Podcasts about omeprazole

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog The newest miracle drug for weight loss is changing the lives of thousands of people who have battled obesity for extended periods of time….These GLP-1 medications are also treating or preventing the diseases that go with long term obesity: Diabetes, Heart Disease, Joint replacements, Arthritis, Sleep Apnea, and Alzheimer's Disease. Researchers are finding more indications every day for patients to take these weight loss medications. But like anything else there is no perfect answer to any problem.  Among the few side effects of this drug, the most frequent side effect is reflux, also called acid indigestion, or GERD (gastroesophageal reflux disease).  Often my patients don't even know what their diagnosis is, they just tell me about their symptoms. The symptoms of GERD include: Asthma symptoms A bad taste in the mouth Difficulty swallowing Dry, hacking, cough Chest pain after meals These symptoms are worse after a big meal, at bedtime, after spicy food, or dose related.  Most of my patients don't want to discontinue the GLP-1 inhibitors because they are finally losing weight!  We manage the GLP-1 side effect of GERD by decreasing dose of the medication and slowly increase the dose back to an effective level. We also offer lifestyle and dietary treatments before we offer prescription medication. Therefore, if reflux is not constant, and is not causing any lasting damage to the patient's esophagus, we can treat it with lifestyle changes and over the counter medication, to lower the stomach acid that is refluxing into the esophagus. The lifestyle changes patients can employ on their own are described below. Lifestyle changes needed to avoid or treat Gastric Reflux caused by GLP-1 agonists. What can you do to prevent and treat this side effect: Eat smaller meals: Large meals expand your stomach and put pressure on your lower esophageal sphincter (LES). Don't go to bed less than 2 hours after eating Avoid trigger foods see below Sleep on your left side Elevate the head of your bed Avoid tight clothing: Chew your food well– chew each bite for 20 seconds. Quit smoking: Smoking weakens your LES and makes your stomach more acidic. Stop drinking alcohol Chew (non-mint) sugar-free–gum  In addition to changing your active lifestyle, changing your diet is necessary as well. There are trigger foods to avoid minimizing your reflux symptoms.  tomato sauce and other tomato-based products high fat foods, such as fast food and greasy foods fried foods citrus fruit juices soda-diet and regular Caffeine Garlic onions mint of any kind milk based products My patients ask me, “So what can I eat?” …I admit I did take away some of the most exciting foods, however my patients ask me what they can eat so the list of foods that help avoid and treat GERD are listed below. High-fiber foods: vegetables, fruit, and whole grain bread. Alkaline foods. Foods fall somewhere along the pH scale (turns litmus paper blue). Drink alkalinized water (PH > 8) Ginger—fresh sushi Ginger from Asian food stores. Apple cider vinegar on salads and a Tablespoon in water every morning Lemon water—just squeeze a slice of lemon in your water. Coconut water Honey. Lean Protein including meat Low-Fat and Nonfat Dairy Products. Non-Citrus Fruits like apples, pears, bananas, and melons Vegetables like broccoli, Carrots, Corn, Cucumbers, Green Beans, Green peppers, Potatoes and Sweet potatoes   For my patients who take herbal and other supplements, the following is a list of the supplements that may decrease your symptoms of GERD. Chamomile Tea Licorice Marshmallow Slippery Elm Tablets Probiotics-Mega Brand Prebiotics-Mega Digestive Enzymes Aloe Vera Juice Baking Soda Magnesium glycinate What happens when you have made all the lifestyle changes you can and have lowered your GLP-1 dose or changed to a different type of GLP-1 Agonist, and you still have GERD? As a physician I prescribe medications to help my patients treat their GERD, however most of the medications have been placed over the counter so I can recommend them to my patients, and they can buy the medication without a script. The class of medication that treats GERD include Antacids, H2 Blocker, and Proton Pump Inhibitor.  Antacids neutralize stomach acid, but they typically only work for short periods. They are generally made of calcium. This type of medication is best used prn for symptom relief.  Side effects of antacids may include constipation and diarrhea. The second option for treatment of GERD is an H2 blocker. These drugs reduce the amount of acid the stomach releases. Eg. Pepcid, Tagamet, Gaviscon. Proton pump inhibitors (PPIs): These drugs are available by prescription from a healthcare provider, and now some doses are over the counter. PPIs help reduce the amount of acid the stomach makes.  They should be used for a two-week period only for severe attacks and then you should change to an H2 blocker or antacid. WHY stop a PPI after 2 weeks?   Omeprazole is an example of a PPI.  Theses medication kill the good bacteria in your intestines, change your breath and can affect how you absorb your nutrients. If you must take them chronically to treat and prevent the progression of damage to the esophagus. What if I did everything and GERD is still a problem: If your condition is severe, your doctor may recommend a consultation with a GI doctor for an endoscope or other diagnostic procedure.  In addition, you may have to hold your GLP-1 Agonist for a period of time while you treat your esophageal inflammation. Just as in all medical issues there are many ways to treat side effects of drugs. Your provider will prescribe the medication that she or he is most comfortable with. What next? So if you have reflux and are on a GLP-1 inhibitor, you may be advised to decrease your dose or switch to Tirzepatide medication (Mounjaro, Zepbound). There are many steps you can take before you need prescribed medication. Your doctor may even change your GLP-1 agonist prescription or refer you to a GI doctor, but before this is necessary you should try the lifestyle and dietary changes that I recommend in this Blog first. This side effect of GLP-1 agonists doesn't affect every patient and can be managed as you see above, however the lifestyle changes and dietary changes can only be done by you, so the ball is in your court!

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…   Kay: Hi Dr. Cabral, About a year ago, before I discovered you and your podcasts, my husband and I invested in a $4000 Tempurpedic mattress. I know that memory foam is generally synthetic and was wondering if you have recommendations to reduce any toxic effects? The instructions when we first received the mattress were to allow it to "air out" for a day, which we did. We now also sleep with an air filter in our bedroom. Any other suggestions or comments about Tempurpedic or memory foam mattresses in general? Thank you.                                                                                                                          Anonymous: Hi, this has been happening for a while & I am wondering what it means. When I wake up the inside of my nose stigns quite a lot. Sometimes it also happens during the day or it lasts throughout the day but mostly it's the worst as soon as I wake up. It's really annoying and then I usually rub my nose on the outside a lot until it subsides but it's so weird and I have no idea what it means. Please help!                                                                                                                                Lindsay: Hi Dr Cabral, I looked over your information already given on acid reflex. I have two questions. What are the long term effects of omeprazole. What is a natural alternative? Thank you, Lindsay                                                                               Anonymous: Hello Dr. C, I hope you're doing well. I wanted to reach out regarding an issue I've been experiencing. I have noticed an increase in heart rate after consuming alcohol. I never had any issues with occasional drinking prior. However, since having my first child and taking nearly two years off from alcohol, I now experience a racing heart whenever I drink. I've tried staying well-hydrated beforehand, but the issue persists. I have done a FM detox + Parasite detox in this 2 year period as well. I'm curious to hear your thoughts on what might be causing this change, especially since it wasn't a problem in the past. Could it be a histamine issue or an overflowing rain barrel still?                                       Jennifer: Thank you for all you do, Dr. Cabral! Your energy and drive inspire me! My Dad has to take Warfarin to thin his blood. What may be root causes for thickening of the blood? Where do I start?   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/3341 - - - 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 of the EquiConnect Podcast, Dr. Mike Pownall and co-host Karen Foell dive into the crucial topic of Equine Gastric Ulcer Syndrome (EGUS) with veterinarians Dr. Rafael Gomez and Dr. Natalie Sanza. They explore the different types of ulcers, common causes, and cutting-edge treatment approaches. Listeners will gain valuable insights into diagnosing and managing this prevalent condition in horses, as well as key strategies for prevention. Plus, get an exclusive look at the upcoming Gastroscopy Open House Event—a must-attend opportunity for horse owners to see gastroscopy in action. Whether you're a competitive rider, trainer, or dedicated horse owner, this episode is packed with expert knowledge to help keep your horse healthy and happy.Timestamps: [00:00:00] – Introduction to the EquiConnect Podcast and episode overview [00:01:00] – Meet the experts: Dr. Rafael Gomez & Dr. Natalie Senza [00:02:00] – What is Equine Gastric Ulcer Syndrome (EGUS)?[00:03:00] – The two types of gastric ulcers: Squamous vs. Glandular[00:04:30] – Causes of equine ulcers: Feeding, stress, and more[00:08:00] – How feeding schedules affect ulcer development[00:09:30] – Stress and its impact on gastric health[00:11:00] – Shocking statistics: How common are gastric ulcers?[00:14:00] – Diagnosing ulcers: Why gastroscopy is the gold standard[00:17:00] – Recognizing symptoms: Poor performance, weight loss, and more[00:19:00] – The role of treatment: Omeprazole, GastroGard, and other medications[00:25:00] – Preventing ulcers: The power of management & nutrition[00:31:00] – Three pillars of ulcer prevention: Management, supplements, and medication[00:34:00] – Post-treatment care: How to prevent relapse[00:36:00] – Exciting event: Gastroscopy Open House on March 22nd[00:40:00] – Final thoughts & key takeawaysNotable Quotes:“More than half of the horse population suffers from ulcers—whether they're in the wild or in competition.” – Dr. Rafael Gomez “The only way to diagnose ulcers with certainty is through gastroscopy—there is no magic test from the outside.” – Dr. Natalie Sanza “If we don't change management after treatment, ulcers can return in as little as two days.” – Dr. Rafael Gomez “Management is the best medicine. The right feeding schedule, turnout, and stress reduction are key.” – Dr. Natalie SanzaResources & Mentioned Topics:

