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Why Prescriptions Weren't Enough: A Clinical Pharmacist's Wake-Up Call! Dr. Curt Dearing with Nutrition World: Curt Dearing-Clinical Pharmacist, Pharm.D., Integrative Pharmacy Specialist (our conversation does not replace your advice from your doctor - we are not giving medical advice or claiming to cure illness - we are sharing personal stories - please always consult your doctor before you start any supplements or stop taking any medications! This is for entertainment purposes) ===== THANK YOU TO OUR SPONSORS: (Welcome to our NEW sponsor) Signal Investigations: https://www.signalpi.com/ Nutrition World: https://nutritionw.com/ Vascular Institute of Chattanooga: https://www.vascularinstituteofchattanooga.com/ The Barn Nursery: https://www.barnnursery.com/ Optimize U Chattanooga: https://optimizeunow.com/chattanooga/ Guardian Investment Advisors: https://giaplantoday.com/ Alchemy Medspa and Wellness Center: http://www.alchemychattanooga.com/ Our House Studio: https://ourhousestudiosinc.com/ Team Montieth Real Estate - Lori Montieth: https://www.findchattanoogarealestate.com/ Ballinger and Associates - Risk Management: https://ballingerandassociates.com/ AirSpace Acoustics: https://www.airspaceacoustics.com/ BWELL4EVER: Labs and IV Therapies: https://www.bwell4ever.org/ ALL THINGS JEFF STYLES: www.thejeffstyles.com PART OF THE NOOGA PODCAST NETWORK: www.noogapodcasts.com Please consider leaving us a review on Apple and giving us a share to your friends! This podcast is powered by ZenCast.fm
Today's guest dropped an unbelievable amount of wisdom in the span of just one podcast episode. She and I both align on so many topics as you will discover in our conversation. We both believe that women have the power to intuit what is best for them and their bodies. Women, especially midlife women, have been taught for far too long that their suffering is "just a part of aging." The system has also taught us that when we have symptoms, we should reach for a drug to fix it (and often holistic medicine is thought of as an alternative herb or supplement). My guest asserts that when symptoms arrive for women in midlife and perimenopause, it is often a wake up call to how we are living our lives, particularly the accumulation of not so nourishing choices in the last couple of decades. Hormones shift, revealing what has already been happening. Women can then heed the call to pay attention to foundational living (how they are eating, sleeping, managing energy, stress, etc) and prevent further disease down the road. The common approach to manage symptoms with herbs and/or HRT are only addressing the tip of the iceberg and are not going to get at the root cause of symptoms. Perimenopause and menopause does not have to be a negative life sentence to the rest of your life, rather it can be seen as an initiation and invitation to finally start prioritizing yourself. Maria Gabriela is a certified Ayurveda Health Counselor, a doctor of pharmacy (Pharm.D.), a 200 hour certified yoga teacher, and founder of Intuitive Ayurveda. She helps people in perimenopause and menopause feel better in their bodies using Ayurveda, science-backed tools, and intuitive coaching — so they can celebrate this phase of life instead of dreading it. The eastern and western perspectives of medicine each have something to offer us, and Maria Gabriela understands this dance. Her goal is to educate on Ayurvedic tools that can (and should) be individualized to each complex person. She strives to help her clients tune into the messages their bodies are sending them. Ultimately, she believes every person is the expert on what is best for them, and can be empowered to hone in on which tools they need to support themselves in mind, body, and spirit. Connect with Maria Gabriela via: Email: maria@intuitiveayurveda.com Website: Intuitive Ayurveda IG: @intuitive_ayurveda
What if the very thing you believe is helping you get pregnant is actually keeping your body from feeling safe enough to conceive?Many women approach fertility the same way they've achieved success in every other area of life—through hard work, planning, research, and taking action. But fertility often doesn't respond to more effort. In this episode, Dr. Katie Wood and cycle alchemist Adrienne Irizarry explore how hidden control patterns, nervous system stress, and hypervigilance can quietly influence fertility, hormone balance, and overall well-being. If you've been doing everything "right" but still aren't getting the results you're hoping for, this conversation offers a powerful new perspective.In this episode you'll...-Discover how the need for control shows up on the fertility journey and the surprising ways it may be affecting your body.-Learn the connection between nervous system safety, stress responses, hormone health, and your ability to conceive and sustain a healthy pregnancy.-Walk away with practical, actionable steps to shift from hypervigilance and overwhelm into trust, regulation, and support.Press play now to learn how creating more safety, trust, and nervous system balance could be the missing piece in your fertility journey.
Mehlman Qbanks: https://qbanks.mehlmanmedical.com/IG: https://www.instagram.com/mehlman_medical/Main Website: https://mehlmanmedical.com/
Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Cori Durall | Book Appointment In Today's Episode In this episode of Table Talk, Melody sits down with Dr. Cori Durall, a pharmacist and functional medicine practitioner, to discuss her journey from conventional pharmacy to root-cause healing. Dr. Cori shares how her personal health struggles, professional burnout, and experience with post-viral recovery led her to embrace functional medicine and advocate for taking ownership of your health through foundational lifestyle changes. Key Take Aways Functional medicine focuses on identifying and addressing the root causes of symptoms rather than masking them with medications. Chronic stress can significantly impact hormones, nutrient status, adrenal health, and overall recovery. Foundational health habits—sleep, movement, nutrition, sunlight, and stress management—are often the most powerful tools for healing. Post-viral syndromes, including long COVID, can uncover deeper issues like inflammation and gut dysfunction. Taking responsibility for your health empowers long-term wellness and reduces dependence on reactive healthcare solutions. Topics Discussed 00:00 – Welcome to Table Talk Introduction to Pharm to Table's mission and today's guest, Dr. Cori Durall. 00:32 – Meet Dr. Cori Durall Cori shares her background as a pharmacist in Salina, Kansas, and her experience in community pharmacy. 02:13 – Discovering Functional Medicine How compounding pharmacy and hormone health sparked her interest in integrative care. 05:29 – Why Women's Hormone Health Matters The often-overlooked symptoms of perimenopause and menopause. 07:24 – Realizing the Limits of Conventional Pharmacy Why filling prescriptions no longer felt like true healing work. 09:57 – Cori's Personal Health Journey Begins Experiencing unexplained neurological symptoms, fatigue, and frustration with “normal” labs. 12:00 – Healing Through Lifestyle Changes How sleep, nutrition, movement, and gut health became key to recovery. 14:00 – Nutrient Deficiencies and Supplement Support Vitamin D, magnesium, adaptogens, and rebuilding foundational health. 16:00 – Stress, Burnout, and Choosing Health First Why stepping down from leadership was essential for healing. 19:42 – Long COVID and Post-Viral Recovery Navigating lingering symptoms and discovering deeper root causes. 24:32 – The Role of Circadian Rhythm and Recovery Why sleep timing and nervous system regulation matter. 29:23 – Taking Responsibility for Your Health Dr. Cori's encouragement to prioritize lifestyle foundations. 30:10 – Tools for Taking Back Your Power How health tracking and functional testing can guide healing. 32:00 – Foundations of Wellness Program Resources available through Pharm to Table for getting started. Resources Mentioned Table Talk Podcast — Resources & Links The PharmToTable Team – Functional Medicine Providers Therapies & Approaches Discussed: Functional Medicine & Root-Cause Analysis Environmental Detoxification (Mold & Mycotoxins) Comprehensive Gut Health Restoration Metabolic Awareness via Biometric Tracking (Continuous Glucose Monitoring / CGM) Nervous System Regulation & Stress Adaptation (Somatic & Vagal Toning) Foundations of Wellness Framework (Sleep, Stress, Movement, Community)
Mehlman Qbanks: https://qbanks.mehlmanmedical.com/IG: https://www.instagram.com/mehlman_medical/Main Website: https://mehlmanmedical.com/
Could hidden methylation issues be quietly affecting your egg quality, hormones, and ability to stay pregnant?In this quick but powerful episode, Dr. Katie Wood breaks down methylation in a simple, easy-to-understand way and explains why this foundational biochemical process is critical for fertility, hormone balance, DNA repair, and early embryo development.In this episode, you'll learn...-What methylation actually is and why it directly impacts fertility and egg quality-The best food and supplement sources of methyl donors, including methylfolate, B12, choline, and betaine-How to recognize whether methylation issues or MTHFR variants may be part of your fertility picturePress play now to learn how targeted nutrition and methylation support can help create a healthier foundation for pregnancy and improve your fertility naturally.
