Podcasts about physical medicine rehabilitation

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 physical therapy covered by insurance? What is a PT cap? What happens when you can't do physical therapy? Does Medicare limit physical therapy? Our guests are Courtland Keteyian, MD, president and CEO of the Jackson Health Network and medical director for occupational health at Henry Ford Jackson Hospital; Sam Porritt, founder and chairman of the board of the Falling Forward Foundation; and Atul Patel, MD, a practicing physiatrist, member of the governing board for Falling Forward, and a board member and treasurer of the American Academy of Physical Medicine & Rehabilitation. American Medical Association CXO Todd Unger hosts.

— “It starts with conversation. When medicine is approached as a collaborative experience between physician and patient, it unlocks a peerless caliber of care and a powerful approach to healthcare. It ushers in the opportunity to explore, to venture and to achieve. It offers ongoing wellbeing and empowers patients in reaching their health goals and beginning new journeys. Dr. Ryan Kotton grounds his approach to healthcare and elite treatments in a deep knowledge of each patient's needs and lifestyles. Through long-term relationships with patients and proactive, interdisciplinary protocols, he develops curated medical solutions that optimize lifestyle and vitality.” Valeria interviews Dr. Ryan Kotton — He is a world-renowned, highly-awarded physician who has been at the forefront of the concierge model for more than a decade.  Recognizing that our traditional healthcare system is broken, Dr. Kotton is one of the few physicians wiling to be a disrupter in healthcare, trailblazing a new model. As Clinical Chief at Cedars-Sinai in the department of Physical Medicine & Rehabilitation as well as Assistant Professor at UCLA School of Medicine and Cedars-Sinai, Dr. Kotton understands the ins and outs of the traditional medical system but has the guts and determination not to be bound by it.  Dr. Kotton's boutique private practice, KottonMD, is a one-of-a-kind global concierge practice. With patients around the world who travel and lead active lifestyles, Dr. Kotton coordinates care for planned medical needs as well as unexpected emergencies. KottonMD, delivers next-level medical care designed for individuals who expect more, addressing patient needs with truly unprecedented speed, access, and responsiveness.  To learn more about Dr. Ryan Kotton and his work, please visit: https://www.kottonmd.com

The Doctor is in the house and she's an over 50 fitness athlete. She's juggled all the balls you may have from a caregiver and midlife crisis like me. But she's returned to her prior passion for fitness competitions. Or has she? I'll ask that question - is it the competition or the training or the being on top of your game? This over 50 fitness athlete is prepping not just for a November competition but serving patients and clients and hosting a summit. How does she fit it in? This is a perfect episode to share with you just before the holidays. We cover quite a bit of tips and tricks for dealing with getting fit and sticking to your own goals during the holidays while still enjoying them. My Guest: Dr. Venus, The Fit Foodie M.D., is a board-certified Physical Medicine & Rehabilitation physician trained at Yale, Univ. of Miami, and UC-Irvine. With a thriving California medical practice, she's been a national-level fitness athlete and respected trainer serving clients from single moms to pro athletes, and even an action film star. A repeat guest on "The Doctors" TV series, Dr. Venus has also appeared on NBC's "Today" and "American Gladiators," and contributed to outlets like iHerb.com and Oxygen Magazine. Questions We Answer in This Episode: How did you handle your mid-life crisis? [00:07:10] Have you experienced this competitive edge? [00:23:20] What's your personal secret to staying young? [00:11:50] Having been a fitness competitor for so long, what does being fit mean to you? [00:39:20] What role does stress play for you in your training now and your midlife body? [00:40:20] What part of training do you love the most? [00:41:00] Connect with Dr. Venus for Fitness Mastery Summit (Nov. 7-10, 2024) https://www.flippingfifty.com/fitnessmastery On Social: Facebook: https://www.facebook.com/doctorvenus Instagram: https://www.instagram.com/docvenus/ YouTube: https://www.youtube.com/@drvenusoncall LinkedIn: https://www.linkedin.com/in/doctorvenus Other Episodes You Might Like: 7 Simple Interval Training Workouts for the Holidays https://www.flippingfifty.com/interval-training/ 10 Ways Fitness Pros Stay Motivated To Exercise, Holidays or Not https://www.flippingfifty.com/10-ways-fitness-pros-stay-motivated-to-exercise-holidays-or-not/ Avoid Falling Off the Bandwagon this Holiday (and Getting Run Over By It) https://www.flippingfifty.com/avoid-falling-off-bandwagon-holiday-getting-run/ Resources: Infrared Sauna: https://www.flippingfifty.com/sauna C60 Purple Power: https://www.flippingfifty.com/c60

Today we look at the fascinating medical treatment that is red light therapy. I speak Bryan Gohl founder of Red Light Rising a company specialising in Red light therapy. What is red light therapy and what conditions can it be used to treat. Find out how red light therapy affects the mitochondria in the cell and why this is signifcant. We hear it is particularly beneficial in treating pain. How is the red light therapy administered, for how long and how often? And are there any harmful side effects of this form of treatment. Some studies showing Redlight therapy's efficacy : Wound healing : A 2014 study published in the journal Seminars in Cutaneous Medicine and Surgery found that RLT enhances wound healing by stimulating fibroblast function and increasing collagen synthesis. Pain relief / Inflammation reduction : A 2009 study published in The Lancet found that RLT significantly reduced pain in patients with chronic joint disorders, such as osteoarthritis . Anti-ageing : A 2013 study in the Journal of Cosmetic and Laser Therapy demonstrated that RLT improved skin complexion and texture, reducing wrinkles in participants after several weeks of treatment . Muscle recovery : A 2016 study published in American Journal of Physical Medicine & Rehabilitation showed that RLT helped reduce muscle fatigue and improved muscle recovery in athletes after exercise. Bryan's website : www.redlightrising.co.uk Music used is Purple planet Music crediit goes to them Order Happy Habits for Mind and Body Audiobook: https://amzn.to/3KeQmGr Order Kindle copy of Happy Habits for Mind and Body : https://amzn.to/4c9T38f Order US paperback of Happy Habits for Mind and Body : https://amzn.to/4bxczeT Order UK paperback of Happy Habits for Mind and Body : https://rb.gy/jtfea5 Listen to all previous podcast episodes of the Happy Habit Podcast via these podcast platforms : Apple Podcasts https://podcasts.apple.com/ie/podcast/happy-habit-podcast Amazon https://www.amazon.com/Happy-Habit-Podcast/dp/B08K5887J8 Amazon music : https://music.amazon.com/podcasts/670836c2-ea4c-4a23-a67d-a54dd804ef61/happy-habit-podcast Spotify https://https://open.spotify.com/show/2VKIhQK6mYTzLCO8haUoRd Google Podcasts : https://t.ly/hTU8q ----- Follow the Happy Habit Podcast at: Website: https://happyhabitpodcast.wordpress.com/Facebook: Twitter: https://twitter.com/mathieunorry Instagram: https://www.instagram.com/happyhabitpodcast/ Newsletter:

“Getting to the root cause of Autoimmune Disease is vital!” - Dr. David Bilstrom David Bilstrom, M.D.  is a fellow of the American Academy of Integrative Medicine and American Academy of Medical Acupuncture as well as an advanced fellow in anti-aging, regenerative, and functional medicine. Dr. David Bilstrom is quadruple board certified in Functional and Regenerative Medicine, Integrative Medicine, Physical Medicine & Rehabilitation, and Medical Acupuncture.  Dr. Bilstrom is passionate about educating individuals and medical professionals on the importance of reversing and preventing autoimmune diseases using the fundamentals of Functional Medicine. Instead of relying solely on symptom-controlled medications that may lead to additional health complications.  You Don't Want to Miss: What autoimmune diseases are and why they happen Why autoimmune diseases are growing at an alarming rate How autoimmune diseases are linked to chronic and mental illness AND SO MUCH MORE!! Links And Resources: Follow Dr. Bilstrom at Autoimmune Functional Medicine - 4X Board Certified MD - 20 years experience (drdavidbilstrom.com) Grab Your FREE Self-Love Activation Meditation and Self-Care List at: http://theabundancealchemist.com/ The Abundance Alchemist Facebook Group: https://www.facebook.com/groups/theabundancealchemisttribe Instagram: https://www.instagram.com/caitlyn.theabundancealchemist/ Make sure you hit SUBSCRIBE so you don't miss out on any transformational thoughts, ideas, or inspiration! And, if you enjoyed this episode, please leave me a rating and a review! Sending you so much love and gratitude!  

Dr. Clay Moss is an Intern level Physical Medicine & Rehabilitation resident at the University of South Florida, having recently received his M.D. from the University of Mississippi School of Medicine. Among other things, growing up around the world renowned Andrews Institute, and completing his medical school internship with the Institute for Human & Machine Cognition (IHMC), played a significant role in fostering his interest in functional and longevity medicine as well as human optimization. Instagram: claymoss7 Timestamps: 00:00 Trailer. 00:52 Introduction. 04:31 Exploring non-traditional medicine, carnivore diet experience. 09:08 Improving lives through personalized health and treatment. 10:00 Seeking PM&R as a path to clinic. 14:31 Transitioned to meat-based diet, reaped physical benefits. 17:41 Medical school is less demanding with technology. 20:28 Prepares meals in advance, sometimes eats out. 22:45 Worst strep throat, disappointed by hospital food. 27:12 Many still addicted to sugar, despite health concerns. 28:46 Improved health through better sleep, nutrition habits. 32:14 Balancing training goals and physique for performance. 33:58 Processed food, big pharma, influence on health. 36:57 Media spreading awareness about industry corruption motivates change. 40:49 Transition from idealistic medicine to health-conscious population. 43:55 High cholesterol's relevance varies based on health. 46:22 Individual tolerance to risk and statins importance. 49:21 Where to find Clay. See open positions at Revero: https://jobs.lever.co/Revero/ Join Carnivore Diet for a free 30 day trial: https://carnivore.diet/join/ Carnivore Shirts: https://merch.carnivore.diet Subscribe to our Newsletter: https://carnivore.diet/subscribe/ . ‪#revero #shawnbaker #Carnivorediet #MeatHeals #HealthCreation   #humanfood #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree  ‪

Today, I am blessed to have Dr. Michael Turner. Dr. Turner is certified in Physical Medicine & Rehabilitation and got his medical degree from Harvard. He completed his internship and residency at the Mayo Clinic. He specializes in Integrative Medicine, Fibromyalgia, Men's Health, Sports Medicine, and chronic fatigue syndrome. Dr. Turner provides compassionate, integrative healthcare services to address his patient's concerns. He prioritizes personalized, research-based care to optimize their health and well-being by resolving ongoing issues and enhancing total wellness. His holistic approach to wellness considers the root cause of symptoms instead of just masking them, resulting in bespoke treatment plans catering to his patients' needs. Whether suffering from chronic pain conditions, experiencing low energy, or simply aiming to feel their best, patients can trust Dr. Turner's approach to improved well-being. In this episode, Dr. Turner shares his various takes on keeping yourself healthy. Tune in as he discusses and answers questions about healthy eating, the impact of genetics on weight loss, facts about insulin, and many more! Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- Download your FREE Vegetable Oil Allergy Card here: https://onlineoffer.lpages.co/vegetable-oil-allergy-card-download/ / / E P I S O D E   S P ON S O R S  ⭐ Biotiquest Sugar Shift product. Regulate glucose, reduce cravings, achieve deeper ketosis, and remove glyphosate. Head to https://bit.ly/47QZdbK , and use the coupon code KAMP10 for 10% off their products.  ⭐ Upgraded Formulas | http://www.upgradedformulas.com Purchase Upgraded Formulas, Charge Electrolytes, and other products. GET 15% OFF with Coupon Code: KETOSIS Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. [10:49] Saying Yes to Healthier Options Will Help You Replace Unhealthy Habits ·    Habits and routines drive us, but if they're unhealthy, they don't serve us well in the long term. ·    Replacing unhealthy habits with healthy ones is key to success. ·    Learning to say yes to healthy alternatives is important, not just saying no to unhealthy ones. ·    Jumping over to a healthier lifestyle can lead to a future without regret. ·    Healthy alternatives like going to the gym, swimming, and sitting in an infrared sauna can make a big difference. ·    Loving healthy habits will serve better than junk food or half-hearted attempts at healthy living. [14:28] What are some of the things that contribute to weight loss? ·    If people struggle to lose weight despite having a good diet and exercise routine, the reason may be hormonal or genetics-related. ·    Ensuring that the thyroid is appropriately assessed and optimized is crucial. ·    Increasing thyroid function can naturally and safely lead to weight loss and improve low thyroid symptoms, such as depression, constipation, dry skin, and hair loss. ·    Many people's thyroid is not adequately managed because doctors only check for TSH levels, which can be in the "normal" range but not optimal for the individual. ·    Comparing thyroid levels to shoe sizes, finding the optimal level for each individual is important, rather than just accepting a "normal" range that may not work for everyone. [32:45] How do meal timing and exercise affect your weight loss? ·    The timing of when you consume calories affects hormonal effects and energy-burning modes. ·    Eating a calorie-dense meal late at night when your body is in hibernation mode can lead to more energy storage and difficulties losing weight. ·    Shifting the timing of meals and exercise can greatly impact weight loss, such as eating earlier in the day and taking a walk afterwards or doing cardio during daylight hours when the body is primed to burn energy. ·    When we wake up in the morning, our body is in fat-burning mode after digesting dinner from the night before. ·    Skipping breakfast and doing cardio in the morning before eating can enhance fat-burning mode and create a healthier intermittent fasting pattern. [37:21] Insulin Sensitivity and Its Role in Weight Loss ·    Insulin is a double-edged sword, helpful for clearing blood sugar out of circulation but harmful in excess, which is why maintaining insulin sensitivity is crucial. ·    Insulin moves blood sugar out of circulation and into cells but also signals to create fat. ·    High insulin levels lead to a constant signal to store fat, making weight loss impossible. ·    Boosting insulin sensitivity through methods like intermittent fasting can help lower insulin levels and make weight loss more possible. AND MUCH MORE! Resources from this episode: ●  Check out Dr. Michael Turner's Website: https://www.michaelturnermd.com   ○  Substack: https://drturner.substack.com ○  TikTok: https://www.tiktok.com/@michael_turner_md ○  YouTube: https://www.youtube.com/channel/UCwBvm3Gxsap0XSofrPceOsw ○  LinkedIn: https://www.linkedin.com/in/dr-michael-turner-3258891a9 ●  Join the Keto Kamp Academy: https://ketokampacademy.com/7-day-trial-a Watch Keto Kamp on YouTube: https://www.youtube.com/channel/UCUh_MOM621MvpW_HLtfkLyQ Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- Download your FREE Vegetable Oil Allergy Card here: https://onlineoffer.lpages.co/vegetable-oil-allergy-card-download/ / / E P I S O D E   S P ON S O R S  ⭐ Biotiquest Sugar Shift product. Regulate glucose, reduce cravings, achieve deeper ketosis, and remove glyphosate. Head to https://bit.ly/47QZdbK , and use the coupon code KAMP10 for 10% off their products.  ⭐ Upgraded Formulas | http://www.upgradedformulas.com Purchase Upgraded Formulas, Charge Electrolytes, and other products. GET 15% OFF with Coupon Code: KETOSIS Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. Some links are affiliate links  // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so ▸ tiktok | @thebenazadi https://www.tiktok.com/@thebenazadi Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

Dr. Greg Carder served his country proud in the United States Marine corps from 1985-1991 and shortly after he left the Marines he went to school in Orlando, Florida and has spent the last 20 years as a doctor in Central FL. His scholastic career started out in Human Anatomy & Physiology, He eventually attended the Fl College Of Integrative Medicine. Over the last 20 years he has practiced in Physical Medicine & Rehabilitation, Functional Medicine, Naturopathic Medicine and Bio-Hacking.

In this episode of The Psychedelic Podcast, Paul F. Austin welcomes Dr. Halland Chen, a Double Board Certified physician at the forefront of integrative medicine. Recorded live at the 2023 Wonderland Conference in Miami, this insightful conversation is a dive into the realm of longevity and optimal living. Find episode links, summary, and transcript here: https://thethirdwave.co/podcast/episode-227-dr-halland-md/ Dr. Halland shares his transition from traditional to functional medicine, emphasizing the power of psychedelics in promoting mental health for longevity and a growth mindset. Explore the world of NAD+ supplementation and its role in the quest for a longer, healthier life. Delve into the use of psychedelics in pain management and uncover Dr. Halland's personalized medicine program, designed to optimize wellness and longevity through regenerative medicine and biohacking. Paul and Dr. Halland touch on the potential of artificial intelligence in shaping personalized medicine and consider the fascinating realms of peptides and biohacking. Learn about Dr. Halland's protocols for heavy metal detoxing and his thoughts on the nuanced difference between extending health span and mere lifespan. This conversation unravels the importance of mindset and intuition in pursuing healthy aging, exploring a holistic approach to peak performance, life extension, and overall well-being.   Dr. Halland, M.D.: Dr. Halland Chen, MD is a Double Board Certified physician specializing in ways to help people heal faster and feel better. Dr. Halland has been featured on HBO, Forbes, and Elle and is an expert in longevity, NAD, stem cells, anti-aging and non-surgical options for pain relief and repairing injuries. He is focused on peak performance, life extension and optimizing wellness by reducing inflammation, boosting the immune system and cellular detoxification by using Regenerative Medicine, Biohacking, and natural supplements. He applies his unique techniques and specialized testing for patients to address sports injuries, pain management conditions, longevity optimization and for high performance clients. Dr. Halland attended the University of Miami's Honors Program in Medicine and graduated with Honors in Research Distinction. He is the author of numerous scientific publications and further specialized in Interventional Pain Management at Albert Einstein College of Medicine's Fellowship program in New York City. He is Double Board Certified in Physical Medicine & Rehabilitation and Pain Medicine. When he's not tending to patients or taking part in research studies, Dr. Halland can be found at health-focused speaking events or traveling across the globe doing research projects and collaborating with colleagues on modern medicine practices. Highlights: Dr. Halland's journey from traditional to functional medicine. The relationship between NAD+ supplementation, mitochondrial health, & longevity. Psychedelics' potential to help foster a growth mindset that promotes longevity. How psychedelics challenge conventional approaches to pain management. Dr. Halland's personalized medicine program for health optimization and longevity. Considering AI's role in personalized medicine. Peptides and biohacking. Heavy metal detox protocols. Healthspan vs. lifespan. The importance of mindset and intuition when it comes to healthy aging and living.   Links: Dr. Halland's website: https://www.drhalland.com/    Dr. Halland on Instagram: https://www.instagram.com/drhalland/?hl=en    Dr. Halland on LinkedIn: https://www.linkedin.com/in/halland    Dr. Halland on TikTok: https://www.tiktok.com/@drhalland    (podcast) 207. Christian Angermayer - Democratizing Psychedelics: From Ancient Rituals to Modern Medicalization: https://thethirdwave.co/podcast/episode-207-christian-angermayer/    (podcast) 195. Precision-Performance Medicine: Longevity, Holistic Health, & Optimization: https://thethirdwave.co/podcast/episode-195-daniel-stickler-md/   Episode Sponsors: Apollo Neuro - Third Wave listeners get 15% off. Magic Mind - Enjoy up to 56% off when applied to a 10-day subscription.

In this episode of Hart2Heart host Dr. Mike Hart sits down with Dr. Amy, a doctor of physical medicine and rehabilitation. Together, they discuss optimizing patient health outcomes through nutrition and exercise, non-surgical treatments like cortisone injections and PRP, metabolic health markers, antidepressants versus exercise for mental health, and more. Show Notes: [0:00] Welcome back to the Hart2Heart Podcast with Dr. Mike Hart. Dr. Hart introduces the guest, Dr. Amy West to the listeners    [0:30] Dr. West gives a brief background of herself [2:00] Non-surgical treatments [9:30] Advances in stem cell treatments [11:00] PRP variability [19:00] Dr. West's involvement in CrossFit and views on nutrition [20:30] Critique of current nutritional education in medicine [26:00] Tips on how to live optimally versus meeting standard guidelines [34:00] Metabolic health markers and insulin resistance  [40:00] Discussion on exercise as medicine  [44:00] What to do when depression is getting in the way of your goals [48:00] “It's hard to advise people on healthy behaviors if you don't participate in those yourself.” [54:00] Supplements to consider adding to your diet [58:30] Listeners can follow more from Dr. Amy West on her Instagram @amywestmd --- Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap which exists in the medical community.  Connect on social with Dr. Mike Hart: Social Links: Instagram: @drmikehart Twitter: @drmikehart Facebook: @drmikehart  

-Autoimmune: your body is attacking yourself-Many diseases have an autoimmune component-80% of people with an autoimmune disease are women-Takes an average of 5 years for someone to be diagnosed with an autoimmune condition-There are multiple causes of autoimmune disease-Estrogen dominance can lead to many cycle/period/fertility issues. It is also associated with an increased risk of cancer-Having adequate vitamin D has been shown to decrease the risk of autoimmune conditions like Type 1 Diabetes in children-It can be simple and easy to be healthy! Your body is smart and it wants to be healthy!-Listen to your intuition. Just because something is common, does not mean it is normal-Take charge of your own healthDr. Bilstrom has helped thousands of chronically ill patients reverse autoimmune disease (which the science data says also prevents future disease) because he treats at the root cause. He's spent almost 30 years striving to treat people using protocols that don't create more disease. He's a Functional Medicine expert who is passionate about helping kids reset their epigenetics before age 19 to prevent chronic disease and helping kids and adults optimize their epigenetics to improve the health of their next 6 to 8 generations. Illness because of "old age" is a myth until you reach 90 years of age. Prevention is much easier than the traditional medical industry leads people to believe.Visit Dr. Bilstrom's websiteFREE Medical Bill Detox course: How to Solve the Root Cause of Autoimmune Disease & Stop Spending Thousands of Dollars on Unnecessary Treatments David Bilstrom, M.D. is a fellow of the American Academy of Integrative Medicine and American Academy of Medical Acupuncture as well as an advanced fellow in anti-aging, regenerative, and functional medicine. Dr. David Bilstrom is quadruple board certified in Functional and Regenerative Medicine, Integrative Medicine, Physical Medicine & Rehabilitation, and Medical Acupuncture. Dr. David Bilstrom is the director of the International Autoimmune Institute and the Bingham Memorial Center for Functional Medicine—the first medical center in the country associated with a teaching hospital to treat all types of autoimmune diseases. It is also the first to use nature and its ability to improve human health and well-being as an integral part of a wellness program.

In this episode of the Spine & Nerve Podcast, Dr. Brian Joves has the distinct pleasure to welcome Dr. Andrea Furlan to the show. Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life. In this insightful conversation, Dr. Furlan shares her vast experience in managing chronic pain, addressing key aspects of pain management that are crucial for medical providers to understand. Key Takeaways: 1. The Complexity of Chronic Pain: Chronic pain is a multifaceted condition with complex neurobiological and psychosocial components. Understanding the diverse factors contributing to chronic pain is essential for medical providers to provide effective care. 2. The Role of Empathy and Communication: Dr. Furlan emphasizes the importance of empathy and active listening when interacting with patients in pain. Effective communication skills are crucial for building trust and facilitating patient-doctor relationships. 3. Educating Patients: Educating patients about their condition and treatment options is a fundamental aspect of pain management. Medical providers should learn how to explain complex medical concepts in simple terms to ensure patient comprehension. 4. The Value of Multidisciplinary Approaches: Chronic pain often requires a multidisciplinary approach, involving various healthcare professionals such as physiatrists, psychologists, and physical therapists. 5. The Impact of Lifestyle Modifications: Lifestyle modifications, including diet, exercise, sleep, and stress management, play a significant role in pain management. 6. Emotions and Pain Perception: Emotions can influence pain perception, making it essential for medical students to consider the emotional well-being of patients. 7. Patient Support and Online Communities: Dr. Furlan discusses the value of patient support groups and online communities, where individuals with chronic pain can share their experiences and learn from one another. Medical providers can explore these resources to better understand patient perspectives. 8. Dr. Furlan's Book - A Resource for providers: Dr. Furlan's book, which outlines eight steps for managing chronic pain, is recommended for medical providers looking to deepen their knowledge of pain management. The book provides practical insights and strategies for patient care. Medical providers should embrace the holistic approach to chronic pain management, considering both the physical and emotional aspects of the condition. Dr. Furlan's expertise and insights shared in this episode offer valuable lessons for aspiring healthcare professionals in the field of pain medicine. This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, they may not represent the views of Spine & Nerve. You can find Dr. Furlan at: https://www.youtube.com/ @DrAndreaFurlan  https://www.doctorandreafurlan.com/ X  @adfurlan  IG @dr.andrea.furlan

We are back with another specialty series interview! In this episode, we spoke with Dr. Tate Halfman, MD, who graduated from the Loyola University Chicago Stritch School of Medicine in May 2023. After a Preliminary Medicine year at University of Chicago Northshore, he will be heading north for PM&R residency at the Medical College of Wisconsin. Born and raised in San Luis Obispo, CA, Tate came to med school with an eye on musculoskeletal medicine. After two years of exploration, he stumbled upon physiatry and has never looked back. Tate is a proud graduate and Mic Man alumnus of UC Berkeley (GO BEARS!) where he studied Integrative Biology and Spanish Linguistics. After college, he spent two years working as a research assistant in the Kinesiology department of Cal Poly, SLO. He is a lifelong gamer and huge esports fan. He is passionate about mentorship, medical education, and multilingual medical care.  In our conversation, Tate describes his experiences applying and matching into PM&R this past March. Given the often overlooked nature of PM&R, he also explains what the specialty entails and why it appealed to him. Tate provides useful tips and tricks for students interested in PM&R, as well as valuable advice for the residency application process in general. You can reach out to Tate at f.t.halfman@gmail.com Episode produced by: Emily Hagen Episode recording date: 4/9/23 www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate --- Send in a voice message: https://podcasters.spotify.com/pod/show/medicus/message

In the realm of leadership, there exists no exclusive license to guide. Instead, a leader's purpose lies in constructing an environment that fosters trust, hope, stability, and compassion. Our present discourse centers around the concept of bottom-up leadership, featuring the insights of Dr. John Flannery from the esteemed University Health Network in Toronto.  Dr. John Flannery has been a specialist in Physical Medicine & Rehabilitation and physician leader for almost 30 years.  His area of clinical specialty has included the entire gamut of all the physical rehab domains including amputee, burn, electro-diagnostic medicine, as well as all of the neurologic rehabilitation fields. He was Residency Program Director at U of T for over 10 years as well as the lead for the Specialty Committee at the Royal College for four of those years.  In 2013, he was selected by peers and administrators in the GTA as one of 30 top Toronto Docs; and profiled in Toronto Life magazine (first and only time in Toronto Life magazine history) for his compassionate care and leadership in Rehab. Currently, in his leadership role in the RPS Program, at University Health Network, his main areas of focus include educational system level endeavors. In this episode Dr. Flannery talks about how his focus on patient care helps him to be a better leader, role model and mentor because that is the goal that unifies them all. His approach is to focus on success on outcomes for the ultimate user (client, patient, student, constituent, etc.), and that everyone shares the same goal and this determines our true measures of success as a team. Dr. Flannery also shares the tools he uses everyday such as Strengths Based Leadership and the Logical Levels. Enjoy!

