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Dr. Philip Ovadia is a board-certified cardiac surgeon, founder of Ovadia Heart Health, and author whose focused on preventing heart disease.Show partners:LMNT - Claim your free LMNT Sample Pack with any purchase by using this linkPaleovalley - Save 15% off your first order by using this linkTroscriptions - 10% off your first order by using the code "JESSE" at checkoutShow notes:jessechappus.com/714
Plaque donated in memory of Wayland Holyfield to be displayed at Holyfield Place; South Conway County School Superintended 'pleased, not satisfied' with ATLAS test scores; State tourism soaring; Calvary Baptist to celebrate 75th anniversary; Conway County OEM to host fundraiser at Harley dealership in Conway; Perryville school district recognized by national Beta; Morrilton coaches McNabb, Zachary selected for leadership fellowship by AAA; we visit with Kevin Van Pelt of the Conway County Extension Service.
Did you know the very medication doctors push to "protect" your heart could be wrecking your brain, hormones, and mood? I've watched statins destroy lives, including my father's, and it's time to address the issues with the meds. I am joined by chiropractor Joel Boheimer, founder of the supplement line Regenerate, to break down why nattokinase is gaining popularity for heart health. Joel walks us through the research behind this fibrin-dissolving enzyme. He explains why cholesterol isn't the villain we've been told it is, and how the wrong form of calcium affects your arteries and joints. We also get into vitamin K2, ellagic acid, and why regenerative, whole-food sourcing changes everything about how a supplement performs in your body. If you're worried about your heart or just tired of being handed a prescription instead of an explanation, this conversation will change how you think about your next cardiologist visit. "Research shows that higher levels of cholesterol are protective to longevity, heart attack, strokes, and cancers." ~ Dr. Joel Bohemier In This Episode: - What is nattokinase, and what are its benefits? - Why statins are dangerous - Statins linked to rise in dementia - Nattokinase use after 2020 jabs - Regenerate's farming philosophy - The research behind Regenerate's supplements - An overview of CardioNK's ingredients - Vitamin K2 and calcium placement - Ellagic acid and urolithins - Bacillus subtilis and gut health benefits - Where to get CardioNK and recommended dosage Products & Resources Mentioned: Regenerate's CardioNK: Get it at a special discount at: https://regeneratecompany.com/pages/myers?uid=2&oid=2&affid=9 Bon Charge Red Light Face Mask: Get 15% off sitewide, plus free shipping and a 12-month warranty, with code WENDY at https://boncharge.com/ Tru Energy Skincare Bio Adaptive Hydration Oil: Try the oil and save up to $197 at trytruenergy.com/wendy5 Organifi Collagen: Save 20% with code MYERSDETOX at https://organifi.com/myersdetox Heavy Metals Quiz: Take the quiz at https://heavymetalsquiz.com About Dr. Joel Bohemier: Dr. Joel Bohemier is a second-generation chiropractor and founder of Regenerate, a supplement company built on a simple idea: the health of people and the health of the planet are connected. A longtime advocate for natural health and medical freedom, Dr. Bohemier has spent his career helping people take ownership of their health rather than just manage symptoms. He owns several chiropractic and wellness practices in Southwest Florida and is a frequent speaker on organic nutrition, detoxification, and regenerative health. He co-founded Stand for Health Freedom, serves on the advisory board of GreenMedInfo.com, and is a member of the Global Wellness Forum's Legislative Innovation Council. Learn more about Regenerate supplements at https://regeneratecompany.com/ Disclaimer The Myers Detox Podcast was created and hosted by Dr. Wendy Myers. This podcast is for information purposes only. Statements and views expressed on this podcast are not medical advice. This podcast, including Wendy Myers and the producers, disclaims responsibility for any possible adverse effects from using the information contained herein. The opinions of guests are their own, and this podcast does not endorse or accept responsibility for 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 indirect financial interest in products or services referred to herein. If you think you have a medical problem, consult a licensed physician.
In this episode of Curiosity Killed the Plaque, Spring Hatfield, RDH, BSPH, looks at periodontal probing and charting.Like this show? Leave us a review on your favorite podcasting app!Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Can you really reverse heart artery disease? In this episode, Dr. Robert Todd Hurst, MD, FACC, FASE, shares the remarkable story of a HealthspanMD member who thought he was doing everything right. Despite taking a statin, maintaining healthy blood pressure, staying active, and keeping his blood sugar under control, advanced imaging revealed he was still accumulating dangerous soft plaque in his coronary arteries. Dr. Hurst explains how plaque composition analysis works, why traditional cholesterol targets may not be enough for some people, and what happened when they implemented a more personalized strategy focused on achieving exceptional cardiovascular results. Today's guest is a HealthspanMD member with a strong family history of heart disease who was committed to protecting his heart health. After advanced CT angiography revealed significant soft plaque progression despite years of following conventional recommendations, he partnered with Dr. Robert Todd Hurst, MD, FACC, FASE, and the HealthspanMD team to take a more proactive, personalized approach. One year later, his results demonstrated what may be possible when root causes are identified and risk factors are optimized. Key Timestamps 00:03 – The patient's frustration despite doing everything "right." 00:45 – Understanding CT angiography and plaque composition analysis 01:32 – The concerning findings revealed by advanced imaging 02:15 – Why LDL goals below traditional guidelines may matter 03:00 – The strategy used to aggressively lower ApoB and LDL cholesterol 03:25 – One year later: the repeat CT angiogram results 03:45 – Soft plaque volume cut by more than half 04:00 – Low attenuation plaque reduced to zero 04:25 – What Dr. Hurst is seeing in patients with repeat plaque analysis testing 05:00 – Why guideline cholesterol targets may not be enough for everyone 05:35 – The seven root causes of coronary artery disease 06:05 – Lowering the risk of heart attacks, strokes, and dementia 06:45 – Can soft plaque disappear completely over time? 07:15 – Why proactive, personalized healthcare produces better outcomes 08:00 – The HealthspanMD philosophy for preventing and reversing heart disease Topics Discussed Reversing coronary artery disease Soft plaque vs calcified plaque CT angiography with plaque composition analysis ApoB and LDL cholesterol targets Coronary artery disease prevention Personalized cardiovascular medicine Root causes of heart disease Plaque regression Heart attack prevention Healthspan-focused healthcare This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. *Connect* *with* *HealthspanMD* :
In this week's episode of Parallax, Dr Ankur Kalra is joined by Dr Chris Maroules, National Director for Cardiac Imaging at SimonMed and co-director of Innovation Health. Together, they explore why coronary CTA, now a Class 1 recommendation in the 2021 ACC/AHA chest pain guidelines, has become the standard first-line non-invasive test, and why proficiency in cardiac CT is essential for cardiology trainees in 2026. The conversation shifts from traditional risk scores to direct disease assessment, highlighting the power of coronary CTA to identify and quantify plaque burden. Dr Maroules discusses high-risk plaque features, the limitations of calcium scoring, and the evolving role of FFRCT, before outlining a future of AI-enabled screening and precision prevention. He concludes with practical advice for fellows, encouraging Level 2 certification to stay ahead in an increasingly imaging-driven field. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.
Mastodon announces their first album since losing Brent Hinds — and it comes with a surprise Josh Homme cameo. Sleep Token keeps racking up RIAA hardware, with "Caramel" going platinum and "Dangerous" going gold. And we've got a genuinely great health update from Coal Chamber drummer Mikey "Bug" Cox after his latest cancer surgery. In this episode: [0:00] Intro [0:25] Mastodon announce "Marrow Deep," out August 28 — first album since Brent Hinds' passing, featuring Josh Homme's first Mastodon appearance since 2006 [1:30] Sleep Token's "Caramel" goes platinum, "Dangerous" goes gold — the latest in a string of RIAA certifications for "Even In Arcadia" [2:30] Coal Chamber's Mikey Cox shares a hopeful update after what's hopefully his final cancer-related surgery [3:50] Wrap-up New episodes of Metal Breakdown Daily drop every weekday morning. Subscribe so you don't miss the next one, and follow Loaded Radio at loadedradio.com and across Facebook, Instagram, and TikTok for daily hard rock and heavy metal news.
Aujourd'hui, Flora Ghebali, entrepreneure dans la transition écologique, Emmanuel de Villiers, chef d'entreprise, et Zohra Bitan, fonctionnaire, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.
