Podcasts about osteopathic medicine

ADHD and other brain-based conditions such as depression, autism, and even schizophrenia are increasingly understood as inflammatory disorders of the brain—deeply rooted in the complex interplay between genetics, environment, and lifestyle. Many individuals go undiagnosed for years, internalizing harmful labels like “lazy” or “difficult,” until the weight of unaddressed symptoms finally becomes too much. But there is hope: Functional Medicine offers a radically different approach by uncovering and addressing root causes such as nutritional deficiencies, gut microbiome imbalances, food sensitivities, toxin exposures, and lifestyle factors. Stories of transformation emerge when these root drivers are corrected—children once labeled disruptive begin to thrive, adults regain focus and emotional balance, and families find relief. This emerging paradigm offers not just symptom management but the possibility of genuine healing through personalized, whole-body care. In this episode, I discuss, along with Dr. George Papanicolaou and Dr. Jaquel Patterson, how ADHD and other mental health challenges are often rooted in inflammation and imbalances in the body—and how addressing diet, lifestyle, and root causes can lead to real healing. Dr. Papanicolaou is a graduate of the Philadelphia College of Osteopathic Medicine and is Board Certified in Family Medicine from Abington Memorial Hospital. Over time as the healthcare system made it harder for patients to receive personal care, Dr. Papanicolaou decided a change was needed. He began training in Functional Medicine through the Institute of Functional Medicine. In 2015, he established Cornerstone Personal Health—a practice dedicated entirely to Functional Medicine. In August 2017, I invited Dr. Papanicolaou to join The UltraWellness Center and we've been successfully helping people together ever since. Dr. Jaquel Patterson is a nationally recognized naturopathic physician, success coach, three-time Amazon bestselling author, and Forbes contributor. She owns a successful medical practice, Fairfield Family Health in Connecticut, and brings over 16 years of clinical experience, specializing in Lyme disease, autoimmune conditions, integrative psychiatry, and environmental medicine. A sought-after speaker, Dr. Patterson has been featured in USA Today, New York Magazine, and Forbes, and on CBS, Fox, NBC, and ABC. She's the past president of the American Association of Naturopathic Physicians and currently serves on the board of the American Academy of Environmental Medicine. Certified by the Institute for Functional Medicine (IFM), she's also completed a fellowship in functional medicine with a focus on psychiatry and ADD/ADHD. In addition to her naturopathic medical degree, Dr. Patterson holds an MBA in Healthcare Management from Quinnipiac University and an undergraduate degree from Cornell University. This episode is brought to you by BIOptimizers. Head to bioptimizers.com/hyman and use code HYMAN10 to save 10%. Full-length episodes can be found here:Why ADHD Is Not A Psychiatric Disorder Or Brain Disease What's Fueling Our Mental Health Crisis and How Can We Fix it? 7 Strategies To Address ADHD

Dean's Chat hosts, Drs. Jeffrey Jensen and Johanna Richey, welcome Dr. Alex Kor to the podcast!   Originally from Terre Haute, Indiana, Dr. Alex Kor is the son of two Holocaust survivors (Michael and Eva Mozes Kor).  He has a B.S. in Chemistry from Butler University and a M.S. in Exercise Physiology from Purdue University. He received his D.P.M. (Doctor of Podiatric Medicine) from the Scholl College of Podiatric Medicine in Chicago.  This episode is sponsored by the American Podiatric Medical Association! Dr. Kor is a full-time podiatrist for Hendricks Regional Health in Danville , Indiana, and is a Clinical Assistant Professor for Marian University College of Osteopathic Medicine.  He is Board-Certified in Foot Surgery by the American Board of Foot and Ankle Surgery, a Fellow and Past President of the American Academy of Podiatric Sports Medicine, and is the Team Podiatrist for Butler University athletics in Indianapolis, IN.   Knowing the importance of being the son of two Holocaust survivors who have both passed away in the last 5 1/2 years, Alex feels an obligation to tell their stories.  Since 1985, he has traveled to Auschwitz more than twenty times with his late mother. He is a member of the CANDLES Holocaust Museum and Education Center Board of Directors and assisted in establishing an exhibit (Eva Kor from Auschwitz to Indiana) to honor his mother in downtown Indianapolis at the Indiana Historical Society.  His new book, co-authored with Graham Honaker, “A Blessing, Not a Burden” which chronicles his parents' lives as well as how they positively impacted Dr. Kor is now available.  Enjoy this discussion with Dr. Kor, an incredible episode!

This recording features audio versions of August 2025 Journal of Vascular and Interventional Radiology (JVIR) abstracts:Transarterial Embolization for Pulmonary Arteriovenous Malformation: A Systematic Review and Meta-Analysis ReadTransperineal MR Imaging–Guided Prostate Biopsy: A Prospective Randomized Controlled Study on Safety and Effectiveness Compared with Transrectal Biopsy ReadHistopathologic Response and Oncologic Outcomes after Segmental and Subsegmental Transarterial Chemoembolization and Radioembolization for Hepatocellular Carcinoma ReadClinical Effectiveness and Safety of Radiofrequency Ablation Combined with Percutaneous Osteoplasty in the Management of Pubic Skeletal Metastases ReadSingle-Center Experience of Portal Vein Recanalization and Transjugular Intrahepatic Shunt Placement in Patients with Portovisceral Thrombosis ReadTransjugular Splenocaval Shunt Creation for the Treatment of Portal Vein Cavernous Transformation with Recurrent Variceal Hemorrhage ReadJVIR and SIR thank all those who helped record this episode. To sign up to help with future episodes, please contact our outreach coordinator at millennie.chen.jvir@gmail.com.Host· Sonya Choe, University of California Riverside School of MedicineAudio editor· Sanya Dhama, University of California Riverside School of MedicineOutreach coordinator:· Millennie Chen, University of California Riverside School of MedicineAbstract readers:· Emily Jagenburg, Oakland University William Beaumont School of Medicine· Shobhit Chamoli, Armed Forces Medical College, Pune, India· Char Rai, Western University of Health Sciences College of Osteopathic Medicine· Andrea Serrato,  University of California Riverside School of Medicine· Andrew Sasser, University of Miami Miller School of Medicine, Florida· Ipek Midillioglu, Western University of Health Sciences, College of Osteopathic Medicine, California Read more about interventional radiology in IR Quarterly magazine or SIR's Patient Center. Support the show

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/From emergency medicine to regenerative care, how did it all begin?In this episode, Dr. Charles Mok shares the story behind his journey in medicine and what inspired him to build his own practice.He reflects on his early years working in the emergency room and the pivotal decision to transition into regenerative medicine. In November 2003, he opened what was then known as Allure Medical Spa, with a mission to innovate and personalize patient care.Dr. Mok discusses the treatments they've provided over the years, including groundbreaking work in varicose vein treatment, what he calls the “sick leg” business, and how their approach has helped bridge the gap between internal health and external wellness.Tune in to Inside The Cure Podcast — Redefining Patient-Centered Care with Regenerative MedicineSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this powerful episode, I sit down with Dr. Eric Fete, Founder of PrimeX, to unpack how modern environmental stressors—from toxins to chronic stress—are silently driving hormonal imbalances and metabolic dysfunction in so many of us. We dive deep into the science of muscle health, revealing how muscle acts as a vital endocrine organ that secretes beneficial myokines, boosts longevity, supports fat loss, and protects overall health. Together, we explore the cutting-edge role of peptide therapies—not just for athletes and weight loss, but also for neurodegenerative disease prevention—alongside tried-and-true strategies like creatine and foundational supplements. The conversation wraps with actionable insights on optimizing testosterone, mastering your sleep, and fueling your body with nutrient-rich, performance-supportive foods. Whether you're an athlete, a clinician, or simply committed to living with vitality, this episode is packed with takeaways you won't want to miss. Key Takeaways: Hormonal Health Myths: Dr. Eric Fete addresses widespread misconceptions about women's hormones, touching on topics like PCOS, menopause, and the crucial role stress plays in hormonal imbalances. The Role of Muscle as an Endocrine Organ: Muscle produces myokines, which promote various bodily functions, including bone, brain, and gut health, aiding in fat loss and improving overall longevity. Peptide Therapy: The potential of peptide therapies for various health conditions is discussed, emphasizing their role in optimizing body composition and enhancing metabolic health. Testosterone Optimization: Dr. Fete outlines approaches to managing testosterone levels through lifestyle interventions, supplements, and, when necessary, medical treatments, tailored individually. Importance of Circadian Rhythm: The crucial link between proper sleep patterns, light exposure, and overall hormonal balance is highlighted, emphasizing practical strategies to improve sleep and reduce stress. More About Dr. Eric Fete:Dr. Eric Fete, DO is the founder of PrimeX, a nationwide health and performance company dedicated to preventive care, age management, and peak vitality. With a motto of “Learning from the past, living for today, transforming the future,” Dr. Eric helps clients optimize their health through personalized plans, nutrition, hormone therapy, and cutting-edge therapies. A graduate of Miami University (BA in Microbiology) and the Chicago College of Osteopathic Medicine, Dr. Eric holds advanced certifications in Age Management Medicine, Bioidentical Hormone Replacement Therapy, and Medical Peptide Therapy. He is also a member of the Seeds Scientific Research & Performance Institute. After years in emergency medicine, where he witnessed the toll of poor self-care and preventable disease, Dr. Eric shifted his career to focus on longevity and prevention. Through his practices and e-commerce platform, he has helped thousands of men and women nationwide improve hormone balance, reverse premature aging, enhance fitness, and regain vitality — inside and out.   Website PrimexWeightLoss Hormone Replacement Therapy Instagram Connect with me! Website Instagram Facebook YouTube This podcast episode is sponsored by Professional Co-op®, where clinicians gain exceptional access to industry-leading lab services without the hefty price tag—since 2001, they've been redefining what efficient, patient-focused support looks like. Imagine no hidden fees, no minimums, and only paying for completed tests. Experience lab services that not only meet but also exceed your expectations. Join the co-op trusted by countless licensed clinicians nationwide. Visit www.professionalco-op.com to learn more! For over 50 years, NutriDyn has been a leader in functional nutrition, supporting healthcare practitioners with science-based supplements and unparalleled education. Since 1973, they've pioneered practitioner-exclusive formulas backed by rigorous testing and built on the latest research—delivering quality and peace of mind in every bottle. NutriDyn is more than just a supplement provider. They're committed to empowering practitioners through world-class educational resources, including national conferences, workshops, and seminars led by industry thought leaders. From clinical support to dedicated sales reps, NutriDyn offers an integrated approach to help elevate your practice and patient outcomes. Trusted. Transparent. Practitioner-focused. Join NutriDyn's wellness community and discover functional nutrition tailored for you—create your account today to take the first step toward better health: https://nutridyn.com/mprofile

Book your first Magic Lift session with Allure Medical.https://www.alluremedical.com/magic-lift/ What is the “stem cell magic lift,” and how can it help with facial aging?In this episode, Dr. Charles Mok explains the science and application behind the stem cell magic lift for patients experiencing facial aging, particularly those with a history of Botox and dermal fillers.He discusses the role of fat transfer to the face, how facial fat loss accelerates with age and sun exposure, and the advantages of stem cell or nanofat transfer. Dr. Mok also details the use of platelet-poor plasma and Platelet-Rich Plasma (PRP) as biological fillers to restore facial volume and structure. He highlights how these regenerative approaches contribute to long-term results, particularly with Bio-PRP.Tune in to Inside The Cure Podcast — Stem Cell Magic Lift for Facial AgingSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

