress and change in a body and trauma for our body. And once you are sort of past a tipping point of an amount of stress, it's very hard to undo those things because you are not sort of addressing one pathologic process. You're addressing, you're trying to mitigate many processes all at once.(12:31):When I wrote that piece, it was inspired by the conversation surrounding President Biden's health. And I was particularly struck by, there was a huge amount of clinical speculation about what was going on with him, right? I'm sure you remember there were people, there was all of this talk about whether he had Parkinson's and what his cognitive status was. And it felt to me like there was an opportunity to do some public education around the idea that you need not have one single sort of smoking gun illness to explain decline. What happens to most of us is that we're going to decline in many small ways sort of simultaneously, and it's going to impact function when it tips over a little bit. And that pattern of decline is not going to be steady day over day worsening. It's going to be up and down. And if you slept better the night before, you might have a better day the next day. And if you slept badly, you might have a worse day. And without knowing anything specific about his clinical situation, it felt like a framework that could explain so much of what we were seeing in public. And it was important also, I think to say that nothing was necessarily being hidden from anybody and that this is the kind of thing that, this has accumulated stress over time that then presents suddenly all at once after having been submerged.Eric Topol (14:01):Yeah, you reviewed that so well about the wear and tear and everything related to that. And before I move on to the second topic, I want to just circle back to something you alluded to, which is when Peter Attia wrote about this medicine 3.0 and how you would be compressed and you'd have no comorbidities, you'd have no other illnesses and just fall off the cliff. As a geriatrician, do you think that that is even conceivable?Rachael Bedard (14:35):No. Do you think it is?Eric Topol (14:37):No, but I just wanted to check the reality. I did challenge on an earlier podcast and he came up with his pat answer. But no, there's no evidence of that, that maybe you can delay if there ever was a way to do that. But I think there's this kind of natural phenomena that you just described, and I'll refer people also to that excellent piece that you get into it more.Rachael Bedard (15:06):Peter Attia, I mean, he is certainly the sort of standard bearer in my mind of that movement and that science or that framework of thinking about science. And there's stuff in there that's really valuable. The idea of thinking about lifestyle in your middle decades is having meaningful impact on how you will age, what your final years will look like. That seems intuitively true, I think. And so, thinking about his emphasis on exercise, I mean, his emphasis on exercise is particularly intense and not super achievable for the average person, but the idea that you should sort of be thinking about keeping your body strong because it will decline eventually. And so, you want to do that from a higher peak. That makes a lot of sense to me. The idea that where we sort of draw pathologic disease cutoffs is obviously a little bit arbitrary. And so, wanting to think about optimizing pre-disease states and doing prevention, that's obviously, I think pretty appealing and interesting. It's just really in an evidence free zone.Ozempic for the IndigentEric Topol (16:18):Yeah, that's what I confronted him with, of course, he had a different perspective, but you summed that up really well. Now let's switch to a piece you had in New York magazine. It was entitled, What If Ozempic Is Just a Good Thing? And the reason, of course, this ties into the first thing we're discussing. There's even talk now, the whole GLP-1 family of drugs with the dual triple receptors, pills to come that we're going to be able to interrupt a path towards Alzheimer's and Parkinson's. Obviously you've already seen impact in heart disease, liver disease, kidney disease way before that, diabetes and obesity. So what are your thoughts? Because you wrote a very interesting, you provided a very interesting perspective when you wrote that one.Rachael Bedard (17:11):So that piece I wrote because I have this unbelievably privileged, interesting clinical practice. In New York City, there is public health insurance basically available to anybody here, including folks who are undocumented. And the public hospital system has pharmacies that are outpatient pharmacies that have, and New York Medicaid is very generous and they arranged through some kind of brilliant negotiating. I don't quite know how to make Ozempic to make semaglutide available to people who met criteria which meant diabetes plus obesity, but that we could prescribe it even for our very, very poor patients and that they would be able to get it reliably, that we would have it in stock. And I don't know how many other practices in the country are able to reliably provide GLP-1s to marginalized folks like that. I think it feels like a really rare opportunity and a very distinct perspective.(18:23):And it has just been the most amazing thing, I think to have this class of drugs come along that, as you say, addresses so many problems all at once with at least in my prescribing experience, a relatively mild tolerable side effect profile. I have not had patients who have become incredibly sick with it. And for folks where making that kind of impact on their chronic illness is so critical to not just their longevity, but their disease status interacts so much with their social burden. And so, it's a very meaningful intervention I think around poverty actually.(19:17):I really feel that almost all of the popular press about it has focused very much on use amongst the wealthy and who's getting it off label and how are they getting it and which celebrities are taking it, and what are the implications for eating and diet culture and for people who have eating disorders. And that's a set of questions that's obviously sort of interesting, but it's really interesting in a very rarefied space. There's an unbelievable diabetes epidemic in this country, and the majority of people who have diabetes are not the people who are getting written about over and over again in those pieces. It's the patients that I take care of, and those people are at risk of ending up on dialysis or getting amputations. And so, having a tool this effective is really miraculous feeling to me.Eric Topol (20:10):Well, it really gives me some hope because I don't know any program like that one, which is the people who need it the most. It's getting provided for them. And we have been talking about a drug that costs a thousand dollars a month. It may get down to $500 a month, but that's still a huge cost. And of course, there's not much governmental coverage at this point. There might be some more for Medicare, Medicaid, whatever in the future, but it's really the original criteria of diabetes, and it took almost 20 years to get to where we are right now. So what's so refreshing here is to know that there's at least one program that is helping to bridge the inequities and to not make it as was projected, which was, as you say, for celebrities and wealthy people more exclusively, so that's great. And we still don't know about the diverse breadth of these effects, but as you well know, there's trials in Alzheimer's. I spoke to Steve Horvath recently on the podcast and he talked about how it's reset the epigenetic clock, GLP-1.Rachael Bedard (21:24):Does he think so?Eric Topol (21:26):Whoa. Yeah, there was evidence that was just presented about that. I said, well, if that does correspond to aging, the thing that we spoke about first, that would be very exciting.Rachael Bedard (21:37):It's so wild. I mean, it's so exciting. It's so exciting to me on so many levels. And one of them is it's just exploding my mental model of disease pathogenesis, and it's making me think, oh my goodness, I have zero idea actually how metabolism and the brain and sort of cardiovascular disease, all of those things are obviously, what is happening in the interplay between all of those different systems. It's really so much more complicated and so much more interdependent than I understood it to be. I am really optimistic about the Alzheimer's trial. I am excited for those results, and I think we're going to keep seeing that it prevents different types of tumors.Eric Topol (22:33):Yeah, no, and that's been shown at least certainly in obese people, that there's cancers that gets way reduced, but we never had a potent anti-inflammatory that works at the brain and systemically like this before anyone loses the weight, you already see evidence.Long Covid and ME/CFS(22:50):It is pretty striking. Now, this goes back to the theme that was introduced earlier about looking after people who are neglected, who aren't respected or generally cared for. And I wanted to now get into Long Covid and the piece you wrote in the New Yorker about listening to patients, called “what would it mean for scientists to listen to patients?” And maybe you can talk about myalgic encephalitis/chronic fatigue (ME/CFS), and of course Long Covid because that's the one that is so pervasive right now as to the fact that these people don't get respect from physicians. They don't want to listen to their ailments. There's no blood tests, so there's no way to objectively make a diagnosis supposedly. And they're basically often dismissed, or their suffering is discounted. Maybe you can tell us again what you wrote about earlier this year and any updated thoughts.Rachael Bedard (24:01):Have you had my friend Harlan Krumholz on the show to talk about the LISTEN study?Eric Topol (24:04):Not yet. I know Harlan very well. Yes.Eric Topol (24:11):I know Akiko Iwasaki very well too. They're very, very close.Rachael Bedard (24:14):So, Akiko Iwasaki and Harlan Krumholz at Yale have been running this research effort called the LISTEN study. And I first learned about it sometime in maybe late 2021. And I had been really interested in the emerging discourse around chronic illness in Long Covid in the 2021. So when we were past the most acute phase of the pandemic, and we were seeing this long tail of sequelae in patients, and the conversation had really shifted to one that was about sort of trying to define this new syndrome, trying to understand it, trying to figure out how you could diagnose it, what were we seeing sort of emerge, how are we going to draw boxes around it? And I was so interested in the way that this syndrome was really patient created. It came out of patients identifying their own symptoms and then banning together much, much faster than any kind of institutional science can ever work, getting into message boards together or whatever, and doing their own survey work and then coming up with their own descriptive techniques about what they were experiencing.(25:44):And then beyond that, looking into the literature and thinking about the treatments that they wanted to try for themselves. Patients were sort of at the forefront of every step of recognizing, defining, describing this illness presentation and then thinking about what they wanted to be able to do for themselves to address it. And that was really interesting to me. That was incredibly interesting to me. And it was also really interesting because by, I don't know exactly when 2021 or 2022, it was already a really tense landscape where it felt like there were real factions of folks who were in conflict about what was real and what wasn't real, how things ought to be studied, who ought to be studying them, what would count as evidence in this realm. And all of those questions were just really interesting to me. And the LISTEN study was approaching them in this really thoughtful way, which was Harlan and Akiko sort of partnering really closely with patients who enrolled.(26:57):And it's a decentralized study and people could enroll from all over the world. There's a portion of patients who do have their blood work evaluated, but you can also just complete surveys and have that data count towards, and those folks would be from anywhere in the world. Harlan did this amazing, amazing work to figure out how to collect blood samples from all over the country that would be drawn at home for people. So they were doing this decentralized study where people from their homes, from within the sort of circumstances of their lives around their chronic illness could participate, which that was really amazing to me. And then they were partnering really thoughtfully with these patients just to figure out what questions they wanted to ask, how they wanted to ask them, and to try to capture a lot of multimodal data all at once.(27:47):Survey data, journaling so people could write about their own experience in a freeform journal. They were collecting blood samples, and they were holding these town halls. And the town halls were on a regular basis, Harlan and Akiko, and anybody who was in the study could come on, could log onto a Zoom or whatever, and Harlan and Akiko and their research staff would talk about how things were going, what they were working on, what questions they had, what the roadblocks were, and then they would answer questions from their participants as the study was ongoing. And I didn't think that I had ever heard of something quite like that before. Have you ever heard of anything?Eric Topol (28:32):No. I mean, I think this is important to underscore, this was the first condition that was ever patient led, patient named, and basically the whole path was laid by the patient. So yes, and everything you summarize is so well as to the progress that's been made. Certainly, Harlan and Akiko are some of the people that have really helped lead the way to do this properly as opposed to, unfortunately one and a half billion dollars that have been put to the NIH for the RECOVER efforts that haven't yet led to even a significant clinical trial, no less a validated treatment. But I did think it was great that you spotlighted that just because again, it's thematic. And that gets me to the fourth dimension, which is you're the first prison doctor I've ever spoken to. And you also wrote a piece about that called, “the disillusionment of a Rikers Island Doctor” in the New Yorker, I think it was. And I wonder if you could tell us, firstly, now we're four years into Covid, you were for a good part of that at Rikers Island, I guess.The Rikers Island Prison Doctor During CovidRachael Bedard (30:00):I was, yeah.Eric Topol (30:00):Yeah. And what could be a more worrisome spot to be looking after people with Covid in a prison? So maybe you could just give us some insight about all that.Rachael Bedard (30:17):Yeah, it was really, I mean, it was the wildest time, certainly in my career probably that I'll ever have. In the end of February and beginning of March of 2020, it became very apparent to my colleagues and I that it was inevitable that this virus that was in Wuhan and in Italy was coming to the US. And jails are, we sort of jokingly described them as the worst cruise ships in the world. They are closed systems where everybody is eating, sleeping, going to the bathroom, everything on top of each other. There's an incredible amount of excess human contact in jails and prisons because people don't have freedom of movement and they don't get to do things for themselves. So every single, somebody brings you your mail, somebody brings you your meals, somebody brings you your medications. If you're going to move from point A to point B, an officer has to walk you there. So for a virus that was going to spread through what we initially thought was droplets and then found out was not just droplets but airborne, it was an unbelievably high-risk setting. It's also a setting where folks tend to be sicker than average for their age, that people bring in a lot of comorbidity to the setting.(31:55):And it's not a setting that does well under stress. I mean, jails and prisons are places that are sort of constitutionally violent, and they're not systems that adapt easily to emergency conditions. And the way that they do adapt tends to be through repressive measures, which tends to be violence producing rather than violence quelling. And so, it was just an incredibly scary situation. And in mid-March, Rikers Island, the island itself had the highest Covid prevalence of anywhere in the country because New York City was the epicenter, and Rikers was really the epicenter within New York. It was a wild, wild time. Our first seriously ill patient who ended up getting hospitalized. That was at that time when people were, we really didn't understand very much about what Covid looked like. And there was this guy sitting on the floor and he said, I don't know. I can't really get up.(32:59):I don't feel well. And he had an O2 stat of 75 or something. He was just incredibly hypoxic. It's a very scary setting for that kind of thing, right? It's not a hospital, it's not a place where you can't deliver ICU level care in a place like that. So we were also really worried about the fact that we were going to be transferring all of these patients to the city hospitals, which creates a huge amount of extra burden on them because an incarcerated patient is not just the incarcerated patients, the officers who are with that person, and there are special rules around them. They have to be in special rooms and all of these things. So it was just a huge systems crisis and really painful. And we, early on, our system made a bunch of good guesses, and one of our good guesses was that we should just, or one of our good calls that I entirely credit my bosses with is that they understood that we should advocate really hard to get as many people out as we could get out. Because trying to just manage the population internally by moving people around was not going to be effective enough, that we really need to decant the setting.(34:18):And I had done all of this work, this compassionate release work, which is work to get people who are sick out of jail so that they can get treatment and potentially die in a free setting. And so, I was sort of involved in trying to architect getting folks who were sort of low enough security risks out of jail for this period of time because we thought that they would be safer, and 1500 people left Rikers in the matter of about six weeks.Rachael Bedard (34:50):Which was a wild, wild thing. And it was just a very crazy time.Eric Topol (34:56):Yeah. Well, the word compassion and you go together exceptionally well. I think if we learn about you through your writings, that really shines through and what you've devoted your care for people in these different domains. This is just a sampling of your writings, but I think it gives a good cross section. What makes you write about a particular thing? I mean, obviously the Rikers Island, you had personal experience, but why would you pick Ozempic or why would you pick other things? What stimulates you to go after a topic?Rachael Bedard (35:42):Sometimes a lot of what I write about relates to my personal practice experience in some way, either to geriatrics or death and dying or to the criminal justice system. I've written about people in death row. I've written about geriatrics and palliative care in sort of a bunch of different ways. I am interested in topics in medicine where things are not yet settled, and it feels very of the moment. I'm interested in what the discourse is around medicine and healthcare. And I am interested in places where I think the discourse, not just that I'm taking a side in that discourse, but where I think the framework of the discourse is a little bit wrong. And I certainly feel that way about the Ozempic discourse. And I felt that way about the discourse around President Biden, that we're having not just a conversation that I have a strong opinion about, but a conversation that I think is a little bit askew from the way that we ought to be thinking about it.Eric Topol (36:53):And what I love about each of these is that you bring all that in. You have many different points of view and objective support and they're balanced. They're not just trying to be persuasive about one thing. So, as far as I know, you're extraordinarily unique. I mean, we are all unique, but you are huge standard deviations, Rachael. You cover bases that are, as I mentioned, that are new to me in terms of certainly this podcast just going on for now a couple of years, that is covering a field of both geriatrics and having been on the corrections board and in prison, particularly at the most scary time ever to be working in prison as a physician. And I guess the other thing about you is this drive, this humanitarian theme. I take it you came from Canada.Rachael Bedard (37:59):I did.Eric Topol (37:59):You migrated to a country that has no universal health.Rachael Bedard (38:03):That's right.Eric Topol (38:03):Do you ever think about the fact that this is a pretty pathetic situation here?Rachael Bedard (38:08):I do. I do think about it all the time.Eric Topol (38:10):In our lifetime, we'll probably never see universal healthcare. And then if you just go a few miles up north, you pretty much have that.Rachael Bedard (38:18):Yeah, if you've lived in a place that has universal healthcare and you come here, it's really sort of hard to ever get your mind around. And it has been an absolute possessing obsession of my entire experience in the US. I've now been here for over 20 years and still think it is an unbelievably, especially I think if you work with marginalized patients and how much their lack of access compounds the difficulty of their lives and their inability to sort of stabilize and feel well and take care of themselves, it's really frustrating.Advice for Bringing Humanities to Medicine in a CareerEric Topol (39:14):Yeah, yeah. Well, I guess my last question to you, is you have weaved together a career that brings humanities to medicine, that doesn't happen that often. What's your advice to some of the younger folks in healthcare as to how to pull that off? Because you were able to do it and it's not easy.Rachael Bedard (39:39):My main advice when people ask me about this, especially to students and to residents who are often the people who are asking is to write when you can or pursue your humanities interests, your critical interests, whatever it is that you're doing. Do it when you can, but trust that your career is long and that you have a lot of time. Because the thing that I would say is I didn't start publishing until I was in fellowship and before that I was busy because I was learning to become a doctor. And I think it's really important that my concern about being a doctor who's a hybrid, which so many of us are now. A doctor or something else is you really do want to be a good doctor. And becoming a good doctor is really hard. And it's okay if the thing that is preoccupying you for the first 10 years of your training is becoming a great clinician. I think that's a really, really important thing to do. And so, for my first 10 years for med school and residency and chief residency and fellowship, I would write privately on the side a fair amount, but not try to publish it, not polish that work, not be thinking in sort of a careerist way about how I was going to become a doctor writer because I was becoming a doctor. And that was really preoccupying.(41:08):And then later on, I both sort of had more time and mental space to work on writing. But also, I had the maturity, I think, of being a person who was comfortable in my clinical identity to have real ideas and insights about medicine that felt different and unique to me as opposed to, I barely understand what's going on around me and I'm trying to pull it together. And that's how I would've been if I had done it more, I think when I was younger. Some people are real prodigies and can do it right out the gate, but I wasn't like that.Eric Topol (41:42):No, no, I think that's really sound advice because that's kind of the whole foundation for everything else. Is there a book in the works or will there be one someday?Rachael Bedard (41:53):There may be one someday. There is not one now. I think about it all the time. And that same advice applies, which is I believe in being a late bloomer and taking your time and figuring out what it is you really want to do.Eric Topol (42:10):Yeah. Well, that's great. Have I missed anything? And obviously we only can get to know you in what, 40 minutes to some extent, but have I not touched on something that you want to bring up?Rachael Bedard (42:23):No, I don't think so. Thank you for this conversation. It's been lovely.Eric Topol (42:28):No, I really enjoyed it. I'll be following your career. It's extraordinary already and you've got decades ahead to make an impact and obviously thinking of all these patients that you look after and have in the past, it's just extraordinary. So what a joy to talk with you, Rachael, and I hope we'll have a chance to do that again in the times ahead.Rachael Bedard (42:51):Me as well. Thank you so much for inviting me.**********************************************Thank you for listening, reading or watching!The Ground Truths newsletters and podcasts are all free, open-access, without ads.Please share this post/podcast with your friends and network if you found it informative!Voluntary paid subscriptions all go to support Scripps Research. Many thanks for that—they greatly help fund our education and summer internship programs.Thanks to my producer Jessica Nguyen and Sinjun Balabanoff for audio and video support at Scripps Research.Note: you can select preferences to receive emails about newsletters, podcasts, or all I don't want to bother you with an email for content that you're not interested in. Get full access to Ground Truths at erictopol.substack.com/subscribe

