Podcasts about Nasal

When a child presents with sleep-disordered breathing, chronic mouth breathing, or persistent feeding challenges, evaluating the upper airway becomes a top priority. However, determining when conservative management is sufficient versus when surgical intervention - like a tonsillectomy or adenoidectomy - is required can be complex for both parents and providers.In this episode, Hallie Bulkin sits down with pediatric ENT specialist Dr. Ariel Grobman to break down the clinical nuances of pediatric airway evaluation. Dr. Grobman shares expert insights into physical examination techniques, the practical role of nasoendoscopy, and when sleep studies are truly necessary versus when visual and functional markers dictate action.Together, they explore post-surgical recovery expectations, adenoid regrowth, secondary causes of nasal obstruction like enlarged turbinates, and the critical link between airway dysfunction, ear infections, and feeding difficulties. Dr. Grobman also emphasizes the essential role of interdisciplinary collaboration between ENTs, myofunctional therapists, and airway-focused orthodontists.About the Guest: Ariel Grobman, MDDr. Ariel Grobman is a board-certified Otolaryngologist (Ear, Nose, and Throat surgeon) specializing in pediatric and adult airway management, sinus disorders, and head and neck surgery. Dr. Grobman is dedicated to taking an integrative, patient-centered approach to airway health, helping families navigate complex decisions regarding tonsillectomy, adenoidectomy, and nasal airway procedures. He works closely with multidisciplinary teams of speech pathologists, myofunctional therapists, and dentists to ensure comprehensive, root-cause care.Key Topics & TakeawaysAirway Risk Assessment: Why establishing danger and the severity of airway restriction is the primary step in evaluating pediatric sleep issues.Surgical Indications & Outcomes: Understanding real-world expectations, recovery protocols, and regrowth potential following tonsillectomy and adenoidectomy.Interdisciplinary Collaboration: Why optimal patient outcomes rely on close coordination between ENTs, airway-focused orthodontists, and myofunctional providers.Soundbites"Assessing danger and functional impact is always the most important first step.""A detailed physical exam combined with clinical history can often replace the need for a cumbersome sleep study.""Nasal endoscopy is quick, minimally invasive, and gives us immediate answers about structural obstructions."Timestamps01:03 - Guest Introduction: Dr. Ariel Grobman02:46 - Assessing Tonsils & Adenoids in Pediatric Patients06:51 - Indications for Pediatric Sleep Studies07:11 - Physical Examination & In-Office Nasal Endoscopy15:54 - Adenoidectomy vs. Tonsillectomy: Procedures & Recovery20:40 - Tissue Regrowth & Root Causes of Adenotonsillar Hypertrophy22:13 - Addressing Persistent Mouth Breathing & Role of Myofunctional Therapy36:56 - Managing Complex Pediatric Airway & Feeding Cases40:29 - Indications for Middle Ear Fluid Drainage & PE Tubes44:34 - Airway-Focused Orthodontics & Palatal Expansion49:09 - Where to Find Dr. Ariel Grobman & Closing RemarksLinks & ResourcesConnect with Dr. Ariel Grobman: Learn more about his practice and patient resources at Ariel Grobman MD.Fast Myo Screening Tool: Identify structural airway red flags and breathing compensations at FastMyoScreening.com.WORTH A LISTEN: CONTINUE YOUR JOURNEYDon't Ignore the Snore: The Hidden Link Between Airway, Sleep, and ADHD.Mouth Breathing vs. Nasal Breathing: Changing Lives Through Early Airway Intervention.STAY CONNECTED

Facial trauma presents unique challenges, requiring a thorough understanding of anatomy, careful surgical planning, and sound clinical judgment. In this episode of Everyday Oral Surgery, Dr. Grant Stucki is joined by Dr. Andrew Jenzer and Dr. Rishad Shaikh to discuss the diagnosis and management of nasal, naso-orbito-ethmoid (NOE), and frontal sinus fractures. They begin by discussing the assessment and treatment of nasal fractures and the best techniques for successful reductions. They cover NOE fractures, common mechanisms of injury, fracture classification, surgical planning, transnasal wiring, thermoplastic stent techniques, and repair of the medial canthal tendon. They also examine the evaluation and management of frontal sinus fractures, the role of the nasofrontal outflow tract, and when obliteration or cranialization is necessary. Tune in to hear surgical pearls of wisdom and expert advice for managing some of the most complex injuries encountered in oral and maxillofacial surgery.Key Points From This Episode:Meet Dr. Rishad Shaikh and hear about his career in facial trauma.Review of the anatomy and clinical examination of nasal fractures.When nasal fractures should be repaired and how to reduce revision rates.Hear tips for a successful nasal fracture reduction and postoperative care.Understand how to classify and evaluate naso-orbito-ethmoid (NOE) fractures.Find out the common causes of NOE fractures that Drs. Jenzer and Shaikh see.Explore techniques for repairing NOE fractures and identifying the medial canthal tendon.Uncover how to secure a thermoplastic stent when managing complex NOE fractures.Discover how frontal sinus fractures are assessed and what the best treatment is. Tips for managing facial trauma and knowing when to seek help or transfer patients.Links Mentioned in Today's Episode:Dr. Rishad Shaikh – https://ofsinstitute.com/rishad-shaikh/Dr. Rishad Shaikh – rshaikh_omfs@icloud.comOral Facial Surgery Institute – https://ofsinstitute.com/Dr. Andrew Jenzer — https://surgery.duke.edu/profile/andrew-clark-jenzer Dr. Andrew Jenzer – andrew.jenzer@gmail.comOral Board Review for Oral and Maxillofacial Surgery – https://www.amazon.com/Oral-Board-Review-Maxillofacial-Surgery/dp/3030488799Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

In this episode, Dr. Ruscio and Dr. Scott Spiridigliozzi break down why mold and fungal treatments often fail—and what may improve the odds of success. They discuss how to get clearer on the diagnosis, why herbal therapies may not be enough for some patients, the importance of reaching therapeutic antifungal levels, why underdosing can backfire, and how targeting the right tissues may help prevent relapse. They also share insights from their own experiences with chronic fungal illness and how those lessons are shaping their evolving treatment approach.   ✅ Start healing with us! Learn more about our virtual clinic:  https://drruscio.com/virtual-clinic/  

Nasal strips have been a fixture in pharmacy aisles and on athletes' faces for decades, sold on the promise of easier breathing, but the peer-reviewed evidence often tells a different story than the packaging does. We put nasal strips and internal dilators through the RCT wringer and sort out what these devices can and can't actually do, from your bedroom to the finish line. In this episode we will:Break down what the highest-quality evidence — a 2026 meta-analysis of 17 studies and nearly 500 patients — actually found for AHI, oxygen saturation, and sleep architecture across all nasal dilator typesSit with the placebo-strip finding out of the University of São Paulo, and what it reveals about the gap between subjective "I slept better" and objective, PSG-measured outcomesCompare internal dilators like Mute against external strips, and call out where manufacturer-cited stats diverge from the independent literatureHead onto the field and track: two competing systematic reviews on whether strips help runners and athletes, and why "very low certainty" evidence still shapes what gets marketed to youTo find out more about this week's podcast sponsor BreatheUp, please use the following link: https://breatheup.com/Original intro music Vigilanteology by Abhinav Singh (copyright 2026) Original outro music Vigilanteology (reprise) by Abhinav Singh (copyright 2026)Produced by: Maeve WinterMusic by: Dr. Abhinav Singh (@sleep_vigilante), all rights reservedMoreTwitter: @drchriswinterIG: @drchriwinterThreads: @drchriswinterBluesky: @drchriswinterThe Sleep Solution and The Rested ChildThanks for listening and sleep well!

In this episode, you'll practise the pronunciation of the French nasal sounds /ɑ̃/, /ɔ̃/ and /ɛ̃/. 

In this episode, host Dr. Kristine Smith speaks with Dr. Leigh Sowerby. They discuss the recently published Clinical Letter: “Evaluating the Potential Infectious Risk Profile of Biologics in Chronic Rhinosinusitis With Nasal Polyposis”. The full manuscript is available as open access in the International Forum of Allergy and Rhinology. Listen and subscribe for free to […]

Chronic rhinosinusitis without nasal polyps (CRSsNP) is the type that makes up most chronic sinusitis cases. It's often mistaken for allergies, a lingering cold, or migraines, which can delay a proper diagnosis for years. Dr. Gupta and Kortney sit down with Dr. Anju Peters, an allergist at Northwestern University's Feinberg School of Medicine, to unpack how this condition is actually diagnosed, why it can take patients years to get an answer, and which treatments have real evidence behind them. What we cover in this episode about chronic sinusitis without nasal polyps Two types of chronic sinusitis. About 75% of chronic sinusitis patients do not have nasal polyps, and about 20 to 25% do, and the treatment path differs depending on which type you have. Getting the right diagnosis. Doctors confirm chronic sinusitis without nasal polyps by combining at least 12 weeks of symptoms with objective proof of inflammation. Ruling out look-alikes. Allergies, colds, and migraines can all cause similar congestion and pressure, so doctors pay close attention to how long symptoms last and whether inflammation is actually confirmed. Building a treatment toolkit. Nasal steroid sprays are the backbone of treatment. When to consider surgery. When sinus surgery becomes the next step in sinus care. Resources: Ep. 133 What Is Chronic Rhinosinusitis with Nasal Polyps (CRSwNP)? Ep. 149 What is Chronic Rhinosinusitis without Nasal Polyps Allergy & Asthma Network: chronic rhinosinusitis overview How is chronic rhinosinusitis diagnosed Treatment and management of chronic rhinosinusitis What is chronic rhinosinusitis with nasal polyps How to use the FDA-approved nasal spray *********** Made in partnership with The Allergy & Asthma Network. Thanks to Insmed for sponsoring today's episode.  This podcast is for informational purposes only and does not substitute for professional medical advice. Always consult with your healthcare provider for any medical concerns.