You've received a new diagnosis of bipolar disorder. Now it's time to sharpen your survival toolkit. In part two of this essential series, Gabe Howard (Lived Experience) and Dr. Nicole Washington (Board Certified Psychiatrist) dive straight into the signals you can't afford to miss: the subtle shifts in sleep, mood, and behavior that whisper “episode incoming.” Learn why tracking your patterns today becomes your superpower tomorrow, and how a simple “chain analysis” can turn hindsight into foresight. With candid humor, real‑world examples (yes, Taco Bell may factor in), and expert guidance, this episode transforms “How did I miss that?” into “I can see it coming—and I'm ready.” Press play and empower yourself with the roadmap that turns panic into proactive action. (Link to the first episode: New Diagnosis? All the Basics Unlocked (Part 1 of 2)) Cold Open Transcript: Dr. Nicole You have to be honest with us about everything, including, as Gabe so eloquently put it, getting your freak on. Gabe: Getting your freak on. Getting your freak on. Dr. Nicole: You gotta tell us. Gabe: It's the number one reason that people stop taking their meds. Dr. Nicole: Yes, yes, yes. Gabe: And they always report to me I just stopped taking my medicine because I couldn't get an erection. Because my libido was down. You know, the sex didn't feel as good. I couldn't achieve orgasm. So I just Dr. Nicole: Yeah. Gabe: Stopped taking my medicine. And I don't want to tell my Dr. Nicole that. Dr. Nicole: Yeah. Because she's an old lady. Because she's Gabe: Yeah. Dr. Nicole: An old lady. She's the same age as my mom. I can't talk to her about sex. Gabe: Yeah, yeah. I hear that all the time. All the time. Number one reason. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dublin stands at a pivotal moment in its development journey as City leadership works to implement the Envision Dublin Community Plan. At the heart of this transformation lies the West Innovation District—our western gateway and the largest tract of undeveloped land remaining in our city.The proposed rezoning of 370 acres within this district represents both opportunity and responsibility. Having evolved over two decades from the Economic Advancement Zone to hosting institutions like Ohio University's College of Osteopathic Medicine, Nestle Quality Assurance Center and OSU Wexner Medical Center, this area is poised for thoughtful growth that supports Dublin's economic future while respecting community character.Our planning process balances multiple priorities: private property rights for landowners (many who've held their land since the 1970s), economic development needs to attract high-growth employers who strengthen our tax base, and questions about traffic, infrastructure and land use compatibility. This balancing act doesn't happen by accident—it's the result of meticulous planning, multiple layers of review and genuine community engagement. Any development following rezoning would undergo Dublin's thorough review process that has consistently delivered the high-quality projects our community expects. Our transportation planning looks ahead to 2050, ensuring infrastructure keeps pace with growth before development occurs.City Council has extended the rezoning ordinance hearing process to gather additional community input, with another reading scheduled for August. This approach mirrors successful processes used for transformative projects like the Bridge Street District and The Corners development.Join the conversation at DublinOhioUSA.gov/west-innovation-district-rezoning/ where you'll find FAQs and resources or attend upcoming community conversations throughout July. Share your thoughts through the "We're Listening" button—because the best solutions emerge when we work together.

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/Can conventional therapy slow down or reverse Multiple Sclerosis?In this episode, Dr. Charles Mok provides an in-depth overview of what a patient consultation for Multiple Sclerosis (MS) typically involves under his care.He discusses the two major types of multiple sclerosis, the potential role of stem cell therapy, and the reasons many patients turn to conventional treatments.Dr. Mok also explores emerging drug therapies aimed at managing MS symptoms, the significance of impaired blood-brain and bowel-blood barriers, and how low sex hormone levels may influence the progression of the disease.Tune in to Inside The Cure Podcast — The Standard Care for Multiple SclerosisSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ #MultipleSclerosis #MSTreatmentOptions #AutoimmuneDisease

From painless hematuria to paraneoplastic syndromes, GU cancers can get overwhelming very quickly. Fortunately, OMS3 Angelica Batholomew from Ohio University Heritage College of Osteopathic Medicine in Cleveland will make this topic much easier!

From painless hematuria to paraneoplastic syndromes, GU cancers can get overwhelming very quickly. Fortunately, OMS3 Angelica Batholomew from Ohio University Heritage College of Osteopathic Medicine in Cleveland will make this topic much easier!

Shop for your skin care essentials here.https://store.alluremedical.com/A brighter, more youthful complexion: Can it really be achieved in just 3 months?In this episode, Dr. Charles Mok shares the essential post-Botox skincare routines that can significantly enhance and prolong youthful results.Dr. Mok discusses the importance of professional-grade skincare, the four skin care essentials everybody should be doing, and how to apply them effectively. He also introduces sirolimus (rapamycin), a compound with promising potential to slow down—or even reverse—visible signs of skin aging. Finally, he explains why investing in a proper skincare regimen is critical for those considering laser treatments.Tune in to Inside The Cure Podcast — The Post-Botox Skin Care Routine to Boost ResultsProducts Mentioned:Radiant-C Cream - https://store.alluremedical.com/radiant-c-cream Tretinol® Serum .50% - https://store.alluremedical.com/tretinol-serum-50 Tretinol® Serum 1% - https://store.alluremedical.com/tretinol-serum-1 EvenTone Pads 8% Age Defense - https://store.alluremedical.com/eventone-pads-8 EvenTone Pads 6% Age Defense - https://store.alluremedical.com/eventone-pads-6 EvenTone Pads 4% Age Defense - https://store.alluremedical.com/eventone-pads-4 Eye Rescue - https://store.alluremedical.com/eye-rescue Subscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?r