In episode #336 of The Hormone Puzzle Podcast, our guest Dr. Jaime Knopman, talks about IVF and Egg Freezing- What You Need to Know. More about Dr. Jaime: She is a board-certified reproductive endocrinologist and serves as the Director of Oocyte Cryopreservation at CCRM NY. After graduating Summa Cum Laude and Phi Beta Kappa from the University of Pennsylvania, she earned her medical degree from Mount Sinai School of Medicine and completed residency and subspecialty training at NYU Medical Center. She holds double board certifications in OB/GYN and Reproductive Endocrinology and Infertility and is a fellow of the American College of Obstetrics and Gynecology. As a breast cancer survivor, she is dedicated to fertility preservation for cancer patients. She is also the Medical Director of Chick Mission and advisor to The Breasties, Conceive, and Veracity, and consults for Maven Clinic. She specializes in fertility preservation and infertility treatment, and is a mom of two and a marathon enthusiast. Thank you for listening! This episode is made possible by Puzzle Brew's Fertility Tea: https://hormonepuzzlesociety.com/fertility-tea Follow Dr. Jaime on Instagram: @‌afertilefuture Follow Dr. Kela on Instagram: @‌kela_healthcoach Get your FREE Fertility Meal Plan: https://hormonepuzzlesociety.com/ FTC Affiliate Disclaimer: The disclosure that follows is intended to fully comply with the Federal Trade Commission's policy of the United States that requires to be transparent about any and all affiliate relations the Company may have on this show. You should assume that some of the product mentions and discount codes given are "affiliate links", a link with a special tracking code This means that if you use one of these codes and purchase the item, the Company may receive an affiliate commission. This is a legitimate way to monetize and pay for the operation of the Website, podcast, and operations and the Company gladly reveals its affiliate relationships to you. The price of the item is the same whether it is an affiliate link or not. Regardless, the Company only recommends products or services the Company believes will add value to its users. The Hormone Puzzle Society and Dr. Kela will receive up to 30% affiliate commission depending on the product that is sponsored on the show. For sponsorship opportunities, email HPS Media at media@hormonepuzzlesociety.com

Dr. Manju Dawkins is a board certified dermatologist who received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She was Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year.  She has practiced in academic, private, hospital based, and group practice settings in New York and Los Angeles. She is also the creator and co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. We're building a holistic platform of pain and stress reducing products for common needle procedures. THIMBLE is changing the way healthcare feels.Fun fact: She is 5'2" (on a good day).Even more fun fact: She played Division I basketball at Columbia University and served as captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Some of the topics we discussed were:How much detail to go into about your product at the very beginning when you're interviewing potential members of the team to help create the productHow to evaluate and decide if the people you're working with are right for your needsWhen Dr. Dawkins started on the journey to create Thimble, how long development took, and how long each step tookWhat Dr. Dawkins would recommend to women physicians who have an amazing idea for creating something that will be really helpful but don't know where to startThe main obstacles Dr. Dawkins faced throughout the process and what helped her overcome themWhat lessons Dr. Dawkins learned from the obstacles she faced along the wayThe process of raising money for the company and how it worksHow to successfully present your product to potential investorsParts of Dr. Dawkins' journey that surprised herDetails on Thimble's prepare patch before injection, recover patch after injection, and app with supportive techniquesHow Thimble uses an integrative approach to combine all kinds of medicinal techniques from all cultures to create more effective, comprehensive solutionsWhen to apply each of the patches and how long to leave each of them onThe meaning behind why Dr. Dawkins chose to name her company Thimble3 pieces of advice from Dr. Dawkins for entrepreneurs who have something in mind and would love to launch but are stuck in the idea phaseAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/ Join the Voices of Women Physicians Facebook Group: https://www.facebook.com/groups/190596326343825/ Connect with Dr. Dawkins: Website: http://thimblehealth.com/Instagram:https://www.instagram.com/thimble.health/TikTok:https://www.tiktok.com/@thimble.healthLinkedIn:https://www.linkedin.com/company/thimblehealth/Email:manju@thimblehealth.com