In this episode, Dr. Poullos is joined by Dr. Michelle Meade, a professor within the University of Michigan Departments of Physical Medicine & Rehabilitation and Family Medicine and a practicing rehabilitation psychologist. Dr. Meade's research focuses on topics such as healthcare disparities, health self-management, and the employment of individuals with physical disabilities. She joins us today to talk about her career journey and some of her recent work.  Michelle A. Meade, PhD is a Professor with tenure in the U-M Departments of Physical Medicine and Rehabilitation (PM&R) and Family Medicine within the School of Medicine, a practicing rehabilitation psychologist, affiliated faculty for IHPI, and a Co-Director for the CDHW. Dr. Meade also serves as PI and Director for the NIDILRR-funded Michigan SCI Model Systems (2022-2026) and the IDEAL RRTC (2018-2023). Her research expertise is in the areas of healthcare disparities, health self-management, and employment of individuals with physical disabilities, particularly among individuals with disabilities from marginalized populations.   Transcript: https://bit.ly/Episode68_MichelleMeade Key Words: PM&R; Rehab Psychology, Disability Studies, Disability Research, Psychologist, Physical Disabilities  

Today, I am blessed to have Dr. Michael Turner. Dr. Turner is certified in Physical Medicine & Rehabilitation and got his medical degree from Harvard. He completed his internship and residency at the Mayo Clinic. He specializes in Integrative Medicine, Fibromyalgia, Men's Health, Sports Medicine, and chronic fatigue syndrome. Dr. Turner provides compassionate, integrative healthcare services to address his patient's concerns. He prioritizes personalized, research-based care to optimize their health and well-being by resolving ongoing issues and enhancing total wellness. His holistic approach to wellness considers the root cause of symptoms instead of just masking them, resulting in bespoke treatment plans catering to his patients' needs. Whether suffering from chronic pain conditions, experiencing low energy, or simply aiming to feel their best, patients can trust Dr. Turner's approach to improved well-being. In this episode, Dr. Turner shares his various takes on keeping yourself healthy. Tune in as he discusses and answers questions about healthy eating, the impact of genetics on weight loss, facts about insulin, and many more! Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- Download your FREE Vegetable Oil Allergy Card here: https://onlineoffer.lpages.co/vegetable-oil-allergy-card-download/ / / E P I S O D E   S P ON S O R S  Wild Pastures: $20 OFF per Box for Life + Free Shipping for Life + $15 OFF your 1st Box! https://wildpastures.com/promos/save-20-for-life-lf?oid=6&affid=132&source_id=podcast&sub1=ad BonCharge: Blue light Blocking Glasses, Red Light Therapy, Sauna Blankets & More. Visit https://boncharge.com/pages/ketokamp and use the coupon code KETOKAMP for 15% off your order.  Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. [10:49] Saying Yes to Healthier Options Will Help You Replace Unhealthy Habits ·    Habits and routines drive us, but if they're unhealthy, they don't serve us well in the long term. ·    Replacing unhealthy habits with healthy ones is key to success. ·    Learning to say yes to healthy alternatives is important, not just saying no to unhealthy ones. ·    Jumping over to a healthier lifestyle can lead to a future without regret. ·    Healthy alternatives like going to the gym, swimming, and sitting in an infrared sauna can make a big difference. ·    Loving healthy habits will serve better than junk food or half-hearted attempts at healthy living. [14:28] What are some of the things that contribute to weight loss? ·    If people struggle to lose weight despite having a good diet and exercise routine, the reason may be hormonal or genetics-related. ·    Ensuring that the thyroid is appropriately assessed and optimized is crucial. ·    Increasing thyroid function can naturally and safely lead to weight loss and improve low thyroid symptoms, such as depression, constipation, dry skin, and hair loss. ·    Many people's thyroid is not adequately managed because doctors only check for TSH levels, which can be in the "normal" range but not optimal for the individual. ·    Comparing thyroid levels to shoe sizes, finding the optimal level for each individual is important, rather than just accepting a "normal" range that may not work for everyone. [32:45] How do meal timing and exercise affect your weight loss? ·    The timing of when you consume calories affects hormonal effects and energy-burning modes. ·    Eating a calorie-dense meal late at night when your body is in hibernation mode can lead to more energy storage and difficulties losing weight. ·    Shifting the timing of meals and exercise can greatly impact weight loss, such as eating earlier in the day and taking a walk afterwards or doing cardio during daylight hours when the body is primed to burn energy. ·    When we wake up in the morning, our body is in fat-burning mode after digesting dinner from the night before. ·    Skipping breakfast and doing cardio in the morning before eating can enhance fat-burning mode and create a healthier intermittent fasting pattern. [37:21] Insulin Sensitivity and Its Role in Weight Loss ·    Insulin is a double-edged sword, helpful for clearing blood sugar out of circulation but harmful in excess, which is why maintaining insulin sensitivity is crucial. ·    Insulin moves blood sugar out of circulation and into cells but also signals to create fat. ·    High insulin levels lead to a constant signal to store fat, making weight loss impossible. ·    Boosting insulin sensitivity through methods like intermittent fasting can help lower insulin levels and make weight loss more possible. AND MUCH MORE! Resources from this episode: ●  Check out Dr. Michael Turner's Website: https://www.michaelturnermd.com   ○  Substack: https://drturner.substack.com ○  TikTok: https://www.tiktok.com/@michael_turner_md ○  YouTube: https://www.youtube.com/channel/UCwBvm3Gxsap0XSofrPceOsw ○  LinkedIn: https://www.linkedin.com/in/dr-michael-turner-3258891a9 ●  Join the Keto Kamp Academy: https://ketokampacademy.com/7-day-trial-a Watch Keto Kamp on YouTube: https://www.youtube.com/channel/UCUh_MOM621MvpW_HLtfkLyQ Order Keto Flex: http://www.ketoflexbook.com -------------------------------------------------------- Download your FREE Vegetable Oil Allergy Card here: https://onlineoffer.lpages.co/vegetable-oil-allergy-card-download/ / / E P I S O D E   S P ON S O R S  Wild Pastures: $20 OFF per Box for Life + Free Shipping for Life + $15 OFF your 1st Box! https://wildpastures.com/promos/save-20-for-life-lf?oid=6&affid=132&source_id=podcast&sub1=ad BonCharge: Blue light Blocking Glasses, Red Light Therapy, Sauna Blankets & More. Visit https://boncharge.com/pages/ketokamp and use the coupon code KETOKAMP for 15% off your order.  Text me the words "Podcast" +1 (786) 364-5002 to be added to my contacts list. Some links are affiliate links  // F O L L O W ▸ instagram | @thebenazadi | http://bit.ly/2B1NXKW ▸ facebook | /thebenazadi | http://bit.ly/2BVvvW6 ▸ twitter | @thebenazadi http://bit.ly/2USE0so ▸ tiktok | @thebenazadi https://www.tiktok.com/@thebenazadi Disclaimer: This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast including Ben Azadi disclaim responsibility from any possible adverse effects from the use of information contained herein. Opinions of guests are their own, and this podcast does not accept responsibility of statements made by guests. This podcast does not make any representations or warranties about guests qualifications or credibility. Individuals on this podcast may have a direct or non-direct interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.

elitefts Limited Edition Apparel: https://www.elitefts.com/shop/apparel/limited-edition.html        Support and help the Podcast grow by Joining The Crew:  https://glow.fm/davetatestabletalk/           Dr. Jeremy Girmann is from Dayton, Ohio. He is a board-certified Physical Medicine & Rehabilitation physician. He attended medical school at Ohio University College of Osteopathic Medicine and completed his medical residency training at the University of Cincinnati. His practice interests include non-operative orthopedic and sports medicine, musculoskeletal ultrasound, aesthetic medicine, and health optimization.   Dr. Girmann has extensive experience with musculoskeletal ultrasound and is one of only a few physicians in the area to earn the RMSK certification. This certification is granted to those who have demonstrated knowledge and skill in the areas of ultrasound diagnosis and procedural guidance for enhanced patient safety and treatment outcomes.   Dr. Girmann is the founder of Inertia Medical and the president of Inertia Health and Fitness. He is also a staff physician at Cincinnati Veterans Affairs Medical Center and an adjunct faculty member at University of Cincinnati Medical Center.   He spoke at the 2022 elitefts SWIS Symposium.   Jeremy's IG: https://www.instagram.com/dr.jeremygirmann/ Inertia's IG: https://www.instagram.com/inertiamedical/         SPONSORS   Marek Health    Marek Health is the telehealth platform that connects customers to partnered providers focusing on hormone optimization and preventative medicine—offering self-service labs at great prices and guided optimization.     https://marekhealth.com/tabletalk/    Use Code Tabletalk for 10% off your first order. Also, check out the Table Talk Panel:  https://marekhealth.com/tabletalk/        1st Detachment    1st Detachment (1D) is a veteran-founded, expert-formulated supplement company led by renowned coach Justin Harris and optimal living specialist Joe Miller. From a game-changing pre-workout to potent glucose disposal agents & industry-leading intra-workout, we've combined science with real-world experience to custom-formulate each product.   We are battle tested. Are you? Find your battle today!   Use code TABLETALK10 at checkout for 10% OFF your order.   https://1stdetachment.com/            elitefts   If you can put it in a gym bag or load weight on it, we have you covered.     https://www.elitefts.com/   Use Code TABLE TALK for 10% off your first elitefts order.       SUPPORT THE SHOW   All profits from elitefts Limited Edition Apparel, Table Talk Coffee, and Team elitefts Workouts, Programs, and Training eBooks support Dave Tate's Table Talk Podcast. Shop these elitefts items: https://www.elitefts.com/content/table-talk/    Support Dave Tate's Table Talk podcast by joining the crew.  https://glow.fm/davetatestabletalk/      elitefts Shop: https://www.elitefts.com/    elitefts IG: https://www.instagram.com/elitefts/

As a Pain Management Physician, Dr. Sharma knew the key to treating pain was treating the whole person, not just the symptoms. She also knew she wanted to share more information with patients than what she could fit into an appointment. This led to writing, The Pain Solution: 5 Steps to Relieve and Prevent Back Pain, Muscle Pain, and Joint Pain without Medication. This best selling book, written with empathy and scientific savvy by Dr. Sharma, offers a personalized and innovative five-step pain relief program built on what she calls “microboosts,” little steps that add up to big results. Illustrated with inspiring patient examples and personal stories, her drug-free plan will enable you to: understand the unique factors contributing to your pain develop a path to resuming your most cherished activities add easy food microboosts to reduce inflammation and support your pain-fighting gut microbiome move better, at home and at work, to release natural neurochemical painkillers recharge and recover through sleep, mindfulness, stress reduction, and supportive social relationships More than just a road map to less pain, this is a guide to the greater joy, health, and well-being that every person deserves.    Links Book: https://www.amazon.com/Pain-Solution-Relieve-Prevent-Medication/dp/1608687937 Dr. Sharma's Website: https://www.salonisharmamd.com/ Dr. Sharma's Instagram for daily info: https://www.instagram.com/salonisharmamd/ Orthopaedic Integrative Health Center: https://rothmanortho.com/oihc   About our Guest: Dr. Sharma is dual board-certified rehabilitation medicine and pain management. She is medical director of the Orthopaedic Integrative Health Center at Rothman Orthopaedics, and specializes in musculoskeletal pain, employing a multi-modal approach including the use of acupuncture. Dr. Sharma has studied Lifestyle Medicine, Functional Medicine, and Integrative Medicine through the Andrew Weil program at University of Arizona. She has studied yoga and meditation at Parmarth Niketan in Rishikesh, India and mindfulness at Thomas Jefferson University. She studied acupuncture at Harvard University and completed Stanford's Physician Wellbeing Director Course. At a national level, Dr. Sharma serves as Co-Chair for Spine & Pain Rehabilitation for the American Academy of Physical Medicine & Rehabilitation, on the Diversity & Inclusion Committee, and on a national Opioid Task Force. Furthermore, she continues to support alternatives to opioids and has directed a national physician course on navigating the opioid crisis. She is a Top Doctor (multiple years in a row as voted for by her peers). Dr. Sharma served as a Chief Resident at Thomas Jefferson University Hospital and as Chief Fellow at Penn State Hershey Medical Center. A popular speaker at Google and an award-winning clinical assistant professor at Thomas Jefferson University Hospital, she lives near Philadelphia. More information at www.salonisharmamd.com.

In this episode, Brett talks to Associate Professor Matthew Davis about his clinical experience and recent systematic review, exploring the topic of whether indwelling vs intermittent catheterisation increases the risk of UTI. Matt is an Associate Professor of Physical Medicine & Rehabilitation at McGovern Medical School in Houston and has a strong clinician background in caring for people with Spinal Cord Injury.   Here are the papers we refer to in the podcast: DAVIS, M., JETHANI, L., ROBBINS, E. & KANER, M. 2023. Is It Really the Foley? A Systematic Review of Bladder Management and Infection Risk. Top Spinal Cord Inj Rehabil, 29, 94-107. https://meridian.allenpress.com/tscir/article-abstract/29/1/94/490861/Is-It-Really-the-Foley-A-Systematic-Review-of?redirectedFrom=fulltext   DAVIS, M. 2019. When guidelines conflict: patient safety, quality of life, and CAUTI reduction in patients with spinal cord injury. Spinal Cord Ser Cases, 5, 56. https://pubmed.ncbi.nlm.nih.gov/31632714/

In this episode, Brett talks to Associate Professor Matthew Davis about his clinical experience and recent systematic review, exploring the topic of whether indwelling vs intermittent catheterisation increases the risk of UTI. Matt is an Associate Professor of Physical Medicine & Rehabilitation at McGovern Medical School in Houston and has a strong clinician background in caring for people with Spinal Cord Injury.   Here are the papers we refer to in the podcast: DAVIS, M., JETHANI, L., ROBBINS, E. & KANER, M. 2023. Is It Really the Foley? A Systematic Review of Bladder Management and Infection Risk. Top Spinal Cord Inj Rehabil, 29, 94-107. https://meridian.allenpress.com/tscir/article-abstract/29/1/94/490861/Is-It-Really-the-Foley-A-Systematic-Review-of?redirectedFrom=fulltext   DAVIS, M. 2019. When guidelines conflict: patient safety, quality of life, and CAUTI reduction in patients with spinal cord injury. Spinal Cord Ser Cases, 5, 56. https://pubmed.ncbi.nlm.nih.gov/31632714/

In today's episode, I continued the interview with Elizabeth Yurth, Medical Director of Boulder Longevity Institute which she co-founded in 2006. When it comes to hormone treatment for women, they have often been fed unchecked facts. In this episode, Elizabeth broke down the myths about women's hormone therapy and how it can effectively treat them.   Go to www.thestandard.academy/magazine to become one of the first to get my digital magazine for free that'll help you create a kick-ass life.   Elizabeth Yurth, MD is the Medical Director of the Boulder Longevity Institute which she co-founded in 2006.  The Boulder Longevity Institute specializes in advanced, research-based longevity medicine including treatments such as Bioidentical Hormone Replacement Therapy, Regenerative Orthopedic Procedures, and Regenerative Peptide Therapy, with a result-oriented approach to health optimization. Dr. Yurth obtained her Medical Degree from the University of Southern California Keck School of Medicine and completed her residency at the University of California – Irvine. Along with her 25-plus years as a practicing orthopedist specializing in sports and spine medicine, Dr. Yurth has made it her mission to learn and share the latest scientific research on how to truly heal the body at the cellular level. She is double board-certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. As a specialist in Sports, Spine, and Regenerative Medicine, Dr. Yurth has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). Dr. Yurth has also completed Fellowship training in Human Potential & Epigenetic Medicine and Cellular Medicine, is part of the first cohort of providers to receive the A4M National Peptide Certification, and is a founding faculty member and national lecturer for SSRP (Seeds Scientific Research and Performance).    Website & Social Links:  Boulder Longevity Institute (BLI): www.boulderlongevity.com  BLI's Human Optimization Academy: www.bli.academy  BLI's curated supplement & product store: www.OHPHealth.com  Instagram: @boulderlongevity, @dryurth  Facebook: https://www.facebook.com/BoulderLongevityInstitute/    A bit about me (Dr. Orest Komarnyckyj) Dr. Orest Komarnyckyj enjoyed a prestigious career as a periodontal regenerative surgeon moving to a new passion in June 2018. He retired after a 33-year career to pursue new passions. At 70 Dr. Orest has taken on a new role as an Men's Life Coach and Podcaster.  If you want to find out if Dr Orest can help you regain the vibrancy in your life then use this link https://calendly.com/thestandardacademy/orest-komarnyckyj-zoom-video-call-appointments  to schedule a short                               GET TO KNOW YOU CALL  He lives with his wife of 30 years, Oksana. His status as an empty-nesters with two out of college-employed children has left him with time and energy to share decades of successes, failures, and wisdom. Dr. Orest is not afraid to talk about uncomfortable topics on his podcast and with men he coaches.  Very often he brings the unexpected. Timestamps   00:00 - Precap 01:15 - Intro 02:40 - Fractured hip is not unusual 08:05 - Testosterone makes you rebuild bone 10:00 - Hormones help us in recovering whether we're young or old. 13:20 - After 5 years, everything I learned in my resiliency program was obsolete 16:12 - The benefits of being on hormone therapy 16:34 - It does not increase the rate of breast cancer 17:22 - We really have got to protect our brains 18:50 - Commercial starts 19:23 - Commercial ends 19:30 - What happens after a fracture? 21:40 - Muscles are also essential to bones 22:25 - Women's libido is hard 25:20 - The mood differences 26:44 - What do you say to reassure her about it (hormone therapy)? 31:00 - Closing notes 31:42 - Outro

Cortisol hormone, it's a love hate relationship. It's energy. It's stress. It's stress energy. It's energy stress. It's where we get energy to exercise. It's what we sometimes need to purge with activity. It keeps us up. It can keep us down. It can prevent weight loss. It can increase belly fat storage.  Stop the stress-induced loss of muscle with protein. Did you know fasting too long can dial up  your blood sugar level and keep you in muscle protein breakdown? That's increasing fat and decreasing metabolism at the same time. Break your fast and start getting a high hit of protein in the morning - and definitely before exercise if it's intense.  Check out this comment from a recent coaching client: “I love your protein. I've tried others; and yours is so clean.”  https://www.flippingfifty.com/protein (and don't forget the fiber)  I start with a 50g protein breakfast most days and never felt better or kept fat and muscle where I want them as easily.  The cortisol hormone is a curse or blessing. You decide.  My Guest: Dr. Venus is a board-certified physician in the specialty of Physical Medicine & Rehabilitation who received her medical training at Yale University, University of Miami, and University of California-Irvine. She has a thriving medical practice in Southern California and has competed for 20 years as a national ­level fitness athlete. Also a respected fitness trainer, she's had clients ranging from single moms to professional athletes, and even an action film star. She's a repeat guest expert on the TV series ''The Doctors" and has been featured on several other shows including "CNN Newsroom," NBC's "Today," and "American Gladiators." Additionally, she contributes to multiple health outlets including Oxygen Magazine. Questions We Answer In This Episode: What is cortisol? Why do we need it/hate it? What exactly are the negative effects that cortisol can have on us? What can we do to avoid or eliminate the adverse effects? Connect for the MetaboliCon: https://www.flippingfifty.com/venus Dr. Venus on Social: YouTube: https://www.youtube.com/c/drvenusoncall Facebook: https://facebook.com/doctorvenus Instagram: https://instagram.com/docvenus Other Episodes You Might Like: Women, Wine, Leukemia and Body Building: https://www.flippingfifty.com/women/ 5 Keys for Building Muscle After Menopause | More Fat Burning & Fat Loss: https://www.flippingfifty.com/building-muscle-after-menopause/ Lowering Cortisol Levels to Improve Menopause Weight Loss: https://www.flippingfifty.com/lowering-cortisol/  

In today's episode, I interviewed Elizabeth Yurth, Medical Director of Boulder Longevity Institute which she co-founded in 2006. When it comes to hormone treatment for women, they have often been fed unchecked facts. In this episode, Elizabeth broke down the myths about women's hormone therapy and how it can effectively treat them. Go to www.thestandard.academy/magazine to become one of the first to get my digital magazine for free that'll help you create a kick-ass life. Elizabeth Yurth, MD is the Medical Director of the Boulder Longevity Institute which she co-founded in 2006.  The Boulder Longevity Institute specializes in advanced, research-based longevity medicine including treatments such as Bioidentical Hormone Replacement Therapy, Regenerative Orthopedic Procedures, and Regenerative Peptide Therapy, with a result-oriented approach to health optimization. Dr. Yurth obtained her Medical Degree from the University of Southern California Keck School of Medicine and completed her residency at the University of California – Irvine. Along with her 25-plus years as a practicing orthopedist specializing in sports and spine medicine, Dr. Yurth has made it her mission to learn and share the latest scientific research on how to truly heal the body at the cellular level. She is double board-certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. As a specialist in Sports, Spine, and Regenerative Medicine, Dr. Yurth has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). Dr. Yurth has also completed Fellowship training in Human Potential & Epigenetic Medicine and Cellular Medicine, is part of the first cohort of providers to receive the A4M National Peptide Certification, and is a founding faculty member and national lecturer for SSRP (Seeds Scientific Research and Performance).    Website & Social Links:  Boulder Longevity Institute (BLI): www.boulderlongevity.com  BLI's Human Optimization Academy: www.bli.academy  BLI's curated supplement & product store: www.OHPHealth.com  Instagram: @boulderlongevity, @dryurth  Facebook: https://www.facebook.com/BoulderLongevityInstitute/    A bit about me (Dr. Orest Komarnyckyj) Dr. Orest Komarnyckyj enjoyed a prestigious career as a periodontal regenerative surgeon moving to a new passion in June 2018. He retired after a 33-year career to pursue new passions. At 70 Dr. Orest has taken on a new role as a Men's Life Coach and Podcaster.  If you want to find out if Dr. Orest can help you regain the vibrancy in your life then use this link https://calendly.com/thestandardacademy/orest-komarnyckyj-zoom-video-call-appointments  to schedule a short                               GET TO KNOW YOU CALL  He lives with his wife of 30 years, Oksana. His status as an empty-nesters with two out of college-employed children has left him with time and energy to share decades of successes, failures, and wisdom. Dr. Orest is not afraid to talk about uncomfortable topics on his podcast and with men he coaches.  Very often he brings the unexpected.   Timestamps 00:00 - Precap 00:42 - Intro 01:51 - Guest introduction 04:28 - Myths surrounding women's hormone therapy 07:47 - Hormone replacement - Insanity starts 10:33 - Women should not be on hormones 11:20 - Women's hormones, increase the rate of breast cancer 13:11 - US Preventive Task Force released a statement 15:54 - Commercial Starts 16:27 - Commercial ends 16:43 - Can hormones cause cancer? 17:05 - Metabolizing Hormones 18:09 - Does testosterone cause cancer in men? 19:10 - Know how hormones metabolize 21:20 - Liver-protecting process 24:25 - What's the process of going through hormone replacement therapy? 26:28 - Women have estrogen dominance 28:00 - Birth control pills block testosterone 29:50 - Testosterone is always bioidentical 30:28 - Outro

TODAY´S EPISODE IS BROUGHT TO YOU BY THE FLOW RESEARCH COLLECTIVE Are you an entrepreneur, a leader, or a knowledge worker, who wants to harness the power of flow so you can get more done in less time with greater ease and accomplish your boldest professional goals faster? If you´ve answered this question with “hell yes” then our peak-performance training Zero to Dangerous may be a good fit for you. If this sounds of interest to you all you need to do is click here right now, pop in your application and one of our team members will be in touch with you very soon.   ABOUT THE GUEST:   Dr. Elizabeth Yurth, MD, ABPMR, ABAARM, FAARM, FAARFM, FSSRP, is the Co-founder of Boulder Longevity Institute and Human Optimization Academy.   As a double board-certified physician in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine, Dr. Yurth has more than 30 years of clinical experience and continues to stay at the forefront of orthopedics, cellular medicine, regenerative medicine, and the future of aging.    Dr. Yuruth explains her core methodology to Replace, Restore & Regenerate. She explains the evolution of traditional medicine to functional medicine to the newest focus on cellular medicine and the use of peptide therapy. She also breaks down some of the simplest and most cost effective strategies for anti-aging, disease fighting and longevity.   If you want a simple yet very effective overview of some of the most useful peptides for injury and longevity- this is a podcast for you! If you are an athlete- professional or amateur- she has some sage advice when dealing with injuries to prevent future and almost certain arthritis. ABOUT THE EPISODE:  In this episode, you will learn about: (0:00) Intro  (2:21) Staying Up-To-Date With Regenerative Medicine (08:08) Peptide Therapy For Optimizing Human Performance (19:59) Pharmaceutical Interventions For Aging (28:58) Nootropics Enhances Brain Abilities (37:15) Safety Control Around Peptide Therapy (42:34) Neural Repair In An Aging Brain (44:55) Hormone Optimization 101 (50:41) Future Medical Interventions For Aging (53:50) Human Optimization Academy   RESOURCES LinkedIn: https://www.linkedin.com/in/elizabeth-yurth-md-abaarm-faarm-faarfm-5745217a/ Instagram: https://www.instagram.com/dryurth/ Website: https://boulderlongevity.com/‍ Human Optimization Academy Website: https://bli.academy/

If you want to improve your sexual performance or want to solve your erectile dysfunction problems permanently, then you need to learn about foods for erection.Here with me is Dr. Mike Sinel, a board-certified physician in Physical Medicine Rehabilitation and Pain Management with 30 years of experience as an Assistant Clinical Professor at the UCLA School of Medicine. He has authored several scientific papers and two books on back pain (including Back Pain Remedies for Dummies), as well as being a serial entrepreneur, angel investor, advisor, and board member of multiple healthcare companies. He is currently the owner of Physician Therapeutics, a scientifically based nutritional medicine company that seeks to transform healthcare through targeted nutrition. Dive into the episode as we discuss the foods for erection that keep a hard and strong erection for a long time.Resources Mentioned: Back Pain Remedies for DummiesMedical Food Products - Use the code 20%offYou can connect with Dr. Mike on Facebook, Instagram, and LinkedIn. Learn more about medical foods by going to https://www.medicalfoodsinfo.com/Want to regain control of your sex life? It's time to reverse the effects of ED on your life. Join the Modern Man Club and start your road to full recovery and community. For all links and resources mentioned on the show and where to subscribe to the podcast, please visit https://sexualhealthformenpodcast.com....Reveal the FREE treatment most men ignore that solves thousands of erectile dysfunction cases every year, plus the 5 biggest mistakes you must avoid if you want to say goodbye to your ED. Uncover it all in my free ebook, available to download now.https://ed.truongrehab.com/ebook?utm_... Please Subscribe, Share, and Leave a Review so we can keep bringing you valuable content that gets results!

Description: In this episode, we are joined by Dr. Amy Houtrow. Dr. Houtrow is a pediatric rehabilitation medicine physician, a health services researcher for children with disabilities, and a person with childhood-onset disabilities. In this episode, she joins Dr. Poullos to discuss her career path, her research, and her advice for aspiring healthcare providers with disabilities.  Key Words: pediatrics, education, physical disability, Contra dystrophia calcium cans congenita, scoliosis, visual disability, research, mobility, lung disease, public policy Bio:  Amy Houtrow, M.D., Ph.D., M.P.H., is a professor and the Endowed Chair for Pediatric Rehabilitation Medicine in the Department of Physical Medicine and Rehabilitation at the University of Pittsburgh School of Medicine. She is also Chief of the Pediatric Rehabilitation Medicine Services at the University of Pittsburgh Medical Center (UPMC) Children's Hospital of Pittsburgh (CHP). Dr. Houtrow earned her medical degree at Michigan State University and completed a combined residency program in Pediatrics at Cincinnati Children's Hospital Medical Center and Physical Medicine and Rehabilitation at the University of Cincinnati College of Medicine. She is board certified in Pediatrics, Physical Medicine & Rehabilitation and Pediatric Rehabilitation Medicine. She completed a Master's degree in Public Health in Health Policy and Management at the University of Michigan and earned her Ph.D. with distinction in Medical Sociology at the University of California San Francisco (UCSF) while also serving as faculty there. Her dissertation won an international award for research on childhood disability. Her research has focused on health care access and outcomes for children and youth with disabilities with special emphasis on health equity and the impact of childhood disability on families. She has authored over 140 manuscripts for high-impact medical journals, written and edited textbooks, developed training programs for young physicians, and she is a sought-after speaker for conferences nationally and internationally. Her work has repeatedly garnered national media attention and informed public health policy. In 2018 she was inducted into the National Academy of Medicine, one of the highest honors in medicine. Transcript

In this episode, we discuss the value inpatient medical rehab brings to health systems and learn about a new physical medicine and rehab residency program that started in Connecticut in July. Our guests are Subramani Seetharama, MD, Program Director of the PM&R Residency Program at UConn and chief of the Division of Physical Medicine & Rehabilitation and medical director at Hartford Healthcare Rehabilitation Network; and Chris Carlin, Vice President of Rehabilitation for the Hartford Healthcare Rehabilitation Network.    Episode hosts: Robert Krug, MD, former chair of the AMRPA Board and Vice President of Medical Affairs for the Mary Free Bed Rehabilitation Hospital Advisory Group, and Patricia Sullivan, AMRPA Director of Communications.  

This episode features Dr. Nicolet Finger, DO. Dr. Nicolet Finger is a 3rd year Physical Medicine & Rehabilitation (PM&R) Resident. This is her second time on the podcast (S2:E17), and on this episode, we discuss the transition from medical student to Intern to Senior Resident. We also discuss the highs and lows of PM&R residency, and how much she and I both have grown and developed since our last episode together. It's a great listen, and I hope you enjoy! . Please share this episode with anyone you think would enjoy, and make sure to like/comment on iTunes or wherever you listen! And please follow on Instagram/TikTok @Ourlivesinmedicine. We appreciate the support so much, and thank you for being part of the family . Intro: “How Rude” by Casey Edwin; IG @caseyedwinmusic, solo.to/caseyedwin. | Outro: “The Sauce” by Bun.E; IG @bun.ehoney, soundcloud.com/bun_e

We all want to live a long and healthy life, right? Well, today's episode is a good one. We got Elizabeth Yurth, MD with us discussing longevity and what she's doing to help her patients get a long and healthy life. There's a lot we'll be covering today from regenerative medicine to anti aging, hormore treatment to health optimization. All this and a lot more in today's episode of Old Guy Talks To Me.   Go to www.thestandard.academy/getmagazine to become one of the first to get my digital magazine for free that'll help you create a kick-ass life.   Elizabeth Yurth, MD is the Medical Director of the Boulder Longevity Institute which she co-founded in 2006. The Boulder Longevity Institute specializes in advanced, research-based longevity medicine including treatments such as Bioidentical Hormone Replacement Therapy, Regenerative Orthopedic Procedures, and Regenerative Peptide Therapy, with a result-oriented approach to health optimization.   Dr. Yurth obtained her Medical Degree from the University of Southern California Keck School of Medicine and completed her residency at the University of California – Irvine. Along with her 25-plus years as a practicing orthopedist specializing in sports and spine medicine, Dr. Yurth has made it her mission to learn and share the latest scientific research on how to truly heal the body at the cellular level.   She is double board-certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. As a specialist in Sports, Spine, and Regenerative Medicine, Dr. Yurth has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M).   Dr. Yurth has also completed Fellowship training in Human Potential & Epigenetic Medicine and Cellular Medicine, is part of the first cohort of providers to receive the A4M National Peptide Certification, and is a founding faculty member and national lecturer for SSRP (Seeds Scientific Research and Performance).   Website & Social Links: Boulder Longevity Institute (BLI): www.boulderlongevity.com BLI's Human Optimization Academy:www.bli.academy BLI's curated supplement & product store: www.OHPHealth.com Instagram: @boulderlongevity, @dryurth Facebook: https://www.facebook.com/BoulderLongevityInstitute/   Disclaimer for all media appearances: DISCLAIMER: All information, content, and material of this interview is for informational purposes only and is not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Dr. Yurth will not be answering questions related to your specific medical care or personal medical decisions.   A bit about me (Dr. Orest Komarnyckyj): Dr. Orest Komarnyckyj enjoyed a prestigious career as a periodontal regenerative surgeon moving to a new passion in June 2018. He retired after a 33-year career to pursue new passions. At 69 Dr. Orest has taken on a new role as an Interviewer, Podcaster and government-certified Old Guy. He streams from his new home in Las Vegas, NV. He lives with his wife of 29 years, Oksana. His status as an empty-nesters with two out of college-employed children has left him with time and energy to share decades of successes, failures, and wisdom.   Timestamps: 00:00 - Precap 00:56 - Intro 02:04 - Guest introduction 04:55 - Most important thing Dr. Yurth has done today 08:20 - What does longevity mean to you? 09:50 - My ostomy journey 10:50 - Fear of becoming decrepit 12:30 - Testosterone optimization 13:28 - Foundational health 20:00 - Traditional medicine 20:30 - Resistance regarding hormone therapy 25:16 - What are peptides and why do they need to be medically managed? 32:10 - Commercial 32:42 - Commercial ends/Supplements for improving mitochondrial health 34:31 - Thoughts on NAD 38:10 - What is regenerative orthopedics? 44:02 - What is your decision process of what to use where? 46:40 - What would be the 3-5 supplements that you think people should be taking? 55:00 - Working with Dr. Yurth 58:30 - Closing thoughts 1:00:00 - Outro

Welcome back to a NEW season of PT Elevated where we are broadening our topics to include more researchers but still focusing on topics that you can use in your clinic every day. This season some of our speakers were guests who will be live in-person at the EIM Align Conference this August 26-28 in Dallas, Texas. On our eighth episode of season 3, Dan Rhon, PT, DPT, DSc, PhD joins! Dan is currently a physical therapist, professor and research director for the DScPT Faculty at Bellin College. He graduated from Baylor University with his master's in physical therapy, followed by a DPT from Temple University and DSc from Baylor University. He completed a clinical fellowship at Brooke Army Medical Center (orthopaedic manual physical therapy) and a postdoctoral research fellowship at the University of Utah. He has served as the Director of Research, Department of Physical Medicine & Rehabilitation, Madigan Army Medical Center, and both the Director of Physical Therapy and then the Director of Clinical Outcomes Research at the Center for the Intrepid, Brooke Army Medical Center. He has over 50 publications indexed in Medline/PUBMed and he has received collectively over $10 million in research funding from the National Institutes of Health (NIH) and the U.S. Congressionally Directed Medical Research Program (CDMRP). Dan currently does primarily research in the military health system & a couple of academic programs mentioned above.    In this episode they discuss some of the impactful trials Dan has led, like comparing cortisone injections in physical therapy in patients with shoulder pain and knee osteoarthritis. They also discuss the new trial Dan is undertaking looking at lifestyle and behavior change and how it is at the core of our health and holistic health and what it is. Dan says after you have been in clinical practice for a while you know that change and behavior is extremely difficult to get to happen by just saying something and telling people to do something. When you run a trial, you are trying to get the patients to respond in a certain way and be compliant because this is the care that you believe is optimal and you just need them to do it. But equally as challenging is you try to get clinicians to deliver certain type of care. Listen and find out things Dan believe play into behavior change and what he thinks about educating patients to promote behavior change & more! Here are some of the highlights: Dan says after you have been in clinical practice for a while you know that change and behavior is extremely difficult to get to happen by just saying something and telling people to do something. When you run a trial, you are trying to get the patients to respond in a certain way and be compliant because this is the care that you believe is optimal and you just need them to do it. But equally as challenging is you try to get clinicians to deliver certain type of care. Listen and find out things Dan believe play into behavior change and what he thinks about educating patients to promote behavior change. Dan's Clinical Pearl – “The focus on the psychological piece with our patients and understanding that. I think every clinician should almost be a psychologist. We all need models to work under, but I do not think I appreciated the communication piece, the therapeutic alliance, the spending a little less time if I must prioritize my time, on an exam and spend a little bit more time listening to a patient and just how powerful that piece of it is. Becoming less mechanical tends to pay off more in the long run. I didn't realize how powerful that connection was earlier on and realized as I get patients that are not getting better, what I could do better and what I am doing wrong. Just trying to understand patients and where they are coming from a little bit better.” Helpful research and training: DScPT Faculty at Bellin College   Ad Info: We are excited to be back in person and back to hands-on learning for the 2022 Align Conference. This year you can join an all-star lineup of speakers in Dallas, Texas, August 26 through the 28. The labs and lectures focus on sharpening the physical, hands-on treatments essential to patient care. Save 5% on registration as a PT Elevated Podcast listener. Visit alignconference.com and use the promo code PTELEVATED at checkout.  You can find the promo code and a link to the website in the show notes. We can't wait to see you! Connect with us on socials:@ZimneyKJ on Twitter @PMintkenDPT on Twitter @danrhon, on Twitter @clinicrelevant, Runs account on Twitter Align Conference 2022, Website

“Addressing the Signature Wounds of War: Lessons learned from treating post 9/11 veterans and their families in academic medical settings” The Anne Klibanski Visiting Lecture Series was created to support and advance the careers of women. These lectures bring together faculty from institutions that have hosted Anne Klibanski Scholars with MGH scholars, on topics that overlap both research areas. Presenters: Amanda M. Spray, PhD, Clinical Associate Professor, Department of Psychiatry at NYU Grossman School of Medicine Mary Alexis Iaccarino, MD, Assistant Professor in Physical Medicine & Rehabilitation, MGH/HMS Learning Objectives: Upon completion of this activity, participants were be able to: Describe models of care for post-traumatic stress disorder (PTSD) and traumatic brain injury (TBI) in the non-VA setting Identify evidence-based treatments for PTSD, TBI, and co-occurring conditions Describe the diverse needs and common diagnostic presentations of veterans, military service members and their families Discuss clinical outcomes and program evaluation of clinical care in outpatient and intensive treatment programs for PTSD and TBI Click here to watch webinar.