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Pour accéder à l'intégralité de ce podcast et écouter chaque semaine un nouvel épisode du Quart d'Heure Véto, c'est très simple, il vous suffit de vous abonner en cliquant sur ce lien : https://m.audiomeans.fr/s/S-yUNSBZSR Notes et référencesArticle : Barton, Michelle Henry et Hallowel, Gayle D. Current Topics in Medical Colic. Veterinary Clinics: Equine Practice, Volume 39, Issue 2, 229 - 248Retrouvez toute la synthèse sur la fiche podcast juste ici : https://audmns.com/VpGfaRBPour nous suivre :1. Abonnez-vous à notre chaine pour profiter de l'intégralité des épisodes : Le Quart d'Heure Véto : décrypte et résume en moins de 15 min un article de biblio véto - Sur abonnement uniquementLe Véto du Mois : Partagez le temps d'une interview l'expérience de vétérinaires emblématiques de notre milieu, des rencontres conviviales, comme si nous étions dans votre salon au coin du feu. Podcasts bonus au fil des inspirations... 2. Le ScopeNous partageons avec vous nos dernières découvertes, inspirations, pistes de réflexion, nouveautés… À découvrir et utiliser dès maintenant, TOUT DE SUITE, dans votre quotidien de vétérinaire, de manager, de vie personnelle, de chef d'entreprise… Et tout cela en moins de 5 minutes top chrono un à 2 mardis par mois ! Je souhaite recevoir mon Scope : https://vetmasterclass.com/lescope/ 3. Contactez-nous, suivez-nous et donnez nous votre avis ! Des sujets que vous souhaiteriez approfondir, des références à partager, ou nous faire part de vos feed-backs :Abonnez-vous à notre chaine, donnez nous des étoiles, un commentaire et partagez autour de vous !Sur notre site : https://vetmasterclass.com/Sur Facebook : https://www.facebook.com/VmHorseSur Instagram : https://www.instagram.com/vetmasterclass/Sur YouTube : https://www.youtube.com/channel/UC18ovcWk9e-mFiTL34OQ03gSur Linkedin : https://www.linkedin.com/company/vetmasterclass-horse/about/Belle journée à tous, Et continuez à vivre votre métier avec Passion !

Metformin is a medication used in the management of diabetes. It can cause significant diarrhea, B12 deficiency, and in rare cases, lactic acidosis. Atorvastatin (Lipitor) is a statin medication used for cholesterol management. It lowers LDL and is associated with myopathy. Omeprazole is a PPI used for GERD and has drug interactions with citalopram and clopidogrel. Ciprofloxacin is a quinolone antibiotic used to treat gram-negative infections and UTIs. It carries numerous risks such as tendon rupture. Ondansetron is an antiemetic medication used in the management of nausea and vomiting. I discuss the prescribing cascade in relation to this medication.

Episode 21 of The Pound of Cure Weight Loss podcast is titled, Vial Denial and the GLP-1 Shortage. The name comes from our Economics of Obesity segment where we discuss the GLP-1 shortage and how it's caused by the inability to procure injector pens. Canada recognized this issue a while back and allowed pharmaceutical companies to use single dose vials instead of injector pens. So why aren't we using single dose vials in the United States? I have some opinions about it. Our In the News segment comes from an article in Reuters about how Viking Therapeutics is developing a weight loss medication that can be taken orally. The Medication is similar to Mounjaro and Zepbound in that it is both a GLP-1 and a GIP and the initial studies show better weight loss with more responders than Ozempic, Wegovy, Mounjaro, and Zepbound in the injectable version. Is the oral version going to be as effective? Tune in to find out! In our Patient Story, we talk to Shenelle who is a very successful recovering alcoholic and drug addict. She started her weight loss journey after getting sober and is now a coach for bariatric patients struggling with food addiction. Her story of perseverance is truly inspiring. Zoe introduces the Emotional Eating Umbrella in our Nutrition segment. This is a concept she created to help quantify and qualify all the different attributes that encompass emotional eating so that we can develop new coping strategies for each individual trigger.   Finally, we cover a few of our listener submitted questions including, thoughts on the Keto+ ACV gummies, Omeprazole after surgery, and nutrition and medication changes before pregnancy.

Omeprazole ranks among the top 10 most prescribed medications in the United States, and many patients take proton pump inhibitors (PPIs) for years. Widespread PPI use persists despite data about potential serious adverse effects.  Some worry that PPI use increases the risk of dementia.  Are those worries supported by data? Guest Authors:  Molly M. Corder, PharmD, BCPS, BCACP and Ryan S. Ades, PharmD, BCPS Music by Good Talk

This is the 26th episode in my drug name pronunciation series.  Today, we're talking about omeprazole (Prilosec ®).   If you're new to my drug name pronunciation series, welcome! In this episode, I divide omeprazole and Prilosec into syllables, explain which syllables to emphasize, and tell you where I found the information.  Seeing the written pronunciations is helpful, so the written pronunciations are below and in the show notes on thepharmacistsvoice.com.   The purpose of my pronunciation episodes is to provide the intended pronunciations of drug names from reliable sources so you feel more confident saying them and less frustrated learning them.   Omeprazole = oh-MEP-ra-zole, emphasize MEP   Prilosec = PRY-lo-sec, emphasize PRY   Thank you for listening to episode 265 of The Pharmacist's Voice ® Podcast!   To read the FULL show notes, visit https://www.thepharmacistsvoice.com.  Click the Podcast tab, and select episode 265.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Google Podcasts  https://bit.ly/3J19bws  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Links from this episode USP Dictionary Online (aka “USAN”)  **Subscription-based resource USP Dictionary's (USAN) pronunciation guide (Free resource on the American Medical Association's website) Prilosec medication guide on the FDA's website (Located after Section 17: pt counseling info) The Pharmacist's Voice Podcast Episode 263, pronunciation series episode 25 (PDE-5 inhibitors) The Pharmacist's Voice Podcast Episode 259, pronunciation series episode 24 (ketorolac) The Pharmacist's Voice ® Podcast episode 254, pronunciation series episode 23 (Paxlovid) The Pharmacist's Voice ® Podcast episode 250, pronunciation series episode 22 (metformin/Glucophage) The Pharmacist's Voice Podcast ® episode 245, pronunciation series episode 21 (naltrexone/Vivitrol) The Pharmacist's Voice ® Podcast episode 240, pronunciation series episode 20 (levalbuterol) The Pharmacist's Voice ® Podcast episode 236, pronunciation series episode 19 (phentermine)  The Pharmacist's Voice ® Podcast episode 228, pronunciation series episode 18 (ezetimibe) The Pharmacist's Voice ® Podcast episode 219, pronunciation series episode 17 (semaglutide) The Pharmacist's Voice ® Podcast episode 215, pronunciation series episode 16 (mifepristone and misoprostol) The Pharmacist's Voice ® Podcast episode 211, pronunciation series episode 15 (Humira®) The Pharmacist's Voice ® Podcast episode 202, pronunciation series episode 14 (SMZ-TMP) The Pharmacist's Voice ® Podcast episode 198, pronunciation series episode 13 (carisoprodol) The Pharmacist's Voice ® Podcast episode 194, pronunciation series episode 12 (tianeptine) The Pharmacist's Voice ® Podcast episode 188, pronunciation series episode 11 (insulin icodec)  The Pharmacist's Voice ® Podcast episode 184, pronunciation series episode 10 (phenytoin and isotretinoin) The Pharmacist's Voice ® Podcast episode 180, pronunciation series episode 9 Apretude® (cabotegravir) The Pharmacist's Voice ® Podcast episode 177, pronunciation series episode 8 (metoprolol)  The Pharmacist's Voice ® Podcast episode 164, pronunciation series episode 7 (levetiracetam) The Pharmacist's Voice ® Podcast episode 159, pronunciation series episode 6 (talimogene laherparepvec or T-VEC)  The Pharmacist's Voice ® Podcast episode 155, pronunciation series episode 5 Trulicity® (dulaglutide)  The Pharmacist's Voice ® Podcast episode 148, pronunciation series episode 4 Besponsa® (inotuzumab ozogamicin) The Pharmacist's Voice ® Podcast episode 142, pronunciation series episode 3 Zolmitriptan and Zokinvy The Pharmacist's Voice ® Podcast episode 138, pronunciation series episode 2 Molnupiravir and Taltz The Pharmacist's Voice ® Podcast episode 134, pronunciation series episode 1 Eszopiclone and Qulipta

*Some farmers have a tough time during the holidays.  *Texas sesame farmers will have crop insurance available for next year's crop.  *The U.S. is planning to allow beef imports from Paraguay.  *Water is an ongoing challenge on the Texas High Plains.  *Wheat growers are working on priority issues for the Farm Bill.  *Winter forages are in the ground and growing in much of Texas.  *Omeprazole is used to treat equine stomach ulcers.  *Pheasant season opens this weekend.  

We discuss how latex in arena and track footing may affect equine respiration, explore Multidrug Resistance Mutation (MDR-1) and the use of Omeprazole for ulcers in horses. Just for fun, we conduct a celebrity pet match. A classic re-visit.Co-Hosts: Tigger Montague from BiostarUS and Pati Pieucci from from Pierucci DressageAsk Hedwig FacebookOMEPRAZOLE FOR HORSES WITH ULCERS: THE GOOD, THE BAD, AND THE QUESTIONABLELatex rubber could be an asthma trigger for some horses – studyLearn more about Whole Foods for horses and dogs

We discuss how latex in arena and track footing may affect equine respiration, explore Multidrug Resistance Mutation (MDR-1) and the use of Omeprazole for ulcers in horses. Just for fun, we conduct a celebrity pet match. A classic re-visit.Co-Hosts: Tigger Montague from BiostarUS and Pati Pieucci from from Pierucci DressageAsk Hedwig FacebookOMEPRAZOLE FOR HORSES WITH ULCERS: THE GOOD, THE BAD, AND THE QUESTIONABLELatex rubber could be an asthma trigger for some horses – studyLearn more about Whole Foods for horses and dogs

Explore the benefits of tanning beds, the dangers of increased sun exposure, some insights into estrogen dominance, when you should take binders and the top causes of acid reflux & how to manage this common digestive issue! Tune in to hear: My take on sunbeds (1:55) Natural ways to manage heavy periods (4:10) Delving deeper: getting to the underlying root cause (7:55) Is activated charcoal harmful? (11:04) Potential dangers of activated charcoal (13:13) Why I take binders before a sauna session (14:58) Head to www.paulabenedi.com/episode102 for the show notes. Join my newsletter: www.synergised.info/newsletter Follow me on Instagram: @synergiseduk  . P.S. This podcast and website represents the opinions of Paula Benedi. The content here should not be taken as medical advice and is for informational purposes only, and is not intended to diagnose, treat, cure or prevent any disease. Please consult your healthcare professional for any medical questions.