Oct-shield Vulnerable Plaque Identification And Stabilization Catheter System and SmartFlow Percutaneous Venous Valve
Human brain tissue contains far higher concentrations of microplastics than liver or kidney tissue, and researchers found the burden increased sharply between 2016 and 2024 Researchers discovered that patients with microplastics embedded inside carotid artery plaque faced a 4.53-fold higher risk of heart attack, stroke, or death compared to patients without detectable plastics in plaque Studies found plastic particles inside blood clots and diseased artery walls, while animal experiments showed nanosized plastics disrupting blood flow and worsening brain injury after stroke Ultraprocessed foods, bottled beverages, plastic packaging, contaminated water, and airborne particles expose your body to microplastics daily, allowing the burden to build gradually inside tissues and blood vessels Reducing ultraprocessed foods, avoiding heated plastic containers, filtering drinking water, and improving metabolic and vascular health help lower ongoing exposure and support your body's defenses against chronic inflammatory damage
In this episode, Dr. Jockers breaks down the "one meal" strategy designed to support arterial health and help reduce plaque buildup through targeted nutrition. You'll learn how arterial plaque is actually scar tissue formed from inflammation and damage inside the blood vessels. And how this meal approach is designed to support blood pressure and cardiovascular function. You'll discover why omega-3 rich foods like wild-caught salmon and pasture-raised eggs play a key role in reducing inflammation and supporting endothelial repair. You'll also hear how arugula, olive oil, tomatoes, cucumbers, and citrus work together to boost nitric oxide production and improve blood flow. And how these foods collectively help calm oxidative stress in the arteries. You'll also learn how a simple dessert of Greek yogurt or coconut yogurt with collagen peptides, berries, and pomegranate supports blood sugar stability and vascular healing. You'll understand why compounds like anthocyanins and ellagic acid are important for reducing oxidative damage. And how this full meal framework supports long-term cardiovascular resilience and energy. In This Episode: 00:00 Nitric Oxide Teaser 00:14 Episode Intro and Promise 00:35 Reviews and Coaching Plug 03:53 Why Plaque Matters 05:41 Omega 3 Protein Base 07:33 Eggs and Cholesterol Myth 11:24 Arugula Salad Blueprint 13:55 Dessert Yogurt Collagen 15:04 Berries and Pomegranate Boost 16:44 Wrap Up and Next Steps Discover clinically inspired, clean skincare trusted by over 60,000 women and featured in outlets like Elle and Cosmopolitan. Pureance offers advanced formulas like Cellular Restore Serum with bakuchiol, deep-hydration Tremella Mushroom Serum, Lift & Glow Eye Cream, and Even Glow Serum powered by Kakadu plum. For a limited time, get 35% off your entire order when you shop at Pureance.com and use promo code JOCKERS at checkout. Upgrade your protein with ButcherBox, delivering premium 100% grass-fed beef, free-range organic chicken, crate-free pork, and wild-caught seafood straight to your door. Every box is antibiotic-free, hormone-free, and sustainably sourced for higher-quality nutrition and better energy. Right now, new members can choose free ribeyes for a year OR ground beef or chicken breast for life, plus get $20 off your first box and free shipping. Sign up at ButcherBox.com/drjockers and start eating clean, high-quality protein with ease. "The real problem isn't cholesterol—it's inflammation, damaged fats, and oxidative stress driving injury to your arteries" ~ Dr. Jockers Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean TuneIn Radio Resources: Visit https://pureance.com and get 35% off with code JOCKERS at checkout. Sign up at ButcherBox.com/drjockers and get $20 off your first box and free shipping Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https://www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/ If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/
Karina vous dévoile les décisions de justice les plus improbables.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
A newly published study called NATURE-CT is generating significant attention in the cardiovascular and ketogenic communities, but some of the conclusions being drawn online don't hold up to scientific scrutiny. Dr. Bret Scher walks through what the study actually shows, what it doesn't, and why comparisons being made to ketogenic therapy are scientifically misleading.In this discussion, you'll learn:What the NATURE-CT study examined and what its findings mean for coronary plaque progressionWhy the average LDL of 111 mg/dL still showed substantial plaque progressionWhat this data may suggest about looking beyond LDL as the sole driver of coronary diseaseWhy comparisons being made between NATURE-CT and KETO-CTA are scientifically flawedWhy the original KETO-CTA manuscript was retracted and what that means for current claimsHow baseline coronary artery calcium scores influence valid scientific comparisonsWhy findings in lean mass hyper-responders cannot be extrapolated to all forms of ketogenic therapyHow metabolic health, not just LDL, may be a critical factor in understanding cardiovascular riskThis conversation underscores the importance of evaluating studies on their actual design and findings, rather than the conclusions being layered on top of them. For clinicians, researchers, and anyone navigating the cardiovascular and ketogenic conversation, the precision of the science matters.
Fresh Pressed Olive Oil Club: https://freshpressolive.com/3Qnswiv Pre-order Keto Flex Revised and get free bonuses at: https://bit.ly/4wKG1sM Here's the fact that changes everything: roughly 70% of heart attacks happen in arteries that are less than 50% blocked. The person often felt completely fine. And then a life-changing event. It's not a slow clog. It's a rupture. Soft, inflamed plaque buried in the artery wall ruptures, platelets rush in, a clot forms in seconds, and that clot is what actually triggers the heart attack. The real villains are inflammation, unstable plaque, and clotting. Not your cholesterol number. That's also why the aspirin debate got so confusing. Aspirin works by making platelets less sticky, blunting that first step of clot formation. For someone with documented plaque or a previous heart attack or stroke, the evidence is strong: aspirin cuts the risk of a second event by around 19 to 20%. But for someone at genuinely low cardiovascular risk who has never had an event, the bleeding risk may quietly outweigh any benefit. Same pill, different person, opposite outcome. The key test most people have never gotten: your coronary calcium score. In this episode, I share exactly what I would do the day I found plaque in my arteries, including seven metabolic steps that address the root cause instead of just managing the risk. Key Takeaways: 70% of heart attacks happen in arteries less than 50% blocked. It's a rupture and clot, not a slow clog. Aspirin helps people at high cardiovascular risk (secondary prevention), but may do more harm than good for low-risk individuals Your coronary calcium score is the most important test most people have never taken Chronically high insulin is, according to heart surgeon Dr. Philip Ovadia (5,000+ open heart surgeries), the number one contributor to artery damage The PREDIMED trial found extra virgin olive oil was tied to a 30% lower risk of major cardiovascular events Aspirin manages the consequence of plaque. These seven lifestyle steps remove the cause. Every meal either supports your arteries or works against them. There is no neutral. Find All The Ben Azadi Show Sponsorship Deals https://www.ketokamp.com/sponsorship-deals Learn more about your ad choices. Visit megaphone.fm/adchoices
CORE RESOURCES: Rutherford's Vascular and Endovascular Therapy 10th Edition, Chapters 88, 89, 91, and 94 Atlas of Vascular Surgery and Endovascular Therapy 2nd Edition, Chapter 9 ADDITIONAL RESOURCES: Audible Bleeding Episodes Holding Pressure - Carotid Endarterectomy: https://www.audiblebleeding.com/2024/02/27/holding-pressure-carotid-endarterectomy/ Holding Pressure Case Prep - Endovascular Basics: https://www.audiblebleeding.com/2023/04/23/holding-pressure-case-prep-endovascular-basics/ Videos TCAR Technical Video: https://jnis.bmj.com/content/14/8/842 Articles Society for Vascular Surgery clinical practice guidelines for management of extracranial cerebrovascular disease: https://www.jvascsurg.org/article/S0741-5214%2821%2900893-4/fulltext Technical aspects of transcarotid artery revascularization using the ENROUTE transcarotid neuroprotection and stent system: https://www.jvascsurg.org/action/showPdf?pii=S0741-5214%2816%2931862-6 Referenced Studies ROADSTER-1 https://pubmed.ncbi.nlm.nih.gov/30611582/ ROADSTER-2 https://pubmed.ncbi.nlm.nih.gov/32811386/ https://pubmed.ncbi.nlm.nih.gov/35381327/ TCAR Surveillance Project https://jamanetwork.com/journals/jama/fullarticle/2757579?utm_source=openevidence&utm_medium=referral https://pubmed.ncbi.nlm.nih.gov/36172943/ OUTLINE: CAROTID ARTERY DISEASE 1. Pathophysiology/etiology Carotid artery disease is primarily driven by atherosclerotic plaque deposition. Risk factors: hypertension, hyperlipidemia, diabetes, smoking, and advanced age. Nonatherosclerotic etiologies: fibromuscular dysplasia, carotid dissection, vasculitic disease, carotid webs, and trauma. When the endothelium is damaged, monocytes migrate to the site and differentiate into macrophages that take up oxidized LDL particles to become foam cells. Meanwhile, an inflammatory response occurs where activated platelets release thromboxane A2, platelet derived growth factor, and inflammatory cytokines that promote further platelet aggregation and vascular inflammation. Smooth muscle cells migrate and proliferate, forming the structural framework of the atheroma. Within the lesion, necrotic debris and lipid accumulate, creating a vulnerable plaque. Plaque rupture exposes this material to the bloodstream, serving as a nidus for thrombus formation which can lead to ischemic events. Carotid bifurcation is particularly prone to plaque formation due to turbulent blood flow. Embolization of plaque from this area can result in TIA or ischemic stroke. 