What if your fertility has more to do with your biological age than the number of candles on your birthday cake?If you've been told your age is the reason you haven't conceived or stayed pregnant, this episode will challenge everything you've been taught about fertility after 35. Dr. Katie Wood explains the critical difference between chronological age and biological age, how cellular aging impacts egg quality, and the lifestyle factors that can actively influence your fertility potential starting today.In this episode, you'll learn...-Why biological age is a more meaningful fertility marker than chronological age-The biggest lifestyle and health factors accelerating cellular aging and impacting egg quality-Practical ways to support mitochondrial health, methylation, sleep, stress regulation, and overall fertility naturallyPress play to learn how to support your fertility at the cellular level and take back control of your reproductive health with science-backed strategies you can start implementing today.
Direct-to-consumer healthcare is changing how patients engage with care, driven by growing demand for convenience, accessibility, and personalized experiences. VerifiedRx host Stacy Lauderdale is joined by Emily Fitt, Hailey Mulliner, and Heather Pace to discuss the continued rise of telehealth and direct-to-consumer healthcare platforms, the areas experiencing the most growth, and what these evolving models may mean for patients, providers, and health systems in the future. Guest Speakers: Emily Fitt, MHA, MPH Senior Associate, Sg2 Intelligence Vizient, Inc. Hailey Mulliner, MS-HSM Senior Director, Sg2 Intelligence Vizient, Inc. Heather Pace, Pharm.D. Senior Clinical Manager, Ambulatory Vizient, Inc. Host: Stacy Lauderdale, Pharm.D., BCPS AVP, Evidence-Based Medicine Vizient Show Notes: (00:52) The panel discusses where direct-to-consumer healthcare has gained the most traction, including: Men's reproductive health Women's contraceptives Dermatology and acne care Behavioral health GLP-1 and obesity management (01:59) Heather explains how GLP-1 medication shortages fueled growth in compounded obesity medications and expanded telehealth services. (02:47) Hailey shares insights from SG2 consumer surveys, emphasizing how patients increasingly want customizable, convenient healthcare experiences like other consumer industries. (03:26) The group explores future expansion areas for direct-to-consumer healthcare, including: Cardiovascular disease management Type 2 diabetes Orthopedic care Cardiometabolic disease monitoring (04:31) Discussion shifts to the benefits and drawbacks for patients, including: Increased convenience and access More comfortable treatment environments Greater patient empowerment Risks of fragmented care and disconnected treatment plans (06:07) Emily outlines concerns for health systems, including: Increased emergency department utilization Lack of coordinated care Medication management gaps Challenges identifying medications prescribed outside the health system (07:03) Heather discusses medication stewardship concerns, particularly as weight loss impacts management of other chronic conditions like hypertension. (07:29) The panel highlights operational challenges for hospitals and procedural teams when patients fail to disclose GLP-1 medications prior to surgeries or colonoscopies. (07:58) The conversation turns to how direct-to-consumer healthcare is permanently changing consumer expectations around convenience and accessibility. (08:36) The panel debates whether health systems should compete with direct-to-consumer companies or pursue partnership strategies. (09:51) Emily discusses how health systems can differentiate themselves by offering the full continuum of care that virtual only providers cannot. (10:20) Heather Pace emphasizes the importance of partnerships between health systems and direct-to-consumer platforms to improve access while maintaining coordinated care. (10:55) The group discusses emerging partnerships in the marketplace, including collaborations between pharmaceutical manufacturers and direct-to-consumer platforms. (12:14)Workforce challenges are explored, including: Competition for clinicians Provider burnout Flexibility offered by virtual care employers (13:17) The panel examines future trends involving AI, including patients using AI to interpret labs and emerging AI-assisted prescribing models in behavioral health. (14:24) Closing thoughts on how direct-to-consumer healthcare is reshaping patient expectations and forcing health systems to rethink care delivery models. Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed
Could a simple magnesium deficiency be the hidden reason behind your PMS, low progesterone, and implantation struggles?Your luteal phase is one of the most important windows for fertility, implantation, and sustaining early pregnancy — and magnesium plays a critical role in keeping this phase stable. If you're experiencing PMS, anxiety after ovulation, cramping, insomnia, spotting before your period, or a short luteal phase, your body may be signaling that it needs more magnesium support.In this episode you'll learn...-How magnesium supports progesterone production, implantation, and luteal phase stability-The connection between magnesium, stress hormones, PMS symptoms, and fertility struggles-The best food sources and supplement forms of magnesium to naturally support your cycle and fertilityPress play to learn how restoring magnesium levels may be one of the simplest and most powerful ways to support your fertility naturally.
Guest: Barry Quart, CEO and DirectorCompany: Connect Biopharma, NASDAQ:CNTBWebsite: https://www.connectbiopharma.com/Connect Biopharma Bio:Connect Biopharma is a clinical-stage biopharmaceutical company dedicated to transforming care for asthma and COPD. Headquartered in San Diego, California, the Company is advancing rademikibart, a next-generation, potentially best-in-class antibody designed to target IL-4Rα. The Company is currently conducting global clinical studies of rademikibart for the treatment of acute exacerbations of asthma and COPD, areas with significant unmet need. Connect has granted an exclusive license to Simcere Pharmaceutical Co., Ltd., for rademikibart in Greater China. Under the exclusive license and collaboration agreement, Connect is eligible to receive remaining milestone payments up to an aggregate amount of approximately $110 million upon the achievement of certain development, regulatory and commercial milestones. Connect is also eligible to receive royalties at tiered percentage rates up to low double-digit percentages on net sales in Greater China.Barry Quart Bio:Dr. Barry Quart brings over 30 years of extensive experience serving in leadership positions in biotechnology and pharmaceutical companies and developing innovative pharmaceutical products. He has personally led several early-stage biotech companies through late-stage clinical development, regulatory strategy, highlighted by nine U.S. Food and Drug Administration (FDA) approved drugs.Dr. Quart was most recently CEO at Heron Therapeutics. He first served as CEO and Director starting 2012, transitioned to President and CEO in 2019 and was named Chair of the Board in October 2020. At Heron, Dr. Quart oversaw the development and approval of four drugs: two drugs for CINV (CINVANTI® and SUSTOL®) and two acute care drugs (ZYNRELEF® and APONVIE®). Prior to Heron, Dr. Quart co-founded Ardea Biosciences, Inc. in 2006 and served as its President and Chief Executive Officer and Director from its inception through its acquisition by AstraZeneca PLC in 2012. At Ardea, Dr. Quart invented and oversaw the development of a drug for gout (ZURAMPIC®), as well as the design and development of a series of MEK inhibitors for cancer that were licensed to Bayer AG. Dr. Quart currently serves on the Board of Directors of Kiniksa Pharmaceuticals. He is an inventor on 18 U.S. patents and an author on 75 publications and abstracts. Dr. Quart received his Pharm.D. from the University of California, San Francisco.
