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Get access to The Backroom, with 100+ exclusive episodes of 1Dime Radio, on Patreon: https://www.patreon.com/OneDimeIn The Backroom, we discuss the topic of dating, Socialism & civilization, and debate whether libertarian socialism can scale.In this episode of 1Dime Radio, I am joined by Daniel from the YouTube channel What Is Politics? to unpack what we call the “Lizard Left”: the use of egalitarian and left-wing language to reproduce hierarchy, status competition, and social control. We discuss wokeism and the Socialism Conference, the DSA and the “rebel priest class,” why the left struggles to connect with ordinary people, what socialism actually means beyond the Soviet legacy, whether socialism can scale, and what dating apps, social clubs, tribalism, civilization, birth rates, and immigration reveal about the deeper problem of rebuilding a viable left.The second half of the conversation continues in the Patreon-exclusive Backroom.You can listen to 1Dime Radio on Spotify, Apple Podcasts, or wherever you get podcasts.Timestamps:00:00 Woke 2.0 & The Socialism Conference (The Backroom Preview)05:29 Daniel Returns08:52 The Lizard Left16:55 The Socialism Conference & “Fitness Is Fascism?”30:34 The Rebel Priest Class & the Working Class38:17 Feminism, Immigration & “Actually Existing” Ideology43:17 What Is Socialism? Markets, Democracy & the Soviet Legacy49:08 The Two Lefts & Culture War55:03 Woke Resentment, the PMC & Lumpenization1:07:14 Socialist Dating Apps, Social Media & Nonprofit Alternatives1:11:02 Rebuilding Socialist Social Clubs1:21:06 Tribalism, Hunter-Gatherers & Human Nature1:25:01 Democracy, Socialism & Civilization1:35:04 Egalitarianism, Difference & Group Conflict1:39:23 Birth Rates, Immigration & Civilizational Decline1:51:29 The Conversation Continues in the BackroomThe BackroomGUEST:Daniel / What Is Politics?YouTube: https://www.youtube.com/c/WHATISPOLITICS69FOLLOW 1Dime:1Dime Radio YouTube channel: https://youtube.com/@1dimeradioSubstack: https://1dimereview.substack.com/X/Twitter: https://x.com/1DimeOfficialInstagram: https://www.instagram.com/tonyof1dime/Main 1Dime YouTube channel: https://www.youtube.com/@1DimeeLeave a like, comment, and subscribe. Give 1Dime Radio a 5-star rating on Spotify, Apple Podcasts, or wherever you listen.
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald, interviewed Paul Rainey. He holds a powerful executive role in the media world, shaping the future of iconic brands like Billboard, Rolling Stone, and SXSW.
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald, interviewed Paul Rainey. He holds a powerful executive role in the media world, shaping the future of iconic brands like Billboard, Rolling Stone, and SXSW.
Donald interviews C Derick Varn and Daniel Tutt, authors of "The People Are Not One" in the wake of their recent tour promoting their book. With MAGA losing steam and centrist liberalism, a left-wing populist movement within the Democratic Party seems to be on the rise. Our guests bring their work to bear on this phenomenon, discussing the long-term viability of left populism (and premature obituaries), their debate with Geese Magazine, the fraught discourse around "wokeness" and escaping the framings of the bourgeois media, the question of the PMC and their unique take on it and how the internet has impacted mass politics.
Modern technology is tricking your nervous system into fight-or-flight — and it's decently profitable to keep you there. Jon Hacker, CEO of NeurGear, explains how focused ultrasound vagus nerve stimulation can switch you back.In this episode of Health Longevity Secrets, Robert Lufkin MD sits down with Jon Hacker, biomedical engineer and CEO/co-founder of NeurGear, the company behind ZenBud — the first ultrasound-based vagus nerve stimulator. They cover how the vagus nerve governs your rest-and-digest state, why so many of us are stuck in survival mode, how ultrasound compares to electrical stimulators, what the clinical trial data shows, and where single-neuron interfaces could take medicine next.Chapters:00:00 — Introduction01:36 — From Anime Dream to Neurotech Startup: Jon Hacker's Story06:32 — How AI Supercharges a Small Hardware Team09:26 — Why Ultrasound Won: Two Pivots to the Vagus Nerve12:21 — Vagus Nerve 101: Rest-and-Digest vs Survival State14:59 — How Modern Technology Traps You in Fight-or-Flight16:02 — Measuring Vagal Tone: HRV, Resting Heart Rate & Reaction Time19:44 — How Focused Ultrasound Activates a Nerve21:07 — ZenBud vs Electrical Vagus Stimulators (Pulsetto, Truvaga)23:00 — Dosing ZenBud: 30-Minute Sessions, Sleep & Safety Limits26:05 — The Medical Industry's Incentive Problem30:16 — What to Track: Why Quality of Life Beats Biometrics32:34 — Side Effects & Overuse: Headache Warning Signs34:22 — Where VNS Fits: Sleep, Diet, Exercise & Breathwork36:57 — The Future: Single-Neuron Interfaces & Full-Dive VRKey takeaways:Your vagus nerve drives your "rest-and-digest" state — low vagal tone leaves you stuck in survival mode, and chronic survival-state activation feeds the chronic diseases we face todayZenBud uses low-intensity focused ultrasound (not electricity) to stimulate the auricular branch of the vagus nerve — no shocks, no gel pads, no app requiredIn a 4-week pilot trial, daily 5-minute sessions produced significant reductions in anxiety, depression, and PTSD symptom scoresReaction time, resting heart rate, and HRV can track nervous-system changes — but your quality of life is the gold standardStart with 5 minutes a day and scale up slowly; a mild reversible headache is the signal to dial backStudies & sources:Kohler I, Hacker J, Martin E — "Reduction of Anxiety-Related Symptoms Using Low-Intensity Focused Ultrasound Neuromodulation" (JMIR Neurotechnology, 2025) — https://neuro.jmir.org/2025/1/e69770Auricular Ultrasonic Vagus Nerve Stimulation (review, PMC) — https://pmc.ncbi.nlm.nih.gov/articles/PMC12468173/ZenBud device — https://zenbud.healthNeurGear — https://neurgear.com
Toyota didn't beat Mercedes by getting cheaper. It beat Mercedes by getting closer to the customer first. Here's the six-year research obsession behind the Lexus LS 400, and why undercutting your way to a full panel is a strategy that has already failed in a dozen other industries, and what Harvard's own pricing research says to do instead. By Michael Tetreault, Editor-In-Chief, Concierge Medicine Today "I'm a car guy, so bear with me on this one. There will be some good points [in this article], I promise. I know enough about engines to self-diagnose and wrench on them myself. Driving an old car with lifter problems through North Dakota and southern Canada in the '90s will teach you that." ~Michael Tetreault Today's article isn't about concierge medicine directly. It's about a distant cousin in the subscription-based healthcare world, direct primary care, or DPC. Over the past two decades, I've noticed more and more that there is a moment almost every DPC or low-cost, membership-based practice hits around year two or three, when the patient panel quietly stalls (catch the car pun). Growth that used to feel automatic starts to flatten out, and you notice it before you can quite explain it. That's usually right about when a competitor down the road launches at $59 to $93 a month, and a quiet voice in your head says: just drop the price. Fill the seats. Worry about margin later. That instinct is understandable. It is also, according to decades of business research and a growing body of data inside concierge and membership medicine itself, one of the fastest ways to damage the very practice you built to serve patients better. This is not a scolding. It is a strategy conversation, grounded in evidence, for low-cost subscription-based physicians who left, or are considering leaving, the insurance-driven system specifically to build something sustainable that has a low cost for the patients because you feel your altruistic nature pulling you to do so. But, if the goal is sustainability, the tactic matters. What "racing to the bottom" actually means Let's zoom out for a moment. A price war is what happens when competitors inside the same market repeatedly cut prices to undercut one another, creating a cycle where each side matches or beats the last cut. This "price-cutting momentum" pulls in competitors who feel forced to follow the initial price cut, and while it can create short-term benefits for the buyer, it erodes the profit margins of everyone competing. Harvard Business School researchers Akshay Rao and Mark Bergen, writing in Harvard Business Review, built a career studying exactly this dynamic across industries. Their conclusion, echoed by strategists since, is blunt: most price wars are avoidable, and the businesses that start them or get pulled into them rarely come out ahead. The Kinsta business blog, summarizing HBR's own internal analysis of the question, put it plainly: when businesses were asked whether they should engage in a price war, the overwhelming answer was "no." Instead, the research points toward differentiation as the more durable response to a low-cost competitor. There is a second, quieter finding in that same research that some physicians should sit with. Price itself shapes how a