Is nasal obstruction the overlooked culprit behind CPAP intolerance? On this episode of BackTable ENT & Allergy, Dr. Gopi Shah interviews Dr. Atul Malhotra and Dr. Michael Hutz to examine the critical but often underappreciated role of the nose in obstructive sleep apnea management. They discuss how nasal obstruction can undermine CPAP adherence, why relying solely on AHI may miss key issues, and how identifying the true cause of intolerance can lead to more personalized and effective therapy. --- Get the BackTable apphttps://www.backtable.com/app --- This podcast is supported by Aerin Medicalhttps://vivaer.com/ --- Timestamps 00:00 - Introduction04:05 - OSA Presentation and AHI Limitations08:13 - Understanding CPAP Intolerance and Nasal Obstruction15:24 - Evaluating Nasal Obstruction20:32 - Nasal Anatomy and Workup27:47 - DICE Technique and Assessing Dynamic Nasal Collapse32:51 - Medical and Non-Surgical Management37:29 - Surgical Options and VivAer43:39 - Nasal Procedures and CPAP Success51:57 - Nasal Surgery and Heart Outcomes55:23 - Beyond CPAP: Nasal Breathing, Myofunctional Therapy, and Collaborative Care01:04:51 - Wrap Up --- More about this episode The physicians review practical strategies for evaluating nasal obstruction, from targeted patient questionnaires, physical exams, nasal endoscopy, and selective imaging. The doctors also detail medical and surgical treatment options, from allergy management and nasal sprays to septoplasty, turbinate reduction, functional rhinoplasty, and temperature-controlled radiofrequency (VivAer). Throughout the episode, they highlight how comprehensive nasal evaluation and intervention can significantly improve CPAP comfort and adherence. --- Resources Dr. Atul Malhotra - https://providers.ucsd.edu/details/22362/sleep-medicine-pulmonology-(lung) Dr. Michael Hutz- https://doctors.rush.edu/details/19100 CPAP treatment persistence following nasal procedures in obstructive sleep apnea - https://www.tandfonline.com/doi/pdf/10.1080/13696998.2026.2671550 Design and rationale for treating Obstructive Sleep Apnea using Targeted Hypoglossal Nerve Stimulation trial - https://www.sciencedirect.com/science/article/pii/S1551714422001306 The Impact of Mouth-Taping in Mouth-Breathers with Mild Obstructive Sleep Apnea - https://pmc.ncbi.nlm.nih.gov/articles/PMC9498537/ VATRAC Trial of VivAer - https://aerinmedical.com/company/news-and-media/aerin-medical-announces-positive-two-year-outcomes-from-the-vatrac-trial-of-vivaer/ --- BackTable ENT & Allergy is the go-to podcast for otolaryngologists, allergists, and head and neck surgeons. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty. ► https://www.backtable.com/app

I delve into SciFi medicine made manifest with Dr. Jeffrey D. Gross, MD, Stem Cell Whisperer and Spine Fellowship Neurosurgeon. He's a regenerative medicine physician with decades of experience spanning neurosurgery, cellular therapy, and advanced longevity science. He's the founder of ReCELLebrate, a Stem Cell Activation Clinic in Las Vegas (maybe pay them a visit next time you're in Sin City, and you'll leave feeling less "sinful," I imagine!)4:03 SciFi medicine made manifest7:19 How we sabotage our own stem cells12:39 Stem cell supplements?17:49 Joint repair and mobility therapies27:27 Anti-inflammation—the regenerative medicine cofactor31:33 The stem cell secretome34:39 MUSE stem cells37:50 Jedi mind for convincing the suffering39:48 Joint replacement surgery vs regenerative medicine42:13 The pregnancy "glow-up"46:30 Exosomes for "looksmaxxing"48:35 Sexual enhancement "shots"51:31 Fertility enhancement56:14 Regenerative medicine for long COVID58:40 Nasal exosomes vs cognitive decline1:03:01 Stem cell myths1:07:31 Regenerative medicine cost vs insurance1:10:42 About: ReCELLebrate - Stem Cell Activation Clinic1:12:19 Summer heat hacks1:15:02 Dr. Gross's daily stack of habits and supplements1:22:44 Message to the futureRead

Welcome to Thriving in Midlife: The Women's Guide to Wellness, Longevity & Hormones After 40, your trusted space for women over 40 who want better health, more energy, balanced hormones, and practical wellness strategies that actually work.Are you ready to stop pushing through life and start living with intention, energy, and ease?I'm your host, Kellie Lupsha, High-Performance Health Coach, and I'm delighted to be your guide to vitality.In today's solo episode, we're diving into one of the simplest yet most overlooked health habits that impacts nearly every system in your body: how you breathe.We spend so much time focusing on nutrition, exercise, supplements, and hormones, but there is something we do 20,000 to 25,000 times every single day that we rarely think about.Breathing.More importantly, how you're breathing.Kellie explores why your nose was designed specifically for breathing and why nasal breathing plays a powerful role in oxygen delivery, cardiovascular health, nervous system regulation, sleep quality, metabolism, and overall performance.You'll discover why mouth breathing may add unnecessary stress to your body, how it can impact your sleep and hormones, and why training yourself to breathe through your nose may be one of the simplest tools you can use to support your health and longevity.Whether you're struggling with poor sleep, stress, fatigue, hormonal changes, or simply want to optimize your body as you age, this episode will help you understand that sometimes the biggest health improvements come from the smallest daily habits.In This Episode, You'll Learn:➡️ Why breathing is one of the most important health habits you practice thousands of times every day.➡️ Why your mouth is designed for eating and your nose is designed for breathing.➡️ How nasal breathing filters, warms, and humidifies the air entering your body.➡️ The role of nitric oxide and why it supports blood vessel relaxation, oxygen delivery, circulation, and immune function.➡️ Why mouth breathing can increase sympathetic nervous system activation and contribute to stress.➡️ How mouth breathing may impact sleep quality, snoring, sleep apnea, heart rate, blood pressure, and oxygen utilization.➡️ The connection between poor breathing patterns, cortisol, insulin resistance, belly fat, inflammation, and energy levels.➡️ Why mouth tape is not a magic solution and why training your nose first is the most important step.➡️ Simple breathing exercises to improve nasal breathing, breathing efficiency, and nervous system regulation.➡️ Why the goal is not to breathe more, but to breathe better.Key Takeaways

In this episode, we discuss the SOHO trial, a large multicentre randomised controlled trial comparing high-flow nasal oxygen with conventional oxygen therapy in patients with acute hypoxaemic respiratory failure. We cover the trial methodology, the key findings on 28-day mortality and intubation rates, and what the results mean for practice in both ICU and ward settings.

Are you exhausted every day, even after sleeping 8 hours? Discover how to sleep better with proven deep sleep tips that help to improve sleep quality naturally so you can stop waking up tired.0:00 Why am I still tired after sleeping 8 hours?0:48 Temperature and sleep quality 1:49 Core body temperature sleep tips2:40 Light and sleep4:37 Snacking before bed 5:25 Natural sleep remedies 8:21 Early morning sun exposure 8:54 More deep sleep tips 9:20 Nasal breathing for deep sleep 9:50 The benefits of better sleep

Welcome to the Hot Topics podcast from NB Medical with Dr Neal Tucker. In this episode, we have three new pieces of research and a special interview later on discussing the recommendations of the National Screening Committee on prostate cancer screening in the UK.First up for research: nasal sprays versus the common cold. The BJGP reports on longer-term findings through this simple intervention. Can it help this age-old problem?Second, new kid on the block, orforglipron - could it replace SGLT2 inhibitors for management of type 2 diabetes?Third, home-based hypnotherapy. Can it help children struggling with functional abdominal pain or IBS? We have a RCT to tell us. Finally, our interview with Dr Liz Bancroft, consultant nurse in oncogentics research, and Natalia Norori, interim Head of Data and Evidence at Prostate Cancer UK join us to discuss the new recommendations from the National Screening Programme with targeted screening of men with BRCA2, why they made this recommendation and how this affects us in general practice, plus what we need to know for our patients about the government-backed trial, TRANSFORM.ReferencesProstate Cancer UK Information on NSC decisionProstate Cancer UK Health Professional NSC FAQsNational Screening Committee report on prostate cancer screeningBJGP Nasal sprays for the common coldLancet Nasal Sprays original paperLancet Orforglipron vs dapagliflozin and T2DMBJGP Hypnotherapy in children for abdo painNational Screening Committee report on prostate cancer screeningwww.nbmedical.com/podcast

Send me a derm question or story through text or voicemail!Learn how rostrolateral nasal alar arteriopathy is diagnosed, why it can be mistaken for other conditions, and the treatment options available to help improve quality of life. I also discusses setting realistic owner expectations and the importance of recognizing uncommon dermatologic diseases in veterinary medicine.Whether you're a veterinarian, veterinary technician, or veterinary student, this episode provides practical clinical insights you can apply to future cases. Watch The Episode: https://www.youtube.com/@thedermvet3932Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/Follow Me: https://www.instagram.com/thedermvet/Fleischman DA, Mauldin EA, Lowe A, Cain CL, Bradley CW. Clinical and histopathological features of rostrolateral nasal alar arteriopathy of German shepherd dogs. Vet Dermatol. 2023;34:441–451. https://doi.org/10.1111/vde.13173Timestamps00:00 Intro01:32 Itch Inquiry:  Topicals for General Practice 06:20 German Shepherd with Chronic Nasal Bleeding09:29 Diagnosis: Rostrolateral Nasal Alar Arteriopathy12:02 Treatment Options & Owner Expectations14:44 Outro

Dr. Hoffman continues his conversation with Nathan Jones, founder and CEO of Xlear, Inc.