2. Presentation Patients are often asymptomatic and stenosis is incidentally found on imaging. Symptomatic patients present with neurologic symptoms including unilateral motor and sensory loss, aphasia (difficulty finding words), dysarthria (difficulty speaking), amaurosis fugax (temporary monocular vision loss due to embolus to the ophthalmic artery), transient ischemic attacks Physical exam findings may be notable for auscultation of a carotid bruit. Patients may also have evidence of retinal artery embolization on fundoscopic examination (Hollenhorst plaque) or asymptomatic cerebral infarction. 3. Diagnosis USPTF recommends against screening for asymptomatic carotid artery stenosis. In patients with no risk factors, SVS recommends against screening for asymptomatic carotid artery stenosis. However, they do recommend screening for asymptomatic clinically significant carotid bifurcation in certain groups of patients with multiple risk factors. These risk factors include patients with clinically significant peripheral vascular disease, patients 65 and older with history of CAD, smoking, hypercholesterolemia, and patients prior to coronary artery bypass. Relevant findings on physical exam or imaging findings may warrant screening, but screening is not recommended for the presence of neck bruit alone without other risk factors, as this finding has a low sensitivity and specificity for detecting clinically significant carotid artery stenosis. Carotid duplex ultrasound: first-line imaging modality for both screening and initial evaluation of stenosis, noninvasive, low-cost CTA: rapid, high-resolution, three-dimensional imaging of vascular anatomy, risk of contrast and radiation exposure MRA: high-quality, three-dimensional imaging without radiation or contrast, expensive with longer acquisition time, can overestimate stenosis in severe disease DSA/angiography: gold standard, expensive, invasive, not generally recommended for routine diagnostic evaluation or screening 4. Classification Carotid artery stenosis is classified by degree of luminal narrowing. NASCET method: standard in current practice. Compares the minimal residual lumen at the point of greatest stenosis to the diameter of the normal distal internal carotid artery. Classification of stenosis: Mild: 70 bpm, and ACT >250 seconds to optimize cerebral perfusion and minimize thrombotic risk. Clamp the carotid artery just proximal to the arterial sheath to establish active flow reversal. Flow controller settings: Low setting High setting Flow-stop button: allows for temporary cessation of flow (used when we inject contrast). Confirm flow reversal via two different ways: The first way is to stop flow to the venous return sheath with the stopcock, clearing the line with hep saline injection, and then opening the stopcock and seeing the blood returning to the controller in a reverse fashion. The second way is to perform an angiogram with a small amount of contrast injection while holding the flow-stop button. Using the angio we want to make sure that contrast is flowing retrograde in the cervical ICA thereby confirming flow reversal. Carotid artery stenting, balloon angioplasty, and completion angiogram At this point, a standard carotid angioplasty and stenting procedure is performed. ENROUTE transcarotid Neuroprotection System device: inner diameter of 8F and an outer diameter of 10F Has its own carotid artery stent system but is also compatible with all FDA-approved carotid stents. Final angiogram is performed to confirm stent position, vessel patency, and absence of complications including vasospasm at the distal end of the stent and filling defects from protrusion of atheromatous material through the stent Cessation of flow reversal and sheath removal Allow the flow reversal to run for a few minutes after the final balloon angioplasty to clear any debris. Antegrade flow is restored by releasing the carotid clamp and closing the stopcocks on the neuroprotection system. The patient is auto-transfused the blood from the flow line back to the venous system. As the arterial access system is removed and the puncture site is closed with the U-stitch. IV protamine is administered to reverse the heparin. Standard closure is performed at the incision site. Meanwhile, hemostasis is achieved after removal of the femoral vein sheath with brief manual compression. Postop care/complications Postop care All patients after a TCAR should be monitored in the ICU setting for 24 hours, as an embolic stroke, hypotension with or without bradycardia, or hypertension can occur. Should a TIA or stroke be observed, a carotid duplex scan and CT angiogram should be immediately obtained to assess the stent site and the presence of an embolic or thrombotic filling defect, dissection, or occlusion. Dual antiplatelet therapy: continue for 45 days to 12 months Aspirin and statin therapy: continued indefinitely Surveillance duplex imaging: 4 weeks, 6 months, and 12 months, and annually thereafter. Postop complications Hematoma Stroke Myocardial infarction Cerebral hyperperfusion syndrome Sudden and excessive increase in cerebral blood flow to previously hypoperfused brain tissue is met with vasculature that cannot constrict appropriately from chronic vasodilation Leads to breakthrough hyperperfusion. This results in cerebral edema, intracerebral hemorrhage, and neurological symptoms. Cranial nerve injury Hypoglossal nerve (CN XII) injury: ipsilateral tongue deviation. It is the most commonly injured cranial nerve. Vagus nerve (CN X) injury: hoarseness and possible vocal cord paralysis. Glossopharyngeal nerve (CN IX) injury: soft palate dysfunction. Recurrent laryngeal nerve injury: voice hoarseness and inability to cough as it innervates all of the voice box muscles except for the cricothyroid muscle Marginal mandibular nerve injury: ipsilateral lip droop, injury is rare in TCAR. Stent restenosis Pseudoaneurysm Access site infection
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Marc-André Mongrain (Sors-tu?) et Louis-Philippe Labrèche (Le Canal auditif) accueillent en studio les programmateurs du Festival International de Jazz de Montréal Maurin Auxéméry et Modibo Keita qui nous partagent leur coups de coeur de la prog cette année. Montage et réalisation par Kim Giroux. Production de Culture Cible, en collaboration avec l'Équipe Spectra.
The Christian County Board met in the cafeteria of Taylorville High School on June 16, 2026 for its June regular meeting.Meeting agendaCall to orderPledge of AllegianceInvocationRoll CallApprove minutes from the regular County Board meeting May 26, 2026 as printed.Public Comments- Relating to Agenda ItemsAppointmentsRecognition of Service – Presentation of Plaque to Cliff FryPurrPaws Donation Presentation to Animal ControlCourthouse Grounds Application for 4th of July Parade and Mayor Cookout- Taylorville Main StreetKen Loeber- Representative from Eagle Rock Partners to answer questions from County Board Members and Elected OfficialsReading of Communications:Reports and agenda items from committees including motions related to petitions, resolutions, ordinances and/or proclamations.Highway/Building/Grounds/Environmental/ Zoning/ Welfare—06/8/20262027 Budget DiscussionExplanation of Zoning ProcessCourthouse Grounds Application for the Reading of the Declaration of IndependenceData Center Site Visit – Discussion of Purpose, Logistics, and Potential Participation by County Board MembersZoning BusinessDirector's ReportSolid Waste BusinessDirector's ReportHighway BusinessSupplement for Engineering Design Services for Bear Creek Twp. Bridge Replacement Project (Sec. 15-02112-00-BR)Animal ControlDirector's ReportCourthouse and Building BusinessCourthouseOtto Baum Clock Tower RepairCourthouse Sewage and Fountain Repairs/ReplacementExecutive/Personnel/Liquor/Legislative—06/9/2026Jail Administrator Request for Additional CustodianJail Administrator Request for move Part-Time Employee to Full-TimeVFW-VACVeterans Assistance Commission ResolutionEMA UpdateDirector's ReportCEFSRescind Ordinance O2026 CB 001 to Provide Public Transportation in Christian CountyRescind Intergovernmental Agreement with Shelby CountyO2026 CB 009 Provide Public Transportation in Christian County Through Effingham CountyIntergovernmental Agreement with Effingham CountyCounty Board Members Email UpdateStaffing County Fair Security MOUStep 2 AFSCME Grievance Audit, Finance and Purchasing Committee—-06/10/2026Approve claims as presented for June 2026Budget SchedulingVeteran's Assistance Commission BudgetPublic Defender Part-time Budget IncreaseHB 4537 for Real Estate Tax SalesReferrals from other committeesCourthouseOtto Baum Clock Tower RepairCounty Board Members Email UpdateData Center Site Visit – Discussion of Purpose, Logistics, and Potential Participation by County Board MembersNEW BUSINESS AND OTHER MATTERSData Center Site Visit – Discussion of Purpose, Logistics, and Potential Participation by County Board MembersAny other matters or updates that are properly brought before the Board for future consideration.Per Diem Reports for May 2026Public Comments- Any Other TopicsAdjourn meeting until Tuesday, July 21, 2026 at 6:00 p.m.Become a supporter of this podcast: https://www.spreaker.com/podcast/heartland-newsfeed-radio-network--2904397/support.
The house on Rock Street in Tralee where legendary Kerry GAA footballer Joe ‘Jo Jo’ Barrett was born is to be demolished to make way for an apartment development. Number 67 Rock Street had previously been included on Kerry County Council’s register of derelict properties. He was the first Kerry captain to lift the Sam Maguire trophy in 1929. Jerry spoke to Dr Richard McElligott from Kilflynn who’s a lecturer in modern and Irish history, Dundalk IT.