buyer perceives value, and a price set too low signals that the product is cheap, in the way a price set too high can signal it is a ripoff. In other words, the discount that was supposed to win the patient can be the very thing that tells the patient your care is not worth much. It's indeed, a delicate balance and it's different for every practice and every doctor. Why? Because of who you work for and serve: the patient. Every patient is different. Every practice is different. That makes this topic challenging but it's a conversation worth having because I want to see your practice thrive and more importantly, survive in your community. The framework underneath the instinct Michael Porter, the Harvard strategist whose work still anchors most first-year MBA curricula, described three durable paths to competitive advantage: cost leadership, differentiation, or a focused niche strategy. A company chooses to compete either through lower costs than its rivals or by differentiating itself along dimensions the customer actually values, in order to command a higher price. What Porter warned against was the position most panic-driven price cuts land a practice in. Porter's phrase for it is "stuck in the middle," and it describes an organization trying to be all things to all people, with no distinct competitive advantage as a result. Businesses caught here typically perform the worst in their industry precisely because they never committed to one strength. A DPC practice that quietly lowers its price to compete on cost, while still trying to deliver same-day access, unhurried visits, and so-called affordable white-glove service, is not competing on cost leadership. It is trying to sell a premium product at a discount price, and the math does not hold. Today, a medical practice or a company stuck in this position cannot beat a true cost leader on price, because it never built the operational discipline or scale to sustain that price, and it cannot beat a differentiator on the experience it promised, because the discipline required to deliver that experience costs money. Both promises erode at once. What the data inside DPC and low-cost membership medicine is already showing This is not theoretical for DPC and low-cost membership medicine practices. It is visible in the industry's own numbers. The 2026 State of DPC survey, distributed through the DPC Alliance and Hint Health's network, found a direct relationship between panel size and price. Practices with fewer than 200 patients averaged $105.93 per member per month, practices with 201 to 500 patients averaged $99.28, and practices with more than 500 patients averaged $77.74 per member per month. Read plainly, the larger the panel, the lower the average price charged per patient. That pattern is exactly what Porter's framework predicts happens to practices chasing volume without a differentiation strategy to protect price. It is worth noting this figure comes from Hint Health, a technology vendor with a commercial interest in DPC's growth, so it should be read as directional industry data rather than an independent audit. It is nonetheless the most comprehensive dataset the movement currently has. At the same time, the broader market is not short on room to compete on value instead of price. More than half of private healthcare consumers rank the cost of care as the most dissatisfying part of their current healthcare experience, and DPC's growth has been driven in large part by employers and patients who are tired of opaque, escalating costs elsewhere in the system, not by DPC being the cheapest option on paper. Employers now fund the majority, roughly 60 percent, of active DPC memberships, according to Hint Health's 2026 trends report, which signals that the buyers filling panels today are increasingly sophisticated purchasers evaluating value, retention, and outcomes, not simply hunting for the lowest sticker price. Regional pricing tells a similar story. Northeast DPC pricing rose 33 percent over five years, from $60 to $80 a month, even as national demand for the model accelerated. Practices in that region did not grow by discounting. They grew while raising price, in a market that was simultaneously expanding. The altruism problem no one names out loud Here is the part of this conversation that is specific to medicine and does not show up in a typical business school case study on price wars. Physicians are trained, deliberately and repeatedly, to put the patient's welfare ahead of their own. Medical professionalism itself is defined in the literature by principles of excellence, accountability, altruism, integrity, and humanism, all oriented around the patient relationship. That formation is not incidental. It is the point of medical education, and it is a genuine strength of the profession that should never be coached out of a physician. But that same formation has a side effect worth naming honestly. A rigorous study out of the University of Cologne and University of Rennes, published in the Journal of Health Economics, measured patient-regarding altruism in 733 medical students at different stages of training. The researchers found that patient-regarding altruism is highest among freshmen, declines significantly through the middle years of medical study, and rises again in the final year as students begin assisting in clinical practice. Students with lower income expectations showed higher altruism scores overall. Sit with that last finding. The training that makes physicians excellent, trustworthy, patient-first clinicians also correlates with a documented discomfort around charging what care is actually worth. That discomfort is admirable in the exam room. It becomes a strategic liability in the business office, where it quietly nudges a physician toward the lowest defensible price rather than the price that reflects the value delivered, the access provided, and the sustainability required to keep serving that same patient for the next twenty years. This is not a call to abandon altruism. It is a call to separate two different questions that get tangled together under stress: am I a good doctor and am I running a sustainable practice. A price built out of guilt is not more altruistic than a price built out of strategy. A closed practice serves no one. What other industries learned the hard way Medicine is not the first field to face this exact temptation, and the businesses that raced to the bottom on price rarely tell a happy ending. Rao and Bergen's HBR research spans industries from B2B and agribusiness to healthcare and the nonprofit sector, and the throughline in that body of work is consistent: firms that respond to a low-price competitor by cutting their own price usually shrink the whole market's profitability without gaining durable share, because the competitor simply cuts again. The winners in price wars, when there are any, tend to be the largest players with the deepest balance sheets, the ones who can absorb losses the longest. A solo or small-group physician practice is almost never that player, and should not try to be. The lesson for low-cost DPC physicians is not abstract. It is Porter's choice, stated as a decision every practice has to make deliberately rather than by drift: compete on being demonstrably, operationally the lowest-cost, highest-efficiency provider in your market, which requires real scale and real systems, or compete on being demonstrably different in a way patients value enough to pay for. Trying to hold both at once is what leaves a practice, in Porter's words, stuck in the middle, with margins too thin to sustain the very things that made the practice worth choosing in the first place. The Lexus Lesson: Price Is a Result, Not a Strategy Circling back to my car guy roots, there is an automotive story worth every physician's attention here, because it is one of the clearest business case studies ever produced on the exact question this article is asking you if you're a DPC physician. It comes from Hagerty's "Revelations" series, hosted by Jason Cammisa, on the origin of the 1989 Lexus LS 400, and it has been retold in detail across automotive trade press and in Chester Dawson's book Lexus: The Relentless Pursuit. The origin story matters as much as the engineering. Toyota's first American export, the Toyopet Crown, was a flop, selling only a few hundred units before Toyota pulled it from the market in the late 1950s. Twenty five years of steady rebuilding later, Toyota had become the largest importer of vehicles into the United States, and that success triggered a protectionist response. In the early 1980s, the U.S. government pressured Japan into so-called voluntary export restraints, capping Japanese auto imports at roughly 1.7 million vehicles a year. With volume capped by government policy, Toyota USA's Yukiyasu Togo pushed a different lever: if the company could not sell more cars, it needed to sell more profitable ones. That constraint, not ambition alone, is what pushed Toyota into the luxury segment. In 1983, Toyota's then chairman Eiji Toyoda greenlit a secret effort known as Project F1, for Flagship One. Where a typical vehicle program of that era might use around 200 engineers and a few hundred million dollars, F1 was reportedly given no