Interventional physiatrist, Dr. Brain Joves discusses treatment options for spinal stenosis. Dr. Brian Joves is double board certified in Physical Medicine & Rehabilitation and Pain Medicine. He specializes in spine and chronic pain disorders, and is the Chief of Pain Management for Hill Physicians.  Dr. Joves completed his ACGME accredited Fellowship in Pain Medicine at the University of California, Los Angeles/ WLA VHA, and his residency in Physical Medicine and Rehabilitation at the University of California, Davis. He earned his Medical Degree from Drexel University College of Medicine, his Master's degree in Medical Sciences from Boston University School of Medicine, and his Bachelor of Science degree in Exercise Biology from UC Davis.  Dr. Joves believes in a comprehensive approach to pain management: emphasizing education and physical modalities, while utilizing medications, interventions, as well as complementary/alternative medicine approaches to achieve functional restoration and improve his patients' quality of life. His professional interests include neuromodulation including spinal cord stimulation, peripheral nerve stimulation, and dorsal root ganglion stimulation to treat neuropathic pain disorders.  Dr. Joves believes strongly in education. He has helped develop the Spine & Nerve Podcast and YouTube Channel, works with pain medicine fellows across the country as a mentor, and lectures nationally on neuromodulation therapies. Resources: Contact Dr. Joves Spine and Nerve Podcast Spine and Nerve YouTube Episode sponsor: The Cox 8 Table by Haven Medical

Health is wealth. It should be considered the most valuable and precious part of life for an individual. Being healthy means that you have the freedom to do what you want to do —freedom that no amount of money can buy. But it doesn't only mean physical health; it encompasses full body, mind, and spiritual wellness.   In this episode, the Co-Founder and Chief Medical Director of Boulder Longevity Institute, Dr. Elizabeth Yurth, joins me to talk about peptides, remedies for inflammatory diseases, vitamin D supplementation, and strength training. She also gives a few tips for effective HIIT training and nutrition to aging gracefully and making your 60s the new 30.   Dr. Elizabeth Yurth is the Co-Founder and Medical Director of Boulder Longevity Institute, where she has been providing Tomorrow's Medicine Today to her clients since 2006.  Dr. Yurth obtained her Medical Degree from the University of Southern California Keck School of Medicine and completed her residency at the University of California – Irvine. Along with her 25-plus years as a practicing orthopedist specializing in sports, spine, and regenerative medicine, Dr. Yurth is double-Board Certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. She has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). Dr. Yurth has also completed a Fellowship in Human Potential and Epigenetic Medicine is part of the first cohort of providers to receive the A4M National Peptide Certification and is a faculty member and national lecturer for both A4M and the International Peptide Society(IPS).  She is a member of IPS' very first Peptide Mastermind Group, comprised of a small elite group of national peptide experts.   Reach out to Dr. Elizabeth Yurth at: Website: https://boulderlongevity.com/ LinkedIn: https://www.linkedin.com/in/elizabeth-yurth-md-abaarm-faarm-faarfm-5745217a/ Show notes: [1:26] What Elizabeth does at the Boulder Longevity Institute [8:20] Are peptides effective to use orally? [11:07] Are we in the early stages of peptides? [15:53] On inflammatory diseases [20:06] What really helps people avoid inflammatory disease [23:26] Supplementing vitamin D [26:13] Strength training with sore joints [29:08] Importance of strength training [36:55] Tips for effective HIIT training [41:32] Elizabeth's diet and nutrition and what she recommends [45:53] Where you can find Elizabeth [47:33] Outro     Links and Resources: Peak Performance Life Peak Performance on Facebook Peak Performance on Instagram  

Results show yet another strong year for RUSM with a 95% first-time residency attainment rate so far. Our graduates will enter residency programs in 23 specialties throughout 43 U.S. states and territories. Notable specialties include Dermatology, Orthopedic Surgery, Anesthesiology, Emergency Medicine, General Surgery, Interventional Radiology, Radiation Oncology, Physical Medicine & Rehabilitation, and Neurology. In this episode, we meet Dr. Hussain who matched in Neurology.

Dr. Brian Joves gives a presentation that includes information on indirect spinal decompression, spinal cord stimulation, and radio frequency ablation. Dr. Brian Joves is double board certified in Physical Medicine & Rehabilitation and Pain Medicine. He specializes in spine and chronic pain disorders and is the Chief of Pain Management for Hill Physicians.  Dr. Joves completed his ACGME accredited Fellowship in Pain Medicine at the University of California, Los Angeles/ WLA VHA, and his residency in Physical Medicine and Rehabilitation at the University of California, Davis. He earned his Medical Degree from Drexel University College of Medicine, his Master's degree in Medical Sciences from Boston University School of Medicine, and his Bachelor of Science degree in Exercise Biology from UC Davis.  Dr. Joves believes in a comprehensive approach to pain management: emphasizing education and physical modalities, while utilizing medications, interventions, as well as complementary/alternative medicine approaches to achieve functional restoration and improve his patients' quality of life. His professional interests include neuromodulation including spinal cord stimulation, peripheral nerve stimulation, and dorsal root ganglion stimulation to treat neuropathic pain disorders.  Dr. Joves believes strongly in education. He has helped develop the Spine & Nerve Podcast and YouTube Channel, works with pain medicine fellows across the country as a mentor, and lectures nationally on neuromodulation therapies. In his spare time, Dr. Joves enjoys spending time with his wife Ashley and their three sons, running and other types of fitness activities, along with exploring the region's great food, craft beer and wine. Resources: spinenerve.com Spine and Nerve YouTube Spine and Nerve Podcast Show sponsor: The Cox 8 Table by Haven Medical  

Ilt i Knitti pao utsidao? I denne episoden snakker vi om en av de få plagene man kan ha på utsiden av kneet. Runners Knee er en skade i Tractus Iliotibialis som er ett leddbånd på utsiden av lår og kne. Plagen oppstår gjerne i sammenheng med aktivitet. Hvordan kan man diagnostisere og behandle denne skaden og ikke minst hva kan gjøres for å forebygge den?  Referanser Baker R, Souza R, Fredricson M: Iliotibial Band Syndrome: Soft Tissue and Biomechanical Factors in Evaluation and Treatment. Physical Medicine &Rehabilitation. 2011: Vol 3. Iss 6 Fairclough et al: Is iliotibial band syndrome really a friction syndrome? Journal of Science and Medicine in Sport (2007) 10, 74—76 Shen et al: Effects of running biomechanics on the occurrence of iliotibial band syndrome in male runners during an eightweek running programme—a prospective study. Sports Biomechanics, 2019

Arthritis is a severe disease that's uncomfortable at best and debilitating at worst. It is a leading cause of disability worldwide. Most people think that arthritis only happens to the elderly, but it can affect anyone. It is a disease that begins in your 20s or results from injuries sustained as a child. Unfortunately, most of what the general public is misinformed about arthritis: what it is, how it starts, and how to treat it! In this episode, Dr Elizabeth Yurth addresses common misconceptions about arthritis. She defines the disease and offers realistic alternatives to established treatment options. If you want to learn more about longevity-based proactive measures to address arthritis, this episode is for you! Here are three reasons why you should listen to the full episode: Recognise arthritis as an inflammatory process rather than a wear-and-tear disease. Understand the importance of addressing arthritis early on — as early as your 20s! Learn how longevity studies-based supplements and treatments improve the immune system and combat arthritis. Get Customised Guidance for Your Genetic Make-Up For our epigenetics health programme, all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. Customised Online Coaching for Runners CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer  Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year's time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? ​​Do you want a holistic programme that is personalised & customised to your ability, goals, and lifestyle?  Go to www.runninghotcoaching.com for our online run training coaching. Health Optimisation and Life Coaching Are you struggling with a health issue and need people who look outside the square and are connected to some of the greatest science and health minds in the world? Then reach out to us at support@lisatamati.com, we can jump on a call to see if we are a good fit for you. If you have a big challenge ahead, are dealing with adversity or want to take your performance to the next level and want to learn how to increase your mental toughness, emotional resilience, foundational health, and more, contact us at support@lisatamati.com. Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again. Still, I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within three years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless. For my other two best-selling books Running Hot and Running to Extremes, chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books. Lisa's Anti-Ageing and Longevity Supplements  NMN: Nicotinamide Mononucleotide, an NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? NMN Bio offers a cutting edge Vitamin B3 derivative named NMN (beta Nicotinamide Mononucleotide) that can boost the levels of NAD+ in muscle tissue and liver. Take charge of your energy levels, focus, metabolism and overall health so you can live a happy, fulfilling life. Founded by scientists, NMN Bio offers supplements of the highest purity and rigorously tested by an independent, third-party lab. Start your cellular rejuvenation journey today. Support Your Healthy Ageing We offer powerful third-party tested NAD+ boosting supplements so you can start your healthy ageing journey today. Shop now: https://nmnbio.nz/collections/all NMN (beta Nicotinamide Mononucleotide) 250mg | 30 capsules NMN (beta Nicotinamide Mononucleotide) 500mg | 30 capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 250mg | 30 Capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 500mg | 30 Capsules Quality You Can Trust — NMN Our premium range of anti-ageing nutraceuticals (supplements that combine Mother Nature with cutting edge science) combats the effects of aging while designed to boost NAD+ levels. Manufactured in an ISO9001 certified facility Boost Your NAD+ Levels — Healthy Ageing: Redefined Cellular Health Energy & Focus Bone Density Skin Elasticity DNA Repair Cardiovascular Health Brain Health  Metabolic Health My  ‘Fierce' Sports Jewellery Collection For my gorgeous and inspiring sports jewellery collection, 'Fierce', go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection. Episode Highlights [03:30] Breaking the Misconceptions about Arthritis Arthritis is more than a wear-and-tear condition; it's an inflammatory disease process.  It is not limited to the elderly. The disease process can begin with minor injuries, even those sustained as a child. Arthritis is a combination of genetics and environmental factors triggered by trauma.  [08:25] Arthritis as an Inflammatory Disease Process   Arthritis is a disease process like neurodegenerative and cardiac illnesses.  Our bodies follow a balanced way to deal with injuries. It releases the level of cytokines that set off the body's response to healing and recovery. Afterwards, cytokine levels fall, and anti-inflammatory proteins take over. The disease process begins during Imbalance in any part of the process. It can be started as too many cytokines lead to zombie cells and lack of autophagy. [12:20] General Approaches to Addressing Arthritis  Turn off inflammatory cytokines through simple supplements like curcumin or epigallocatechin.  Turning down the inflammatory response allows the injury to heal better.  Inducing autophagy or knocking off the bad cells helps reduce injury as well.  [13:36]  Arthritis is a Preventable Disease  Arthritis is a disease that should be given more attention, as it has a significant impact on people's quality of life. It is the primary cause of disability among people of working age.  Arthritis is preventable to a large degree, despite genetics and other factors.  [18:32] Current Orthopedic Treatments for Arthritis  The focus in addressing arthritis is to treat the disease process. Steroid injections temporarily reduce inflammatory cytokines, but they also inhibit those that aid in healing. Arthroscopic surgery can provide immediate comfort. However, it can also inflict tears that can cause the rapid progression of arthritis. Back fusion can help cases of spinal instability. However, for degenerative discs, the long-term success rate of surgery is around 10% of those who undergo it. [24:09]  Degenerative Disc Disease as an Inflammatory Disease  Degenerative disc disease is an inflammatory disease caused by high levels of cytokines. This includes the nuclear factor kappa beta. The goal is to focus on the issues that cause disc destruction, such as elevated cytokine levels, rather than the disc itself. Ageing processes, like degeneration, should serve as a wake-up call to reconsider one's diet. This also includes reconsidering supplements, and exercise, as well as one's cardiovascular health. [27:18]  Changing the Perspective about Arthritis People should be aware that arthritis begins in their 20s, similar to brain disorders, heart ailments, and cancers.    All these immune and inflammatory diseases come down to curing ageing.  We need to take proactive steps and opt for longevity instead of a mechanical standard of care.  Opting for the ‘expensive' care earlier will save you time, stress, and money. People often exhaust traditional options first before pursuing longevity treatments.  [38:49] Pentosan Polysulfate: ‘A Cure for Arthritis' Pentosan polysulfate is a repurposed drug that reduces cytokines causing degenerative disc pain.  According to studies, even after just six weeks of using Pentosan Polysulfate, you can continue to reap the advantages for up to a year. [45:07] Vitamins and Supplements to Combat Arthritis  Another strategy to fight arthritis is to make sure your nutrients are optimised. Vitamins D and C, and zinc are critical but straightforward micronutrients. Epigallocatechin gallate, or EGCG, has many benefits that aid in addressing arthritis. Its benefits include muscle-building, fat loss, and myostatin blocking. [47:07] Benefits of Gaining Muscle Muscle, as an organ, produces endocrine glands, and myokines have very beneficial effects on joints.   Those with sarcopenia or muscle loss are more likely to develop joint arthritis. Electrical stimulation of muscles can be done for individuals who are further along in a disease process. Static contraction or contracting the muscles for three seconds every hour also helps muscle-building.  [51:03]  Inducing Autophagy Process Using Spermidine  Spermidine is a polyamine compound that comes from bacteria in certain foods.  Polyamine is produced by the human body as well. However, as we become older, we make less of it. It is an autophagy-Inducing agent that aids in getting rid of damaged cells.  Spermidine works better than steroids at reducing inflammation. It preserves the joints without making them worse. [54:06] Trehalose: The ‘Sugar Substitute' Trehalose is glucose that impacts oxidative stress and helps clean up the cells.  It has zero glycemic impact, which helps blood glucose under control.  Trehalose is looked at for neurodegenerative diseases but can benefit joint pain.  [56:57] Peptide Therapies as Simple, Inexpensive Aid  If you are looking for simple, inexpensive aid, collagen peptides can also be beneficial.  They typically are part of a mixture including Vitamin C, which helps cartilage cells.  A more expensive option is aggressive peptides, like BPC 157 or Body Protection Compound 157. These peptides can aid joint regeneration. It's vital to understand the role of inflammation in arthritis rather than jumping at treatments, like stem cell therapy. [59:54] The Role of Stressed Immune System  Almost every disease is related to over-aggressive, pro-inflammatory cytokines, disruption in mitochondrial function, and autophagy.  Ageing causes a significant number of diseases.  The immune system goes awry for many reasons, including viral exposures. [59:54] Antiviral Drugs, Hormones, and Fasting Antiviral drugs, hormones, and fasting can help the immune system fight diseases as healthy as possible.  EGCG and curcumin are natural compounds that have some antiviral properties. Acyclovir is also a safe choice for combatting the herpes virus and Epstein-Barr, among others.   Our immune system produces fewer hormones as we become older. Our bodies need hormones to function, so we need to replace them somehow. Hormones have huge immune-modulating properties that help stop oxidative stress.  The immune system benefits from the recovery period following a fast. It can be very beneficial to clear out dead cells. [1:08:55] Rapamycin and Metformin: The ‘Future' of Arthritis Rapamycin is a chemotherapeutic medication with a solid immune-modulating effect.  It is well-known for activating autophagy, which can lengthen lifespan in all mammalian species scientists have studied. Metformin is an inexpensive medication that keeps glucose control.  It has some interesting studies on arthritis. One study shows the overlapping benefits in cardiovascular, renal, cancer, and obesity protection.  7 Powerful Quotes “[Arthritis as an inflammatory disease process] is the same thing that goes on with COVID. Right? Yes. Why do some people die of COVID? [It's] usually not the virus itself -- it's the immune reaction to the virus.”   “So we know we have to treat [cytokines] and not the disc itself. That's the end game. Treat the problem that's causing the disc damage.”   “...[W]e're really trying to get into the heads of these [20-year-olds] and say, the [disease process starts when you're] 20. Yeah, like your brain diseases, your heart diseases, and your cancers are all those processes are starting in our 20s.”   “The plastic surgeons are doing fine. [P]eople are more than willing to spend that money on their facelifts and things like that [than] internally to feel better.”   “You can have no cartilage and no pain or no discs, and no gain. The pain is an inflammatory sign.” “Go back, go back up the tree. And then you had all of the diseases in mitochondria and information.” "Be it cancer, metabolic disease, cardiovascular disease, or neurologic arthritis, they're all the same disease. You've got to get the immune system as healthy as possible. You have to stop oxidative stress." Resources Gain exclusive access and bonuses to Pushing the Limits Podcast by becoming a patron!  Track your blood glucose in real-time with Levels Health.  Tripping Over the Truth: How the Metabolic Theory of Cancer Is Overturning One of Medicine's Most Entrenched Paradigms by Travis Christofferson  Curable: How an Unlikely Group of Radical Innovators is Trying to Transform our Health Care System by Travis Christofferson  How to Starve Cancer by Jane McLelland Want to learn more from Dr Dom? Check out Peter Attia's podcast episodes with him:  Episode 116 - AMA with Dom D'Agostino, PhD, Part I of II: Ketogenic diet, exogenous ketones, and exercise Episode 120 – AMA with Dom D'Agostino, PhD, Part II of II: Ketosis for cancer and chronic disease, hyperbaric oxygen therapy, and the effect of ketosis on female health  Episode 5 - Dom D'Agostino, PhD: ketosis, n=1, exogenous ketones, HBOT, seizures, and cancer       You can also check out other podcasts where Dr Dom was a guest here.  The 1-Week and 8-Month Effects of a Ketogenic Diet or Ketone Salt Supplementation on Multi-Organ Markers of Oxidative Stress and Mitochondrial Function in Rats  Press-pulse: a novel therapeutic strategy for the metabolic management of cancer  Ketone supplementation decreases tumour cell viability and prolongs the survival of mice with metastatic cancer  Moffitt Cancer Center  Get your exogenous ketones from Audacious Nutrition  Keto Nutrition: Website | Youtube | Instagram | Facebook Connect with Dr Dom: Twitter | LinkedIn | Instagram About Dr Elizabeth Dr Elizabeth Yurth, MD, FAARFM, ABAARM is a practising orthopedic. She specialises in sports, spine, and regenerative medicine and has over 25 years of professional experience as a practising orthopaedic physician. She is a double-Board Certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine.  Dr Yurth has dedicated her life to longevity. In 2006, she founded the Boulder Longevity Institute, where she serves as the Medical Director. She has worked as the team physician for Stanford and Santa Clara Universities and consulted for the San Francisco 49ers and the San Jose Ballet. Dr Yurth has a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM), and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). She recently completed a Fellowship in Human Potential and Epigenetic Medicine.  You can learn more and connect with Dr Elizabeth on Twitter, LinkedIn, and Instagram. Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can know how to optimise sleep.  Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa  

Dr. Jeff S. Pierce and Dr. Dhana Ponners sit down with leading Physical Medicine & Rehabilitation expert Dr. Anne Abrahamson. All Access Sports Medicine reviews Biologics treatments and how they can help to heal everything from Rheumatoid Arthritis, Ligament Injuries, Back Pain, and More.The full episode includes an injury report on Donald Parham of the San Diego Chargers and Tomas Francis' concerning concussion decision from Six Nations and World Rugby. Concluding with Heroes Of The Month from Detroit Wheelchair Pistons and Athletes Unlimited.

A client wakes up with a limp arm and wrist. He's a carpenter, so this is a problem! What is going on, and can massage therapy help? Join us for a closeup look at nerve damage and radial nerve palsy.   Sponsors:     Anatomy Trains: www.anatomytrains.com      Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                     Recent Articles by Ruth:          “Unpacking the Long Haul,” Massage & Bodywork magazine, January/February 2022, page 35, www.massageandbodyworkdigital.com/i/1439667-january-february-2022/36. “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.       Resources:    Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Bumbasirevic, M. et al. (2016) ‘Radial nerve palsy', EFORT Open Reviews, 1(8), pp. 286–294. doi:10.1302/2058-5241.1.000028.   Injury of Radial Nerve: Causes, Symptoms & Diagnosis (2015) Healthline. Available at: https://www.healthline.com/health/radial-nerve-dysfunction (Accessed: 12 January 2022).   Massage & Bodywork - MAY | JUNE 2020 (no date a). Available at: http://www.massageandbodyworkdigital.com/i/1234356-may-june-2020/46? (Accessed: 13 January 2022).   Massage & Bodywork - MAY | JUNE 2020 (no date b). Available at: http://www.massageandbodyworkdigital.com/i/1234356-may-june-2020/32? (Accessed: 13 January 2022).   Radial Nerve Palsy | American Association of Neuromuscular & Electrodiagnostic Medicine (no date). Available at: https://www.aanem.org/Patients/Muscle-and-Nerve-Disorders/Radial-Nerve-Palsy (Accessed: 11 January 2022).   Wu, Y.-Y., Hsu, W.-C. and Wang, H.-C. (2010) ‘Posterior interosseous nerve palsy as a complication of friction massage in tennis elbow', American Journal of Physical Medicine & Rehabilitation, 89(8), pp. 668–671. doi:10.1097/PHM.0b013e3181c567af.   About our sponsors:   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.      Website: anatomytrains.com                      Email: info@anatomytrains.com                       Facebook: facebook.com/AnatomyTrains                      Instagram: instagram.com/anatomytrainsofficial        YouTube: www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA           

A client was involved in a motor vehicle accident three years ago. Since then, she's had numbness and weakness in her legs, and she struggles with incontinence, balance, and fatigue. Oh, and she had a baby, and hopes to have another.   What is going on, and what are the safety parameters for massage therapy?   Sponsors:     Anatomy Trains: www.anatomytrains.com      Books of Discovery: www.booksofdiscovery.com       Host Bio:                    Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner's books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com.                                     Recent Articles by Ruth:          “Chemotherapy-Induced Peripheral Neuropathy and Massage Therapy,” Massage & Bodywork magazine, September/October 2021, page 33, http://www.massageandbodyworkdigital.com/i/1402696-september-october-2021/34.           “Pharmacology Basics for Massage Therapists,” Massage & Bodywork magazine, July/August 2021, page 32, www.massageandbodyworkdigital.com/i/1384577-july-august-2021/34.          “Critical Thinking,” Massage & Bodywork magazine, May/June 2021, page 54, www.massageandbodyworkdigital.com/i/1358392-may-june-2021/56.          Resources:     Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app   Image of Cauda Equina   Image of Saddle Anesthesia   Cauda Equina Syndrome - OrthoInfo - AAOS (no date). Available at: https://www.orthoinfo.org/en/diseases--conditions/cauda-equina-syndrome/ (Accessed: 1 December 2021).   Cauda Equina Syndrome – Symptoms, Causes, Diagnosis and Treatments (no date). Available at: www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Cauda-Equina-Syndrome  (Accessed: 1 December 2021).   Stuart, A. (no date) Cauda Equina Syndrome: Symptoms, Treatment, Surgery, and More, WebMD. Available at: https://www.webmd.com/back-pain/guide/cauda-equina-syndrome-overview (Accessed: 30 November 2021).   Yang, S.-D., Chen, Q. and Ding, W.-Y. (2018) ‘Cauda Equina Syndrome Due to Vigorous Back Massage With Spinal Manipulation in a Patient With Pre-Existing Lumbar Disc Herniation: A Case Report and Literature Review', American Journal of Physical Medicine & Rehabilitation, 97(4), pp. e23–e26. https://doi.org/10.1097/PHM.0000000000000809.   About our sponsors:   Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.      Website: anatomytrains.com                      Email: info@anatomytrains.com                       Facebook: facebook.com/AnatomyTrains                      Instagram: instagram.com/anatomytrainsofficial        YouTube: www.youtube.com/channel/UC2g6TOEFrX4b-CigknssKHA           

Several states in the US have legalized medical cannabis as a treatment for Post-Traumatic Stress Disorder (PTSD), a condition that many Veterans experience. While many people with PTSD use cannabis products, questions remain about the effectiveness. In today's conversation, forensic neuropsychiatrist Dr. Hal Wortzel talks with our guest host, Dr. Suzanne McGarity, about his recent observational study on cannabis use among people with PTSD. They discuss the nature of observational studies, the current state of the research and the results of this recent study. Article: The long-term, prospective, therapeutic impact of cannabis on post-traumatic stress disorder. About Hal Wortzel: Hal Wortzel, MD, is a forensic neuropsychiatrist at the Denver VA's Rocky Mountain MIRECC, where he serves as Director VA Advanced Fellowship Program in Mental Illness in Psychiatry, Director of Neuropsychiatric Consultation Services, and Co-Director of the VA Suicide Risk Management Consultation Program. He is also an associate professor of Psychiatry, Neurology, and Physical Medicine & Rehabilitation at the University of Colorado. He serves as the Michael K. Cooper Professor of Neurocognitive Disease, Director of the Neuropsychiatry Service, and as faculty for the Division of Forensic Psychiatry. Current areas of clinical and academic focus include aggression and suicide in the context of PTSD and TBI, incarcerated veterans, and the application of emerging neuroscientific tools to the legal arena.

In this episode, Raj chats with Dr. Leslie Rydberg, who is a general physiatrist and associate residency director at the Shirley Ryan Ability Lab. She discusses her path to physical medicine & rehabilitation, and why medical students should consider it as a future specialty choice. Dr. Rydberg has a special interest in resident and medical student education. Join us as we learn about the day-to-day life of a physiatrist, the variety of the field depending on sub-specialty and setting, and how to make yourself a strong applicant to PM&R. Episode produced by: Raj Ramini Episode recording date: 1/7/21 www.medicuspodcast.com | medicuspodcast@gmail.com | Donate: http://bit.ly/MedicusDonate --- Send in a voice message: https://anchor.fm/medicus/message

Listen as Lisa Phipps, PharmD, PhD, provides a concise overview of the REMS Opioid Education Initiative, offered in partnership by Clinical Care Options, the American Academy of Physical Medicine & Rehabilitation, Practicing Clinicians Exchange, and ProCE. This 10-module initiative will release new content each month to provide valuable education on pain management and treatment options, safe opioid prescription, opioid use disorder, and patient education.  Presenter:  Lisa Phipps, PharmD, PhDThis activity is supported by an independent educational grant from the Opioid Analgesic REMS Program Companies. Please seehttps://bit.ly/3mgrfb9 for a listing of REMS Program Companies. This activity is intended to be fully compliant with the Opioid Analgesic REMS education requirements issued by the FDA.Link to full program:https://bit.ly/3mcDHsi

Dr. Douglas Wisor is the Chief Executive Officer of National Spine & Pain Centers. A pain practitioner for nearly 20 years, he is board certified in both Physical Medicine & Rehabilitation and Pain Management. Today Dr. Wisor joins the show to discuss leadership and the expectations a practitioner should have if they are looking to sell their practice to a group like National Spine & Pain. Learn more: https://apmsuccess.com/117    Watch the video: https://apmsuccess.com/117v  

In this episode we discuss 3D Printing with Dr Claudio Soto. Dr Claudio Soto is the medical director and co-founder of Copper3D. He specialized in Physical Medicine & Rehabilitation and has a Master Degree in Innovation. He also has considerable experience in leadership, applied to different areas and healthcare centres.