Imagine hearing, “You have bipolar disorder,” and feeling the ground drop out from under you. That moment of shock and confusion is the very reason we made this episode. Join Gabe Howard (lived experience) and Dr. Nicole Washington (board certified psychiatrist) as they transform that initial overwhelm into a powerful first step. In this episode, you'll discover the essential truths no one tells you when you get a new diagnosis: why bipolar is a lifelong journey (yes, it's more like diabetes than a short-term infection), how to sort gold standard science from Reddit rumors, and why medications — while not magic — can be game‑changers when wielded wisely. Whether you're fresh off your diagnosis or need a foundational refresher, press play and arm yourself with the knowledge, skills, and community wisdom that can turn this new chapter into your strongest one yet.  “When it comes to bipolar disorder, I caution you against answer shopping. It only hurts you when you believe incorrect information.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England.To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Book your Hormone Replacement Therapy with Allure Medical.https://www.alluremedical.com/services/hormone-replacement-therapy-women/ Could low testosterone be the missing piece in understanding women's health during midlife and beyond?In this episode, Dr. Charles Mok talks about low testosterone in women—its indications, symptoms, and the treatment options available to patients.He discusses the relationship between testosterone and estrogen in women, particularly during perimenopause and menopause, and reviews the history of hormone replacement therapy. Dr. Mok also shares modern approaches to managing low testosterone and the specific procedures offered at their clinic.Tune in to Inside The Cure Podcast — Low Testosterone in Women: Symptoms and What to Do About ItSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Idiopathic intracranial hypertension (IIH) is characterized by symptoms and signs of unexplained elevated intracranial pressure (ICP) in an alert and awake patient. The condition has potentially devastating effects on vision, headache burden, increased cardiovascular disease risk, sleep disturbance, and depression.  In this episode, Teshamae Monteith, MD, FAAN speaks with Aileen A. Antonio, MD, FAAN, author of the article “Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension” in the Continuum® June 2025 Disorders of CSF Dynamics issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Antonio is an associate program director of the Hauenstein Neurosciences Residency Program at Trinity Health Grand Rapids and an assistant clinical professor at the Michigan State University College of Osteopathic Medicine in Lansang, Michigan. Additional Resources Read the article: Clinical Features and Diagnosis of Idiopathic Intracranial Hypertension Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Guest: @aiee_antonio Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the June 2025 Continuum issue on disorders of CSF dynamics.  Hi, how are you? Dr Antonio: Hi, good afternoon. Dr Monteith: Thank you for being on the podcast. Dr Antonio: Thank you for inviting me, and it's such an honor to write for the Continuum. Dr Monteith: So why don't you start off with introducing yourself? Dr Antonio: So as mentioned, I'm Aileen Antonio. I am a neuro-ophthalmologist, dually trained in both ophthalmology and neurology. I'm practicing in Grand Rapids, Michigan Trinity Health, and I'm also the associate program director for our neurology residency program. Dr Monteith: So, it sounds like the residents get a lot of neuro-ophthalmology by chance in your curriculum. Dr Antonio: For sure. They do get fed that a lot. Dr Monteith: So why don't you tell me what the objective of your article was? Dr Antonio: Yes. So idiopathic intracranial hypertension, or IIH, is a condition where there's increased intracranial pressure, but without an obvious cause. And with this article, we want our readers---and our listeners right now---to recognize that the typical symptoms and learning about the IIH diagnostic criteria are key to avoiding errors, overdiagnosis, or sometimes even misdiagnosis or underdiagnosis. Thus, we help make the most of our healthcare resources. Early diagnosis and management are crucial to prevent disability from intractable headaches or even vision loss, and it's also important to know when to refer the patients to the appropriate specialists early on. Dr Monteith: So, it sounds like your central points are really getting that diagnosis early and managing the patients and knowing how to triage patients to reduce morbidity and complications. Is that correct? Dr Antonio: That is correct and very succinct, yes. Dr Monteith: And so, are there any more recent advances in the diagnosis of IIH? Dr Antonio: Yes. And one of the tools that we've been using is what we call the optical coherence tomography. A lot of people, neurologists, physicians, PCP, ER doctors; how many among those physicians are well-versed in doing an eye exam, looking at the optic disc? And this is a great tool because it is noninvasive, it is high resolution imaging technique that allows us to look at the optic nerve without even dilating the eye. And we can measure that retinal nerve fiber layer, or RNFL; and that helps us quantify the swelling that is visible or inherent in that optic nerve. And we can even follow that and monitor that over time. So, this gives us another way of looking at their vision and getting that insight as to how healthy is their vision still, along with the other formal visual tests that we do, including perimetry or visual field testing. And then all of these help in catching potentially early changes, early worsening, that may happen; and then we can intervene more easily. Dr Monteith: Great. So, it sounds like there's a lot of benefits to this newer technology for our patients. Dr Antonio: That is correct. Dr Monteith: So, I read in the article about the increased incidence of IIH, and I have to say that I completely agree with you because I'm seeing so much of it in my clinic, even as a headache specialist. And I had a talk with a colleague who said that the incidence of SIH and IIH are similar. And I was like, there's no way. Because I see, I can see several people with IIH just in one day. That's not uncommon. So, tell me what your thoughts are on the incidence, the rising incidence of IIH; and we understand that it's the condition associated with obesity, but it sounds like you have some other underlying drivers of this problem. Dr Antonio: Yes, that is correct. So, as you mentioned, IIH tends to affect women of childbearing age with obesity. And it's interesting because as you've seen that trend, we see more of these IIH cases recently, which seem to correlate with that rising rate of obesity. And the other thing, too, is that this trend can readily add to the burden of managing IIH, because not only are we dealing with the headaches or the potential loss of vision, but also it adds to the burden of healthcare costs because of the other potential comorbidities that may come with it, like cardiovascular risk factors, PCOS, and sleep apnea. Dr Monteith: So why don't we just talk about the diagnosis of IIH? Dr Antonio: IIH, idiopathic intracranial hypertension, is also called pseudotumor cerebri.  It's essentially a condition where a person experiences increased intracranial pressure, but without any obvious cause. And the tricky part is that the patients, they're usually fully awake and alert. So, there's no obvious tumor, brain tumor or injury that causes the increased ICP. It's really, really important to rule out other conditions that might cause these similar symptoms; again, like brain tumors or even the cerebral venous sinus thrombosis. Many patients will have headaches or visual disturbances like transient visual obscurations---we call them TVOs---or double vision or diplopia. The diplopia is usually related to a sixth nerve palsy or an abducens palsy. Some may also experience some back pain or what we call pulsatile tinnitus, which is that pulse synchronous ringing in their ears. The biggest sign that we see in the clinic would be that papilledema; and papilledema is a term that we only use, specifically use, for those optic nerve edema changes that is only associated with increased intracranial pressure. So, performing of endoscopy and good eye exam is crucial in these patients. We usually use the modified Dandy criteria to diagnose IIH. And again, I cannot emphasize too much that it's really important to rule out other secondary causes to that increased intracranial pressure. So, after that thorough neurologic and eye evaluation with neuroimaging, we do a lumbar puncture to measure the opening pressure and to analyze the cerebrospinal fluid. Dr Monteith: One thing I learned from your article, really just kind of seeing all of the symptoms that you mentioned, the radicular pain, but also- and I think I've seen some papers on this, the cognitive dysfunction associated with IIH. So, it's a broader symptom complex I think than people realize. Dr Antonio: That is correct. Dr Monteith: So, you mentioned TVOs. Tell me, you know, if I was a patient, how would you try and elicit that from me? Dr Antonio: So, I would usually just ask the patient, while you're sitting down just watching TV---some of my patients are even driving as this happens---they would suddenly have these episodes of blacking out of vision, graying out of vision, vision loss, or blurred vision that would just happen, from seconds to less than a minute, usually. And they can happen in one eye or the other eye or both eyes, and even multiple times a day. I had a patient, it was happening 50 times a day for her. It's important to note that there is no pain associated with it most of the time. The other thing too is that it's different from the aura that patients with migraines would have, because those auras are usually scintillating and would have what we call the positive phenomena: the flashing lights, the iridescence, and even the fortification that they see in their vision. So definitely TVOs are not the migraine auras. Sometimes the TVOs can also be triggered by sudden changes in head positions or even a change in posture, like standing up quickly. The difference, though, between that and, like, the graying out of vision or the tunneling vision associated with orthostatic hypotension, is that the orthostatic hypotension would also have that feeling of lightheadedness and dizziness that would come with it. Dr Monteith: Great. So, if someone feels lightheaded, less likely to be a TVO if they're bending down and they have that grain of vision. Dr Antonio: That is correct. Dr Monteith: Definitely see patients like that in clinic. And if they have fluoride IIH, I'm like, I'll call it a TVO; if they don't, I'm like, it's probably more likely to be dizziness-related. And then we also have patient migraines that have blurriness that's nonspecific, not necessarily associated with aura. But I think in those patients, it's usually not seconds long, it's usually probably longer episodes of blurriness. Would you agree there, or…? Dr Antonio: I would agree there, and usually the visual aura would precede the headache that is very characteristic of their migraine, very stereotypical for their migraines. And then it would dissipate slowly over time as well. With TVOs, they're brisk and would not last, usually, more than a minute. Dr Monteith: So, why don't we talk about routine imaging? Obviously, ordering an MRI, and I read also getting an MRV is important. Dr Antonio: It is very important because, one: I would say IIH is also a diagnosis of exclusion. We need to make sure that the increased ICP is not because of a brain tumor or not because of cerebral venous sinus thrombosis. So, it's important to get the MRI of the brain as well as the MRV of the head. Dr Monteith: Do you do that for all patients' MRV, and how often do you add on an orbital study? Dr Antonio: I usually do not add on an orbital study because it's not really going to change my management at that point. I really get that MRI of the brain. Now the MRV, for most of my patients, I would order it already just because the population that I see, I don't want to lose them. And sometimes it's that follow-up, and that is the difficult part; and it's an easy add on to the study that I'm going to order. Again, it depends with the patient population that you have as well, and of course the other symptoms that may come with it. Dr Monteith: So, why don't we talk a little bit about CSF reading and how these set values, because we get people that have readings of 250 millimeters of water quite frequently and very nonspecific, questionable IIH. And so, talk to me about the set value. Dr Antonio: Right. So, the modified Dandy criteria has shown that, again, we consider intracranial pressure to be elevated for adults if it's above 250 millimeters water; and then for kids if it's above 280 millimeters of water. Knowing that these are taken in the left lateral decubitus position, and assuming also that the patients were awake and not sedated during the measurement of the CSF pressure. The important thing to know about that is, sometimes when we get LPs under fluoroscopy or under sedation, then these can cause false elevation because of the hypercapnia that elevated carbon dioxide, and then the hypoventilation that happens when a patient is under sedation. Dr Monteith: You know, sometimes you see people with opening pressures a little bit higher than 25 and they're asymptomatic. Well, the problem with these opening pressure values is that they can vary somewhat even across the day. People around 25, you can be normal, have no symptoms, and have opening pressure around 25- or 250; and so, I'm just asking about your approach to the CSF values. Dr Antonio: So again, at the end of the day, what's important is putting everything together. It's the gestalt of how we look at the patient. I actually had an attending tell me that there is no patient that read the medical textbook. So, the, the important thing, again, is putting everything together. And what I've also seen is that some patients would tell me, oh, I had an opening pressure of 50. Does that mean I'm in a dire situation? And they're so worried and they just attach to numbers. And for me, what's important would be, what are your symptoms? Is your headache, right, really bad, intractable? Number two: are you losing vision, or are you at that cusp where your optic nerve swelling or papilledema is so severe that it may soon lead to vision loss? So, putting all of these together and then getting the neuroimaging, getting the LP. I tell my residents it's like icing on the cake. We know already what we're dealing with, but then when we get that confirmation of that number… and sometimes it's borderline, but this is the art of neurology. This is the art of medicine and putting everything together and making sure that we care and manage it accordingly. Dr Monteith: Let's talk a little bit about IIH without papilledema. Dr Antonio: So, let's backtrack. So, when a patient will fit most of the modified Dandy criteria for IIH, but they don't have the papilledema or they don't have abducens palsy, the diagnosis then becomes tricky. And in these kinds of cases, Dr Friedman and her colleagues, when they did research on this, suggested that we might consider the diagnosis of IIH. And she calls this idiopathic intracranial hypertension without papilledema, IIHWOP. They say that if they meet the other criteria for modified Dandy but show at least three typical findings on MRI---so that flattening of the posterior globe, the tortuosity of the optic nerves, the empty sella or the partially empty sella, and even the narrowing of the transverse venous sinuses---so if you have three of these, then potentially you can call these cases as idiopathic intracranial hypertension without papilledema. Dr Monteith: Plus, the opening pressure elevation. I think that's key, right? Getting that as well. Dr Antonio: Yes. Sometimes IIHWOP may still be a gray area. It's a debate even among neuro-ophthalmologists, and I bet even among the headache specialists. Dr Monteith: Well, I know that I've had some of these conversations, and it's clear that people think this is very much overdiagnosed. So, that's why I wanted to plug in the LP with that as well. Dr Antonio: Right. And again, we have not seen yet whether is, this a spectrum, right? Of that same disease just manifesting differently, or are they just sharing a same pathway and then diverging? But what I want to emphasize also is that the treatment trials that we've had for IIH do not include IIHWOP patients. Dr Monteith: That is an important one. So why don't you wrap this up and tell our listeners what you want them to know? Now's the time. Dr Antonio: So, the- again, with IIH, with idiopathic intracranial hypertension, what is important is that we diagnose these patients early. And I think that some of the issues that come into play in dealing with these patients with IIH is that, one: we may have anchoring bias. Just because we see a female with obesity, of reproductive age, with intractable headaches, it does not always mean that what we're dealing with is IIH. The other thing, too, is that your tools are already available to you in your clinic in diagnosing IIH, short of the opening pressure when you get the lumbar puncture. And I need to emphasize the importance of doing your own fundoscopy and looking for that papilledema in these patients who present to you with intractable headaches or abducens palsy. What I want people to remember is that idiopathic intracranial hypertension is not optic nerve sheath distension. So, these are the stuff that you see on neuroimaging incidentally, not because you sent them, because they have papilledema, or because they have new headaches and other symptoms like that. And the important thing is doing your exam and looking at your patients. Dr Monteith: Today, I've been interviewing Dr Aileen Antonio about her article on clinical features and diagnosis of idiopathic intracranial hypertension, which appears in the most recent issue of Continuum on disorders of CSF dynamics. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Thank you again. Dr Antonio: Thank you. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Working with people with substance use disorders means working with the person's whole self, body, mind, spirit, and environment. Dr. Sarah Nasir talks about her holistic approach to addiction medicine and the challenges that underserved populations face in getting the help they need to discover their whole selves. Dr. Nasir is a dual board-certified family medicine physician with a sub-specialty in addiction medicine. An alumna of UC Davis, she majored in Biological Systems Engineering and later pursued her passion for medicine at the West Virginia School of Osteopathic Medicine. Currently, as the medical director at a methadone clinic, Dr. Nasir specializes in treating patients with opioid use disorders. She founded several holistic wellbeing-focused startups, including Tripti-v, Transcendant You, and the nonprofit Pacific Oasis Foundation. Dr. Nasir's work and links can be found at https://www.facebook.com/sarahnasirdo/ The views and opinions of the guests on this podcast are theirs and theirs alone and do not necessarily represent those of the host or Westwords Consulting. We're always interested in hearing from individuals or organizations who are working in substance use disorder treatment or prevention, mental health care and other spaces that lift up communities. This includes people living those experiences. If you or someone you know has a story to share or an interesting approach to care, contact us today! Follow us on Facebook, LinkedIn, and YouTube. Subscribe to Our Email List to get new episodes in your inbox every week!