fixed budget and a development team of roughly 1,400 engineers, 60 designers, and thousands of additional technicians and support staff, spread across a six-year effort widely reported to have cost in the neighborhood of a billion dollars. What that team actually did is the part physicians should study closely. Rather than guess at what luxury buyers wanted, a team of designers and engineers relocated to a rented house in Laguna Beach, California, and spent months directly observing affluent Americans: watching valet stands outside country clubs, studying the furniture in high-end homes, and even analyzing the leather scent inside Jaguar interiors closely enough to reverse-engineer the tanning process. They tested switchgear and steering wheel ergonomics against how women with long, manicured nails actually interact with a dashboard. This is the practice Toyota calls genchi genbutsu, going to see for yourself, rather than relying on assumptions about the customer. Separately, Toyota's research uncovered something more specific and more useful than "people want a cheaper luxury car." Mercedes-Benz owners loved the prestige of their cars but consistently described the dealership experience itself, the pressure, the wait, the sense of being talked down to, as miserable. Lexus rebuilt the entire buying experience around that single insight. Sales moved from an elevated desk to a shared coffee table, removing the physical power imbalance of a traditional car sale. Only 80 of roughly 1,500 dealer applicants were approved to sell the car, each required to invest several million dollars and submit to ongoing customer satisfaction audits. The product and the experience of buying it were treated as a single, inseparable offer. The engineering discipline underneath all of this was, by most independent accounts, extreme. Chief engineer Ichiro Suzuki pursued a drag coefficient of 0.29, well below the S-Class's 0.36 to 0.37, without relying on a rear spoiler, which he considered an inelegant shortcut. Interior noise was engineered down to roughly 58 decibels versus about 60 for the S-Class, and multiple road tests reported the LS 400 was as quiet at 125 miles per hour as its German rivals were at 95. Prototypes logged well over a million miles of testing, and engineers reportedly disassembled competitor vehicles to study exactly how they failed over years of use, then engineered around each weakness. When the LS 400 launched in 1989, it was priced at roughly $35,000, commonly cited as about half the price, or as much as $30,000 less, than a comparably equipped Mercedes-Benz S-Class. The price gap was so large that BMW reportedly suggested Toyota was selling the car at a loss. Within two years, Lexus had overtaken Mercedes-Benz as the best-selling luxury import brand in the United States and topped J.D. Power's quality and service rankings, and Mercedes is reported to have lost roughly a quarter of its U.S. sales in the aftermath. Here is the part physicians should sit with. The low price was not the strategy. It was the output of the strategy. Toyota did not set out to build a cheaper Mercedes and work backward. It spent six years and enormous resources removing the specific frustrations its own research showed were driving prestige-loving customers away, then engineered a manufacturing process disciplined enough to make that quality repeatable at scale, and only after that work was done did it set a price the market would reward. The aggressive price was possible because the operational excellence and the customer research underneath it were real, not because anyone at Toyota decided to compete by cutting corners. This is the distinction that gets lost when a DPC or low-cost membership medicine practice drops its membership fee simply to fill a panel out of fear. Toyota's price was earned through relentless, well-funded engineering and firsthand study of exactly what its target customer resented about the existing options. A practice that lowers its price without first doing that same work, actually going to see for yourself what frustrates the patients you want to serve, and building a practice that removes those specific frustrations, is doing the opposite of what Lexus did. It is cutting the price before it has earned the right to. The translatable lesson is not "charge less." It is this: find out, directly and specifically, what your patients are actually frustrated by in the healthcare experience they already have, build a practice that removes that frustration with real discipline, treat the entire patient experience, not just the clinical visit, as part of the product, and let price follow from that work rather than substitute for it. Toyota spent six years in the field before it touched the price tag. Most practices considering a discount have not spent six weeks asking patients what specifically is broken in the care they are currently getting. What to build instead None of this means price is fixed or that access should be reserved only for the wealthy. It means the starting question changes. Instead of asking what is the lowest price that will fill my panel, the more durable question is what does my practice do that a patient cannot get anywhere else in this market, and does my price reflect that honestly. That might be same-day access. It might be visit length. It might be a specific clinical focus, a specific population, or a specific relationship to a local employer. Differentiation does not require the highest price in the market. It requires a clear, honest reason for the price you have chosen, one you can say out loud to a patient without flinching. Panel growth built on discounting tends to attract patients who are price-shopping and will leave the moment a cheaper option appears next door. Panel growth built on a clear, differentiated value proposition tends to attract patients who stay, refer, and tolerate a price increase because they understand what they are paying for. This article is intended for educational and informational purposes for physicians and healthcare leaders. It does not constitute financial, legal, accounting, or medical advice, and practice pricing decisions should be made in consultation with qualified financial and legal advisors familiar with your specific market and regulatory environment. Sources Rao, Akshay R. and Bergen, Mark E. "How to Fight a Price War." Harvard Business Review, March-April 2000. hbr.org/2000/03/how-to-fight-a-price-war "Price war." Wikipedia, accessed August 2026. en.wikipedia.org/wiki/Price_war "How a Race to the Bottom Hurts Your Business's Bottom Line." Kinsta, July 15, 2024. kinsta.com/blog/race-to-the-bottom Porter, Michael E. Competitive Strategy (1980) and Competitive Advantage (1985), Harvard Business School Press. Summarized via "Porter's generic strategies," Wikipedia, and Strategic Management Insight, strategicmanagementinsight.com/tools/porters-three-generic-strategies "State of DPC 2026: Key Takeaways From DPC Alliance's Physician Survey." Hint Health, July 18, 2026. blog.hint.com/state-of-dpc-2026-key-takeaways-from-the-dpc-alliances-physician-survey "Hint Health Releases 2026 Direct Primary Care Trends Report." Hint Health, April 23, 2026, distributed via PR Newswire, Yahoo Finance, and Morningstar. "DPC Membership Pricing Trends." Hint Health Blog, June 24, 2022. blog.hint.com/dpc-membership-pricing-trends "High cost of health care may be boosting direct primary care membership." Medical Economics, November 16, 2025. medicaleconomics.com/view/high-cost-of-health-care-may-be-boosting-direct-primary-care-membership Sagebien, Julia; L'Haridon, Olivier; Wiesen, Daniel; et al. "The formation of physician altruism." Journal of Health Economics, Vol. 87, 2023. sciencedirect.com/science/article/pii/S0167629622001308 (also indexed on PubMed, ID 36603361) "Professional identity formation of clinical medical students during and beyond the pandemic." PMC, National Library of Medicine. pmc.ncbi.nlm.nih.gov/articles/PMC11150932 Cammisa, Jason. "The Absurd Engineering Obsession Behind the 1989 Lexus LS 400." Hagerty Revelations, YouTube, youtu.be/i15Ii4yetLM "How the Lexus LS400 Crashed the Luxury Party." Autoblog, October 2, 2025. autoblog.com/features/how-the-lexus-ls400-crashed-the-luxury-party "How Lexus defeated 'the best car in the world.'" Motoring Research, July 25, 2024. motoringresearch.com/car-news/lexus-ls-400-review "Lexus LS 400: 'the finest V8 engine in the world.'" Cult Classics, Adrian Flux, August 21, 2023. adrianflux.co.uk/cult-classics/lexus-ls-400-the-finest-v8-engine-in-the-world Dawson, Chester. Lexus: The Relentless Pursuit. John Wiley & Sons, revised edition. Publisher synopsis via AbeBooks, abebooks.com/9780470828045 A detailed companion recap of the Hagerty Revelations episode, covering Project F1 staffing, the Laguna Beach research house, the coffee-table dealership model, and Suzuki's engineering targets, was supplied directly by the editor. Its original publisher and byline could not be independently confirmed at time of writing. Facts drawn from it (drag coefficient, price gap, engineer count, dealership vetting) were cross-checked against sources 11 through 15 above before inclusion, and the editor should confirm original attribution before publication.