Nathan Jones, founder and CEO of Xlear, Inc., reveals xylitol's role in supporting oral and nasal “gateway” microbiomes by selectively starving acid-producing Strep mutans rather than indiscriminately killing bacteria, and warns that harsh mouthwashes can disrupt beneficial oral bacteria linked to nitric oxide production and possibly blood pressure. Jones outlines Spry and Xlear products (gum, mints, toothpaste, mouthwash, dry-mouth “Rain,” and upcoming gummy candies, a new dental probiotic with added nutrients, and a direct-to-consumer oral bacteria test kit with pre/post tracking). He discusses diet, emphasizing sugar as a key driver of cavities and criticizing limited focus on sugar in a Surgeon General oral health report. In part two, Jones describes ongoing and planned legal actions against the FTC over shifting evidentiary standards and reputational damage, then reviews Xlear's allergy and respiratory approach via nasal hygiene, product tiers (regular, Max with quercetin, Rescue botanicals, and a decongestant), and a forthcoming ectoine-based spray to support mucus barrier integrity.

Mindfulness isn't about emptying your mind or finally feeling calm—and believing it was is probably why you quit. Your emotions fire before your thinking brain ever catches up, which means most of your reactions—the defensiveness, the cravings, the snap judgments—are already in motion before you "decide" anything. In this conversation, Tony unpacks the neuroscience behind that gap and the genuinely doable practice that helps you notice your patterns sooner, build a pause, and respond to your life instead of just reacting to it. In this episode, you'll: Discover why you "feel before you think"—the low road and high road your brain takes, and why emotions fire roughly two and a half times faster than thoughts Learn to build the pause that turns automatic reactions (yes, including the fourth Oreo) into actual choices Untangle the real difference between meditation and mindfulness—and why the practice has roots in everything from Buddhist tradition to Christian contemplative prayer, no conversion required Understand why silence can feel so unbearable that people will choose a mild electric shock over sitting alone with their thoughts—and what that reveals about emotional avoidance Strengthen the "runway" between your internal smoke alarm and your inner fire chief using sleep, breath, and a practice you can start in the next sixty seconds Tony Overbay is a licensed marriage and family therapist and host of The Virtual Couch, drawing on his clinical work and four-plus years of daily practice to make mindfulness feel approachable instead of intimidating. Stay through the end for a short guided practice you can take with you—and remember, you're not failing when your mind wanders. You're not broken. You're human. Start with one breath today. 00:00 One Year Post Fusion 01:02 Trusting Physical Therapy 02:56 From Woo Woo to Mindfulness 05:05 No Magic Beans 10:03 The Pause Changes Everything 14:12 Stick Not Snake Brain 19:09 Oreos and Autopilot 22:07 Mindfulness and Maturity 28:56 Meditation Practice Tiers 30:31 My Daily Practice Origin 34:46 Meditation vs Mindfulness 35:28 Meditation Roots East West 38:02 Skepticism and Ownership 40:20 Meditation Styles Overview 42:34 Mindfulness Misconceptions 45:47 Mindfulness in Daily Life 48:33 Mindfulness History and MBSR 52:10 What Mindfulness Is Not 55:33 Brainwaves and Frequencies 58:47 Entrainment and Binaural Beats 01:02:52 Natural Sounds and Safety 01:05:15 Apophenia Pattern Seeking 01:06:41 Why Silence Feels Hard 01:10:22 Stimulation Dopamine Avoidance 01:11:46 Back to Beats and Apps 01:12:08 Meditation Apps I Use 01:12:26 Monroe Institute Hemi Sync 01:13:51 Gateway Process Hype 01:15:01 Binaural Beats Reality Check 01:16:07 Breathwork Science Basics 01:17:38 Vagus Nerve and HRV 01:19:33 Nasal vs Mouth Breathing 01:22:20 Diaphragmatic Breathing 01:23:43 Neurons Wire Together 01:25:01 Startle Response Runway 01:27:54 Lengthening the Runway 01:30:32 What We Learned Today 01:32:46 Guided Mindfulness Practice 01:38:19 This Too Shall Pass 01:39:54 You Are Not Broken 01:43:04 Closing Breath and Goodbye Please follow Tony on Instagram @virtual.couch on Tiktok @virtualcouch on Facebook https://www.facebook.com/tonyoverbaylmft and on Substack https://thevirtualcouch.substack.com/ You can reach out to Tony through his website tonyoverbay.com or by emailing contact @ tonyoverbay.com

Mindfulness isn't about emptying your mind or finally feeling calm—and believing it was is probably why you quit. Your emotions fire before your thinking brain ever catches up, which means most of your reactions—the defensiveness, the cravings, the snap judgments—are already in motion before you "decide" anything. In this conversation, Tony unpacks the neuroscience behind that gap and the genuinely doable practice that helps you notice your patterns sooner, build a pause, and respond to your life instead of just reacting to it. In this episode, you'll: Discover why you "feel before you think"—the low road and high road your brain takes, and why emotions fire roughly two and a half times faster than thoughts Learn to build the pause that turns automatic reactions (yes, including the fourth Oreo) into actual choices Untangle the real difference between meditation and mindfulness—and why the practice has roots in everything from Buddhist tradition to Christian contemplative prayer, no conversion required Understand why silence can feel so unbearable that people will choose a mild electric shock over sitting alone with their thoughts—and what that reveals about emotional avoidance Strengthen the "runway" between your internal smoke alarm and your inner fire chief using sleep, breath, and a practice you can start in the next sixty seconds Tony Overbay is a licensed marriage and family therapist and host of The Virtual Couch, drawing on his clinical work and four-plus years of daily practice to make mindfulness feel approachable instead of intimidating. Stay through the end for a short guided practice you can take with you—and remember, you're not failing when your mind wanders. You're not broken. You're human. Start with one breath today. 00:00 One Year Post Fusion 01:02 Trusting Physical Therapy 02:56 From Woo Woo to Mindfulness 05:05 No Magic Beans 10:03 The Pause Changes Everything 14:12 Stick Not Snake Brain 19:09 Oreos and Autopilot 22:07 Mindfulness and Maturity 28:56 Meditation Practice Tiers 30:31 My Daily Practice Origin 34:46 Meditation vs Mindfulness 35:28 Meditation Roots East West 38:02 Skepticism and Ownership 40:20 Meditation Styles Overview 42:34 Mindfulness Misconceptions 45:47 Mindfulness in Daily Life 48:33 Mindfulness History and MBSR 52:10 What Mindfulness Is Not 55:33 Brainwaves and Frequencies 58:47 Entrainment and Binaural Beats 01:02:52 Natural Sounds and Safety 01:05:15 Apophenia Pattern Seeking 01:06:41 Why Silence Feels Hard 01:10:22 Stimulation Dopamine Avoidance 01:11:46 Back to Beats and Apps 01:12:08 Meditation Apps I Use 01:12:26 Monroe Institute Hemi Sync 01:13:51 Gateway Process Hype 01:15:01 Binaural Beats Reality Check 01:16:07 Breathwork Science Basics 01:17:38 Vagus Nerve and HRV 01:19:33 Nasal vs Mouth Breathing 01:22:20 Diaphragmatic Breathing 01:23:43 Neurons Wire Together 01:25:01 Startle Response Runway 01:27:54 Lengthening the Runway 01:30:32 What We Learned Today 01:32:46 Guided Mindfulness Practice 01:38:19 This Too Shall Pass 01:39:54 You Are Not Broken 01:43:04 Closing Breath and Goodbye Please follow Tony on Instagram @virtual.couch on Tiktok @virtualcouch on Facebook https://www.facebook.com/tonyoverbaylmft and on Substack https://thevirtualcouch.substack.com/ You can reach out to Tony through his website tonyoverbay.com or by emailing contact @ tonyoverbay.com

Show NotesStudent-Built Car Hits 2,145 MPG And Beats Every Production VehicleRex SanchezAutoBlog.comhttps://www.autoblog.com/news/student-built-car-hits-2145-mpg-and-beats-every-production-vehicleSee YouTube video here: https://www.youtube.com/watch?v=tz84xF6tn-MBacteria Live in Fog Droplets and Clear Toxins from Earth's AirKeith CowingAstrobiology.comhttps://astrobiology.com/2026/05/bacteria-live-in-fog-droplets-and-clear-toxins-from-earths-air.htmlSee also: https://futurism.com/science-energy/something-living-inside-fogSee research paper here: https://journals.asm.org/doi/10.1128/mbio.00463-26Solar cells just did the “impossible” with this 130% breakthrough - A new “spin-flip” breakthrough could let solar panels generate more energy than they receiveKyushu UniversityScienceDaily.comhttps://www.sciencedaily.com/releases/2026/03/260328024517.htmSee research paper here: https://pubs.acs.org/doi/10.1021/jacs.5c20500Scientists reverse brain aging, with a nasal spray - New therapy is turning back the clock in aging brains, healing inflammation, restoring memory and reshaping the future of brain age-related therapies.Zaid ElayyanTexas A&M Storieshttps://stories.tamu.edu/news/2026/04/14/scientists-reverse-brain-aging-with-a-nasal-spray/Scientists Create First-Ever ‘Smell Map' - A detailed diagram of smell receptors in the nose fills in missing details of how olfaction worksCatherine CarusoHarvard School of Medicine Websitehttps://hms.harvard.edu/news/scientists-create-first-ever-smell-mapAI-powered spectrometer chip shrinks lab technology to the size of a grain of sand - Scientists built a grain-of-sand-sized AI chip that could turn future gadgets into powerful chemical and medical scanners.University of California DavisScienceDaily.comhttps://www.sciencedaily.com/releases/2026/05/260525000501.htmEach atom in the universe might be uniqueK. R. CallawayScientific Americanhttps://www.scientificamerican.com/article/each-

Show notes at pharmacyjoe.com/episode1138 In this episode, I'll discuss an article on using MRSA nasal swab testing to optimize pneumonia treatment with empiric vancomycin.