Book your Semaglutide injections session with Allure Medical.https://www.alluremedical.com/services/semaglutide-weight-loss/ Can semaglutide and hormone replacement therapy (HRT) be used hand-in-hand for weight loss?In this episode, Dr. Charles Mok walks us through the effectiveness of semaglutide and hormone replacement therapy in supporting medical weight loss.He explains how semaglutide, a GLP-1 receptor agonist, can aid individuals with diabetes in managing weight and examines the connection between obesity and diabetes. He also discusses optimal dosing, strategies to increase effectiveness, and whether hormone replacement therapy contributes to weight loss when used with GLP-1.Tune in to Inside The Cure Podcast — Semaglutide and Hormone Replacement Therapy For Weight LossSubscribe to Inside the Cure on Apple Podcasts and leave a 5-star review! https://podcasts.apple.com/us/podcast/inside-the-cure-with-dr-charles-mok/id1495870043?uo=4Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this female-centric episode, board certified psychiatrist Dr. Nicole Washington welcomes mental health advocate Kit Wallis, who lives with schizoaffective disorder, for a fearless “girl power” takeover. Kit shares raw stories of being dismissed, sexualized, and romanticized simply for being a woman with a serious mental health diagnosis — and how one doctor's simple question, “What is it like for you?” completely changed her care. Together, they pull back the curtain on the “crazy girl” trope, explore why stability truly is the new sexy, and celebrate the radical act of being heard. You'll learn how gender bias sneaks into clinical decisions — from medication adjustments to life-altering procedures — and discover practical tools for reclaiming agency: setting boundaries, understanding transference in therapy, and advocating for respectful, person-centered care. Tune in and join Dr. Nicole and Kit for an uplifting, eye-opening discussion, because when women speak, real change happens.  We have a guest host for this episode (Don't worry, Gabe Howard will be back!) Our guest host, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

SEND US A TEXT MESSAGE!!! Let Drs. Nii & Renee know what you think about the show!Things to expect in this episode:We're in Denver, CO at the AACOM Educating Leaders Conference! We talk about our responses during the first-ever panel dedicated to Dr. Meta Christy, the first Black Doctor of Osteopathic Medicine. We're partnering with locumstory.com on a special campaign this year. We give you a brief rundown of the common questions that are answered on their platform.Dr. Renée recaps her answer on the panel about what medical school leaders need to know about pre-meds.Dr. Nii rounds it out with his response to “what's the biggest issue facing docs financially?”WE WANT TO HEAR FROM YOU!!!! TELL US WHAT YOU WANT TO HEAR ON FUTURE EPISODES!!!!FILL OUT THE DOCS OUTSIDE THE BOX PODCAST SURVEY (in partnership w INCROWD)WATCH THIS EPISODE ON YOUTUBE!https://www.youtube.com/drniidarko  Join our communityText text word PODCAST to 833-230-2860 Twitter: @drniidarkoInstagram: @drniidarkoEmail: team@drniidarko.com Podcasting Course: www.docswhopodcast.comMerch: https://docs-outside-the-box.creator-spring.comThis episode is sponsored by Locum Story. Learn how locum tenens helps doctors make more and have the lifestyle they deserve!. Check them out at www.locumstory.com

Book your regenerative solutions with Allure Medical: https://allureregenerative.com/schedule-an-appointment/ Can stem cell therapy make knee replacement surgery optional in the future?In this episode, Dr. Charles Mok explores the potential of stem cell therapy to make knee replacement procedures obsolete.Dr. Mok discusses regenerative therapies for joint health, including Platelet-Rich Plasma (PRP), Platelet-Rich Fibrin (PRF), and stem cell treatments.He examines how joint replacement can restrict physical activity, highlighting the promising effects of stem cell therapy for managing arthritis, enhancing longevity, and improving health span.He also touches on recent medical breakthroughs, such as the ability to generate embryonic stem cells from a patient's own skin.Tune in to Inside The Cure Podcast — How Stem Cell Therapy Can Make Knee Replacement ObsoleteSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Episode 193: Gestational Diabetes IntroJesica Mendoza (OMSIII) describes the pathophysiology of gestational diabetes and the right timing and method of screening for it. Dr. Arreaza adds insight into the need for culturally-appropriate foods, such as vegetables in Mexican cuisine.    Written by Jesica Mendoza, OMSIII, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific. Editing by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.DefinitionGestational diabetes mellitus (GDM) is a condition that occurs to previously non-diabetic pregnant women, caused by glucose intolerance at around the 24th week of gestation. PathophysiologyGDM arises due to an underlying pancreatic beta cell dysfunction in the mother which leads to a decrease in the amount of insulin produced and thus leads to higher blood sugar levels during pregnancy. The placenta of the fetus will produce hPL (human placental lactogen) to ensure a steady supply of sugars to the fetus, creating an anti-insulin effect. However, hPL readily crosses the placental barrier causing the mothers insulin requirement to increase, when the mother's pancreas cannot increase production of insulin to that level needed to counter the effect of hPL they become diabetic, and this leads to gestational diabetes. So, basically the placenta is asking for more glucose for the baby and the mother's pancreas struggles to keep the glucose level within normal limits in the body of the mother. If left untreated, high levels of glucose in the mother can cause glucotoxicity in the mother.“Glucotoxicity” refers to the toxic effect of glucose. Glucose is the main fuel for cell functions, but when it is high in the bloodstream, it causes toxicity to organs. Prevalence of GDM.The CDC reports mean prevenance of GDM is 6.9%. In U.S. mothers the prevenance increased from 6.0% in 2016 to 8.3% in 2021. Many different factors have played a role in increasing gestational diabetes in American mothers, some of those being the ongoing obesity epidemic with excess body weight being a known risk factor for insulin resistance. Another being advanced maternal age (AMA) as more American women have children later in life their body becomes less sensitive to insulin and requires a higher insulin output on top of the insulin that is required for the fetus. The “American diet” is also something that has a big effect in diabetes development. With the increase of high-carb foods that are readily available, the diet of Americans has declined and is affecting the metabolic health of mothers as they carry and deliver their children. Despite ongoing awareness of GDM, 6% to 9% of pregnant women in the United States are diagnosed with gestational diabetes, and the prevalence continues to increase worldwide. It is estimated that in 2017 18.4 million pregnancies were affected by GDM in the world, which then continued to increase to 1 in 6 births to women with GDM in 2019. It was also found that women living in low-income communities were disproportionately affected due to limited healthcare access. Additionally, women with GDM had a 1.4-fold increase in likelihood of undergoing a c-section, with 15% increase in risk of requiring blood transfusion. Screening for GDMGestational diabetes is screened between the 24th to 28th week of gestation in all women without known pregestational diabetes. In women who have high-risk for GDM the screening occurs during the first trimester, these women usually have at least one of the following: BMI > 30, prior history of GDM, known impaired glucose metabolism, and/or a strong family history of diabetes. The screening during the first trimester is to detect “pregestational diabetes” because we have to keep a good glycemic control to improve outcomes of pregnancy. So, if it's positive, you start treatment immediately. If these women are found to have a normal glucose, they repeat the testing again as done normally, at 24-28 weeks of gestation. How do we screen?The screening itself consists of two types of approaches. The two-step approach includes a 50-gram oral glucose tolerance test (OGTT), where blood glucose is measured in an hour and if it is below 140 they are considered to not have GDM, however if the reading is greater than 140 they must then do a 3-hour, 100g oral glucose tolerance test. The 3-hour OGTT includes measuring the blood sugars at Fasting which should be less than 95, at 1 hour at less than 180, at 2 hours at less than 155, and at 3 hours at less than 140. If 2 or more of these values exceed the threshold the patient is diagnosed with gestational diabetes mellitus. The one-step approach includes 75g after an overnight fast. Blood glucose is measured while fasting which should be less than 92, at 1 hour less than 180 and at 2 hours less than 153. If any one of these values is exceeded, the patient is diagnosed with GDM.If the mother is found to be GDM positive during pregnancy she will also need continued screening post-partum to monitor for any development of overt diabetes. The testing is usually 75g 2-hour OGTT at 6-12 weeks postpartum. If this testing is normal, then they are tested using HbA1c every 3 years. If the post-partum testing shows pre-diabetes, annual testing is recommended using HbA1c measurements. Maternal complications Women with GDM are at an increased risk for future cardiovascular disease, T2DM, and chronic kidney disease. GDM is also associated with increased likelihood of developing pre-eclampsia following delivery. Pre-eclampsia is a complication seen in pregnancy characterized by high blood pressure, proteinuria, vision changes, and liver involvement (high LFTs). Pre-eclampsia can then progress to eclampsia or HELLP syndrome, both of which can include end organ damage. Additionally, she can develop polyhydramnios which leads to overstretching of the uterus and can induce pre-term labor, placental abruption, and or uterine atony, all of which additionally put the mother at increased risk for c-section. All of these maternal complications that stem from GDM lead to complications and extended hospitalization. Child's complications Although there is an increased set of risks for the mother, the neonate can also develop a variety of risks due to the increased glucose while in utero. While the fetus is growing, the placenta is the source of nutrition for the fetus. As the levels of glucose in the mother increase so does the amount of glucose filtered through the placenta and into the fetal circulation. Over time the glucose leads to oxidative stress and inflammation with activation of TGF-b which leads to fibroblast activation and fibrosis of the placenta. This fibrosis decreases the nutrient and oxygen exchange for the fetus. As the fetus attempts to grow in this restrictive environment its development is affected. The fetus can develop IUGR (intrauterine growth restriction) leading to a small for gestation age newborn which can then lead to another set of complications. The low oxygen environment can lead to increased EPO production and polycythemia at birth which can then lead to increased clotting that can travel to the newborn brain. Newborns can also be born with fetal acidosis due to the anerobic metabolism and lactic acid buildup in fetal tissues which can cause fetal encephalopathy leading to cerebral palsy and developmental delay. And the most severe of newborn complications to gestational diabetes can lead to fetal demise. Furthermore, the increase of glucose can also lead to macrosomia in the infant which can often lead to a traumatic delivery and delivery complications such as shoulder dystocia and brachial plexus injury. Brachial plexus injury sometimes resolves without sequela, but other times can lead to permanent weakness or paralysis of the affected arm. The baby can be born too small or too big.Additionally, once the fetus is born the cutting of the umbilical cord leads to a rapid deceleration in blood glucose in the fetal circulation and hypoglycemic episodes can occur, that often lead to NICU admission. The insulin that is created by the fetus in utero to accommodate the large quantities of glucose is known to affect lung maturation as well. The insulin produced inhibits surfactant production in the fetus. Upon birth some of the newborns also have to be placed on PEEP for ventilation and some children require treatment with surfactant to prevent alveolar collapse and/or progression to NRDS created by the low surfactant levels. Additionally, neonates who are macrosomic, which is usually seen in GDM mothers, are larger and stronger and when put on PEEP to help increase ventilation the newborn's stronger respiratory effort can lead to higher pulmonary pressures and barotrauma such as neonatal pneumothorax.Long term complications to the child of a mother with GDM also occur. As the child grows, they are also at an increased risk for developing early onset obesity because of the increased adipose storage triggered by the increase in insulin in response to the high glucose in utero. This then can lead to a higher chance of developing type 2 diabetes mellitus in the child. With diabetes, also comes an increase in cardiovascular risk as the child ages and becomes an adult. The effects of GDM go beyond the fetal life but continue through adulthood.What can be done?Gestational Diabetes Mellitus has many severe and lifelong consequences for both the mother and the child and prevention of GDM would help enhance the quality of life of both. Many of the ways to prevent GDM complications include patient education and dietary modifications with a diet rich in whole grains, fruits, vegetables and lean proteins. Benefits of some vegetables in the Mexican cuisine that may be beneficial: Nopales, Chayote, and Jicama. Those are good alternatives for highly processed carbs.Mothers are usually offered nutritional counseling to help them develop a tailored eating plan. This and 30 minutes of moderate exercise daily is recommended to increase insulin sensitivity and lower the post-prandial glucose levels. If within 2 weeks of implementing lifestyle changes alone the glucose measurements remain high, then medications like insulin can be put onboard to manage the GDM. If they require insulin, I think it is time to refer to a higher level of care, if available, high risk OB clinic.Conclusion: Now we conclude episode number ###, “[TITLE].” [summary here]. _____________________References:Eades CE, Burrows KA, Andreeva R, Stansfield DR, Evans JM. Prevalence of gestational diabetes in the United States and Canada: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2024 Mar 15;24(1):204. doi: 10.1186/s12884-024-06378-2. PMID: 38491497; PMCID: PMC10941381. https://pubmed.ncbi.nlm.nih.gov/38491497/QuickStats: Percentage of Mothers with Gestational Diabetes,* by Maternal Age — National Vital Statistics System, United States, 2016 and 2021. Weekly / January 6, 2023 / 72(1);16. https://www.cdc.gov/mmwr/volumes/72/wr/mm7201a4.htm?utmAkinyemi OA, Weldeslase TA, Odusanya E, Akueme NT, Omokhodion OV, Fasokun ME, Makanjuola D, Fakorede M, Ogundipe T. Profiles and Outcomes of Women with Gestational Diabetes Mellitus in the United States. Cureus. 2023 Jul 4;15(7):e41360. doi: 10.7759/cureus.41360. PMID: 37546039; PMCID: PMC10399637. https://pmc.ncbi.nlm.nih.gov/articles/PMC10399637/?utmPerlman, J. M. (2006). Summary proceedings from the neurology group on hypoxic-ischemic encephalopathy. Pediatrics, 117(3), S28–S33.DOI: 10.1542/peds.2005-0620C.Low, J. A. (1997). Intrapartum fetal asphyxia: definition, diagnosis, and classification. American Journal of Obstetrics and Gynecology, 176(5), 957–959.DOI: 10.1016/S0002-9378(97)70609-0.Hallman, M., Gluck, L., & Liggins, G. (1985). Role of insulin in delaying surfactant production in the fetal lung. Journal of Pediatrics, 106(5), 786–790.DOI: 10.1016/S0022-3476(85)80227-0.Sweet, D. G., Carnielli, V., Greisen, G., et al. (2019). European Consensus Guidelines on the Management of Respiratory Distress Syndrome – 2019 Update. Neonatology, 115(4), 432–450.DOI: 10.1159/000499361.Raju, T. N. K., et al. (1999). Respiratory distress in term infants: when to suspect surfactant deficiency. Pediatrics, 103(5), 903–909.DOI: 10.1542/peds.103.5.903.Burns, C. M., Rutherford, M. A., Boardman, J. P., & Cowan, F. M. (2008). Patterns of cerebral injury and neurodevelopmental outcomes after symptomatic neonatal hypoglycemia. Pediatrics, 122(1), 65–74.DOI: 10.1542/peds.2007-2822.Dabelea, D., et al. (2000). Long-term impact of maternal diabetes on obesity in childhood. Diabetes Care, 23(10), 1534–1540.DOI: 10.2337/diacare.23.10.1534.Dashe, J. S., et al. (2002). "Hydramnios: Etiology and outcome." Obstetrics & Gynecology, 100(5 Pt 1), 957–962.DOI: 10.1016/S0029-7844(02)02279-6.Long-term cost-effectiveness of implementing a lifestyle intervention during pregnancy to prevent gestational diabetes mellitus: a decision-analytic modelling study. Diabetologia.American College of Obstetricians and Gynecologists. (2018). Practice Bulletin No. 190: Gestational Diabetes Mellitus. Obstetrics & Gynecology, 131(2), e49–e64. https://doi.org/10.1097/AOG.0000000000002501Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