We begin a deeper investigation into the scandal that rocked high society in the 1980s, the twice attempted murder of Sunny von Bulow and the subsequent trials of her second husband Claus von Bulow for those crimes. In this first episode, we introduce and get to know the main characters in this story, Martha “Sunny” Sharp Crawford and Claus von Bulow. What happens in their lives before and up to their marriage in 1966? There are so many sticky spiderwebs that might surprise you in this one, including Coco Chanel, Truman Capote, Ann Woodward, and the very first case of murder by insulin poisoning – it really does all come together. Sources The Von Bulow Affair, by William Wright (Amazon link) Deliberate Cruelty: Truman Capote, The Millionaire's Wife, and the Murder of the Century, by Roseanne Montillo (Amazon link) FATAL CHARM: The Social Web of Claus von Bülow | Vanity Fair | August 1985 (archive.vanityfair.com) Martha Sharp Crawford (1932-2008) – HouseHistree Kenneth Barlow: the first documented case of murder by insulin – PMC (ncbi.nlm.nih.gov) When Truman Capote Met Ann Woodward, Recently Minted Widow, in Saint Moritz ‹ CrimeReads Want early, ad-free episodes, regular Dumpster Dives, bonus divorces, limited series, Zoom hangouts, and more? Join us at patreon.com/trashydivorces! Want a personalized message for someone in your life? Check us out on Cameo! To advertise on our podcast, please reach out to info@amplitudemediapartners.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us Fan MailAs we kick off the fall season, Jesse Schreck shares a powerful exhortation from Hebrews 11, examining three core aspects of the life of faith: crossing over from death to life, the daily discipline of “marching on” in obedience, and the risk of biblical hospitality. Join us as we explore what it looks like to move beyond a passive faith and live as true conquerors in Christ, actively advancing His Kingdom in our homes, our vocations, and our communities.Also in this episode: Updates on new missions blog posts, the launch of MissionsAcademia.com, and how you can support the mission with our new merch.As we kick off the fall season, Jesse Schreck shares a powerful exhortation from Hebrews 11, examining three core aspects of the life of faith: crossing over from death to life, the daily discipline of “marching on” in obedience, and the risk of biblical hospitality. Join us as we explore what it looks like to move beyond a passive faith and live as true conquerors in Christ, actively advancing His Kingdom in our homes, our vocations, and our communities.Also in this episode: Updates on new missions blog posts, the launch of MissionsAcademia.com, and how you can support the mission with our new merch.Mentioned Links in this EpisodeSupport Practical Missions Cohort or PartnerGet some PMc MerchWatch the interview with Feed My Sheep PodcastLearn about Biblical Missions at the PMc Missions AcademiaRead about Biblical Missions at the PMc Missions BlogMore LinksJesse's SubstackBecome a PMc AmbassadorJoin a PMc Short-term CohortFund the Mission FacilityPlan a Vision Trip to ItalyLearn about Long-Term Missions in ItalyConsider a Missionary InternshipJoin PMc's online Discord community - The Italian CohortFreely join the online Discord group of PMc! The Italian CohortSupport the showDo you love God, Italians, Italy, and the church of Jesus Christ? Do you want to play a more personal role in missions work abroad? Do you want to get all our content and updates (plus bonus material no one else sees) before anyone else? We invite you to join The Italian Cohort - our online community group on Discord - and gain inside access to the work going on in Italy.
A Nobel Prize-winning discovery from 1931 described a cellular “fermentation switch” tied to cancer. That same switch shows up — in a much milder form — in millions of exhausted, foggy, always-cold people who've never had the right tests run.TLDR: Fatigue that sleep doesn't fix. Brain fog. Always cold. Muscle heaviness. Crashing after a workout. These aren't personality traits or “just aging”; they're often signs that your mitochondria, the tiny power plants inside every cell, aren't running the way they should. In this episode, I walk through:* What mitochondria actually do (in plain English)* The 6 physical warning signs your body sends when they're struggling* The 5 lab markers that reveal mitochondrial stress — most of which your standard panel isn't interpreting correctly* Why your body's pH and proton gradient might be the most underrated marker you've never heard of* 8 ways to start rebuilding mitochondrial function this week, starting todayWhat Mitochondria Actually Are (In Plain English)This is a very rudimentary explanation…Every one of your roughly 37 trillion cells contains tiny structures called mitochondria. Their job is to take the food you eat and the oxygen you breathe and convert them into a usable form of energy called ATP (adenosine triphosphate).Think of it like currency exchange. Food is your paycheck. But you can't pay your bills with a paycheck directly. You have to convert it into cash first. That's what mitochondria do. Your heart, brain, and liver cells are packed with hundreds to thousands of them, because those organs demand the most energy.So the real question is: what happens when those mitochondria get damaged?The Warburg Connection And What It Actually Tells UsIn 1931, German biochemist Otto Warburg won the Nobel Prize in Physiology or Medicine for his work on cellular respiration. Part of what made him famous was an earlier observation: many cancer cells generate energy primarily through fermentation (a process called aerobic glycolysis) rather than through the oxygen-based process healthy cells typically rely on - even when plenty of oxygen is available. Warburg's Nobel Prize was officially awarded for his discovery of the respiratory enzyme, and part of what he demonstrated along the way was that cancerous cells can live and develop even in the absence of oxygen. This pattern is now known as the Warburg effect.Here's where I want to be careful, because this is the kind of claim that's easy to oversimplify. It's tempting to say “damaged mitochondria cause cancer,” full stop. The real picture is messier and still debated. Researchers have gone back and forth for decades on whether this metabolic shift is a cause of cancer or a consequence of it, and more importantly, later research found that in most cancers, the mitochondria aren't actually broken. Subsequent research has shown that mitochondrial function is not impaired in most cancer cells, even though those cells still preferentially ferment glucose. The “why” behind that switch remains one of the more actively studied questions in cancer metabolism.So what does this mean for you, a person who almost certainly doesn't have cancer but does feel exhausted all the time? It means the fermentation-under-stress pattern Warburg first described is a real, well-documented phenomenon in cell biology, but I'm not going to tell you that your fatigue is “pre-cancer” or that a milder version of the Warburg effect is definitively what's causing your brain fog. What the broader mitochondrial dysfunction research does support is more modest and, frankly, more useful: when mitochondria are chronically stressed by poor diet, chronic stress, poor sleep, toxin exposure, or simply aging, cells generate less usable energy and more oxidative byproducts, and that shows up in the body long before it shows up on a standard lab panel.The Physical Warning Signs Most Doctors MissI hear a version of this sentence constantly: “My doctor ran labs and everything came back normal.” I believe them - the numbers usually do fall within standard reference ranges. But standard panels weren't built to catch mitochondrial strain. The body, on the other hand, tends to tell you well before a lab does. As you read this list, take honest mental inventory:* Brain fog and poor concentration. Your brain uses roughly 20% of your total energy output despite being about 2% of your body weight, so when brain-cell mitochondria underperform, mental clarity is often the first thing to go.* Fatigue that sleep doesn't fix. Not “I'm tired,” but “I slept eight hours, and I'm still exhausted.” This is one of the most common complaints I hear in practice.* Always feeling cold, or a low body temperature. Body heat is a byproduct of mitochondrial activity, so a consistently low waking temperature (roughly below 97.8°F) can point to a slower metabolic rate.* Muscle weakness or heaviness without a clear cause. Muscle cells are mitochondria-dense and need constant energy for contraction.* Exercise intolerance. You work out, and instead of feeling good afterward, you're wiped out for days without properly recovering.