Struggling with stubborn biotoxin illness (CIRS) and feeling stuck in your recovery? In this episode, we break down some of the most important (and often overlooked) steps in the Shoemaker Protocol, including binders, MARCoNS treatment, and gut support. Learn how binders like cholestyramine and Welchol work differently to remove biotoxins, why the wrong detox approach can trigger setbacks, and how to track your progress with tools like the Visual Contrast Sensitivity (VCS) test. We also dive into MARCoNS: why it's so common in CIRS patients, how it impacts MSH and overall health, and the treatment options available, from prescription nasal sprays to over-the-counter approaches. Plus, we discuss biofilms, reinfection risks, pet testing, and practical strategies for breaking the cycle. Whether you're just getting started or looking to optimize your treatment plan, this episode will help you better understand the next critical steps in recovering from CIRS and mold-related illness. None of this is medical advice: always consult your CIRS practitioner for what treatment is right for you. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 - Introduction & Recap 02:54 - Why phase three is the most anticipated part of recovery 03:26 - The most effective binders for detoxification: Cholestyramine and Welchol 06:00 - Over-the-counter binder options: Mycobind and Chitosan 07:05 - The importance of using the correctly charged binders 09:21 - Visual Contrast Sensitivity test: tracking biotoxin effects 13:00 - Treating MARCoNs: nasal testing, nasal sprays, and herbal options 14:15 - Cycle of MARCoNs and MSH depletion 16:19 - Nasal testing resources and nasal spray treatments (EDTA, BEG spray, X Lear) 17:35 - Testing the nasal biome with Sinus Key 19:14 - Impact of diet, microbiome, and specific food sensitivities on gut healing 25:14 - Supporting detox through bowel movements with magnesium 26:26 - The importance of sequencing treatment steps for optimum results 27:23 - Encouragement to stay on track, subscribe, and support the channel For more information and support, join us at https://thecirsgroup.com LINKS MENTIONED IN THE EPISODE: Our Binders episode: https://youtu.be/KAQfLXuPjFI?si=TcJo-YDEjVLNInqW Visual Contrast Sensitivity (VCS) test options: https://www.vcstest.com/ https://www.survivingmold.com/store/online-vcs-screening https://beyondmold.com/product/visual-contrast-sensitivity-test/ MARCoNs test: https://www.microbiologydx.com/order-collection-kits SinusKey test: https://patients.microgendx.com/products/sinuskey Actinos episode where we reference the SinusKey: https://youtu.be/2rCXhUP6dbY?si=MBT7_esd0edmfhCX Dr. Christian Navarro Torres' website to book a consult: https://www.cirslab.com/ Dr. Andrea Jordheim's website to work with her: https://mytransformationwellness.com/ Our interview with Dr. Lacey Venanzi: https://youtu.be/baldT8N7nl4?si=wExZGivhkEALSR4O Our second interview with Dr. Lacey: https://youtu.be/7H6CKEhIMSU?si=WrMPttnfyRq2aMvC Dr. Lacey's website to work with her: https://www.drlacey.org/ Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie's book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

Send us Fan MailWhat do island-hopping physicians, aviation safety, sleep medicine, and nasal polyps have in common? Dr. Adam Shapiro.In this episode of the MedEvidence Podcast, Dr. Michael Koren sits down with ENT specialist and sleep medicine expert Dr. Adam Shapiro to discuss his remarkable career practicing medicine in the U.S. Virgin Islands, commuting between islands as a pilot, and helping aviation professionals manage fatigue-related health issues.The conversation then shifts to a practical masterclass on nasal polyps and sinus health. Dr. Shapiro explains what nasal polyps are, why they develop, how they affect breathing and sleep, and the latest minimally invasive treatment options available today. He also discusses the connection between nasal health, sleep apnea, chronic sinus problems, ear pressure issues, and overall quality of life.Whether you're struggling with chronic congestion, sleep problems, recurrent sinus infections, or simply curious about the latest advances in ENT care, this episode offers expert insights and evidence-based guidance.If you found this helpful, subscribe to MedEvidence and share the episode with someone who's always congested.Be a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!

Needle-Free Peptides, US Manufacturing, BPC-157, Thymosin Alpha-1, GLP-1s, Microneedle Patches, and How to Avoid Contaminated Peptides Peptides are one of the most powerful tools in biohacking and anti-aging medicine, and until now, most people couldn't access them safely, legally, or without a needle. This episode changes that. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR -Go to Aminoinnovations.com and use “asprey20” for a discount through the next 7 days Host Dave Asprey sits down with Justin Kirkland, a longevity medicine expert with over 30 years in drug development and pharmaceutical innovation. Kirkland holds multiple drug synthesis and formulation patents, has founded multiple pharmaceutical companies, and is one of the few people in the world manufacturing peptides entirely on US soil, controlling every step of the synthesis process from raw amino acids to finished product. If you want to understand what is really inside your peptides and why it matters for your longevity and human performance, he is the person to listen to. Dave and Justin go deep on why most peptides on the gray market contain dangerous residual compounds that can spike liver enzymes and cause real harm, why Chinese-sourced APIs are not always what they claim to be, and how a new generation of needle-free delivery systems including microneedle patches and auto-injectors is making peptide therapy accessible to anyone serious about longevity and human performance. They also cover how AI and functional medicine are converging to make peptide protocols personalized based on genetics and microbiome status, why the thymus gland is one of the most overlooked anti-aging targets in the body, and what the suppression of peptide research reveals about who really controls your access to health tools. You Will Learn: Why many gray market peptides contain toxic residual acids that damage the liver and how to identify clean products How microneedle patches and auto-injectors are replacing traditional injections for peptide delivery Which peptides are most effective for longevity, immune system repair, and human performance including BPC-157, Thymosin Alpha-1, and growth hormone secretagogues Why your genetics and gut microbiome determine whether a peptide will work for you at all How the thymus gland controls your immune system and why it disappears by your mid-20s What the suppression of peptide research tells you about Big Pharma's control over your supplement and nootropics access Why US-manufactured peptides represent a new standard for safety and quality in biohacking How AI is transforming personalized peptide protocols in functional medicine Which peptides are overhyped and which ones actually move the needle on anti-aging and recovery How to store, mix, and dose peptides correctly to avoid the mistakes most people using them are making right now Thank you to our sponsors! - Danger Coffee | Grab yours at DangerCoffee.comand use code DAVEPOD at checkout for 15% off. - The One Device | Use code DAVE for $10 off at theonedevice.com/dave - Fatty15 is on a mission to support Healthy Aging for All, including all ages and stages of life. You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com DAVE and using code DAVE at checkout. - ENERGYbits | If you want a simpler, smarter way to support your body… this is it. Head to ENERGYbits.com and use code ASPREY for 20% off your order. Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Justin Kirkland, peptides, needle-free peptides, microneedle patch, BPC-157, Thymosin Alpha-1, ipamorelin, CJC-1295, PT-141, KPV peptide, Dihexa, growth hormone secretagogue, peptide purity, TFA contamination, gray market peptides, US manufactured peptides, oral peptides, transdermal delivery, thymus gland, anti-aging, biohacking, longevity, functional medicine, peptide auto-injector, compounding pharmacy Resources: • Go to Aminoinnovations.com and use “asprey20” for a discount through the next 7 days • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Intro & Guest Welcome 01:55 – Censorship & Platform Bans 06:20 – Peptide Science & Bioavailability 07:20 – Delivery Methods 14:30 – Supply Chain & US Manufacturing 17:01 – Manufacturing Risks & Contamination 24:43 – Peptide Stacks 28:41 – Immune Peptides & Thymus 30:57 – Overhyped Peptides 41:00 – Alternative Delivery (Patches, Nasal, Rectal) 47:25 – Side Effects & Risk 50:30 – Mixing & Storage Tips 54:05 – Wrap-Up & Where to Buy See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

When it comes to treating chronic sinus disease with nasal polyps…what's the best approach, surgery or biologics?Well, the answer is it's usually not either-or anymore.When patients are trying to manage these challenging conditions, some people opt for one or the other. But more physicians are finding that surgery and biologics aren't different paths. They are actually treatment protocols that complement each other.Surgery may remove the growths, but it doesn't necessarily stop the process of creating them in the first place. Biologics may suppress the inflammatory pathways driving recurrence, but they don't physically restore blocked sinus anatomy or remove bulky disease.We're entering a new phase of care where the question is no longer “surgery or biologics?” but how both can work together as part of a personalized strategy.Instead of treating every patient the same way, physicians are now looking deeper at the inflammatory pathways driving disease, recurrence risk, quality of life, and even how different biologics target different parts of the immune cascade.The shift is moving chronic sinus care away from a one-size-fits-all model and toward precision medicine that's designed around the individual patient.In this episode, I'm joined by Dr. Tassos Hantzakos, staff physician in otolaryngology and residency program director at Cleveland Clinic Abu Dhabi, and Dr. Deepa Sheth, allergy and immunology specialist.Together, we break down how the treatment landscape for chronic rhinosinusitis with nasal polyps is evolving, why collaboration between ENT and allergy specialists is becoming essential, and how biologics are reshaping the future of inflammatory airway disease management.Things You'll Learn In This Episode Not just a surgical problemFor decades, treatment focused on physically removing nasal polyps, but many patients still experienced recurrence. Why does surgery alone often fail to stop the disease?Biologics are changing how we think about airway diseaseNew biologic therapies are targeting different parts of the inflammatory cascade. How do physicians decide which biologic is the best fit for a specific patient?The future of treatment is collaborative, not competitiveThe conversation is shifting away from “surgery versus biologics” toward integrated care between ENT surgeons and allergists. When should surgery come first, and when should biologics be introduced?Precision medicine is reshaping chronic inflammatory careDifferent patients may require different treatment approaches. How does identifying the root inflammatory driver completely change long-term management outcomes?Guest BioDr. Tassos Hantzakos is a staff physician in the Otolaryngology Department at Cleveland Clinic Abu Dhabi's Integrated Surgical Institute, where he also serves as Program Director of the Otolaryngology Residency. His clinical expertise spans otolaryngology, rhinology, phonosurgery, laryngeal laser surgery, and voice disorders. Before joining Cleveland Clinic Abu Dhabi, Dr. Hantzakos served as a consultant within the Hellenic National Health System, Director of the Voice Clinic at NUKA, and Clinical Associate Professor at Cleveland Clinic Lerner College of Medicine in the US. He has contributed to numerous international journal articles and textbooks and is actively involved in several professional societies, including the European Laryngological Society, the International Association of Phonosurgeons, the Voice Foundation, and the European Society for Swallowing Disorders. Outside of medicine, he enjoys spending time with his family, long-distance running, triathlons, and playing guitar and drums. Connect with him on LinkedIn. Dr. Dipa K. Sheth is an allergist-immunologist based in Washington, DC, and an Assistant Professor of Medicine at Uniformed Services University of the Health Sciences. Her clinical work focuses on allergy and immunology, with experience treating conditions such as chronic sinusitis, rhinitis, atopic dermatitis, drug hypersensitivity, and food hypersensitivity. Dr. Sheth received her medical degree and completed her internal medicine training at George Washington University, followed by a fellowship in Allergy and Immunology at the University of Colorado School of Medicine and National Jewish Health. Her research has been published in journals including Frontiers in Allergy and Current Opinion in Allergy and Clinical Immunology. Connect with her on LinkedIn. About Your HostHosted by Dr. Deepa Grandon, MD, MBA, a triple board-certified physician with over 23 years of experience working as a Physician Consultant for influential organizations worldwide. Dr. Grandon is the founder of Transformational Life Consulting (TLC) and an outspoken faith-based leader in evidence-based lifestyle medicine.Disclaimer ​​TLC is presenting this podcast as a form of information sharing only. It is not medical advice or intended to replace the judgment of a licensed physician. TLC is not responsible for any claims related to procedures, professionals, products, or methods discussed in the podcast, and it does not approve or endorse any products, professionals, services, or methods that might be referenced.Work With Me Learn More About My Soon-to-Launch Telemedicine PlatformExciting news. My virtual medical platform is launching soon! If you're looking for personalized, evidence-based care in allergy, immunology, and lifestyle medicine, stay tuned. Visit drdeepa-tlc.org and click on “Learn More” to join the waitlist and be the first to receive updates about services, membership options, and launch details.Precision care. Personalized guidance. Wherever you are.Devotionals Want to receive a devotional every week from Dr. Deepa? Devotionals are dedicated to providing you with a moment of reflection, inspiration, and spiritual growth each week, delivered right to your inbox. Visit drdeepa-tlc.org to subscribe for free.Trauma Courses Ready to deepen your understanding of trauma and kick-start your healing journey? Explore a range of online and onsite courses designed to equip you with practical and affordable tools. From counselors, ministry leaders, and educators to couples, parents, and individuals seeking help for themselves, there's a powerful course for everyone. Browse all the courses now to start your journey.