In this episode of Parallax, Dr Ankur Kalra is joined by Professor Ron Blankstein, a leading authority in preventive cardiology and cardiac imaging at Harvard Medical School and Brigham and Women's Hospital, Boston. Together they trace the remarkable journey of cardiac computed tomography (CT) from a niche diagnostic test to an indispensable pillar of contemporary cardiovascular practice. Professor Blankstein shares the moving story behind his new textbook, a companion to the legendary Braunwald's Heart Disease, recounting his personal collaboration with the late Dr Eugene Braunwald, who initiated the project and remained meticulously involved in its development until his passing. How has cardiac CT reshaped the diagnosis and management of coronary disease? What does the future of plaque analysis and photon-counting technology hold? And why should every cardiology fellow now consider CT essential to their training? Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.
Swifties, Cars, and the Mystery of Mickey's Missing Plaque (Ep. 103) Jim Hill and Lauren Hersey start this week's episode with a merch-minded look at Disney's latest collaborations, from Taylor Swift's Toy Story 5 tie-in to the 20th anniversary of Cars. They also dig into how Disney is already positioning Mickey Mouse for his 100th birthday in 2028 through fashion, music, wellness, and lifestyle partnerships. Then Jim takes Lauren back to Mickey's 50th anniversary celebration and the strange story of the bronze plaque that once marked the birthplace of Steamboat Willie in New York City. NEWS • Taylor Swift's newly confirmed Toy Story 5 song sends Swifties hunting for Disney-Pixar Easter eggs. • Toy Story 5 builds even more buzz ahead of its June 2026 theatrical release. • Disney celebrates 20 years of Cars with new anniversary merchandise and a Lightning McQueen popcorn bucket. • The upcoming Piston Peak expansion at Walt Disney World keeps Cars front and center for the next generation. • Disney's Main Street marketing initiative begins laying the groundwork for Mickey Mouse's 100th birthday. FEATURE • Jim explains why Mickey Mouse did not always have one official birthday. • The episode traces how Dave Smith and the Disney Archives helped settle on November 18, 1928. • Jim revisits Mickey's 50th anniversary celebration in New York City, including Ward Kimball's whistle-stop tour. • The mystery of the missing Steamboat Willie plaque leads to Broadway, Shrek the Musical, and Jeffrey Katzenberg. HOSTS • Jim Hill - X/Twitter: @JimHillMedia, Instagram: @JimHillMedia, Website: jimhillmedia.com • Lauren Hersey - X/Twitter: @laurenhersey2, Instagram: @lauren_hersey_ FOLLOW • Facebook: @JimHillMediaNews • YouTube: @jimhillmedia • TikTok: @jimhillmedia • Patreon: https://www.patreon.com/jimhillmedia/ SUPPORT Support the show and access bonus episodes and additional content at https://www.patreon.com/jimhillmedia. PRODUCTION CREDITS Edited by Dave Grey Produced by Eric Hersey - https://strongmindedagency.com SPONSOR This episode is brought to you by UnlockedMagic.com, your go-to source for great deals on Disney and Universal tickets. If you would like to sponsor a show on the Jim Hill Media Podcast Network, reach out today. https://www.jimhillmedia.com/sponsor/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Ecoutez Ça va beaucoup mieux avec Jimmy Mohamed du 11 juin 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
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Microplastics and Stroke Risk: What a Landmark 2024 Study Found Inside Human Arteries In 2024, a team of Italian researchers published a study in the New England Journal of Medicine that stopped the cardiovascular science community in its tracks. They found microplastics, tiny synthetic fragments embedded inside the carotid artery plaque of more than half the patients they examined. And the patients who had them faced more than four and a half times the risk of a serious cardiovascular event compared to those who didn’t. This isn’t a distant, theoretical risk. These are living people who had already been identified as having carotid artery disease, and plastics were found inside their arterial walls. For stroke survivors and those at elevated risk of stroke, this study raises important questions that the medical system has not yet caught up with. What the Research Found The study by Marfella et al., published in the New England Journal of Medicine (2024), enrolled 304 patients who were undergoing carotid endarterectomy, a surgical procedure to remove plaque from the carotid arteries. Researchers analysed the excised plaque for the presence of microplastics and nanoplastics. Their findings: 58% of patients had detectable levels of polyethylene, polyvinyl chloride (PVC), or polystyrene in their arterial plaque. This was not contamination from the surgical procedure; it was already there. Over a 34-month follow-up period, patients with microplastics in their plaque had a 4.53 times higher risk of a combined endpoint: non-fatal myocardial infarction, non-fatal stroke, or death from any cause. Inflammatory markers were significantly elevated in the microplastics-positive group. IL-18 and TNF-alpha proteins associated with systemic vascular inflammation were markedly higher in plaque samples that contained plastics. This suggests the mechanism is not simply physical obstruction, but an inflammatory cascade triggered by the presence of synthetic material in arterial tissue. What This Means for Stroke Survivors The carotid arteries are the primary conduits supplying oxygenated blood to the brain. Plaque accumulation in these vessels is one of the leading causes of ischaemic stroke, and carotid artery disease is a condition many stroke survivors are already living with. “The patients with microplastics in their plaque had a 4.53 times higher risk of stroke, heart attack, or death over the 34-month follow-up. That’s not a marginal finding. That’s a signal the research community needed to take seriously.” The NEJM study doesn’t yet tell us whether removing microplastic exposure after the fact reduces risk. It doesn’t confirm that healthy individuals with no existing carotid disease are accumulating plastics at the same rate. And it cannot tell us which plastic sources are most responsible because we’re exposed to microplastics through drinking water, food packaging, air, and a dozen other vectors simultaneously. But what it does tell us clearly and with high statistical significance is that microplastics in arterial plaque are associated with dramatically worse cardiovascular outcomes. What the Research Does Not Yet Tell Us Science at the frontier moves in one direction at a time. This study establishes association, not causation. It cannot yet answer: Whether people without existing carotid disease are accumulating microplastics at comparable rates. Whether reducing exposure actively reverses or slows plaque-associated risk. Which types of microplastics are most biologically harmful? Whether there will be a clinical screening tool for this in the near future. These are the questions the next generation of research will need to answer. In the meantime, it’s reasonable to act on what we do know. Practical Steps to Reduce Exposure No clinical screening currently exists for microplastics in arterial plaque. There is no blood test, no imaging, no biomarker that your GP can order today. What you can do is reduce your ongoing exposure, particularly through food and water contact with plastics. Evidence-informed steps worth discussing with your treating team: Use glass, stainless steel, or ceramic containers rather than plastic for food and drink storage. Avoid microwaving food in plastic containers; heat accelerates the leaching of plastic particles. Filter your drinking water; some filters (carbon block and reverse osmosis) reduce microplastic levels significantly. Reduce consumption of highly processed foods in plastic packaging. Bring this study to your vascular neurologist, cardiologist, or GP and ask whether it’s relevant to your personal risk profile. This is not a recommendation to take a supplement or start a treatment. It’s an invitation to have an informed conversation with the people responsible for your care using the best available evidence. If you found this useful, my book walks through the science of stroke recovery in the same evidence-first, no-hype way. Find it at recoveryafterstroke.com/book. Want to go deeper and support the channel? Join the community at patreon.com/recoveryafterstroke. The post Plastics in Your Arteries: The Stroke Risk Study You Must Know appeared first on Recovery After Stroke.
Lower triglycerides, lower remnant cholesterol, lower ApoB. Zero change in coronary artery plaque. A new clinical trial is forcing a bigger conversation about how we treat cardiovascular disease.The drug was Olezarsen, an APOC3 inhibitor. The blood work looked impressive. The heart scans did not. So why would lowering well-established cardiovascular risk factors fail to move the needle on plaque? Dr. Bret Scher argues there's a critical difference between what we want to fix and how we go about fixing it. Lowering a number with a drug is not the same as addressing the underlying metabolic dysfunction that caused that number to be high in the first place.In this video, you'll learn:What the Olezarsen trial actually showed and why the results matterWhy elevated triglycerides often signal deeper metabolic dysfunction and insulin resistanceHow this same drug-first thinking plays out in type 2 diabetes, hypertension, and weight managementWhy narrowing our focus to "fix the number" can keep us from healing the whole systemHow metabolic medicine reframes the conversation around root causesThis isn't an argument against medication. Responsible drug use has an important place in patient care. But the best outcomes come when we ask why a number is abnormal in the first place and what combination of lifestyle changes and targeted treatments will actually address it.
A 10h, ce lundi 1er juin 2026, les GG : Charles Consigny, avocat, Barbara Lefebvre, prof d'histoire-géo, et Laura Warton Martinez, sophrologue, débattent de : Attal veut faire une campagne positive, à côté de la plaque ?