Today on MetroNews This Morning:--USDA has questions about West Virginia's SNAP waiver request--WV School of Osteopathic Medicine has concerns about the "Big Beautiful Bill"--A disability rights advocate calls on the state to address problems with state run hospitals--In Sports: The high school baseball tournament starts today in Charleston

Book your first Hormone Replacement Therapy session with Allure Medical.https://www.alluremedical.com/services/hormone-replacement-therapy-men/ Low testosterone is a global public health concern—and billions of dollars in healthcare costs are wasted by not treating it.In this episode, Dr. Charles Mok explores the science behind low testosterone and outlines the nine key resolutions from the international consensus developed by leading medical experts on testosterone deficiency and its treatment.For men experiencing symptoms, he highlights the resolutions, including how testosterone deficiency impacts quality of life, increases all-cause mortality, and how treatment should be provided regardless of the underlying cause.Dr. Mok also discusses how testosterone therapy can enhance both healthspan and lifespan, emphasizing that there is no specific age threshold for treatment.Tune in to Inside The Cure Podcast — The Science Behind Low TestosteroneSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Patty Starr is president and CEO of Health Action Council and is responsible for driving the strategic direction of the organization--build stronger, healthier communities where business can thrive. Since joining the Health Action Council staff in 2013, she has transformed the organization yielding broad national expansion and seven consecutive years of growth.Patty is a member of the Advisory Board at the Heritage College of Osteopathic Medicine and the Board of Directors for Health Policy Institute of Ohio (HPIO). She has also served on the Board of Directors for the Better Health Partnership, Ohio Patient-Centered Primary Care Collaborative and Health Action Council before becoming executive director in 2013. In 2022, she was named a Woman of Influence by Cleveland Business Journal, and In 2018, she was named among Notable Women in Healthcare by Crain's Cleveland Business.  Prior to Health Action Council, she was the senior director of health insurance and benefits at the Council of Smaller Enterprises (COSE) and president and founder of The Ark Individual Insurance Brokerage. 

What if a secret weapon in managing bipolar disorder isn't a new medication or a breakthrough therapy — but a brisk 20-minute walk? In this refreshingly honest and hilariously relatable episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington take on the least talked about pillar of bipolar stability: lifestyle management, and more specifically, exercise. During a recent bout of depression, Gabe's doctor “tricked” him into walking daily by describing it like a miracle pill. Spoiler alert: It kind of was. At first, Gabe thought the idea sounded like a total scam — and he didn't even own sneakers. (His first walks were in Doc Martens.) But over the past year, daily walks have become part of his recovery. In this episode, Gabe opens up about what finally got him moving, why he stuck with it, and how something so simple ended up making a real difference. Dr. Nicole, a self-proclaimed workout hater, shares why she still encourages her patients — and herself — to move, even when it's the last thing they want to do. From the science behind short daily walks to the mental health benefits for people managing bipolar disorder, Gabe opens up about what finally got him moving, how it changed his mindset, and why the smallest step forward can sometimes shift everything. "When somebody first mentioned going for a walk for bipolar disorder I thought what is this new age garbage? Like, I live with a serious and persistent mental illness. Going for a walk is not going to do anything. But I gotta tell you, I was wrong. Look, I'm not saying that it cures bipolar disorder. But I can say that it helps manage my moods." ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Wonderful conversation about health in all the ways, including inconceivable concepts - join me for this episode with Dr. John Lucas and discover how osteopathy actually is all around and presence in Chicago is expanding! John Lucas, DO, is the Founding Dean and Chief Academic Officer for the Illinois College of Osteopathic Medicine (IllinoisCOM) at The Chicago School. Joining in 2023, he leads efforts to develop and operationalize the college in Chicago, IL. Previously, Dr. Lucas held senior roles at Edward Via College of Osteopathic Medicine (VCOM), including Senior Vice President for institutional advancement and Interim Campus Dean, where he oversaw strategic initiatives, graduate medical education, and clinical operations. He also led ViaSTAR, VCOM's subsidiary for intellectual property and simulation outreach. A board-certified emergency medicine physician, Dr. Lucas has extensive clinical and administrative experience, including directing education and residency programs. He built 21 residency training programs as Division Vice President of graduate medical education at HCA Healthcare. Dr. Lucas earned his BS in psychology/biology from James Madison University, where he played football, and his DO degree from Lake Erie College of Osteopathic Medicine, completing his residency at Lehigh Valley Health System.

Book your regenerative solutions with Allure Medical: https://allureregenerative.com/schedule-an-appointment/ Support degenerative arthritis without having to undergo surgery.In this episode, Dr. Charles Mok discusses regenerative treatment options for degenerative arthritis, with a particular focus on platelet-rich plasma (PRP) and stem cell therapy.Dr. Mok walks through the role of platelets in stimulating tissue repair, outlines the commonly used types of stem cells, and explains the unique benefits of each therapy.He also explores the processes behind PRP and stem cell treatments, including how stem cells are harvested and banked, and how these approaches may help patients avoid the need for surgery.Tune in to Inside The Cure Podcast — PRP vs. Stem Cells: Which Regenerative Therapy Is Right for You?Subscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

In this episode, we talk with Dr. Olnita Martini, DO, and Dr.Danielle Duffle, DO. Dr. Martini and Dr. Duffle are recent graduates of Rocky Vista University College of Osteopathic Medicine and newly matched dermatology residents. The two began a social media page called Derm and Dermer to spread knowledge about medical school and dermatology and make people laugh along the way. Tune in to hear how it all began from Derm and Dermer themselves! We hope you enjoy! Learn More:Floating Doctors: https://floatingdoctors.comGlobal Medical Training: https://gmtonline.netInstagram: @derm_and_dermerTikTok: @derm_and_dermer Email: dermandermer25@gmail.com---DIGA Instagram: @derminterestToday's Host, George: @georgepapadeas---For questions, comments, or future episode suggestions, please reach out to us via email at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠derminterestpod@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠---Music: "District Four" Kevin MacLeod (⁠⁠⁠⁠⁠⁠⁠⁠incompetech.com⁠⁠⁠⁠⁠⁠⁠⁠) Licensed under Creative Commons: By Attribution 4.0 License: ⁠⁠⁠⁠⁠⁠⁠⁠http://creativecommons.org/licenses/by/4.0

Book your Lipodissolve session with Allure Medical.https://www.alluremedical.com/services/lipodissolve-fat-reduction/ Ready to melt away stubborn fat without going under the knife?In this episode, Dr. Charles Mok dives into Lipodissolve, a non-surgical fat reduction procedure that uses medication to permanently target and dissolve stubborn body fat.He traces the history of Lipodissolve, why the earlier Kybella technology fell short, and highlights why the PC/DC formula has proven to be a more effective solution. Dr. Mok breaks down how the PC/DC treatment works, its physical impact on the body, and the dosage limits for individual patients. He also explores additional non-surgical fat loss options available today.Tune in to Inside The Cure Podcast — Lipodissolve for Stubborn Body Fat.Subscribe to Inside the Cure on Apple Podcasts and leave a 5-star review!You can also watch this show on our YouTube channel.Read the latest research and advice from the doctors at Allure Medical:https://www.alluremedical.com/books/Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Imagine being fully awake, yet your body refuses to respond — a terrifying state where time seems to warp as you stand paralyzed. In this riveting episode, we dive deep into the elusive world of catatonia as it intersects with bipolar disorder. Drawing from special guest host Kit Wallis's (SchizoKitzo's) firsthand experiences, including moments of being physically “frozen” while fully aware, this episode unpacks the surprising complexities behind catatonia. Listeners will gain a clear and compassionate understanding of the three distinct presentations as host Dr. Nicole Washington, a board certified psychiatrist, breaks down the symptoms and dispels common misconceptions, while Kit shares intimate details of how these episodes have disrupted her life and ultimately guided her toward better management of her mental health. Whether you are directly affected by bipolar disorder or seeking a deeper insight into its hidden facets, this discussion promises to be an enlightening journey into one of the most misunderstood aspects of the condition. We have a guest host for this episode (Don't worry, Gabe Howard will be back!): Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textIn this episode, Joe sits down with Lieutenant General Mary Izaguirre, the 46th Surgeon General of the U.S. Army and Commanding General of Army Medical Command, for a wide-ranging conversation on leadership, vulnerability, culture, and purpose. Drawing on over three decades of service, LTG Izaguirre shares hard-earned lessons on how to lead authentically and navigate professional complexity.Together, they discuss the evolving role of Army Medicine, the power of modeling vulnerability, and how intentionality—not balance—is the key to managing life's trade-offs. Joe and LTG Izaguirre cover:Why vulnerability is a leadership strength, not a weaknessHow leaders can model safety, trust, and curiosity within their teamsThe importance of asking the right questions—and being okay not knowing the answersHow trade-offs, not balance, define sustainable leadershipThe impact of journaling and reflection in high-responsibility rolesBreaking down the “us vs. them” mentality in large organizationsWhat Army Medicine's true mission is—and why it matters more than everWhether you're a leader in uniform, a parent navigating a demanding career, or someone wrestling with how to show up fully for both your mission and your people, this episode is packed with wisdom, candor, and practical insights.Lieutenant General Mary K. Izaguirre is the 46th Surgeon General of the U.S. Army and the Commanding General of Army Medical Command. A board-certified family physician and Fellow of the American Academy of Family Physicians, she brings over three decades of military and medical leadership to her role. LTG Izaguirre has held key command and senior staff positions across the Army and deployed in support of operations in Iraq and Afghanistan. She holds multiple advanced degrees, including a Doctor of Osteopathic Medicine, Master of Public Health, and Master in National Security and Resource Strategy. She and her husband, Joseph, are the proud parents of five children.A Special Thanks to Our Sponsors!Veteran-founded Adyton. Step into the next generation of equipment management with Log-E by Adyton. Whether you are doing monthly inventories or preparing for deployment, Log-E is your pocket property book, giving real-time visibility into equipment status and mission readiness. Learn more about how Log-E can revolutionize your property tracking process here!Meet ROGER Bank—a modern, digital bank built for military members, by military members. With early payday, no fees, high-yield accounts, and real support, it's banking that gets you. Funds are FDIC insured through Citizens Bank of Edmond, so you can bank with confidence and peace of mind. 