Oluwaferanmi Okanlami MD is an Assistant Professor of Family Medicine, Physical Medicine & Rehabilitation, and Urology at University of Michigan. He is also the Interim Director of Services for Students with Disabilities (SSD) and Director of Adaptive Sports & Fitness within the Division of Student Life at the University of Michigan. He is the Spokesperson for Guardian Life in their Equal & Able Partnership. Dr. Okanlami was featured on Robin Robert's Good Morning America Series “Thriver Thursday,” and has a catch phrase, “Disabusing DisabilityⓇ.” He received Michigan Medicine's Distinguished Early Career Alumni Award in 2020, and was given the “A Teacher's Teacher Award” by the Academy of Medical Educators. He speaks around the country on topics related to Diversity, Equity, and Inclusion and has been featured on CBS News, Fox News, PBS NewsHour, and MSNBC's Morning Joe. During his orthopedic surgery residency, Dr. Oluwaferanmi Okanlami took care of patients with disabilities. He treated patients with spinal cord injuries, but didn't know how inaccessible the world was because he had never experienced it that way. After the diving accident that left him paralyzed, Dr. Okanlami saw life from the other side of the stethoscope. He recognized that he had been unintentionally complicit in ableism that excluded an entire population. Today, Dr. Okanlami shares his message that diversity, equity, and inclusion are not just for minority populations. They are conversations that all of us need to be a part of. Pearls of Wisdom: 1. Find your passion by asking what excites you. Then follow your passion and make your passion your profession. be intentional about where you hope to make an impact and really focus on that area. 2. Discussion on diversity, equity, and inclusion are not just for minorities. We all need to be concerned because any inequity will impact us all. 3. Disability is not the same as inability. Disability is ubiquitous if we identify it as that feeling of being less, feeling inadequate, and imagining how it would be to feel like that all the time.

In this week's episode, Dr Elizabeth Yurth is back on the podcast talking about fat loss in particular for stubborn cases where people just seem to get stuck…we talk about some of the newer options on the market including Semaglutide (Ozempic) and how an immune peptide – Thymosin Alpha 1 – may also play a role.  We also explore unconventional applications for various compounds including how a medication developed to treat arthritis might actually help with weight loss and how Semaglutide might also play a role in brain health.   As always, Dr. Yurth and Nathalie cover a lot of ground, enjoy the episode!   Meet This Week's Guest Dr. Elizabeth Yurth is the Co-Founder and Medical Director of Boulder Longevity Institute. Dr. Yurth obtained her Medical Degree from the University of Southern California Keck School of Medicine and completed her residency at the University of California. Along with her 25 + years as a practicing orthopedist specializing in sports, spine, and regenerative medicine, Dr. Yurth is double-Board Certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. She has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine and Anti-Aging, Regenerative and Functional Medicine through the American Academy of Anti-Aging Medicine. Dr. Yurth has also completed a Fellowship in Human Potential and Epigenetic Medicine, is part of the first cohort of providers to receive the A4M National Peptide Certification, and is a faculty member and national lecturer for both A4M and the International Peptide Society.  She is a member of IPS's very first Peptide Mastermind Group, comprised of a small elite group of national peptide experts. Dr. Yurth has completed over 500 hours of Continuing Medical Education (CME) training in the areas of Longevity, Epigenetics, Nutrition, Bioidentical Hormone Replacement Therapy, Regenerative Peptide Treatments, and Regenerative Orthopedic Procedures. As an athlete herself who has dealt with numerous injuries, Dr. Yurth is thrilled to share with her clients all the innovative, life-changing treatments that are on the cutting-edge of medicine.    Episode Sponsor:   drinkHRW.com – I drink molecular hydrogen water every morning before anything else and have my clients do the same.  Anecdotally we have seen improvements in blood sugar control, pain from arthritis and even cognitive function in a Parkinson's patient.  The research on the many ways that molecular hydrogen can support human health continues to come in as evidence mounts on this important signaling molecule.  A human clinical *trial showed that drinking hydrogen water daily for 8 weeks had a positive impact on lipid and glucose metabolism in patients with T2D and Impaired Glucose Tolerance… important metrics in maintaining healthy weight.   Use promo code Longevity10 to save 10% on your purchase.   Key Takeaways [07:00] Using GLP-1 agonist's for fat loss and obesity… [9:00] Semaglutide (Ozempic) may be the most effective GLP-1 antagonist - how does it work exactly? [14:00] Can Semaglutide help with brain health and even treat Alzheimer's?  What are the mechanisms at play? [20:42] Optimizing digestion in order to increase results with GLP-1 agonist's. Is digestion the key to improving a host of health issues? [25:33] Options for those people who truly cannot lose weight.  [29:35] Amlexanox the arthritis drug for weight loss – what gives? [31:40] Using Thymosin Alpha 1 for weight loss patients [36:38] Improving performance with Viagra and leucine [43:20] Fine-tuning dosage of GLP-1's  for fat loss   Linkage: To connect with Dr Yurth: https://boulderlongevity.com To learn more about the courses she offers including “What to Fix First”: https://bli.academy/courses/ Instagram: https://www.instagram.com/dryurth/   Disclaimer:  This podcast and the information presented are for informational purposes only and not intended to diagnose or treat disease.  Before making any changes to your nutrition or supplementation please check with your physician or health provider.   *Kajiyama S, Hasegawa G, Asano M, Hosoda H, Fukui M, Nakamura N, Kitawaki J, Imai S, Nakano K, Ohta M, Adachi T, Obayashi H, Yoshikawa T. Supplementation of hydrogen-rich water improves lipid and glucose metabolism in patients with type 2 diabetes or impaired glucose tolerance. Nutr Res. 2008 Mar;28(3):137-43. doi: 10.1016/j.nutres.2008.01.008. PMID: 19083400.

"Hit your head? When should you worry..." Join The Holistic Kids' as they are honored to speak with TV personality Dr. Venus about Head Trauma in Kids! So excited!!! Super honored! Dr. Venus – The Biohacking M.D. – is a board-certified physician in the specialty of Physical Medicine & Rehabilitation. She has a thriving medical practice in Southern California and has competed for 20 years as a national-level fitness athlete. A respected fitness trainer, she's had clients ranging from single moms to professional athletes, and even an action film star. A repeat guest expert on the TV series “The Doctors” and featured on several other shows including NBC's "American Gladiators" and ABC's "The Bachelor: Paris," she also contributes to multiple health outlets including Oxygen Magazine.

In this episode we are joined by Sue Apkon, MD and Julie Parsons, MD to discuss the impact cutting edge therapies for neuromuscular disease have had on improving the outcome and quality of life for patients. Sue is the Fischahs Endowed Chair of Pediatric Rehabilitation Medicine at Children’s Colorado and is Professor of Physical Medicine & Rehabilitation at the University of Colorado School of Medicine. Julie is the Haberfeld Family Endowed Chair in Pediatric Neuromuscular Disorders at Children’s Colorado and Professor of Clinical Pediatrics and Neurology at the University of Colorado School of Medicine. Do you have thoughts about today's episode or suggestions for a future topic? Write to us, chartingpediatrics@childrenscolorado.org 