In this AJNR Article Summary, Dr. Francis Deng reviews CTA-based Carotid Plaque-RADS and its role beyond stenosis grading. He explains the key imaging features that define plaque vulnerability, then highlights two AJNR studies showing that the system is learnable, reproducible, and clinically meaningful for predicting future stroke risk, especially in patients with only mild or moderate carotid stenosis. Visit the website to read the related articles. Carotid Plaque-RADS: Inter- and Intrareader Agreement and Learning Curve Analysis in CTA CTA-Based Carotid Plaque-RADS Classification Improves Risk Stratification for Ischemic Cerebrovascular Events
CardioNerds Dr. Joseph Kassab, Dr. Mariana Garcia-Arango, and Dr. Christopher Mason explore the technological revolution of Coronary CT Angiography (CCTA) with expert faculty Dr. Michael Gallagher. The discussion details how CCTA has evolved into a frontline diagnostic and preventive tool, moving beyond simple anatomy to incorporate physiology via CT-FFR and biology through AI-driven plaque quantification. The episode reviews landmark evidence like the SCOT-HEART and PROMISE trials, the nuances of CAD-RADS 2.0 reporting, and the emerging role of AI in monitoring treatment response and personalizing cardiovascular care. Critically, they also discuss some of the assumptions and limitations of these techniques. Stay tuned for a matching review article to be submitted to US Cardiology Review, the official Journal of CardioNerds. This episode was supported by an independent medical education grant from HeartFlow. All CardioNerds education is planned, produced, and reviewed solely by CardioNerds. Enjoy this Circulation Paths to Discovery article to learn more about the CardioNerds mission and journey. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscripts here. CardioNerds Multimodality Cardiovascular Imaging PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll Pearls Shift in Paradigm: CCTA is no longer just an anatomic test; with some key limitations, it can provide anatomy, physiology (CT-FFR), and plaque biology (AI-CPA) in a single non-invasive scan. The “Power of Zero” vs. Plaque: While a normal CCTA has a >95% negative predictive value, future MIs often arise from non-obstructive plaque that traditional stress tests might miss. CAD-RADS 2.0 Utility: The addition of plaque burden modifiers (P1–P4) is a “game changer,” allowing clinicians to identify high-risk patients who need aggressive lipid-lowering despite having only mild stenosis. CT-FFR as a Virtual Stress Test: CT-FFR uses computational fluid dynamics to simulate blood flow, potentially reducing unnecessary invasive catheterizations by approximately 61% without sacrificing safety. Seeing the Invisible: AI-based quantitative plaque analysis (QCPA) can identify “subvisual” plaque and low-attenuation (lipid-rich) components that are the primary drivers of acute coronary syndromes. Show Notes How has the role of CCTA changed compared to traditional functional testing? Historically, stress testing answered “is there ischemia today?”, which often reflects late-stage disease. CCTA identifies disease across the entire spectrum, asking “is there atherosclerosis and how much plaque is present?”. Landmark evidence: SCOT-HEART showed a 41% relative risk reduction in MI at 5 years attributed to intensified preventive therapies, and PROMISE showed CCTA was better at selecting patients who truly needed invasive angiography. Diagnostic CCTA imaging depends on the protocol, contrast timing, heart rate, heart rhythm, breathholding, scanner quality, and several patient factors (obesity, prior stents, heavy calcification, complex bypass anatomy, and motion artifact all may limit imaging). “CCTA is exceptional for the right patient, with the right scanner, and the right team.” What are the key modifiers introduced in CAD-RADS 2.0, and why do they matter? CAD-RADS 2.0 moved beyond stenosis severity to include plaque burden (P0 to P4), high-risk plaque (HRP) features, and the presence of ischemia based on CT-FFR. It serves as a clinical decision support tool: a patient with mild (25-49%) stenosis but “extensive” (P4) plaque burden is considered high risk and warrants aggressive risk factor modification. How is CT-FFR calculated, and when is it most useful in clinical practice? CT-FFR uses resting CCTA data and computational fluid dynamics to create a 3D model of coronary flow during simulated maximal hyperemia. It is often used for intermediate lesions (40–90% stenosis) to predict if they are ischemia-producing, guiding the decision whether to proceed with invasive angiography. The assumptions necessary for this computational modeling may not apply well to patients with microvascular dysfunction, significant myocardial scar or prior infarction, or ventricular hypertrophy. Still, data indicate that CT-FFR performs similarly to PET in predicting hemodynamically significant lesions. CT-FFR performs well at the extremes (either clearly normal or clearly abnormal). Accuracy dips, however, in the intermediate range (~0.75-0.80), where decision-making is most critical. In this grey zone, additional factors can help guide the approach, including the amount of myocardium supplied, translesional gradient, and plaque features. CT-FFR has not been validated in distal segments, stented segments, heavily calcified coronary arteries, or in patients with severe aortic stenosis. Caution with CT-FFR should be utilized in very calcified coronary segments. What is AI-based quantitative plaque analysis (QCPA), and what metrics are ready for clinical use? This is potentially a paradigm shift, moving away from stenosis-centric thinking to a more disease burden and plaque biology focus. QCPA uses deep learning algorithms to automatically segment the vessel wall and quantify plaque volume in mm³. Ready for “prime time” metrics include: Total Plaque Volume (TPV), non-calcified plaque volume, and Low-Attenuation Plaque (LAP) burden. Can serial CCTA be used to monitor the effectiveness of medical therapies like statins? While not yet a routine guideline-driven practice, trials like PARADIGM and EVAPORATE show that therapies can stabilize plaque; notably, CCTA is better for monitoring than CAC scores, which can be misleading as statins often increase plaque calcification as part of the stabilization process. There are no randomized trials that serial CCTAs improve outcomes. Cost and radiation exposure will be notable limitations. Serial scan timing, scan acquisition and interpretation standardization would be key. Dr. Gallagher notes that we are moving toward a world in which plaque burden may become a “treatment biomarker,” similar to tumor burden in oncology. References 1. Coronary Computed Tomography Angiography From Clinical Uses to Emerging Technologies: JACC State-of-the-Art Review. Abdelrahman KM, Chen MY, Dey AK, et al. Journal of the American College of Cardiology. 2020;76(10):1226-1243. doi:10.1016/j.jacc.2020.06.076. 2. Non-Invasive Imaging in Coronary Syndromes: Recommendations of the European Association of Cardiovascular Imaging and the American Society of Echocardiography, in Collaboration With the American Society of Nuclear Cardiology, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance. Edvardsen T, Asch FM, Davidson B, et al. Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography. 2022;35(4):329-354. doi:10.1016/j.echo.2021.12.012. 3. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Gulati M, Levy PD, Mukherjee D, et al. Journal of the American College of Cardiology. 2021;78(22):e187-e285. doi:10.1016/j.jacc.2021.07.053. 4. Contemporary, Non-Invasive Imaging Diagnosis of Chronic Coronary Artery Disease. van der Bijl P, Gulati M, Saraste A, et al. Lancet (London, England). 2025;406(10519):2577-2587. doi:10.1016/S0140-6736(25)01586-7. 5. State of the Art: Evaluation and Medical Management of Nonobstructive Coronary Artery Disease in Patients With Chest Pain: A Scientific Statement From the American Heart Association. Slipczuk L, Blankstein R, Bucciarelli-Ducci C, et al. Circulation. 2025;152(23):e443-e466. doi:10.1161/CIR.0000000000001394. 6. Diagnostic Performance of Fractional Flow Reserve Derived From Coronary CT Angiography: The ACCURATE-CT Study. Li C, Hu Y, Jiang J, et al. JACC. Cardiovascular Interventions. 2024;17(17):1980-1992. doi:10.1016/j.jcin.2024.06.027. 7. Clinical Outcomes Based on Coronary Computed Tomography-Derived Fractional Flow Reserve and Plaque Characterization. Sato Y, Motoyama S, Miyajima K, et al. JACC. Cardiovascular Imaging. 2024;17(3):284-297. doi:10.1016/j.jcmg.2023.07.013. 8. Clinical Use of Coronary Computed Tomography Angiography-Derived Fractional Flow Reserve: Expert Consensus by an International Working Group. Tang CX, Leipsic JA, Nørgaard BL, et al. European Radiology. 2026;:10.1007/s00330-025-12313-6. doi:10.1007/s00330-025-12313-6. 9. Diagnostic accuracy of computed tomography–derived fractional flow reserve: a systematic review. Cook CM, Petraco R, Shun-Shin MJ, et al. JAMA Cardiol. 2017;2(7):803-810. Doi:10.1001/jamacardio.2017.1314 10. Diagnostic performance of noninvasive fractional flow reserve derived from coronary computed tomography angiography in suspected coronary artery disease: the NXT trial (Analysis of Coronary Blood Flow Using CT Angiography: Next Steps). Nørgaard BL, Leipsic J, Gaur S, et al. J Am Coll Cardiol. 2014;63(12):1145-1155. Doi:10.1016/j.jacc.2013.11.043 11. Comparison of coronary computed tomography angiography, fractional flow reserve, and perfusion imaging for ischemia diagnosis. Driessen RS, Danad I, Stuijfzand WJ, et al. J Am Coll Cardiol. 2019;73(2):161-173. Doi:10.1016/j.jacc.2018.10.056. 12. 1-year outcomes of FFRCT-guided care in patients with suspected coronary disease: the PLATFORM study. Douglas PS, De Bruyne B, Pontone G, et al. J Am Coll Cardiol. 2016;68(5):435-445. Doi:10.1016/j.jacc.2016.05.057. 