Is stress making your pain worse, or is your pain elevating your stress? What if the answer is both? This episode unpacks the powerful mind-body connection between chronic pain and mental health, bringing light to the invisible ways they interact. Because here's the truth: mental health and physical health are deeply connected; and when one suffers, the other often does too. In recognition of Mental Health Awareness Month, VSI Neurologist, Dr. Ella Akkerman, and Doctor of Osteopathic Medicine, Dr. Yash Mehta, dig into the hidden ways emotional experiences like burnout, anxiety, grief, and trauma don't just live in your head—they also echo throughout the body as tension, fatigue, migraines, chronic pain, and more.  Get ready to learn:  How emotional distress can speak through the body as physical pain Why so many people suffer in silence, and how to change the narrative What real, healing conversations between doctors and patients can look like Actionable ways to care for both your mind and body—starting today If you're living in pain that no one seems to understand, this conversation offers clarity and validation and will arm you with practical tools to take the next step.   The body keeps score, and recognizing that connection is the first step toward experiencing relief.  Listen now on Apple Podcasts, Spotify, or your favorite podcast app Watch the full episode  on YouTube.

This week on Health Matters, Courtney Allison is joined by Dr. Erica Eldon, physiatrist with NewYork-Presbyterian and Columbia.They discuss how our body builds strong and healthy bones, and what happens to our bones as they age—including why they can get brittle and contribute to things like breaks in hips or wrists, and even losing height in our spine.Dr. Eldon describes the key factors in maintaining bone health over time. She explains why it's especially important for women to incorporate resistance training into their self care, and offers some practical steps for everyone to take toward strong, healthy bones at every phase of life.___Dr. Erica Eldon, DO, is doctor of interventional spine care with NewYork-Presbyterian and Columbia. She specializes in treating patients with acute and chronic musculoskeletal and spine injuries. Dr. Eldon is board eligible in both Physical Medicine & Rehabilitation and Pain Medicine. She received her Doctorate of Osteopathic Medicine (DO) from Midwestern University-Arizona College of Osteopathic Medicine, underwent residency training in Physical Medicine and Rehabilitation at the Icahn School of Medicine at Mount Sinai Hospital where she also served as Chief Resident, and completed a multidisciplinary pain medicine fellowship at Weill Cornell/NewYork Presbyterian Hospital, Hospital for Special Surgery, and Memorial Sloan Kettering Hospital.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

Is there a way to walk into the final chapters of life with peace and confidence, and with support and wisdom?We all are living an earthly story with a beginning, middle, and end. While aspects of our story's closing hold mystery, we do not have to feel lost as we move toward it. We instead can lean on the support and wisdom of others who know the path ahead.In Anticipating Heaven, she offers that same practical advice and spiritual comfort to you and your loved ones as you navigate a serious illness.Drawing on her years of experience and strong faith, Dr. Pyle will share inspiring patient stories and clear guidance, helping you tonavigate the world of healthcare with confidence,prepare an end-of-life plan with peace,remember your heavenly destination with hope,embrace the final chapters with love, andanticipate the presence of God and your glorified body with joy.Clarity can replace chaos. Assurance can overcome uncertainty. And love can conquer fear. You are not alone on this path. You are leaving the land of the dying and entering the land of the living, a place God calls home. As one story is closing, a bright new one is beginning. Dr. Pamela Pyle With a dedication to a broad array of charitable endeavors, Dr. Pamela Pyle has helped hundreds of individuals from Myrtle Beach, South Carolina, to war-ravaged parts of Africa. Working in a variety of roles, Dr. Pyle has applied her skills as a volunteer physician, community fund-raiser, and leader of a medical team on a mission to Africa. Dr. Pamela Pyle began studying to become a physician at Oklahoma State University. As an undergraduate, Dr. Pyle earned recognition on the President's and Dean's Lists. She also served as a member of Alpha Epsilon Delta, the national health preprofessional honor society. Completing her graduate studies at Texas College of Osteopathic Medicine, she made the Dean's List also earned a mention as one of the Outstanding Young Women in America. In addition, she served as President of the Psi Sigma Alpha honor society and as class Vice President. Graduating in 1989, Dr. Pamela Pyle ranked second in her class and earned a Doctor of Osteopathic Medicine. Certified in 1992 and 2002 with the American Board of Internal Medicine, Dr. Pamela Pyle holds professional affiliations with the American College of Physicians and Society of Hospital Medicine. After completing her internship and residency at Baylor College of Medicine, Dr. Pyle worked in the Coronary Care Unit at Methodist University Hospital and in hospitalist services at Carolina Health Specialists. In addition, she has owned two businesses in Myrtle Beach. She operated at Personal Touch Aesthetic Lasers and Skin Rejuvenation Center, LLC, from 2002 to 2006 and at About Face and Body Rx, LLC from 2006 to 2008. In addition to her expertise in the medical field, Dr. Pamela Pyle has also developed a reputation as a fund-raiser and volunteer. She donates her time as a physician at a free clinic near Myrtle Beach and in various roles in association with her church. In her most recent charitable pursuits, she raised more than $35,000 for a medical clinic in Rwanda. In addition to her fund-raising efforts, Dr. Pyle will serve as the leader of medical mission teams to Rwanda in July. Besides her many charitable pursuits, she finds time to play tennis and participate in marathons, including the U.S. Marine Corps Mud Run in Columbia.ContactWebsiteOrder BookXFacebook

Book your appointment with Allure Medical: https://www.alluremedical.com/schedule-an-appointment/Healthy-looking skin starts with a good skincare regimen.In this episode, Dr. Charles Mok recommends appropriate skin care topicals for achieving better, younger-looking skin and walks through how to conduct a proper skincare consultation with patients.He covers the use of vitamins A and C, how to apply them correctly, and the benefits they provide for the skin. Dr. Mok also talks about using glycolic wash and moisturizer to help normalize the skin, Eye Rescue for under-eye care, and Eventone Age Defense to treat uneven skin tone.Tune in to Inside The Cure Podcast — Skin Care Topicals: Best Products To UseSubscribe to Inside the Cure and leave a 5-star review!This show is also available on YouTube and on all your favorite podcast platforms.Products Mentioned:Tretinol Serum 1% - https://store.alluremedical.com/tretinol-serum-1Radiant-C Cream - https://store.alluremedical.com/radiant-c-cream10% Glycolic Cleanser - https://store.alluremedical.com/10-glycolic-cleanserFace Silk - https://store.alluremedical.com/face-silkEye Rescue - https://store.alluremedical.com/eye-rescueEvenTone Pads - https://store.alluremedical.com/eventone-pads-8Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:

Can the appearances of Jesus be explained away as hallucinations? Two leading doctors offer a medical critique. Dr. Harold Koenig is one of the world's experts in the intersection of science, theology, and spirituality. He has written 575 peer-reviewed scientific journals and 55 books. Craig Fowler, M.D., is Professor & Chair of Surgery at the Campbell University School of Osteopathic Medicine. He has received both Best Doctor in America and US Top Ophthalmology awards.Duke University Center for Spirituality, Theology, and Health (https://spiritualityandhealth.duke.edu/)READ: Evidence that Demands a Verdict (https://amzn.to/3rtbGiP)*Get a MASTERS IN APOLOGETICS or SCIENCE AND RELIGION at BIOLA (https://bit.ly/3LdNqKf)*USE Discount Code [SMDCERTDISC] for $100 off the BIOLA APOLOGETICS CERTIFICATE program (https://bit.ly/3AzfPFM)*See our fully online UNDERGRAD DEGREE in Bible, Theology, and Apologetics: (https://bit.ly/448STKK)FOLLOW ME ON SOCIAL MEDIA: Twitter: https://twitter.com/Sean_McDowell TikTok: @sean_mcdowell Instagram: https://www.instagram.com/seanmcdowell/

Send us a textIn today's episode we have the pleasure of speaking to Dr. Anna Levy, D.O.   Dr. Levy is an oncologist who works in the very specialized area of liver related cancers.  Dr. Levy is Medical Director of Hepatobiliary Malignancies and the Hepatic Artery Pump Infusion Program, based at the R.J. Zuckerberg Cancer Center.   Dr Levy is  is Board certified in Internal Medicine, Hematology, and Medical Oncology.  She is  Assistant Professor of Medicine at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health Medical School.  Dr. Levy earned her medical degree at the Lake Erie College of Osteopathic Medicine followed by an Internal Medicine Residency at the Christiana Care Health System and ultimately completed her fellowship in Medical Oncology and Hematology at the Long Island Jewish Medical Center.Dr. Levy will delve into the life of an oncologist and the difficulties treating very sick patients.  She will discuss the difficulties of work life balance and how her family and home life allow her to “keep her cup full."  Dr. Levy will discuss the problem of suicide, among physicians specifically among high stress professions such as Hematology/ Oncology.  Dr. Levy will share her journey which started as an emigre from the Ukraine.  She will tell us about her discovery of Osteopathic Medicine and how she developed a  love for oncology, a difficult and complex specialty.  Please join us in our discussion with this  remarkable physician. . . a discussion you won't want to miss!