As the powerhouse of the cell, mitochondria are associated with producing energy. However, studies regarding the function of mitochondria suggest that it does way more than powering the cell. In this episode, Dr Elizabeth Yurth discusses the function of the mitochondria in our overall health. For instance, it signals the nucleus to repair the damage done by oxidative stress. Furthermore, the role of mitochondria is also to facilitate improvement in metabolism. Dr Elizabeth also explains how increasing butyrate levels in your gut microbiome is beneficial. This stimulates your mitochondria to release PGC-1α and NPK. As a result, it will have a greater capacity to eliminate waste and harmful substances in the cell. Additionally, we discuss fat tissue, blood sugar levels and metabolism. If you want to know more about the function of mitochondria and how it informs your overall health, this episode is for you. Listening to this podcast will also help you understand your digestive health.   Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/.   Customised Online Coaching for Runners CUSTOMISED RUN COACHING PLANS — How to Run Faster, Be Stronger, Run Longer  Without Burnout & Injuries Have you struggled to fit in training in your busy life? Maybe you don't know where to start, or perhaps you have done a few races but keep having motivation or injury troubles? Do you want to beat last year’s time or finish at the front of the pack? Want to run your first 5-km or run a 100-miler? ​​Do you want a holistic programme that is personalised & customised to your ability, your goals and your lifestyle?  Go to www.runninghotcoaching.com for our online run training coaching.   Health Optimisation and Life Coaching If you are struggling with a health issue and need people who look outside the square and are connected to some of the greatest science and health minds in the world, then reach out to us at support@lisatamati.com, we can jump on a call to see if we are a good fit for you. If you have a big challenge ahead, are dealing with adversity or are wanting to take your performance to the next level and want to learn how to increase your mental toughness, emotional resilience, foundational health and more, then contact us at support@lisatamati.com.   Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: https://shop.lisatamati.com/collections/books/products/relentless. For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.   Lisa’s Anti-Ageing and Longevity Supplements  NMN: Nicotinamide Mononucleotide, a NAD+ precursor Feel Healthier and Younger* Researchers have found that Nicotinamide Adenine Dinucleotide or NAD+, a master regulator of metabolism and a molecule essential for the functionality of all human cells, is being dramatically decreased over time. What is NMN? NMN Bio offers a cutting edge Vitamin B3 derivative named NMN (beta Nicotinamide Mononucleotide) that is capable of boosting the levels of NAD+ in muscle tissue and liver. Take charge of your energy levels, focus, metabolism and overall health so you can live a happy, fulfilling life. Founded by scientists, NMN Bio offers supplements that are of highest purity and rigorously tested by an independent, third party lab. Start your cellular rejuvenation journey today. Support Your Healthy Ageing We offer powerful, third party tested, NAD+ boosting supplements so you can start your healthy ageing journey today. Shop now: https://nmnbio.nz/collections/all NMN (beta Nicotinamide Mononucleotide) 250mg | 30 capsules NMN (beta Nicotinamide Mononucleotide) 500mg | 30 capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 250mg | 30 Capsules 6 Bottles | NMN (beta Nicotinamide Mononucleotide) 500mg | 30 Capsules Quality You Can Trust — NMN Our premium range of anti-ageing nutraceuticals (supplements that combine Mother Nature with cutting edge science) combat the effects of ageing, while designed to boost NAD+ levels. Manufactured in an ISO9001 certified facility Boost Your NAD+ Levels — Healthy Ageing: Redefined Cellular Health Energy & Focus Bone Density Skin Elasticity DNA Repair Cardiovascular Health Brain Health  Metabolic Health   My  ‘Fierce’ Sports Jewellery Collection For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.   Here are three reasons why you should listen to the full episode: Understand that the function of mitochondria is not only to produce energy but also to enhance cell growth and healing. Learn about the effect of butyrate and antibiotics on the mitochondria, as well as the diet and activities to boost mitochondrial performance. Find out more about the function of the mitochondria in regulating stress, blood glucose and ageing.   Resources Gain exclusive access and bonuses to Pushing the Limit Podcast by becoming a patron! Harness the power of NAD and NMN for anti-ageing and longevity with NMN Bio.   Listen to my other Pushing the Limits Episodes:  #183: Sirtuins and NAD Supplements for Longevity with Dr Elena Seranova #187: How to Slow Down Ageing and Promote Longevity with Dr Elizabeth Yurth #189: Understanding Autophagy and Increasing Your Longevity with Dr Elena Seranova Connect with Dr Elizabet Yurth: Instagram Boulder Longevity Institute — Learn more about research-based longevity medicine developed by Dr Elizabeth Yurth. Sign up at the Human Optimization Academy to access resources on taking control of your health! Mitozen’s Pro ByoMax™ – Probiotic / Butyrate Suppository   Episode Highlights [06:33] What Is the Mitochondria? The mitochondria are bacteria classified as anaerobic organisms. Humans have a symbiotic relationship with the mitochondria. With their help, we can survive outside water and air. Mitochondria also have their own genome. You inherit them from your mother.  The communication between the nucleus and the mitochondria is imperative to our health. [11:00] The Function of Mitochondria In theories of ageing, mitochondria produce free radicals damageing our DNA. The mitochondria release mitochondrial peptides when activated by oxidative stress. These mitochondrial peptides are messages sent to the nucleus to signal it to heal your body. When the mitochondria are stressed, it also activates the unfolded protein response (UPR). The UPR either gets rid of bad protein through autophagy or fixes them. Tune in for more details about how the mitochondria initiate growth and healing. [17:05] Damage in the Cells The body tries to get rid of dysfunctional proteins.  You need to be careful of the amount of antioxidants you take. Taking too much may inhibit your body's response to bad proteins.  You should take your body through a cycle.  You go through an autophagy phase where you clear out the bad cells.    Then, you go through the growth phase, where you induce more toxic stress. In doing so, you can initiate growth and healing.  [19:32] Mitochondria Permeability Transition Pore (MPTP) This pore is a gate that opens and closes the mitochondria. As you grow old or when you are in worse health, it stays open longer. Then, it allows bad stuff to go in and out more often. Melatonin keeps the pores closed most of the time. Spermidine also induces mitochondrial biogenesis by restoring this pore structure. Antibiotics like minocycline may have some very significant benefits to your cell health. [23:14] The Effects of Butyrate on the Gut Microbiome Your microbiome is most affected by butyrate. To consume antibiotics and probiotics, you first have to keep butyrate in your microbiome. Higher levels of butyrate may also help the cell, specifically the mitochondria. It improves aerobic metabolism. High butyrate also regulates your PGC-1α gene to improve your aerobic endurance. Sick people usually replenish butyrate by doing rectal suppositories. To know more about the full effects of butyrate, listen to the full episode. [32:33] Relationship Between the Function of Mitochondria and Gut Microbiome Butyrate increased the PGC-1α and NPK in the mitochondrial level.  As a result, your oxidative capacity is restored, and the mitochondria become healthier. After inducing autophagy and getting rid of the bad stuff, Dr Yurth restricts the food consumption of her patients. Then, she will use spermidine at a higher dose. At this stage, the mitochondrial peptides released will induce the nucleus to have a healthier genome. [36:57] The Effects of Melatonin Melatonin also affects the mitochondrial permeability transition pore (MPTP).  Interleukin-1 beta (IL1β) causes damage to mitochondria. High dose melatonin blocks IL1β. Melatonin also creates a homeostatic reaction in the mitochondria. It’s therefore anti-cancer.  High dose melatonin also restores your circadian rhythm. When you should take it depends on your genes.  20 mg is a high dose of melatonin. This dosage is for people with cancer.  [42:18] The Importance of Mitochondrial Peptides Mitochondrial peptides like the SS-31 helps the endoplasmic reticulum to be healthy.  Exercise helps induce mitochondrial peptides.  MOTS-c as a drug is an alternative for people who can’t exercise.  You can also produce MOTS-c when you exercise.  MOTS-c helps with glucose metabolism, fat loss, turning white fat to brown fat, and overall metabolism. [44:44] Why Brown Adipose Tissue Is Metabolically Active When babies are born, they need something to keep them warm. Brown adipose tissue is functional for heat production and burns calories. White fatty tissues are more common as you get older. It only coats your organs and provides little benefits. Butyrate can convert white fat to brown fat, which can help you boost your metabolism. Fat is also metabolically active. Men who are fatter convert their testosterone into estrogen. Dr Yurth emphasises that a good diet and quality exercise is worthless without looking at hormones. Listen more to learn about how hormones affect your metabolism. [54:20] Regulating Blood Sugar As your blood glucose rises, you will feel temporary stress which is good for you. However, long-term high levels of glucose in your blood are damageing. Dr Yurth mentioned the benefits of continuous glucose monitoring (CGM). Go for a walk after a meal to regulate spikes in your sugar levels. Chromium and cinnamon help maintain blood glucose. However, the positive effects rely on genetics. A recent study revealed that eating protein before carbohydrates shows a lower blood glucose and insulin level. [1:00:36] Enzymes and Breaking Down Proteins Evidence shows that the dysfunction of the metabolic process starts in bile acids. In treating neuromuscular weakness or building muscle, you should focus on your digestive enzymes. Integrate mass proteases and lipases into your meals. Dr Yurth reiterates the importance of keeping your gut microbiome healthy through consuming butyrate.  Good bacteria such as probiotics, which are anaerobes, will not survive the colon site. If you don’t have a healthy gut lining, your immune system will see probiotics as foreign materials. This can cause a histamine response.   7 Powerful Quotes from the Episode ‘I'm gonna make the case that actually every single disease, from cancer, to cardiovascular disease, everything related to ageing, osteoporosis, everything comes down to mitochondrial dysfunction.’ ‘I’m just a big advocate with diet, and with exercise, with everything, everything's done cyclically. Because we want to go through phases all the time where we're getting rid of bad stuff and then regrowing.’ ‘We’re able to use the butyrate for fatty acid oxidation and actually improve aerobic metabolism.’ ’As you're learning, the gut is everything. And now we're learning it may even be imperative to the mitochondria.’ ‘I think what it's going to come down to when we look at this mitochondria, it's not going to be trying to figure out what is my perfect dose of antioxidants. It's gonna be figuring out how do I get that mitochondria with the pores, letting the good stuff in and letting the bad stuff out?’ ‘What it's really trying to get across is just, you know, sensible stuff, we just did a thing you know, about just taking a walk after dinner, right?’ ‘That little bit of stress, like I said, what you know, what doesn't kill you makes you stronger.’   About Dr Elizabeth Yurth Elizabeth Yurth, MD, is the Medical Director and co-founder of the Boulder Longevity Institute. This institute was established in 2006. Dr Yurth is double board-certified in Physical Medicine & Rehabilitation and Anti-Ageing/Regenerative Medicine. She also has a Stanford-affiliated Fellowship in Sports and Spine Medicine. Here, Dr Yurth specialises in Sports, Spine, and Regenerative Medicine. Additionally, she also has a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M). Dr Yurth serves as a faculty member in SSRP (Seeds Scientific Research and Performance) with 25 mastermind physician fellows. Here, she allows herself to stay abreast and teach others in the emerging field of cellular medicine. An active athlete herself, Dr Yurth has worked with numerous sports teams at both the collegiate and professional levels. At present, she works as a consultant for high-level athletes from across the country. She aims to aid them in recovery and optimise performance. Dr Yurth resides in Boulder, Colorado, with her husband and five children. To know more about Dr Yurth’s work, visit Boulder Longevity Institute and connect with her on Instagram.    Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can learn more about mitochondrial health and include butyrate in their diets. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa   Full Transcript Of The Podcast Welcome to Pushing The Limits, the show that helps you reach your full potential with your host, Lisa Tamati, brought to you by lisatamati.com.  Lisa Tamati: Lisa Tamati your host here at Pushing The Limits. Super excited that you're here with me again today. Thanks for tuning in. I do love and appreciate your loyalty. And I would love to hear from you. If you've got something to say about the podcast, you’ve got some comments and questions about some of the topics that we have raised, please do reach out to us. We love hearing from our listeners. And if you can give us a rating and review if you're enjoying the content, that really really helps the show.  We've also got our Patron VIP premium membership now open. If you love our show, if you love what we do, what we stand for our values, our principles, the work that we put into this podcast, which we've been doing now for five and a half years, without any money or any—just for the love of it and for the passion of it. If you want to help support us and keep us going and want to get a whole lot of premium membership benefits, then head over to patron.lisatamati.com. I would love you to join our VIP tribe. That's patron.lisatamati.com. For the price of about a coffee a day or a little bit more, you can be involved. There's two tiers in there, with different levels of premium member benefits. And we would love you to join us there. So if you can please do.  Now today's superstar is Dr Elizabeth Yurth. And if you follow the podcast, you might have remember that name because she was on just a few weeks ago. And she is now one of my favorite teachers. I have been learning from her at the Bone Longevity Institute of Human Optimization Academy. And she is a brilliant teacher, and a brilliant orthopaedic surgeon and longevity expert. And she offers the world's most advanced research-based health care. And it's all customised to you. And the information that we're going to share with you today—today's topic if you like, is all around mitochondrial health. Now we do deviate a little bit because as we do in these conversations, we go off on a few tangents. But it is really all about understanding what your mitochondria are, why you need to know about it, how to keep them healthy, because these little bacteria if you like, and these little powerhouses of our cells are absolutely crucial to health and longevity.  And Dr Yurth says that the mitochondria, she thinks, are at the very basis of all diseases. So when these little guys go awry, that's when diseases come into play. And everything from cancer, chronic fatigue, to all of the diseases right across the spectrum can be affected by mitochondrial health. So we do a bit of a deep dive into that today. So I hope you enjoy this session with Dr Elizabeth Yurth. She's a lady who walks the talk. She's an incredibly amazing person, athlete, orthopaedic surgeon. She loves this. She breathes it the way she loves, as you know, in complete alignment with what she also teaches, so make sure you check out all her links in the show notes. Right.  Now before we go over to the show. Just want to also let you know about our NMN, our supplements. They’re longevity and anti-ageing supplement. We are into longevity. We are into health span. We are into increasing our lifespan and healthspan. So if you want to get into having—to boosting your NAD levels in your body, we've recently done a couple of episodes with Dr Elena Seranova on this topic, then head over to nmnbio.nz. And grab your NMN supplements over there to get your longevity regime underway.  And in today's podcast, we talk a little bit about this. We talk also about spermidine, which we've also mentioned in other podcasts. There are some amazing compounds out there that are going to help us stay healthier and longer. And there's a lot of techniques and things that we can actually engage in. We don't have to be passive bystanders to our ageing, we can do things about it, we can slow it down, and even reverse it in some places. So I hope you enjoy this episode. So do check out my Longevity Supplement over at nmnbio.nz. And enjoy today's show with Dr Elizabeth Yurth.  Lisa: Well, hi everyone and welcome back to Pushing The Limits. Super excited to have another wonderful guest that we've actually had on before and back by popular demand. That was a very, very popular episode. So I have Dr Elizabeth Yurth with me. Hi, Dr Yurth, how are you doing? Dr Elizabeth Yurth: Lisa, thank you for having me again. I love being with you.  Lisa: Oh, it's just that, our last episode was just so full of information that I've had it on repeat going, for me, because there's so much in there and so many people have written and have been asking questions. So I want to get started by saying if after this interview, you want to talk to Dr Yurth and one of her team at the Border Longevity Institute, you can do that even when you're in New Zealand or Australia, you can do teleconsults. And yeah, so if you are facing some difficult health problem, and you really want some help, make sure you do that. And we'll have all the links in the show notes and so on. And before we get underway, there is a Bold Longevity of—what is it called, optimisation?  Dr Yurth: Human Optimization Academy, right? Yeah, from the Border Longevity site, or just go to bliacademy.com and sign up. But you guys have definitely signed up for that we actually are trying to really put together tons—and all the information you guys need to try. And you'll have one place where you can go get all of these things that we talked about, and all the things that Lisa talks about, and really be able to learn about them. Because as we know, doctors don't really learn this stuff very well. So you guys have to do it yourself. And so we're trying to give you a place to do. It's coming from a very experienced... Lisa: Yeah, and if you want on the latest, so make sure bli.academy.com. And I'll put that in the show notes too guys, so you can find it.  Now today's subject is mitochondria, one of Dr Yurth’s favorite subjects. Okay, for starters, what is a mitochondria? Dr Yurth: What's really so cool about mitochondria, right, is they're actually they were actually their own little bacteria. So they invaded us back when we were threatened to kind of moving from an anaerobic to an aerobic environment. So when we went from sort of anaerobic organisms to actually living in air, we couldn't do it. And so these little bacteria got into the cells, and they formed a symbiotic relationship, so that we could survive outside of water and air. And so they were responsible for us being able to move out of the ocean and into an air or an aerobic environment. Well, they're actually their own little organism. Right? I mean, that that is weird, right? That we have this essential part of our cell. Now our essential part of survival is actually its own organism.  And it was a one celled organism, it gone to formed a symbiotic relationship, it allowed the bacteria to survive living inside ourselves. And if we allowed ourselves to survive, so amazing. And that's why they're so unique is that they actually contain a whole genome that is separate from your nuclear genome, right? So they have a mitochondrial genome that's completely different. And it's only inherited from your mother. So that mitochondrial genome is not inherited from your father at all. It's probably one of the reasons your mother's health at the time, because even though the mitochondria has its own genome, that genome is impacted by things you do. So if I have a baby, and I'm super unhealthy, I've altered that mitochondrial genome. And then I've transferred that mitochondrial genome only from me—the dad was great and doing everything right—to my children. So that's one of the... Lisa: So that’s the epigenetic…. Because I'm just about to go through IVF, as I said before, very interesting for me. So even though I'm going to have an egg donor... Dr Yurth: You wanna make sure she’s healthy, right?  Lisa: Yeah, she's just—she is, and we've got her on everything. Her DNA is coming into the egg, but actually, my mitochondria will be a part of this baby, if we have one. Dr Yurth: So you will alter—so basically, she's, you're going to be, the baby will have her mitochondrial DNA. But because you will be growing this baby, you will be altering that mitochondrial DNA by epigenetic influences that you're doing, right. So now you're going to be changing some of that DNA structure, or the genome of that mitochondria by things you're doing. The mitochondria, so even though it's coming in, and again, you want her to come in with this great mitochondrial DNA in the first place. Right? So we want this good genome in the first place, which is why you do want her to be healthy and fit and all those things. And younger. But then you know all about the epigenetics, and so you're going to be potentially altering some of that, too. So that's one of the really amazing things. Now, what we used to think is, all the mitochondria did was do oxidative phosphorylation, and make energy, make ATP. And that's what they did. They were our energy powerhouse. That's all we ever learned, right? High school was like, ‘Oh, the powerhouse of the cell’.  So we now know, they do a whole lot more than that. So they're not just responsible for aerobic metabolism, and making ATP. So they're not just energy production. And in fact, there's the communication back and forth between the nucleus of ourselves and these mitochondrial DNA that's imperative to health. Well, I'm gonna make the case that actually every single disease, from cancer, to cardiovascular disease, everything related to ageing, osteoporosis, everything comes down to mitochondrial dysfunction. Lisa: Wow. So this is pretty– Dr Yurth: It's imperative and, and you're gonna start reading more about this, is that the key to fixing our health is going to be fixing the mitochondria. And we've already figured out like, you know, you I know you're big into NAD that, improving NAD and I know you have a product that does that. And that is— that's critical, right? To mitochondrial health. We know that's critical to mitochondrial health. But there's more to that story. And the big thing is that is that piece of communication, that mitochondria sends messages out to the nucleus, and the nucleus sends messages back to the mitochondria. Lisa: Okay, so what are these messages that they’re sending backwards and forwards? And why does this have to do with the function of the mitochondria itself? Dr Yurth: Well, there's, as the body goes through the oxidative phosphorylation pathway, that Krebs cycle, that cycle that makes energy, right. And we know that we create these free radicals. And that's been one of the big theories of ageing is this free radical theory of ageing, that mitochondria produce all these free radicals, as free radicals overwhelm the body, they damage cells, and we get damaged tore into our DNA? Hmm. Lisa: So we all thought that antioxidants would be the answer, recommended… Dr Yurth: Right. We just take a bunch of antioxidants into the mix, and you're going to be great, because now, all those free radicals, you're not going to have any damage. The problem is that we know that there's been this—the mitochondria has a very, has a way to handle this oxidative stress. So there's a few things that happen. Obviously, stress is really critical to the mitochondria’s health. So as it creates these free radicals, and and it's rust by things, it actually produces what are called mitochondrial peptides. So it has its own genome, right, that's now been activated by this stress. And it creates these—its own peptides that no other structure in your body can produce. So it's producing these little chains of amino acids.  And there's quite a few being developed now or that or that we were learning about, but the sort of the three main ones that we kind of have a pretty good knowledge about right now are something called MOTS-c. There's another one called humanin, and another one called SS-31. And those are what—the SS-31s, and a group of them are called small humanin-like peptides or SHLPs. Those peptides, so once the mitochondria is stressed, it encodes this DNA to say, ‘Oh, you need to go out there and tell the nucleus to do some good stuff’.  So these mitochondrial peptides now go outside of the mitochondria, and they tell the nucleus to to heal things and get stronger and do better. And then that sends messages back to the mitochondria. So that stress, that oxidative stress actually, it's just like, you know, what doesn't kill you makes you stronger. Lisa: And actually it’s a fact on this. Dr Yurth: It’s really a fact that mitochondria health, that these medical peptides are imperative to health. In fact, humanin which were first developed actually was looking like a cure for Alzheimer's. And it may be really—well, it may be actually very, very baffling here, but very, very helpful in dementias and a lot of other diseases. We know that higher levels of humanin, people who live to be a hundred and above have much higher levels of humanin, so we know that these mitochondrial peptides, the higher they are, the healthier you are. No mitochondrial stress. If I just impound my body with antioxidants all the time, then I'm actually probably doing some damage. So cancer, right, so where—now again there, I can also overwhelm, right?  There's also another response, the mitochondria have, it's called the UPR, unfolded protein response. So as the mitochondria are stressed, and these damaged proteins that are produced when we're under stress, right, we get damaged or proteins, that's where we're kind of linking that to Parkinson's and Alzheimer's and some of the plaques that form... Lisa: The tau proteins and things.  Dr Yurth: Yeah, yep. When the mitochondria is stressed, it actually sends messages out to the nucleus to activate what's called the UPR, the unfolded protein response. A little protein response actually takes these bad proteins and it strings them back out and makes them normal. Or it says, ‘These guys are so damaged. Let's just get rid of that mitochondria and initiate basically autophagy or mitophagy, eliminates the bad mitochondria that are too damaged. There's too many damaged proteins. We've overwhelmed the unfolded protein response’. Now it initiates this response to kill off the bad mitochondria.  See, if I'm just now taking a ton of antioxidants. Maybe I've blocked this response to get rid of all these bad proteins. Right. And I'm actually inducing more of these bad, abnormal proteins that are going to cause damage.  Lisa: I've talked on a couple of episodes with Dr Elena Seranova about—who is a molecular biologist on autophagy. And I think we talked about it too last time. So that's getting rid of the damaged proteins in the cells or in the mitochondria itself, getting rid of it. And we talked about fasting last time and how critical fasting is for autophagy in getting rid of these bad proteins and clearing things out.  So if we—so you're saying we can overwhelm this protein, and what do you call unfolding...  Dr Yurth: Unfolded protein response, UPR.  Lisa: Yeah, we can overwhelm it with too many antioxidants and actually stop it... Dr Yurth: Stop the UPR from being activated. So now we don't actually kill it, we don't actually—either fix the damaged protein or get rid of the cells that are too damaged. Lisa: Wow, okay. And so in this is this two-way communication between the mitochondria and the DNA, this is the nucleus of the cell. This is all within the—if we picture a big, nice fat round cell, and inside, you've got thousands of mitochondria per cell. And you've got the actual nucleus, which has that nice double helix, you see in the graph–  Dr Yurth: Where all the DNA is. Lisa: –where the DNA, your code for life is–  Dr Yurth: Right.  Lisa: And these are talking backwards and forwards to each other to keep the health of the cell good. And then when we do autophagy, or mitophagy, we're getting rid of the damaged parts of the proteins that have been damaged through—is this through, so the damage that occurs in the cells is happening because of DNA breaks? And what are toxins and things like that, right?  Dr Yurth: Exactly, these reactive oxygen species that you know, they're starting to damage the DNA too much inside the mitochondria and creating abnormal proteins. Right? So now we've created these dysfunctional proteins that are going to do damage, so the body tries to get rid of them. And it's not, I'm not gonna say there's no place for antioxidants, right? But what you have to be careful of, is sort of cycling through phases where you're off of your antioxidants, and maybe inducing more autophagy, right. So we now want a little more oxidative stress to induce this healing response to give the cell some stress, and then maybe going on antioxidants for a little while to make sure that we don't ever have too many. Lisa: Yeah, if you've gotten a lot of antioxidants, or sorry, or oxidative stress, because maybe you're exercising a heck of a lot or you've had an infection, or you've got something other high stress...  Dr Yurth: You eat like crap, or you're fat or… Then you might need extra antioxidants. And just to support the baseline of your functional health. But even those people, right, need them off and on, they should not be constantly. They should do phases, right? They should cycle it. I'm just a big advocate with diet, with exercise with everything, everything's done so quickly. Because we want to go through phases all the time, where we're getting rid of bad stuff, and then regrowing and getting rid of bad stuff and regrowing. Right? It’s just like cleaning your house. You got to get rid of all the crap, but then you're gonna… Lisa: Bring the new groceries. Dr Yurth: Yeah, right. It's get cluttered again. And then you got to go clean it all out again, and things get cluttered again. Yeah, I mean, that's the world's clutter wouldn't happen, but it does, right. Even the most pristine non hoarder person, there's still clutter that happens, and you still have to do your spring clean outs. And that's—so I like to think about the body in the same way, you know, going into the spring clean outs where you go through a big autophagy phase where you're fasting, we're using hydro spermidine, where you're using things that will help to really clear out all the bad cells, all these damage, mitochondria that are producing too many reactive oxygen species, right? And then going through growth phases, where where I'm now maybe I'm inducing a little bit more toxic stress, I'm exercising harder, I'm lifting more weights, I'm running more, right, I'm inducing more oxidative stress. Maybe I'm eating more calories during that time. Now there's more oxidative stress cells a little bit stressed that actually initiate some growth and some healing. Right. And then I can do the same thing over and over again. But there's really interesting new research leads when you kind of look at ‘Okay, well, how does this all make sense’? So it's probably going to come down more to this. This is what's called the MPTP or mitochondrial permeability transition pore. And what they've now found is that that's probably where we need to focus is this little pore is letting stuff in back and forth through the mitochondria. So the right amount of things get through. So we know this little pore opens and closes. As we're in worse health, or older, it stays open longer, allowing more bad things to go In and out. So it's designed to open periodically, closed periodically. So for brief periods.  So what a lot of focus now is on anti-ageing. And mitochondrial health is focusing a little bit on this mitochondrial transition pore. In fact, there's a really cool study just came out where they're actually taking out these mitochondria and actually changing the pore structure for treating cancer. So they can actually make the pores in these cancer cells more permeable, so they can get drugs with a little nanobot that's poking holes in the mitochondria.  But on our home base, is what we really would rather do is keep these little mitochondrial transition pores closed most of the time, let them open periodically. So there's some interesting things that do that, melatonin does that? Oh, so higher dose melatonin seems to work primarily on this pore to actually regulate keeping it closed more often. So it’s spermidine, that's one way spermidine induces cellular or mitochondrial biogenesis is by restoring this pore structure. Lisa: And we're big into augmenting spermidine. I've just got my first shipment, I'm working on getting that down here guys.  Dr Yurth: Spermidine is kind of amazing. Because it really is so good for mitophagy, getting rid of bad mitochondria, but also mitochondrial biogenesis probably because it does focus a little bit more on this pore. Making more mitochondria, right. Right, make more mitochondria, we need more mitochondria.  The other thing interesting, I don't know how many of—how you or your listeners have looked at things like minocycline, right? Antibiotic, we always think antibiotics are bad, right? Yeah. Well, interestingly, minocycline and doxycycline. And minocycline is a little bit better, probably actually has a very nice anti-ageing effect, used periodically, to actually close off these pores, and let the cell kind of develop and grow more than mitochondria grow more. So minocycline has a really distinct effect on the mitochondrial transition pore as well, for this permeability pore. So there are a few simple things that you can use, and I like.  Lisa: And it doesn't want your good microbes and stuff when you take them. Dr Yurth: You know, definitely antibiotics have the downside of changing the gut microbiome. And we know that there's downsides to that, which is why you're not going to stem minocycline all the time. But like anything, it appears to have some very significant benefits in our cell health. So by doing that, maybe twice a year, doing like a 10-day course of minocycline, you can actually restore cell health. Now, after that, do you have to really work on gut health? Probably depends on how bad your gut is. So if my gut is super healthy, it's probably gonna regenerate, divide, right? Otherwise, it would, I have a lot and I know you're really interested in some gut microbiome stuff. Because you're gonna be a really—you're gonna see a really big connection coming up here soon between the gut microbiome and mitochondria even. But we know the gut microbiome is most affected by butyrate.  So using tributyrate, which is sort of pre-butyrate that can turn to be right in your intestine. So if I had somebody on an antibiotic, do I throw—I'm just gonna throw probiotics into the mix? Well, no, because the probiotics aren't gonna survive. So what you have to do is first throw butyrate into the mix. Remember what the good bacteria in our gut do that we eat fiber? The anaerobic bacteria. Turn that fiber into butyrate. Butyrate has all these far reaching effects. Number one, it's imperative for the colonocytes, the colon cells to be healthy, that's what they—that's what they use for energy is butyrate. So they're different from your other cells, they use butyrate for energy. So when they use butyrate, for energy, I have these nice healthy colonocytes, they create a nice anaerobic environment where my anaerobes can thrive. And they can make more butyrate. And you have this nice cycle. But butyrate has some really interesting effects. There was a great study for your distance runners using butyrate to increase performance. Because higher levels of gut butyrate also seemed to help the cell, the mitochondria, and actually produce you actually, were able to use the butyrate for fatty acid oxidation and actually improve aerobic metabolism by having higher levels of butyrate.  Lisa: Was it like yeah, the athletes with keto. Yeah, because butyrate is like, isn't butter got butyrate in it? Or am I? Butyrate, butter.  Dr Yurth: Oh, butter. So butter does have butyrate in it, yes. So you can even increase butyrate by eating a whole lot of butter. You'd be—so your medium chain triglycerides, the short chain fatty acids do have butyric acid in them. The problem with when you eat butyric acid, when you eat butyrate, it doesn't really reach this lower intestine very well. Okay, and so even though it has some benefits, probably some other places, you really have to get the gut bacteria. And so the only way to really get butyrate to the lower intestine is either to take a pre-butyrate form, which is I like tributyrin, one has research behind it, or to use it rectally. So that's the other thing you can do is use it rectally.  Lisa: Okay, then that gets direct into the colon and then can get the right to the cells there.  Dr Yurth: Yeah, and this actually has a genetic—do you remember your PGC alpha gene? So when you get hired to get butyrate, you actually upregulate PGC alpha. And that's one of the things that improves aerobic endurance in your long distance athletes. You can actually—they did a study with butyrate on improving endurance in sort of your distance runners, your higher level endurance athletes, and besides, it's significant improvements. Also in race horses. Same thing.  So butyrate does affect mitochondria in other places, including skeletal muscle, and around that. So there is this big connection that we're just learning about between the gut microbiome and mitochondria. So if I'm going to put somebody into minocycline. I'm going to also make sure I have them on tributyrate so I'm keeping that nice anaerobic metabolism going. I'm making sure I'm getting butyrate to myself. Now I've repaired the mitochondria. I've given it another source to work better. And I'm going to have overall better endurance, better health, better aerobic metabolism. Better Vo2max. Lisa: Yeah, wow, that's just crazy. So butyrate—but if we just taking butyric acid or in through butter or that type of thing. Brother just arrived in the background. It’s all good. Podcast life. At least the cat’s not running from down as well.  So butyric acid, when I take it in the form of say medium chain triglycerides or butter and stuff, it's not going to help my colonocytes and my colon, but I still get through to the mitochondria and help. Dr Yurth: Yeah. I mean, there's significant benefits to it, but you really want to replenish the butyrate in the lower intestine, where you really need that for overall health. You really have to either do it rectally, or take it as a pro butyrate or a pre-butyrate form or tributyrin– Lisa: Tributyrin. I'll put that in the links.  Dr Yurth: You know what is interesting, my patients who have the worst, now are the sickest, like I take care tributyrate. I have no problems with it. I'm fine. I feel good and most people. But if you're sick or not well or have a bad gut and you take it, you'll feel pretty miserable. Because you actually can't turn it into butyrate very well and it actually causes a lot of GI distress. So some of those really sick people the only way to replenish butyrate first is to do a rectal suppository. So you can get rectal suppositories of butyrate right. You do like a high dose, like two grams of a rectal suppository, butyrate, replenish the butyrate then you throw like a spore probiotic or probiotic and now I've created this nice anaerobic environment I've replaced the good bacteria. Now actually they do fine as a maintenance with the tributyrate now that I've restored the gut health. For people who are not well, and I'll tell you, if any of you patients or your people, you talk to your clients, you talk to them use him take tributyrin, and they get they're like, ‘Oh, I'm nauseous, I can't take it’, or ‘Gives me diarrhea’, but it's because they have a bad gut and you've got to work, you know, right? Yeah. So tells you, right, that you need to replenish the butyrate. And again, the only way to do is rectally. Lisa: Can you buy that as a consumer without a doctor who's until…. Dr Yurth: But there is a company and I don't know that, here in the US that's called MitoZen. That does make a pro-butyrate, it's a suppository. It's a two-week course, you have a high dose butyrate and it's actually pretty cool as a spore biotic mixed in. So I use that product a lot. It's on the pricey side like all this stuff. But I really find like a two week course of it. People do pretty well. All you do is two weeks of it, and then you can get them into the oral much less expensive form. The rectal butyrate smells bad. One of my patients, like ‘All my dogs are following me everywhere’. Other people—when you're doing I don't think other people can smell it on you but you can kinda smell it when you do it. It’s kind of like urine. Some people don't like the smell of, I don't mind the smell of that, but some people say they don't like the smell of that either. Lisa: Okay, men and tributyrate, so if he’s not really sick, so if they’re really sick. So if you've got something like Crohn's disease, or IBS, or something– Dr Yurth: Those people you wanna do the rectal, and they do amazing. I will tell you, they do amazing. There's a big stage just coming out with Crohn's being a mitochondrial disorder, too. It's got mitochondrial disorder, but IBS, your SIBO patients, you put them on the rectal butyrate, two weeks so that they do absolutely amazing. Honestly, it's incredible how well they do in a lot of illnesses. I mean, it's been our go to for a whole lot of different disorders. And it's amazing how well it works. As you're learning the gut is everything. And now we're learning it may even be imperative to the mitochondria. Lisa: So how does it connect with mitochondria? So that piece here I've sort of like, haven't quite got in my head. How does—like you said, mitochondria are the basis of health, because they are the ones that are producing the energy for the cell, talking to the nucleus, they're causing this cascade of different events in the cell. They're actually producing ATP, which is our energy. So if you look at things like say, as you get older, your EGFR goes down, your function of your kidneys, in other words, starts to deteriorate. And this is, as an ultra endurance athlete, we smash the crap out of my kidneys with rhabdomyolysis a hundred times. I've had real battles getting my EGFR back up and managed it to quite a good degree, but it's still a problem. And as we get older, we sort of lose about 1% a year they say, of kidney function.  So then it’s just another example of it's actually the mitochondria that in this case, and the kidney cells that are not able to do their energy production to do what the kidney cells should be doing. So how can we reverse that train and get our kidneys working in this case, or our brain or in another case, or heart cells? All of these areas are affected by the mitochondrial function. And how does that link connect to the gut situation? Dr Yurth: So it connects to the butyrate because what butyrate does, at the mitochondrial level, is increases PGC-1 alpha and AMPK. And so you're, you're inducing on a genetic basis, a better oxidative capacity, right? So you're restoring the oxidative capacity to the cell, the mitochondria healthier. And so it's really working—the butyrate and searching fatty acids are really working on a genetic level, probably primarily at PGC-1alpha, I think we'll probably find more and more because this is very new. But it looks like that PGC-1 alpha is where it's happening is a very distinct effect on mitochondria. And then the AMPK through the ACC pathway.  So basically, I think, if you think about it, probably from your training and everything, think about it as an epigenetic influence changing genetic output, right. So that's probably where the short term fatty acids are working in terms of mitochondrial health, I think there's going to be more to that story. You're right, kidney disease brain to these, everything comes down to we have to have mitochondrial health. So exactly what you said, first, have a healthy gut, let's replace the butyrate. Because we know that that's important for those pathways, then, what we have to do is go through phases where we really induce mitophagy. That's where you're fasting and your spermidine comes in, right. So we've got to basically induce, get rid of all the bad mitochondria. So that's gonna induce mitophagy right. So get rid of all the bad stuff.  And then we want to do more of a build up phase. So what I'll do is all patients go through different courses, 6-12 weeks of really kind of more real time food restrictions, and using spermidine at a higher dose, and I'll get them sort of clean slate right. Now I want to regrow and that's where I want to actually regrow in. So I'm gonna have them now, get a little bit less out of eat a little bit more a little less calorie deficit, I want to create a little bit of oxidative stress because now I'm going to induce those humanin-like peptides, those mitochondrial peptides, my MOTS-c, SS-31, the small humanin-like peptides, humanin itself. So we know that those are so imperative for ageing, and that when those peptides are released, they induce your nucleus to have a healthier genome. So now I'm going to have everything else be healthier, because it's going to send messages back to the mitochondria, mitochondria is going to be healthy, but then that's gonna get overwhelmed after a while. So then we go back into our, you know.  So when you think of things that way, always that sort of breakdown-cleanup, breakdown-cleanup, kind of an easier way to live right? Don't get bored. Always live in this super restricted capacity. Lisa: Especially with calorie restriction and things. Dr Yurth: Yeah, like caloric restriction and right eating very low calories. Yeah.  Lisa: It makes you miserable too.  Dr Yurth: That’s right. And so when you can tell—when you tell people listen, I want you to do this for 12 weeks, and then we're gonna let you kind of, you know, have a little me, I'm not gonna tell them go eat cake, but we're gonna be able to, you know, do a little bit more and go through growth phases. And people feel better, and they look better and they have more muscle mass, if you're always in that AMPK state right, that break down, but not really break down state but that more longevity stat, more catabolic state more, yeah. Which is good for longevity, right? But when you look at those people, they always look so healthy. I'll look at someone's people. And you're like, I mean, sometimes they don't have much muscle mass, their hair is thinner. So we do want to go through these phases where we allow the body to kind of grow a little bit, right, especially if you want some muscle, we know that muscle is imperative to health.  And thenI think we're sort of in the long term now they've got the mitochondria in this good homeostatic balance state where I've gotten it, but how do I keep that reactive oxygen species as low as possible? That's going to be where you look at them. That mitochondrial transitional pore, where, how do I keep that balance? And I think that's where maybe a lower dose spermidine every day, like one or two tablets every day of spermidine but I love melatonin for that purpose.  Lisa: I wanted to come back to melatonin. So I understood like melatonin—I was a little bit hesitant to take melatonin because it can change or can fix your circadian rhythms and so on. But after listening to you a couple of times talking about melatonin, why is it not a problem then? Do we take it at nighttime? And what sort of dosages do we need to take?  Dr Yurth: It’s interesting. I mean, we will dose—so for my osteoarthritis patients who have, for instance, high levels, most patients who have diffuse arthritis, or degenerative discs have very high levels of a cytokine called interleukin 1 beta. Interleukin 1 beta is very damaging in mitochondria, that's probably one of the reasons you get cell death and, and your chondrocytes all die off. So one of the things we know blocks interleukin 1 beta is higher dose melatonin. We also know that that's very anti-cancer, right? Probably for the same reason it's creating this balance, this homeostatic reaction in the mitochondria. So I actually like, in those patients, high dose melatonin, a high dose melatonin sounds interesting. Unlike the lower dose melatonin, it sometimes actually has more of a stimulating effect. But it actually does help restore your own circadian balance at a higher dose.  I have a lot of people who take it in the morning, because if they take it at night, they actually are stimulated by it. If you take in the morning, they're sleepy at bedtime, and they sleep through the night. While I'm working with your own. Your super charismatic nucleus and tinea, we're kind of brain level, a kind of balance you back out. Lisa: So what sort of level is like, I'm at the moment, just me personally, anecdotally, I'm taking a five milligram dose of melatonin at night time to optimise my sleep. And is that a low dose? Is that or is that a high? Yeah, what is the high dose? Dr Yurth: So high dose is like 20 milligrams. We use the high doses in our people who have osteoarthritis primarily, cancer, we use high dose melatonin, especially your breast cancer patients will use high dose melatonin. So we'll use that, you know, as a trigger adjunct. Not always, you really have to kind of work with people, there's people who do great take in at night. One of my sons does great, it's 20 milligrams of melatonin at night. Sleeps through the night and wake up early in the morning. Me, I actually take it in the morning. If I take it at night, I'm wide awake all night. But if I take in the morning, I have a really nice, good sleep with good deep sleep on my Oura ring. I get a good  hour and a half of deep sleep. So it seems very different in different people and how it's interacted. And I'm sure that has to do a lot with kind of genetic, what are your clock genes? So I think that that probably has a little bit of a genetic influence. And I do have people who just don't follow—can only tolerate very low dose. You know, but we're finding more and more reasons to be very cautious with oh, you don't really want to take more than three to five milligrams of melatonin. Yeah, really finding that the higher doses seem to have a very advantageous effect on... Lisa: Without putting your body clock out. You're super right. Dr Yurth: Actually, potentially really benefiting your body clock, your circadian rhythm, which is critically important. And right now, that's one of the sort of easy things we can do that we know is going to be working. And as I said, I think what—it's going to come down to when we look at this mitochondria, it's not going to be trying to figure out what is my perfect dose of antioxidants. It's gonna be figuring out how do I get that mitochondria with the pores, letting the good stuff in, letting the bad stuff out?  Yeah, in the right sequence because we know that, for instance, cancer cells that port stays open all the time. There's this very imbalance in this other mitochondria are really getting all this stuff all the time. So we know that a huge factor to health is trying to restore this normal port. I think that we're—there's a drug that's coming out. I can't remember the name of it. Yeah, I can't remember the name of it, but that will probably be actually really, if we can get it will be actually really interesting. It's actually coming out for the treatment of ALS. But that looks like it might be really helpful for that pore.  Lisa: They’re shutting the mitochondrial pore.  Dr Yurth: Yeah, I mean, if that will be something we can get. I don't know. But we'll find more things. Like I said, I think minocycline is a really nice thing to go to, like twice a year, I'll use a 10-day minocycline course, really benign.  Lisa: Minocycline. How do you spell it? Dr Yurth: So, minocycline, M-I-N-O-C-Y-C-L-I-N-E. Cheap antibiotics. I mean, it's like a $10 antibiotic. Right. And that has, but it has really—and it's been looked at in the anti-ageing field for a while, but we kind of weren't so clear of its effect on the mitochondria. Well, now we actually have found it's actually working on this pore, to actually balance out and keep the pore closed more, which is what you really want. When we're young, the pore is not open as much as it does when we’re old, there's less bad stuff coming through the mitochondria. Lisa: So itis getting porous, isn't it? So basically, the membrane is getting porous.  Dr Yurth: Exactly, that's probably where—like some of the mitochondria peptides like SS-31, which was the cardia lipid membrane, which helps them that endoplasmic reticulum inside the mitochondria to be healthy. So that's why peptides like that are so beneficial. Lisa: Yeah, yeah. And there's lots of, you know, we can't get these fancy peptides, unfortunately, that easily. The caveolae pan is an enzyme that is a very important enzyme for us. It's a stabilising enzyme, isn't it? So, we want more of this and this is what one of these peptides is right. And so hopefully, there's going to be more research around that and more drugs even coming out around that. Dr Yurth: Yeah, and remember that one of the ways we induce some of these mitochondrial peptides is exercise. Right? MOTS-c is a little bit of stress for our body, right and so it reduces the mitochondria to produce some of these mitochondrial peptides. MOTS-c which is kind of considered exercise in a bottle because you can actually give at least mice you can give them MOTS-c— basically this mitochondrial peptide and it acts just like exercise. Lisa: Exercise hermetic. Dr Yurth: Yeah. So it's very cool. Of course, it's very expensive and... But way cheaper to go exercise, but it's a nice thing to offer people who can't exercise for some reason. Like, you'll have an injury or elderly people who are just so sarcopenic and trying to get them to do anything until you build a little bit of muscle is almost impossible. So things like that are going to be really nice in that realm as peptides like MOTS-c.  There's a whole company here that is actually just working on these mitochondrial peptides as drugs for treating things like this. Right now, we know that one of the best ways to produce MOTS-c is to exercise, stimulates your mitochondria to be a little stressed. Mitochondria produces more MOTS-c. MOTS-c helps with glucose metabolism, it helps with fat loss, it helps with turning white fat into brown fat helps. It helps with kind of overall aero metabolism. Lisa: Just briefly on that. What is white fat versus brown adipose tissue, you know, brown fat? And why is brown metabolically active?  Dr Yurth: Yeah, so you know, white fats what—that fat we get as we get older and you know, it's really doing nothing beneficial. Brown fat is what little kids have, right? Brown fats—we look at babies or you look at little kids and they have that little chubbiness. Well, that's usually brown fat. Why? You know, maybe boys made fun because I'm always cold and so I'm way overdressed. My kids, but little kids don't get nearly as cool. We don't have to like them quite so bundled up as we do, because they're really covered with brown fat, which is metabolically active, that's what it was designed for. And when you're born you have this brown fat, you can stay warm. I mean, really, we were meant for survival, right? These babies who are born, they need something to keep them you know. Also there when you were caveman and you were just laying there in the cave, you survived.  So brown fat is metabolically active, it's helping for warmth and heat production. It's actually burning calories. White fat is what we get as we get older and we just eat too much and we sit around too much. And all it does is coat our organs and do nothing beneficial. So brown fat actually you can convert white adipose to brown adipose, so you can turn it into metabolically active tissue. Then you're actually going to be able to burn more calories and you'll be way more metabolically active. You actually want brown fat. You can convert white fat to brown fat. You know, and that's probably does come down to—that's one of the things that when you looked at butyrate it was one of the places that butyrate actually worked was actually helping to convert more brown fat and white fat. So there was a big problem putting people on butyrate can really help with fat loss using butyrate and if you're overweight people who are all have metabolic their guts are horrible. Yeah, uterine those patients can really help with fat loss.  Lisa: I just had Dr Austin Perlmutter on you know, probably… And he was talking about the white fat cells, the visceral fat cells having not a consciousness but they have an ulterior motive to keep themselves alive. So they seem that all these—make you hungrier, send out inflammatory compounds and so on to make sure that they stay alive. They end up killing the host in the end. But like a cancer cell, they although they have their own agenda independent of what was actually healthy for your body. So they don't want you to do fasting. They don't want you to do any of these things, because they're not going to get knocked off.  Dr Yurth: Yeah, I mean, fat is metabolically active too. Remember it converts—fat cells have—they convert testosterone to estrogen. So men who are fatter will start converting all their testosterone into estrogen. So it's one of the places that that we have, you know, aromatase is inside fat cells. White men tend to have bigger breasts, and you know, is that fat cells actually are converting very mostly into this bad estrogen. So even your testosterone, you put them on testosterone, a lot of them just convert it to estrogen. Lisa: Wow. So that's independent of your innate genetic pathway for your hormones.  Dr Yurth: Fat cells have aromatase. Fat cells have aromatase. Lisa: Oh, wow, that's—I didn't realise that. I mean, I thought your genetic pathway was your genetic pathway. And you'll be converting your testosterone to estrogen is more if you have that genetic predisposition. Dr Yurth: It's certainly genetic there. But yes, that fat guys have breasts, right? You look at breasts because they're very estrogenic. And so if you try and get—if you take some of your overweight males, and you put them on testosterone without using things to block estrogen or getting rid of fat first, then you just keep making more estrogen, making more fat. They’re making it worse, right? Lisa: So okay, so it's not just to do with your genetic pathway, but also to do with how much fat you have. And the more fat tissue the more estrogenised you’ll be. That's in the new—okay. So that's why. Because you see, a lot of young people nowadays are thinking over probably growing up with less quality food than what we grew up with in our generation, seem to be more estrogenised and have more of these issues, and the actual body shape, the phenotype, the way it secretes, is this more estrogenised than past generations? Dr Yurth: We're seeing a lot of twenty-year olds who come in, who have high estrogen levels, low testosterone levels. I think drugs have to do with that, too. I mean, here in Colorado, we have legal marijuana, which is unfortunately not very good for testosterone.  Lisa: Oh, wow. I didn’t know that either. Marijuana is not good for testosterone.  Dr Yurth: It's not good for testosterone levels at all. And then our food, right, bisphosphonates all these things that are so we're seeing this you know, these really young guys with testosterone levels that that you're a god awful. Lisa: And then estrogen levels higher than the... Dr Yurth: Estrogen levels that are high, right?  Lisa: Yeah, I just did my estrogen levels and my—I know mine are low because I'm going through menopause and so on. And I was looking at my husband's and I was thinking, ‘Oh, it was about…’ Dr Yurth: You do start good to see that right. You start to see that these men—these older man look like woman, it switches. Yeah. You know, and they start taking on more female build, right? They get the bigger breasts and bigger bellies and they start getting this more female build to them.  Lisa: I mean, I've had lots of things so that it's not it's you, going the other way and there's testosterone is good and bad. Yeah, that is what you see in older and older men is that tendency to go and eat. It's really really hard to get testosterone replacement therapy or hormone replacement therapy for men or—for woman a little bit easier. They've seen you know, the doctor seems... I am willing to give it to woman but well, this integrated medical fraternity for bioidentical hormone replacement? And, you know, it's so easy... Dr Yurth: It kind of kills me because I get this—we're putting together this course called what to fix for us to kind of help people. In this journey of getting healthy, what do I do? Because I'm overwhelmed. And as I was putting together, I was like, ‘Okay, well, you start with exercise’. And that's it. No, actually, you kind of have to start with hormones. Because if I take somebody who has no testosterone, and no hormones, they have no progesterone, so they can't sleep, they have no testosterone, this is both men and women. So you know that their joints hurt, because there's progesterone receptors on joints, they've no testosterone. So trying to get them to go into the gym, and is impossible.  So for me to say, follow a good diet, do exercise without replacing hormones. It's really kind of not right, right. I mean, as I was putting together a talk, I said, you know, actually, the first thing I do is get these people hormone stabilised, because then I'm going to go to motivate another, their testosterone levels are good, they feel m

In this week’s episode, three powerhouses in regenerative and functional medicine: Dr. Elizabeth Yurth, Dr. Erika Schwartz, and Dr. Susan Turner,  join me for a jam pack session of insights on women’s hormones. We take on the topic of managing hormones as they move into and through menopause. Doing so can protect your health, your vitality, your longevity, your mood as well as how you look and feel. We talk about bio-identical hormone replacement therapy and bust some of the harmful myths that have been perpetuated about it. Whether you are a woman going through this important transition yourself or, have someone in your life who is, you owe it to yourself and the people around you to get educated about this. Meet this week’s guests:   All three of this week’s guests are Fellows of Dr. Seeds SSRP Mastermind.   Dr. Elizabeth Yurth MD is the Co-Founder and Medical Director of Boulder Longevity Institute.  Along with her 25-plus years as a practicing orthopedist specializing in sports, spine, and regenerative medicine, Dr. Yurth is double-Board Certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine.   She is also part of the first cohort of providers to receive the A4M National Peptide Certification.   Dr. Erika Schwartz MD is the founder of ES Health takes the best of conventional and integrative medicine and applies them to preventing disease.  She was one of the first doctors in the US to treat patients with bio-identical hormones, conduct biomarker testing, and to administer preventative IVs. Dr. Erika has authored six best selling books for the public along with medical articles and numerous blogs, YouTube channel and bylined articles in the highest circulation publications of the world.    Dr. Suzanne Turner MD is the founder of Vine Medical Associates. She is double Board Certified in Family Medicine and AntiAging and Regenerative Medicine.  Practicing Functional Medicine, Dr. Turner is an industry expert and speaker on bioidentical hormone therapy, metabolic medicine, neurodegenerative disease, and human performance optimization. She has earned Advanced Certification in Endocrinology and Peptide Therapy and is the leading expert in peptide therapy in the Southeast.   Key Highlights: [02:33] People need hormones not just for the youthful looking but also for greater health [06:18] Hormones produce better in sleep, which in turn will help to support healthy testosterone and progesterone levels  [09:57]  Differences of each hormones and their roles  [13:20] The benefits of Exercising after a meal  [15:36] The difference between synthetic and bioidentical hormones [23:33] The downsides of Birth control on hormones which can affect sexual satisfaction   [27:09] Three different pathways which are largely genetic based on some cytochrome pathways and a lot environmental as well [36:28] Athletic type persons have more estrogen than others [41:35] When is the best time to start hormone replacement therapy? [45:25]  Strategies in obtaining growth hormones and how it helps the cells to improve the energy production of every cell    Connect: Dr. Yurth’s website Dr. Schwartz’s website Dr. Turner’s website   Instagram:  Dr. Yurth’s: @dryurth Dr. Schwartz:  @drerika218 Dr Turner: @DrSturner   Disclaimer: This podcast is intended for educational purposes only and is not in any way intended to provide medical advice.  Please consult with your medical practitioner or health provider before making any changes to your diet, starting any new supplements or protocols.