Dr. Manju Dawkins is a board certified dermatologist who received her B.A. from Columbia University. She then returned to her home state to obtain her M.D. from the University of Maryland. She completed her dermatology residency and served as Chief Resident at Albert Einstein College of Medicine in the Bronx, NY. She was Assistant Professor at Mount Sinai School of Medicine where she was twice named Teacher of the Year.  She has practiced in academic, private, hospital based, and group practice settings in New York and Los Angeles. She is also the creator and co-founder of Thimble, the first easy, safe, and comprehensive solution for alleviating needle pain and stress. Needle aversion stops millions from participating in other forms of essential care, including early disease detection, blood donation and life-saving treatments. We're building a holistic platform of pain and stress reducing products for common needle procedures. THIMBLE is changing the way healthcare feels.Fun fact: She is 5'2" (on a good day).Even more fun fact: She played Division I basketball at Columbia University and served as captain her senior year. She is a founding and current member of the Columbia Women's Basketball Advisory Board and a member of the Columbia Athletics Women's Leadership Council.Some of the topics we discussed were:How Dr. Dawkins came up with ThimbleWhat Thimble is and what it doesThe first step Dr. Dawkins took to start ThimbleWhere Thimble is available for purchase How Dr. Dawkins is working with blood donation centers to distribute ThimbleHow Thimble can help improve the declining rates of blood donation due to needle aversion The multitude of practical uses of Thimble for benefitting patients and their well-beingWhat the next steps were after Dr. Dawkins thought of Thimble and established that there was a need for itWhat the process of formulation and manufacturing looked likeUnderstanding the regulatory process and how to go about it properlyFiguring out the scale of initial manufacturingThe importance of asking for help from expertsHelpful tips on how to make the patent process easier on yourselfAnd more!Learn more about me or schedule a FREE coaching call:https://www.joyfulsuccessliving.com/Join the Voices of Women Physicians Facebook Group:https://www.facebook.com/groups/190596326343825/Connect with Dr. Dawkins:Website:http://thimblehealth.com/Instagram:https://www.instagram.com/thimble.health/TikTok:https://www.tiktok.com/@thimble.healthLinkedIn:https://www.linkedin.com/company/thimblehealth/

This week, on The Conscious Consultant Hour, Sam is pleased to welcome ER Doctor, Assistant Professor of Medicine, Psychedelic Researcher & Guide, Sound Meditation and Breathwork Facilitator, Dr. William Berk.Raised a Buddhist, Dr. Berk has married his longstanding meditation practice with his medical career in the ER of a Lower Manhattan hospital. His experiences have honed his focus on empathy, joy, and presence in his practice. He discovered a unique approach to meditation in 2020, using harmonic tones from various instruments like singing bowls and gongs to achieve deep meditative states. This approach, combined with his own practices of breathwork, visualization, and loving kindness, offers a transformative experience he's eager to share.When the COVID crisis hit, Dr. Berk saw firsthand how important his approach could be. He offered small meditation sessions to his colleagues, helping them find peace and quiet their minds amidst the chaos. The result was a profound positive effect on everyone involved, enabling them to tap into their inherent goodness, even under intense stress. His work has expanded beyond the ER, though. Dr. Berk now serves as a wellness consultant for the hospital system, providing meditations aimed at preventing burnout among staff. He also facilitates meditation sessions at social clubs in NYC and guides small groups at his Brooklyn studio. His roles at Nautilus Sanctuary, a NYC-based non-profit for psychedelic-assisted therapy, and The Center for Enlightenment Arts (CEA), a spirituality sanctuary offering transformative experiences, further reinforce his dedication to wellness and mindfulness. As an assistant professor and clinical instructor at Mount Sinai School of Medicine, his influence extends to the next generation of medical practitioners.Tune in and share your questions and comments about alternative healing techniques on our YouTube livestream or on our Facebook page.Support this podcast at — https://redcircle.com/the-conscious-consultant-hour8505/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This month we're joined on the TrainSmart Podcast by Dr. Melynda Barnes. As a a double board-certified Facial Plastic and Reconstructive Surgeon and Otolaryngologist and Chief Medical Officer at Ro, Dr. Barnes brings a wealth of perspective on physician training, how to best coach physician faculty, and the value of a medical device rep. Tune in for great insight, encouragement, and inspiration for working with physicians! Related Resources: Dr. Barnes is a double board-certified Facial Plastic and Reconstructive Surgeon and Otolaryngologist. Previously, she was an Assistant Professor at Yale-New Haven Hospital and Yale School of Medicine and also served on the board of directors for Yale Medical Group. She earned her BAS from Stanford and her medical degree from the Mount Sinai School of Medicine. Connect with us on LinkedIn:   ⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Cumby Consulting⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Rachel Medeiros⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Liz Cumby⁠⁠⁠⁠⁠About Cumby Consulting:   Cumby Consulting's team of professionals deliver innovative MedTech training services for physicians, sales representatives, teaching faculty, key opinion leaders and clinical development teams. Whether you need a complete training system developed to deliver revenue sooner or a discrete training program for a specific meeting, Cumby Consulting will deliver highly strategic, efficient programs with uncompromising standards of quality.

Dr. Emily Hoffman was born and raised in New York. She graduated from SUNY Downstate College of Medicine in 2017. She did her Internal Medicine residency at Montefiore Medical Center from 2017-2020 and served as chief resident in 2021. Dr. Hoffman is passionate about medical education and was part of a medical education pathway in both medical school and residency. She completed her Infectious Disease fellowship at NYU Grossman School of Medicine in 2023 and joined the faculty at NYU as a Clinical Assistant Professor. In addition to caring for patients in the inpatient and outpatient setting, Dr. Hoffman also serves as “Content Lead”, a role that includes contributing to and supporting educational endeavors related to infectious disease and immunology at the UME and GME level. She lives on Long Island with her husband and two children. Dr. Ellie Carmody is an associate professor in the Department of Medicine, Division of Infectious Diseases at the NYU Grossman School of Medicine.  She obtained her MD at Mount Sinai School of Medicine, completed her residency in Internal Medicine at New York-Presbyterian, Columbia University and Infectious Diseases fellowship at NYU School of Medicine.  She has a clinical practice as an attending physician on the Infectious Diseases service at Bellevue Hospital and is an investigator at the NYU Langone Vaccine Center.  Dr. Carmody has been a researcher with the Jewish Orthodox Women's Association (JOWMA), assessing effectiveness of health education programs and evaluating strategies to build confidence in vaccines and preventive health measures. She lives in Brooklyn with her husband and three children.   __________________________________________________ Sponsor the JOWMA Podcast! Email digitalcontent@jowma.org Become a JOWMA Member! www.jowma.org  Follow us on Instagram! www.instagram.com/JOWMA_org  Follow us on Twitter! www.twitter.com/JOWMA_med  Follow us on Facebook! https://www.facebook.com/JOWMAorg/Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Welcome to the Psychedelic Conversations Podcast! Episode 118: In this episode we delve into Dana's transformative journey from an infectious disease consultant on the COVID frontlines to a leader in psychedelic medicine. Dana shares her personal experiences with psychedelic therapies, reshaping her perspective and healing methods, leading to the creation of her company. She passionately discusses the significant impact of psychedelic medicines in healing trauma and fostering deep connections, contrasting this with her medical background. We also touch on the challenges and ethics in the psychedelic space, highlighting the importance of intentional use and respect for indigenous practices. Join us to explore how Dana integrates these profound insights into her therapeutic work and how this shift is influencing wider perceptions and approaches to mental health and healing. About Dana: Dr. Dana Lerman received her M.D. at Mount Sinai School of Medicine, in New York. She completed Internal Medicine residency at The Mount Sinai Hospital and fellowship in Infectious Disease at The Albert Einstein College of Medicine. Dr. Lerman is board certified in Internal Medicine and Infectious Disease. She has worked as an infectious disease consultant all over the United States for over ten years. Dr. Lerman was the founder of The COVID Consultants, a national COVID-19 consulting and testing firm. During the pandemic she identified herself as a wounded healer and began her own mental wellness journey which led her to an ayahuasca retreat in Costa Rica. Since this time Dr. Lerman's passions have shifted focus and she has since received training and certification in Psychedelic-Assisted Therapy from the Integrative Psychiatry Institute (IPI) in Boulder, Colorado. Dr. Lerman is in MAPS training via IPI. She has received further training in trauma via PESI, Internal Family Systems via the IFS Institute, and Ecotherapy with the Earth Body Institute. She volunteers with Zendo Project trip sitting at Burning Man. Her prior personal history of psychedelic use, including work with ketamine, psilocybin, LSD, 5-MeO-DMT, Ayahuasca and DMT and other purgatives such as Kambo, affords her the unique ability to know first hand what clients may be experiencing. Dr. Lerman treats patients at the Skylight Journey Center in Evergreen, CO. Connect with Dana: Website: https://skylightpsychedelics.com IG: https://www.instagram.com/skylightpsychedelics?igsh=MXdrODVucHkwNzdydg== LinkedIn: https://www.linkedin.com/in/dana-lerman-md-71249bb1?utm_source=share&utm_campaign=share_via&utm_content=profile&utm_medium=ios_app Thank you so much for joining us! Psychedelic Conversations Podcast is designed to educate, inform, and expand awareness. For more information, please head over to https://www.psychedelicconversations.com Please share with your friends or leave a review so that we can reach more people and feel free to join us in our private Facebook group to keep the conversation going. https://www.facebook.com/groups/psychedelicconversations This show is for information purposes only, and is not intended to provide mental health or medical advice. About Susan Guner: Susan is a trained somatic, trauma-informed holistic psychotherapist with a mindfulness-based approach grounded in Transpersonal Psychology that focuses on holistic perspective through introspection, insight, and empathetic self-exploration to increase self-awareness, allowing the integration of the mind, body and spirit aspects of human experience in personal growth and development. Connect with Susan: Website: https://www.psychedelicconversations.com/ Facebook: http://www.facebook.com/susan.guner LinkedIn: https://www.linkedin.com/in/susan-guner/ Instagram: http://www.instagram.com/susanguner Twitter: http://www.twitter.com/susanguner Blog: https://susanguner.medium.com/ Podcast: https://anchor.fm/susan-guner #PsychedelicConversations #SusanGuner #DanaLerman

Dr. Adam Gazzaley is a Professor of Neurology, Physiology and Psychiatry and the Founding Director of the Neuroscience Imaging Center at the University of California, San Francisco. Adam is also Co-Founder and Chief Science Advisor of Akili Interactive Labs, a company that is developing therapeutic video games. Much of the research in Adam's lab focuses on aging and how aspects of cognition, like memory and attention, change over our lifespan. They are working to develop new, innovative tools, including engaging video games, to enhance brain function, improve cognition, and improve quality of life. In his free time, Adam can be found spending quality time with friends and family. He is a fan of hanging out over dinner, enjoying live music, hiking, camping, and getting outdoors. He received his M.D. And Ph.D. in Neuroscience at the Mount Sinai School of Medicine. Adam then completed his Internship in Medicine and Clinical Residency in Neurology at the University of Pennyslvania, followed by postdoctoral training in Cognitive Neuroscience at UC, Berkeley before joining the faculty at UCSF where he is today. Adam is the recipient of the Pfizer/AFAR Innovations in Aging Award, the Ellison Foundation New Scholar Award in Aging, the Harold Brenner Pepinsky Early Career Award in Neurobehavioral Science, and the UCSF 150th Anniversary Alumni Excellence Award. He is also an elected Member of the American Society for Clinical Investigation. Adam is here with us today to tell us all about his journey through life and science.