Book your first Botox session with Allure Medical.https://www.alluremedical.com/services/botox/ Behind the smooth skin is serious science. Learn what Botox really does beneath the surface.In this episode, Dr. Charles Mok joins Danielle Stabley, a Physician Associate at Allure Medical, to discuss common misconceptions surrounding Botox injections, standard procedural protocols, and the significance of the dose-duration curve.They explore recommended dos and don'ts and address factors that may influence Botox uptake, such as exposure to heat and physical activity.Dr. Mok also examines potential reasons Botox may be less effective in certain cases and the implications of receiving other cosmetic treatments shortly after Botox administration.Tune in to the Inside The Cure Podcast — Busting Common Botox Myths.Subscribe to Inside the Cure on all your favorite podcast platforms and leave a 5-star review! You can also catch this show on YouTube.Read the latest research at Allure Medical:https://www.alluremedical.com/books/ Danielle Stabley is the Medical Director at Allure Medical.  She has been a valued team member since 2017. With over ten years of experience in emergency medicine at Troy Beaumont and Crittenton hospitals, Danielle brings a wealth of expertise to her role. At Allure Medical, Danielle excels in providing top-notch patient care and plays a pivotal role in coaching and training other employees. She is dedicated to carrying out the vision of Allure's founder, Dr. Mok, which focuses on adding healthy years to patients' lives. Danielle's purpose is to transform lives by making patients healthier, more beautiful, and confident both inside and out, aiming to defer the effects of aging as long as possible.Instagram: https://www.instagram.com/stabley.regeneration.station/ Facebook: https://www.facebook.com/p/Danielle-Stabley-PA-2317737/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=

Just 5 years ago, Oklahoma State University and the Cherokee Nation launched a first-of-its-kind medical school.  The College of Osteopathic Medicine at the Cherokee Nation is the first and only medical college to be founded on tribal land and linked to a native tribe. The school made history when its first graduating class of doctors received their degrees in May 2024.  Drs. Natasha Bray and Douglas Nolan are the Dean and Associate Dean of the school. They join us from Tahlequah, Oklahoma, where they are helping a new generation of doctors learn to provide critical care — especially in rural and tribal areas, which are facing a dire shortage of doctors.  During the show you'll also hear from Megan Tramel. She's a citizen of the Cherokee Nation and a student at the College of Osteopathic Medicine in Tahlequah. This month, in May 2025, she'll receive her degree and start the next phase of her journey as a doctor.  We invite you to share your feedback about this show with us on social media. We're @crazygoodturns on all of the platforms. Don't forget to subscribe or follow us on the podcast service of your choice. If you already subscribe, we'd really appreciate a 5-star review: https://podcasts.apple.com/us/podcast/crazy-good-turns/id1137217687 We appreciate you listening and sharing our episodes. Thank you! 

Have you ever felt the crushing weight of doubt when every day is a battle with your own mind? In this episode, Gabe (who lives with bipolar) and Dr. Nicole (a board certified psychiatrist) cut through the BS and get real about staying on track with bipolar treatment. They dive into moments when giving up seems like the easier option and Gabe recalls a painful wake-up call from a friend who wasn't holding back their anger — a moment that ignited a drive to prove everyone wrong. Dr. Nicole breaks down why even the smallest victories, like getting out of bed or planning a future getaway, can mean everything. With no sugarcoating, they explore the raw truth behind why fighting isn't just for the dark days — it's a constant, everyday challenge. This episode is for anyone who's ever wondered how to find the strength to keep moving forward when life feels overwhelming. “I did not want to lay down and die. My core philosophical values and belief systems is that this is all there is. Whatever I do with it, that's my life. That will be how I'm remembered. That is what people will see. Whatever joy or suffering or pain or happiness or success or laughter or connections, this is all there is. And if I just sit at home and do nothing, then I will just be remembered as the guy who sat at home and did nothing. And I don't want to be remembered that way.” ~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are available directly from the author with free swag included! Among his many accolades, Gabe received an official resolution from the Governor of Ohio naming him an “Everyday Hero,” and had the distinct honor of speaking at Oxford University in England. To learn more about Gabe, or to book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Dr. Nicole has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Disclaimer: Please check with your personal physician before embarking on a fasting plan. This is not meant for everyone, but on a case-by-case basis.   Learn more about INIM's Research Studies: https://www.nova.edu/nim/research-studies/index.html   In this episode, Dr. Jacqueline Junco chats with Pallavi Sethi, Founder of High Living Wellness, to explore the holistic path from healing to wellness. The discussion highlights the transformative potential of breathwork, meditation, and integrative wellness strategies in improving overall health and well-being.   Pallavi shares her insights into energy healing and emphasizes the critical role of holistic wellness in achieving lasting healing. She offers practical tips for cultivating balance in everyday life and explains the significance of physical movement and aligning with natural circadian rhythms.   The conversation also delves into the concepts of fasting and autophagy. Pallavi illustrates how mindful practices such as healthy eating, breathwork, humming, and intentional slowing down can support the body in reaching a state of holistic wellness.   Tune in to the Hope and Help for Fatigue and Chronic Illness Podcast – Transforming Health Through Holistic Wellness.   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy   If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx     Pallavi Sethi is a compassionate meditation & yoga therapist and energy healer dedicated to nurturing your mind, body, and spirit. With a focus on holistic well-being, she offers personalized sessions that blend the ancient practices of transcendental meditation, Hindu meditation & yoga with modern healing techniques. She has successfully led transformative retreats in India, Dubai, and London, healing thousands of individuals physically and emotionally. Pallavi's approach not only makes powerful changes but also empowers each soul to embrace their true potential. Through deep connection and self-discovery, participants learn to release negative energy and cultivate resilience.   Instagram: https://www.instagram.com/highliving_pallavi/  LinkedIn: https://www.linkedin.com/in/pallavi-sethi-463431319/    Learn more about High Living Wellness: Website:  https://www.highlivingwellness.com/  Facebook: https://www.facebook.com/profile.php?id=61563856152411  Dr. Jacqueline Junco is the chair of the Integrative Medicine Program at the Institute for Neuro-Immune Medicine, an Assistant Professor at Dr. Kiran C. Patel College of Osteopathic Medicine, and an integrative medical physician with over 30 years of clinical experience. She is a medically trained doctor who is certified in acupuncture, Chinese herbology, and oriental medicine from the National Certification Commission for Acupuncture and Oriental Medicine. Her knowledge of Western medicine and natural alternatives creates a powerful combination of modern technology and ancient therapies that are used to treat a vast majority of health conditions.   Instagram: https://www.instagram.com/dr.jackiejunco_/   LinkedIn: https://www.linkedin.com/in/jackie-junco-775507162/    Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.   Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #HolisticHealth #IntegrativeWellness #FunctionalMedicine  

Breastfeeding is universal, however the options for support are not.  In the US an Osteopath has very different training than in Australia, where all Osteopaths are trained in Osteopathic Manual manipulation (OMM) unlike in the US where it's difficult to find an Osteopath with any manual training at all.  In Australia there's also no prescribing from an Osteopath.  Kirsten Hannah is not only an IBCLC but also an Osteopath supporting families in the AU with her immense knowledge.  Listen as Kirsten Hannah and Katie Oshita discuss biological norms, root cause support and tongue tie in the US and AU.Podcast Guest: Kirsten Hannan is an Australian trained and registered Osteopath with 20 years of clinical practice experience, with a particular interest in pregnancy and postpartum care and working with babies and children of all ages. She has experience in treating babies for a variety of issues, including latching and feeding difficulties, birth trauma, neck tension, flat head syndrome and digestive issues. Kirsten uses a variety of osteopathic treatment methods, including cranial osteopathy. Her passion for education and helping children to develop in the best possible way led her to further her knowledge of breastfeeding and she qualified as an International Board Certified Lactation Consultant (IBCLC) in 2017. She enjoys integrating the very best of bodywork and evidence-based lactation care and support to help mums and their babies.Kirsten is a speaker, an author and reviewer for the International Journal of Osteopathic Medicine, a member of Osteopathy Australia and registered with the Australian Health Practitioner Regulation Agency (AHPRA) and International Board of Lactation Consultant Examiners (IBLCE).Podcast Host: Katie Oshita, RN, BSN, IBCLC has over 25 years of experience working in Maternal-Infant Medicine.  While Katie sees clients locally in western WA, Katie is also a telehealth lactation consultant believing that clients anywhere in the world deserve the best care possible for their needs.  Being an expert on TOTs, Katie helps families everywhere navigate breastfeeding struggles, especially when related to tongue tie or low supply.  Katie is also passionate about finding the root cause of symptoms, using Functional Medicine practices to help client not just survive, but truly thrive. Email katie@cuddlesandmilk.com or www.cuddlesandmilk.com  

Book your breast augmentation session with Allure Medical.https://www.alluremedical.com/services/breast-augmentation/ Celebrate your femininity and boost your confidence with a blend of expert care!In this episode, Dr. Charles Mok delivers an in-depth discussion on breast augmentation.He examines modern advancements and the evolving options available for breast augmentation today.Dr. Mok provides a detailed overview of the various types of implants commonly used. He also outlines post-operative care and current methods for maintenance, including identifying potential causes of rupture.Tune in to Inside The Cure Podcast — Breast Augmentation: In DepthSubscribe to Inside the Cure and leave a 5-star review!You can also listen to the podcast on YouTube and all your favorite podcast platforms.Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ 

Book your Fraxel Laser Skin Resurfacing session with Allure Medical.https://www.alluremedical.com/services/skin-resurfacing-lasers-fraxel/ Dr. Charles Mok discusses the use of Fraxel laser technology and biostimulation in the treatment of skin aging. He outlines the treatment protocols and shares clinical insights into their application.Hear about the benefits and advantages of the Fraxel laser compared to the previous gold standard in dermatological resurfacing: the carbon dioxide (CO₂) laser.Get to know biostimulation therapy, its physiological effects and therapeutic benefits, and how combining biostimulation with Fraxel laser treatment can enhance clinical results. Learn about recommendations for post-treatment skincare to support long-term maintenance and outcomes.Tune in to Inside The Cure Podcast — Fraxel Laser Treatment for Skin Aging.————————————————————————————————Subscribe to Inside the Cure on Apple Podcasts and leave a 5-star review! https://podcasts.apple.com/us/podcast/inside-the-cure-with-dr-charles-mok/id1495870043?uo=4Read the latest research and advice from the doctors at Allure Medical: https://www.alluremedical.com/books/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical  Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/ #FraxelLaser #SkinAging #LaserResurfacing #Biostimulation #SkinCareScience #FraxelTreatment #SkinHealth #AntiAgingTreatment #AestheticMedicine #SkinCare #YouthfulSkin #FlawlessSkin #Health #Wellness #HealthPodcast

“Feeding my baby” is one of the top search topics on Google. On this special bonus episode, we cover the milestone stages of feeding - from baby's first moments to the toddler years - with Dr. Mona Amin, pediatrician, board certified lactation consultant and the founder of of PedsDocTalk. Whether it's breastfeeding, introducing solids or food allergies…it seems like every stage of feeding our kids comes with challenges and stress. Tune in as we explore all the common difficulties of each stage and offer great solutions!    Dr. Mona Amin / YouTube / FB / IG / TikTok Dr. Mona is a pediatrician, board certified lactation consultant, and the founder of PedsDocTalk, a global  platform with almost a million followers. A mom of two, her no-nonsense, “evidence-based” approach to child health has been featured in the New York Times, Parents Magazine and more.   Dr. Mona has been a practicing pediatrician since 2015 and an IBCLC (Certified Lactation Consultant) since 2021. She attended UCLA for undergraduate training, attended ATSU-SOMA medical school to become a Doctor of Osteopathic Medicine, and completed pediatric residency training at the Bernard and Millie Duker Children's Hospital in Albany, New York. You can also watch this podcast on YouTube / @munchkin and reach us at podcast@munchkin.com.  StrollerCoaster: A Parenting Podcast is created by Munchkin Inc., the most loved baby lifestyle brand in the world.  You can find all your favorite Munchkin products, including the new Flow Nipple Shield +, at https://www.munchkin.com.     Follow Munchkin on Instagram / Facebook / Pinterest / TikTok  Trees for the Future  