Alia chats with Luisa Burgos, a fourth year medical student who just matched into a Physical Medicine and Rehab residency. She explains to us the field of PM&R and why she chose this field. She also talks about how to be competitive for this field. Follow Us: Podcast: @browngirlwhitecoatpod Alia: @medicalglam Luisa: @lulu_liftsheavy

As Dr Yurth says:  Osteoarthritis is not a “you’ve run too many miles” problem - it is a disease process that may be avoided altogether if caught early enough and treated if addressed properly.  We explore the many ways that this debilitating condition can be addressed including some of the strategies that Dr Yurth uses in her clinic with her patients - we talk about peptides, addressing underlying causes and a few powerful supplements that can make a real difference.    Meet this week’s guest:  Dr. Elizabeth Yurth, MD is the Founder and clinical director of the Boulder Longevity Institute in Boulder Colorado. Her specialties include Orthopaedic Surgery, Physical Medicine & Rehabilitation, Sports Medicine, Longevity and Regenerative Medicine.  Dr. Yurth is Board Certified in Anti-Aging Medicine, has her advanced Fellowship Training in Anti-Aging Medicine, is a Member of the American Academy of Anti-Aging Medicine.  She is also a faculty member of the SSRP - Seeds Scientific Research and Performance Mastermind.   Key Highlights: [1:01] Why Dr. Yurth left the Orthopedic Practice she helped to Co-Found 27 Years ago [3:21] Why arthritis gets pushed to the background of chronic preventable diseases [5:44] Where senescent cells come into play in joint health [6:17] Where inflammation comes into play in the development of arthritis [7:21] A study on mice that may highlight the link between interleukin 1 Beta + the development of arthritis [9:00]Why steroids injected into an inflamed joint is a bad play for the long term [9:50] The loss of cytokines as part with the downward spiral into disability in advancing age [11:46] Why exercising remains a priority even when injured [12:46] Study on Rheumatoid Arthritis + movement vs. rest [13:10] the link between ACL reconstruction + arthritic knees and how EGCG may be able to help [14:35] Pentosan Polysulphate's place in post surgical recovery [15:30] How Pentosan Polysulphate works and on how it studies  [18:20] The difference between the oral version of PP(Elmoron) and the injectible [20:39] Where to get PP and why just using veterinary products on humans may not be a great idea [21:59] AOD9604+ Pentosan Polysulphate + Hyaluronic Acid [23:41] Pentosan Polysulphate after surgery [24:06] How to offset the High levels of certain inflammatory nucleays can reduce the efficiency of stem cell treatments [28:55] Dr. Yurth on Red Light Therapy [33:58] What Dr. Yurth does to block inflammation Pentosan, EGCG, Melatonin [34:22] High dose Melatonin as an anti-inflammatory [35:52] High Dose of Melatonin for Septic Babies [37:00] Epigallocatechin (EGCG) and Spermidine for the win! [37:52] EGCG Pre workout to increase muscle growth Myostatin Follistatin. EGCG under 4 grams/day may bump liver enzymes in some people. 1 gram/day maintenance increase in disease states [39:07] Spermidine + Osteoarthritis [41:25] Some helpful info for Post Covid Recovery [43:57] Addressing Acidic States - Alka Seltzer Gold   Linkage:  Cytokines ACL Injury Aod 9604 Human Optimization Academy   Connect with  Dr. Yurth: Boulder Longevity Institute Linkedin Instagram: @dryurth

We all want good health and a long life. That's why we subscribe to health fads that offer promising benefits to our bodies. But, for this same reason, we tend to neglect foundational health principles. While these are easily accessible to us, there is still so much we can learn and get from them. By going back to the basics, we can take better care of our health, prevent diseases and boost longevity. Dr Elizabeth Yurth joins us in this episode to talk about the importance of cellular health in longevity. She gives an overview of the benefits of foundational health principles in the disease process. Dr Yurth delves deeper into fasting, autophagy and the specifics of spermidine. If you want to know more about slowing the ageing process and boosting longevity, this episode is for you.   Get Customised Guidance for Your Genetic Make-Up For our epigenetics health program all about optimising your fitness, lifestyle, nutrition and mind performance to your particular genes, go to  https://www.lisatamati.com/page/epigenetics-and-health-coaching/. You can also join their free live webinar on epigenetics.   Online Coaching for Runners Go to www.runninghotcoaching.com for our online run training coaching.   Consult with Me If you would like to work with me one to one on anything from your mindset, to head injuries,  to biohacking your health, to optimal performance or executive coaching, please book a consultation here: https://shop.lisatamati.com/collections/consultations   Order My Books My latest book Relentless chronicles the inspiring journey about how my mother and I defied the odds after an aneurysm left my mum Isobel with massive brain damage at age 74. The medical professionals told me there was absolutely no hope of any quality of life again, but I used every mindset tool, years of research and incredible tenacity to prove them wrong and bring my mother back to full health within 3 years. Get your copy here: http://relentlessbook.lisatamati.com/ For my other two best-selling books Running Hot and Running to Extremes chronicling my ultrarunning adventures and expeditions all around the world, go to https://shop.lisatamati.com/collections/books.   My Jewellery Collection For my gorgeous and inspiring sports jewellery collection ‘Fierce’, go to https://shop.lisatamati.com/collections/lisa-tamati-bespoke-jewellery-collection.   Here are Three Reasons Why You Should Listen to the Full Episode: Find out the importance of hormone metabolisation and cell fixing in preventing and addressing diseases. Learn the importance of going back and forth between different health routines. Discover the benefits of spermidine in improving health.   Resources Pushing the Limits Episode 181: Genetic Predisposition and Understanding Your Hormones Join the Human Optimization Academy for FREE at Boulder Longevity Institute! Bulletproof Radio Abundance 360 Low Protein Intake is Associated with a Major Reduction in IGF-1, Cancer, and Overall Mortality in the 65 and Younger but Not Older Population PubMed Seed Scientific Research and Performance Boulder Longevity Institute’s Facebook page       Episode Highlights [01:54] Dr Yurth’s Practise and Boulder Longevity Institute Dr Yurth has been practising orthopaedic medicine for 30 years. Fifteen years into her career, she became frustrated with the band-aid solution process in orthopaedics. She started looking at the way to stop this downhill decline. She did a fellowship in functional and regenerative medicine and incorporated it into her practice.  However, short consultation sessions for such proved to be inefficient, so they opened the Boulder Longevity Institute. They started the Human Optimization Academy to educate people about orthopaedic regenerative care. Every single disease comes down to the mitochondrial level that requires systemic treatment. [07:16] Foundational Health Principles There are a lot of cool fads on taking care of your health. However, we have to start with the basic principles. Metabolising the hormones is very important. A urine metabolite test determines the pathways where hormones are going. Simple lab studies, including CBC and CMP, can give an estimation of longevity comparable with telomere length testing and DNA methylation. Looking at albumin can predict longevity. Listen to the full episode to have an in-depth look at how albumin works! You have to train people to go back to understanding these foundational principles. [21:33] An Overview on Cellular Health Every organ system comes back to cellular dysfunction. When you have damaged mitochondria, the cells are in an altered state of energy. Senescent cells are cells that sit in the body without doing anything. Zombie cells become toxic to the cells around them. To heal any disease, we have to clean out the bad cells. They use fasting in the disease process because it causes autophagy. The biggest mistake people make is to try to have many antioxidants and NAD in the body. To clear out the bad stuff, Dr Yurth and her team use rapamycin and spermidine. Tune in to the full show to know more about these cell-restoring methods! [27:45] Fasting and Autophagy Mimetics There’s a lot of questions about fasting that even experts have no answer to. Autophagy is self-eating. You can have autophagy without being in ketosis. One of the benefits of fasting is oxidative stress. Taking resveratrol reduces this benefit because it has a potent antioxidant. You don’t want to be doing any protocol and patterns continuously. You have to go back and forth between different things. A balance between mTOR and NPK keeps things in a homeostatic state. [35:08] Muscle Building and Longevity Muscle building is not the key to good health and longevity. The genes that stayed in our body’s genetic evolution are those that will help us survive famines. While research has shown that low IGF people live long, they don’t have good energy. It's about repeatedly bringing IGF levels down and building it up. The cells need a push and pull for them to become healthier. [38:36] All About Spermidine Spermidine is present in every single living organism. It is prominent in our guts and in some food, with the richest source being wheat germ extract. The major research of spermidine is its benefit in cardiovascular diseases. Myeloperoxidase is an inflammatory cardiovascular marker, of which they have seen high levels in post-COVID patients.  Research has also found that spermidine can lower Lp(a). Immune system support is another place where spermidine has been studied. Spermidine, along with the peptide thymosin alpha 1, can improve lymphocytes. The early studies in spermidines are on hair growth. It affects the body's overall regeneration process. [46:29] Using Spermidine Starting from a low level, it takes a while for spermidine to make you feel better. One of the things Dr Yurth did when she started spermidine was to monitor her heart rate variability (HRV) and her Oura ring. HRV is predictive of almost every disease state. Getting a higher dose of spermidine comes at a great cost. But it's putting your health at a priority. [50:35] Why You Should Trust the Research Fixing the cells at the very base level takes time. Dr Yurth is part of the Seed Scientific Research and Performance along with 25 mastermind doctors. Through this, they weed out what works and what doesn’t. If you want to learn more about how Dr Yurth applies her practise, listen to the full episode! There are a lot of inexpensive things you can do that are effective. If it doesn’t respond, that’s the time to pull up the bigger stakes. The Boulder Longevity Institute bridges the gap between research to save lives.   7 Powerful Quotes from This Episode ‘It is not that you run too much; you wear your knees. It's that there is a disease process going on in your body that is now making your joints wear out, and so you have to treat it systemically, or you're not going to make any progress’. ‘The cool stuff is cool, and there's a place for it in all of us. But you still got to start at the basic stuff’. ‘There's so much information in these really simple lab studies that you've gotten from your primary care doctor’. ‘I think even the functional medicine space sort of went beyond the step of looking at some very basic things that are inherent to life’. ‘You're never going to train doctors; you've got to train people’. ‘There's not really anybody who has one disease that does not have something else wrong; it's just impacted lots of times in different ways’. ‘We want to go back and forth between different things. And we want to make sure we're cycling. Any of you are staying on the same patterns all the time, that's not serving you’.   About Dr Elizabeth Dr Elizabeth Yurth is the co-founder of the Medical Director of the Boulder Longevity Institute.  She is a faculty member and a mastermind physician fellow in Seeds Scientific Research and Performance (SSRP). She specialises in Sports, Spine, and Regenerative Medicine and has double board-certification in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. She has a dual-Fellowship in Anti-Aging, Regenerative and Functional Medicine (FAARFM) and Anti-Aging and Regenerative Medicine (FAARM). Dr Yurth is also an active athlete and has worked with numerous sports teams at collegiate and professional levels. She does consultations with high-level athletes to optimise performance and aid recovery. If you wish to connect with Dr Yurth, you may visit her Instagram.   Enjoyed This Podcast? If you did, be sure to subscribe and share it with your friends! Post a review and share it! If you enjoyed tuning in, then leave us a review. You can also share this with your family and friends so they can include more amino acids in protein in their diet. Have any questions? You can contact me through email (support@lisatamati.com) or find me on Facebook, Twitter, Instagram and YouTube. For more episode updates, visit my website. You may also tune in on Apple Podcasts. To pushing the limits, Lisa   Full Transcript of The Podcast Welcome to Pushing The Limits, the show that helps you reach your full potential with your host Lisa Tamati. Brought to you by lisatamati.com. You’re listening to Pushing The Limits with Lisa Tamati. Fantastic to have you guys back with me again. I hope you're ready and buckled down for another great interview. I really do get some amazing people and this lady is no exception. So today I have Dr. Elizabeth Yurth, who I originally heard on the Bulletproof Radio Podcast with Dave Asprey, who I love and follow. And she is a longevity expert. But Dr. Yurth is also a medical director of the Boulder Longevity Institute, which she founded in 2006. And she's double board certified in physical medicine and rehabilitation and anti-ageing and regenerative medicine. So she's a specialist in sports, spine and regenerative medicine.  She's an orthopaedic surgeon, and she's also heavily into the whole regenerative stuff. So from stem cells to different supplements to working with the latest and technologies that are available to help us slow down the ageing process and to help people regain function. So it was a really super exciting episode and I'm going to have Dr. Elizabeth on a couple of times. She's also a faculty member of the 25 mastermind physicians fellows at the Seeds Scientific Research & Performance group, which allows you to stay abreast and teach others in the emerging cellular medicine field. She's also been an athlete herself and works with numerous sports teams and both of the collegiate and professional levels. She's a wonderful person and I'm really excited to share this interview with her.  Before we head over to talk to Dr. Yurth, I just want to let you know about my new anti-ageing supplement. Now this has been designed and developed by Dr. Elena Seranova, who is a molecular biologist who is also coming on the podcast very shortly. And this is an NMN. It has nicotinamide mononucleotide. I recently read the book Lifespan by Dr. David Sinclair, who's a Harvard Medical School researcher in longevity and anti-ageing. And he's been in this field for the last 30 years. And his book was an absolute mind blowing, real look into the future of what we're going to be able to do to stop ourselves ageing to slow the ageing process down. And very importantly, increase, not only our lifespan, but our health span so that we know we stay healthy for as long as possible and don't have this horrific decline into old age that most of us expect to have.  So Dr. Sinclair in this book talks about what he takes and one of these things is an NAD precursor called nicotinamide mononucleotide. I searched all over the place for this. I couldn't get it in New Zealand when I was searching for it. And so I went and found Dr. Elena Seranova, who has developed this product and I'm now importing that into New Zealand. So if you want to find out all the science behind it, please head on head over to nmnbio.nz. That's N-M-N bio dot N - Z and all the information is on there. And you can always reach out to me lisa@lisatamati.com, if you've got questions around that.  We've also updated our running coaching system. So the way that we are offering our online run training system is now on a complete new look. We are doing fully personalised, customised training plans for runners of all levels and abilities. So we will program you for your next goal doing a video analysis of the way you're running, improve your running form through drills and exercises. Build your plan out for you. You get a one-on-one consult time with me as well. And just really help you optimise your running performance and achieve those big goals that you've got. So head on over to runninghotcoaching.com to check that out. Right now over to the show with Dr Elizabeth Yurth in Boulder, Colorado.  Lisa Tamati: Well, hi, everyone, and welcome back to Pushing The Limits. Today, I have Dr. Elizabeth Yurth with me from Colorado—Boulder, Colorado, and she is a longevity and anti-ageing expert. She's an orthopaedic surgeon. She's a real overachiever. And I'm just super excited to have her on because I have been diving into Dr. Yurth’s world for the last couple of weeks since I heard about her on the Bulletproof radio show. So Dr. Yurth has kindly given up an hour of her time to come and share her great knowledge. I know we're only going to skim the surface, Dr. Yurth, but it would be fantastic if we can gain some amazing insights on how the heck do we slow down this ageing process. So, Dr. Yurth, welcome to the show.  Dr. Elizabeth Yurth: Thank you so much, Lisa. I've been actually stalking you ever since you asked me to do this. And I've been fascinated with all the things you've been doing and teaching and I love it. I love that there's people like you out there who are now getting the masses involved in this and interested in this because doctors aren't doing it and so it has to be that educate the public. And people like you are paramount to that, so thank you. Lisa: Thank you very much. Yes, I think, yes, this is the beauty of podcasts and such things and will in the internet whenever we can go direct to the best minds on the planet, get the information direct to the consumer, cutting out all the middle people, so to speak, and really get this information out there. Because what I've found in my research in the last few years is that there is so much amazing, great science out there that has never seen the light of day and certainly not in local clinical practice being utilized.  So Dr. Yurth, can you tell us a little bit about the Boulder Longevity centre before we get underway and what your work there is all about and your background? Dr. Elizabeth: Sure, I'd love to. So basically, I've been in the orthopaedic medicine world for 30 years. And about 15 years ago, I actually became very frustrated because I saw people coming in and they would get injured or just have arthritis, chronic pain and we would sort of patch them a little bit and nothing ever really got better, and then something else will get hurt. And it really was just this downhill process from square one. I mean, I tore my first anterior cruciate ligament in my knee at the age of 18 and subsequently, had torn two or three more times between the two knees, had four more surgeries and then it was just a downhill decline.  And so, we started looking at is there a way to stop this, because you don't learn it in medical school, and you don't learn in orthopaedic medicine. And when I started looking into—and this was a very early time in the whole functional medicine space, it was really early, there wasn't a lot. And so I went back to American Academy of Anti-ageing Medicine, which is really the only thing available at that time, and did a fellowship in functional medicine and regenerative medicine and tried to incorporate that into my orthopaedic practice as much as I could. But it's difficult in 10 to 15 minute appointments to do that. So we realized that you can't really do good medicine in that model, and so we opened Boulder Longevity Institute about 15 years ago now. And I really sidelined did both practices, because what I found is that people are still looking for that insurance-based practice, and I try as much as I could to educate them there. And then some of them would transition over to here and over time for 15 years, Boulder Longevity Institute has really grown and developed, and subsequently is now my full-time practice. But we do a lot of orthopaedic regenerative care here, the targeting, taking care of people and getting them healthier in that realm.  But much like you, our focus is very much now on education and we have a whole, what we call, Human Optimization Academy. We're trying to bring the just like you said, the research to the people. Peter Diamandis, who runs Abundance360—is very well known, you probably know him — he has a great quote where he says, ‘Researchers don't do medicine. And doctors don't do the research and learn the research and use on their patients’. And so, there's a lag of about 15 to 20 years since when something is available to us that will make us better and ever getting to us.  Lisa: Exactly. I had the exact same conversation with another doctor, Dr. Berry Fowler and we were talking about intravenous vitamin C and I said, ‘Why is it taking so long and critical care to get this in?’ And he said ‘because it's like turning a supertanker’. He says, ‘It's just so slow’. And so people are not getting the benefit of the latest research. And for an orthopaedic surgeon to go down this anti-ageing functional medicine route is a very rare thing, or at least in my country, it would be a very rare thing. Dr. Elizabeth: Yes, orthopaedics does not cross over this line at all. And ultimately, it's one of the reasons I had to leave my other practices because my partners were very much like, ‘Stop talking about medicine. That's not what we do here’. And you have to—even arthritis is a disease. It is not that you ran too much and wore out your knees. There is a disease process going on in your body that is now making your joints wear out. And so you have to systemically treat it or you're not going to make any progress. Lisa: Oh man, people so need to hear that because it is an inflammatory process that's coming like out of the immune system. And I've heard you say a couple of times on some of your lectures, I listened to one on mitochondria. And mitochondria is sort of the basis of where a lot of other things are coming from, isn't it, and diseases are probably...  Dr. Elizabeth: Everything. Honestly, I think what we're going to find is that every single diseases—every single disease is going to come down to mitochondrial level. In fact, I was just reading a new research article on autism and mitochondrial dysfunction, that they're actually linking this mitochondrial dysregulation in even autism. I don't think that we're going to find any disease that is not linked first to mitochondrial dysfunction, which is fascinating because mitochondria are fascinating. So it's really my passion is, is how do we repair mitochondria. But that you start looking at—you can pretty much do that. You guys go out there and Google mitochondria and any disease you can think of and you will find research to support it.  So, in arthritis it is exactly the same, right, Lisa? You're right. It's damage to now the mitochondria and the chondrocytes. And that damage—you get these damage from chondrocytes, which then are actually spewing these reactive species that are damaging the next cell and the next cell. And simply sticking steroids in that joint is not going to help it.  Lisa: Wow. So we want to talk a little bit today, like we talked about our foundational health—a few foundational health principles so that we can then get on to some of the cooler, more sexier stuff that I want to talk about, like things like spermidine and peptides and NAD precursors, perhaps, and all of these sort of really cool things.  But what are you seeing in your practice—like you're seeing a lot of people who are becoming aware of their health, they're looking at everybody knows the basics about nutrition now, I think. Like, fried foods are not good for us, sugar is not good for us—the basics. But what are you seeing as missing in that foundational side of things? Dr. Elizabeth: So I think this is the biggest thing I've seen over the past—probably a year. And as I've done more podcasts, and I've listened to more podcasts, and now you have all the bio hacker groups and the peptide group, so everybody is doing all this cool thing. So now, like, ‘Oh, I got to go do my hyperbaric and I have to go take my growth hormone, peptides’. And they come in to me, and I was just telling you about a patient I saw who literally had a worksheet, spreadsheet of all the things he was doing. And I said, ‘Well, are you taking testosterone’? And he was 56 years old, I said, ‘Are you taking testosterone’? ‘No’. And I said, ‘Have you ever looked at your nutrient pound’? ‘Nope’.  So, what I really want to encourage your listeners is the cool stuff is cool, and there's a place for it in all of us, but you still got to start at the basic stuff. So, when we look at people we have to go through and we have to fix—so we look at all the hormones and you just did a great podcast looking at hormone metabolism, right? Because people are so scared of hormones and they’re terrified that these hormones are going to cause cancer. And we know that's not true. It's how you metabolize the hormones that's important, which has genetic and environmental. You just gave an incredible podcast with your guests the other day on that. Lisa: With Dr. Mansoor; he's wonderful.  Dr. Elizabeth: Right. And your epigenetic background, that the key is how these hormones are processed. So when we look at hormones, we actually do a urine metabolite test. So we know exactly where those hormones are going, and are they going down bad pathways or good pathways? So you've got to repair all that, first, fix all the pathways, which you do, and you know your CYP genes and all that kind of stuff. How do you alter it? There's nutrients that you can use to do that. There's tons of things, exercise. So, fix all the hormones first. Men and women all need hormones. I think testosterone’s neglected in women all the time, right? They're on estrogen, progesterone, and I'm like, ‘You’re not on testosterone’? Like, ‘No’. And so even within the realm of our type of medicine, we are neglected in that realm. Right?  Testosterone is huge for women. If you want muscle, you need testosterone.  Lisa: I basically got good muscles. Dr. Elizabeth:  Right, that’s right. So, you've got your testosterone on board, and it has to be not alternating into estrogen—all that has to be involved. So you've got to fix that. And then, there's so much information in these really simple lab studies that you've gotten from your primary care doctor. So, a complete blood count, a CBC, a CMP. Everybody has them, and everybody's doctor looks at and goes, ‘Yep, looks good. There's no reds in there, everything's perfect’. You can actually take that—and Dr. Levine, anti-ageing expert, did a whole algorithm that just taking some of these blood work give you very comparable estimation of longevity as doing telomere length or doing methylation.  So, we have all these expensive tests to look at DNA methylation and telomere to look at age, and you could come up very close to the same number, simply by feeding some of these parameters, like your albumin level and your metabolic calculator that would... Lisa: Wow! Is that available publicly, that calculator?  Dr. Elizabeth: I'm not sure how publicly available it is. We actually have access, and we utilize that in our patients to follow it. But it's great, because these other tests are expensive. And if I want to put you on a protocol and then see if I'm making headway, how do I follow that? So, I don't think people know that, for instance, what is one of the most valuable numbers on your CBC? It’s actually the size of your cells, the mean cell volume, and the rest of distribution?  Lisa: Yes, I'm just studying cell distribution. Dr. Elizabeth: Isn’t that fascinating?  Lisa: We are completely unaware.  Dr. Elizabeth: And have any of your listeners have had the doctor ever mentioned what their MCV is? Or their RDW is? And those are very, very important. So is albumin. So albumin alone, which is not just dietary. There's a great study that you could predict who is going to get out of the hospital alive based on their albumin levels. And so simply looking at things like that. So if your albumin levels are low, maybe it's because you're not eating enough protein, but that doesn't—it tends to be something else wrong. Lisa: Liver not doing something.  Dr. Elizabeth: Definitely. And sometimes that's the need for more beta carotene. Sometimes it's need for more copper. Copper has to help carry the albumin and copper deficiencies are super low. Nobody measures copper. So, you can look at a low albumin and try putting somebody on a little copper, it’s quite GHK copper as a peptide, I might get to the fancy stuff. Using copper as a peptide is an amazing peptide. It's very longevity promoting because copper is super vital to our health. And so sometimes just putting people on two milligrams of copper can markedly improve their health.  Lisa: But isn’t there copper’s also a toxicity problem? Isn't that quite a lot of people have high copper levels?  Dr. Elizabeth: Less than you think. So it's gotten a lot of market to that, right? It has to be that zinc copper balance has to be imbalanced. So that's one of the things. But actually, copper toxicity is pretty easy to tell. When people become copper—toxic on copper, you'll see the lunula, the fingernails start turning, a little discoloured, a little bluish in colour. So it is a little harder to get toxic in copper than people think. I use it a lot for wound healing in my patients. So, it really helps with wound healing. It's why it's in all skin, expensive skin creams, copper peptides are because it's so good for collagen function, it’s so good for wounds. So I think we may scare people a little bit from copper. But it actually has some value. And a lot of times, it's not so much that you have too much coppers, you don't have enough zinc and that balance is not there. It has to be balanced between zinc and copper. So those are simple things that you can actually look at and measure. And you can—I don't have to do it on everybody.  So I see somebody who has a low albumin, I might say, ‘Hmm, we better look at your zinc and copper level’. So we take the CBC and CMP. And how about simply creatinine? If your creatinine is above point eight, that is not good for longevity. So, why is that?  Well, maybe you're eating way too much protein, right? We will erase any high protein diets, super high protein, the kidneys can only process so much protein and your kidneys depend on your genetics, maybe less. So that's all things I think you have to go back when you talk about foundational health.  I spend literally 30 minutes going through a CBC and a CMP with people. They’re so valuable, and those are $12 tests. Not these big, fancy, expensive tests, they don't cost $500 or $600. And by the end of that test, I can give them, this is what your biological age, your pheno age, this is where we really need to target and start with them some very basic, inexpensive things.  Lisa: Crikey dex, that's amazing. I didn't know we can get to that. I mean, I've only been studying blood chemistry for a couple of months and like it's a big topic isn't it?  Dr. Elizabeth: It has some really cool value to it that you can actually look at. Some ranges that—we have all gone from the normal range, right? All your listeners now know this the normal range, there's an optimal stage. Within that optimal range, right, there's one number above that you'll see you start to see a change in ageing. The curve on your projected longevity, you look at  albumin levels, and you look at the curve on your projected longevity. If your albumin levels are less than 4.6, your projected longevity is five to 10 years less than somebody who's above 4.6. Lisa: Crikey. No one's ever told me any of these things and I’ve been studying blood chemistry and from functional doctors, like that's all news to me. Dr. Elizabeth: Yes, I think that that's the problem. I think even the functional medicine space sort of went beyond the step of looking at some very, very basic things that are inherent to life. And now start focusing, ‘Oh, let's look at hormones, right? Let's look at the gut microbiome’. All super important, but all going to be messed up, if the other stuffs messed up, right?  Lisa: You’re basically not in the right place. Dr. Elizabeth: And so I—that's where I get a little frustrated. So now we're targeting back to that whole cellular health, it all comes back down to the cell, fix the cell. As the cell gets fixed, the mitochondria get fixed, everything else falls. So once you've refined that now, we can look at gut microbiomes, if the person is not doing well. We can look at things like micronutrient profiles, and I love micronutrient profiles because I don't know if how much vitamin D you need or how much vitamin B12 you need. Micronutrient profiles, particularly one that gives me intracellular and serum levels, as you know genetics plays a huge role in your micronutrients.  Lisa: Yes, vitamin D, for example. I mean, I know I have bad vitamin D genetics, so I need to supplement with vitamin D. Right?  Dr. Elizabeth: And B12, you've got the SUV people of B12. I’m one of those who need a lot of B12. It's all very genetically based. So, you can predict it from genetics. But then are you accomplishing your goal? I think you need some… Lisa: Measurements. And this is where the combination of what I'm—like the combination of doing your genes and finding out your innate pathways and what they do, and then seeing actually where you are, getting that snapshot of ‘Okay, we are actually in their hormones and stuff’. And it's quite complicated.  And this is the problem is that you go to your local doctor, at least here where I live, and none of this is offered. And none of this is—and so you left as a lay person trying to work this stuff out yourself. And that's quite frustrating and quite difficult. Dr. Elizabeth: It's hard. And it gets caught up again, in the glitz and glamour. I'm going to be attracted to my podcast that's talking all about the coolest, newest thing, it's just our nature is to want the coolest, newest thing. And we just talked about that. We want that cool new thing, because that is on the forefront. And we use those cool new things to help fix the basics. But you still got to know where you are in that standing, and that's really now become, I think, one of my frustrations as I'm seeing more and more people walk in my door, who are doing everything they’re thinking of.  And so we are trying to teach people this. We're trying to teach people how do you interpret your own blood work? How do you look at every one of those parameters and say, ‘What should my albumin be? Okay, it's too high, it's too low. What can I do to fix that’? Whereas, if my MCV is, mean cell volume. If your mean cell volume, and you look at your own. As we age, I look at my 19 year old son, he has a mean cell volume of 83. If I look at your average person who's in their 50s, and 60s, who's our age, it's going to be 97, 98. So the higher that number goes, the more your stem cells are wearing out, the more your bone marrow is wearing out, the more that whatever you're doing isn't working.  So we can use those things, like you can use your infrared, you can do all those great things. Me, I infrared, I cryo, I do all that. But I will tell you some very basic stuff that sometimes has been the things that made changes in those numbers. I want people to know, that's them that, honestly, is why we decided you're never going to train doctors, you've got to train people. But we've also got to get people back to understanding that you've got to sort of learn these things and kind of a fashion of can learn this, learn this, learn this. When I understand everything about how hyperbaric oxygen improves my cell function, have I really learned how to just look at the cell at that molecular level from looking at basic labs? And that's what we're trying to teach people. Start there, and then we give them tools.  Lisa: Fantastic. So people can join Dr Yurth, and get us some of this education. And I've started delving into it and I can't wait to see what else comes along because I mean, this sort of stuff, I'm like already going, ‘Oh my god, I didn't know that’. So I've learned something today already as well. And I'm very definitely guilty of going after the shiny object and love it. Dr. Elizabeth: It’s human nature. That’s human nature.  Lisa: Yes. And so people can go to the Boulder Longevity website and I'll put the links in the show notes and there is a Human Optimization Academy, join up for that and it's actually free at the moment, isn't it, Dr. Yurth?  Dr. Elizabeth: Right. Right now, it's free. And we'll start putting together—so right before COVID hit, we actually had an in-person course. We're actually going to teach how to look at your own CBC and CMP. And COVID hit, and it all sort of fell apart. But we'll be putting that back into sort of a virtual course with people so you can actually get your bloods run. We will walk you through. So, here's how to interpret every one of those little numbers you see on there because I will tell you, every one of those little numbers is important. Everybody just looks at it as a piece of paper, and there's no red marks highs or lows, they sort of discard it. And we'll show you how to look at that and give huge value.  And just from those simple things, you can now say, ‘Maybe I better get a micronutrient panel’, or at least test a copper or zinc or a B12, or D based on some of those numbers that you see being off. And then take the tool, now fix the basics. ‘That's not working? Okay, now, maybe I need to add this, this, this’. Lisa: And then now we can get fancy. Well sign me up for that course because I need it. And I'm already up on some of it, but I wasn't that familiar with some of the things you've just said. So like, that's just like, well. Okay, so we're looking at foundational stuff. Now let's go and look at cellular health, per se, because it all comes down to the cell. The more I look into things, the more everything seems to be about mitochondria in the cell, and what they're doing. and when we're made up of what? 10 trillion cells or something ridiculous. So cellular health, can you give us a bit of a view—it's a big topic, isn't it? But where should we start? Dr. Elizabeth: Yes, well, I'm going to start with first kind of explaining what that means. So, functional medicines, we went from a disease-focused medicine, right? And then we all got very savvy—well, not the doctors—but the rest of the world who got very savvy said, ‘Oh, this isn't working. It's making somebody money, but it's not working to make anybody happy’.  So we went to a functional medicine part. Let's look at organ systems and let's start. So then we went to the organ system, let's look at the adrenal glands and let's look at the liver in this and let's now fix the organ system that's dysfunctional. we got to fix the thyroid, we got to fix the endocrine organs and we have to do all that.  And then now, and this is really super recent, we're realizing that every organ system comes back to a cellular dysfunction. And there's not really anybody who has one disease that is not have something else wrong. It's just impacted lots of times in different ways. So if I have osteoarthritis. So if you have osteoarthritis, your risk of dementia is about fivefold higher. So why is that? Right? Osteoarthritis... because I ran 800 miles a day. But that's not the case, I have patients who run 800 miles and they're fine.  Lisa: Oh, I'm fine. Like, my joints are fine, and I haven't got any osteo. Dr. Elizabeth: And then you have people who are like, ‘Oh, yes, I just wore myself out because I ran too much’. No, not the case. So, there's something wrong. So now we have to go back and look at what is wrong in the cell. So if you think about what power, what is the cell all about? It is the mitochondria. Mitochondria, what gives the cell energy, right? And so as we start getting damaged to our mitochondria with time and life and environment and genetics, and we start getting damage at the mitochondrial level. So, now have these damaged mitochondria. And now we start getting these cells that are in this altered state of energy. And that's when you start getting that senescent cell—cells that are basically sitting there… Dr. Elizabeth: They’re zombie cells.  Lisa: And there's zombie cells, right? And they're producing these reactive oxygen species. And that's why they're called zombie cells, it's because the things that are being spewed out, are now toxic to the cells around them and then toxic to those cells. And so, it truly is like a zombie takeover.  So that's where we look at when we're going back to a cell level. First thing we have to do to try and heal any disease is clean out the bad cells. Clean up the zombie cells. That’s why fasting has been utilized for years in every disease process because we know that fasting causes autophagy, causes bad cells to go away, and now we can rebuild. I think one of the biggest mistakes people make is that if I start throwing a lot of rebuilding things into my network, tons of NAD and I'm trying to always be in this state where I've got a lot of antioxidants going. I'm throwing a lot of NAD and well then, I'm actually contributing to that cell senescent state. I've got to get rid of that first.  Clear out the bad stuff and do that periodically. And we use things like rapamycin, you can use it for fasting. And most recently what my go-to has been this spermidine for that talk. And I fell in love with spermidine a few years ago, actually and couldn't get it here in the US. That basically—it came onto my radar because there it worked at a very sort of primal level. Every single organism has spermidine. Anything that every organism has, is vital to life. And so we know that—and then all these studies that show that well, if you have higher level spermidine, you live longer, so. And it was only available in—I don't know if you guys could get it—but it was available in Europe.  Lisa: I’ve just got my first order on its way. But I had to get it via Colorado, and I've actually being in contact with the guys in Austria. So, working on that one, I'm getting it down here. Dr. Elizabeth: We couldn't get it. And like six months or so ago, we finally could get it here in the US. And it works as an autophagy inducing agent. It basically tells the cells to get rid of the bad stuff, it helps to restore the good parts of the cell. And really, at a baseline level is probably the one supplement that I know of, and probably the only one I know of, that is going to be actually balancing cell health continuously. Lisa: So it's homeostasis as opposed to... Dr. Elizabeth:  The homeostatic state. Right.  Lisa: So like, just to backtrack a little bit there because we covered a heck of a lot of ground in a very short time there. So, fasting, I mean, we've heard, like fasting and intermittent fasting and longer fasts are very, very good for us and all that. While a lot of us don't want to do it because it's not very nice... I do intermittent fasting, but I must admit, I don't enjoy it. And I certainly—when it comes to doing longer fasts, I struggle. So I'm always like, fasting mimetics, how can I get some fasting mimetics going? Because like you say, if I'm going to put in the antioxidants, the precursors, which I do as well, which are very important piece of the puzzle, but just that is not enough. So, this is like we've looked at in the past, like resveratrol as being a possible fasting mimetic. And wouldn't it be great if spermidine turns out, and it looks like it is going to be another fasting mimetic that's actually even more powerful. So, I know you do a lot of fasting, you're very disciplined, unlike myself. Dr. Elizabeth: No extra weight, I still have extra weight so fasting’s easier for me. Lisa: But yes, it is a difficult thing to do. So intermittent fasting is probably for me is the easiest go-to because I can sort of coke for it.  Dr. Elizabeth: Time-restricted eating. Really, yes, more doing a 16, 8, kind of thing as opposed to the longer fast. And there's a lot of questions, we don't really know, do you need to long fast? We actually don't know the answer to that. There's a lot of people who say, ‘Oh, you've got to be hit the 48 to 72 hours to really get the full autophagy phase’. There's not a lot of data that actually really says that. You may still be able to get the same benefits from doing time-restricted eating. So we don't know the answer to all these questions.  Lisa: But so what we're targeting with fasting is autophagy. So, autophagy, just to define what autophagy is, is getting rid of the bad stuff, basically. The bad proteins that are damaged, the mitochondria, or mitophagy, in that case. And recycling the parts that we can reuse and getting rid of it. Does the body sort of lock at it when you're fasting, and you haven't got anything coming and going up, ‘I've got no fuel supply, I better start recycling the old stuff’.  Dr. Elizabeth: Yes, exactly. Yes, autophagy is self-eating. And so basically, the cell basically says, ‘Oh, I need to preserve. I'm going to take the good things from the cell, get rid of the bad stuff I don't need. It’s a waste of energy. Getting rid of cells that shouldn't be utilizing my energy’. So and then really by going into a ketotic state, and that's, not utilizing glucose has a huge benefit. Lisa: So ketosis and autophagy, are they hand in hand? Are they part of the same thing? Can you have autophagy without being in ketosis, or are they very much married together? Dr. Elizabeth: No, you can actually have autophagy without being in ketosis. And you can basically be in ketosis and not necessarily have autophagy. So that all kind of depends on the cell, the state the cells in.  One of the problems with resveratrol as a fasting mimetic, you mentioned taking resveratrol continuously, is there's also very potent antioxidant. Remember, one of the benefits of fasting is oxidative stress. So, I want oxidative stress while I'm fasting. If I'm taking resveratrol, for instance, while I'm fasting, I'm actually not getting as much of the oxidative stress. So, it's working a little different level. That's why I like spermidine a little bit better as it doesn't have that same effect to sort of negate the oxidative stress. Lisa: And for how long for people to get their heads around? I know because I mean, I've been struggling with this one, like the antioxidants sort of paradox. Yes, sorry, you carry on. Dr. Elizabeth: I think the key to remember is you really don't want to be doing any protocol continuously. I was just talking to a guy and he said, ‘What do you do to look like you do’? because I have more muscle. And I said, ‘I don't do anything continuously’. There's nothing—workout, nothing continuously. My food, my eating is never continuously, my supplements are never continuously.  And I think it's a problem as people get in these patterns where they are taking all these antioxidants continuously. I always am going through build-up, breakdown phases. So there's only a few supplements that I will continuously take. One is, I will take spermidine at a baseline level. But if I'm doing a sort of a fast autophagy phase, where I really want to do a big tie up off of everything, I want a very high dose spermidine, much higher dose than just until that time of day.  Lisa: Because spermidine works at a level lower if you like, at the base level. So, when we're talking about antioxidants, what the job is in the cell is to basically scavenge and donate electrons to where you got oxidative stress, and reactive oxygen species and to get rid of it there. But we're actually going a step back and actually stopping the reactive oxygen species, or oxidative stress from happening in the first place. And this is why spermidine at that base level, seems to be one that you can take continuously. And it even builds up to some degree, perhaps in your body or upregulates some of the bacteria in the microbiome. And whereas, antioxidants, we want to sort of cycle in and out. It's like exercise, isn't it? Like when I go to the gym, I'm not going to have my vitamin C right next to when I go to the gym, because that's going to mitigate that cascade of effects that vitamin C has. Yes.  So I'm doing things. I'm taking my vitamin C away from that. And so there's, none of this is good or bad, it's cycling. And I think the more I've looked into things, the body likes this push and pull. It likes a medic stress. It likes to be cold. It likes to be hot. It likes to be pleasant, but it likes to be fasted. It likes to have a good amount of food. It's this whole—because that's how we've evolved, isn't it? Dr. Elizabeth: That's the way life for it was, yes. Lisa: We didn't come from this neutral environment where the temperature is the same all the time. And we're sitting on comfy couches, and we're not exercising and we're not cold, or we're not hungry, and we're not hot, and we're not not anything, and we've got an abundance of everything. And therefore, if we look at our evolution, and how we've come about that sort of a push and pull seems to go right through nature. Dr. Elizabeth: Yes, you're exactly right. Remember, there's that balance between mTOR and AMPK, right? We know that AMPK is breakdown. And we know that when we block mTOR, our lives are longer, but we also don't build as much muscle and we don't have as much energy. And what you do is go through phases, build up mTOR, build up AMPK, build up and do that balance, so that you keep things in a very homeostatic state. And you said exactly right, there's great benefits to being hot. You have all the, how great being cold is and doing our cold showers in our cryo and everything. But there's a study that came out recently, I think I quote it in some podcasts I was in recently, that showed that in hotter environments, bone density is much better. So why is it that?  Lisa: Yes, I heard that.  Dr. Elizabeth: There's some effects from the warmth on our body too. So you're exactly right. We want to go back and forth between different things and we want to make sure we're cycling. Any of you who are staying on the same patterns all the time, that's not serving you. Your body needs to have this back-and-forth balance. And you're right, that is—whenever you give the quote of well, ‘That's how cavemen lived’. You're like, ‘Well, but cavemen died in 18 whatever’.  So how our evolution occurred, right? It's still what, what got us to survive. And it really is how our world is designed, and it's how our cells are designed. So I think that the use of thinking about your body as ‘Okay, I'm going to go through a fast, autophagy phase, and then I'm going to build up and I’m going to build my muscles’. You can build muscle while you're in a fasted state, but it's not nearly as easy as it is when you're eating a lot of food.  Lisa: Yes. And but we're wanting to keep everything in balance so that it doesn't get just mTOR because, if we're in a state of like, activated mTOR all the time, then we are growing, but we were possibly growing things like cancer cells and things like. Dr. Elizabeth: And we know that mTOR activation all the time is closer to death. Lisa: But isn’t it weird, like there's nothing simple about...  Dr. Elizabeth: It actually, honestly, it makes very little sense to me, right? The things—the mTOR, everything's muscle building. Super high IGF all the time and it is muscle building. You would think it would be kind of pro longevity, right, and healthy, and yet, it's not. And the only way I can really—in my mind, reason that out is that if the zombie apocalypse hits, you're better designed to be able to survive without any food and without any—nothing just huddled away in your little house, right? And so maybe the evolution of our body that's for longevity, the genes have kind of stayed there are the ones that really make us survive through famine, right? And yet, that's probably not where we all want to be. We don't want to be huddled in the back of our houses not moving.  And so yes, if you look at Valter Longo and his research on—really low IGF people live longer, they don't have cancer. Yes but they actually don't necessarily feel great. And they don't necessarily see low IGF people all the time, who are fatigued, who don't have good energy, who can't build muscle, who don't exercise. So I think that the thing here is build your IGF, bring it back down, build it up, bring it back down. So, I think that that's where we really need to look at things, as this kind of waxing and waning of everything we do.  In our cellular medicine fellowship program, it's one of the things we're really, really focused on is that's what the cell needs, is a push and pull to it, to really help it become a healthier entity. And I think if we start doing that, we're going to start seeing that that's really where we're going to see that big focus to health and longevity occurrence. It's not going to be ‘Everybody eat this diet’.  Lisa: No, no. And this is like, even as a coach of athletes and stuff. And I did this in my athletic career where I didn't know all this stuff. I ran long, because that's what I do, it was ultra-marathon running. And that's all I did. I didn't train at the gym. I didn't do—and I was not fit. And I was not healthy. I could run long because I've trained that specific thing, but I wasn't healthy. I was overweight. I was hormonally imbalanced. I ended up with hypothyroid. I couldn't have sat on the couch and ate chips all day and probably come out better than I did. Because I'd been doing one thing and one thing that was actually not suited to my genetics either, ideally. And so understanding all of this is not as simple as well, ‘I'll go and do the same old thing, same old and then we'll be good’. I want to sort of flip now and go a bit of a deep dive into spermidine because I think spermidine is the one thing that, this is going right down to the base level of before. Because we want anti-ageing. I mean. We compared ages before this podcast and I mean, I won't share your age, but I was shocked. You look amazing. And I'm like, ‘I want a piece of that’. What is it that you're doing? So spermidine is a part of your—that is one of the things you do take on a pretty much a daily basis. Can you dive into the research? There’s 10 years behind the spermidine and it's only just becoming available. Guys in New Zealand, it's not here yet. I'm working on it. Give me time, I'm getting, I'm working on it. Dr. Elizabeth: So, what we know is as we talked about spermidine is on every single living organism. So, we know it's critical to life, it's what's called a polyamine. It's what a three poly means is spermidine, spermine, and putrescine. And they all have some value. Putrescine is what's in rotting meat. You're probably not going to go eat rotting meat. But there's actually some value to putrescine in our bodies, too. Spermidine appears to have—spermidine is converted typically this into spermidine. Spermidine is innately in our gut. So, it's made by our gut bacteria but it's also in some foods. It's in some a lot of fermented foods, in wheat germ extracts. It's in some peas and mushrooms. It's in some algae.  Probably the richest source of it is a specific type of wheat germ extract. It's apparently very difficult to extract, it's only a certain type of wheat germ that has it's difficult to extract a pure form of it. And so, there is companies that make it from algae as well. But you have to take—actually before we could get spermidine from spermidine life which is wheat germ extract, we actually bought an algae extract one. You really had to take 40 of these little green pills. I mean your hands are green, your teeth are green all the time. 40 of them, I mean, I did that because I wanted it but once we got spermidine.  I get the question all the time about well, it's wheat germ extract. Interestingly, I've celiac patients on spermidine and even though it's not advised for celiac patients, it probably actually is perfectly safe because it's actually working on one of the pathways, that's what makes the gluten exactly unsafe those patients. So, it's probably even if you're—I'm very gluten sensitive, I don't do gluten. I have no problems in spermidine. So, it tends to be pretty well-tolerated in those people. Lisa: Yes, but I've got a brother who’s recently examined and she said, ‘Yes, I can’. Dr. Elizabeth: Yes, I have two celiac patients on who've done fine. And again, the bio says not to take it if you're celiac, but I think cautiously, there is some research that supports it actually may be useful in treating some of the celiac patients.  So basically, the study is now—there's so many studies on it. In terms of preventing almost every disease in the book, and that's where you and I come back to that whole, is mitochondria the answer to everything? Because we've seen spermidine—you can Google spermidine. I do this. I mean, Google ‘spermidine and Alzheimer’, Google ‘spermidine and cancer’, there's not a disease that we don't have a study on where you can find some connection to higher or lower levels of spermidine being better.  Some of the major research has been on cardiovascular and its benefits and cardiovascular disease. It's one of the things we've been using when we see high inflammatory cardiovascular markers in our patients. We measure what's called myeloperoxidase, which is an inflammatory cardiovascular marker. It's interesting, we've seen it very high in our lot of our post-COVID patients. So patients who have had COVID recovered, coming for labs, we're seeing very high levels of myeloperoxidase. So, we think that's probably from some of the vascular damage that COVID seems to create in some people with certain genetics. And that’s very hard to bring it back down, and spermidine has been one of the things that's been really helpful there for us.  So, it's also any of your patients who have a high Lp little a. Yes, so by Lipoprotein little a, you'll know is basically genetic. Lisa: Yes. And there's not much you can do.  Dr. Elizabeth: Nothing much you can do about it. You use high-dose niacin, but it's hard to take, the liver toxic. Spermidine actually has some research to support it in lowering Lp little a and we've seen that in our practice, it's one of the things we lower Lp little a. So the other place that's been really studied is an immune system support. So we've seen improvements in lymphocytes. So, one of the other labs that you want—when you're looking at that CBC is looking at your neutrophil-lymphocyte ratio.  Lisa: Yes, I've just like I've got a problem with my brother at the moment, lymphocytes, neutrophils down. No, sorry, your neutrophils down, lymphocytes, high.  Dr. Elizabeth: That's a little uncommon, that might indicate some kind of viral illness going on. Typically, what happens as we age is, we start to see the lymphocyte number go down and the neutrophil number go up. So that ratio, which should be around 1.3:1, 1:1, 1.3:1, starts climbing. If you look at the typical person our age is, 3:1. And so, it's hard to get—how do you get back lymphocyte function? You don't have thymus glands anymore. And so the two things that we've been able to utilize to really restore lymphocyte function in our patients who have ageing immune systems is spermidine. And then the other one is a peptide, thymosin alpha-1, which is a thymic peptide.  What our thymus gland does is it takes those two lymphocytes, it tells them what to do and, and once—your best immune function is at puberty. After that, your thymus gland starts getting smaller. And by the time you're 60, you don't really have much thymus gland. And so your immune system starts going a little haywire, it doesn't know what to do. And so what we can do, because really crazy people are trying to transplant thymus glands, or eat sweetbreads, which doesn't work. They do it in France, maybe they taste good, but I don't think it replaces your thyroid function. But you can get thymic peptides. So, two of the things that the thymus gland really makes is thymosin alpha-1 and thymosin beta-4. And thymosin alpha-1 is a very immune modulating peptide, and it really helps to restore normal immune function. So, the combination of spermidine and thymosin alpha-1 and your people who have immune dysregulation, autoimmune diseases. You could start normalising the immune function. So instead of attacking self they start attacking viruses.  Lisa: Wow. And autoimmune is just like, a huge, huge problem. I mean, it's just epidemic levels now.  Dr. Elizabeth: It is epidemic.  Lisa: Sorry, so this would help with that. Oh, my God. Okay. So that's another reason to take spermidine and the peptides. I mean, peptides are harder to get hold of like… Dr. Elizabeth: It’s still harder to get hold of. Your people who are in Europe, thymosin alpha-1 is actually a drug. It's called Zadaxin. We can't get it here as a drug. We've made us a peptide but it actually is a drug. They use it in their chemotherapy patients in Europe and Asia. And so oddly, it's available as approved drug. Probably pricey. Lisa: Most of these drugs are for some unknown reason. Dr. Elizabeth: Yes. Spermidine—someone's early studies and where it actually sort of panned out, as people went after it initially was actually hair growth. And again, if you think about, the tissues, we're talking about, like cardiac here, those are all fast-growing tissues. And that's where spermidine sort of had its nice effect and sort of that whole regeneration process. And so even in guys with thinning hair, spermidine has huge benefits. Just taking on like a milligram a day dose will start the thickening of hair. I noticed when I first started, my nails grew really fast means, I mean, super fast. And so even in those basic things, like hair growth, nail growth, spermidine has some really marked effects. Lisa: Fantastic. We’ve got to get it here.  Dr. Elizabeth: Yes, it is amazing. I mean, honestly, I feel a little—whenever I see my patients now and I see something wrong. I'm like, ‘Well, spermidine, oh’. Lisa: Yes, yes, yes, yes. And this is all to confirm because it's such a wide panacea, and it works at base level of the ageing and pathologies and things… Dr. Elizabeth: It’s too good to be true.  Lisa: It's too good to be true, but actually now, it makes sense. And so, it’s fantastic if we find something that is a panacea for many, many things. And also, I've got my first shipment coming from the States, and I'm super excited. Dr. Elizabeth: One of the hard things in what we do, right, is it takes you awhile to feel better, and just starting from a low level, right. Or if you're like us, and you're at a high level, then making this little extra. And so, what I tell people to monitor, because one things I noticed was, when I started spermidine was a pretty—I don't sleep enough, I study too much. But I use my Oura ring, and I monitor my HRV. And so, I know a lot of your listeners have the Oura ring and HRV is very fluctuating. And so it's one of those things, it's very easy to see a change.  So, if I do something like start taking spermidine, I can say no, and you can look at the trend on your Oura ring. And you can say, you can take—started spermidine here, and I had about a 15 point jump in my HRV, which I won't say what it is because it’s just from starting spermidine. So I know it's doing something at a very basic level because HRV is predictive of almost every disease state; so low HRV, you know you have a higher incidence of all Alzheimer, we know we have a higher incidence of cancer. So I know if I'm affecting my HRV, I'm positively affecting my health.  So something really simple that you can do to say, okay, I started this here, and then look back in two weeks, go to your little trends thing and see ‘Wow, look, my trend is going this direction’. Lisa: Wow, I can't wait to see that because yes, I mean, I haven't been able to move the needle on my HRV really. Dr. Elizabeth: Yes, me neither. And mine's not good.  Lisa: Yes, and mine isn't great either.  Dr. Elizabeth: Yes, the downside of sometimes what we do is we're reading all the time and staying all the time and trying to do too much and… Lisa: Brain doesn’t turn off.  Dr. Elizabeth: And that's not so good.  Lisa: Adrenaline driven. Dr. Elizabeth: Yes, so it is really, honestly one of the first things I did that really made a dramatic change. Lisa: Wow, I will let you know how I go.  Dr. Elizabeth: Yes, let me know. Lisa: When mine comes, whether my HRV is now turning up.  Dr. Elizabeth: I will say sometimes you need a higher dose which gets pricey. Lisa: And this is the problem with everything, it's the same with the deep precursors and all the stuff that's fantastic, it does cost. But you know what? I don't have money to burn but I would rather go without a fancy car, go without fancy clothes, go without cosmetics, go without all that to have supplements that work or to have biohacking technologies that work because that's my priority, it’s my health. Because what good does it do me if I have a fancy car, but I'm sick?  Dr. Elizabeth: I know. And it is funny, I was giving this lecture and this woman came in, she asked how much this program we do cost? And she said, ‘Well maybe when I pay off my Lexus, I'll be able to do that’. And I'm like, ‘You’re really willing to spend a lot of money, a $1,000 on an iPhone and’...  Lisa: Priorities.  Dr. Elizabeth: …and car and we just still have to keep putting this focus on your priority, absolutely has to be this your health? And it’s so hard to convince people of that. Lisa: And I'm constantly shocked at people who expect to like, they take a supplement and they don't see anything change for three days and then they're like, ‘It didn't work’. And I'm like, ‘You've got to be kidding’. Like you know your hair is growing, right? But do you see it growing every day? No.  But if you keep going—and with my listeners have heard me rabbit on about my story with my mum and bringing her back from a mess of aneurysm. The reason I have been successful with her is, is not any one particular thing. I mean, yes, hyperbaric, yes, all of these things were a big part of the puzzle. But it was the fact that I keep going when there was no signs of improvement. And I keep going every single day for five years, and I still go. And that is the key is that persistence. And that just keep doing it and prioritizing this, even when you see no results. And that's a really hard sell because people want to see, how long will it take for this to kick in? Dr. Elizabeth: I think it's one of the hardest things about our jobs is—listen, it is very hard. But this is stuff that I'm looking at a future that's 10 years, 20 years, 30 years, 40 years down the road, I know these things—I know that they do, they've been proven. So to say they're not working for you is why in every study did they work and oddly, they don't work for you? It just doesn'