Dopamine sensitivity and sugar addiction are familiar traits of ADHD. Perhaps using sugar to self-medicate, re-energise, or dopamine-seek may be a pattern you relate to? If so, you're going to want to listen to this week's episode of The ADHD Women's Wellbeing, with guest Dr. Nicole Avena, an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City, and a Visiting Professor of Health Psychology at Princeton University. Nicole is a research neuroscientist and nutrition, diet, and addiction expert. Her research focuses on nutrition during early life and pregnancy and women's health. She has done groundbreaking work developing models to characterize food addiction and the dangers of excess sugar intake. Dr Avena's latest book, Sugarless, covers the latest science on sugar addiction and how to overcome it. She has the #2 most watched TED-ED Health talk, How Sugar Affects Your Brain, with over 17 million views and counting.On this episode of The ADHD Women's Wellbeing Podcast, Dr Avena and Kate talk about:The link between sugar addiction and dopamine-seeking brainsThe effects of dopamine released by sugar consumption on the brain Why you might find it challenging to cut out sugar How processed sugar affects ADHD children How sugar affects your body and your health Parenting and teaching our kids nutritional choices and consuming processed sugar Having a susceptible dopamine systemManaging a sugar addiction, binges and regaining control Our busy society doesn't lend itself to healthy eatingADHD and female social expectationsImplementing small incremental changes to help reduce sugar addictionShowing ourselves compassion when consuming sugarUnderstanding sugar addiction compared to other addictionsLearning to bring in more balance when consuming sugary foodsThanks to our sponsor, Get Dopa!Created by and for neurodivergent brains, this smart supplement contains 16 powerful nootropic ingredients. Use code Kate10 at the checkout to get your 10% discount. Click here to find out more.Have a look at some of Kate's workshops and free resources here.Kate Moryoussef is a women's ADHD Lifestyle & Wellbeing coach and EFT practitioner who helps overwhelmed and unfulfilled newly diagnosed ADHD women find more calm, balance, hope, health, compassion, creativity, and clarity. Follow the podcast on Instagram here.Follow Kate on Instagram hereFind Kate's resources on ADDitude magazine here

Are you someone who has a sweet tooth? Do you get cravings for something sweet throughout the day or in the evening before bedtime? If so, I can completely relate. I get sugar cravings, and when they hit, the cravings are strong. And this happens to kids, too! As parents, we sometimes use sweets to show love, appreciation, and sometimes even bribery. I know I have. These cravings can start young. Sugar is also hidden in our foods, and it doesn't have to be advertised or regulated. It's a major part of our culture's diet, but do we really understand the impact of sugar on our health and our kids' health? I'm not sure. That's why I'm talking to scientist and mother, Dr. Nicole Avena, to understand the science and learn what we can do. Who is Dr. Nicole Avena? Dr. Nicole Avena is an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City and a Visiting Professor of Health Psychology at Princeton University. She is quite impressive! Dr. Avena is also a public speaker and the author of several popular books like "What to Eat When You're Pregnant," "Why Diets Fail," "Hedonic Eating," and her latest book, "Sugarless," which covers the latest science on sugar addiction and how to overcome it. She has done groundbreaking work developing models to characterize food addiction and the dangers of excess sugar intake. She is the perfect person to chat with about understanding the impact of sugar on our kids' and our health. What Did We Discuss? In this episode, we're chatting with Dr. Avena about the impact of sugar and the effect that it has on the health of our families. We all know that the majority of kids (and adults) love sugar. So, we're gonna "chick chat" about some actionable steps to help reduce sugar impact and why this is so important for us to do so. Here are several of the questions that we covered in our conversation: What led you to research the impact of sugar on our health? Tell us more about what you have learned about the effects of sugar on our physical and mental health. Can you elaborate more on the evidence that sugar is addictive? Often, we are unaware of how much sugar is in the food we eat. How can we become more aware of what we are putting into our bodies and the bodies of our children? I think we are all familiar with "sugar cravings." How can we cope with these cravings? What about artificial sweeteners? What should we be aware of when consuming this type of product? What are some ways families can begin to remove excess sugar from their diets? Can you tell us some of the long-term risks of consuming a diet with too much sugar? What are some of your favorite sugar-free recipes and snacks? What resources do you recommend for parents who want to learn more about the dangers of sugar and how to lessen their intake? It was an eye-opening conversation that I think everyone can benefit from and should listen to. Our diets are incredibly important, and because we are the gatekeepers of the kitchen for our kids, these details we discuss are imperative for parents to know. We are building our children's future health now. Tune in to learn all about it and the impact of sugar on our kids and our health! Dr. Avena's Resources Website: DrNicoleAvena.com Dr. Avena's books Facebook: @drnicoleavena Instagram: @drnicoleavena YouTube: @drnicoleavena LinkedIn: @drnicoleavena Thank you for listening to this episode! Follow us on our podcast Instagram page @thebabychickchat, and let us know what you think and if there are any other topics you'd like us to cover. Cheers to better health and less sugar! Learn more about your ad choices. Visit megaphone.fm/adchoices

Take our Doctor's Visits Survey https://forms.gle/w3cksHc6mt2v7GNu9Take all our surveys https://wearemorphus.com/pages/research-surveysAndrea Donsky, nutritionist, Menopause Researcher, Menopause Educator, and co-founder of Morphus, interviews Dr. Nicole Avena about why we need to break up with sugar in perimenopause and menopause.Dr. Nicole Avena. She's an associate professor of neuroscience at Mount Sinai School of Medicine in New York City and a visiting professor of health psychology at Princeton University. She has done groundbreaking work, developing models to characterize food addiction and the dangers of excess sugar intake. In addition to over a hundred peer-reviewed scholarly publications, Dr. Avena has written several popular books. Her latest book, Sugarless, covers the latest science on sugar addiction and how to overcome it.Berberine https://bit.ly/3K5jO1L1:40 Dr. Nicole Avena's research reveals how sugar addiction drives obesity and other health risks associated with overconsuming sugar7:52 Understanding the dangers of added sugars vs. the benefits of fruit sugars9:04 There are 280+ sneaky names for sugar on food labels. Dr. Avena explains the rise of sugar overload in the modern diet.12:28 Discussing the recommended daily sugar Intake and how to change our taste preferences towards less sugar21:56 How artificial sweeteners fuel the growing sugar addiction epidemic24:12 Healthy alternatives to added sugars for sweetening foods and drinks26:45 How addressing sugar addiction can be beneficial in perimenopause and menopause 29:42 How managing sugar addiction can improve mental health like anxiety and brain fog symptoms during perimenopause and menopauseBerberine https://bit.ly/3K5jO1LBuy the book: Sugarless: A 7-Step Plan to Uncover Hidden Sugars, Curb Your Cravings, and Conquer Your Addiction by Dr. Nicole Avena https://amzn.to/3VSB4xSDr. Nicole Avena https://www.drnicoleavena.com/======

Host: Peter Buch, MD, FACG, AGAF, FACP Guest: Ali Soroush, MD, MS Due to recent technological advancements, the use of artificial intelligence to detect a variety of gastroenterological conditions like Barrett's esophagus, gastric cancer, and colon polyps is increasingly being explored. Learn about the application, benefits, and pitfalls of artificial intelligence in gastroenterology with Dr. Peter Buch and Dr. Ali Soroush, Assistant Professor of Gastroenterology at Mount Sinai School of Medicine in New York.

This series is sponsored by our friends Sarala and Danny Turkel.This episode is sponsored by Twillory. New customers can use the coupon code 18Forty to get $18 off of all orders of $139 or more. In this episode of the 18Forty Podcast, we pivot to Intergenerational Divergence by talking to Rachel Yehuda, a professor of psychiatry and neuroscience, about intergenerational trauma and intergenerational resilience. In many ways, Oct. 7 reactivated a sense of Jewish trauma that many of us had never experienced in our lifetimes. And yet, it was a feeling that we somehow felt we were returning to as Jews. In this episode we discuss:How does trauma get passed on across generations? How do the Jewish holidays teach us to cultivate resilience from within trauma? How can the Jewish community be more adept at handling traumatic events?Tune in to hear a conversation about how, together, we find the courage to continue.Interview begins at 11:01.Dr. Rachel Yehuda is a professor of psychiatry and neuroscience, the vice chair for veterans affairs in the psychiatry department, and the director of the traumatic stress studies division at the Mount Sinai School of Medicine. Dr. Yehuda also established and directs the Center for Psychedelic Psychotherapy and Trauma Research. Dr. Yehuda's research on second-generation Holocaust survivors, showing the epigenetic effects of trauma across generations, has made her a seminal figure in the field of intergenerational trauma and resilience.References:“The Rabbi vs. the Jewish People” by David Bashevkin“Yonatan Adler: What Archeologists Find”“Hazon Ish on Textual Criticism and Halakhah” by Zvi A. Yehuda“Hazon Ish on the Future of the State of Israel” by Zvi A. YehudaThe Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma by Bessel van der KolkTrauma and Recovery: The Aftermath of Violence—from Domestic Abuse to Political Terror by Judith Herman “Resilience definitions, theory, and challenges: interdisciplinary perspectives” by Rachel Yehuda and more“What We Talk About When We Talk About Anne Frank” by Nathan Englander

Women who eat more sugar during pregnancy are more likely to have children to eat more sugar.Were you conditioned at birth to be addicted to sugar?We're born into a sugar laden world that sets us up to be addicted to this white substance.But how did we get here?And what do we do about it?Dr. Nicole Avena is an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City, and a Visiting Professor of Health Psychology at Princeton University. She is a research neuroscientist and expert in the fields of nutrition, diet and addiction, with a special focus on nutrition during early life and pregnancy, and women's health. In addition to over 100 peer-reviewed scholarly publications, Dr. Avena has written several popular books, including Why Diets Fail: Because You're Addicted to Sugar, What to Eat When You're Pregnant, What to Feed Your Baby and Toddler and What to Eat When You Want to Get Pregnant.Her latest book, Sugarless, covers the latest science on sugar addiction and how to overcome it. She frequently appears as a science expert in the media, including regular appearances on Good Day NY, The Doctors, and the former Dr. Oz Show. Her work has been featured in Time Magazine, Bloomberg Business Week, The New York Times, and many othersYou can find her on social media @drnicoleavena IG, Facebook, LinkedIn******************Connect with Dr. Nicole Avena:Instagram: https://www.instagram.com/drnicoleavena/ Facebook: https://www.facebook.com/DrNicoleAvena   LinkedIn: https://www.linkedin.com/feed/update/urn:li:activity:7071330036536016896?updateEntityUrn=urn%3Ali%3Afs_feedUpdate%3A%28V2%2Curn%3Ali%3Aactivity%3A7071330036536016896%29 **************➠ Discover the unique ROOT CAUSE that is keeping you stuck on the sugar rollercoaster every year. Take the QUIZ HERE NOW. ➠ Ready to do the deep IN PERSON healing needed to create lasting change with food? Join us at the upcoming Sugar Freedom Embodiment Retreat.  ➠ Take a deep dive into healing your emotional eating habits with food and re-connecting with the wisdom of your body at the upcoming Emotional Empowerment Program. Get on the WAITLIST HERE.******************Come hang out with me and keep the conversation going on social media:Facebook: https://www.facebook.com/danielledaemcoachingInstagram: https://www.instagram.com/danielledaem/Join the Facebook Community: https://www.facebook.com/groups/simplybalancedhealthYouTube (where you can watch all these episodes in video!) https://www.youtube.com/channel/UCLCqU7XE_KU1xPmjkpZyGPA 