13. Comparison of an initial risk-based testing strategy vs usual testing in stable symptomatic patients with suspected coronary artery disease: the PRECISE randomized clinical trial. Douglas PS, Nanna MG, Kelsey MD, et al; PRECISE Investigators. JAMA Cardiol. 2023;8(10):904-914. Doi:10.1001/jamacardio.2023.2595. 14. Diagnostic and clinical value of FFRCT in stable chest pain patients with extensive coronary calcification: the FACC study. Mickley H, Veien KT, Gerke O, et al. JACC Cardiovasc Imaging. 2022;15(6):1046-1058. doi:10.1016/j.jcmg.2021.12.010. 15. Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction: Results From the Multicenter SCOT-HEART Trial (Scottish Computed Tomography of the HEART). Williams MC, Kwiecinski J, Doris M, et al. Circulation. 2020;141(18):1452-1462. doi:10.1161/CIRCULATIONAHA.119.044720. 16. AI-Guided Quantitative Plaque Staging Predicts Long-Term Cardiovascular Outcomes in Patients at Risk for Atherosclerotic CVD. Nurmohamed NS, Bom MJ, Jukema RA, et al. JACC. Cardiovascular Imaging. 2024;17(3):269-280. doi:10.1016/j.jcmg.2023.05.020. 17. Interaction of AI-Enabled Quantitative Coronary Plaque Volumes on Coronary CT Angiography, FFRCT, and Clinical Outcomes: A Retrospective Analysis of the ADVANCE Registry. Dundas J, Leipsic J, Fairbairn T, et al. Circulation. Cardiovascular Imaging. 2024;17(3):e016143. doi:10.1161/CIRCIMAGING.123.016143. 18. Prognostic Value of AI-Based Quantitative Coronary CTA vs Human Reader-Based Visual Assessment: Results From the CONFIRM2 Registry. van Rosendael A, Nakanishi R, Bax JJ, et al. JACC. Cardiovascular Imaging. 2026;19(3):345-359. doi:10.1016/j.jcmg.2025.09.021.13. Pericoronary Adipose Tissue as a Marker of Cardiovascular Risk: JACC Review Topic of the Week. Tan N, Dey D, Marwick TH, Nerlekar N. Journal of the American College of Cardiology. 2023;81(9):913-923. doi:10.1016/j.jacc.2022.12.021. 19. Effect of Icosapent Ethyl on Progression of Coronary Atherosclerosis in Patients With Elevated Triglycerides on Statin Therapy: Final Results of the EVAPORATE Trial. Budoff MJ, Bhatt DL, Kinninger A, et al. European Heart Journal. 2020;41(40):3925-3932. doi:10.1093/eurheartj/ehaa652. 20. Coronary CT Angiography Evaluation With Artificial Intelligence for Individualized Medical Treatment of Atherosclerosis: A Consensus Statement From the QCI Study Group. Schulze K, Stantien AM, Williams MC, et al. Nature Reviews. Cardiology. 2026;23(2):100-115. doi:10.1038/s41569-025-01191-6.
In this special Memorial Day episode of The Chazz Palminteri Show, Chazz is surprised by producer John (NYVideoGuy) with the official YouTube Silver Play Button celebrating 100,000 subscribers. Chazz reflects on how the podcast began during COVID and thanks the audience for supporting the show's growth over the years. The episode then revisits a classic conversation with neighborhood legend Raffy “Squiggy” Squalante, who shares unforgettable stories about old-school Bronx life, gambling culture, bookmakers, neighborhood characters, and the realities of growing up in a very different New York. Blending humor, nostalgia, and authentic storytelling, this episode captures the spirit of old-school neighborhood culture and the importance of preserving these stories.
On this special industry sponsored episode, host Praveen Ranganath, MD is again joined by the esteemed Amir Ahmadi, MD, FSCCT to discuss the shift from "CT 1.0" to "CT 2.0" and eventually to "CT 3.0". Topics covered include CT-based coronary lesion-level assessment, normalizing plaque analyses, serial coronary CT imaging, reproducibility error margins, and the heart-brain axis. Tune in and enjoy!This episode is sponsored by Elucid. References to a specific product, process, or service by speakers in this podcast episode do not constitute or imply an endorsement by the Society of Cardiovascular Computed Tomography. The views and opinions expressed in do not necessarily reflect those of the Society of Cardiovascular Computed Tomography.
In this episode of Curiosity Killed the Plaque, Spring Hatfield, RDH, BSPH, looks at synovial chondromatosis of the TMJ, a rare, mostly benign, aggressive metaplastic change in the synovial membrane.Like this show? Leave us a review on your favorite podcasting app!Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Nick Norwitz has an MD, a PhD, and a cholesterol level that should have killed him — at least according to the standard model of cardiovascular disease. For seven years, his total cholesterol held above 700. His LDL sat in the high 500s. Every clinical algorithm flagged him as a cardiac emergency. He took none of the prescribed medications.His just-published case report shows zero coronary plaque. Not reduced. Not minimal. Zero.This episode isn't a victory lap. It's a serious conversation about what that result means — for how medicine measures risk, how it handles outliers, and why the incentive structures that shape clinical decisions may be more dangerous than any single cholesterol number. Dr. Philip Ovadia and Nick Norwitz also go deep on a fraudulent case report published in Circulation, why statins suppress GLP-1 levels and almost no cardiologist knows it, and what happens when the patient who refuses to follow the algorithm turns out to be right.#metabolichealth #cholesterol #ketodiet #heartdisease #LDLcholesterol #evidencebasedmedicine #lowcarb #preventivecardiologyBIG IDEAA patient with seven years of astronomically high cholesterol and zero coronary plaque is not an outlier to dismiss — he is a question medicine is obligated to answer.Nick Norwitz Contact InfoNewsletter: staycuriousmetabolism.com (Top 2 Best-Selling in Science, Globally)YouTube: https://www.youtube.com/@nicknorwitzMDPhD (>1M Subscribers)Twitter: https://x.com/nicknorwitzInstagram: https://www.instagram.com/nicknorwitz/LinkedIn: https://www.linkedin.com/in/nicknorwitz/Threads: https://www.threads.net/@nicknorwitzFacebook: https://www.facebook.com/nicknorwitzNick's Case Report:Seven Years of 700 Cholesterol Without CoronaryAtherosclerosis: A Lean Mass Hyper-Responder Case ReportSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Order at Amazon: Stay Off My Kitchen Table Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Ready to take control of your health? Grab Dr. Ovadia's brand new book Stay Off My Kitchen Table now! This isn't just another diet book; it reveals why it's not just what you eat, but what your body actually absorbs that determines your health.If you're struggling with low energy, stubborn weight, or feeling like “healthy eating” isn't working… this book shows you exactly how to fix it.Learn how to reset your gutEliminate hidden foods sabotaging your progressUnlock real energy, metabolism, and longevityDon't wait until it's too late. Take action today. Get your copy of Stay Off My Kitchen Table now.Learn More:Take Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart HealthTheme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey (c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.
Walking into a cardiologist appointment is more often than not walking into a time machine. Not only the discussions about disproven risks but unfortunately the outdated tools and technology that have little to no predictive or preventative potential. The worst part is the technology exists that can identify to the microscopic level the type of plague actually causal to more than 80% of heart-attacks! That's what Dr Osborne and ClearCardio are doing right now.Dr. John Osborne is a cardiologist and the founding director of State of the Heart Cardiology, with a strong focus on preventive and non-invasive cardiovascular care. He holds an M.D. magna cum laude, a Ph.D. in cardiovascular physiology, and completed postdoctoral training at Harvard Medical School and Brigham and Women's Hospital. Uniquely board-certified across multiple disciplines, his work spans metabolic health, cardiovascular genetics, and advanced cardiac imaging. Dr. Osborne has received the American Heart Association's Cardiac Care Provider of the Year award. He is also the founder of ClearCardio™, where he is advancing proactive heart health through the use of AI-driven diagnostics and personalized care.Contact:Youtube - https://www.youtube.com/@ClearCardioWebsite - https://clearcardio.comJoin us as we explore:Why EKGs and CAC scores offer far less than advertised.Why so much that happens in a cardiologists office are 20th century tools, and why ClearCardio's cutting-edge AI biotech offers lifesaving preventative potential.AI's ability to identify and quantify plague to the 10th of a cubic millimeter!CT vs MR, the different types of arterial plague (hard, soft, lipid rich, active) , why 86% of heart attacks will never show up on your CAC scoreWhy strokes and heart disease are far more connected than appreciated, and how the cholesterol story has misguided us.Why blood markers like hsCRP are far more critical to understanding cardiovascular disease than even I appreciated.MentionsProduct - OMRON, https://omronhealthcare.com/products/evolv-wireless-upper-arm-blood-pressure-monitor-bp7000Test - Cleerly, https://cleerlyhealth.comSupport the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/
We are delighted to welcome Glenda Youde and Steve Kenyon who join us to share the details of a new Blue Plaque being unveiled in Matlock, Derbyshire. Celebrating the long stay of Dante Rossetti and Elizabeth Siddal in Lime Tree View, Glenda and Steve tell us about their time in Matlock and the fascinating history of the property. Please join them for the grand reveal on the 9th May 2026. For tickets, please visit: https://www.eventbrite.co.uk/e/dante-gabriel-rossetti-and-elizabeth-siddal-in-matlock-tickets-1984180310722
Aujourd'hui, Antoine Diers, consultant auprès des entreprises, Didier Giraud, éleveur de bovins, et Fatima Aït Bounoua, prof de français, débattent de l'actualité autour d'Olivier Truchot.