This is Part Two of my Allergies + Food Sensitivities series. If you have not listened to Part One, you can listen by clicking here. Ever wondered if what you're feeding your pet is impacting their health? Our deep-dive into the potential risks of Proton Pump Inhibitors (PPIs), like Omeprazole and Prilosec for dogs and cats, might just make you rethink their dietary needs. We break down the complexity of how these acid reducers can throw off your pet's gut microbiome, inviting health issues such as gastroenteritis and increasing the risk of strokes. We stress why a diverse diet of fruits, vegetables, and meats is key for a balanced gut microbiome, determining your pet's well-being. Don't miss our comprehensive discussion on histamine management in dogs, where we showcase natural antihistamines and the factors that can diminish DAO and HMMT enzymes - antibiotics, antihistamines, vaccines, inadequate diets, and NSAIDs. We highlight the toll leaky gut and food sensitivities take on DAO enzymes and suggest various herbs and foods that can lower histamine levels, providing anti-inflammatory benefits. We wrap up the episode with solid tips for maintaining a healthy dog, touching on critical aspects like vaccinations, heartworm protection, air quality regulation, metal testing, pesticide avoidance, natural pest control, and the use of organic foods. We hope this episode helps you take the necessary steps to lighten your pet's liver burden and boost their gut health. Topics Covered: 0:00:02 - Food Sensitivities and Acid Reducers0:14:05 - Histamine and Liver Health in Dogs 0:19:30 - Natural Ways to Manage Histamine Levels0:27:31 - Tips for a Healthy Dog Sponsored By: The Adored Beast Apothecary RealMushrooms.com Check Out Rita: Rita's Instagram Facebook Group My Courses My Website and Store

This podcast summaries the article 'Five- versus seven-day dosing intervals of extended-release injectable omeprazole in the treatment of equine squamous and glandular gastric disease'.

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name omeprazole Trade Name Prilosec Indication GERD, ulcers, Zollinger-Ellison syndrome, reduce the risk of GI bleed in critically ill patients, heart burn Action prevents the transport of H ions into the gastric lumen by binding to gastric parietal cells, ↓ gastric acid production Therapeutic Class antiulcer agent Pharmacologic Class proton-pump inhibitor Nursing Considerations • take 30-60 minutes prior to eating • capsules should be swallowed whole • instruct patient to report black tarry stool