In this episode we speak with Dr. Nicole Avena about sugar addiction and how to break its cycle. Dr. Avena is an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City, and a Visiting Professor of Health Psychology at Princeton University. She is a research neuroscientist and expert in the fields of nutrition, diet and addiction, with a special focus on nutrition during early life and pregnancy, and women's health. She has done groundbreaking work developing models to characterize food addiction and the dangers of excess sugar intake. Her research achievements have been honored by awards from several groups including the New York Academy of Sciences, the American Psychological Association, and the National Institute on Drug Abuse. In addition to over 100 peer-reviewed scholarly publications, Dr. Avena has written several popular books, including Why Diets Fail: Because You're Addicted to Sugar, What to Eat When You're Pregnant, What to Feed Your Baby and Toddler and What to Eat When You Want to Get Pregnant. Her latest book, Sugarless, covers the latest science on sugar addiction and how to overcome it. She frequently appears as a science expert in the media, including regular appearances on Good Day NY, The Doctors, and the former Dr. Oz Show as well as many news programs. Her work has been featured in Time Magazine, Bloomberg Business Week, The New York Times, and many other periodicals. Dr. Avena is a member of the Penguin Random House Speakers Bureau. She has the #2 most watched TED-ED Health talk, How Sugar Affects Your Brain, with over 17 million views and counting. Learning Points: • Why sugar is so pervasive in our society • Biological reasons we like sugar • How we begin to break sugar addiction Social Media Handles/Website Address • https://www.drnicoleavena.com/ • https://www.facebook.com/DrNicoleAvena/ • https://www.instagram.com/drnicoleavena/ • https://www.linkedin.com/in/dr-nicole-avena-72486353/

Sugar is hidden in everything Americans consume, with the average adult consuming 22 teaspoons of added sugar daily as opposed to the recommended intake of 6 to 8 teaspoons. This week, Elizabeth brings in Dr. Nicole Avena, neuroscientist, nutrition expert, and author of the new book Sugarless: A 7-Step Plan To Uncover Hidden Sugars, Curb Your Cravings and Conquer Your Addiction. Dr. Nicole talks about the effects of sugar on our physical and mental health, what too much sugar does to the body, and some simple small steps to get sugar cravings under control. Dr. Nicole also shares some great and proven habits to increase dopamine and mood boosting benefits without the crutch of reaching for sugar. Dr. Nicole is also an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York and a visiting professor of Health Psychology at Princeton University. Episodes Here Say Hi To Elizabeth and Purely Elizabeth: Website | InstagramNicole: Sugarless | Website | Facebook Mentioned: The Mindful Body 

Driven by his life's purpose to truly help people, Dr. Shiv Goel dedicates his full attention to understanding the unique factors that influence each patient's concerns to get to the root cause and help them heal inside and out. Originally from New Delhi, India, Dr. Goel trained in anesthesiology and internal medicine at Mount Sinai School of Medicine in New York City. Following many years of traditional, academic, and hospital practice, a major life event caused Dr. Goel to rethink his priorities. To address the mind and spirit along with the body, he founded Prime Vitality in San Antonio where he now devotes his full energy to changing the lives of every person he meets.To learn more about Dr. Shiv GoelFollow Dr. Goel on InstagramABOUT MEET THE DOCTOR The purpose of the Meet the Doctor podcast is simple. We want you to get to know your doctor before meeting them in person because you're making a life changing decision and time is scarce. The more you can learn about who your doctor is before you meet them, the better that first meeting will be. When you head into an important appointment more informed and better educated, you are able to have a richer, more specific conversation about the procedures and treatments you're interested in. There's no substitute for an in-person appointment, but we hope this comes close.Meet The Doctor is a production of The Axis. Made with love in Austin, Texas.Are you a doctor or do you know a doctor who'd like to be on the Meet the Doctor podcast? Book a free 30 minute recording session at meetthedoctorpodcast.com.

Dr. Robert Lustig and Dr. Nicole Avena will have a conversation about sugar, based on many years of scientific and clinical experience. They will begin with a brief history of the evolution of sugar in our food environment and move on to where we are today regarding types of sugar and sweeteners, as well as the pervasiveness of these in our food supply. Questions explored will include: How do various types of sugar and sweeteners affect your brain and body systems? Is moderation possible when evidence suggests sugar may be "addictive"? What are the options if you want something sweet? You will have an opportunity to ask questions and will gain valuable insights to help you understand sugar and reduce your intake if need be. Dr. Nicole Avena is an associate professor of neuroscience at Mount Sinai School of Medicine in New York City and a visiting professor of health psychology at Princeton University. She is a research neuroscientist and expert in the fields of nutrition, diet and addiction, with a special focus on nutrition during early life and pregnancy, and women's health. She has done groundbreaking work developing models to characterize food addiction and the dangers of excess sugar intake. Robert H. Lustig, M.D., M.S.L. is emeritus professor of pediatrics in the Division of Endocrinology, and member of the Institute for Health Policy Studies, at UCSF. Dr. Lustig is a neuroendocrinologist, with expertise in metabolism, obesity, and nutrition. He is one of the leaders of the current “anti-sugar” movement that is changing the food industry. He has dedicated his retirement from clinical medicine to helping fix the food supply any way he can, to reduce human suffering and to salvage the environment. MLF ORGANIZER: Patty James A Nutrition, Food & Wellness Member-led Forum program. Forums at the Club are organized and run by volunteer programmers who are members of The Commonwealth Club, and they cover a diverse range of topics. Learn more about our Forums. Learn more about your ad choices. Visit megaphone.fm/adchoices

Sponsored by Freed.AI - Get 50% off your first month of using their AI-powered medical scribe software! Just add PGD50 to your cart! Dr. Jordyn Feingold, a luminary in the field of positive psychology and medicine, shed light on how adversity, when approached with the right mindset, can be a powerful catalyst for personal growth and well-being. Dr. Feingold, a physician, well-being researcher, and founder of positive medicine, shared her insights and experiences, offering a new perspective on facing life's challenges. Looking for something specific? Here you go! [00:01:00] - Dr. Feingold's background, education, and career overview. [00:02:00] - Dr. Jordyn Feingold officially welcomed to the podcast. [00:03:00] - The inspiration behind co-authoring "Choose Growth" and the impact of COVID-19. [00:06:00] - The critical role of social connections and human relationships in well-being. [00:07:00] - Discussion on post-traumatic growth and how adversity can lead to personal growth. [00:10:00] - Insights into how different socioeconomic backgrounds affected mental health during the pandemic. [00:14:00] - The concept of asking for help and its positive implications. [00:19:00] - Exploring Maslow's hierarchy of needs and the sailboat metaphor in positive psychology. [00:24:00] - The importance of the vagus nerve in emotional regulation and mental health. More on Dr. Jordyn Feingold: Dr. Jordan Feingold is a physician, well-being researcher, positive psychology practitioner, and founder of positive medicine. She holds degrees from Penn and Mount Sinai School of Medicine, specializing in psychiatry. Dr. Feingold is known for her work in advancing the science of well-being, teaching courses in positive medicine, and co-authoring "Choose Growth," a workbook for transcending trauma and fostering personal growth. Did ya know…  You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show! Socials: @physiciansguidetodoctoring on FB  @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter  

Jonathan Elmer, MD, MS is an associate professor of emergency medicine, critical care medicine, and neurology at the University of Pittsburgh Medical Center. He received his Batchelor's degree in biochemistry from Swarthmore and his medical degree from Mount Sinai School of Medicine. He completed his residency in emergency medicine at ...

Adam Gazzaley is David Dolby Distinguished Professor of Neurology, Physiology, and Psychiatry in the School of Medicine at the University of California, San Francisco. He obtained his M.D. and Ph.D. in Neuroscience at the Mount Sinai School of Medicine. Adam works on developing new approaches to both assess and optimize human cognition, with particular attention to underutilized but high-potential tools like video games. In this episode, Robinson and Adam discuss the cognition crisis—why our brains seem to be under such duress in the modern age—and the structural features of the brain, as well as its plasticity, and how these things can be modified and optimized to deal with the current environment. Check out Adam's book, The Distracted Mind (MIT, 2016). Adam's Website: https://gazzaley.com The Distracted Mind: https://a.co/d/aZm8Reg OUTLINE 00:00 In This Episode… 00:39 Introduction 03:09 Science and Medicine 07:29 What Is Brain Plasticity 11:17 What Is the Cognition Crisis? 31:48 Can Neuroscience Make Us Smarter? 43:17 Can Neuroscience Develop Technological Medicine? 54:45 On Medicinal Video Games 01:04:01 Why Doctors Might Prescribe Video Games For ADHD 01:23:49 Sleep Improvement 01:27:24 The Future of Medicinal Video Game Research 01:43:07 How We Can All Improve Cognitive Function Robinson's Website: http://robinsonerhardt.com Robinson Erhardt researches symbolic logic and the foundations of mathematics at Stanford University. Join him in conversations with philosophers, scientists, weightlifters, artists, and everyone in-between.  --- Support this podcast: https://podcasters.spotify.com/pod/show/robinson-erhardt/support

HOLIDAY SPECIAL BOOK BUNDLE OF CHEF AJ'S BOOKS! https://www.bookpubco.com/content/chef-ajs-holiday-book-special GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download ------------------------------------------------------------------------------------ MY LATEST BESTSELLING BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S ----------------------------------------------------------------------------------- Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. You can get the book here: https://www.amazon.com/dp/1454947802?linkCode=ssc&tag=onamzchefajsh-20&creativeASIN=1454947802&asc_item-id=amzn1.ideas.1GNPDCAG4A86S&ref_=aip_sf_list_spv_ofs_mixed_d_asin Dr. Nicole Avena is an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City, and a Visiting Professor of Health Psychology at Princeton University. She is a research neuroscientist and expert in the fields of nutrition, diet and addiction, with a special focus on nutrition during early life and pregnancy, and women's health. She has done groundbreaking work developing models to characterize food addition and the dangers of excess sugar intake. Her research achievements have been honored by awards from several groups including the New York Academy of Sciences, the American Psychological Association, and the National Institute on Drug Abuse. In addition to over 100 peer-reviewed scholarly publications, Dr. Avena has written several popular books, including Why Diets Fail: Because You're Addicted to Sugar, What to Eat When You're Pregnant, What to Feed Your Baby and Toddler and What to Eat When You Want to Get Pregnant. Her latest book, Sugarless, covers the latest science on sugar addiction and how to overcome it. It will be released December, 19 2023. She frequently appears as a science expert in the media, including regular appearances on Good Day NY, The Doctors, and the former Dr. Oz Show as well as many news programs. Her work has been featured in Time Magazine, Bloomberg Business Week, The New York Times, and many other periodicals. Dr. Avena is a member of the Penguin Random House Speakers Bureau. She has the #2 most watched TED-ED Health talk, How Sugar Affects Your Brain, with over 17 million views and counting: https://www.youtube.com/watch?v=lEXBxijQREo You can find her on social media @drnicoleavena Instagram: https://www.instagram.com/drnicoleavena/ Facebook: https://www.facebook.com/DrNicoleAvena/ LinkedIn: https://www.linkedin.com/in/dr-nicole-avena-72486353