* Sensitivity to light or sound. Sensory processing is energy-expensive, and when cellular energy runs low, the nervous system loses some of its buffering capacity.None of these symptoms are proof of mitochondrial dysfunction on their own; fatigue and brain fog have a long list of possible causes, from thyroid issues to iron deficiency to depression to sleep apnea, and a thorough workup should rule those out first. But if several of these are chronic and unexplained, mitochondrial strain deserves a place on the list.The Lab Markers That Tell the Real StoryThese are markers you can request from a standard blood draw, though a few need to be ordered specifically. I want to flag something important up front: the “optimal” ranges I use in my own practice are tighter than the standard reference range most labs will flag as normal. That's intentional. A value can sit inside the reference range and still not be where I'd want to see it for someone chasing energy and longevity, rather than just ruling out overt disease. That distinction matters, and it's worth discussing with your own physician rather than self-diagnosing off a lab printout.* Fasting insulin. Most labs allow up to 25 µIU/mL as “normal.” I typically look for something closer to 2–5. Insulin creeping up into the high single digits or beyond can be an early sign that cells are struggling to use glucose efficiently.* Fasting glucose. Optimal is generally lower than most people assume, closer to 72–85 mg/dL rather than the upper 90s that many labs will still call normal.* High-sensitivity CRP (hs-CRP). This measures systemic inflammation. Levels of CRP less than 1 mg/L are generally considered low cardiovascular risk, 1 to 3 mg/L moderate risk, and above 3 mg/L elevated risk. Damaged mitochondria leak more free radicals, and that oxidative debris is one of several things that can trigger this kind of low-grade inflammatory signal.* CO2 (bicarbonate). Part of a standard basic metabolic panel, usually reported somewhere in the low-to-high 20s (mEq/L). When it trends toward the lower end, it can be a signal of mild metabolic acidosis; worth flagging and discussing with your doctor rather than a red-alert finding on its own.* Lactate-to-pyruvate ratio. This is a more advanced, specialist-ordered marker. Normally pyruvate flows into the mitochondria and gets converted into usable energy; when mitochondrial function is impaired, pyruvate backs up and converts to lactate instead. It's worth being precise here about what the actual research supports: a lactate-to-pyruvate ratio above 20 has been shown to distinguish patients with primary mitochondrial disease from those with other conditions in clinical studies, and this marker's best-documented use is in diagnosing rare inherited mitochondrial disorders or evaluating critically ill patients not as a general screening tool for everyday fatigue. If you're curious about your own ratio, this is a conversation to have with a clinician who can interpret it in the context of your full picture, not something to self-order and self-interpret.The Proton Gradient: Why pH Might Be an Underrated MarkerHere's a mental picture that helped this concept click for me: imagine Niagara Falls. Water crashes from a height, and that force turns a turbine that generates electricity at the base. Mitochondria do something similar, except instead of water, they're moving protons (hydrogen ions) across a membrane, building up a pressure gradient. When those protons flow back through a molecular structure called ATP synthase, that “turbine” spins and produces ATP.Now imagine you lower the height of the falls. Less force, less electricity. That's roughly what happens when your body's internal environment shifts toward acidity; the proton gradient shrinks, and energy production slows with it.Blood pH is tightly regulated and normally stays between 7.35 and 7.45, it doesn't swing wildly, and if you ever see it trend outside that narrow range on a lab, that's a signal your body's buffering systems are genuinely taxed, not a subtle wellness finding. Because blood pH is so tightly controlled and hard to use as an early, everyday signal, a more practical (though far less precise) proxy some practitioners use is first-morning urine pH, tested with an inexpensive strip. Consistently low first-morning urine pH is sometimes used as a rough indicator that the body is buffering more acid overnight than ideal; though it's a screening tool at best, not a diagnostic one, and it can be influenced by diet, hydration, and other unrelated factors.A quick, honest aside on “structured water.” You may hear claims - including sometimes in wellness spaces I respect - that water inside your cells exists in a special “fourth phase” or “exclusion zone” structure that's central to mitochondrial function, an idea popularized by bioengineer Gerald Pollack. I want to be straight with you about where this stands scientifically: it's a genuinely contested hypothesis, not a fact. Independent researchers have proposed alternative physical explanations for the phenomena Pollack describes, and some of his specific claims - like light-driven charge separation in water - are considered difficult to reconcile with basic physical chemistry. The underlying biology of cellular hydration and mitochondrial function is real and important; the specific “structured water” framework is an interesting but unproven idea layered on top of it, and I don't want to present it to you as settled science.8 Ways to Rebuild Mitochondrial Function (Mitochondrial Biogenesis)The good news is that mitochondria aren't fixed in number or function. Your body can build new ones; a process researchers call mitochondrial biogenesis. Here are eight inputs that support it, roughly in the order I'd actually prioritize them with a patient. Notice that supplements are last, not first.* Morning sunlight. Getting outside within about 30 minutes of waking supports circadian alignment, which in turn supports metabolic function.* Zone 2 cardio. This is exercise intensity where you can still hold a conversation roughly 3–4 sessions per week, 30–45 minutes. It's popularly described as uniquely effective for mitochondrial biogenesis through a signaling pathway called PGC-1α. I want to add a fair caveat here: while Zone 2 has been widely positioned in popular media as the optimal intensity for improving mitochondrial and fatty-acid oxidative capacity, a 2025 narrative review found the evidence for that specific claim is more mixed than commonly portrayed, and some research suggests higher-intensity training activates these same pathways just as strongly, if not more so. Zone 2 is still a well-supported, low-risk, sustainable way to build an aerobic base; I just don't want to oversell it as the only path to mitochondrial adaptation.* Cold exposure. This is a stressor, so I don't recommend starting here if you haven't built a foundation first. In animal studies, chronic cold exposure increases expression of mitochondrial proteins and the master regulator of mitochondrial biogenesis, PGC-1α, in brown adipose tissue - human data on the same mechanism is still developing. However, functional brown fat has been confirmed to exist and activate with cold exposure in adult humans. If you're adapted to it, starting with 30–60 seconds at the end of a shower is a reasonable entry point.* Circadian alignment. Consistent sleep/wake timing supports the same systems that morning light and cold exposure influence.* Structured hydration. Beyond simply drinking more water, this includes grounding and infrared light exposure - inputs that (independent of the more speculative “structured water” claims above) are reasonably tied to circadian and metabolic health.* Metabolic flexibility. This is your body's ability to switch between burning glucose and burning fat for fuel. Time-restricted eating is one of the more accessible tools for improving this, but it's a second-phase intervention, not a starting point, especially if your body isn't metabolically ready for it yet.* Red and near-infrared light therapy. Red to near-infrared light is absorbed by cytochrome c oxidase, an enzyme in the mitochondrial electron transport chain, and this interaction is associated with increased ATP synthesis by mitochondria. Most of the research uses roughly 10–20 minutes of targeted exposure, often over the head and torso.* Mitochondrial cofactors. This is where most people want to start and where I'd ask you to start last. CoQ10, magnesium, and B vitamins (especially B1, B2, B3) function as electron carriers within the Krebs cycle, and alpha-lipoic acid is a mitochondria-specific antioxidant. On top of these, I use Nion to support the body's pH and hydration balance, and Protandim NrF2 to help address the oxidative load that builds up when mitochondria are already under stress, but these work best layered on top of the lifestyle inputs above, not as a substitute for them.Quick Reference: What the Markers MeanThese "optimal" figures reflect the ranges I personally use with patients pursuing proactive metabolic health, not universal diagnostic cutoffs. Always interpret your own labs with a clinician who has your full history.This Week's ProtocolThree simple steps, none of which should cost much or take more than a few minutes a day:* Tomorrow morning: get outside within 30 minutes of waking for a few minutes of natural light.