Why is schizoaffective disorder so often overlooked — even by mental health professionals — and how does it relate to bipolar disorder? In this episode, Dr. Nicole Washington sits down with guest host Kit Wallis (aka SchizoKitzo) to discuss Kit's life managing schizoaffective disorder, bipolar type. Kit shares her decade-long journey through multiple diagnoses, from cyclothymia to bipolar I, before finally receiving the correct diagnosis of schizoaffective disorder. Kit explains why this diagnosis finally made sense and how she educated herself on her disorder. If you've ever wondered about the blurry lines between bipolar disorder, schizophrenia, and schizoaffective disorder — or just want to hear a powerful story of self-advocacy — this episode is for you. Cold Open Transcript:  Dr. Nicole: Some people will tell me that their voices are not all bad, and they don't necessarily want to get rid of them. Kit: Oh, man. That's a can of worms. That is a can of worms. When I was telling my psychiatrist that I was experiencing religious delusions, and I went on antipsychotics to get rid of the god who hated me, but not necessarily for the voices who helped me so much. I ended up losing the others and I think about the voices that I don't hear anymore all the time because I miss them that much. We have a guest host (Don't worry, Gabe Howard will be back!) for this episode: Our host, Kit Wallis, who goes by SchizoKitzo, is a content creator who advocates for schizoaffective and bipolar disorders. She uses long-form videos on her YouTube channel and short-form content on platforms like TikTok and Instagram. Her content centers around her personal experience with schizoaffective disorder and often includes deep dives into research topics regarding mental health. Kit was diagnosed with the bipolar type of schizoaffective disorder in late 2020 and has struggled with symptoms since she was in middle school. Schizoaffective disorder is a mental health condition where someone experiences symptoms of schizophrenia--such as delusions and hallucinations--but also symptoms of a mood disorder--either major depression or, in Kit's case, bipolar. Realizing there was a lack of schizoaffective advocates, she decided to start her SchizoKitzo project to raise awareness for this complex condition. The mission of SchizoKitzo is to raise awareness of schizoaffective disorder and all of its aspects, from the mood side to the psychotic side. Kit works to bridge the gap between life and science so she can help break the stigma around mental health. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever wonder what happens when two complex mental health conditions collide? In this episode, host Gabe Howard, who lives with bipolar disorder, and board certified psychiatrist Dr. Nicole Washington, peel back the layers of obsessive-compulsive disorder (OCD) and bipolar disorder, challenging the clichés and misconceptions that have long overshadowed these conditions. Using humor, candor, and expert insight, they share personal anecdotes and surprising research that illuminate the hidden battles behind intrusive thoughts, relentless rituals, and shifting moods. This conversation dives deep into how misinterpreting symptoms can lead to confusion and missed diagnoses — making it a must listen for anyone seeking clarity on the comorbidity of these two conditions.   Whether you're navigating these challenges yourself or supporting someone who is, this episode invites you to rethink what you know about OCD and bipolar disorder. “It's very difficult to have an episode about OCD and bipolar disorder because they're two unique illnesses that present in very unique ways. And I'm not sure what it looks like when they blend together. You may or may not have it. The things that you're describing as OCD may very well just be personality traits or just part of bipolar disorder. So I want to ask you very specifically, is there anything unique about OCD and bipolar disorder put together that our audience needs to know that our listeners should be aware of or concerned about?”~Gabe Howard, Host Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Learn more about our research studies: https://www.nova.edu/nim/research-studies/index.html   Disclaimer: Please check with your personal physician before embarking on a detox plan. This is not meant for everyone but on a case-by-case basis.   In this episode, Executive Director Nathalie Sloane welcomes Dr. Jacqueline Junco, an integrative medical physician, to provide a comprehensive understanding of our body's natural detoxification process and how we can support it.   Dr. Junco defines detoxification, explaining its phases and the physiological aspects involved. She also discusses the impact of environmental toxins and stress on overall health and highlights essential nutrients and practices that can aid in detoxification.   They also explore how patients can effectively communicate with their healthcare providers about pursuing a detox program. Dr. Junco shares insights into complementary treatments, such as acupuncture, and the importance of sleep.   Tune in to the Hope and Help for Fatigue and Chronic Illness Podcast – The Ultimate Guide to Detoxification with Dr. Jacqueline Junco.   Sign up for the COVID-UPP Study: https://redcap.nova.edu/redcap/surveys/?s=RMEDJ7LKCX&_gl=1*1h830h7*_gcl_au*MTM2NDA0MTQyOS4xNzE1MDA0ODAy   If you are interested in joining a Gulf War Illness (GWI) trial, please complete the Recruitment Registry Form. https://redcap.nova.edu/redcap/surveys/?s=Y9YF8JJWJRK8HEKL%20&_gl=1*1fipp18*_gcl_aw*R0NMLjE3MDc5MTgwMzIuRUFJYUlRb2JDaE1JeWNyUXVfcXFoQU1WU1pCYUJSM3AyQWRBRUFBWUFTQUFFZ0s1NWZEX0J3RQ..*_gcl_au*MTg2NjgwMDQ4Ni4xNzA3MTQwNzgx   Environmental Working Group: https://www.ewg.org/who-we-are/our-mission   —--------------------------------------------------------------------------------------------   Dr. Jacqueline Junco is the chair of the Integrative Medicine Program at the an Institute for Neuro-Immune Medicine, an Assistant Professor at Dr. Kiran C. Patel College of Osteopathic Medicine, and an integrative medical physician with over 30 years of clinical experience. She is a medically trained doctor who is certified in acupuncture, Chinese herbology, and oriental medicine from the National Certification Commission for Acupuncture and Oriental Medicine. Her knowledge of Western medicine and natural alternatives creates a powerful combination of modern technology and ancient therapies that are used to treat a vast majority of health conditions.   Instagram: https://www.instagram.com/dr.jackiejunco_/  LinkedIn: https://www.linkedin.com/in/jackie-junco-775507162/   Nathalie Sloane is the Executive Director of the Institute for Neuro-Immune Medicine.   LinkedIn: https://www.linkedin.com/in/nathalie-sloane-90456625/    -------------------------------------------------------------------------------------------------   Enjoy our show? Please leave us a 5-star review on the following platforms so we can bring hope and help to others.   Apple Podcasts: https://podcasts.apple.com/us/podcast/hope-and-help-for-fatigue-chronic-illness/id1724900423   Spotify: https://open.spotify.com/show/154isuc02GnkPEPlWfdXMT   Sign up today for our newsletter. https://nova.us4.list-manage.com/subscribe?u=419072c88a85f355f15ab1257&id=5e03a4de7d   This podcast is brought to you by the Institute for Neuro-Immune Medicine. Learn more about us here.   Website: https://www.nova.edu/nim/ Facebook: https://www.facebook.com/InstituteForNeuroImmuneMedicine Instagram: https://www.instagram.com/NSU_INIM/ Twitter: https://www.twitter.com/NSU_INIM   #Detoxification #NaturalDetox #FunctionalMedicine #ChronicIllness #IntegrativeMedicine #StressRelief #EnvironmentalToxins #NutritionalHealth #MindBodyHealth #Acupuncture #HealthPodcast #MedicalPodcast  

Many people with bipolar disorder experience trauma — either from external events or even from the disorder itself. In this episode, Gabe Howard, who lives with bipolar disorder, and Dr. Nicole Washington, a board certified psychiatrist, dive into the deep waters of managing trauma with bipolar disorder. They cover the differences between trauma and post-traumatic stress disorder (PTSD), debunking common misconceptions. They explore how experiences like suicidal episodes, hospitalization, job loss, and manic behavior can leave lasting emotional scars and why it's important to manage them. Most importantly, they discuss how to validate your experiences, communicate with loved ones and medical professionals, and take steps toward healing. If you've ever felt dismissed or struggled to explain how bipolar-related trauma affects you, this episode is a must listen. "People with bipolar disorder have trauma because of it. So much of this is driven from the fact that people aren't taken seriously. I want to say, as a person living with bipolar disorder, it is real. Bipolar disorder caused you trauma. You are traumatized because of your experiences with bipolar disorder." ~Gabe Howard, Host To learn more -- or read the transcript -- visit the official episode page. Our host, Gabe Howard, is an award-winning writer and speaker who lives with bipolar disorder. He is the author of the popular book, "Mental Illness is an Asshole and other Observations," available from Amazon; signed copies are also available directly from the author. To learn more about Gabe, or book him for your next event, please visit his website, gabehoward.com. You can also follow him on Instagram and TikTok at @askabipolar. Our host, Dr. Nicole Washington, is a native of Baton Rouge, Louisiana, where she attended Southern University and A&M College. After receiving her BS degree, she moved to Tulsa, Oklahoma to enroll in the Oklahoma State University College of Osteopathic Medicine. She completed a residency in psychiatry at the University of Oklahoma in Tulsa. Since completing her residency training, Washington has spent most of her career caring for and being an advocate for those who are not typically consumers of mental health services, namely underserved communities, those with severe mental health conditions, and high performing professionals. Through her private practice, podcast, speaking, and writing, she seeks to provide education to decrease the stigma associated with psychiatric conditions. Find out more at DrNicolePsych.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

Dr. Gabrielle Lyon is a board-certified family physician and founder of the Institute of Muscle-Centric Medicine, emphasizing skeletal muscle for health and longevity. She holds a Doctor of Osteopathic Medicine and completed fellowships in nutritional sciences and geriatrics. Dr. Lyon advocates for high-quality protein diets, resistance training, and personalized wellness, serving diverse populations from elite military operators to health-conscious individuals. Her expertise has been showcased in Muscle and Fitness, Women's Health, and Harper's Bazaar. Dr. Lyon also hosts "The Dr. Gabrielle Lyon Show," a podcast covering health education and wellness with insights from various experts on nutrition, exercise, and mental well-being. She authored the New York Times best-selling book “Forever Strong: A New, Science-Based Strategy for Aging Well”. Through her YouTube channel and social media presence, Dr. Lyon inspires strength training and nutritional health prioritization. Her initiatives aim to encourage individuals to recognize strength training and nutrition as essential for a vibrant life. Shawn Ryan Show Sponsors: https://ShawnLikesGold.com | 855-936-GOLD #goldcopartner http://shopify.com/srs http://ziprecruiter.com/srs https://bunkr.life/ | Use Code SRS https://americanfinancing.net/srs NMLS 182334, nmlsconsumeraccess.org http://trueclassic.com/srs Upgrade your wardrobe and save on @trueclassic at trueclassic.com/SRS! #trueclassicpod https://prizepicks.onelink.me/LME0/SRS Dr. Gabrielle Lyon Links: Website - https://drgabriellelyon.com/ Instagram - https://www.instagram.com/drgabriellelyon/ Facebook - https://www.facebook.com/doctorgabriellelyon LinkedIn - https://www.linkedin.com/in/dr-gabrielle-lyon-00175a1a8/ YouTube - https://www.youtube.com/@drgabriellelyon Forever Strong - https://a.co/d/elVhCYi Please leave us a review on Apple & Spotify Podcasts. Vigilance Elite/Shawn Ryan Links: Website | Patreon | TikTok | Instagram | Download Learn more about your ad choices. Visit podcastchoices.com/adchoices