Welcome to another episode of the Dr. Lo Radio Show! I really enjoyed recording this episode, and I think you will enjoy it as well.  Today I am chatting with Dr. Kristian Flores about understanding pain using an integrative approach.  Chronic and acute pain can be really debilitating and oftentimes we feel like we have no options except to take drugs.  This episode will provide hope and encouragement because you will get so many tools that will start to make a difference with your symptoms.   Dr. Flores also shares about pain perceptions, the role of the brain in pain, and how to change your pain perceptions. We talk about the role of inflammation, ways to address inflammation, and advanced imaging options.  We also talk about how you can address and take control of your pain.   If you are listening to this episode and you or someone you know are navigating through any of the health issues we discuss, I would be more than happy to support you in the journey! Feel free to reach out to me to continue this conversation: @doctor_lo I hope you enjoy and learn something new from this episode!  We Discuss:   {07:33} Dr. Flores shares his professional journey and what he is doing now. {11:10} His switch from conventional medicine to naturopathic medicine. {13:35} Why Dr. Flores chose to focus on pain {16:26} Pain Perceptions {24:47} Changing Your Pain Perceptions {27:09} Role of Inflammation in Pain {29:41} Ways to Address Inflammation {33:43} Types of Advanced Imaging {41:51} Regenerative Medicine Tools for Pain  {42:53} Trigger Point Injections {44:59} Medications for Pain with the Least Amount of Side Effects {46:50} Tools for Dealing with Acute and Chronic Pain {50:06} Natural Remedies for Acute and Chronic Pain {55:49} 3 Takeaways to Help You Live Pain-Free And so much more!  Links Mentioned: Paleovalley https://paleovalley.com/ About The Guest:  Prior to pursuing his medical degree and completing a residency in Physical Medicine & Rehabilitation, Dr. Kristian Flores earned a doctorate in Naturopathic Medicine. A focus on whole-person care, including all aspects of lifestyle, has served as the bedrock for his continued development as a physician. Understanding the complex mental-emotional, physiologic, and anatomic interactions that contribute to patients’ well-being persists as his greatest passion in medicine. Follow me on social media for fertility tips, daily life, and more!  - Instagram: @doctor_lo: https://www.instagram.com/doctor_lo/ - Facebook: Dr. Lauren Noel: https://www.facebook.com/DrLoNoel/ - Shine Instagram: Shine Natural Medicine: http://www.instagram.com/shinenaturalmedicine - My Golden Eggs Fertility Course: https://www.goldeneggsfertility.com If you enjoyed this episode, please leave a 5 star review on Apple Podcasts, Google Play, or wherever you are listening! And don't forget to subscribe and share this podcast with friends and family! I love seeing your posts on social media!

Dr. Elizabeth Yurth is the Co-Founder and Medical Director of Boulder Longevity Institute, where she has been providing Tomorrow's Medicine Today to her clients since 2006. The Boulder Longevity Institute specializes in advanced, research-based longevity medicine including treatments such as Bioidentical Hormone Replacement Therapy and Regenerative Peptide Therapy. Dr. Yurth is double board-certified in Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine.   As a specialist in Sports, Spine, and Regenerative Medicine, Dr. Yurth has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual-Fellowship in Anti-Aging and Regenerative Medicine (FAARM) and Anti-Aging, Regenerative and Functional Medicine (FAARFM) through the American Academy of Anti-Aging Medicine (A4M).   Dr. Yurth has been selected as one of the 25 mastermind physician fellows in SSRP (Seeds Scientific Research and Performance) which allows her to stay abreast and teach others in the emerging field of cellular medicine. Learn more about how to work with Dr. Yurth at BoulderLongevity.com 

Dr. Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also in Pediatrics. Her area of specialization includes the pediatric disorders cerebral palsy and spina bifida. This is a special two-part Grand Rounds series. In Part 1 of her presentation, Dr. Gold contrasted a time 50 years ago when she made a presentation on the topic of spina bifida. Today, we have a change in attitude and a change in medical information since that earlier period and we also need to be aware of long-term care needs and the need for continuity of care of these patients, and all our patients who are aging out. She cited professional literature from 1971 that described many kinds of pediatric patients whose conditions were such that rather than try to treat them, they should be allowed to succumb. For example, comments made back then about these patients being incontinent and socially unacceptable were not true. By 1996, it was shown that most of the previous assumptions were wrong. A child in a wheelchair is worth living. Many surgical deformities that once were present can be corrected today. Incontinence is not inevitable and bowel function can be controlled. She discussed the role of folate in reducing the incidence of spina bifida. She mentioned the implications of providing care for these patients. Most of the surgical procedures undertaken today are neurosurgical. Various generalizations can be made. One is that adult spina bifida patients are likely to have fewer primary care visits than patients under the age of 18 and she explained reasons why it is so. She concluded Part 1 of her presentation by talking about the role that urinary complications may play in the death of many patients. Listeners to Part 1 of Dr. Gold’s presentation will recall she indicated that it probably is the urinary complication that is the cause of death in most of these patients, which is critical. In Part 2, she began by asking what multilevel care elements should exist for patients with spina bifida? She mentioned that as a result of pushing wheelchairs, some patients experience rotator cuff injuries. Although therapeutic services do not have to be performed for all patients, she described some kinds of assistance that they may need. Some patients may experience functional regression. Once able to walk at ages five and 10, they no longer can do so. There is a higher incidence of neuroses. These patients need vocational, nutritional, and social work services. A problem for many patients is when they have to travel a considerable distance for hospital care, the facility they go to may lack the personnel necessary to provide appropriate kinds of spina bifida care. She indicated some surgical concerns. Most shunted patients have long term motor and cognitive behavioral deficits. She described urological issues that are most paramount and frequent. She asked what kinds of things should we do when we assess patients within a therapeutic realm? We should look at their transportation skills, perceptual motor skills to drive, be knowledgeable of their medical management and history, and try to establish some autonomy with money management, household skills, and community living skills. Also, there is a need to work on their parenting skills and on obtaining adequate health care for themselves and their children. There are issues with cardiovascular disease. Studies show that as many as 73% of spina bifida patients have chronic pain. A final portion of the presentation was on the topic of women with spina bifida giving birth.

Dr. Amanda Price and Dr. Aditya Verma give advice for how to do well in rotations and share their experience having a spouse in medicine.   [02:25] Why Physical Medicine & Rehabilitation? [04:05] Learning from Audition Rotations [06:13] Pursuing a Career in Physical Medicine & Rehabilitation [09:22] When to Refer to a Physiatrist [12:01] How to Stand Out During PM&R Rotations [14:52] PM&R Specialization: Osteopathic VS Allopathic Training [16:39] Dr. Verma’s and Dr. Price’s Love Story [17:59] Would You Work in the Same Facility as Your Spouse? [20:14] Dr. Verma & Dr. Price’s Advice to Pre-Meds and Medical Students   Full show notes

This episode is a recording of a Covid-19 Vaccine education webinar hosted by Special Olympics Kentucky on February 3, 2021. They had friend of the podcast Dr. Priya Chandan and Dr. Corrie Harris from Norton Children’s hospital. In this session these Louisville doctors talk all things vaccine. Self advocates from SOKY and DSL and parents submitted questions beforehand and they were able to answer most all of the questions posed. This will most likely be a regular webinar with updates as the medical and public health experts learn more. To watch the Zoom webinar with the slideshow, click hereTopics Covered:Who is most at risk for getting sick from COVID? What is a vaccine? Why do people get vaccines? Myths vs. FactsHow does the COVID vaccine work (including possible side effects) Where can I find information and updates about when I can get a COVID  vaccine?Meet the Presenters:Dr. Priya Chandan, MD, PhD, MPH Assistant Professor, UofL SOM Division of Physical Medicine & Rehabilitation; UofL Health Physicians Restorative Neuroscience Global Clinical Adviser, Special Olympics MedFest Project Director, National Curriculum Initiative in Developmental Medicine Commonwealth Scholar, Commonwealth Institute of Kentucky Special Olympics Kentucky Board Member Dr. Corrie Harris, MD, MSc Associate Professor of Pediatrics, Division of Pediatric Hospital Medicine; University of Louisville School of Medicine Associate Medical Director, The Home of the Innocents Pediatric Convalescent CenterSpecial Olympics Kentucky Board Member

Dr. Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also in Pediatrics. Her area of specialization includes the pediatric disorders cerebral palsy and spina bifida. This is a special two-part Grand Rounds series. In Part 1 of her presentation, Dr. Gold contrasted a time 50 years ago when she made a presentation on the topic of spina bifida. Today, we have a change in attitude and a change in medical information since that earlier period and we also need to be aware of long-term care needs and the need for continuity of care of these patients, and all our patients who are aging out. She cited professional literature from 1971 that described many kinds of pediatric patients whose conditions were such that rather than try to treat them, they should be allowed to succumb. For example, comments made back then about these patients being incontinent and socially unacceptable were not true. By 1996, it was shown that most of the previous assumptions were wrong. A child in a wheelchair is worth living. Many surgical deformities that once were present can be corrected today. Incontinence is not inevitable and bowel function can be controlled. She discussed the role of folate in reducing the incidence of spina bifida. She mentioned the implications of providing care for these patients. Most of the surgical procedures undertaken today are neurosurgical. Various generalizations can be made. One is that adult spina bifida patients are likely to have fewer primary care visits than patients under the age of 18 and she explained reasons why it is so. She concluded Part 1 of her presentation by talking about the role that urinary complications may play in the death of many patients. Listeners to Part 1 of Dr. Gold’s presentation will recall she indicated that it probably is the urinary complication that is the cause of death in most of these patients, which is critical. In Part 2, she began by asking what multilevel care elements should exist for patients with spina bifida? She mentioned that as a result of pushing wheelchairs, some patients experience rotator cuff injuries. Although therapeutic services do not have to be performed for all patients, she described some kinds of assistance that they may need. Some patients may experience functional regression. Once able to walk at ages five and 10, they no longer can do so. There is a higher incidence of neuroses. These patients need vocational, nutritional, and social work services. A problem for many patients is when they have to travel a considerable distance for hospital care, the facility they go to may lack the personnel necessary to provide appropriate kinds of spina bifida care. She indicated some surgical concerns. Most shunted patients have long term motor and cognitive behavioral deficits. She described urological issues that are most paramount and frequent. She asked what kinds of things should we do when we assess patients within a therapeutic realm? We should look at their transportation skills, perceptual motor skills to drive, be knowledgeable of their medical management and history, and try to establish some autonomy with money management, household skills, and community living skills. Also, there is a need to work on their parenting skills and on obtaining adequate health care for themselves and their children. There are issues with cardiovascular disease. Studies show that as many as 73% of spina bifida patients have chronic pain. A final portion of the presentation was on the topic of women with spina bifida giving birth.