* Pick up pH test strips (inexpensive, available almost anywhere) and test your first-morning urine for three consecutive days. Write the numbers down.* Pull your last basic metabolic panel and find your CO2/bicarbonate value. If you don't have a recent one, get one drawn.Where to Go From HereIf you recognized yourself in several of the symptoms above, the first move isn't panic - it's data. We walk through exactly this kind of cellular assessment with patients every week inside the Thrive 120 framework. If you want a professional to look at your labs and symptom picture and tell you the top three things to address first: Disclaimer: this article is educational, not medical advice. Talk to your doctor before making changes to your diet, exercise routine, or supplement regimen, especially if you're pregnant, nursing, on blood thinners, or managing a chronic condition — including cancer. Some links below are affiliate links — if you buy through them, I may earn a commission at no extra cost to you. These statements have not been evaluated by the FDA, and none of these products are intended to diagnose, treat, cure, or prevent any disease.)References* Nobel Prize in Physiology or Medicine 1931 — Otto Warburg, biographical: https://www.nobelprize.org/prizes/medicine/1931/warburg/biographical/* Warburg effect(s) — a biographical sketch of Otto Warburg and his impacts on tumor metabolism — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784299/* Warburg Effect — a Consequence or the Cause of Carcinogenesis? — J Cancer: https://www.jcancer.org/v07p0817.htm* Genome-Scale Metabolic Modeling: mitochondrial function is not impaired in most cancer cells — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3053319/* C-Reactive Protein and cardiovascular risk categories — Circulation (AHA): https://www.ahajournals.org/doi/10.1161/01.cir.0000093381.57779.67* Clinical usefulness of hs-CRP across Framingham risk scores — Circulation (AHA): https://www.ahajournals.org/doi/10.1161/01.cir.0000125690.80303.a8* Diagnostic values of lactate-to-pyruvate ratio in mitochondrial disease — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC9334250/* Lactate and lactate:pyruvate ratio in pediatric acute liver failure — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC5328928/* Mitochondrial dysfunction and ischemia in critical illness (lactate:pyruvate ratio) — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4470667/* Much Ado About Zone 2: A Narrative Review — PubMed: https://pubmed.ncbi.nlm.nih.gov/40560504/* Chronic cold exposure induces mitochondrial biogenesis in brown adipose tissue — iScience: https://www.cell.com/iscience/fulltext/S2589-0042(21)00402-8* Effect of habitual cold exposure on brown adipose tissue activity — systematic review: https://www.tandfonline.com/doi/full/10.1080/22423982.2025.2545059* Photobiomodulation of cytochrome c oxidase by chronic transcranial laser — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC8971717/* Brain Photobiomodulation Therapy: A Narrative Review — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC6041198/* Exclusion Zone Phenomena in Water — A Critical Review of Experimental Findings and Theories: https://arxiv.org/pdf/1909.06822Links mentioned:* Metabolic Blueprint Session: https://calendly.com/tripleplaydoc/complimentary-consult * Nion: https://www.nionhealth.com/tripleplaydoc* Protandim NrF2: https://tripleplaydoc.lifevantage.com/us-en/shop/protandim-nrf2 This is a public episode. 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Keeping your clients coming back is crucial to the success of your insurance business. But how often should we reach out to clients? How do we reach out without being annoying? Where do we start? If you've ever asked these questions, don't miss the ASG Podcast interview with Bjorn Piltingsrud and Andrew Saksa from Essential Engine! Resources: Essential Engine Official Website Listen to Marketing MindFuel Reach out to Andrew Saksa at Essential Engine Schedule a Meeting with Mel Binford from Essential Engine References: Lindenfors, Patrik, et al. “‘Dunbar's Number' Deconstructed.” Pmc.Ncbi.Nih.Gov, U.S. National Library of Medicine, May 2021, pmc.ncbi.nlm.nih.gov/articles/PMC8103230/. “Dunbar's number: Why we can only maintain 150 relationships.” Bbc.com, BBC, https://www.bbc.com/future/article/20191001-dunbars-number-why-we-can-only-maintain-150-relationships, Accessed 2 June 2026. Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ Threads, https://www.threads.net/@thesarahjrueppel and Bluesky, https://bsky.app/profile/sarahjrueppel.bsky.social Not affiliated with or endorsed by Medicare or any government agency.
Evolution Radio Show - Alles was du über Keto, Low Carb und Paleo wissen musst
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Disclaimer: this podcast & article is educational, not medical advice. Talk to your doctor before changing your diet, exercise routine, or any treatment plan, especially if you're pregnant, nursing, or managing a chronic condition. The Thrive 120 Show reflects my clinical perspective — it isn't a substitute for individualized care.TLDR“Eat less, exercise more” assumes your metabolism is fundamentally intact — that it's a math problem. It's not. It's a biology problem, and biology has a hierarchy: upstream causes and downstream symptoms. Most conventional advice treats the symptoms.I organize the four real drivers of metabolic breakdown into a framework I call MESS²:* M — Muscle loss. Your metabolic engine. Crash dieting shrinks it further.* E — Endocrine disruption. Your control panel — insulin, thyroid, cortisol.* S — Sun exposure. The free, daily signal almost everyone is missing.* S² — Sleep, Stress, and Systemic inflammation. The silent wreckers that undo the other three.Diet and exercise aren't wrong — they're just in the wrong position in the sequence. Fix the foundation first, and they finally start working the way they're supposed to.If you want help figuring out where your own weak link is, check the show notes below for the Thrive 120 programs and the Metabolic Blueprint Session Your metabolism isn't a math problemYou go in for a visit. Labs show your weight creeping up, your blood sugar drifting higher, your energy in the tank. And you hear the familiar line: eat less, cut calories, exercise more.That advice isn't malicious — it comes from a good place. But it assumes your metabolism is fundamentally intact. That it's calories in, calories out, done.Here's the problem: what if the engine itself is damaged? What if the control panel is sending the wrong signals? Adding intense exercise on top of a body that's already inflamed and hormonally dysregulated isn't a fix — it's closer to pouring gasoline on a fire.Think about it the way you'd think about a car. If the engine light comes on and the car starts making a bad noise, you don't respond by pouring in more premium gas. You find out what's wrong with the engine first. Your body deserves the same order of operations.Left alone, your body doesn't just sit still — muscle drifts downward, hormonal signaling drifts off-schedule, inflammation creeps upward. None of that is a willpower problem. It's biology, and biology has an upstream and a downstream. Most people — and most conventional approaches — spend their time treating the downstream symptoms. Below is the upstream map.THRIVE 120 Substack with TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.The MESS² FrameworkM — Muscle: your metabolic engineMuscle is metabolically expensive. Your body burns calories just to maintain it, even while you're sitting on the couch doing nothing. The more muscle you carry, the higher your resting metabolic rate; the less you carry, the fewer calories your body needs — and the easier it becomes to store fat.After about age 30, you naturally lose muscle mass every decade — commonly cited figures put it in the 3–8% per decade range, accelerating further after roughly age 60 to 70.