Dr. Nicole Avena was one of our first guests on the podcast 3 years ago, you can check out her in episode 15. She is an Associate Professor of Neuroscience at Mount Sinai School of Medicine in New York City, and a Visiting Professor of Health Psychology at Princeton University.  She is a research neuroscientist and expert in the fields of nutrition, diet and addiction, with a special focus on nutrition during early life and pregnancy, and women's health. She has done groundbreaking work developing models to characterize food addiction and the dangers of excess sugar intake. Her research achievements have been honored by awards from several groups including the New York Academy of Sciences, the American Psychological Association, and the National Institute on Drug Abuse.  In addition to over 100 peer-reviewed scholarly publications, Dr. Avena has written several popular books, including Why Diets Fail: Because You're Addicted to Sugar, What to Eat When You're Pregnant, What to Feed Your Baby and Toddler and What to Eat When You Want to Get Pregnant. She frequently appears as a science expert in the media, including regular appearances on Good Day NY, The Doctors, and the former Dr. Oz Show as well as many news programs. Her work has been featured in Time Magazine, Bloomberg Business Week, The New York Times, and many other periodicals. She has the #2 most watched TED-ED Health talk, How Sugar Affects Your Brain, with over 17 million views and counting. https://www.youtube.com/watch?v=lEXBxijQREo Every time I do a presentation for the public on food addiction I include this incredible 5 minute video. If you haven't seen it, it's worth watching and sharing. Today we are chatting with Nicole about her latest book, Sugar-less, coming out next week on December 19th  2024. This book covers the latest science on sugar addiction and how to overcome it. It is available for pre-order now and you will hear a little bit about what it covers today. Thanks for listening and enjoy the show.  Follow Social Media:  Instagram: @drnicoleavena Facebook: https://www.facebook.com/DrNicoleAvena/ LinkedIn: Dr. Nicole Avena The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.  

Jordana returns for another Baby Steps, presented by BetterHelp, and this week she's joined by clinical psychologist Dr. Georgia Witkin to talk all about the mental toll of infertility, and how stress and therapy play a vital role in the process of trying to get pregnant. Dr. Witkin tells us how she got involved in the field of stress research, including why so little attention was paid to the role of stress on women before she started her program at the Mount Sinai School of Medicine. She also helps clarify some of the biggest medical myths around pregnancy and infertility. Is there really any evidence to support the claim that “the minute you stop trying” you'll get pregnant? And what's the deal with the five stages of grief anyway? Plus, she gives tips for navigating the process of egg freezing, egg donation, IVF, miscarriages, and more. If you're curious about stress and pregnancy, Dr. Witkin has the answers. Thanks again to our presenting sponsor, BetterHelp! Visit BetterHelp.com/BABYSTEPS today to get 10% off your first month. Learn more about your ad choices. Visit megaphone.fm/adchoices

Strauss Allergy & Asthma Therapy opened its Westbury office in 2007, but Dr. Raphael (Ralph) Strauss has been a practicing allergist for over 30 years. Dr. Strauss is certified by the American Board of Allergy & Immunology. After graduating cum laude from Brandeis University, he began his medical career at Mount Sinai School of Medicine, where he received his medical degree in 1986. He did his internship and residency in pediatrics at Schneider Children's Hospital/ Long Island Jewish Medical Center. There, he was recognized with the Best Resident Teaching Award in 1989. He followed up his residency with a two-year fellowship in allergy and immunology at the Long Island Jewish Medical Center. Dr. Strauss has multiple professional affiliations, including Winthrop University Hospital, North Shore University Hospital, South Nassau Communities Hospital, Long Island Jewish Hospital, and Stony Brook University Hospital, where he is a Clinical Assistant Professor of Pediatrics. He is a fellow of the American Academy of Pediatrics, Nassau County Medical Society, and the American College and the American Academy of Allergy, Asthma & Immunology. He has authored and co-authored a number of publications for professional journals. Dr. Strauss has made several TV appearances as an expert in allergy and has been quoted in media publications such as the New York Times. The Empathy Project https://www.empathyproject.com/our-team-05262021 Amazon: If I Understood You, Would I Have This Look on My Face?: My Adventures in the Art and Science of Relating and Communicating https://www.amazon.com/Understood-Would-Have-This-Look/dp/1524781924 JOWMA Podcast: What Patients Say, What Doctors Hear/What Doctors Say, What Patients Hear with Dr. Danielle Ofri https://spotifyanchor-web.app.link/e/FM10beLUnBb _______________________________________________________ ⁠⁠Become a JOWMA Member!⁠⁠ www.jowma.org  ⁠⁠Follow us on Instagram!⁠⁠ www.instagram.com/JOWMA_org  ⁠⁠Follow us on Twitter!⁠⁠ www.twitter.com/JOWMA_med  ⁠⁠Follow us on Facebook! ⁠⁠https://www.facebook.com/JOWMAorg/ ⁠⁠Stay up-to-date with JOWMA news! Sign up for the JOWMA newsletter! ⁠⁠https://jowma.us6.list-manage.com/subscribe?u=9b4e9beb287874f9dc7f80289&id=ea3ef44644&mc_cid=dfb442d2a7&mc_eid=e9eee6e41e

Dr. Isenberg is a professor of surgery at SKMC and the vice chair of surgical education here at Jefferson as well. He is specialized in colorectal surgery. He went to medical school at Mount Sinai School of Medicine, trained in surgery at Lenox hill hospital, and completed is colorectal surgery fellowship at Thomas Jefferson University. He is the editor-in-chief for ACS case reviews in surgery, the immediate past president of the TJUH medical staff, the immediate past chair of Colorectal RC of ACGME and the past VP of ASCRS. He is a widely loved teacher and leader here at Jefferson. I personally had an amazing experience working as a medical student in his team here at Jefferson and because of how amazing an experience I had, I came very close to picking surgery as opposed to internal medicine. He has won multiple teaching awards, including Dean's career educator award in 2020. ___0:00 - Intro1:07 - Statistics About Colorectal Surgery1:39 - What Is Colorectal Surgery?2:32 - Why Colorectal Surgery?5:53 - Choosing Surgery During Med School7:29 - What Was General Surgery Residency Like?8:26 - Going Into Colorectal Surgery9:49 - What Is It Like Being an Attending?12:08 - An Average Week of a Colorectal Surgeon13:42 - Being In Academia15:20 - If I Give You $100 Million, What Would You Do?18:25 - Making Curricular Changes in Skmc21:47 - Best Thing About Colorectal Surgery23:47 - Worst Thing About Colorectal Surgery24:45 - What Makes the Best-Med Students/Residents/Fellows?27:12 - Advice to Students Doubting About Surgery28:39 - Maximizing Competitiveness Going Into Surgery30:00 - Changes in Colorectal Surgery Over the Years32:17 - Future of Colorectal Surgery33:19 - Dealing With Burnout and Keeping a Good Lifestyle38:25 - Clinic vs Operating Room39:26 - Advice to New Attendings39:47 - Advice to People Entering a Career in Medicine42:02 - Any Mistakes That You Made Throughout Your Career/Life?44:27 - Book Recommendations48:55 - What Advice Would You Give Your 18-Year-Old Self?49:34 - Closing Message54:39 - Very Important Question!55:00 - Outro__ResourcesAn Astronaut's Guide to Life on Earth by Chris Hadfield: https://a.co/d/biHgWmwThe Book of Joy by Dalai Lama, Desmond Tutu, and Douglas Abrams: https://a.co/d/eSZdL0iWhen Bad Things Happen to Good People by Harold S. Kushner: https://a.co/d/em0VH6I ___View the Show Notes Page for This Episode for a transcript and more information: zhighley.com/podcast___Connect With ZachMain YouTube: @ZachHighley Newsletter: https://zhighley.com/newsletter/Instagram: https://www.instagram.com/zachhighley/?hl=enWebsite: https://zhighley.comTwitter: https://twitter.com/zachhighleyLinkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/Business Inquiries: zachhighley@nebula.tv___Listen for FreeSpotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777___Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes, I'll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.The best way to help the show is to share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Dr. Preeti Raghavan is a Physical Medicine and Rehabilitation Physican who specializes in neurorehabilitation after stroke or brain injury. After completing her medical education in India, Dr. Raghavan trained at the Albert Einstein College of Medicine in the Bronx and Columbia University. She began her career at Mount Sinai School of Medicine, followed by Rusk Institute of Rehabilitation Medicine at New York University Langone Medical Center, and is now at Johns Hopkins Medical Center where she is a Professor of Stroke Treatment, Recovery, and Rehabilitation. She is an associate professor of physical medicine and rehabilitation and is a partner in a scientist founded start up called Mirrored Motion Works. She has published in both the brain injury and stroke rehabilitation literature. Her research interests include interventions to enhance motor recovery after stroke; development of novel technology and new treatments for muscle stiffness; emotional regulation and its interaction with recovery. In this episode we discuss stroke recovery across a variety of different impairments with an emphasis on physical recovery. In this episode we discuss:A typical stroke recovery timeline.Common concerns when recovering from a stroke.Specific impairments such as weakness, spasticity, neglect, and cognitive changes.Neuroplasticity.The podcast episodes drop weekly on Mondays in seasonal chunks. Subscribe to stay up to date, and tune in when you can! Be sure to rate, review, and follow on your favorite podcast app and let me know what other brain & body things you'd like to hear about.For more information about me, check out my website, www.natashamehtamd.com.Follow me on Instagram, Twitter, or Tik Tok @drnatashamehta.This episode is not sponsored.

If you struggle with retaining sharp focus or have been diagnosed with ADHD or other conditions that impede your brain from functioning at its optimal level, this is the podcast episode for you. We learn about a (literally) out-of-the-box solution to attention training—video games. Yes, you read that right.Our guest today, Dr. Adam Gazzaley, holds an M.D. and Ph.D. in Neuroscience from Mount Sinai School of Medicine and completed Neurology residency at the University of Pennsylvania, followed by postdoctoral training in cognitive neuroscience at UC Berkeley. He's currently the David Dolby Distinguished Professor at UC San Francisco and the Founder/Executive Director of Neuroscape, a center focusing on technology-driven scientific research. So it's safe to say that Adam is not your prototypical basement gamer.As someone who struggled with focus and attention due to Asperger's syndrome and brain fog due to the effects of toxic mold exposure, figuring out how to retrain my brain to be able to retain more information and focus longer was one of the first areas of biohacking I ever explored. This is why I'm so excited to be talking all about Endeavor Rx today, the world's first FDA-authorized prescription video game treatment for pediatric ADHD—and Endeavor OTC, for adults who struggle with ADHD, focus, attention, and distraction.We explore how we can measure attention and improvement in focus, the biological systems that control what we focus on consciously and subconsciously, the role of nutrition in our ability to focus, the underlying technology of Endeavor, measuring its effectiveness, and Adam's vision for how we can use biosensing technology—now and in the future—to optimize awareness, focus, mood, and more. (03:07) Addressing Modern Attention Challenges• Defining our attention systems and how to measure them• How I learned how to pay attention, even with ADHD• Read: The Distracted Mind by Adam Gazzaley and Larry D. Rosen• Tools we have for addressing attention challenges• What I use now for brain function and focus• The role nutrition plays in being able to focus• What typical of video games can aid in training attention • The potential negative effects of shooter games (20:37) Understanding Endeavor: How to Train Attention Using a Video Game• Top down vs. bottom up thinking• Endeavor: the video game that trains your attention• The journey of getting Endeavor approved by the FDA• The effectiveness of Endeavor for adults• What to expect from playing Endeavor• How you can utilize multimodal biosensing for quantifying physiology• Hugs from Dr. Love with Paul Zak – #334• Exploring what technology is used in a sensory immersion lab, including AI(49:21) Exploring Potential Costs & Opportunities of Biosensing Technology• Understanding the potential adverse effects or downsides of this technology• Join the Live Audience: ourupgradecollective.com• The exhaustion factor in playing Endeavor• What video games would be likely to reduce cognitive function• Using Lion's Mane for increasing brain function• What this system could look like in 10 years ResourcesDave Asprey's NEW Book ‘Smarter Not Harder' is out now: https://daveasprey.com/books Endeavor OTC: https://www.endeavorotc.com/Instagram: https://www.instagram.com/endeavorotc/Website: https://gazzaley.com/Instagram: https://www.instagram.com/adamgazz/The Human Upgrade is produced by Crate Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In a new study, psilocybin showed promise as a treatment for major depressive disorder (MDD). JAMA Associate Editor Donald C. Goff, MD, speaks with author Charles L. Raison, MD, from the Usona Institute, about the study, as well as Rachel Yehuda, PhD, Mount Sinai School of Medicine, who wrote an accompanying editorial about the potential benefits of psychedelic therapies. Related Content: Single-Dose Psilocybin Treatment for Major Depressive Disorder Psychedelic Therapy—A New Paradigm of Care for Mental Health