Intake Breathing Review: I got hit with a cold and couldn't sleep through the night. I heard about these Intake Breathing nasal strips so I had to give them a try.

Send Zorba a message!Zorba digs into the new health trend of mixing Pepcid and Allegra (or Zyrtec) to help ease menopause symptoms and other issues. Does this dual antihistamine trick really work? He helps out a listener with insomnia, and advises a listener who has questions about allergy nasal sprays. Zorba walks us through his delicious recipe for Crab Cakes, we hear a mom joke, and the Grammar Cops tell us to get off their lawn.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

Send Zorba a message!Zorba digs into the new health trend of mixing Pepcid and Allegra (or Zyrtec) to help ease menopause symptoms and other issues. Does this dual antihistamine trick really work? He helps out a listener with insomnia, and advises a listener who has questions about allergy nasal sprays. Zorba walks us through his delicious recipe for Crab Cakes, we hear a mom joke, and the Grammar Cops tell us to get off their lawn.Support the showProduction, edit, and music by Karl ChristensonSend your question to Dr. Zorba (he loves to help!):Phone: 608-492-9292 (call anytime)Email: askdoctorzorba@gmail.comWeb: www.doctorzorba.orgStay well!

For more information and support, join us at https://thecirsgroup.com Is mold colonization the same as CIRS? Could what looks like a fungal infection actually be something else entirely? In this episode, Barbara is joined by Dr. Lacey Venanzi and Dr. Christian Navarro-Torres to break down the difference between mold/fungal colonization and chronic inflammatory response syndrome (CIRS), explore the surprisingly important role of actinobacteria, and walk through practical, affordable treatment strategies: from pharmaceutical antifungals to botanicals and nasal rinsing. For more information and support, join us at https://thecirsgroup.com TIMESTAMPS 00:00 Intro 01:19 Meet the guests: Dr. Lacey Venanzi & Dr. Christian Navarro-Torres 02:25 What is mold or fungal colonization? 05:01 Is fungal overgrowth a root cause or a downstream effect? 06:08 CIRS vs. fungal colonization: Two distinct diagnoses 07:45 Symptoms of fungal colonization (skin, gut, sinuses, cravings) 10:56 Pharmaceutical antifungals and herbal antifungals 15:30 Risks of using antifungals in CIRS patients 17:25 Why some patients improve on antifungals 19:55 Why timing matters: get out of exposure first 22:25 Actinobacteria: the overlooked player in CIRS 24:19 How actinobacteria mimics fungal infections 26:32 Testing: options, limitations & what to look for 28:15 Key botanical treatments: Horopito, thyme, clove, eucalyptus & tea tree 29:00 Affordable testing options for patients 32:20 Safe steps patients can take (Horopito) 32:49 Dilute the bacteria, lower the burden: cleaning and motility 33:56 Probiotics & prebiotics for fungal/actino burden 35:36 Topical treatment: Horopito Lotion 37:05 Nasal treatment: saline & baby shampoo technique 39:00 Barbara's saline rinse tips & real-world experience 44:03 Why baby shampoo works (surfactants explained) 45:11 Horopito cream for nasal & skin use 47:10 Coherence DX and additional resources Check out Dr. Lacey and Dr. Christian's new company Coherence DX! https://www.coherencedx.com/ YouTube Channel: https://www.youtube.com/@CoherenceDX Dr. Lacey's website: https://www.drlacey.org/ Dr. Christian's website: https://www.cirslab.com/ LINKS MENTIONED IN THE EPISODE: Our Actinos Episode: https://youtu.be/yf9EoTbyAEo?si=nZIZAAlPlBgnObfI Our Actinos Cleaning episode: https://youtu.be/2rCXhUP6dbY?si=TRx356TkQBm1BBJn Our first interview with Dr. Lacey: https://youtu.be/baldT8N7nl4?si=8tHFQCKqrLxiFESq Our latest interview with Dr. Christian: https://youtu.be/Lc_LfUeiYTM?si=6CFLE6w71gtSqStj CSA (comprehensive stool analysis) from ParasiteTesting.com: https://www.parasitetesting.com/CSA?srsltid=AfmBOor_itSEGDFWmeorkB2spnrFXO48-f07lwE7G8V8Hc9NxB4Y92AJ Cheap gut test: https://www.ombrelab.com/products/ombre-gut-health-test?selling_plan=2189295771 More comprehensive gut test: https://www.tinyhealth.com/adult-test SinusKey nose test: https://patients.microgendx.com/products/sinuskey Horopito capsules: https://kolorex.com/collections/gut-care/products/candia-balance-gut-care-60 Dr. Lacey's favorite probiotics: BioGaia: https://a.co/d/0cQZgJhw Florastor: https://a.co/d/09oFxiLs Sun Fiber: https://a.co/d/0hkdbUZh Horopito topical cream (the gentlest option): https://kolorex.com/products/vaginal-care-cream Neti Pot Barbara uses: https://a.co/d/08DKajTT Nasal swabs Barbara uses: https://a.co/d/0fgglU5f Fragrance free Baby Shampoo: https://www.target.com/p/johnson-39-s-sensitive-care-baby-2-in-1-body-wash-38-shampoo-lightly-scented-13-5-fl-oz/-/A-87442350#lnk=sametab Order Jacie's book! The 30 Day Carnivore Bootcamp: https://a.co/d/7MgHrRs The CIRS Group: Support Community: https://thecirsgroup.com Instagram: https://www.instagram.com/thecirsgroup/ Find Jacie for carnivore, lifestyle and limbic resources: Jacie's book on the Carnivore diet!  https://a.co/d/8ZKCqz0 Instagram: https://www.instagram.com/ladycarnivory YouTube: https://www.youtube.com/@LadyCarnivory Blog: https://www.ladycarnivory.com/ Find Barbara for business/finance tips and coaching: Website: https://www.actlikebarbara.com/ Instagram: https://www.instagram.com/actlikebarbara/ YouTube: https://www.youtube.com/@actlikebarbara Jacie is a Shoemaker certified Proficiency Partner, NASM certified nutrition coach, author, and carnivore recipe developer determined to share the life changing information of carnivore and CIRS to anyone who will listen. Barbara is a business and fitness coach, CIRS and ADHD advocate, writer, speaker, and a big fan of health and freedom. Together, they co-founded The CIRS Group, an online support community to help people that are struggling with their CIRS diagnosis and treatment.