"An advanced practice provider's scope of practice can vary drastically depending on where you practice; listen to the ASCO Education's third episode of the advanced practice providers series, and learn more from our co-hosts, Todd Pickard (MD Anderson Cancer Center) and Dr. Stephanie Williams, (Northwestern University Feinberg School of Medicine), along with guest speaker Heather Hylton (K Health) on what scope of practice is, who or what defines it, and why knowing this information is critical to your oncology care team success. If you liked this episode, please subscribe. Learn more at https://education.asco.org, or email us at education@asco.org   TRANSCRIPT Todd:  Hello everyone, and welcome back to the ASCO Education Podcast, and the third episode of the Advanced Practice Provider series. I'm Todd Pickard, your co-host for this series, along with Dr. Stephanie Williams. We'd also like to introduce you to our guest panelist today, Heather Hylton. Heather, why don't you share a bit about yourself, what you do, and where you're from. Heather: Sure. Well, thank you so much. It's a pleasure to join you in this podcast. My name is Heather Hylton. I'm a physician assistant based in New York. Most of my career has been in oncology, but I've been fortunate to have been able to serve in administrative and clinical roles in organizations in multiple states. So, I'm currently working in the remote care space, and I'm excited to bring this experience to our conversation. Todd:And Stephanie, why don't you remind our listeners today about your background, and why you have so much experience and really just have a really true appreciation for working with advanced practice providers. Stephanie: Thanks, Todd. I've worked in oncology for almost 40 years and I've had the opportunity to work with advanced practice providers, both physician assistants, and nurse practitioners for a couple of decades now. I've been in stem cell transplants and cellular therapy, and they're absolutely integral to our practice, both inpatient and outpatient in that particular field. Todd:  Well, in today's episode, we're going to be talking about advanced practice providers' scope of practice; what it is, what it means, who defines it, and why it is important for oncology APPs to know and understand what their scope of practice is. So, why don't we jump right in? So, I think it's important to define scope of practice first. So, I would like to just offer a little bit of a perspective around that language of scope of practice. Generally speaking, it is what is allowed by law at any particular state for an advanced practice provider to perform care on patients; what types of patients they can see, what kind of medications they can prescribe and write, what kind of activities they can be in, what kinds of relationships they have to have with other providers and delegating or collaborating physicians. So, generally speaking, a scope of practice can be very, very broad or it can be very, very narrow. And it really depends on the state and how the state defines it. So, I'm going to ask Heather to jump in here and can you provide an example or a story, or a case that comes to mind that helps illustrate scope of practice for an APP? Heather: Sure, I'd be happy to, you know, in terms of how I think about this, very simply stated is, what it is that I'm permitted to do as an advanced practice provider. And the boundaries, as you said around this, are really determined by a number of factors. So, education, training, experience, my competency, federal law in some cases, state laws, regulations. And this may also include, as you mentioned, specific physician collaboration requirements, facility policy, clinical privileges that are granted by that facility, sometimes payer policy factors in, and then of course, the needs of the patient. So, one very common question that comes up in the oncology space is, can APPs order or prescribe systemic therapy? And the answer of course, is really going to be determined by going through that checklist of the entities that determine if this is something that that APP can actually do. So, one example I have is a facility where the module that they utilized for ordering systemic therapy provided system rates only to physicians. And the facility that had been using that module before APPs were widely integrated. So, there were some innocent assumptions made that the absence of the APPs in the module meant it was “illegal” for APPs to order systemic therapy. So, in working with this group, we were able to go through this checklist. So, there were no federal or state restrictions on this particular clinical activity, but it needed to be written into the facility policy. So, criteria for establishing competency were devised. And then an education training plan was designed, implemented, and driving systemic therapy became part of that privileges requests from the APP, and then the systems' rights issues were also addressed. So, this was truly a success story in being able to safely expand the number of clinicians, who were able to prescribe systemic therapy in a busy and growing facility. Stephanie: Heather, what does it mean to you (this is a term that our administrators throw around a lot and our nurse managers throw around as well) to practice at the top of your license, whether you're a nurse, physician assistant, or an advanced practice nurse; what is the top of your license? Heather:  Well, this is a hot topic. And top-of-license practice really comes down to role optimization. It is just good business. It means that the patients and the caregiver's needs are being met by the professional with the appropriate training, experience and competency for each function or task that the professional performs. And from an engagement standpoint (which I know is not the topic of our conversation today, but it is important) we know that people want to engage in work that they find meaningful. While that definition certainly is individualized, a common thread is being able to leverage that education, training and experience you have to help others. And often, the reason why we really pursued our careers. Todd: I think this is such an important topic to talk about, is the top of license practice, because it really impacts all of us, Stephanie. You know, as physicians, you want to do what you've been trained to do, which is to assess a patient, have a differential diagnosis, do a diagnostic workup, arrive at a diagnosis, create a treatment plan, and have that treatment plan implemented so that you can care for the patient. And APPs are the same way. So, when you have folks, whoever they are, whether they are the nurse or the advanced practice provider or the physician or the social worker or the pharmacist, whoever it is; if they are utilized in a way that does not take into account all the skills and competencies that they have to deploy and provide for that patient, they're really working below the top of license. As an example, if you had an APP go from room to room to room with you seeing patients and the only thing that you had the APP doing was scribing, that APP is working well below their licensure. And in fact it's incredibly wasteful with limited resources in healthcare, to have folks who have lots of skills and competencies working at a level where you really should have a different member of the team providing that service. Like if you need a scribe, you should get a scribe. And so, I think that kind of illustration really makes it salient to folks to think about; we should all work to stretch the knowledge and skills and competencies that we spent so much time developing in all of our training and our certification. Because otherwise, it's just wasteful. And as Heather said, it's not very satisfying. Stephanie: Todd, I think that those are excellent points that you bring out and I think that's very important for people to realize that APPs aren't scribes, they aren't there to extend me. They're there to help me as a physician in my practice, to help the patients actually. And then we should work together as a team to give the best patient care that we can. But many times I see my colleagues, just as you said, going from room to room with their APP and expecting the APP, you know, “I'll pontificate and tell you do this, that, that and the other, and then you go out there.” I think also from a career and job satisfaction rating, it's really important to have that team around that can help each other out. And I think that really does help in terms of decreasing burnout and other things like that. Todd: So, Heather, can you give us some idea of how is scope of practice defined at a state or an institutional level? How do people arrive at those kinds of decisions or, you know, how does an institution decide what the scope of practice is? How does it work? Heather: Taking a step back and just, you know, kind of thinking about it through different lenses. So, you know, in contrast to physicians whose scope of practice has minimal variability from state to state, we know that there can be a bit more state to state variability for APPs. And the regulatory bodies or agencies can also be different. And there may be multiple agencies that weigh in on what that APP can do within a particular state. And so, it's certainly important to be familiar with the Practice Act for each state in which you are licensed. And I would also add onto this, in certain geographic areas, this may be particularly relevant to you if you are in a practice that has multiple locations in multiple states, but we'll come back to that a little bit later. But, you know, again, kind of going through your checklist, starting off, looking at what the Practice Act says, and these can all be written up in many different ways. Sometimes it comes across as what I would call like a laundry list, which when you first read it, seems pretty straightforward, but it can also kind of lead you into some issues because if it isn't on there, then what does that mean? Some Practice Acts are written up really more on the basis of what activities are excluded or things that you cannot do as an APP. And then some are just kept very broad, which sometimes makes people uncomfortable, but I would encourage you to not be uncomfortable with that because sometimes, they're written this way in order to give you more flexibility to set that scope of practice at facility level, which is ideally where you really want to be cited. You don't want to create something more limiting or more restrictive than what the state actually allows you to do. Todd: That is a critically important point and one that in my 24 years as an advanced practice provider who happens to be a PA, that has come up often and frequently is, “Well, it doesn't say this” or, “It doesn't specifically exclude that. And so, we're uncomfortable.” And my response is, “Well, that gives us an opportunity to create this space”, because, you know, many times, as you point out, Heather, these kind of ambiguities are written intentionally, so that local practice decisions can be made, so that physicians and advanced practice nurses and PAs can decide as a team, how do we work? You know, in my state, it was very specific that they wanted APPs and physicians to collaborate on ‘what does our practice look like?' And every local level, outside of those very large kind of rules about who can prescribe and who can pronounce a patient dead or write a restraining order — outside of those very large things, they really want us, they want the care team to figure it out and to do it in a way that's best for our patients. I think that is the best approach, is when we get to decide how we work. You know, the places, some of the states that have these laundry lists, you're right, Heather, it seems like, “Oh, that's easy,” but then you're like, “wait a minute, there's only 10 things on this list and we do, you know, 57, what does that mean?” And so, I think it can be very disadvantageous when you have those lists. And I do think it's important to think through these things, work with your legal colleagues to analyze these things, and then take an approach, stake out some territory, you know, once you've gotten informed and say, “This is what our scope looks like, we've all talked about it and this is how we're going to work as a team.” So, that's wonderful when you've got that level of flexibility. I think that's really great. Stephanie: Does insurance reimbursement play any role in terms of scope of practice, either locally or nationally? Heather:  It absolutely can. And it's important to know, for example, if you are in a practice, where you're seeing Medicare patients, to understand Medicare conditions of participation. If you are in a practice where you are taking care of patients with Medicaid or certainly private payers as well, like understanding what is actually in those contracts, so that you can make sure that you are either updating them if you need to, or making sure that what you need to be able to bill for is billable within those contracts. Todd: It's really interesting because I always have a sense of feeling like I need to cringe when somebody says we can't do this because of a reimbursement issue, and also, partially laugh. And the reason why I have both of those reactions is it's typically a misunderstanding, because saying that we won't reimburse for oxygen unless a physician's order is present to prescribe the oxygen does not equate to only a physician can do this. And so, you constantly have to kind of explore these issues and say, “Okay, so yes they use the word physician, but as an APP who has a collaborative delegatory relationship with a physician, and according to my state license and scope of practice, I write physician orders.” So, if you connect those dots, if I, as the APP, have written the physician order for the oxygen, it meets your criteria. It doesn't say a person who holds a medical license, it says physician order. And so, I think that's where you have to really constantly be on guard about these misconceptions, misunderstandings, and these ambiguities. And as Heather said, working with APPs, you just have to say, “Look, there's going to be ambiguities, we're going to work it out, we're going to figure it out. And, you know, reimbursement is important.” But you have to remind folks that reimbursement doesn't define practice, it defines how you get paid. Stephanie: Excellent point, Todd. Excellent. Heather: I'll add a story to that as well. When I first came to New York, I became aware of a situation where the narrative at a particular facility was that a major private payer would not reimburse for services provided by PAs. Now, I thought that was a little strange, but, you know, I was a new kid in town, but at that time — there are more now, but at that time there were 10,000 PAs in New York. That's a pretty big number. And so, I thought, you know, I probably would've heard something about this if this major payer would not reimburse for these services. So, to help with the situation, I started doing the research, you know, looking at specific information from the payer, checking with connections at other facilities to learn about any issues that they may have experienced with this payer, checking with our national organization and so forth. And really, nothing was coming up, suggested that the payer would not buy reimbursement for services provided by PAs. And ultimately, it came down to something very simple, which was the facility just didn't have this in their payer contract, they hadn't needed it up to that point. So, it made perfect sense and it was fixed once the issue was identified. So, this goes back to just being very vigilant about the research that you're doing. And sometimes, it takes a little time to get to the solution, but really that perseverance does pay off. Todd: Heather, I'm sitting here, I'm laughing because I just had a recent example of where the right and the left hand within a state had no idea what was happening. So, an employer who does ambulatory outpatient treatments at different retail locations (we'll just leave it at that) there was this concept that PAs as an example, were ineligible because of the state requirements that then were reflected in this company's policy. And what was so interesting is that a PA colleague of mine started investigating and I said, “Well, what does the state law say?” And she went and she looked and she said, “Oh, it was changed last year that this thing that was causing this policy in this employer was changed.” And I said, “Well, does the company know that the law was changed?” So, she reached out to the medical director who was a physician, whose daughter was happening to want to go to PA school. So, she had an in, she had an in right away, which serendipity does play a part here. And she said, “Did you know that the state law changed?” And they said, “No.” And so, she sent them the state law and then within a week, the medical director said, “Oh, just so you know, we're hiring PAs now, we've updated our internal policies to reflect state law.” So, sometimes it's just these small things that people forget the details, that when something changes, you have to reflect that in your policies of companies or institutions or your practice group. And that's the one thing that I think is so different for APPs from physicians. Physicians are kind of just granted this big broad authority and it rarely changes. It's very stoic and it's kind of fixed. But for APPs it is constantly in flux, constantly in flux. And that's just the nature of it. I don't know why it's been that way. We've organically developed this in the United States over the past 50 years, maybe 50 years from now, it'll be different, but right now, it's not. And so, I think that's the important thing is there's more space out there for advanced practice, scope of practice and top of licensure, than you think is possible. It just requires a little work. Heather: I will say that I 100% agree and, you know, when you take a step back from some of these, like these Practice Acts, they tell a story about the climate in the state and the history in the state. And it's quite fascinating if you like that. I'm not the most fun person at a party, but, you know, these things, they tell a story and it gives you a good sense of what's actually going on in the micro environment in that state. In the last year plus, I've spent a lot of time reviewing Practice Acts of most of the states of the union, and so, I have this ability to really compare. And I also know which states I really, really like and which ones are a little bit more challenging. But there are things like even legislation that's left over from the industrial revolution that's actually influenced how a particular pharmacy interprets, you know, whether or not they can accept a prescription without a counter signature from a physician. And so, some of these things, like when you start drawing some of these lines, it becomes very interesting and it definitely comes down to some interpretation as well. So, always being able to work with a good legal team or people who do understand Practice Act information and working with your state resources as well, as well as your national organizations can be very impactful. Todd:  I would also say step one is to pull up whatever Practice Act is influencing something and read it. They are in English, they're not in Latin or French, they're in English. And many times, you can find something very plainly said. Other times you do need your legal friends to help you understand, “Okay, now what does this mean? I read the words but it's not clear.” But sometimes it will say, you know, “An APP may prescribe a controlled substance.” Period. So, oh, well, there's an answer right there. Now, there may be a how-to section later, in another part of the regulatory or administrative code within a state, but for the most part is, don't be afraid to look, don't be afraid to phone a friend and explore and ask questions. Stephanie:  You're eligible though for controlled substance licenses nationally, right? A DEA number? Todd:  That's a hot topic. Stephanie:  Is it? Heather: There may be other things that you need to do within a state as well in order to prescribe. So, for example, in Massachusetts, even to prescribe legend drugs, you need a Mass Controlled Substance Registration, because any substance that's not a DEA scheduled substance is considered a category 6 substance in Massachusetts. So, if I'm going to write a prescription for Omeprazole, I need to have a Massachusetts Controlled Substance Registration, as any prescriber would in the state. So, again, some of these little nuances, making sure that you're very familiar with that and doing the research. Stephanie: So Heather, you're in New York, I'm sure you get patients from Massachusetts. So, you have to make certain that you can prescribe both in New York and Massachusetts and probably, Rhode Island and all the states around there? Heather: Well, you bring up a really good point, which is, you know,when you are in a practice that has locations in multiple states, and we can talk about telehealth a little bit later. But if you are in a medical group that has practice sites, say in Connecticut, Massachusetts, and New York, licensed in all three states, and you work at sites in all three states, say you're an APP who likes to float and you make these commutes each day. So, all three states may have significant differences in their Practice Acts or what you need to do in order to optimize your practice in that state. And that includes collaboration requirements. So, some states have the ability for nurse practitioners to have autonomous practice, but there may be other steps where you may need a particular license, in order to be able to do that within that state. So, again, being very aware of those steps that you need to take is really important. Stephanie: So, Heather, you mentioned telehealth, which is a big topic through COVID. I don't really have to tell people how big a topic that is. So, what are the changes or what is going to happen with that now that we're “getting to the other end of COVID”? Heather:  That's a big question mark, right? So, certainly, the advancement of telehealth was an important development during the pandemic. And many states have a separate set of laws, regulations that govern delivery of healthcare services through telehealth. So, if your practice is utilizing telehealth to deliver medical services, it's necessary to be fluent in this information. So, this can include important information such as how a patient provider relationship is established. And, you know, it may also include information on prescribing practices, what may or may not be permitted or the conditions under which a prescription can be provided and so forth. And so, some states relaxed telehealth-related rules under state of emergency declarations. And so, making sure that you are up-to-date on this as some of those rules have returned to the pre-pandemic state and some of those relaxations actually became permanent. And of course, if you're billing for these services, knowing the payer requirements and then the policies and procedures you need to follow, in order to bill for those services. And where the patient is physically located at the time that the service is being provided, is the state in which you need to be licensed in order to provide that service. So, if Todd is performing a telehealth service for a patient in Oklahoma and he's not licensed in Oklahoma, he won't be able to see that patient. Todd:  It's really strange because telehealth has brought a different layer of perspective around scope of practice and licensure that we hadn't really faced as much before, right? So, for example, I've been a PA for 24 years. I have been able to call across state lines and interact with patients and talk to them on the phone, get updates on their surgery, if they're having, you know, a postoperative infection, get them an antibiotic and do that kind of work forever. But as soon as you add that technology and that billing entity called a telehealth encounter or a virtual encounter, it becomes a different animal all of a sudden. And this really came to light during the pandemic. And we quickly realized all of these things made it impossible. And that's why all the states did all of these emergency declarations saying, “Just forget it, just take care of people.” But now that we're getting past that, we're kind of going backwards, not because anything bad happened, but because folks are saying, “Well, we want to go back to the older ways where, you know, every state could have differences in regulations and make folks pay those professional fees to get licensure.” So, it'll be interesting to see how this space develops, particularly since our patients are becoming more consumers. Really, they want to talk to who they want to talk to, when they want to talk to them, and they want service here and now. And I think we're going to have to continue to respond and adapt to that. And some places will lead and some places will lag. But those lagging places quickly are going to start having conversations within the state and our legislators will respond. I mean, politically, it will change over time. It just, you know, matters how quickly. So, it's really an interesting thing to watch unfold in real time. Stephanie: Heather, any final remarks, concerns, advice to those out there, both physicians and advanced practice providers, about how to handle questions about, my God, what is your scope of practice? Heather:  I'm so glad you asked Stephanie because I have a list I might be able to pass them along. So, here we go. Do take the time to review the state Practice Act information and laws and regulations and of course facility policy governing a practice where you are. And as the license holder, you are responsible for knowing what you are permitted to do. Please do not make any assumptions about others' knowledge of this. Unfortunately, I've seen people get caught up in that and always own it, yourself. Generally, recommend facility policy not be more restrictive than what is permitted under the Practice Act of the state. Fact check, challenge your assumptions, and if you haven't had the chance to already do so, do check out the ASCO Advanced Practice Provider Onboarding and Practice Guide for more resources. Stephanie: Well, I'd like to thank Heather for her excellent insight into this very complicated topic. Todd, as always, is always on top of everything. And sharing both your experiences and your ideas with us on APP scope of practice, which can vary quite drastically depending upon the state and also the type of institution you practice in. Stay tuned for our next episode. Until next time, take care. Voiceover:  Thank you for listening to the ASCO Education Podcast. To stay up to date with the latest episodes, please click subscribe. Let us know what you think by leaving a review. For more information, visit the Comprehensive Education Center at education.asco.org. Voiceover: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy, should not be construed as an ASCO endorsement.