Darcey Hull will soon be starting her residency in Physical Medicine and Rehabilitation after slowly winding her way to this point. The arts, cultures, languages, and helping people have always been huge interests of Darcey’s. She has always loved traveling and outdoor adventures, and was always encouraged to explore and express herself by her parents. They took her and her brother hiking in the Rocky Mountains every summer growing up, had exchange students, and extensively traveled and lived abroad before starting a family. Darcey has always believed in and been interested in self-expression, and the positive transformation which it can bring, as a healing modality for all people. This is what kept Darcey interested in the Arts, and then pulled her into teaching yoga, studying Speech Language Pathology, and now into Physical Medicine and Rehabilitation. ------- So many of us pursue a college degree that turns out to be quite different than the career path we ultimately choose. Darcey Hull knows this story well; in her mid-thirties, she’s about to start a new chapter as a resident, focused on physical medicine and rehabilitation. As Darcey explains, 17 years ago she started her education journey focused on that arts; but a chance conversation with classmates would change her path forever when she decided to take a neuroscience class. Falling in love with the class was easy: it gave an opportunity to use her art skills as she drew and studied her work, and the subject matter was fascinating. After changing her major and finishing classes, Darcey had to decide: what would she do with a neuroscience degree? Joining us to share her story, Darcey explains her journey from arts to physical medicine, the benefit of social interaction for patients and how she hopes to address that need one day, and the importance of travel, yoga, and meditation when it comes to staying balanced and pursuing the things that bring her joy.

Welcome back for another episode of #MDTribe ! I am excited to share this interview with Dr. Grotheer, MD, MPH graduate from the University of Miami Miller School of Medicine. Born in West Africa in the country of Liberia, Dr. Grotheer was brought to the US by her father. She grew up in Colorado and attended college at CU Boulder. Dr. Grotheer was a non-traditional applicant who decided she wanted to be a physician after graduating from college. She shares her experience applying to medical school after completing a post-bacc for career changers to complete her pre-reqs and take MCAT! She also shares her experience applying to residency and how she succeeded despite not performing her best on her STEP Board Exam. She emphasizes how she was initially discouraged but quickly realized that there was more value in her experience that her scores could not undermine and how residency programs appreciated this! After interviewing across the US, she shares how she landed back in South Florida for her first year of residency and what her day in the life of a PM&R resident looks like. We also talk about how she founded The Shop Docs as a medical student and how you can start a chapter at your own university! This wonderful woman is such an inspiration to me and I hope this interview gives you a glimpse of how this physician is impacting so many lives! Thank you for tuning in for this week's episode!!! Full Video on MDTribe Youtube Channel: https://youtu.be/MYjefHc-2Iw Subscribe for new videos every week! Please support by leaving a REVIEW and SHARING with your friends and family! -xoxo Nati Dr. Annette Grotheer Instagram: @oohsonatural https://www.forbes.com/profile/annette-grotheer/ https://www.theshopdocs.org/ Email: hello@theshopdocs.org --- Support this podcast: https://anchor.fm/nataliacorreamdtribe/support

My guest is Dr. Venus. She is a licensed physician who specializes in Physical Medicine & Rehabilitation who received her medical training at Yale University, University of Miami, and University of California-Irvine. We dive into how elevated cortisol levels impact our health in a variety of ways and the simple things we can do to combat its effect.

In this week's episode of the Spine & Nerve podcast, we sit down with Dr. Kevin Mullins. Dr. Mullins joins the podcast to discuss the journey of becoming a sports medicine physician, specifically focusing on what drove Dr. Mullins into this area of expertise and his tips to the next generation of physicians Listen in as the doctors discuss: - Why physical medicine and rehabilitation as a primary specialty? - How did Dr. Mullins decide to sub-specialize and which fellowship to peruse? - What advice does Dr. Mullins give to medical students and residents trying to find their way towards a fulfilling career? Dr. Mullins's bio: Dr. Kevin Mullins is a Sports Medicine Physician at the University is California, Davis. He is originally from Central California where he graduated as a salutatorian while playing varsity basketball at Buchanan High School. He then matriculated into the University of California, Davis, completing his Bachelor of Science in Exercise Biology with Dean’s List Honors in 2011, as well as a minor in African-American Studies. He remained at UC Davis for his medical degree and was awarded the Sacramento Newspaper 30 Under 30 Award for his community engagement as Chapter President of the Student National Medical Association and Co-Director for the Imani Healthcare Clinic. Upon graduation in 2015, Dr. Mullins was selected as Medical Student of the Year by the Departments of Neurology and Physical Medicine & Rehabilitation. Dr. Mullins remained at UC Davis for his PGY-1 internship year, where he completed a combined medical/surgical training program. Dr. Mullins continued residency in Physical Medicine & Rehabilitation at UC Davis, where he achieved the honors of being named Electrodiagnostic Resident of the Year as a PGY-2, and later served as a PGY-4 Chief Resident until graduation in 2019. He covered the California International Marathon event for 4 years, leading as a team captain in his final year of the race. Dr. Mullins then completed his Sports Medicine Fellowship at Stanford University, where he worked as a team physician providing sideline coverage for several NCAA Division 1 teams. He also provided care for local junior college (CCCAA) and Division 2 athletes. Dr. Mullins has also gained experience working with professional level athletes from a wide variety of sports. Dr. Mullins is a published author in an academic journal and has given several poster presentations at national conferences including ACSM and AMSSM, as well as at training events including the Annual Team Physician Course. Dr. Mullins has presented for multiple grand rounds, journal clubs, residency lectures and workshops. He is involved in mentoring high school students and educating medical students, and led in the teaching of a weekly Orthopaedic lecture series on the Stanford University undergraduate campus. His clinical interests include motion analysis development, virtual care and ultrasound guided procedures. This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, the may not represent the views of Spine & Nerve.

Dr. Elizabeth Yurth is the Co-Founder and Medical Director of Boulder Longevity Institute, where she has been providing Tomorrow's Medicine Today to her clients since 2006. That means she is the biohackers doctor .Along with her 25-plus years practicing orthopedic medicine, Dr. Yurth is Board Certified in both Physical Medicine & Rehabilitation and Anti-Aging/Regenerative Medicine. She has a Stanford-affiliated Fellowship in Sports and Spine Medicine, and a dual Fellowship from A4M in Anti-Aging and Regenerative Medicine. She has also completed a Fellowship in Human Potential and Epigenetic Medicine, is part of the first cohort of providers to receive the A4M National Peptide Certification, and is a faculty member and national lecturer for both A4M and the International Peptide Society (IPS). As an athlete herself who has dealt with numerous injuries, Dr. Yurth is thrilled to share with her clients all the innovative, life-changing treatments that are on the cutting-edge of medicine. Dr. Elizabeth shared on how she got started, and whether she would ever leave the sick care system behind fully. She also discussed some of the challenges of running a traditional practice. Dr. Elizabeth shares the treatment that has significantly improved outcomes for arthritic patients, along with her peptide mainstays and favorites. Surgery vs regenerative therapies. PRP, Stem Cells Peptides Dealing with Arthritis Factors to consider in picking an orthopedic doctor Life optimization strategies How to avoid injuries while exercising. The structure of allopathic medicine has turned doctors from true healers into bureaucrats. If people over the age of 50 moderated sugar and minimized alcohol, they would double their expected life span. The best peptides at the moment include 5-amino 1MQ, GHK Copper, and Cerebrolysin. At the start of the show, Dr. Elizabeth shared on how she got started, and whether she would ever leave the sick care system behind fully. She also discussed some of the challenges of running a traditional practice. Dr. Elizabeth shares the treatment that has significantly improved outcomes for arthritic patients, along with her peptide mainstays and favorites. Dr. Elizabeth is the biohacker's doctor, with 25 years of practice. She is the co-founder and medical director of Boulder Longevity Institute. Elizabeth is an orthopedic, anti-aging and regenerative medicine practitioner, and a leading physician in the peptide space. Visit http://boulderlongevity.com/ for more information. Biohacking is a huge part of being optimized, and peptides are the most game-changing biohacking tools in our arsenal. ACOUSTIC WAVE MEDICAL GRADE FDA REGISTERED ERECTILE DYSFUNCTION THERAPY AT HOME, AT A FRACTION OF THE COST Get More Information and Get the Rocket Here  Catch My Interview With Dustin Wolff The co -inventor of the rocket.

In this very special episode, we have three Stem Cell experts debunk the most popular and uncommon myths regarding Stem Cells and Exosomes. During this episode, we cover everything from FDA guidelines and research, the best source of stem cells, how people are getting scammed by "sales" men and more. *Our expert panel includes* 1. Dr. Christopher J. Rogers (Board certified Physical Medicine & Rehabilitation physician) Website: https://sdomg.com/christopher-j-rogers-md 2. Dr. Shounuck Patel (Non-surgical functional and interventional orthopedic specialist) Website: https://www.stemcelldrpatel.com 3. Rahul Desai, MD (Musculoskeletal Radiologist – Interventional Joint and Spine Medicine) Website: https://www.restorepdx.com/rahul-desai-md *Important/Referenced Links* Here is the Interventional Orthobiologics Foundation website: https://interventionalorthobiologics.org/ https://sdomg.com https://sdomg.com/wp-content/uploads/2020/05/SDOMG_Patient-Guide-to-Stem-Cell-Clinics.pdf https://personalizedstemcells.com  

This episode features first year Physiatry resident, Dr. Nicolet Finger. Dr. Finger is a super fun lady who is passionate about medicine and about life. Like most of us in healthcare, her path to becoming a physician has not been easy, but she has persevered through her adversity, and made it to her destination. Tune in to learn about her journey to becoming a doctor in the field of Physical Medicine & Rehabilitation. I really enjoyed our conversation, and I hope you do too! Cheers to the future! . . Please like, comment, and share the episode so we can share Our Lives In Medicine with others. Also please follow our Instagram @Ourlivesinmedicine. Thank you again for listening, and supporting the podcast! . Intro: “2night” by Grant Butler. Instagram @_grant_butler_; streaming on all platforms Outro: “Solitude” by KVMTZ. Fanlink.to/kvmtz, Instagram @KVMTZ_music; streaming on all platforms . Interested in being a guest, or know someone who would? Shoot us a DM, tag that person in the comments, or send an email to Ourlivesinmedicine@gmail.com

Meet the Docs in the Box! Two Physiatrists that are working to blend the words of Physical Medicine & Rehabilitation with Fitness/CrossFit. Dustin & his wife, Dr. Meghan Jones, sat down with Dr. Amy West & Dr. Matthew Cowling to discuss all things Physiatry, CrossFit, & their new Podcast! We discuss: -What is Physical Medicine & Rehabilitation? -How can we team up with this medical specialty to better serve patients? -What should rehab pro's now about PM&R? -How does PM&R influence their practice of CrossFit? & vice versa? & much more! RELEVANT LINKS: -Podcast Link: http://GerosHealth.com/social -Docs in the Box Podcast - https://podcasts.apple.com/…/the-docs-in-the-b…/id1517866053 -Dr. Amy West, MD, CF-L1 @amywestmd - https://www.instagram.com/amywestmd/ -Dr. Matthew Cowling, DO @dr.matthewcowling - https://www.instagram.com/dr.matthewcowling/

Dr. Jeffrey Fine serves as Vice Chairman of NYU Langone Health Brooklyn Rehabilitation & Rusk Rehabilitation Network Development. He is a clinician educator and administrator who has been practicing in academic medicine at Level I Trauma Center teaching hospitals for over 20 years. Dr. Fine is chairperson of the VBM ICU early mobilization program at NYU Langone Hospital Brooklyn and also chairperson of the  Brooklyn brain injury outpatient care planning team. He holds four certifications from the American Board of Medical Specialties in the following areas: Physical Medicine & Rehabilitation; Spinal Cord Injury; Brain Injury Medicine; and Pain Medicine. He also has published several articles regarding patient safety during transitions of care including communication during handoffs, and identification/reconciliation of barriers to safe community discharge with resultant enhanced patient satisfaction. His medical degree is from New York Medical College and he completed his residency at Mount Sinai School of Medicine in New York City. Among his many prestigious awards, on more than one occasion he was honored as Best Teacher Of The Year in the Department of Rehabilitation Medicine at the Icahn School of Medicine at Mount Sinai. In this interview, Dr. Fine discusses the following: kinds of patients he is treating for COVID-19; patient pathways to arrive for treatment; differential susceptibility of patients entering the health care setting on the basis of age, gender, socioeconomic factors, genetic variations and other characteristics, such as preexisting conditions like diabetes; whether accurate predictors are being employed, along with any kinds of measures or rating scales to help distinguish patients who can expect to be discharged to their homes compared to individuals with more life-limiting medical conditions; access to all necessary therapies, including those considered still at an experimental stage of effectiveness; role of telehealth in treating COVID-19; possible impact on daily activities of wearing full-body PPE by clinicians in the hospital; and how as a health professional life may have changed since the appearance of COVID-19.      

Dear friend and fellow jiu-jitsu junkie, Dr. Joe Alleva, returns to my podcast for some real talk about COVID-19 and the CoronaVirus. Dr. Joe has been a doctor of Physical Medicine & Rehabilitation for over 23 years, working for NorthShore University Health System. He breaks it down so we can all understand what we are dealing with and calms some of the fears. Dr. Joe gives some insight on how to stay up to date, guidance on how to stay safe and of course I asked when he thinks we can get back on the mats for those of us in the jiu-jitsu world lol. Dr. Joe is always so fun to talk to, very informative and honest! You can schedule an appointment with Dr. Joseph Alleva through the NorthShore Health System at www.northshore.org or email him with questions at jalleva@northshore.org. 

We were joined by Kerry Maher, MD, Vice President Of PM&R Consulting And Physician Relations and Parag Shah, MD, Medical Director, Stroke Program to discuss what a PM&R physician is, the level of education needed and what role they play in the acute care setting. Send us an email with your questions or comments: podcast@brooksrehab.org! Find us on social media @brooksrehab Or visit our website at https://www.brooksrehab.org. --- Welcome to the Brooks Rehabilitation podcast where we talk to our rehabilitation professionals to shed light on the stellar programs and services we offer to help our patients reach their highest levels of recovery.

Military service members and veterans may experience mild traumatic brain injuries (TBIs) or concussions. Dr. David Cifu, Chair of the Department of Physical Medicine & Rehabilitation at Virginia, discusses research into these injuries.

Dr. Olesya Yevdayev is a Senior Physical Therapist in the Outpatient Physical Therapy Department at Rusk Rehabilitation, NYU Langone Health. She has a Bachelor of Science degree from Touro College and a Bachelor of Arts degree from Hunter College. She earned her Doctor of Physical Therapy degree from Touro College where she received an Outstanding Clinical Achievement award. She has 7.5 years of professional experience in orthopedics/ sports rehabilitation utilizing the Mulligan Method, McKenzie Method, and manual therapy with a concentration on pelvic floor, pregnancy, osteoporosis, oncology, and lymphedema rehabilitation. She also is involved in community services, patient education, and has presented lectures at NYU in Brooklyn and the 26thCancer Conference. Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Health and private owner and founder of an office for pain management that will open in August 2019. She has a focus on interventions for spinal issues, joints/tendons, headache and also pelvic pain.  She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. She completed her residency in physical medicine and rehabilitation at Mount Sinai Medical Center, New York, NY.  Her fellowship training took place at the Beth Israel Medical Center.  She treats all types of pelvic pain disorders, including pelvic floor dysfunction, rectal pain, headache, jaw pain, along with spine and joint pain. This is the second of a two-part series. In Part 1, the guests discuss: the kinds of pelvic floor disorders that women can experience; symptoms that patients can present with; whether only women experience pelvic floor problems;  causes of painful symptoms at the pelvic, rectal, or vaginal area and injections available to treat these kinds of pain; extent to which delivering children and growing older influence the occurrence of pelvic floor disorders; if the type of child delivery method, such as vaginal delivery, increases the probability a woman will develop a pelvic floor disorder later in life; how modalities other than surgery, such as physical therapy can contribute to positive outcomes; and the kinds of procedures involved in the administration of pelvic floor physical therapy and the basis on which  various approaches either singly or in combination are best suited for a particular patient?   In Part 2, they discuss: Periods of time, such as weeks or months when most rehabilitation interventions take place and whether it ever occurs that further treatment is not associated with additional improvements; if there are instances, such as the presence of a patient’s advanced old age or co-morbidities where watchful waiting may represent the best choice instead of any other kind of intervention; steps that can be taken to lower the percentages of women who experienced urinary incontinence, yet had not talked to a doctor about this problem;  pelvic floor muscle training to treat overactive bladder and who provides it; the role of botulinum toxin as a form of treatment for pelvic floor dysfunctions among elderly patients; extent to which patient education is involved in efforts to improve knowledge of, attitude towards, and practice of pelvic floor muscle exercise; frequency of urinary incontinence symptoms and other pelvic floor disorders among adolescent females; and pelvic floor muscle training as a means of primary prevention of urinary incontinence in asymptomatic women and secondary prevention for women with small muscle strength who are considered dysfunctional, but asymptomatic.  

Dr. Olesya Yevdayev is a Senior Physical Therapist in the Outpatient Physical Therapy Department at Rusk Rehabilitation, NYU Langone Health. She has a Bachelor of Science degree from Touro College and a Bachelor of Arts degree from Hunter College. She earned her Doctor of Physical Therapy degree from Touro College where she received an Outstanding Clinical Achievement award. She has 7.5 years of professional experience in orthopedics/ sports rehabilitation utilizing the Mulligan Method, McKenzie Method, and manual therapy with a concentration on pelvic floor, pregnancy, osteoporosis, oncology, and lymphedema rehabilitation. She also is involved in community services, patient education, and has presented lectures at NYU in Brooklyn and the 26thCancer Conference. Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Health and private owner and founder of an office for pain management that will open in August 2019. She has a focus on interventions for spinal issues, joints/tendons, headache and also pelvic pain.  She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. She completed her residency in physical medicine and rehabilitation at Mount Sinai Medical Center, New York, NY.  Her fellowship training took place at the Beth Israel Medical Center.  She treats all types of pelvic pain disorders, including pelvic floor dysfunction, rectal pain, headache, jaw pain, along with spine and joint pain.   This is the first of a two-part series. In Part 1, the guests discuss: the kinds of pelvic floor disorders that women can experience; symptoms that patients can present with; whether only women experience pelvic floor problems;  causes of painful symptoms at the pelvic, rectal, or vaginal area and injections available to treat these kinds of pain; extent to which delivering children and growing older influence the occurrence of pelvic floor disorders; if the type of child delivery method, such as vaginal delivery, increases the probability a woman will develop a pelvic floor disorder later in life; how modalities other than surgery, such as physical therapy can contribute to positive outcomes; and the kinds of procedures involved in the administration of pelvic floor physical therapy and the basis on which  various approaches either singly or in combination are best suited for a particular patient?   In Part 2, they discuss: Periods of time, such as weeks or months when most rehabilitation interventions take place and whether it ever occurs that further treatment is not associated with additional improvements; if there are instances, such as the presence of a patient’s advanced old age or co-morbidities where watchful waiting may represent the best choice instead of any other kind of intervention; steps that can be taken to lower the percentages of women who experienced urinary incontinence, yet had not talked to a doctor about this problem;  pelvic floor muscle training to treat overactive bladder and who provides it; the role of botulinum toxin as a form of treatment for pelvic floor dysfunctions among elderly patients; extent to which patient education is involved in efforts to improve knowledge of, attitude towards, and practice of pelvic floor muscle exercise; frequency of urinary incontinence symptoms and other pelvic floor disorders among adolescent females; and pelvic floor muscle training as a means of primary prevention of urinary incontinence in asymptomatic women and secondary prevention for women with small muscle strength who are considered dysfunctional, but asymptomatic.  

Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her areas of specialization include the pediatric disorders cerebral palsy, and spina bifida. In her own words, she stated that she has had the pleasure of watching her patients and learning from their strengths for 45+ years. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board-certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also Pediatrics.  This is the second of a two-part series. In this Part 2, she discusses: pregnancy among patients with cerebral palsy, effect of pregnancy on balance and coordination if a motor functional impairment exists; challenges and resources available for patients who become parents; identification of the felt needs of patients; improvements needed in diagnosis and treatment; time period for adoption of rehabilitation treatment innovations; and key topics in rehabilitation research. In Part 1, Dr. Gold discussed: number of adults in the U.S. with cerebral palsy; their life expectancy; challenges involved in the transition from pediatric to adult care for these patients; kinds of health problems adult patients experience; treatment for dystonia; the impact of additional physical deterioration on quality of life and mental health; and the ability to participate in physical activities, work, family, and recreational activities.  

Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her areas of specialization include the pediatric disorders cerebral palsy, and spina bifida. In her own words, she stated that she has had the pleasure of watching her patients and learning from their strengths for 45+ years. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board-certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also Pediatrics.  This is the first of a two-part series. In Part 1, Dr. Gold discusses: number of adults in the U.S. with cerebral palsy; their life expectancy; challenges involved in the transition from pediatric to adult care for these patients; kinds of health problems adult patients experience; treatment for dystonia; the impact of additional physical deterioration on quality of life and mental health; and the ability to participate in physical activities, work, family, and recreational activities. In Part 2, she discusses: pregnancy among patients with cerebral palsy, effect of pregnancy on balance and coordination if a motor functional impairment exists; challenges and resources available for patients who become parents; identification of the felt needs of patients; improvements needed in diagnosis and treatment; time period for adoption of rehabilitation treatment innovations; and key topics in rehabilitation research.            

Dr. Maurice Sholas does it all!  I like to call him the Renaissance Doc!  He is a doctor, businessman, speaker, etc. etc. etc.  In his own words, he is a "chief medical expert." In this episode, you'll hear tons of jewels for success!  A good ol' boy with southern Louisiana roots, Dr. Sholas has traveled widely and been exposed to a variety of cultures.  He is a trained Physical Medicine & Rehabilitation doctor, and also has a PhD.  This man is doing it all!!!  To learn more about Dr. Sholas  visit www.docmosho.com/ **Sign up for our podcast extra credit worksheets at: www.BlackMenInWhiteCoats.org/worksheets **If you’re a black male clinician with a great journey to share, we’d love to have you on the podcast. Email us at Podcast@BlackMenInWhiteCoats.org **Premeds, find affordable services designed to help you get accepted into medical school at www.PreHealthMarket.com.

Dr. Joe Alleva has been a doctor of Physical Medicine & Rehabilitation for 23 years, working in the NorthShore University Health System at Evanston and Glenbrook Hospitals. We discuss the types of patients he sees and treats, working through injury with a very holistic and non-surgical approach and address the Opioid Epidemic.  And of course, Dr. Joe is also a Black belt in Brazilian Jiu-Jitsu, so we get in a little jiu-jitsu talk and how we all go to Dr. Joe for our medical questions and concerns. You can schedule an appointment with Dr. Joseph Alleva through the NorthShore Health System at http://www.northshore.org or email him with questions at jalleva@northshore.org.

Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Medical Center. As a post-traumatic headache specialist, she has a focus on interventional pain management of chronic headache. She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. Her medical degree is from the Nova Southeastern University College of Osteopathic Medicine. She completed her residency in physical medicine and rehabilitation at the Broward General Medical Center in Fort Lauderdale, FL.  Post-doctoral training took place at the Beth Israel Medical Center in New York City. Dr.Sackheim also had an anesthesia-based fellowship in interventional pain medicine, hospice & palliative care at the Mount Sinai School of Medicine in New York City.   In Part 2 of this two part series, she discusses: the extent to which patient health behaviors can be targeted routinely to improve headache management; new headache medications that are effective for treatment; demographic factors that could affect both the degree and the speed of recovery from headaches when they occur; the importance of patient involvement in medical decision-making; use of complementary, alternative, and integrative medicine by patients; the role of in-home telehealth therapy programs; if there is a need for improved diagnostic measures and treatment; and key topics within the realm of rehabilitation research aimed at improving the care of patients who suffer from headaches and any possible emerging areas. 

Dr. Kimberly Sackheim is an Assistant Professor in the Department of Physical Medicine & Rehabilitation at New York University Langone Medical Center. As a post-traumatic headache specialist, she has a focus on interventional pain management of chronic headache. She is board certified by the American Board of Physical Medicine & Rehabilitation with sub-specialties in both pain management and brain injury medicine. Her medical degree is from the Nova Southeastern University College of Osteopathic Medicine. She completed her residency in physical medicine and rehabilitation at the Broward General Medical Center in Fort Lauderdale, FL.  Post-doctoral training took place at the Beth Israel Medical Center in New York City. Dr.Sackheim also had an anesthesia-based fellowship in interventional pain medicine, hospice & palliative care at the Mount Sinai School of Medicine in New York City.   In Part 1 of this two part series, Dr. Sackheim discusses: headache forecasting models in accurately predicting future headache activity; situations in a patient’s life that serve as useful forecasts of the onset of headache; the degree to which preexisting conditions, such as mood disorders influence the onset of a headache; diagnostic challenges involved when patients present with both headache and neck pain; whether individuals hospitalized due to a head injury are more likely to have a new onset of headaches and a worsening of pre-existing headache and persistent headache; and the role depression and anxiety play in the development of headaches.     

In this "Lost Episode," Dee & Reesh talk to their homie from med school Dr. Leroy Lindsay⏤ now an assistant professor of Physical Medicine & Rehabilitation at Weil Cornell Medical College & New York Presbyterian Hospital. They talk about everything from being a minority in Medicine, Doctors with tattoos, and why WebMD isn't that great. It’s a fun one filled with stories from Med school and insights into what happens when keeping it real goes RIGHT! Enjoy! ** This episode contains original production by JMKM from Productive Culture (with permission from the Artist): soundcloud.com/productiveculture/sets open.spotify.com/artist/5dyTfzlV8t4WI0BNMzgFvf Leave us a Voice Message on Anchor, Hit us up on Social Media & Consider leaving us a review in Podcastville to let us know what you think about us :) Facebook: facebook.com/MedicineRemixed Instagram: instagram.com/medicine_remixed Twitter: twitter.com/medicineremixed Anchor: anchor.fm/medicineremixed --- Send in a voice message: https://anchor.fm/medicineremixed/message

Dr. Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also in Pediatrics. Her area of specialization includes the pediatric disorders cerebral palsy and spina bifida.   In this second part of the interview, Dr. Gold continues her discussion on the medically complex nature of pediatric patients with cerebral palsy and spina bifida; transition from care in the pediatric setting to adult health care; adequacy of  transition guidelines; preparation of patients and their parents at Rusk to achieve a successful transition; and the role of medical homes in the transition process.

Dr. Joan Gold is a clinical professor in the Department of Rehabilitation at Rusk Rehabilitation, NYU Langone Health. Her medical degree is from the State University of New York Downstate Medical Center. She completed her residency in physical medicine and rehabilitation at the NYU Medical Center and her residency in pediatrics at Beth Israel Medical Center. She is board certified in the following three areas: Pediatric Rehabilitation Medicine, Physical Medicine & Rehabilitation, and also in Pediatrics. Her area of specialization includes the pediatric disorders cerebral palsy and spina bifida.   In this interview, Dr. Gold discusses the medically complex nature of pediatric patients with cerebral palsy and spina bifida; transition from care in the pediatric setting to adult health care; adequacy of  transition guidelines; preparation of patients and their parents at Rusk to achieve a successful transition; and the role of medical homes in the transition process.    

This interview is a continuation of a panel discussion on TBI. This is the second of a two-part series featuring Dr. Prin Amorapanth and Dr. Brian Im. Dr. Prin Amorapanth is a clinical instructor and a member of the research faculty at Rusk. His  fellowship at NYU Langone Health focuses on brain injury medicine. His current research interests include identifying markers of visuospatial impairment following acquired brain injury as well as the use of non-invasive brain stimulation as both a therapeutic and investigational tool for maximizing rehabilitation and better understanding mechanisms of recovery following brain injury. He is certified by the American Board of Physical Medicine & Rehabilitation. His medical degree and PhD are from the University of Pennsylvania. He completed his residency training in rehabilitation medicine at the Rehabilitation Institute of Chicago. Dr. Brian Im is Associate Director of Brain Injury Rehabilitation at Rusk. He also is program director for the ACGME-accredited brain injury medicine fellowship at NYU School of Medicine.  Following medical school at SUNY, Syracuse, rehabilitation residency at NYU School of Medicine/Rusk Rehabilitation, and fellowship in BI rehabilitation medicine at UMDNJ/Johnson Rehabilitation Institute, his subsequent 5-year tenure at NYU Bellevue Hospital focused upon an interest in improving brain injury rehabilitation for underserved populations.  He has an active role in TBI research at NYU and the TBI Model Systems Project at Rusk Rehabilitation, specifically as co-director of the Bellevue program.  His primary research interest is in disparities in TBI health care for different U.S. populations.  In Part 2, the discussion includes: kinds of tests employed to assess patient emotions and the possibility of the results being compromised; differences between male and female athletes in TBI injuries; key rehabilitation research topics involving TBI where it would be beneficial to conduct more investigations; and changes that may occur as more patient care services  occur mostly outside the hospital setting