Breathing is automatic — but optimal breathing is learned.In Episode 288 of Moonshots, Mike and Mark dive into the remarkable science and practical wisdom behind James Nestor's bestselling book *Breath*. Together, they explore how conscious breathing can improve health, productivity, sleep, performance, and emotional balance in a world that constantly pushes us into stress and overstimulation.Featuring insights from James Nestor and practical reflections from Productivity Game, this episode reveals why better breathing may be one of the most overlooked keys to living well. Listeners will discover simple techniques, surprising research, and actionable habits that can create immediate and lasting benefits.Whether you want greater calm, sharper focus, or more energy throughout the day, this episode offers a compelling reminder that transformation often starts with the smallest actions — including every breath you take.**Primary Link:**[https://www.moonshots.io](https://www.moonshots.io)**Related Reading:**[https://geni.us/w5zo](https://geni.us/w5zo)**YouTube:**[https://www.youtube.com/channel/UCGqs7VdIufLYNWnzZYuVaTA/](https://www.youtube.com/channel/UCGqs7VdIufLYNWnzZYuVaTA/)---# Key Themes* The hidden power of conscious breathing* How modern lifestyles negatively affect breathing patterns* Expanding breathing capacity for improved health and performance* The relationship between breathing, stress, and productivity* Nasal breathing versus mouth breathing* Breath awareness as a daily practice* Small physiological changes creating large life impacts---# Concepts & Breakthroughs## Breathing as a Performance ToolJames Nestor reframes breathing from a passive biological process into an active tool for enhancing physical and mental performance. The episode explores how better breathing habits can increase endurance, improve sleep quality, support emotional regulation, and sharpen concentration.## “Could I Breathe Less?”One of the standout ideas comes from Productivity Game's reflection on breathing efficiency. Rather than taking bigger breaths, listeners are encouraged to consider whether calmer, slower, and more efficient breathing could improve energy and reduce anxiety. This shift in perspective highlights how overbreathing can actually stress the body.## Capacity Creates ResilienceThe discussion around improving breathing capacity reveals a broader insight about resilience. Expanding lung function and breath control trains the body to tolerate stress more effectively, helping listeners remain calmer under pressure and recover more quickly from challenges.## Ancient Wisdom Meets Modern ScienceThe episode bridges scientific research with long-standing breathing traditions practiced for centuries in meditation, yoga, and martial arts. Mike and Mark show how modern evidence increasingly validates practices once dismissed as purely spiritual or alternative.---# Habits, Tools & Mental Models## Breathe Through Your NoseNasal breathing filters, humidifies, and optimizes airflow more effectively than mouth breathing. Building awareness around this habit can improve sleep, endurance, and relaxation.## Slow Down Your BreathingReducing breathing rate can calm the nervous system and improve focus. Intentional slower breathing supports emotional regulation and decreases physiological stress.## Daily Breath Check-InAsk yourself throughout the day:**“Could I breathe less?”**This simple prompt encourages mindfulness and helps reduce unconscious overbreathing during stressful moments.## Build Breath CapacityPractices such as breath holds, controlled breathing exercises, and aerobic conditioning can help improve respiratory efficiency and overall resilience.## Use Breath as a Reset MechanismBreathing can become an immediate tool for resetting attention, calming anxiety, and returning to the present moment during demanding situations.

In this episode, host Dr. Dan Beswick speaks with Drs. Mark Citardi and Daniel Xiao. They discuss the recently published Research Note: “Cost Utility Analysis of Fluticasone Exhalation Delivery System Versus Budesonide Nasal Irrigation for Chronic Rhinosinusitis With Nasal Polyps”. The full manuscript is available in the International Forum of Allergy and Rhinology. Listen and […]

Are you considering a non-surgical liquid rhinoplasty, or do you want to understand what it takes to completely rebuild the central feature of the human face? In this very special episode of Big Butts No Lies, Mavi sits down with her very first overseas guest from the UK, board-certified facial plastic surgeon Dr. Anil Joshi. Dr. Joshi details the intense clinical complexities behind nasal reconstruction caused by severe trauma, skin cancer, or extensive cocaine abuse. He explains the three-dimensional architecture of the nose and why it represents the highest stakes in facial plastic surgery. We also dive into an urgent safety warning regarding liquid rhinoplasty (nasal fillers)—explaining how a single incorrect injection can accidentally hit an artery, leading to immediate tissue necrosis, severe nose destruction, or even permanent blindness. Social Media Accounts

Send us Fan MailIn this episode, we discuss drug induced ILD, reviewing its diagnostic criteria and management. Written by: Dr. Reenika Aggarwal. Reviewed by: Dr. Joshua Wald (Respirology) and Dr. Andrew Cheung (General Internal Medicine). Support the show

In this episode, Dr Dave McCarty returns to discuss why sleep apnea is often misunderstood and oversimplified. He introduces his “Five Reasons to Treat” and “Five-Finger Approach” frameworks, helping patients and practitioners better understand the deeper causes of sleep-disordered breathing. The discussion explores: Obstructive vs central sleep apnea Nasal breathing and nitric oxide ADHD and sleep disorders Mouth breathing and facial development Narrative-based medicine The dangers of relying solely on labels Empowering patients through understanding This episode challenges conventional thinking and provides a more holistic, personalized way to approach sleep health. Dr Dave McCarty Dr Dave McCarty is a sleep physician, educator, writer, illustrator, and creator of the Empowered Sleep Apnea Project. He is known for making complex sleep science understandable through storytelling, cartoons, patient education, and narrative-based medicine. His work focuses on helping people understand sleep apnea beyond labels and empowering patients to become active participants in their healthcare journey. Website: Empowered Sleep Apnea Social Media: Dr Dave McCarty on LinkedIn Empowered Sleep Apnea YouTube Featured Books: The Nose Rules Empowered Sleep Apnea ✍️

Luis Piedrahita desafía eso de que "está todo inventado"

Luis Piedrahita desafía eso de que "está todo inventado"

Contributor: Alec Coston, MD Educational Pearls: What are nasal intubations and when do we use them? Nasal intubations function similarly to oral intubations with the end goal of passing an endotracheal tube (ETT) through vocal cords and into the trachea to allow for a patent and secure airway, but differ in the main access point for the ETT (nare v.s. mouth). Nasal Intubations are seldom preferred to oral intubations as they carry risk for inducing bleeding from trauma to the nasal passages.  Indications for nasal intubations include: Anatomical abnormalities that may make access through the mouth difficult (i.e. tumors, macroglossia, or rare dental hardware that clenches the jaw shut). Physiological states such as severe angioedema.  Nasal intubations are often done with the patient awake and could be advantageous if the patient is presenting in a severely hypoxic state such that prolonged hypoxia in a traditional RSI protocol may be detrimental. A 2023 retrospective analysis in Germany found that nasal intubations were associated with requiring less sedation than oral intubations and had more spontaneous breathing during hospitalization than oral intubations. How is a nasal intubation performed? Consider the use of an anxiolytic medication such as versed to calm the patient down but not fully sedate them. If there is adequate time without immediate patient compromise, consider glycopyrrolate to reduce airway secretions and dry up the mucous membranes. Consider the use of Afrin or other local vasoconstrictor in target nare to minimize epistaxis.    Use 5% lidocaine ointment and lubricate an NPA and place it into the target nare. This will allow for local anesthesia as well as help to open up the nare slightly more.  Take 5% lidocaine ointment and place it on a tongue depressor and move it around the back of the tongue, allowing it to further anesthetize the oropharynx.  Remove the NPA and atomize/nebulize 4% lidocaine liquid into the nare and into the oropharynx for further anesthesia.  Insert the ETT without the bronchoscope through the nare and allow it to pass about 10 cm until visible in the oropharynx. This allows for a "clean" plastic tunnel to pass the bronchoscope through. Advance both the ETT and bronchoscope, spraying lidocaine through the bronchoscope while advancing to allow for continued numbing.  Pass the ETT through the cords and inflate.  At this point, stronger sedation medications such as ketamine and propofol may be considered but the use of a paralytic like succinylcholine and rocuronium may not be needed to allow the patient to maintain their own negative pressure ventilation.  Which nare is the best to go through? Most patients will have their right nare be the best (away from the septal deviation) according to a meta-analysis by Tan et al.  The right nare was generally associated with less epistaxis and lower intubation times.  However, do not always default to the right nare, and test which nare is more patent by occluding one nare at a time and assessing which one is less resonant  (less resonant = more patent).  Key Takeaway? Nasal intubations are rarer than oral intubations and can be more technically difficult, but may offer advantages in patients with difficult oral airways, but should never be first line.    References: Grensemann J, Gilmour S, Tariparast PA, Petzoldt M, Kluge S. Comparison of nasotracheal versus orotracheal intubation for sedation, assisted spontaneous breathing, mobilization, and outcome in critically ill patients: an exploratory retrospective analysis. Sci Rep. 2023;13:12616. doi:10.1038/s41598-023-39768-1 Tan YL, Wu ZH, Zhao BJ, Ni YH, Dong YC. For nasotracheal intubation, which nostril results in less epistaxis: right or left?: A systematic review and meta-analysis. Eur J Anaesthesiol. 2021;38(11):1180-1186. doi:10.1097/EJA.0000000000001462 Holzapfel L. Nasal vs oral intubation. Minerva Anestesiol. 2003;69(5):348-352.   Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Ahmed Abdel-Hafiz, NREMT-P   Donate: https://emergencymedicalminute.org/donate/   Join our mailing list: http://eepurl.com/c9ouHf