Around 20% of people in the Western world are afflicted by GERD or acid reflux. The go-to prescription in most of these cases are PPIs or proton pump inhibitors, one of the most prescribed medications in all of health care. The drawbacks of long-term PPI use are many and their use fails to address the root cause of GERD and other GI issues for which they're prescribed. Learn more about the causes and root cause treatment of GERD, ulcers, H pylori and gastritis and the drawbacks of long-term PPI use. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Twitter, Instagram or Pinterest or reach her via email at lindsey@highdeserthealthcoaching.com to set up a free 30-minute Gut Healing Breakthrough Session. Show Notes

The following question refers to Section 4.9 of the 2021 ESC CV Prevention Guidelines. The question is asked by Dr. Christian Faaborg-Andersen, answered first by UCSD fellow Dr. Patrick Azcarate, and then by expert faculty Dr. Melissa Tracy.Dr. Tracy is a preventive cardiologist, former Director of the Echocardiography Lab, Director of Cardiac Rehabilitation, and solid organ transplant cardiologist at Rush University.The CardioNerds Decipher The Guidelines Series for the 2021 ESC CV Prevention Guidelines represents a collaboration with the ACC Prevention of CVD Section, the National Lipid Association, and Preventive Cardiovascular Nurses Association. Question #17 A 74-year-old man with a history of hypertension, chronic kidney disease, and gastroesophageal reflux presents with chest pain and is found to have an NSTEMI due to an obstructive lesion in the proximal LAD. One drug-eluting stent is placed, and he is started on dual antiplatelet therapy with aspirin and clopidogrel. He is concerned about the risk of bleeding from his gastrointestinal tract. What would you recommend to reduce his risk of bleeding? A. Lansoprazole, a proton pump inhibitorB. Famotidine, a histamine-2 blocker C. Calcium carbonate, an antacid D. None, proton pump inhibitors are contraindicated. Answer #17 The correct answer is A.The ESC recommends that patients at high risk for GI bleeding who are receiving antiplatelet therapy take proton pump inhibitors (Class I, LOE A). High risk for bleeding includes patients who are age ≥65, history of peptic ulcer disease, Helicobacter pylori infection, dyspepsia or GERD symptoms, chronic renal failure, diabetes mellitus, and concomitant use of other antiplatelet agents, anticoagulants, nonsteroidal anti-inflammatory drugs, or steroids.Coadministration of proton pump inhibitors that specifically inhibit CYP2C19 (omeprazole or esomeprazole) may reduce the pharmacodynamic response to clopidogrel. Although this interaction has not been shown to affect the risk of ischemic events, coadministration of omeprazole or esomeprazole with clopidogrel is not recommended.Main TakeawayIn patients with high gastrointestinal bleeding risk who are receiving antiplatelet therapy, proton pump inhibitors are recommended. Omeprazole and esomeprazole may reduce the efficacy of clopidogrel and should not be used concomitantly with clopidogrel.Guideline LocationSection 4.9.3, Page 3291Figure 13 page 3278; recommendation table page 3279. CardioNerds Decipher the Guidelines - 2021 ESC Prevention SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor RollCardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!

Regain your freedom from Crohn's, ulcerative colitis, constipation and more in 12 weeks or less without harmful drugs or surgeries. To book a free call and to learn more about working with Dr. Christine, visit: www.bit.ly/gutcall  To purchase Dr. Christine's custom formulations: www.OmegaDigestion.com

I plan to publish one podcast episode per month on the topic of drug name pronunciations, starting February 2022.  In today's episode, I share where to find the pronunciations for generic and brand-name drugs and how to pronounce eszopiclone and Qulipta.  In future episodes, I will give tips for breaking down generic drug name pronunciations and the many places to find brand-name drug pronunciations. Join me next week for episode 135.  It's an interview with Sue Paul, RPh.  Sue is part of my PGX Pharmacists Series.   Thank you for listening to episode 134 of The Pharmacist's Voice ® Podcast! Read the full show notes at https://www.thepharmacistsvoice.com/podcast Mentioned in this episode The Anatomy Coloring Book  Pharmacy Times Top Mispronounced Brand-Name Drugs January 13, 2015 Omeprazole mispronunciation tweet The USP Dictionary Online (non-proprietary drug names) Pronounce Drug Names Like a Pro Online Course Eszopiclone (Es  ZOE  pi  klone) Qulipta (kew LIP tah) Sue Paul, RPh PGX Pharmacist Subscribe to or Follow The Pharmacist's Voice Podcast! Apple Podcasts Google Podcasts Spotify Amazon/Audible

Listener questions around oil supplements, mineral licks, and whether it is safe to use omeprazole with the Hind Gut Health program. Show Notes: · Fish Oil Factor: Flaxseed base infused with fish oil. This granular omega fatty acid supplement has a 2:1 ratio of 3's to 6's. https://strideanimalhealth.com/fish-oil-factor/ · Hind Gut Program: https://strideanimalhealth.com/hind-gut-health-program/ …. Please share this episode on your favorite social media channels using #feedroomchemist so we can see which episodes you are loving! _ If you have a topic or question you would like addressed on a future episode please email info@acbluebonnet.com Dr. Jyme Nichols is Director of Nutrition for Bluebonnet Feeds and Stride Animal Health. For more information on these brands or a free virtual nutrition consult from our team just visit bluebonnetfeeds.com/nutrition-consult --- Send in a voice message: https://anchor.fm/FeedRoomChemist/message

Regain your freedom from Crohn's, ulcerative colitis, constipation and more in 12 weeks or less without harmful drugs or surgeries. To book a free call and to learn more about working with Dr. Christine, visit: www.bit.ly/gutcall  To purchase Dr. Christine's custom formulations: www.OmegaDigestion.com

In this episode, Dr. Christopher Tookey and Dr. Rose Wolbrink review some over the counter medicines to try if the lifestyle changes in part 1 aren't enough.  A disclaimer, we're providing general guidance but everyone is different and you should always discuss with your health care professional management of any disease and therapy before trying anything you discover from a source on the internet (including this podcast) 

In this episode, I share how I have been documenting how many Tums I'm taking so that I can tell the doctor. Today is day 8 of no coffee and day 2 of no Omeprazole heartburn medicine. Stopping coffee will lead to no more medicine, I believe…stay tuned.

This episode gives a brief history about why Western medicine doesn't involved plant medicine and holistic remedies. It also delves into phytomedicine, exploring the uses of licorice root, asafoetida, peppermint oil, fennel and ginger for your basic, everyday GI complaints such as bloating, nausea, IBS, gastritis (epigastric pain), acid reflux or GERD. The end briefly touches on Western medicine-- Including available OTC products you can buy at a pharmacy such as Tums, Famotidine and Omeprazole, with explanations as to how they work for GI symptoms. As always, thanks for listening! Hope to see you next week!

Show Jumping Legend Armand Leone joins us to speak about what needs to happen in horse sport to keep it vibrant and Dr. Heidi Banse, LSU College of Veterinary Medicine, on a study combining bute & omeprazole. Plus, in the UK Report Samantha Clark brings on Eventer Emma Winter to discuss how the extended lockdown is affecting Eventers in England. Listen in...HORSES IN THE MORNING Episode 2616 – Show Notes and Links:The HORSES IN THE MORNING Crew: Glenn the Geek: co-host, executive in charge of comic relief, Jamie Jennings: co-host, director of wacky equestrian adventures, Coach Jenn: producer, Chaos Control Officer.Title Sponsor: State Line TackPhoto: Armand Leone by Jump MediaGuest: Emma Winter of Wayfarer EventingGuest: Dr. Heidi Banse, LSU College of Veterinary MedicineGuest: Armand Leone of Leone Equestrian LawThere's an App for that! Download the new FREE Horse Radio Network App for iPhone and AndroidFollow Horse Radio Network on TwitterAdditional support for this episode by: Equiderma and Listeners Like YouSupport the show (https://www.patreon.com/user?u=87421)

Show Jumping Legend Armand Leone joins us to speak about what needs to happen in horse sport to keep it vibrant and Dr. Heidi Banse, LSU College of Veterinary Medicine, on a study combining bute & omeprazole. Plus, in the UK Report Samantha Clark brings on Eventer Emma Winter to discuss how the extended lockdown is affecting Eventers in England. Listen in...HORSES IN THE MORNING Episode 2616 – Show Notes and Links:The HORSES IN THE MORNING Crew: Glenn the Geek: co-host, executive in charge of comic relief, Jamie Jennings: co-host, director of wacky equestrian adventures, Coach Jenn: producer, Chaos Control Officer.Title Sponsor: State Line TackPhoto: Armand Leone by Jump MediaGuest: Emma Winter of Wayfarer EventingGuest: Dr. Heidi Banse, LSU College of Veterinary MedicineGuest: Armand Leone of Leone Equestrian LawThere's an App for that! Download the new FREE Horse Radio Network App for iPhone and AndroidFollow Horse Radio Network on TwitterAdditional support for this episode by: Equiderma and Listeners Like YouSupport the show (https://www.patreon.com/user?u=87421)