¹ ² ³ This gradual process is called sarcopenia, and because it happens slowly, most people don't notice until it's already reshaped their metabolic baseline.Here's where it gets worse: when most people try to “fix” their metabolism, they reach for a calorie-restricted diet. Yes, the scale moves. But a meaningful portion of that loss isn't fat — it's muscle. You've made the engine smaller and lowered your metabolic floor. Then you return to normal eating (because restriction isn't sustainable long-term), and your body — now running a smaller engine — needs fewer calories than it did before. The result is the yo-yo cycle, and each round tends to leave you carrying a little more than the last time.If that pattern sounds familiar, it's not a willpower problem. It's a muscle problem, and muscle problems have muscle solutions: protecting and building lean tissue before you fixate on how much you're eating.E — Endocrine disruption: your control panelIf muscle is the engine, your hormones are the control panel. When the control panel sends the wrong signals, it doesn't matter how good the engine is underneath — nothing runs right. Three hormones do most of the damage:Insulin. Insulin's normal job is to move glucose out of your bloodstream and into your cells. When cells are bombarded with insulin repeatedly — from a diet high in refined carbohydrates and sugar, chronic stress, poor sleep, or excess artificial light exposure — they start tuning it out. That's insulin resistance. Blood sugar stays elevated, your body compensates by producing even more insulin, and because insulin is a storage hormone, chronically elevated insulin locks you out of fat-burning mode. Fat oxidation requires insulin to be low — it's not optional.Thyroid. Your thyroid sets the pace for how fast or slow every cell in your body runs. The standard screening test — TSH (thyroid-stimulating hormone) — is just a signal sent from the brain to the thyroid. It doesn't tell you how much active thyroid hormone is actually circulating, whether it's converting properly, or whether something is blocking it at the cellular level. It's common to see patients with textbook hypothyroid symptoms — fatigue, weight gain, brain fog, feeling cold, constipation — while TSH reads “normal.”Cortisol. In short bursts, cortisol is your friend — it gets you moving and helps you respond to real threats. Chronically elevated cortisol is a different story. Your body reads sustained high cortisol as famine or threat, so it holds onto visceral fat (the fat around your organs) as an energy reserve and breaks down muscle tissue to convert into quick glucose. That's a double hit: your engine (muscle) shrinks while your fat stores grow. This is also why jumping straight into intense daily cardio when you're already exhausted and stressed tends to backfire — that kind of training spikes cortisol further, adding fuel to the exact hormone working against you. Exercise is medicine, but which exercise depends heavily on where you're starting from.S — Sun exposure: the signal almost everyone is missingThis is the piece most health-conscious people have never connected to their metabolism — and it goes well beyond “get sunlight for vitamin D.”Alpha-MSH. Ultraviolet light exposure triggers the release of alpha-melanocyte-stimulating hormone (alpha-MSH), produced via the pituitary–hypothalamic axis. Most people only know it as the hormone behind tanning, but alpha-MSH also acts directly on the hypothalamus — the brain region that governs hunger, body temperature, and energy expenditure. Through the melanocortin receptor system (MC3R/MC4R), alpha-MSH suppresses appetite and raises energy expenditure.⁴ ⁵ This is well-established endocrinology at the receptor level; most of the direct evidence for the light-triggered release piece specifically comes from animal and combined animal/human research, so treat “morning sunlight measurably curbs your appetite today” as a reasonable, biologically grounded hypothesis rather than a proven guarantee for every individual.Melanin. Most people think of melanin purely as sun protection. There's also a genuinely interesting — and genuinely early-stage — line of research suggesting melanin can absorb light energy and convert it into other forms of biological signaling.⁶ I want to be direct about where this stands: the clearest demonstrations of melanin's light-to-chemical-energy conversion come from turtle, avian, and in-vitro photoelectrochemical studies, not controlled human metabolic trials.⁷ It's a fascinating emerging area, not an established mechanism for human fat loss — I'm flagging it as something to watch, not something to build a protocol around yet.Melatonin. Most people file melatonin under “sleep supplement.” Its more fundamental role may be different: melatonin is one of the most potent antioxidants in the body, and a substantial body of research — much of it from melatonin researcher Russel Reiter's lab — supports it functioning as a mitochondria-targeted antioxidant that protects your cellular energy factories from oxidative damage.⁸ Melatonin production is directly regulated by light: it rises in darkness and is suppressed by light exposure, which ties it tightly to your circadian rhythm. When melatonin is disrupted — by artificial light at night, poor sleep, or insufficient daytime sunlight — your mitochondria lose one of their primary protectors, and cellular energy production can suffer as a result.Your morning light exposure sets your circadian clock, and that clock governs when cortisol should peak (morning) and fall (night), along with downstream thyroid output and insulin sensitivity. When the clock drifts, those downstream systems drift with it.S² — Sleep, Stress, and Systemic inflammation: the silent wreckersThese three are grouped together because they feed each other, forming what I'd call a metabolic wreckage loop.Sleep. One frequently cited controlled study found that cutting sleep from 8.5 to 5.5 hours a night — while holding calorie restriction constant — reduced the proportion of weight lost as fat by 55% and increased the loss of lean (muscle) mass by 60%.⁹ It's worth noting this came from a small trial (10 participants), though a separate free-living study found a similar shift in body composition over eight weeks.¹⁰ Sleep is also when your body releases growth hormone, the primary fat-burning, muscle-repairing hormone — cutting sleep short cuts those pulses short too. As for hunger hormones: classic research found sleep restriction lowers leptin (the “you're full” signal) and raises ghrelin (the “you're hungry” signal),¹¹ though it's fair to flag that more recent meta-analyses have found this effect isn't consistent across every study,¹² so treat it as a plausible contributor rather than a guarantee for any one person.Stress and inflammation. Chronic stress increases intestinal permeability — commonly called “leaky gut.” When the gut lining becomes more permeable, bacterial fragments and inflammatory particles can enter the bloodstream, and the immune system responds the way it would to an infection: with inflammatory cytokines. Those cytokines can interfere with insulin receptor signaling, contributing to insulin resistance that has nothing to do with what you ate that day.¹³ ¹⁴ Some early gut-microbiome research adds another wrinkle: in animal studies, mice with an “obese-type” microbiome extracted measurably more energy from identical food than mice with a “lean-type” microbiome, and this trait was transmissible via microbiota transplant.¹⁵ Human data shows a correlated shift in gut bacterial composition with obesity and weight loss, but the calorie-harvesting mechanism itself has been demonstrated most directly in mice — worth remembering before assuming it applies identically in people.So when do diet and exercise actually work?Diet and exercise are genuinely powerful tools — they're just not the starting point. They're amplifiers. If what's underneath is hormonal chaos, mitochondrial strain, and chronic inflammation, adding intense exercise and severe caloric restriction just amplifies that chaos. But once the foundation is addressed — light exposure is consistent, sleep is protected, inflammation is trending down, hormones are moving in the right direction — diet and exercise become the rocket fuel. It's the same idea as tuning a guitar before you play it: you wouldn't walk on stage with an out-of-tune instrument and just strum harder.The sequence: light and circadian rhythm first, then sleep, then inflammation, then hormones, then nutrition, then movement. Work from the foundation up, not the top down.Five things to start this week* Get morning sunlight. Within 30–60 minutes of waking, get outside for 10–20 minutes — no sunglasses, no sunscreen, no contacts if you can manage it. Face the direction of the sun without staring directly at it. This is free, takes 15 minutes, and is one of the most direct levers you have on circadian rhythm.* Protect melatonin at night. After sunset, start dimming household lights. Get off screens, or use blue-light-blocking glasses if you can't.* Ask for the right labs. Beyond a basic metabolic panel and TSH: fasting insulin, a full thyroid panel (free T3, free T4, reverse T3), a cortisol curve, and high-sensitivity CRP. These numbers point to which layer of MESS² to address first.* Remove one inflammatory food this week. Just one — refined seed oils (canola, soybean, vegetable) or ultra-processed snacks are a reasonable place to start.