This special Tick Boot Camp Podcast crossover features the full International Lyme and Associated Diseases Society (ILADS) webinar recording, “At the Frontlines of Chronic Illness: Conversations with ILADS Experts.” In this dynamic panel discussion, leading clinicians and specialists unpack why Lyme disease and other infection-associated chronic illnesses are so misunderstood, why testing fails so many patients, and what it really takes to heal—brain, immune system, mitochondria, and terrain included. Moderated by Rich Johannesen (Tick Boot Camp), the panel delivers practical insights and hopeful, patient-centered guidance for anyone navigating complex chronic illness—whether you're a patient, caregiver, clinician, or advocate. Featured Panelists Chris Winfrey, MD — Psychiatrist; Medical Director, New Image Wellness Nicole Bell — “The Lyme Disease Engineer”; CEO, Galaxy Diagnostics Tania Dempsey, MD — Medical Director, AIM Center for Personalized Medicine Melanie Stein, ND — Naturopathic Doctor; Author focused on cellular wellness and healing terrain Host/Moderator: Rich Johannesen (Tick Boot Camp) ILADS Intro: Ali Moresco (ILADS) Episode Highlights ILADS Mission and Why This Webinar Matters The webinar opens with ILADS' mission: improving diagnosis and treatment of Lyme disease and associated illnesses through research, education, and policy. ILADS emphasizes physician training and patient-centered care, while also supporting the educational mission of ILADEF. Rich frames the night as a rare opportunity to hear from experts working at the front lines of complex chronic illness—especially for patients who've been dismissed, misdiagnosed, or told their symptoms “don't make sense.” Segment 1: Brain Health, Neuroimmune Illness, and Why Lyme “Feels Like Dementia” Chris Winfrey, MD Dr. Winfrey introduces a core theme: Lyme is not only an infection—it often behaves like a neuroimmune illness. Key takeaways: The brain is a high-energy, high-immune-demand organ, uniquely vulnerable to infection-driven inflammation and toxicity. Lyme can disrupt brain function through: Blood flow issues Synaptic dysfunction Myelin damage Network-level disruption, not just “neurotransmitters” He describes brain function through networks that Lyme can destabilize: Default Mode Network (internal reflection) Salience Network (switching between networks) Central Executive Network (planning/organization) Action Network (execution) Autonomic Network (regulation) Limbic Network (threat/fear response) The result: patients often describe “brain shutdown,” confusion, cognitive impairment, and even dementia-like symptoms. A major reframing: Emotions are not “non-physical.” They are measurable physiological states. Lyme-driven nervous system injury can create emotional disturbance because the biology is disturbed. Segment 2: Poly-microbial Infection, Fight-or-Flight, and the Belief-Healing Loop Winfrey + Rich Discussion Rich frames humans as spiritual, emotional, and physical beings, and asks how chronic infection impacts both body and emotional resilience. Key points: Lyme can cross the blood-brain barrier and affect virtually any organ system. The nervous system becomes a “central battleground,” and measurement is hard because nervous system dysfunction isn't captured well by simple bloodwork. Rich and Dr. Winfrey explore how illness disrupts perception, decision-making, and our ability to interpret the world—especially when gut function and intuition feel “offline.” The healing paradox: Chronic stress and “fighting your way to healing” can backfire. Dr. Winfrey emphasizes that healing requires a parasympathetic state—rest, digest, repair—and that this often involves acceptance, surrender, trust, and safety. Segment 3: The State of Testing—Why So Many Patients Test Negative Nicole Bell (Galaxy Diagnostics) Nicole shares her personal motivation and professional mission: testing determines treatment, reimbursement, and belief—and too many patients are failed by existing tools. Indirect testing (antibody testing): The standard approach relies on antibodies—meaning it depends on the immune system behaving predictably. But Lyme and other stealth pathogens evade and suppress immune responses. Even in controlled research models, two infected subjects can show completely different antibody patterns. Immunosuppression (illness severity, medications like steroids, immune dysregulation) can reduce antibody reliability. Direct testing (pathogen detection):Nicole contrasts Lyme testing with illnesses like COVID—where you use tests that look for the pathogen itself (PCR/antigen), not just antibodies. Why direct detection is hard in Lyme: Pathogens can be low abundance They can be tissue-sequestered Sampling matters Why urine can matter for Lyme: Lyme may not stay in blood, but it can shed proteins/antigens that filter into urine. Galaxy's approach includes methods to capture, concentrate, and detect those markers. New diagnostics focus: Genus-level screening for the “3Bs” (Borrelia, Bartonella, Babesia) Reducing guessing when symptoms overlap and co-infections “masquerade” as each other Segment 4: Immune Dysfunction, Mast Cells, and Why Antibody Testing Can Go Haywire Tania Dempsey, MD (AIM Center for Personalized Medicine) Dr. Dempsey explains the immune system through two major branches: Innate immune system (fast, primitive defense) Adaptive immune system (antibodies, longer-term response) Mast cells as first responders: Mast cells detect “danger” and release inflammatory mediators (histamine and many others). In chronic infection, mast cells can remain persistently activated, releasing hundreds of inflammatory compounds. Why antibody tests fail (two patterns): Immune suppression → insufficient antibody production → false negatives Immune chaos → excessive, inappropriate antibody production → confusing positives - Positive Lyme bands “everywhere” - Positive autoantibodies without classic autoimmune disease patterns - “Everything looks positive” because signaling is dysfunctional Her central philosophy:It's not only about killing the bug. It's about fixing immune regulation so the body can actually clear or control infection. She also names the broader context: modern toxic load (mold, plastics, pesticides, “forever chemicals”) primes the immune system into dysregulation before infections even arrive. Segment 5: Advanced Immune-Modulating Tools Therapeutic Plasma Exchange + SOT Dr. Dempsey discusses therapies she's excited about, especially for complex, stuck cases: Therapeutic Plasma Exchange (TPE / plasmapheresis): Removes plasma (where antibodies, inflammatory mediators, and “garbage” accumulate) Replaces with albumin (and sometimes IVIG) Concept: reduce inflammatory burden + toxic load to reset the terrain SOT (Supportive Oligonucleotide Technique): Molecular targeted approach designed to reduce replication of specific pathogens More targeted than “wide-net” antimicrobial approaches Used strategically after lowering inflammatory/toxic burden She emphasizes: not for everyone, not a universal cure—but promising enough to merit formal publication. Segment 6: GLP-1 Agonists and Mast Cell Stabilization “Brain-melt” moment, revisited Dr. Dempsey explains why drugs commonly known for diabetes/weight loss may have immune benefits: Mast cells have receptors for GLP and GIP hormones Patients showed improvements beyond weight: cognitive function, inflammation, immune stability She describes: Semaglutide (Ozempic/Wegovy) Tirzepatide (Mounjaro/Zepbound) Emerging triple agonists (GLP-1/GIP/glucagon pathways) Her clinical approach has moved these agents earlier in care plans for immune stabilization in select cases. Segment 7: Cellular Healing, Mitochondria, and the Terrain Melanie Stein, ND Dr. Stein brings it home: healing often stalls when we focus only on killing pathogens, but don't repair the cellular damage. Core concepts: Lyme damages cell membranes, disrupting what goes in/out and how cells communicate. It contributes to mitochondrial dysfunction, reducing ATP (energy currency). If cells stay in “alarm mode,” healing remains blocked. Cell membrane therapy and terrain support: IV and oral lipid support (phospholipids, phosphatidylcholine, omega fatty acids) Personalized support based on lipidomic patterns Supportive therapies to reduce oxidative stress and “toxic fats” Focus on signaling safety to the body—so repair can resume Cell Danger Response:A key theme: even after infections reduce, the body may remain stuck in a persistent defense state, requiring cellular and nervous system support to exit “danger mode.” Regulation Before Eradication Panel Reflection Round As the panel closes, several themes converge: Limbic system + autonomic nervous system regulation is foundational “Regulation becomes before eradication” Healing requires safety, predictability, and nervous system calm Chronic illness can block our ability to connect—especially in relationships—because survival physiology dominates Dr. Dempsey adds that limbic retraining / nervous system reset is often the first step she starts with in her practice. Question and Answer Highlights Lyme and Cancer? The panel notes emerging signals connecting tick-borne illness and certain cancers, but emphasizes that more research is needed to determine causality. Herniated discs, connective tissue, and chronic infection The discussion highlights potential links through: connective tissue disruption collagen damage mast cell mediators (enzymes that affect tissue integrity) infection-driven inflammation Cross-reactive antibody results (example: Brucella) The group explains how antibody testing can produce confusing results due to immune dysregulation and cross-reactivity—another reason why interpretation and test methodology matter. Nasal testing / sinus terrain While not a mainstream Lyme diagnostic route, the panel references nasal/sinus colonization (especially with mold-related or chronic inflammatory patterns) as a terrain factor that can influence recovery. Resources Mentioned Center for Lyme Action – State of Lyme Disease Research paper (Nicole Bell collaboration) ILADS Provider Search International Lyme and Associated Diseases Educational Foundation (ILADEF) Donations (supports education and clinician training) Final Message to Listeners This episode is a reminder that Lyme disease and infection-associated chronic illness are not one-dimensional problems. The path forward often requires: better diagnostics immune regulation nervous system support cellular repair personalized care and hope that the body can recover when the right puzzle pieces come together

Descubre cómo aliviar la sinusitis y la congestión nasal de forma natural, entendiendo sus causas reales y aplicando soluciones que reducen la inflamación, mejoran la respiración y apoyan tu sistema inmune para recuperar tu bienestar.

Send me a derm question or story!In this week's episode, we explore an interesting feline case that illustrates why no detail should ever be overlooked. When a "perky nose" complaint actually becomes plasma cell pododermatitis.Using this case as a guide, we highlight how critical it is to go beyond the presenting complaint. A thorough dermatologic exam, combined with a detailed history, can uncover subtle abnormalities that completely change your diagnostic path, treatment plan, and ultimately, patient outcome. It's a good reminder that even when a diagnosis seems obvious, there could be clinical clues that point you a different direction.We discuss how this case unfolded, what could have been missed with a more limited approach, and practical strategies to ensure you're consistently gathering complete information in every appointment.References:Declercq J, DeBosschere H. Nasal swelling due to plasma cell infiltrate in a cat without plasma cell pododermatitis. Vet Dermatol. 2010;21:412–414. doi: 10.1111/j.1365-3164.2010.00869.x.Brosseau G. Feline plasma cell pododermatitis. Can Vet J. 2022 May;63(5):545-548. PMID: 35502252; PMCID: PMC9009751.Timestamps00:00 Intro03:50 The Swollen Nose07:02 Deflated Paws09:12 Biopsy and Diagnosis Confirmation12:09 Importance of Looking at the Complete History16:53 Outro

In this episode, you'll practice the French /ɛ̃/ nasal sound (pain or vin) or with a simple listen & repeat exercise.