Omeprazole is a proton pump inhibiting drug that helps regulate the secretion of stomach acid. The most common brand name is Prilosec. Omeprazole is available over the counter (OTC) as well as by prescription only (RX). The OTC indication is for heartburn and should be used no longer than 14 days in a 4 month period. Typical dosing ranges from 10 -40 mg po qid to bid unless treating Zollinger-Ellison Syndrome. When treating Zollinger-Ellison Syndrome doses can get as high as 180 mg daily. The average Zollinger-Ellison Syndrome dose is 60-70 mg qd. Omeprazole should be used cautiously (if at all) in the geriatric population due to risk of bone fracture if taking longer than 1 year. This drug is primarily metabolized through the CYP2C19 pathway use with strong inducers are to be avoided. Common side effects are headache, stomach pain, diarrhea, and gas. Diarrhea may be of particular concern due to risk of C.diff. Go to DrugCardsDaily.com for episode show notes which consist of the drug summary, quiz, and link to the drug card for FREE! Please SUBSCRIBE, FOLLOW, and RATE on Spotify, Apple Podcasts, or wherever your favorite place to listen to podcasts are. The main goal is to go over the Top 200 Drugs with the occasional drug of interest. Also, if you'd like to say hello, suggest a drug, or leave some feedback I'd really appreciate hearing from you! Leave a voice message at anchor.fm/drugcardsdaily or find me on twitter @drugcardsdaily --- Send in a voice message: https://anchor.fm/drugcardsdaily/message

Omeprazole is a proton pump inhibitor that can be commonly used for GERD, PUD, and GI prophylaxis. Omeprazole can inhibit CYP2C19 which can cause concentrations of drugs like escitalopram and citalopram to rise. Hypomagnesemia, low B12, osteoporosis, and an increase in C. Diff risk are potential complications with longer term PPI use. PPI's like omeprazole are best given 30-60 minutes before meals. This is something that patients often forget.

Citalopram is an SSRI used in the management of depression, anxiety, OCD, and PTSD. How do you manage the risk of citalopram causing QTc prolongation? I discuss it further in the podcast. Omeprazole can inhibit CYP2C19 which affects the metabolism of citalopram. I discuss the clinical impacts of this interaction in the podcast. Geriatric dosing with citalopram is recommended to be lower than traditional adult dosing. I discuss this further in the podcast.

Omeprazole is a drug commonly used to treat and prevent gastric ulcers in horses. This episode discusses pros and cons of omeprazole use in horses, and two drug-free alternatives that are showing promise for preventing gastric ulcers in horses. Show Notes: Episode 6 goes into much more detail on plasma and it’s benefits to a horse. LIFELINE®+ Equine – plasma supplement proved to prevent gastric ulcers in horses. Equilene® Pro Care – beet pulp based feed that contains plasma and seaweed-derived calcium for ulcer prevention. Turbo Mag BCAA - metabolic pH balancer to keep horses hydrated while traveling. If you have a topic or question you would like addressed on a future episode please email info@acbluebonnet.com Dr. Jyme Nichols is Director of Nutrition for Bluebonnet Feeds and Stride Animal Health. For more information on these brands or a free virtual nutrition consult from our team just visit bluebonnetfeeds.com/nutrition-consult --- Send in a voice message: https://anchor.fm/FeedRoomChemist/message

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:  Stephanie: Hello I am in the IHP level 2 and currently trying to help my mother with her gut issues. She has been on Omeprazole for years and treated conventionally a couple times with antibiotics for hpylori that was diagnosed by EGD. A subsequent breath test (which I know Dr Cabral is not a fan off for good reason) showed she was negative after treatment. She also has a hiatal hernia. Last year when I found this program I convinced her to come off of her Omeprazole but she suffer with it daily, some days better than others. Last October she started the CBO protocol however mid month 2 she went on a trip to Italy and did not finish her protocol. She then started eating bad again and taking her Omeprazole. She has since then completed two 7 day DCD plans and drinks a smoothie every morning with DNS, collagen and takes vitamin D omega 3 and some zinc and magnesium . She has the fatlossity program however is thinking that may be correlating with her intensifying reflux symptoms so she is cycling of it currently and going to see how the reflux goes for a few days to see if that is exacerbating her symptoms. She drinks hot lemon water and ACV every morning and in efforts to not take her Omeprazole she is currently taking an essential oil to help with episodes of reflux. They only help to a small degree. I have searched the podcast for weeks listening to all the shows I can find on reflux and hiatal hernias but can’t seem to get enough info. My questions are: What can be done for a hiatal hernia? Is surgery the only option and if she doesn’t have surgery will she ever get rid of the reflux?Should she continue the CBO protocol by picking up where she left off last October? Doors she need to do a new protocol? Should she do the heal and seal? If so when? I really tried to search for all the answers and maybe I’m missing it somewhere can you at least answer the questions above specific to her I would surely appreciate it. She is trying so hard but the burn in her esophagus is hard to ignore and she Is worried she will never find relief Lindsey: Hello Dr. Cabral, I hope I am not repeating a question, I did look through your archives for a few different varieties of this topic, but did not find anything.I would like to see what you know about MODY diabetes. I have yet to get an official diagnosis, but my mom and I both have the same issues. She is working on getting a genetic test to find out for sure. My insurance required doctor suggests putting me on Metformin even though I explain it is not supposed to work for this type of diabetes. We are not diabetic "enough" (yet) for a regular endo to be interested in (and I'm not interested in the only tool they seem to have in their toolbox), I have tried many naturopathic and functional medicine detoxes, cleanses, therapies and protocols. I do feel better about my quest towards general health, but am no closer to figuring out the specific dis-ease and dysfunction affecting my blood sugar. I also know that a lifetime of even mild MODY and pre-diabetic levels of blood sugar can be catastrophic in the long run. I am 36 now and need to figure this out before more damage is done. My A1C ranges from 6.0 to 6.3 for years, but I feel it may be going downhill. I have been trying many types of diets, eating patterns (fasting, etc) and supplements to experiment with their effect, but it is very difficult to get a good gauge on what works when it would take years to isolate one specific variable to try every three months and request an A1C test. No one, even the specialists (endos) have much info on this aside from what pills work on it and which don't - and the ones that are supposed to work are the really bad ones that they don't like to prescribe anyways. Help, I don't want that to be my eventual only option!! Do you have any experience with MODY, or a direction to point me in?Thank you so much for your time. Suzanne: Hi Dr Cabral. Your amazing! Could you please consider doing a 'what your face is saying about you podcast?' (I know a lot of skin issues are gut based but I'm sure there is more detail to delve into on this topic.) Thank you! Karyn: Hello, My 4 year old son recently did a blood test. The Dr noticed his aspartate transaminase (AST)/ alanine transaminase (ALT) ratios were out. My son's levels were AST 30: ALT 13. The Dr said the levels should be equal and that this signifies mitochondrial dysfunction. She said he may need more Vitamin B6 but other than that no recommendations were given. My son cannot swallow capsules so we are a little lost on how to go forward with this advice. I would like to pick your brain and ask if you could please let me know what would be going on in a 4 year olds body that would result in this abnormality? Is there a way to get his levels back to normal? If so, please share. And also, if this is a sign of mitochondrial dysfunction would you please give me some advice on how to support his mitochondria in the future? You're advice would be greatly appreciated. I have been listening to you for a year now and hold your opinion in high regard. Thank you Anthony: Dr. Cabral! What are your thoughts on those with high myopia and nearsightedness? I have -7.50 and -9.00 respectively with some astigmatism. The severe myopia I've had began when I was 5 with too much near screen use. I take Lutein and Zeathenaxin currently and Omega 3's. Beside's that, is there anything else that should or could be done? Can severe myopia actually be reversed if one has worn glasses their whole life?   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions!  - - - Show Notes & Resources: http://StephenCabral.com/1583 - - - Get Your Question Answered: http://StephenCabral.com/askcabral   - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -   Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox  (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake  (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend  (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil  (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements  - - -   Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test  (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. Pylori, or parasite overgrowth) - - - > Genetic Test (Use the #1 lab test to unlocking your DNA and what it means in terms of wellness, weight loss & anti-aging) - - - > Dr. Cabral’s “Big 5” Lab Tests (This package includes the 5 labs Dr. Cabral recommends all people run in his private practice) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your family!)

In the second episode we are chatting a bit more about veterinary life in lockdown. Scott will be talking more about gastroprotectant medications in dogs and cats. Similar to the situation in human medicine, practice of inappropriate prescription of acid suppressants is also commonplace in veterinary medicine. We challenge the dogma and clinical practice of administering gastroprotectants for the routine management of many conditions and discuss some of the negative effects of giving omeprazole. We will also be bringing you the second edition of ‘Desert Island Drugs' where Liz and Scott will be discussing drug choices for the management of aortic thromboembolism in cats. For more information about vtx, please visit our website: www.vtx-cpd.com   For a full webinar on aortic thromboembolism please visit:   https://vtx-cpd.com/webinars/fat-cat-vs-super-cat-whats-new-in-fate/     We want to know #whatareyouthinking? If you have a topic you would like discussed, please drop us an email info@vtx-cpd.com

We discuss how latex in arena and track footing may affect equine respiration, explore Multidrug Resistance Mutation (MDR-1) and the use of Omeprazole for ulcers. Just for fun, we conduct a celebrity pet match.Co-Hosts: Tigger Montague from BiostarUS and Pati Pieucci from from Pierucci DressageAsk Hedwig FacebookOMEPRAZOLE FOR HORSES WITH ULCERS: THE GOOD, THE BAD, AND THE QUESTIONABLELatex rubber could be an asthma trigger for some horses – studyLearn more about Whole Foods for horses and dogsSupport the show (https://www.patreon.com/user?u=87421)