Could your luteal phase be the hidden reason you're struggling to get or stay pregnant?Many women focus only on ovulation or positive pregnancy tests, but your luteal phase reveals whether your body is truly prepared for implantation and sustaining a healthy pregnancy. If you're dealing with spotting before your period, low progesterone, PMS, short cycles, or early pregnancy loss, this episode uncovers the deeper root causes that may be affecting your fertility naturally.In this episode you'll... -Discover what your luteal phase says about ovulation quality, progesterone levels, and implantation potential-Learn the most common root causes behind short luteal phases, including stress, gut health, nutrient deficiencies, and blood sugar imbalances-Understand practical ways to naturally support progesterone production and create a healthier foundation for conception and pregnancyPress play to learn how to strengthen your luteal phase naturally so your body feels supported, nourished, and ready for pregnancy.
To kick off Season 5, Dani and LC discuss a recent perspective published in the Journal of Organic Chemistry that highlights innovations in synthetic chemistry which trace their origins to the work of discovering, developing and commercializing novel therapeutics. This publication was the most accessed paper published in JOC in 2025!Dani and LC explore the motivations on writing it, its main thesis and lesson learned from reexamining nearly 75 years of chemistry innovations at Merck. Be sure to listen through to the very end for a special Season 5 theme reveal!Read and listen to some of the papers we discussed today:From Cortisone to Enlicitide: A Journey of Synthetic Chemistry Innovations at MerckFollow the Pharm to Table podcast on X - @PharmtoTablePodVisit our website at https://podcasters.spotify.com/pod/show/pharm-to-table
Are opposition political parties giving you a voting alternative or noise has taken the place of campaigns based on on issues?Ponsah Fanap and Joseph Gilbert would be having a conversation with Pharm. Samuel Gyang Ishaya on the issues.
Could your gut and vaginal microbiome be quietly affecting your ability to get pregnant or stay pregnant?Most women think probiotics are only helpful for digestion, but your microbiome plays a critical role in fertility, implantation, hormone balance, inflammation, immune health, and even IVF outcomes. In this quickie episode, Dr. Katie Wood explains the powerful connection between gut health and reproductive health — and why choosing the right probiotic may be an important piece of your fertility journey.By listening to this episode, you'll learn...-How probiotics influence fertility, implantation, inflammation, and hormone balance-The surprising gut-hormone connection that can impact ovulation, egg quality, and pregnancy outcomes-What to look for in a high-quality probiotic when trying to conceive and why personalization mattersPress play now to learn how supporting your microbiome could help create a healthier, more receptive environment for pregnancy naturally.
Have you been told everything looks normal, yet you're still struggling to get pregnant or experiencing heartbreaking miscarriages?Many women dealing with unexplained infertility, failed IVF transfers, or recurrent pregnancy loss never realize that hidden inflammation inside the uterine lining could be interfering with implantation and pregnancy. In this episode, Dr. Katie Wood breaks down chronic endometritis — a commonly overlooked condition that often goes undiagnosed in conventional fertility care — and explains why evaluating the uterine environment is just as important as focusing on hormones, eggs, and sperm.In this episode you'll learn...-What chronic endometritis actually is and why it's frequently missed during fertility testing-The subtle signs and symptoms that may point to hidden uterine inflammation-How gut health, immune balance, inflammation, and the uterine microbiome all impact implantation and pregnancy successPress play now to discover whether this overlooked fertility issue could be the missing piece standing between you and a healthy pregnancy.
Moderator: BobbieJean Sweitzer, M.D. Participants: Sophie Bringuier, Pharm.D., Ph.D. Articles Discussed: Development and Validation of EVANpedia for the Assessment of Perioperative Experience in Pediatric Patients Transcript
Could the pain reliever you take every month be secretly delaying your ovulation?If you're trying to conceive but still relying on over-the-counter medications like ibuprofen or naproxen, this episode uncovers how these common habits may be interfering with your body's natural ovulation process—without you even realizing it.In this episode you'll...-Understand how NSAIDs disrupt prostaglandins and block follicle rupture-Learn why timing during your cycle can make or break your chances of conception-Discover natural alternatives to manage pain while supporting fertilityPress play now to uncover how to protect your ovulation and boost your chances of getting pregnant naturally.
If your partner's semen analysis came back “normal,” why are you still not pregnant?Many couples are told everything looks fine—yet conception still isn't happening. This episode uncovers the hidden gaps in standard fertility testing, especially when it comes to male fertility, vasectomy reversals, and overlooked lifestyle factors like sleep, stress, and blood sugar that could be quietly sabotaging your chances.In this episode you'll... -Understand why “normal” semen analysis results don't mean optimal fertility-Discover the most overlooked male fertility factors that doctors often miss-Learn practical, holistic steps to improve sperm health and increase your chances of conceptionPress play now to uncover what might really be holding you back from getting pregnant—and what you can start doing today to change it.
In this episode, Paul Green, Pharm.D., MHA, BCPS, CPEL, DPLA - Director of Pharmacy Services, Westchester Medical Center, discusses how pharmacy is evolving from a cost center to a key driver of clinical, operational, and financial value. He shares insights on technology integration, workforce sustainability, and building a proactive pharmacy strategy aligned with broader health system goals.
Are the “healthy” foods in your diet actually harming your fertility without you realizing it?Many women trying to conceive are eating fortified cereals, plant-based milks, and protein snacks thinking they're helping—but these foods often contain synthetic nutrients that can disrupt hormones, block absorption, and contribute to inflammation and blood sugar imbalances.In this episode you'll...-Understand what fortified foods really are and how they impact your fertility-Learn why synthetic nutrients like folic acid may not support your body the way you think-Discover the best whole, nutrient-dense foods to nourish your hormones, egg quality, and overall fertilityListen now to learn how simple food swaps can better support your fertility and help your body function the way it was designed to.
Could your body be giving you warning signs about miscarriage risk before you even get pregnant?Many women are told miscarriage is random—but subtle symptoms like painful periods, PMS, blood sugar crashes, or even gut issues could be signaling deeper imbalances that impact your ability to sustain a healthy pregnancy.In this episode you'll... -Understand the most overlooked fertility red flags that may increase miscarriage risk-Learn what your symptoms actually mean at a root-cause, hormonal, and metabolic level-Discover how to support both your body and your partner's health before pregnancy for better outcomesTune in now to uncover the hidden fertility clues your body is giving you so you can build a stronger foundation for a healthy, lasting pregnancy.