Why do allergies happen—and why do they seem to be getting worse every year? In this episode of Health Matters, host Courtney Allison sits down with Dr. David Gudis, an otolaryngologist and chief of the Division of Rhinology and Anterior Skull Base Surgery at NewYork‑Presbyterian and Columbia, to break down the basics of hay fever, also known as allergic rhinitis. Dr. Gudis explains what's really behind common allergy symptoms like sneezing, congestion, fatigue, and brain fog, and why hay fever is actually an overreaction of the immune system—not the pollen itself. He discusses why allergy seasons are lasting longer, how environmental factors and modern living may play a role, and the surprising ways allergies can affect sleep, concentration, and mental health. This episode offers practical, science‑based guidance—from simple prevention strategies to over‑the‑counter treatments and allergy shots—to help you breathe easier this season and beyond. Chapters: 00:00 – What Is Hay Fever? An introduction to allergic rhinitis and why allergy symptoms happen 04:00 – Why Are Allergy Seasons Getting Worse? Climate, environment, and changes in immune response 09:40 – How Do Allergies Affect Sleep, Focus, and Mental Health? The surprising impact on wellbeing, mood, and daily life 10:45 – How Do I Find Relief? Treatments That Work Avoidance strategies, medications, allergy shots, and nasal rinses Key Topics Covered: Hay fever / allergic rhinitis Immune system overreaction Seasonal and environmental allergies Mental health and sleep disruption Pollen season and climate effects Allergy prevention and treatment Nasal sprays, antihistamines, and immunotherapy Takeaway Message: Hay fever isn't “just allergies” — it's a real, systemic condition caused by an overactive immune response that can affect sleep, mood, concentration, and quality of life. The good news? Effective treatments exist, and with the right approach, allergy symptoms can be controlled Doctor Bio: Dr. David Gudis is an otolaryngologist and Chief of the Division of Rhinology and Anterior Skull Base Surgery at NewYork‑Presbyterian and Columbia. He specializes in disorders of the nose and sinuses, including allergic rhinitis, chronic sinusitis, and nasal inflammation. Dr. Gudis is dedicated to helping patients understand the root causes of their symptoms and access effective, personalized treatments that improve daily life and overall wellbeing.

You've spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean? When the data doesn't match the symptoms, how do you move forward? And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability? In this episode, Jaz is joined by Dr. Aston Parmar to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes. https://youtu.be/-zVV1FAT0NI Watch PDP263 on YouTube Protrusive Dental Pearl Nasal Breathing and Simple Screening Nasal airflow can be a major limiting factor in sleep quality. Simple test: flare nostrils → if breathing improves, nasal resistance may be present. Nasal dilators can be a cheap, low-risk intervention for selected patients. Not all patients need mandibular advancement — sometimes the issue is nasal. Second pearl: test snoring improvement by advancing the mandible. If forward positioning reduces snoring sound → mandibular advancement may help. Key Takeaways Patients must own their problem before accepting treatment Airway dentistry is about risk reduction, not cure Apnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores Upper Airway Resistance Syndrome (UARS) is common but underdiagnosed Sleep fragmentation can exist even with low AHI scores Myofunctional therapy improves compliance and outcomes Multi-night sleep testing provides more accurate insights Collaboration with ENT specialists improves diagnostic accuracy Airway is the bookend of full mouth rehab (start and end) Dentistry should be airway-sympathetic, not just tooth-focused Mandibular advancement devices are effective but require careful titration Morning occlusal guides help reduce bite changes from appliances Not all patients need the same pathway—risk stratification is key Predictability in dentistry depends on understanding the whole system The environment (airway, function, biology) matters more than the teeth Highlights of this episode: 00:00 – Introduction to Upper Airway Resistance Syndrome 02:08 – Pearl: Nasal Breathing and Simple Screening 07:43 – Recap: Myofunctional Therapy and Indications 08:30 – Role of Myofunctional Therapy in Treatment Planning 09:40 – Patient Communication and Case Acceptance 23:20 – Sleep-Disordered Breathing Spectrum 23:50 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations 30:00 – Upper Airway Resistance Syndrome (UARS) 35:43 – Management of UARS 37:00 – Mandibular Advancement Devices (MAD) 39:00 – Maxillary Expansion and Surgical Options 41:00 – Treatment Pathway and ENT Involvement 44:00 – Risk Assessment in Full Mouth Rehab 59:30 – Airway-Sympathetic Dentistry 01:02:00 – Treatment Philosophy and Case Selection 01:07:00 – Airway as Bookends of Treatment 01:09:00 – Managing Side Effects of MAD 01:12:00 – Career Insight and Final Reflections Want to learn more? Watch part 1 of this episode: PDP262 – Implementing Sleep, Airway and Myo to Restorative Dentistry Part 1 Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142

You've spotted the signs—wear, scalloping, fragmentation, maybe even a low AHI—but what does that really mean? When the data doesn't match the symptoms, how do you move forward? And how do you integrate airway into full mouth rehab without compromising function, stability, or predictability? In this episode, Jaz is joined by Dr. Aston Parmar to explore the real-world application of airway dentistry. They discuss how to help patients own their problem, why sleep testing matters, and how airway influences diagnosis, treatment planning, and long-term outcomes. https://youtu.be/-zVV1FAT0NI Watch PDP263 on YouTube Protrusive Dental Pearl Nasal Breathing and Simple Screening Nasal airflow can be a major limiting factor in sleep quality. Simple test: flare nostrils → if breathing improves, nasal resistance may be present. Nasal dilators can be a cheap, low-risk intervention for selected patients. Not all patients need mandibular advancement — sometimes the issue is nasal. Second pearl: test snoring improvement by advancing the mandible. If forward positioning reduces snoring sound → mandibular advancement may help. Key Takeaways Patients must own their problem before accepting treatment Airway dentistry is about risk reduction, not cure Apnea-Hypopnea Index (AHI) has limitations—context and patterns matter more than raw scores Upper Airway Resistance Syndrome (UARS) is common but underdiagnosed Sleep fragmentation can exist even with low AHI scores Myofunctional therapy improves compliance and outcomes Multi-night sleep testing provides more accurate insights Collaboration with ENT specialists improves diagnostic accuracy Airway is the bookend of full mouth rehab (start and end) Dentistry should be airway-sympathetic, not just tooth-focused Mandibular advancement devices are effective but require careful titration Morning occlusal guides help reduce bite changes from appliances Not all patients need the same pathway—risk stratification is key Predictability in dentistry depends on understanding the whole system The environment (airway, function, biology) matters more than the teeth Highlights of this episode: 00:00 – Introduction to Upper Airway Resistance Syndrome 02:08 – Pearl: Nasal Breathing and Simple Screening 07:43 – Recap: Myofunctional Therapy and Indications 08:30 – Role of Myofunctional Therapy in Treatment Planning 09:40 – Patient Communication and Case Acceptance 23:20 – Sleep-Disordered Breathing Spectrum 23:50 – Apnea vs Hypopnea and Apnea-Hypopnea Index (AHI) Limitations 30:00 – Upper Airway Resistance Syndrome (UARS) 35:43 – Management of UARS 37:00 – Mandibular Advancement Devices (MAD) 39:00 – Maxillary Expansion and Surgical Options 41:00 – Treatment Pathway and ENT Involvement 44:00 – Risk Assessment in Full Mouth Rehab 59:30 – Airway-Sympathetic Dentistry 01:02:00 – Treatment Philosophy and Case Selection 01:07:00 – Airway as Bookends of Treatment 01:09:00 – Managing Side Effects of MAD 01:12:00 – Career Insight and Final Reflections Want to learn more? Watch part 1 of this episode: PDP262 – Implementing Sleep, Airway and Myo to Restorative Dentistry Part 1 Also, check out Stop Blaming Bruxism with Dr. Sandra Hulac – PDP142

Dave talks about that whiny punk that he just can't seem to get enough of.

Why does that lingering cough never seem to go away… even when you're not sick?   If you've been dealing with chronic post-nasal drip for weeks, or even months, today's show will help you uncover what's really going on.   Post-nasal drip usually isn't the root problem; it's a symptom of underlying inflammation.   Your sinuses produce excess mucus for a reason, and after working with thousands of clients, I've found that most chronic sinus issues can be traced back to a few common, but often overlooked, triggers.   So join me on today's Cabral Concept 3679, where I break down the top 10 root causes of post-nasal drip, explain why simply suppressing symptoms doesn't work long term, and share natural strategies to help you finally resolve that chronic drip and cough.   Enjoy the show!   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3679 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

In this episode, you'll practice the French nasal sound /ɑ̃/ (France or blanc) with a simple listen & repeat exercise.

Mary Roach details xenotransplantation and chimeras for organ replacement, while also recounting historical nasal reconstructions and the use of the Fibonacci sequence in modern plastic surgery techniques. 3

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Linda: Hi Dr. Cabral, I listen to your podcast every morning when I drive my son to school. I love it! Recently, you mentioned the 4 things to do to add 14 years of life. Typically, I have a serving of aronia berries or goji berries every day. Does that count for one of the 5 servings of fruits and vegetables per day? Or, does the fruit have to be fresh or frozen? Thank you!! Linda    Morgan: Hi Dr Cabral! I have fair skin and as I get older (currently in my mid-30s) I notice that I'm getting lots more freckles on my body- when I was younger I almost never got them. I'm curious if this is an indication of something health-related or if it's "just aging". Is there anything I can do to change this? Thank you!    Maria: Can you talk about watery eyes?. usually every morning , corner of my eyes get watery and I always have to wipe them sometimes 2 to 3 times before I put my mascara on. Thank you for all you do spreading your knowledge. I love listening to your podcast every day, especially on the weekends. I really love the way you recap the week. Thanks again!    S: I've been seeing xylitol nasal sprays being promoted lately. How is xylitol supposed to help nasal passages and is it safe and effective? When could this be helpful or not?    Bettina: Hello Dr. Cabral, My son is 15 and has been grinding his teeth since age 6. It's not severe, but consistent. At 6, one craniosacral session reduced it by about half. Since then, he has had craniosacral therapy every few years, which helps but does not eliminate it. He also saw a physiotherapist specializing in neck and jaw, which helped slightly, though craniosacral was more effective. He likely has mild Scheuermann's based on posture, similar to his father and grandmother. None of them are diagnosed, but all show the same posture. Not sure if there can be a link. He has never had headaches or similar issues. He is active and happy. He takes daily: multivitamin, magnesium (Magnesium taurate, magnesium gluconate, zinc picolinate), vitamin D, and zinc picolinate. The multivitamin is either food-state or a highly absorbable formula with high-dose B12 (methylcobalamin & adenosylcobalamin), active vitamin D3 from lichen. We live in Denmark, which does not allow import of the lab tests used by EquiLife anymore, so that is not an option. What would you recommend? Thank you for your time.  Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3649 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!