We discuss how latex in arena and track footing may affect equine respiration, explore Multidrug Resistance Mutation (MDR-1) and the use of Omeprazole for ulcers. Just for fun, we conduct a celebrity pet match.Co-Hosts: Tigger Montague from BiostarUS and Pati Pieucci from from Pierucci DressageOmeprazole for Horses with Ulcers: The Good, the Bad, and the QuestionableAsk Hedwig FacebookLearn more about Whole Foods for horses and dogsSupport the show (https://www.patreon.com/user?u=87421)

In this episode, I speak to mum of one, Lucy Slight about her newborn journey with her now 6-month-old daughter Tui. Lucy talks us through her long labour and ventouse delivery of Tui and speaks positively of the nights she spent at Auckland's Waitakere Hospital following her birth where they established breastfeeding thanks to the help of midwives. She then goes on to talk about how Tui was a small baby who was slow to gain weight and how Lucy was encouraged to pump and give expressed breastmilk top ups before she saw a lactation consultant when Tui was six weeks old. The LC assisted Lucy in ensuring Tui had a deeper latch and this appointment was a game changer for increasing Lucy's supply.We cover their sleep routine in the early months where Tui preferred to nap on Lucy during the day and how they overcame witching hour by breastfeeding frequently and establishing routine. We also discuss how Tui was quite an unsettled, sensitive baby and how Lucy coped emotionally with the difficulties of trying to help Tui be more content, as she battled windiness and gas. Lucy generously shares all the things they tried including putting Tui on Losec (Omeprazole) and seeing an osteopath. Lucy is also incredibly honest about the emotional toll the Fourth Trimester took on her, and how her bonding experience with Tui wasn't the newborn love bubble that she expected but how okay and normal that is. We touch on expectations of motherhood, strength in her relationship with husband, Clint, and where she found support during this time.I'm so grateful to Lucy for her generosity, honesty and openness and I know you will be too. Thank you, Lucy. Thank you so much. Follow Lucy Slight on Instagram. Follow Skye Ross on Instagram.Follow Motherness on Instagram.

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… Let’s get started!    Tony: my goal is longevity n antiaging.. i practice daily mma jiu jits su and kickboxing.. i am active. i just want great health. tell me what is the protocol for me to have a very healthy all around body in n out. I'm 29yrs old. Molly: Dear doctor Cabral,I’m a health and wellness coach, and listen to your podcast every day. I have to say, I think I learned more from you than I ever did with my other courses, so I want to thank you for that. Now there’s something I’m struggling with personally and haven’t been able to get to the bottom of it. I really hope you can help. I’m a healthy, 40 year old woman, vegan, meditating every day, exercising 6 days a week, doing 18:6 intermittent fasting. I fall asleep easily around 9.30pm, but wake up every night between 3 and 4 pm, am wide awake and just can’t go back to sleep. In the end I doze off an hour or two later, usually just before alarm goes off at 6am. I wake up so tired, and am exhausted and have brain fog throughout the day. Do you have any idea what might be causing this? It would be wonderful if you could give me some tips and ideas what to look for. Thank you so much in advance, much respect, Molly Maci: Hi Dr. Cabral. I recently discovered your podcast and have been listening to several episodes each day. The work that you do is inspiring, thank you! I am a 23 year old female and I have a number of issues going on and would like your guidance on where to begin. I'm currently in school pursuing my Master's in Social Work and due to the intense program schedule, I'm not working and unfortunately, cannot afford lab testing at this time. Both sides of my family have a history of heartburn and acid reflux and my dad is being treated for Barrett's Esophagus. When I started college, I began experiencing heart burn and was put on Omeprazole. I'm no longer taking the Omeprazole as my symptoms have since subsided, but I often get this feeling of having liquid in the back of my throat. There are no burning sensations or pain, but nothing seems to help. I also struggle with constipation and bloating, however, I've been following your recommendation of lemon water to start the morning and using your smoothie guide to try following "liquid before lunch," for the past week. In addition, I have struggled with cystic acne and have been on birth control pills for 7 years and also take 100mg of Spironalactone daily. Lastly, I was diagnosed with anxiety in September of 2018 and take Citalopram daily for that as well. In listening to several of your shows on leaky gut, acne, and anxiety, I've realized that many of my issues could be stemming from my gut. I would like to get off all my medication (other than birth control), but need to know where to start in the process of doing so. Overall, I live a healthy lifestyle, exercising 5-6 days per week (both resistance training and some HIIT/Aerobic exercise), I teach one yoga class each week, and I eat a diet full of protein (however, learning that I probably need more fish and Omega-3's from your podcasts), fruits, and vegetables. I'm 5'11" with a thin stature and as you've discussed, it's more difficult for me to put on muscle than it is to lose fat. I'm planning to do your 21 day detox (likely will have completed by the time this appears on the show), but will wait to begin until I return from Mexico at the end of March. Thank you so much for all that you do and I appreciate you taking the time to provide me with recommendations! Susane: Hi! I have some questions around cherry angiomas. I've always had one or two major ones my whole life, they have never changed and haven't caused any concerns or thoughts, until now. The last half a year or so they have been appearing everywhere on my body all of a sudden at an exponential rate. This makes me worried as I dont want them as of aesthetic reasons, but also because I am wondering if something is wrong. I am 27 years old. Hence, do you know what causes them? Root cause? Can it be due to heavy metals? Been reading that bromide can cause them. How do you think I should address the problem? Do you think they will disappear by themselves as I find the root cause? What do you specific recommend me doing going forwards? What would you do. Thanks. Cody: Hi Dr. Cabral, My dentist tells me I have slightly receding gums. What causes this and what can be done to stop or reverse this? Thanks, Patrick: Hey dr Cabral hope all is well with you and your family. Been feeling great since finding your podcast about 8 months ago and doing your DNS everyday . Now that summer is coming up my question is about poison ivy, me and my kids ( triplets ) go bike riding a lot on trails in the woods and are on soccer fields a few days a week it seems like me and my one son get poison ivy even if we look at it and then it’s always the same thing go to the doctor get a Creme that never works go back in a week now covered in it and then get a zpac and it clears right up . What can I do to keep it from spreading all over and treat it naturally. Thank you and keep up the great job your doing. Susan: My 85 year old mother is suffering terribly with shingles. Terribly is putting it lightly and it's been for months now! She has been under a Dr's care but it seems like nothing really can be done. He finally took her off of hydrocodone because she was becoming addicted to it. Both my mother and my mother in law are urging my husband and I to get the "shingles shot", they are so worried about us getting the shingles. We are 55 and I personally have never even gotten a flu shot. What are your thoughts about getting the shingles shot? Thank you!   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 & Resources:  http://StephenCabral.com/1199 - - - Dr. Cabral's New Book, The Rain Barrel Effect https://amzn.to/2H0W7Ge - - - Join the Community & Get Your Questions Answered: http://CabralSupportGroup.com - - -   Dr. Cabral’s Most Popular Supplements: > “The Dr. Cabral Daily Protocol” (This is what Dr. Cabral does every day!) - - - > Dr. Cabral Detox  (The fastest way to get well, lose weight, and feel great!) - - - > Daily Nutritional Support Shake  (#1 “All-in-One recommendation in my practice) - - - > Daily Fruit & Vegetables Blend  (22 organic fruit & vegetables “greens powder”) - - - > CBD Oil  (Full-spectrum, 3rd part-tested & organically grown) - - - > Candida/Bacterial Overgrowth, Leaky Gut, Parasite & Speciality Supplement Packages - - - > See All Supplements: https://equilibriumnutrition.com/collections/supplements  - - -   Dr. Cabral’s Most Popular At-Home Lab Tests: > Hair Tissue Mineral Analysis (Test for mineral imbalances & heavy metal toxicity) - - - > Organic Acids Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Thyroid + Adrenal + Hormone Test  (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Adrenal + Hormone Test (Run your adrenal & hormone levels) - - - > Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Omega-3 Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - > Stool Test (Use this test to uncover any bacterial, h. Pylori, or parasite overgrowth) - - - > Genetic Test (Use the #1 lab test to unlocking your DNA and what it means in terms of wellness, weight loss & anti-aging) - - - > Dr. Cabral’s “Big 5” Lab Tests (This package includes the 5 labs Dr. Cabral recommends all people run in his private practice) - - - > View all Functional Medicine lab tests (View all Functional Medicine lab tests you can do right at home for you and your family)

PROTON PUMP INHIBITORS (ppi'S) WHICH INCLUDE THE WELL KNOWN BRANDS LIKE PRILOSEC, OMEPRAZOLE, PREVACID, PROTONIX AND NEXIUM..ARE AMONG THE MOST COMMONLY PRESCRIBED MEDS IN THE WORLD. THOUGHT THAT 10% OF THE WORLD ARE TAKING THEM. NOW WE ARE LOOKING AT A MUCH INCREASED RISK FOR KIDNEY DAMAGE WITH LENGTH OF TIME YOU ARE TAKING THEM. TUNE IN FOR DETAILS. Tune in every day to hear Dr. Len Brancewicz of The Nutrition Shoppe discuss today's hottest health topics and news from a complimentary perspective.  From colds to cancer and everything in between, Dr. Len can offer honest advice that makes sense. As a Registered Pharmacist (RPh), Certified Clinical Nutritionist (CCN), Doctor of Naturopathic Medicine (NMD), and a homeopath, Dr. Len has over 35 years experience in helping to keep you and your family healthy and happy. Call the show today to ask about your most pressing health concerns! Visit us on the web at www.TheNutritionShoppe.net or call  678-228-8900    to set up a personalized consultation, shop products, or ask questions! ---- Tags: health, natural health, supplements, vitamins, prescriptions, medications, pharmacist, naturopath,

In this episode I cover upper GI bleeding.If you want to follow along with written notes on upper GI bleeds go to zerotofinals.com/uppergibleed or find the gastroenterology section in the Zero to Finals medicine book.This episode covers the causes, presentation and management of upper GI bleeding. We also discuss the Glasgow-Blatchford and Rockall scoring systems.The audio in the episode was expertly edited by Harry Watchman.

In this episode I cover gastric and duodenal ulcers.If you want to follow along with written notes on peptic ulcers go to zerotofinals.com/pepticulcers or find the gastroenterology section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, complications and management of gastric and duodenal ulcers. The audio in the episode was expertly edited by Harry Watchman.