HEALTH NEWS   ·         Intermittent fasting improves Alzheimer's pathology ·         Melatonin and its derivatives found to enhance long-term object recognition memory ·         Heat therapy boosts mitochondrial function in muscles ·         Too young for arthritis? 15% of global population over age 30 have condition ·         Decreased acetyl-L-carnitine levels associated with depression ·         Floatation Therapy for Specific Health Concerns      Intermittent fasting improves Alzheimer's pathology  University of California San Diego School of Medicine, August 21, 2023 One of the hallmarks of Alzheimer's disease is disruption to the body's circadian rhythm, the internal biological clock that regulates many of our physiological processes. Nearly 80% of people with Alzheimer's experience these issues, including difficulty sleeping and worsening cognitive function at night. However, there are no existing treatments for Alzheimer's that target this aspect of the disease. A new study from researchers at University of California San Diego School of Medicine has shown in mice that it is possible to correct the circadian disruptions seen in Alzheimer's disease with time-restricted feeding, a type of intermittent fasting focused on limiting the daily eating window without limiting the amount of food consumed. In the study, published in Cell Metabolism, mice that were fed on a time-restricted schedule showed improvements in memory and reduced accumulation of amyloid proteins in the brain. The authors say the findings will likely result in a human clinical trial. “Circadian disruptions in Alzheimer's are the leading cause of nursing home placement,” said Desplats. “Anything we can do to help patients restore their circadian rhythm will make a huge difference in how we manage Alzheimer's in the clinic and how caregivers help patients manage the disease at home.” Compared to control mice who were provided food at all hours, mice fed on the time-restricted schedule had better memory, were less hyperactive at night, followed a more regular sleep schedule and experienced fewer disruptions during sleep. The test mice also performed better on cognitive assessments than control mice, demonstrating that the time-restricted feeding schedule was able to help mitigate the behavioral symptoms of Alzheimer's disease. The researchers also observed improvements in the mice on a molecular level. In mice fed on a restricted schedule, the researchers found that multiple genes associated with Alzheimer's and neuroinflammation were expressed differently. They also found that the feeding schedule helped reduce the amount of amyloid protein that accumulated in the brain. Amyloid deposits are one of the most well-known features of Alzheimer's disease.     Melatonin and its derivatives found to enhance long-term object recognition memory Sophia University (Japan), August 21, 2023 Multiple studies have demonstrated the memory-enhancing effects of melatonin and its derivatives in animal models. It is also known that the formation of both short- and long-term memories require the phosphorylation of certain memory-related proteins. However, the molecular mechanisms underlying melatonin-induced memory enhancement have remained elusive. Now, medical researchers from Sophia University, Japan, have made important findings that contribute significantly to the elucidation of the underlying mechanisms in a recent article that was published NeuroReport on June 7, 2023. The research team, which included Dr. Masahiro Sano (currently affiliated with Tohoku University) and Dr. Hikaru Iwashita (currently affiliated with Kansai Medical University), examined the effects of three compounds on memory formation; these compounds were melatonin, a hormone secreted by the pineal gland located in the brain; N1-acetyl-5-methoxyquinuramine (AMK), melatonin's biological metabolite; and ramelteon, a drug that binds and activates the melatonin receptor. Initial experiments conducted on male mice clearly showed that the administration of melatonin, ramelteon, or AMK at a dose of 1 mg/kg facilitated the formation of long-term memory. The researchers did not investigate the effects of the three compounds on female mice to avoid any likely data variability resulting from the reproductive cycles occurring in female mammals. Prof. Chiba concludes, "Our findings suggest that melatonin is involved in promoting the formation of long-term object recognition memory by modulating the phosphorylation levels of memory-related proteins such as ERK, CaMKIIs, and CREB in both receptor-mediated and nonreceptor-mediated signaling pathways."   Heat therapy boosts mitochondrial function in muscles Brigham Young University, July 31, 2023 A new study finds that long-term heat therapy may increase mitochondrial function in the muscles. The discovery could lead to new treatments for people with chronic illness or disease.  Mitochondria, the "energy centers" of the cells, are essential for maintaining good health. Exercise has been shown to create new mitochondria and improve function of existing mitochondria. However, some people with chronic illnesses are not able to exercise long enough--previous research suggests close to two hours daily--to reap the benefits. Rodent studies have suggested that heat exposure may also induce the production of more mitochondria. Researchers from Brigham Young University in Utah studied 20 adult volunteers who had not participated in regular exercise in the three months prior to the study. The research team applied two hours of shortwave diathermy--a type of heat therapy generated by electrical pulses--to the thigh muscles of one leg of each person every day. The researchers based the six-day trial of heat on the minimum amount of exercise needed to measure changes in muscle, or about two hours each day. They designed the treatment to mimic the effects of muscle heating that occurs during exercise.  Mitochondrial function increased by an average of 28 percent in the heated legs after the heat treatment. The concentration of several mitochondrial proteins also increased in the heated legs, which suggests that "in addition to improving function, [repeated exposure to heat] increased mitochondrial content in human skeletal muscle," the research team wrote. "Our data provide evidence to support further research into the mechanisms of heat-induced mitochondrial adaptations," the researchers explained. People who are not able to exercise for long periods of time due to their health may benefit from [heat] treatments.   Too young for arthritis? 15% of global population over age 30 have condition Institute for Health Metrics and Evaluation (US), August 21, 2023 Arthritis is just a problem for the elderly, right? Not so fast. A recent study finds that osteoarthritis affects 15 percent of individuals over the age of 30 worldwide. Contributing factors include obesity, as well as an aging and growing global population. Remarkably, excess weight is responsible for 20 percent of these cases. Moreover, for those over 70, osteoarthritis ranks as the seventh leading cause of years people live with a disability. Experts forecast that by 2050, one billion people will be afflicted by this condition. Women tend to be more susceptible than men. The most commonly impacted areas include the hands, hips, knees, and other joints like the shoulders and elbows. By 2050, estimates predict a 78.6-percent increase in hip pain cases, 75 percent in the knee, 50 percent in the hand, and a staggering 95.1-percent increase in other areas. This research, led by the Institute for Health Metrics and Evaluation (IHME) in Seattle, assessed three decades of osteoarthritis data from over 200 countries. In 1990, the global count was 256 million individuals with osteoarthritis. By 2020, this number skyrocketed to 595 million, marking a 132-percent increase from 1990. The dramatic rise can be attributed to three primary causes: aging, population growth, and the obesity epidemic. The team's findings underscored the mounting influence of obesity over time as its rates have soared. They estimate that effectively addressing obesity could reduce the osteoarthritis burden by one-fifth.   Decreased acetyl-L-carnitine levels associated with depression Stanford University, July 30 2023  An article that appeared in the Proceedings of the National Academy of Sciences reported a link between low levels of acetyl-L-carnitine and a greater risk of depression. Acting on the findings of animal research conducted by lead author Carla Nasca, PhD, the researchers recruited men and women between the ages of 20 and 70 years who had been admitted to Weill Cornell Medicine or Mount Sinai School of Medicine for treatment of acute depression. Clinical assessments were conducted upon enrollment and blood samples were analyzed for levels of acetyl-L-carnitine. In comparison with levels measured in blood samples provided by 45 demographically matched healthy men and women, acetyl-L-carnitine blood levels in depressed subjects were substantially lower. Acetyl-L-carnitine levels were lowest among depressed patients who had severe symptoms, a history of treatment resistance, or early onset disease. Having a history of childhood abuse was also associated with low acetyl-L-carnitine levels. "We've identified an important new biomarker of major depression disorder,” Dr Rasgon stated. “We didn't test whether supplementing with that substance could actually improve patients' symptoms. What's the appropriate dose, frequency, duration? This is the first step toward developing that knowledge, which will require large-scale, carefully controlled clinical trials."   Floatation Therapy for Specific Health Concerns  Medical University of South Carolina, August 6, 2023 We conducted a search of multiple databases using the following search terms: float, floatation therapy, floatation REST, isolation tank, stress, relaxation response, magnesium sulfate, transdermal magnesium, cortisol, pain, depression, anxiety, sleep, and addiction.  The reviewed studies revealed benefits of floating, specifically regarding participants experiencing muscular pain, depression, anxiety, stress, and sleep disorders. Long-term benefits appear variable. Traditionally, isolation tanks are enclosed to inhibit light and sound as much as possible and reduce all incoming stimuli. The float experience minimizes sensory signals including visual, auditory, olfactory, thermal, tactile, and gravitational.  The studies discussed were conducted with the combination of water and Epsom salt. The salt-saturated water in most commercial centers is cleaned with a filtration system that runs between each session, in addition to manual skimming and treatment with ultraviolet light, hydrogen peroxide, and ozone. Generally, a float session lasts for 60 minutes, although it can be shorter or longer. The benefits of magnesium sulfate (MgSO4), better known as Epsom salt, are well known. The World Health Organization (WHO) lists it as an essential medication.   A proposed mechanism of action of the aforementioned benefits of floatation therapy lies in the transdermal absorption of MgSO4. Given the selectivity of the stratum corneum layer of the skin and the ionic nature of elemental magnesium, it appears that specific lipophilic carriers are required for MgSO4 to cross the dermal layer into the circulation. Among the benefits the analysis of studies suggest include: Pain:  Kjellgren and colleagues found a significant improvement with floatation therapy in those who experienced the most intense muscle pain (P=0.004), but there was no benefit found in participants who experienced lower levels of pain. There were 37 participants in this study, all of whom had chronic muscular pain of the neck and back regions. Individuals floated 9 times during a 3-week period. Of the 32 participants in this study, 22% became pain-free, 56% had improvement of pain, 19% experienced no increase or decrease of pain, and 3% experienced worsening of pain. Depression and Anxiety:  At the Laureate Institute for Brain Research in Tulsa, Oklahoma, researchers have extensively studied floatation therapy, particularly in the areas of depression and generalized anxiety disorder (GAD). One study involving 50 participants at LIBR examined the anxiolytic and antidepressant effects of floating. Results showed a significant reduction in anxiety among participants, regardless of gender. All changes were significant. Anxiety and stress-related disorders in this study included post-traumatic stress disorder, generalized anxiety disorder, panic disorder, agoraphobia, and social anxiety disorder. In addition to reduced anxiety, there was a significant improvement in mood characterized by “serenity, relaxation, happiness, positive affect, overall well-being, energy levels, and feeling refreshed, content and peaceful.” Stress:  Research generally finds floatation therapy to be beneficial for stress reduction. The relaxation response (which is associated with the parasympathetic nervous system) occurs when floating, lowering blood pressure and lowering cortisol levels in some studies.  Sleep:  People have used floatation therapy to aid with sleep. Since magnesium is a common supplement used to aid with sleep, this is a logical area of float research interest. In a study looking at 19 athletes and floating, participants not only had improved athletic performance recovery, but also experienced significant improvements in having “deeper sleep, fewer awakenings during the night, and a sense of renewed energy upon awakening in the morning.”