durée : 00:11:25 - Les interviews d'Inter - par : Ali Baddou, Marion L'Hour - L'invitée 7h50 du week-end est Nadia Daam, journaliste et autrice qui publie son nouveau roman "Des filles comme il faut" (L'Iconoclaste). - invités : Nadia Daam Journaliste et écrivaine Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France
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Calcium Score to Evaluate Arterial Plaque; 50% of Statin Candidates May Not Need Them; Cholesterol Skepticism and Misunderstood Risk; Inflammation as a Key Risk Driver; Combining CRP and LDL for Better Risk Prediction; Why ApoB and Lipoprotein(a) Matter More Than LDL; Patient Case: High Lipoprotein(a) Despite Normal Cholesterol; Understanding Supplements: Red Yeast Rice and Berberine; Niacin: The Disappointing Heart Health Supplement; Amla (Indian Gooseberry) and Simvastatin Comparison; Health = Resilience ÷ Stress; Genetic Variability in Cholesterol Absorption from Food #HeartHealth #Cholesterol #LifestyleMedicine #HealthTalks
In this episode of Curiosity Killed the Plaque, Spring Hatfield, RDH, BSPH, questions if dentistry should rethink maxillary teeth innervation.Like this show? Leave us a review on your favorite podcasting app!Need CE? Start earning CE credits today at https://rdh.tv/ce Get daily dental hygiene articles at https://www.todaysrdh.com Follow Today's RDH on Facebook: https://www.facebook.com/TodaysRDH/Follow Kara RDH on Facebook: https://www.facebook.com/DentalHygieneKaraRDH/Follow Kara RDH on Instagram: https://www.instagram.com/kara_rdh/
Dylan Gemelli went from prison to Milan runways to millions of YouTube subscribers — and then a calcium score of 120 and an LP(a) of 330 stopped him cold at 40 years old. In this conversation with Dr. Philip Ovadia, he breaks down what both the biohacking and conventional medical worlds are getting wrong, why confusion is the real enemy of public health, and how he dropped his LP(a) from 330 to 94 without following his doctor's orders. This episode is equal parts cardiovascular science and hard-won life philosophy — and the two turn out to be inseparable.BIG IDEAIf you're not right spiritually, I don't care what anybody says — it's going to be a struggle to fix the other two.Dylan Gemelli Contact info:InstagramDylan Gemelli Biohacking on YouTubeThe Dylan Gemelli PodcastDylan's WebsiteSend Dr. Ovadia a Text Message. (If you want a response, you must include your contact information.) Dr. Ovadia cannot respond here. To contact his team, please send an email to team@ifixhearts.com Pre-Order Stay Off My Kitchen Table at Amazon. Like what you hear? Head over to IFixHearts.com/book to grab a copy of my book, Stay Off My Operating Table. Ready to go deeper? Talk to someone from my team at IFixHearts.com/talk.Stay Off My Operating Table on X: Dr. Ovadia: @iFixHeartsJack Heald: @JackHeald5Learn more:Stay Off My Operating Table on AmazonTake Dr. Ovadia's metabolic health quiz: iFixHearts Dr. Ovadia's website: Ovadia Heart HealthJack Heald's website: CultYourBrand.comTheme Song : Rage AgainstWritten & Performed by Logan Gritton & Colin Gailey(c) 2016 Mercury Retro RecordingsAny use of this intellectual property for text and data mining or computational analysis including as training material for artificial intelligence systems is strictly prohibited without express written consent from Dr. Philip Ovadia.
Aujourd'hui, Barbara Lefebvre, enseignante, Abel Boyi, éducateur, et Antoine Diers, consultant auprès des entreprises, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.
Wrestling legend Kevin Nash and co-host Sean Oliver return for another installment of Kliq This, where the conversation flows as freely as the wine they frequently discuss. In episode 197, titled "Clarity," the duo leans into their "conversational" classification, moving far beyond the squared circle to tackle everything from awkward FBI encounters at dinner to the polarizing culture of modern tipping. Nash provides a rare glimpse into his personal life, sharing recent health updates and detailing his surprisingly athletic "strongman" approach to household chores during his downtime. The episode takes a sharp turn into the world of professional sports and international intrigue, offering a blend of gritty realism and high-level analysis. The hosts dive deep into the staggering statistics of NCAA athletes making it to the NBA before shifting gears to analyze the tense geopolitical climate surrounding Iran. Nash pulls no punches as he critiques global leadership and reflects on the importance of respect and perspective in high-stakes situations, drawing parallels between street-level survival and international diplomacy. Wrestling fans are treated to expert breakdowns of the current landscape as the industry hurtles toward its biggest weekend of the year. Nash and Oliver dissect recent high-profile promos from stars like Cody Rhodes and CM Punk, debating the psychology behind "white meat" babyfaces and the necessity of "gaga" in building a main event. Between reflections on the legacy of Wilt Chamberlain and a lighthearted "Mount Nashmore" of television's greatest cops, this episode offers the signature blend of wisdom, wit, and unfiltered honesty that defines the show. Mando -Control Body Odor ANYWHERE with @shop.mando and get 20% off + free shipping with promo code KLIQ at shopmando.com! #mandopod BlueChew-Right now, when you buy two months of BlueChew Gold, you get the third for FREE with promo code NASH. Visit BlueChew.com for more details and important safety information, and we thank BlueChew for sponsoring the podcast. RAYCON- Grab a pair of Raycon's Essential Open Earbuds for 15% off today by using code KLIQOPEN at buyraycon.com. 00:00 Kliq This #197: Clarity-a 06:02 the problem with 5 stars 12:26 Shula's restaurant 16:49 Re sealing Wine 19:34 Nash has Kidney Problems? 24:36 Plaque scan 26:19 VERT BJ or cheese? 27:33 MICHIGAN 31:01 How many go pro? 36:53 Attending an NBA game 40:30 BREAK MANDO 46:05 our advertisers LOVE US 49:15 Wilt Chamberlin 54:33 The Mars Volta 55:39 Nash understands Psychology 58:01 Oliver Nash ALL DAY 59:06 Bad Drivers 01:07:10 Will you sign Wilt Chamberlin's book? 01:07:53 DPs in film 01:09:31 Microwave 01:10:52 KTTV 01:11:30 "Destroy Civilization" FEEEZE+ "backup network" 01:12:39 TECHNICAL DIFFICULTIES 01:13:57 The TWEET 01:23:04 Iran's Religios Idealogy 01:33:09 Waiting to see if the world stays turning 01:36:24 Lebanon 01:39:44 This is all about Gase prices 01:43:00 Pam Bondi 01:43:52 CM Punk's promo 01:44:31 CM Punk and Cody Rhodes Promos 01:46:20 Pat McAfee ADDS something 01:55:00 Brock Lesnar NEEDS to lose to Oba Femi 01:56:53 Mt Nashmore TV cops 02:01:29 BREAK BLUECHEW 02:04:46 Does Cody Turn Heel? Does Heyman turn on Brock? 02:05:56 College Basketball moments 02:07:21 COCAINE 02:07:40 JJ IRL 02:08:38 Gimmick Battle Royal 02:09:40 OUTRO
McGrath spends £100 on a mystery box and is stunned by the first item he opens! Also, we talk about the moon, burgers and horrible textures.