In this episode I cover gastro-oesophageal reflux disease.If you want to follow along with written notes on gastro-oesophageal reflux disease go to zerotofinals.com/gord or find the gastroenterology section in the Zero to Finals medicine book.This episode covers the pathophysiology, presentation, diagnosis, complications and management of gastro-oesophageal reflux disease. We also cover H. pylori and Barretts oesophagus. The audio in the episode was expertly edited by Harry Watchman.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week's episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week's episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ...The post REPLAY: Bugs & Guts – Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week's episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ...The post Bugs & Guts: Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

Kieran Quinn is joined by Kevin Venus, fellow in General Internal Medicine at the University of Toronto, on this week's episode of The Rounds Table.  Together they cover the use of a carbapenem versus a carbapenem-sparing agent in resistant bacteremias and the efficacy of proton-pump inhibitors (PPIs) in preventing gastrointestinal bleeding when using anti-thrombotic therapy ... The post Bugs & Guts: Carbapenem-Sparing Agents in Resistant Infections and Omeprazole in Coronary Artery Disease appeared first on Healthy Debate.

The post Omeprazole (Prilosec) Nursing Pharmacology Considerations appeared first on NURSING.com.

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions: Donna: Dr. Cabral thank your for the excellent service you provide. I am an active 68 year old female. My only medication has been Omeprazole for GERD and Barrett’s Esaphogus which my Gastro has prescribed for 15 years. Would love to get off this but haven’t found a way. I completed your 2 week Detox and continue to use DNS, Digestive Enzymes and Probiotics. History of testing/lab work for 2016-2017. First my Total cholesterol has been high for about 15 years since I had a hysterectomy and went through menopause with a 12 lb weight gain - I rejected statins. February 2016 had micronutrient testing and Cardio Metobolic Test through SpectraCel. High cholesterol with dense cholesterol particles showing high risk for cardio vascular disease. August 2016 had Lifeline screening - Cholesterol total 254; but my carotid artery, peripheral arteries showed no plaque and CRP in normal range. 2017 slowly lost 12 lbs. Second Lifeline screening in October 2017 total cholesterol drops to 180; however, my carotid artery showed slight plaque and CRP moved from normal to low risk. So now I’m concerned. I continue to eat healthy and maintain my weight at 120 - I’m about 63 inches. Only other issue I can’t clear up is a fungus toenail. What will reverse the plaque and dense cholesterol particles? Sorry this is so long. Would be happy to make an appointment to discuss this with one of your practitioners. Thanks so much. Donna Michael: I have high blood pressure, aside from that I am an essentially healthy 58 year old who eats a mostly whole foods plant based diet. What tests do you recommend to determine root cause? I have to admit I am a bit skeptical about hair analysis and have very short hair anyway so may not be able to get enough to analyze. I know Dr. Dennis Goodman recommends the Mg RBC to determine how much Mg is actually making it to the red blood cells. What other steps/protocols/products do you recommend to lower my BP? Should they be used without testing first? Thank you! Mel: Hi, love your work!! What are your recommendations for baby's first foods.....conventional advice is fortified cereal not real food. In addition, if breast feeding is hot possible (mum returning to work) which formula would you precribe ( dairy free?), Also what do you recommend for contreception eg following having a baby I am not sure what is the healthiest option after being on pill for 13 years and hearing mixed messages about copper IUDs. Where do you point women to get best information? Thanks for your wisdom! Melissa: I just found you thru the essential oil revolution. Love your podcast! My question is: I have always taken plant based omega3s thru chia. I also follow Dr. Stephen Gundry. He has put chia on his "do not eat" list. What are your thoughts. I am very confused. thank you! Katarina: My mom, who’s in her mid-50s, was recently diagnosed with scleroderma and suffers from raynauds and arthritis. Doctors said that she has caught it early (hasn’t spread to other areas - just fingers/hands) but I’m wondering if you had any tips for lessening her symptoms and inflammation? I would rather her go the natural route and halt the progression of this if possible. Thank you so much - I love your podcast! Meg: hello , is there a Canadian functional medical doctor that you recommend? with the exchange these test and one on one will get a bit too expensive...thanks for your time : ) Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community’s questions! - - - Show Notes & Resources: http://StephenCabral.com/722 - - - Get Your Question Answered: http://StephenCabral.com/askcabral    

Can you believe it's already the weekend? That can mean only one thing... We're back answering all of our community's questions on all things health, wellness, weight loss, and anti-aging! Here are today's questions: Jill S: Is it okay for me to do the detox (Dr. Cabral Detox) while I have my period. Also, is it normal not to lose as much weight the week before my period? Thanks!   Morghan: Thank you for sharing so much information via your podcast! Quick question in regard to episode #300, would you recommend the same immunity protocol during pregnancy? It's so hard getting accurate information on holistic treatments during pregnancy. Thank you for your help   Jasmine: what protocal should I start for for parents aged 68 and 73 years old. They have been on Omeprazole for decades. I need to convince them into dietary changes and if possible I would like you to suggest what supllements I should order from your for them. Both of them have had their gall bladder removed years ago, but have not been concerned about any changes of diet. Thank you!   Justine: Hi! My friend got me hooked on your podcasts and I love them! I struggle with mild acne, but to me, it's severe. Every time I get a pimple it leaves a mark, even if I don't try to pop it. It looks like I have chicken pox! I live a healthy lifestyle. Weight train/do cardio 6 days a week, maintain a healthy diet but definitely have my cheat days. I swear no matter what I've taken (birth control, spironolactone) or skin treatment I've done nothing fully works. My acne never fully goes away and I'm at the point where I'm so self consious I don't want to go out. I'm headed down the acutane path... Not what I want to do but I feel as though I'm at a loss and just want results. Please help! What do you suggest? How can I get healthy, glowing, no mark skin without taking an intense drug? Thank you in advance and sorry this was so long!   Thank you for listening and be sure to check back tomorrow where I answer 3 more of our community questions! - - - Show Notes: http://StephenCabral.com/315 - - - Get Your Question Answered: http://StephenCabral.com/askcabral  

In this edition of the EVJ podcast, Chris Sanchez discusses their paper, entitled 'Factors associated with outcome in 94 hospitalised foals diagnosed with neonatal encephalopathy' and Ben Sykes discusses their paper 'The effects of dose and diet on the pharmacodynamics of omeprazole in the horse'.

Join Richard Clarke and Dr Mark Daniels for this episode of You Me & The GP. Mark and Richard answer the questions you have been sending into the show. The questions on this week’s episode include; Why do you think I have recently been getting regular spells of dizziness and pins & needles? (4:04) What can a lady do with atrial fibrillation to avoid taking warfarin to help preventing the risk of strokes? (6:34) How do you know when you’ve lost enough weight when dieting, plus are there any complications associated with the paleo diet? (9:32) and lastly what can a lady who suffers regularly from stomach aches and has suspected IBS do to help her situation? (14:07). Remember if you have a question that you want answered by Richard and Mark then email the address in the show notes below. Show Notes If you want to have your questions answered on the show then you can email Richard in as much detail as possible at: info@richard-clarke.co.uk or contact Dr Daniels via info@revolutionaryhealth.co.uk ,you can also contact Richard on twitter or Facebook with your question. If you like the show then please remember to leave your review on iTunes or underneath the podcast on www.richard-clarke.co.uk The supplements that Richard recommended to take if you don’t regularly eat shellfish or offal to stay healthy were Nature Multivitamins and are available on www.philrichardsperformance.co.uk or if you can try and get desiccated Argentinean beef liver.

Another question and answer session hosted by Richard Clarke and Dr Mark Daniels. Mark and Richard answer the questions you have been sending into the show. The questions answered on this week’s show are; can you exercise with exercise induced asthma? (3:40), is it safe to stop taking omeprazole altogether from a lady who has suffered from a bout of poor health (10:10), how to get your family fit when they aren’t keen to do so? (19:48) and finally from a man who has picked up a cold after a tough bout of exercise and wants to know why (24:05). Remember if you have a question that you want answered by Richard and Mark then email the address in the show notes below. Show Notes If you want to have your questions answered on the show then you can email Richard in as much detail as possible at: info@richard-clarke.co.uk or contact Dr Mark via info@revolutionaryhealth.co.uk ,you can also contact Richard on twitter or Facebook with your question. If you like the show then please remember to leave your review on iTunes or underneath the podcast on www.richard-clarke.co.uk

Featured Cases: Allergic Bronchopulmonary Aspergillosis (ABPA)

eCystic Fibrosis Review:Featured Cases: Allergic Bronchopulmonary Aspergillosis (ABPA)

In this randomized, multicenter trial, we evaluated the effectiveness and side effect profile of a modified omeprazole-based triple therapy to cure Helicobacter pylori infection. The control group consisted of patients treated with standard dual therapy comprising omeprazole and amoxicillin. One hundred and fifty-seven H. pylori infected patients with duodenal ulcers were randomly assigned to receive either a combination of omeprazole 10 mg, clarithromycin 250 mg and metronidazole 400 mg (OCM) given three times daily for 10 days (n = 81),or a combination of omeprazole 20 mg and amoxicillin 1 g (OA) given twice daily for 14 days (n = 76). Prior to treatment and after 2 and 6 weeks, gastric biopsies from the antrum and corpus were obtained for histology and H. pylori culture. H. pylori infection was cured in 97.4% after OCM and in 65.8% after OA in the per-protocol analysis (p < 0.001) (intention-to-treat analysis: 93.4% and 63.2%, respectively). H. pylori was successfully cultured in 122 patients (77%). The overall rate of metronidazole resistance was 19.7% (24/122), no primary resistance to clarithromycin or amoxicillin was found. In the OCM group, all patients infected with metronidazole-sensitive H. pylori strains (n = 51) and those infected with strains of unknown susceptibility to metronidazole (n = 14)were cured (100%), while 77% (10/13) of those harboring metronidazole-resistant. strains were cured of the infection (p = 0.36). Side effects leading to premature termination of treatment occurred in 2.5% of the patients in the OCM group and in 1.4 % of the OA group. We conclude that combined treatment with omeprazole, clarithromycin and a higher dose of metronidazole is highly effective in curing H, pylori infection, Helicobacter pylori omeprazole and that this regimen remains very effective in the presence of metronidazole resistant strains.