Dr. Terri Bacow is a widely known expert in cognitive behavioral therapy, an evidence-based therapy approach. A Brown and Boston University graduate, she sees clients in her private practice on the Upper West Side.She is a media contributor and has been featured in Women's Health and Shape magazines, and Scary Mommy, as well as various blogs and podcasts. Dr. Bacow supervises trainees in psychology and psychiatry at NYU and the Mount Sinai School of Medicine.  She is the author of Goodbye, Anxiety: A Guided Journal for Overcoming Worry.In this episode, we explored how anxiety can impact one's self-esteem, what anxiety disorders may look like, how anxiety can show up in our relationships, and more.FOLLOW DR. BACOW:INSTAGRAM: @drterribacowJOURNAL: Goodbye, AnxietySTAY CONNECTED:INSTA: @trustandthriveTIKOK:@trustandthriveTWITTER: @trustandthriveFACEBOOK: bit.ly/FBtaramontWEBSITE: www.tara-mont.com EMAIL: trustandthrive@gmail.com

Dr. Goldstein is one of the most trusted names in fertility and is highly recommended by her patients for her communication, responsiveness, and attention to detail. She has guided her patients through more than one thousand in vitro fertilization (IVF) cycles and consistently delivers some of the highest pregnancy rates in the industry.  Dr. Goldstein obtained her MD from the Mount Sinai School of Medicine in New York City and is a double board-certified OB-GYN and Reproductive Endocrinologist.  During her time as a Reproductive Endocrinology and Infertility fellow at UCLA and Cedars-Sinai Medical Centers, Dr. Goldstein published and presented internationally her revolutionary discovery of an important genetic mutation that causes what had previously been considered an unexplained cause of familial infertility. In an industry that is continually becoming less personalized, Dr. Goldstein is proof that you can provide world-class fertility care and empower hopeful parents to choose a fertility journey that aligns with their goals before anything else.  She weaves her way through the often overwhelming world of fertility care with intuition and empathy, to make sure her patients have a clear understanding of their diagnosis and treatment options. Dr. Goldstein is a fertility specialist at Beverly Hills Fertility and a partner of Innovative Health Diagnostics, which offers a variety of at-home tests, such as the AMH test, which focuses on infertility, as well as tests for COVID-19, general health biometric screening and both molecular and antibody STDs. Dr. Goldstein lives in Santa Monica with her two children and her husband. When she is not taking care of patients, she enjoys rowing, kayaking, yoga, traveling, and hiking in the Santa Monica Mountains. Instagram: https://www.instagram.com/beverlyfertility/ Facebook: https://www.facebook.com/BeverlyHillsFertility/ For more information about Michelle, visit www.michelleoravitz.com The Wholesome Fertility facebook group is where you can find free resources and support: https://www.facebook.com/groups/2149554308396504/ Instagram: @thewholesomelotusfertility Facebook: https://www.facebook.com/thewholesomelotus/

Meet Vincent M. Pedre the Medical Director of Pedre Integrative Health and President of Dr. Pedre Wellness. Dr. Pedre is a Board-Certified Internist and Functional Medicine Certified Practitioner in private practice in New York City since 2004. His philosophy and practices are a blend of both Western and Eastern medical traditions. He is a Clinical Instructor at the Mount Sinai School of Medicine, as well as certified in yoga and Medical Acupuncture.Links for this episode:Fermented-food diet increases microbiome diversity, decreases inflammatory proteins, study findsThe Importance of Food for Endotoxemia and an Inflammatory ResponseGutSmartProtocol.comThe GutSMART QuizInstagram @drpedreEpisode Description00:07:30 - The Gut-Skin Connection, The gut and skin originate from the same cells in embryology, making their connection significant. Patients with skin issues may benefit from a functional medicine approach that considers the connection between gut health and skin issues, like hives, acne, psoriasis, and dermatitis.00:11:45 - Celiac Genetics and Gluten-Free Diets, Celiac genetics are prevalent in people of Irish descent, and eliminating gluten from the diet can alleviate hives and other skin issues. A functional medicine approach can provide a solution for patients who have seen dermatologists without any results.00:13:35 - Good and Bad Bacteria in the Gut, The gut microbiome is a complex ecosystem that includes a set of bad bacteria that serve a purpose and keep the system in balance. Opportunistic bacteria can flourish in environments where the diet is not optimal, leading to gut-centric and non-gut-centric issues.00:16:23 - The Gut Microbiome of Indigenous Tribes, Dr. Pedre discusses the gut microbiome of indigenous tribes and how it differs from Westerners. Indigenous tribes consume a high-fiber diet, and their gut microbiome has adapted to digest difficult-to-digest fibers. 00:20:20 - The Importance of Gut Microbiome Adaptation, Dr. Pedre stresses the importance of slowly introducing changes to the gut microbiome. A sudden change can lead to bloating and discomfort. 00:25:05 - The Gut-Airway Connection, Dr. Pedre explains how the gut microbiome is connected to upper respiratory infections. Antibiotics can disrupt the gut microbiome and immune system, leading to recurrent infections. Pregnancy can ramp up the immune system, but can also suppress certain parts to protect the baby.00:29:35 - Lipopolysaccharides and Metabolism, Dr. Pedre explains that Lipopolysaccharides (LPs), also known as endotoxins, are released by gram-negative bacteria and can be absorbed into the body. LPs levels increase after meals high in fat, especially saturated and hydrogenated fats. LPs can affect metabolism and insulin sensitivity.00:33:42 - Microbiome and Leaky Gut, Dr. Pedre explains how an unfavorable microbiome and leaky gut can lead to the absorption of lipopolysaccharides and cause many health issues, such as weight gain, muscle aches, fatigue, and depression. Keeping a food, mood and poop journal can help identify patterns and triggers.00:35:34 - Timeline for Food Sensitivities, Dr. Estima and Dr. Pedre discuss the importance of keeping a food journal to identify patterns of food sensitivities. They explain how sensitivities can have a threshold effect, where one exposure may be fine, but a second exposure can cause symptoms. Other factors such as stress, sleep, and food combinations can also impact sensitivities.00:39:35 - Stress and Gut Health, Dr. Pedre explains how stress can affect the gut microbiome, gut permeability, and vagal tone. High cortisol levels from stress can alter the gut ecosystem, leading to more yeast in the gut and sugar cravings. 00:43:39 - Behavioral Changes Caused by Stress, Dr. Estima and Dr. Pedre discuss how stress can drive behavioral changes such as cravings for sugar and comfort foods. 00:49:39 - The Power of Soil and Dirt, Dr. Pedre emphasizes the importance of soil and dirt for our microbiome. Exposure to organic soil without toxins can magnify our gut microbiome diversity, as seen in the Hadza tribe.00:55:05 - Diversity vs. Eating the Rainbow, Dr. Pedre discusses a Stanford study that compared a high fiber diet to a high fermented foods diet. The high fiber diet did not show a significant increase in microbiome diversity, while the fermented foods diet did. Diversity is the holy grail, but it's not a one-size-fits-all approach.00:59:00 - The Role of Fiber and Fermented Foods, The study found that fermented foods had a significant impact on microbiome diversity and reduced inflammation. While fiber had a smaller impact, it helped to regulate the immune system. 01:03:27 - Gut Disruptors, Dr. Pedre notes that alcohol is a significant gut disruptor. Other factors, such as stress, lack of sleep, and processed foods, can also impact gut health. A personalized approach to healing the gut is necessary, with fermented foods and fiber as cornerstones, but with consideration of individual circumstances.01:06:18 - Dairy and its impact on gut health, Dr. Pedre discusses the impact of dairy on gut health, highlighting that it can cause constipation and trigger food sensitivities due to lactose and dairy protein intolerance. 01:07:35 - Fecal matter transplant, Dr. Estima and Dr. Pedre discuss fecal matter transplant as a possible treatment for gut-related conditions such as Crohn's colitis and ulcerative colitis. While it is not yet approved for many indications, it has shown promise in experimental treatments for food sensitivities and autism in the microbiome community.01:11:06 - Protecting the microbiome, Dr. Estima and Dr. Pedre stress the importance of protecting the microbiome throughout life, from birth to adulthood and into old age. They discuss the negative impacts of persistent antibiotic use and emphasize the need to foster microbial diversity through diet, exposure to nature, and limiting exposure to mass agriculture.01:13:32 - Seeking microbial diversity, Dr. Pedre encourages individuals to seek microbial diversity in their gut by avoiding antibiotics as much as possible, only using them when necessary. He advises fostering microbial diversity through a healthy diet, exposure to nature, and gardening. He notes that microbial diversity is a key factor in the health of centenarians.We'd like to thank our sponsorsAthletic Greens – redeem an exclusive offer hereFourSigmatic Use code DRSTEPHANIE for 10% offOrion Red Light Therapy – Use the code STEPHANIE10 for 10% offSchinouusa – Use code DR.ESTIMA10 for 10% offBIOOPTIMIZERS – receive 10% off your order with Promo Code “ESTIMA”The DNA  Company – $50 discount using code “DRSTEPHANIE” at checkout.HVMN Ketones – get 10% off your order with Promo Code “STEPHANIE”ILIA BeautyLiving Libations – Use code BETTER for 15% offLMNT Electrolytes – A FREE 7-flavor sample pack!PRIMEADINE – get 10% Off your Order with Promo Code “DRSTEPHANIE10”Follow Me On InstagramWatch Better! on YouTubeGet yourself a copy of my best-selling book, The Betty BodyJoin the Hello Betty Community hereSign up for my FREE MASTERCLASS: HEALTHY OFFERS – for health practitioners looking for strategies to earn more moneyAre you A Healthcare Practitioner? 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Make sure to grab Dr. Vincent Pedre's New Book!  In this episode, you will learn:  How to get into medication when you feel like you never have time. How to rewire if you are really stressed and amped up Why breath work through your nose is essential for proper oxygen Why eating and while stressed or while multitasking will not work for gut health Why we can't HEAL in a ramped up stressed state Why healing from a ZEN state is non negotiable So much disease is connected to the GUT b/c of leaky gut Why we get YEAST infections How do you know what is happening with your gut “The gut smart quiz” Why a STOOL or GI mapping test may not be necessary How common are parasites and why are they so hard to diagnose? Why STOOL PCR with Genome Sequencing is the only way to rule out a parasite Dr. Vincent M. Pedre, Medical Director of Pedre Integrative Health and President of Dr. Pedre Wellness, is a Board-Certified Internist in private practice in New York City since 2004. His philosophy and practices are a blend of both Western and Eastern medical traditions. He is a Clinical Instructor in Medicine at the Mount Sinai School of Medicine, as well as certified in yoga and Medical Acupuncture. His unique combination of medicine is best described as integrative or defined by a functional, systems-based approach to health. With his holistic understanding of both sides of the equation, he can help each patient choose the best course of action for their ailments to provide both immediate and long-term relief. His holistic approach incorporates positive, preventative health and wellness lifestyle choices. Dr. Pedre Wellness is a growing wellness platform offering health-enhancing programs, along with informative social media and lifestyle products, such as dietary supplements, books and weight loss programs.