Alpha-gal syndrome is an emerging and often underrecognized allergy triggered by a tick bite that can cause delayed reactions to red meat and mammalian-derived products. In this episode, host Stacy Lauderdale is joined by clinical experts Zack Stacy and Kyna Henrici to unpack the science behind alpha-gal, its implications in healthcare settings, and the operational challenges providers face in managing this complex condition. Guest Speakers: Zachary Stacy, Pharm.D., MS, FCCP, BCPS Clinical Pharmacy Specialist, Surgery BJC Health Kyna Henrici, RN Medical Evidence Director - Cardiovascular Vizient, Inc. Host: Stacy Lauderdale, Pharm.D., BCPS AVP, Evidence-Based Medicine Vizient, Inc. 00:05 – Introduction Podcast introduction and welcome to VerifiedRx 00:14 – What is alpha-gal syndrome Overview of alpha-gal syndrome Delayed allergic reactions after eating red meat Often linked to tick bites 00:48 – Meet the Guests Zack Stacy, clinical pharmacy specialist Kyna Henrici, medical evidence director 01:10 – Understanding the Allergy Alpha-gal is a carbohydrate in nonprimate mammals that can trigger an allergy in humans Key difference is delayed reaction timing Symptoms are not always easy to trace 01:32 – How It Develops Triggered by tick bites Immune system produces IgE antibodies Oral exposure to alpha-gal leads to delayed reactions IV exposure to alpha-gal can cause immediate reactions 02:17 – Prevalence and Diagnosis Challenges More common in Midwest and southern United States Likely underdiagnosed Often mistaken for general food allergies Allergy may fade over time 03:07 – Risks in Healthcare Settings Patient safety concerns beyond food Mammalian components in medications and devices Examples include heparin and surgical materials 03:44 – Hidden Medication Risks Inactive ingredients can be animal derived Examples include glycerin, lactose, amino acids, stearates Difficult to identify and track 04:42 – Lack of Transparency No centralized ingredient database Sourcing can change frequently Variability across manufacturers and batches 05:33 – Screening in Surgical Settings Medication review at NDC level Identification of active and inactive ingredients May require contacting manufacturers 06:45 – Timing Challenges Urgent procedures limit investigation time Manufacturer responses may take days Alternative medications often needed 07:14 – Identifying At Risk Patients Many patients are unaware they have alpha-gal syndrome Screening includes questions about dairy tolerance Three patient categories used for evaluation 08:32 – Using Dairy as a Screening Tool Dairy tolerance helps guide risk level Food exposure typically higher than medication exposure Determines need for deeper review 09:12 – Managing Emergencies Focus shifts from avoidance to risk mitigation Use of team communication and clear documentation Preparation for unavoidable exposure 10:03 – Prevention and Preparedness Stock alpha-gal safe medications when possible Prepare for allergic reactions with standard treatments 10:47 – Team Based Care Approach Collaboration across care teams is essential Premedication strategies may be used Close monitoring for reactions 11:11 – Gaps in Care Limited visibility into product ingredients Need for better labeling and transparency 11:33 – Need for Standardization Call for clearer guidance and clinician education Desire for centralized resource for medication ingredients 12:24 – Monitoring Challenges CDC tracking decreased after privatization of testing Cases likely still increasing 12:53 – Closing Remarks Links and Resources: Alpha-gal Syndrome | Alpha-gal Syndrome | CDC Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed
Are you relying on fertility teas like red raspberry leaf to get pregnant—but still not seeing results?Many women turn to natural remedies hoping for a quick fertility boost, but without understanding how these tools actually work, they can end up frustrated and stuck. This episode breaks down what red raspberry leaf tea really does inside your body—and why it's only one piece of the bigger fertility puzzle.In this episode you'll...-Understand how red raspberry leaf tea supports uterine health, hormones, and inflammation-Learn the best way to use this herb strategically for fertility (timing, dosage, and preparation)-Discover why root-cause healing is essential if you want real, lasting resultsPress play now to learn how to use red raspberry leaf tea effectively—so you can stop guessing and start supporting your fertility the right way.
Could your or your partner's cannabis use be silently delaying your ability to get pregnant?With cannabis becoming more accessible and widely accepted, many couples assume it's harmless—especially when used occasionally or “naturally.” But emerging research reveals that THC directly interacts with your reproductive system, potentially disrupting ovulation, sperm quality, and even embryo development—often without obvious signs.In this episode you'll learn...-How cannabis affects both female hormones and male sperm at a deeper, often overlooked level-What the latest research says about THC's impact on egg quality, ovulation timing, and embryo health-How long it actually takes for your body to recover and what steps to take if pregnancy is your goalPress play now to uncover the hidden fertility effects of cannabis—and what you can do today to improve your chances of a healthy pregnancy.
If you've been trying to conceive and feel stuck in frustration, disappointment, or fear that it won't happen, this episode uncovers a powerful piece most women overlook. Even when you're doing all the “right” things physically, your nervous system, beliefs, and emotional patterns may be keeping your body in a state that isn't supportive of pregnancy.In this episode you'll learn...How your internal state and nervous system directly impact your fertilityWhy staying stuck in past fertility experiences can block future pregnancyDiscover simple, daily ways to shift your energy and create a body that feels safe to conceive Press play now to learn how to shift your internal environment and start aligning your body and mind for pregnancy this year.
If your cycle is regular, why aren't you getting pregnant?Many women assume that a consistent monthly period means everything is working perfectly—but that belief can quietly delay your chances of conceiving. This episode breaks down why a regular cycle doesn't guarantee ovulation, hormone balance, or true fertility, and what your body might actually be trying to tell you.In this episode you'll learn...The key differences between having a period and having a truly fertile cycleThe subtle signs your hormones and ovulation may be off—even with a “normal” cycleWhat to focus on to improve egg quality, hormone balance, and your chances of pregnancyPress play now to uncover what your cycle may be missing—and how to start optimizing your fertility naturally.