A January 6th rioter has been sentenced to four years in prison for possessing child sexual assault material. Judge Mehta allows the civil suit against Trump for January 6th to proceed. Two insurrectionists tried to intervene in Harry's lawsuit over the January 6th Plaque. Jared Wise is OUT at the Department of Justice. Plus, former January 6th prosecutors have filed a brief in support of Representative LaMonica McIver. https://harrydunnformd.com/ Thank you, DeleteMe Go to joindeleteme.com/CLEANUP, and enter code CLEANUP at checkout for 20% off your DeleteMe plan. Allison Gillhttps://muellershewrote.substack.com/https://bsky.app/profile/muellershewrote.comHarry DunnHarry Dunn | Substack@libradunn1.bsky.social on BlueskyWant to support this podcast and get it ad-free and early?Go to: https://www.patreon.com/aisle45podTell us about yourself and what you like about the show - http://survey.podtrac.com/start-survey.aspx?pubid=BffJOlI7qQcF&ver=short Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Description: Learn why advocating for care is crucial when moderate to severe plaque psoriasis develops at a young age or in high-impact sites, and how advanced biologic therapies can offer effective solutions for those that may be undertreated. Join moderator Kaitlin Walden, patient advocate Carolyn, and dermatologist Dr Candrice Heath as they discuss the realities of living with moderate to severe plaque psoriasis at a young age, as well as adult patients with plaque psoriasis in high-impact sites, like the scalp, nails, and face. Carolyn shares her personal journey with moderate to severe plaque psoriasis and how it has continued from childhood into adulthood, while Dr Heath offers insights to help caregivers and patients navigate treatment approaches, including when and how a biologic therapy may be helpful. This episode addresses challenges associated with living and treating moderate to severe plaque psoriasis in children and adults. This episode is sponsored by Johnson & Johnson. Please see Important Safety Information and full Prescribing Information for the product mentioned in this episode. Timestamps: · (0:23) Intro to Psoriasis Uncovered and guest introductions from dermatologist Dr. Candrice Heath and Carolyn, a patient advocate living with plaque psoriasis and psoriatic arthritis. · (1:22) Information about, and pivotal data for, TREMFYA® (guselkumab), a biologic used to treat adults and children 6 years and older who weigh at least 88 lbs or 40 kilograms with moderate to severe plaque psoriasis. · (3:48) Living with psoriasis as a child can be difficult with challenges in being diagnosed correctly and receiving appropriate treatment. · (6:17) A dermatologist's view of children and adolescents living with plaque psoriasis including in high-impact sites. · (8:14) It's important to advocate for yourself and the best possible care. · (9:37) Open communication with your dermatologist helps identify the best possible treatment plan, which is dependent on several factors including the availability of new treatment options. · (12:05) Carolyn's biggest challenge is managing her psoriasis and then psoriatic arthritis. · (14:20) Results of the SPECTREM clinical trial addressing treatment of adults with moderate plaque psoriasis in high-impact sites. · (17:38) Find the support and information you need to find the right treatment. · (21:48) Important Safety Information about TREMFYA® (guselkumab). Key Takeaways: · Plaque psoriasis can be challenging both physically and emotionally for children and adults – especially when high-impact site involvement (such as the face, scalp, armpits, and groin) is present. · Individual treatment plans vary and are based on several factors, including the severity of psoriasis, dosing schedule, cost, or route of administration. Finding the right treatment for plaque psoriasis is a collaboration between a dermatologist, the patient, and/or family (should the patient be a child). · A number of medicines that treat plaque psoriasis from the inside out, including biologics, are now available for children and adults. Such treatment options are continuing to expand. Guest Bios: Candrice Heath, M.D. is a highly respected triple board-certified dermatologist who sees both children and adults at Howard University Hospital in Washington DC where she is also an Associate Professor in the Department of Dermatology. She is board-certified in dermatology, pediatrics, and pediatric dermatology. Dr Heath is a nationally recognized speaker, pediatric and adult dermatology clinical researcher, and has held a variety of leadership roles including Chair for the Pediatric Dermatology Research Alliance (PeDRA), Skin of Color and Pigmentary Disorders Focused Group, Skin of Color Society National Secretary-Treasurer, and American Academy of Dermatology Diversity Committee member. Her clinical, research, and teaching interests are shaped by insights gained from her unique practice filled with both children and adults in addition to her passion for exploring the intersection of dermatology and social science. Carolyn Pugh is a patient advocate and volunteer with the National Psoriasis Foundation who lives with psoriasis and psoriatic arthritis. Carolyn was diagnosed with psoriasis at age 11 after being misdiagnosed and offered treatments that didn't work. Once she was diagnosed with plaque psoriasis some of the initial treatments were difficult and unsustainable. Over the years she has learned to advocate for her own self-care and feels her personal experiences can help empower other adults and parents. Resources: · Learn more about treatment options for children and adolescents at Our Spot for Youth and Parents · For more information about psoriasis in high-impact sites
Dr. Hoffman continues his conversation with Dr. William Levine, a board-certified periodontist and chief scientist at Peri Active Oral Rinse.
Oral Health, Inflammation, and Periodontal Disease: Dr. William Levine, a board-certified periodontist and chief scientist at Peri Active Oral Rinse, offers a deep-dive on periodontal disease as an infectious inflammatory condition with autoimmune-like tissue destruction. It affects over 50% of U.S. adults over 35 and rises with age. He details bidirectional links between gum disease and systemic conditions, including cardiovascular disease, stroke, diabetes, and some dementias, and notes signs such as bleeding, pain, swelling, loose or shifting teeth, and gum recession. Levine explains plaque, dysbiosis, and biofilms, emphasizing mechanical plaque removal to preserve a healthy oral microbiome. Standard care includes scaling and root planing, possible surgery, and lasers; antiseptic rinses like chlorhexidine can be harsh and limited against biofilms. Levine describes a plant-bioactive rinse (gotu kola, echinacea, elderberry) designed to reduce harmful bacteria, penetrate gums, lower inflammation, and promote repair; xylitol may help via saliva stimulation. He also addresses smoking, dry mouth, fluoride toothpaste, interdental cleaning, and osteoporotic drugs' dental risks.
This week, Madison's Office of the Independent Police Monitor released a new annual report detailing staffing issues in its office and calling for officers to wear body cameras. However, after some scrutiny about AI use, the report was taken down for further review. Host Bianca Martin talks with executive producer Hayley Sperling and newsletter editor Rob Thomas about the story. They also talk about the 27 animal activists who were arrested after breaking into Ridglan Farms and the removal of a marker on an Indigenous burial mound. Mentioned on the show: Effigy Mounds in Madison [City Cast Madison] Actress Alexandra Paul among animal rights activists arrested [Milwaukee Journal Sentinel] Our interview with police chief John Patterson [
Today marks 25 years for Al with the company...he wants a plaque To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3308: Dr. Neal Malik explains why atherosclerosis can persist even with statins, diet, and lifestyle changes, highlighting the role of genetics, particularly elevated lipoprotein(a), in stubborn plaque buildup. His guidance emphasizes practical strategies like targeted fat choices, fiber intake, and realistic exercise plans to help reduce risk and prevent further progression. Quotes to ponder: "The trouble is, once this plaque, or atherosclerosis, sets in, it's not reversible through lifestyle alone." "It's estimated that about 1 in 5 Americans have high levels of lipoprotein-a." "Fiber is so helpful because it binds to cholesterol and helps the body get rid of it." Episode references: Omega-3 Fatty Acids – NIH Office of Dietary Supplements: https://ods.od.nih.gov/factsheets/Omega3FattyAcids-Consumer/ Learn more about your ad choices. Visit megaphone.fm/adchoices
Full Show Notes: bengreenfieldlife.com/497 Welcome to another solo episode. This week I kick things off sharing my most effective hair health strategies, from nutrition and hormones to unique tools like derma rolling, red light therapy, and even topical caffeine—plus, why genetics aren’t your whole hair story. I break down a fascinating new study showing how magnesium holds the key to actually making your vitamin D work for you. I reveal why the length and intensity of your walking sessions matter more than you think, and how longer walking bouts can trump simply chasing that 10,000-step goal. I also revisit a forgotten but powerful heart-protective hack—adding pomegranate juice to your routine to help reduce arterial plaque and lower your blood pressure. To top it off, I share my wildest recent experiment: getting infusions of young human plasma in the name of anti-aging, breaking down the science of why it works and what I noticed firsthand. Episode Sponsors: Just Thrive: Just Thrive Probiotic is the only probiotic clinically proven to arrive 100% alive in your gut, wrestling in less bloat, better energy, and even clear skin. Digestive Bitters packs 12 science-backed herbs in one tasteless capsule that jumpstarts your digestion and supports GLP-1 production so cravings don’t control you. Visit justthrivehealth.com/BEN and save 20% with promo code BEN. See the difference for yourself or get a full product refund, no questions asked. LVLUP Health: I trust and recommend LVLUP Health for your peptide needs as they third-party test every single batch of their peptides to ensure you’re getting exactly what you pay for and the results you’re after! Head over to lvluphealth.com/BGL and use code BEN15 for a special discount on their game-changing range of products. Timeline: Give your cells new life with high-performance products powered by Mitopure, Timeline's powerful ingredient that unlocks a precise dose of the rare Urolithin A molecule and promotes healthy aging. Go to shop.timeline.com/BEN and use code BEN to get 20% off your order. Young Goose: To experience the transformative power of Young Goose's cutting-edge products, visit younggoose.com and use code BEN10 at checkout to enjoy a 10% discount on your first order. TRIUMPH Coaching: Join me for one-on-one coaching with me and my hand-picked team, custom-built around your labs, your lifestyle, and goals, until you actually hit them. No guesswork. Just results. If you’re finally ready to stop wasting time and money and start living the boundless life you know is possible, go to jointriumphcoaching.com and book your call.See omnystudio.com/listener for privacy information.