AI is rapidly reshaping pharmacy practice, raising both concern and opportunity for healthcare teams. Vizient host Kerry Schwarz is joined by Dr. Jason Chou, Vice President of the System Pharmacy Service Line, and Dr. Catherine Oliver, System AVP of Clinical Pharmacy Services at Ochsner Health, to explore how AI is improving efficiency while redefining how pharmacy teams spend their time. They discuss where technology is already making an impact and where its limits still require human expertise. Guest Speakers: Dr. Jason Chou, Pharm.D., MS Vice President, System Pharmacy Service Line Ochsner Health Dr. Catherine Oliver, Pharm.D., BCPS, DPLA, CPGx System AVP, Clinical Pharmacy Services Ochsner Health Host Dr. Kerry Schwarz, Pharm.D., MPH Senior Clinical Manager, Evidence-Based Medicine and Outcomes Vizient Center for Pharmacy Practice Excellence Shownotes: 00:05 — Introduction Announcer welcomes listeners to VerifiedRx, produced by the Vizient Center for Pharmacy Practice Excellence. 00:14 — Episode Overview Host Kerry introduces the topic: the role of artificial intelligence (AI) in healthcare and pharmacy. Key themes: Addressing fears of job replacement Identifying real-world use cases Understanding limitations of AI Practical strategies for adoption Guests: Dr. Jason Chou, VP, System Pharmacy Service Line, Ochsner Health Dr. Catherine Oliver, System AVP, Clinical Pharmacy Services, Ochsner Health 01:04 — Will AI Replace Healthcare Jobs? Concern exists, but largely driven by misunderstanding AI is expected to: Augment, not replace, pharmacy roles Improve efficiency in daily workflows AI is not capable of: Independent clinical judgment Meaningful patient interactions Human elements—trust, empathy, and nuance—remain essential. 02:20 — Where AI Can Add Value Today Focus should shift from fear to practical use cases Ideal applications: Reducing non-value-added tasks Improving efficiency Supporting clinical decision-making preparation (not replacing it) 02:39 — Early Use Cases: Operational Efficiency AI can reduce administrative burden such as: Prior authorizations Insurance-related communications Data gathering and documentation Opportunity to eliminate “busy work” and improve staff satisfaction 03:31 — Clinical Workflow Support AI can: Summarize patient charts, labs, and notes Organize large volumes of clinical data Enables pharmacists to: Spend less time preparing Spend more time in patient care and provider interaction 04:08 — Additional Opportunities: Supply Chain & Operations AI can support: Inventory management Purchasing optimization Multi-site coordination Benefits include: Cost savings Improved efficiency Better resource utilization 05:00 — Where to Draw the Line AI should not replace clinical decision-making Limitations include: Lack of experience and judgment Inability to incorporate patient values and preferences Final decisions must remain with clinicians. 05:42 — Preserving the Human Element Patient care involves: Trust Empathy Relationship-building Over-reliance on AI risks eroding patient confidence. 06:11 — Patient Interaction & Transparency Patients want to know: When AI is used How it impacts their care Transparency and communication are critical 06:48 — AI in Direct Patient Care: Ambient Listening AI tools can: Capture conversations during patient visits Reduce documentation burden Important considerations: Patient consent Ability to opt out Privacy concerns 07:31 — Risks of Poor Implementation Poorly designed AI interactions can: Frustrate patients Reduce trust Healthcare AI must avoid: Impersonal experiences Inefficient automation 08:21 — AI as a Tool, Not a Replacement Comparable to tools like: Search engines (e.g., Google) Enhances efficiency without replacing professional roles. 09:12 — Early Success Stories Prior Authorization Optimization AI improves: Data extraction Documentation speed Approval timelines Benefits: Faster patient access to therapy Improved staff satisfaction 10:07 — Clinical Decision Support Enhancements AI-driven rule systems: Identify high-risk patients Reduce unnecessary chart reviews Example outcome: Reduction in time spent reviewing charts without intervention Frees pharmacists for: Medication reconciliation Patient counseling 11:11 — Impact on Workforce Engagement Staff report: Increased satisfaction More time for meaningful work AI seen as an enabler rather than a threat 12:03 — Vendor Landscape & Challenges Rapid growth of AI vendors addressing niche problems Key risks: Data security concerns Vendor quality variability Overlapping or redundant solutions 12:51 — Integration & Workflow Considerations Successful AI tools must: Integrate with EHRs Align with pharmacy workflows Avoid siloed systems Poor integration leads to inefficiency and adoption barriers 14:04 — Vendor Evaluation Considerations Assess: Clinical and operational expertise Product maturity Implementation effort Risk vs benefit Balance between: Ready-made solutions Custom-built tools requiring internal resources 14:56 — Practical Advice for Health System Leaders Develop a system-wide AI strategy Collaborate across departments (not siloed decisions) Engage: IT Legal Ethics teams Avoid duplicative solutions across service lines 15:31 — Building Organizational Readiness Be open to learning and experimentation Ask questions and maintain healthy skepticism Focus on: Improving workflows Enhancing patient outcomes Supporting workforce engagement 16:02 — Infrastructure & Speed of Innovation AI vendors move quickly Organizations must: Be prepared to adapt rapidly Avoid delays that hinder innovation Balance speed with governance and safety 16:27 — Closing Kerry thanks the guests for their insights Encourages continued exploration of AI's evolving role in healthcare Reminder to subscribe and engage with VerifiedRx. 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Rich Embury’s R3TROGR4D3 returns to CRANK IT LOUD with more brand NEW Hard Rock & Metal from Billy Morrison, Sully Erna & Nuno Bettencourt / Cyhra / Eva Under Fire & Maria Brink / Pharm / Black Oak County / Life Cycles & Matthew K. Heafy / Myrath / Spread Eagle / Major Moment / The Warning! Plus music history, classics, requests and more from Rammstein / KISS / Volbeat / Dynazty / Rubicon Cross / Nirvana / Gary Moore & Phil Lynott / Nazareth / Whitesnake / Seasons Of The Wolf / The Hollies / Monster Magnet / Shadows Fall / Alice In Chains / Sebastian Bach / W.A.S.P. / Buckcherry / Savatage! TAKE COVER
What if the real reason you're not getting pregnant has nothing to do with your supplements or lab results?If you've been trying everything—tracking, supplements, protocols—but still not seeing results, this episode uncovers the missing piece most women overlook.In this episode you'll learn...Why your daily habits are the hidden multiplier behind every fertility tool you're usingThe 6 simple, science-backed habits that optimize hormones, egg quality, and conceptionWalk away with a realistic, step-by-step way to implement these habits without overwhelm Press play now to learn how to make your fertility plan finally work with your body—not against it.
Have you tried everything to get pregnant—but still feel like something important is being missed?For many women on the fertility journey, focusing only on hormones and surface-level treatments can overlook a deeper issue: how your body actually communicates internally. If those signals are disrupted, ovulation, implantation, and overall reproductive health can suffer—no matter how many supplements or protocols you try.In this episode you'll learn...-How peptides act as powerful signaling molecules that can support ovulation and hormone balance-Learn when peptide therapy may be beneficial in your fertility journey—and when it's not-Understand the foundational changes you must make first to ensure any fertility treatment actually worksPress play now to uncover whether peptides could be the missing link in your path to getting—and staying—pregnant.
Could the clothes you wear every day be silently disrupting your hormones and affecting your ability to get pregnant?Most women focus on food and skincare when it comes to fertility—but overlook a major source of toxin exposure: their clothing. Synthetic fabrics like polyester and spandex can release endocrine-disrupting chemicals that interact with your hormones, potentially impacting egg quality, cycles, and overall fertility without you even realizing it.In this episode you'll learn...-How synthetic fabrics expose you to hormone-disrupting chemicals like phthalates, PFAS, and microplastics-Discover how these hidden toxins can affect your fertility, hormones, and reproductive health-Get simple, realistic swaps you can start making today to reduce your toxic load and support a healthy pregnancy Hit play now to uncover the hidden fertility disruptors in your closet—and learn the simple swaps that can help you support your hormones naturally.
Have you been told “everything looks normal” after a miscarriage—but still don't have answers why it happened?If you're trying to conceive after pregnancy loss, being dismissed with normal lab results can leave you feeling stuck, confused, and afraid to try again. The truth is, standard miscarriage testing often misses key root causes—meaning you could be overlooking critical pieces of your fertility puzzle without even knowing it.In this episode you'll...-Understand why conventional miscarriage workups often fail to uncover the real root causes-Discover the most overlooked fertility tests across hormonal, immune, clotting, and functional health-Learn how to move forward with a clear, personalized plan so you can try again with confidence Press play to uncover the hidden fertility factors you may be missing—and finally get the clarity you need to move forward with confidence.
Could a single overlooked supplement be the missing piece to improving implantation and getting pregnant faster? Most women focus on ovulation and hormones—but your uterine lining is just as critical for pregnancy success. If your lining isn't thick, nourished, and receptive, implantation can't happen—no matter how “perfect” everything else looks. And this is where many fertility journeys quietly stall.In this episode you'll learn...-Learn why uterine lining thickness and quality are essential for implantation-Understand how vitamin E improves blood flow, reduces inflammation, and supports progesterone-Discover how to properly use vitamin E for maximum fertility benefitsHit play now to learn how to optimize your uterine lining and give implantation the best possible chance.
What if the real reason you're not getting pregnant… is stress you don't even feel? You might think stress only comes from a busy schedule or emotional overwhelm—but your body sees stress very differently. From blood sugar crashes to gut issues and even “healthy” habits like intense workouts, hidden stressors could be putting your body into survival mode and quietly disrupting your fertility without you realizing it.In this episode you'll learn...-Understand the different types of stress affecting your body beyond just emotions-Learn how to identify subtle signs your body is in a chronic stress response-Discover exactly how stress disrupts hormones, ovulation, and your ability to conceive.Press play now to uncover the hidden stressors sabotaging your fertility—and learn how to finally address them at the root.
Could your “normal” lab results be the very reason you're still struggling to get pregnant?If you've been told everything looks fine—but your body is telling a different story—this episode uncovers a hidden root cause many women (and men) miss: early-stage insulin resistance. Even with normal A1C and glucose levels, your blood sugar may be silently disrupting ovulation, hormones, and egg quality—keeping you stuck and searching for answers.In this episode you'll learn...-Understand how insulin resistance impacts ovulation, hormones, and fertility—even without a diagnosis-Learn the early warning signs your body is giving you long before labs show a problem-Discover simple, foundational steps to support blood sugar and improve your chances of conceptionPress play now to uncover the hidden blood sugar imbalances that could be blocking your path to pregnancy—and learn how to start fixing them today.
Have you been told your fertility labs look “normal,” but you still can't get pregnant?Many women struggling with infertility hear the same frustrating message from doctors: everything looks fine. But as Elizabeth's story shows, normal lab results don't always mean the body is functioning optimally. After nearly nine years of unexplained infertility, irregular cycles, and suspected PCOS, she felt stuck with no real answers.In this episode, you'll learn...-What navigating nearly a decade of unexplained infertility actually feels like and why “normal” test results can still miss underlying issues-How factors like blood sugar balance, stress, and lifestyle patterns can quietly impact fertility-Why small, sustainable changes can be more powerful than extreme diets or complicated fertility protocolsListen to this episode to discover how supporting your body at the root level could help restore balance and move you closer to the healthy pregnancy you've been hoping for.
Immune checkpoint inhibitors targeting PD-1 and PD-L1 have transformed the treatment landscape across a wide variety of cancers, becoming foundational therapies in oncology. Dr. Stacey Sobocinski and Dr. Michele Rice join host Dr. Kerry Schwarz to discuss what the new subcutaneous PD-1/PD-L1 immune checkpoint inhibitors could mean for oncology practice. They cover the three agents that have become available in subcutaneous formulations, their advantages and disadvantages, other important operational, financial, clinical, and safety issues for health systems to consider. Guest speaker: Stacey Sobocinski, Pharm.D., BCPS Associate Director, Pharmacy Medication Management & Informatics MD Anderson Cancer Center Michele Rice, Pharm.D., BCOP Senior Consulting Solutions Director Vizient Pharmacy Enterprise Solutions Host: Kerry Schwarz, Pharm.D., MPH Senior Clinical Manager, Evidence-Based Medicine and Outcomes Vizient Center for Pharmacy Practice Excellence Show Notes: 00:05 — Introduction Announcer welcomes listeners to VerifiedRx, produced by the Vizient Center for Pharmacy Practice Excellence. 00:14 — Episode Overview Host Kerry introduces the topic: new subcutaneous formulations of PD-1 and PD-L1 immune checkpoint inhibitors. These therapies have traditionally been administered intravenously (IV) in infusion centers. Recently approved subcutaneous versions include: Pembrolizumab (Keytruda Qlex) Nivolumab (Opdivo Qvantig) Atezolizumab (Tecentriq Hybreza) Potential benefits include shorter administration times and relief for infusion centers operating at capacity. Guests: Stacy Sobacinski, Associate Director of Pharmacy Medication Management and Informatics, MD Anderson Cancer Center Michelle Rice, Senior Pharmacy Enterprise Solutions Director, Vizient 01:39 — Clinical Data: Efficacy, Safety & Pharmacokinetics Subcutaneous formulations were approved in combination with hyaluronidase, allowing full-dose subcutaneous administration. Clinical studies demonstrated: Comparable pharmacokinetics Similar efficacy Similar safety profiles compared to IV formulations The main difference observed was local injection site reactions, expected with subcutaneous administration. 02:32 — Confidence in Clinical Comparisons Although direct head-to-head trials are limited, extensive experience with IV formulations supports confidence in safety and efficacy. Differences largely relate to administration method, not drug activity. 03:11 — Operational Impact: Changes to Workflow Subcutaneous administration introduces new operational considerations. Shorter injection times may appear advantageous, but real-world workflow impact is still being evaluated Much of a patient's visit still involves: Waiting room time Laboratory testing Provider visits Care coordination 04:06 — Chair Time vs Total Visit Time For therapies previously requiring longer infusions, switching to subcutaneous injections can significantly reduce chair time. For therapies previously infused over 30 minutes, the difference between IV and subcutaneous administration time may be less impactful. 04:24 — Administration Challenges Subcutaneous doses are not small-volume injections. Injection volumes may reach 10–15 mL Nursing considerations include: Patient tolerance for larger-volume injections. IV infusions allow nurses to start the infusion and attend to other tasks. Subcutaneous injections require continuous nursing presence during administration. This may increase direct nursing time. 05:05 — Equipment Considerations Some centers may use syringe pumps to administer subcutaneous injections. Many adult infusion centers do not currently have pumps since chemotherapy is typically delivered via IV using infusion pumps. Implementing syringe pumps could require additional equipment and associated procedures. 05:32 — Operational Complexity Transitioning to subcutaneous therapy involves more than simply switching order sets. Organizations must evaluate: Staffing models Nursing workflows Equipment availability Infusion center capacity management. 06:25 — Financial Considerations Subcutaneous formulations are currently priced roughly at parity with IV versions. Manufacturers may be incentivized to transition providers to subcutaneous formulations before biosimilars enter the market. 07:07 — Anticipating Market Dynamics Over time, pricing strategies may shift to encourage broader adoption. Biosimilar competition for these agents is expected within the next few years. 07:11 — Site of Care Considerations Adoption may vary by care setting: Hospital outpatient departments Physician offices Freestanding infusion centers 08:06 — Strategic Timing Decisions Health systems may weigh: Operational advantages of subcutaneous administration Potential cost reductions from future biosimilars Some organizations may delay adoption until biosimilar competition arrives. 08:24 — Infusion Center Optimization Subcutaneous therapies could increase turnover. Some centers may develop “express lanes” for subcutaneous administration. 09:01 — Payer Influence If subcutaneous formulations are perceived as cheaper or operationally simpler, payers may: Restrict site of care Prefer administrations in physician offices or non-hospital settings. 09:45 — Key Questions for Health Systems Organizations should consider: What value does the new dosage form provide? Which patients benefit most from subcutaneous administration? How will payer policies evolve? 10:05 — Evaluating Clinical Value Institutions often approach new dosage forms with caution. Subcutaneous PD-1/PD-L1 inhibitors may not offer the administration time reductions seen with other biologics because there is not as large of a difference in administration times (30 minutes versus 5 minutes). 10:53 — Patient Selection Considerations Subcutaneous formulations may be most beneficial for patients: Receiving monotherapy With difficult IV access Patients receiving combination therapies may see less benefit since IV access is already required. 11:12 — Additional Patient Factors Some patients have low body mass or cachexia, making high-volume subcutaneous injections more difficult. Physicians may prefer individualized treatment decisions rather than blanket formulary changes. 11:33 — Final Thoughts Transitioning to subcutaneous PD-1/PD-L1 inhibitors involves clinical, operational, and financial considerations. Observation times, administration practices, and workflow models continue to evolve. Ongoing monitoring of emerging best practices is encouraged. 12:15 — Closing ongoing monitoring of emerging best practices. Listeners are invited to subscribe and follow VerifiedRx for future episodes. Subscribe Today! Apple Podcasts Spotify YouTube RSS Feed
Could your estrogen levels—either too low or too high—be quietly interfering with your chances of getting pregnant?Many women trying to conceive hear terms like estrogen dominance and assume the solution is simply lowering estrogen. But fertility hormones are much more nuanced than that.In this episode you'll learn...-Understand the key differences between low estrogen and high estrogen symptoms and how they can appear in your cycle-Discover the essential nutrients and foods your body needs to produce healthy estrogen levels-Learn simple ways to support liver and gut detox pathways so estrogen can be processed properlyPress play now to learn how balancing estrogen naturally can help your hormones work with your fertility instead of against it.
Could an estrogen imbalance be the hidden reason you're struggling to get or stay pregnant?Many women are told symptoms like painful periods, heavy bleeding, PMS, or hormonal migraines are just part of being a woman. But these symptoms can actually be your body's early warning signals that estrogen and progesterone are out of balance. When estrogen becomes dominant or poorly metabolized, it can create inflammation, disrupt ovulation, and make implantation more difficult.In this episode you'll learn...-Understand how estrogen supports ovulation, cervical mucus, and uterine lining development—and when it starts working against fertility-Learn the most common signs your body may be experiencing estrogen dominance or hormone imbalance-Discover the root causes behind estrogen metabolism issues and how they can impact implantation and pregnancy successPress play now to discover the hidden hormonal patterns that may be affecting your fertility and learn how supporting your body's natural systems can help restore balance and improve your chances of pregnancy.
What if your cycle has been waving red flags for years… and no one has pointed them out?If you've been told “everything looks normal” but you're still not pregnant, your cycle may be telling a very different story. Subtle signs like late ovulation, short luteal phases, spotting before your period, missing cervical mucus, or erratic basal body temperatures can signal hormone imbalances, thyroid dysfunction, inflammation, gut issues, or stress patterns long before labs or ultrasounds ever show a diagnosis.In this episode you'll learn...-Identify early warning signs of hormone and ovulation dysfunction directly from your chart-Understand why normal lab results don't always equal optimal fertility-Learn how to use cycle tracking as real-time data to guide faster, smarter interventionsPress play now to learn how to decode your cycle and uncover hidden fertility red flags before they delay your dream of pregnancy.
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Are you missing key fertility clues each month that could be the reason you haven't gotten pregnant yet?If you're trying to conceive and relying only on LH strips or generic period apps, you might be overlooking powerful data your body is giving you daily. Your cycle holds critical insights about ovulation, hormone balance, luteal phase health, and even potential conditions like PCOS or endometriosis.In this episode you'll learn...-Learn how to confidently identify your fertile window and confirm ovulation-Understand how your chart can reveal root causes like short luteal phases, anovulation, or hormonal imbalances-Discover how using the symptothermal method can fast-track conversations with your doctor and shorten your time to diagnosisPress play now to learn how to decode your cycle and take control of your fertility journey with clarity and confidence.
In this episode of Framework Focus, Dr. Dae Lee breaks down the regulatory and reimbursement shifts reshaping long-term care (LTC) pharmacy. With the Inflation Reduction Act (IRA) moving from policy theory to operational reality, Medicare's Maximum Fair Price (MFP) program, Part D redesign, and inflation rebate enforcement are now active forces that LTC operators must navigate. This conversation moves beyond headlines and into real-world implications: cash flow risk, administrative burden, contracting exposure, and strategic readiness for closed-door and combo LTC pharmacies. Key Discussion Points Medicare Drug Price Negotiation Is Now Operational The IRA authorizes Medicare to negotiate prices for certain high-spend Part D drugs, with the first 10 Maximum Fair Prices (MFPs) effective January 1, 2026. This marks a structural shift in federal drug pricing and directly impacts LTC dispensing economics. Maximum Fair Price and LTC Reimbursement Compression MFP caps reimbursement on selected drugs, creating potential margin compression if acquisition costs and payment timing are misaligned. For LTC pharmacies operating on tight spreads and high-volume chronic utilization, even small deltas can materially affect profitability. Medicare Transaction Facilitator (MTF) and Payment Timing Risk The MTF system introduces new payment mechanics between manufacturers, plans, and pharmacies. LTC pharmacies must understand how effectuation and reconciliation work, particularly if payment timing differs from traditional Part D adjudication flows. Cash flow modeling becomes essential. Administrative Complexity and Claims Reconciliation Identifying which NDCs are subject to MFP, managing claim reversals, handling price disputes, and monitoring plan-level compliance will increase administrative workload. LTC pharmacies will need structured internal workflows to prevent reimbursement leakage. Dispensing Fees and the LTC Service Intensity Problem Unlike retail, LTC pharmacy includes compliance packaging, emergency kits, cycle fills, consultant pharmacist oversight, and regulatory documentation. Current IRA implementation does not automatically adjust dispensing or supply fees to reflect this complexity, raising sustainability concerns. Congressional Efforts to Stabilize LTC Pharmacy Legislative proposals such as the Preserving Patient Access to LTC Pharmacies Act aim to create supply fee protections tied to MFP drugs. The episode explores whether policy corrections are likely — and how quickly DC can realistically respond. Expansion of Negotiated Drug Lists The initial 10 negotiated drugs are only the beginning. Additional rounds of negotiation are underway, expanding exposure across more therapeutic classes. LTC pharmacies must treat MFP as a growing structural feature — not a limited pilot. Part D Redesign and the $2,100 Out-of-Pocket Cap Beginning in 2026, the redesigned Part D benefit changes liability distribution among plans, manufacturers, and CMS. The new out-of-pocket cap alters plan incentives and may lead to tighter utilization management, formulary shifts, and network recalibration — all of which LTC pharmacies must monitor closely. Inflation Rebates and Market Distortion The IRA's inflation rebate provisions penalize manufacturers for price increases above inflation benchmarks. While not directly adjudicated at the pharmacy counter, these provisions influence manufacturer pricing strategy, launch pricing behavior, and downstream PBM negotiations — indirectly affecting LTC acquisition costs. Strategic Readiness as a Competitive Advantage The episode concludes with practical recommendations: • Conduct an MFP exposure audit across top-dispensed NDCs • Reassess PBM contracts and network participation clauses • Model cash flow under delayed reimbursement scenarios • Educate facility partners on regulatory changes • Build internal compliance tracking specific to negotiated drugs Why This Matters Now For LTC pharmacies, this is not simply a policy conversation — it is a structural shift in reimbursement architecture. As federal oversight expands and pricing authority evolves, operational precision and legal literacy will define which organizations adapt successfully. About our guest: Dr. Dae Lee, Pharm.D, Esq., CPBS Shareholder - Buchanan Ingersoll & Rooney PC Email: dae.lee@bipc.com Dae Y. Lee is a pharmacist-attorney and Certified Pharmacy Benefits Specialist™ (CPBS™) who represents pharmacies, healthcare stakeholders, and plan sponsors in high-stakes disputes and regulatory matters involving Pharmacy Benefit Managers (PBMs) and government payors. Drawing on his dual training as a pharmacist and attorney, Dae focuses his practice on defending clients in audits, investigations, enforcement actions and complex reimbursement and compliance matters. Dae routinely represents pharmacies nationwide in PBM and payor audits, including Fraud, Waste and Abuse (FWA) investigations, extrapolation disputes, overpayment recoupments, credentialing denials, network suspensions and terminations. He advises pharmacies on compliance with applicable state pharmacy fair audit laws, PBM provider manuals, and reimbursement standards, with the goal of minimizing financial exposure while preserving network participation and business continuity.
Are you doing everything to get pregnant… and still wondering why it hasn't worked yet?After 200 podcast episodes and three years of serving women on their fertility journeys, Dr. Katie is sharing the three biggest lessons she's learned—and how each one directly mirrors what she sees keeping women stuck when trying to conceive. If you've been navigating diagnoses like PCOS, low AMH, unexplained infertility, or simply feeling overwhelmed by all the advice out there, this episode will challenge the way you think about your next step.In this episode, you'll learn... -Why your diagnosis does not define your fertility future—and how to build resilience when things feel impossible-The powerful identity shift that often determines whether your fertility plan actually works-Why chasing supplements and trends may be distracting you from the foundational changes that truly move the needlePress play now to discover the three mindset and strategy shifts that could completely change the trajectory of your fertility journey.
200th Episode Giveaway
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Could your low AMH actually be a vitamin D signaling issue?If you've been told your AMH is low and felt like your fertility clock is ticking, this episode may offer a completely different perspective. Vitamin D acts like a hormone in the body and plays a role in ovarian signaling, follicle development, and immune balance. Yet many women never have their levels properly tested or optimized. In this episode, you'll learn...-How vitamin D influences AMH production and ovarian function-What the research really shows—including the differences in PCOS and regular ovulation-Why low AMH may be modifiable and how personalized nutrient support can improve fertility outcomesPress play now to learn how optimizing one foundational nutrient could help restore healthy ovarian signaling and support your natural fertility potential.
Have you been told your AMH is low—and that time is running out?If you've ever felt panic after seeing your AMH results or were told IVF is your only option, this episode will completely reframe what that number actually means. AMH is one of the most overemphasized labs in fertility care, yet it doesn't measure egg quality, ovulation health, or your true ability to conceive naturally.In this episode, you'll learn...-What AMH is truly measuring (and what it never tells you about your fertility)-The real factors that impact egg quality, ovulation, and implantation success-The root causes that can suppress AMH levels—and how addressing them can improve fertility outcomesPress play now to learn why your AMH number is just data—not your destiny—and what actually moves the needle when you're trying to conceive naturally.
Full Show Notes: https://bengreenfieldlife.com/lavalle/ In this episode, I sit down with the legendary clinical pharmacist Jim LaValle for a fascinating exploration of some of the most innovative approaches to health, performance, and longevity. We discuss everything from peptides and small molecules for mitochondrial and kidney support to the science behind improving VO2 max, brain function, sleep, and more. Jim LaValle unpacks his decades of experience, shares cutting-edge research on metabolic health, and explains the power of his Metabolic Code test—which I recently tried myself—for identifying and addressing the biggest bottlenecks in your health journey. Throughout our conversation, we swap stories about nutrition missteps (think gallons of dairy and endless antibiotics), dive into the practical application of peptides like KPV, BPC-157, and lorazotide for healing the gut, and examine trends Jim repeatedly sees even in high performers—like stress-driven hormone changes and sneaky signs of inflammation. If you’re curious about how personalized lab testing, wearable data, and smart supplementation can help you feel better, perform better, and age powerfully, you’ll love the insights in this episode. James "Jim" B. LaValle, B.S.Pharm, CCN, MT, DHM, DHPh, is an internationally recognized clinical pharmacist, author, and board-certified clinical nutritionist, with over 40 years of clinical experience in natural products, lifestyle, drug/nutrient depletion, compounding pharmacy, and peptides. Episode Sponsors: Truvaga: Balance your nervous system naturally with Truvaga's vagus nerve stimulator. Visit Truvaga.com/Greenfield and use code GREENFIELD30 to save $30 off any Truvaga device. Calm your mind, focus better, and recover faster in just two minutes. ZBiotics Pre-Alcohol Probiotic: The world's first genetically engineered probiotic that helps break down the toxic byproduct of alcohol, Zbiotics Pre-Alcohol allows you to enjoy your night out and feel great the next day. Order with the confidence of a 100% money-back guarantee and 15% off your first order at zbiotics.com/BEN15. TRIUMPH Coaching: Join me for one-on-one coaching with me and my hand-picked team, custom-built around your labs, your lifestyle, and goals, until you actually hit them. No guesswork. Just results. If you’re finally ready to stop wasting time and money and start living the boundless life you know is possible, go to jointriumphcoaching.com and book your call. Just Thrive: Take the Just Thrive FEEL BETTER challenge today, and save 20% on your first Gut Essentials Bundle. Just Thrive Probiotic is the only probiotic clinically proven to arrive 100% alive in your gut, reducing bloat, better energy, and even clearing skin. Digestive Bitters packs 12 science-backed herbs in one tasteless capsule that jumpstarts your digestion and supports GLP-1 production so cravings don’t control you. Visit justthrivehealth.com/BEN and save 20% with promo code BEN. See the difference for yourself or get a full product refund, no questions asked. Boundless Bar: If you’re ready to fuel workouts, sharpen your focus, and support whole-body vitality, grab your Boundless Bars now at boundlessbar.com —and save 10% when you sign up for a Boundless Bar subscription.See omnystudio.com/listener for privacy information.
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