* Pause intense exercise if you're exhausted and inflamed. Counterintuitive, but if your body is in survival mode, a 20–30 minute walk lowers cortisol, improves insulin sensitivity, and moves your lymphatics better than another hard session would. Save high intensity for once the foundation is in place.The bottom lineYour metabolism isn't broken — it's very likely just misunderstood, and it's responding logically to signals it's been given: too little muscle to defend, a control panel sending mixed messages, a missing daily light signal, and a background hum of stress and inflammation. None of that is a character flaw. It's biology, and biology responds to sequence.Find your weak link in the framework above. Start at the foundation, and build from there — not the other way around.If this resonated and you want a structured way to work through the MESS² framework for your own situation, the Thrive 120 programs walk through it step by step, and a Metabolic Blueprint Session is a good next move if you want a second set of eyes on your specific labs and history. (Use THRIVER20 at checkout to get 20% off for the life of your membership)References* Preserve your muscle mass — Harvard Health: https://www.health.harvard.edu/staying-healthy/preserve-your-muscle-mass* Sarcopenia (Muscle Loss With Aging) — Cleveland Clinic: https://my.clevelandclinic.org/health/diseases/23167-sarcopenia* An Overview of Sarcopenia: Focusing on Nutritional Treatment Approaches — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11990658/* Alpha-Melanocyte-Stimulating Hormone-Mediated Appetite Regulation in the CNS — Neuroendocrinology, Karger: https://karger.com/nen/article/113/9/885/836595/Alpha-Melanocyte-Stimulating-Hormone-Mediated* Solar UVB radiation promotes α-MSH secretion via the pituitary–lung axis (human and mouse data) — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10497598/* Photoelectrochemical properties of melanin — Nature Precedings: https://www.nature.com/articles/npre.2007.1312.1.pdf* The Unsuspected Capacity of Melanin to Transform Light Energy into Chemical Energy (turtle/avian model) — ResearchGate: https://www.researchgate.net/publication/282330655_The_Unsuspected_Capacity_of_Melanin_to_Transform_Light_Energy_into_Chemical_Energy_and_the_Surprising_Anoxia_Tolerance_of_Chrysemys_Picta* Melatonin as a mitochondria-targeted antioxidant: one of evolution's best ideas — Reiter et al., J Pineal Res: https://onlinelibrary.wiley.com/doi/10.1111/jpi.12360* Insufficient Sleep Undermines Dietary Efforts to Reduce Adiposity — Nedeltcheva et al. 2010, Annals of Internal Medicine (PMID 20921542): https://www.acpjournals.org/doi/abs/10.7326/0003-4819-153-7-201010050-00006* Muscle Loss While Dieting Jumped With Less Sleep (summary including Wang et al. 2018 free-living replication) — FitChef: https://fitchef.com/shorts/sleep-keep-muscle-while-dieting/* Sleep Curtailment in Healthy Young Men Is Associated with Decreased Leptin, Elevated Ghrelin — Spiegel et al. 2004, Annals of Internal Medicine: https://www.acpjournals.org/doi/10.7326/0003-4819-141-11-200412070-00008* The Impact of Sleep Deprivation on Hunger-Related Hormones: A Meta-Analysis and Systematic Review — MDPI: https://www.mdpi.com/2673-4168/5/2/48* Gut microbiota, intestinal permeability, and systemic inflammation: a narrative review — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC10954893/* Cytokines and intestinal epithelial permeability: A systematic review — PubMed: https://pubmed.ncbi.nlm.nih.gov/37030338/* An obesity-associated gut microbiome with increased capacity for energy harvest (mouse model with human comparison) — Turnbaugh et al. 2006, Nature: https://www.nature.com/articles/nature05414 This is a public episode. 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With only three games to recap from the weekend, Kodey takes the whole helm to let you know what happened in those games and some other games on his radar from this past week. Next week, more games and PMC members will be involved!Intro 0-0:50Week 0 Recap 0:51-9:08Week 1 Games to Watch 9:09-13:16Outro 13:17-14:08https://linktr.ee/PlaymakersCornerSocial Media:Twitter: https://twitter.com/PlaymakerCornerTik Tok: https://www.tiktok.com/@playmakerscorner?is_from_webapp=1&sender_device=pcInstagram: https:https://www.instagram.com/playmakerscorner/?hl=enFacebook: https://www.facebook.com/PlaymakerCornerYoutube: https://www.youtube.com/channel/UCUEcv0BIfXT78kNEtk1pbxQ/featured Twitch: https://www.twitch.tv/playmakerscorner Website: https://playmakerscorner.com/ Listen to us on:Spotify: https://open.spotify.com/show/4rkM8hKtf8eqDPy2xqOPqr Apple Podcasts: https://podcasts.apple.com/us/podcast/the-cycle-365/id1484493484?uo=4 Breaker: https://www.breaker.audio/the-cycle-365
「“オーディオの夢”を叶えるハイエンドスピーカー。PMC、PARADIGM、QUADRALの「200万級スピーカー」一斉試聴!」 PMCの「prophecy9」、PARADIGMの「Persona 3F」、QUADRALの「AURUM MONTAN 9」の3機種の一斉試聴を行う機会があった。いずれも現代のハイエンドスピーカーの「スイートスポット」に位置するモデルであり、それぞれどのような「オーディオの夢」を与えてくれたのか、各モデルの内容も含めてレポートしていきたい。
On this episode Kodey accounts Angie Lor and Jasmyn Greenwood's rankings and a large overview of the 4A scene in Colorado girl's high school flag football. They reveal the PMC preseason top 10 talking about last year, key players, storylines and more. Intro 0:00- 4:22Just outside the top 10 4:22- 13:43Mullen Season Preview 13:44- 17:49Lutheran Season Preview 17:50- 19:50Air Academy Season Preview 19:51-- 23:55Elizabeth Season Preview 23:56-26:39Steamboat Springs Season Preview 26:40- 30:24Vista Ridge Season Preview 30:25-35:42Pomona Season Preview 35:43-40:50George Washington Season Preview 40:51-45:29Manual Season Preview 45:30-50:21Green Mountain Season Preview 50:22-58:16Mountain View Season Preview 58:17-1:07:21TCA Season Preview 1:07:22-1:14:26Outro 1:14:27-1:17:25https://linktr.ee/PlaymakersCornerSocial Media:Twitter: https://twitter.com/PlaymakerCornerTik Tok: https://www.tiktok.com/@playmakerscorner?is_from_webapp=1&sender_device=pcInstagram: https:https://www.instagram.com/playmakerscorner/?hl=enFacebook: https://www.facebook.com/PlaymakerCornerYoutube: https://www.youtube.com/channel/UCUEcv0BIfXT78kNEtk1pbxQ/featured Twitch: https://www.twitch.tv/playmakerscorner Website: https://playmakerscorner.com/ Listen to us on:Spotify: https://open.spotify.com/show/4rkM8hKtf8eqDPy2xqOPqr Apple Podcasts: https://podcasts.apple.com/us/podcast/the-cycle-365/id1484493484?uo=4 Breaker: https://www.breaker.audio/the-cycle-365
Get access to The Backroom (100+ exclusive episodes) on Patreon: https://www.patreon.com/OneDimeIn this episode of 1Dime Radio, I am joined by philosopher and writer Daniel Tutt, who recently co-authored the book The People Are Not One: Socialist Strategy After Left Populism. We discuss why left populism failed, whether socialism can avoid populism, Bernie Sanders and the problem of recuperation, Trump and Bonapartism, the difference between populism and democracy, working-class “common sense,” Gramsci vs. Machiavelli, and the widening class divide between the contemporary left and the people it claims to represent.There are two Patreon-exclusive Backroom episodes this week: one titled“Strategizing the Class War” and one titled“Culture War As Class War,”Daniel and I continue the debate over what a serious class politics would actually look like. We get into the PMC and the “cultural apartheid” between classes, immigration, welfare and lumpenization, rentierism and private property, Christopher Lasch, DSA and woke politics, and whether the contemporary left can be reformed from within or is already locked in a civil war over what socialism is supposed to be.You can listen to 1Dime Radio on Spotify, Apple Podcasts, or wherever you get podcasts.Timestamps:0:00 The Backroom Preview6:15 Populism vs Marxism11:13 Recuperation, Bonapartism, and Trump19:52 Bernie Sanders and the Failure of Left Populism16:51 Populism As a Style Vs as an Ideology29:11 Populism vs. Democracy35:53 Common Sense, Gramsci, and Machiavelli43:04 Who Are the Common People?51:55 Why Marxism Attracts Intellectuals55:11 DSA, Culture War, & Immigration1:00:02 Rebuilding Class Politics1:02:16 Transition to The Backroom GUEST:Daniel Tutt | Philosopher, writer, host of Emancipations, and co-author of The People Are Not One: Socialist Strategy After Left PopulismWebsite: https://danieltutt.com/The People Are Not One: https://www.revolpress.com/people-not-oneEmancipations: https://www.youtube.com/@emancipationsFOLLOW 1Dime:1Dime Radio YouTube channel: https://youtube.com/@1dimeradioSubstack: https://1dimereview.substack.com/X/Twitter: https://x.com/1DimeOfficialInstagram: https://www.instagram.com/tonyof1dime/Main 1Dime YouTube channel: https://www.youtube.com/@1DimeeLeave a like, comment, and subscribe. Give 1Dime Radio a 5-star rating on Spotify, Apple Podcasts, or wherever you listen.
On this episode Coach V, Gino, and Hailey preview the 5A classification for Colorado girl's high school flag football. They reveal the PMC preseason top 10 talking about last year, key players, storylines and more. Intro 0:00- 4:18Just outside the top 10 4:19- 25:08Doherty Season Preview 25:09- 40:11Horizon Season Preview 40:12- 53:14Douglas County Season Preview 53:15- 1:01:00Valor Christian Season Preview 1:02:00- 1:15:32Ralston Valley Season Preview 1:15:33- 1:29:55Arvada West Season Preview 1:29:56- 1:41:46Mountain Vista Season Preview 1:41:47- 1:54:01Grandview Season Preview 1:54:02- 2:05:28Chaparral Season Preview 2:05:29- 2:15:15Legend Season Preview 2:15:16- 2:29:05Outro 2:29:06- 2:30:14https://linktr.ee/PlaymakersCornerSocial Media:Twitter: https://twitter.com/PlaymakerCornerTik Tok: https://www.tiktok.com/@playmakerscorner?is_from_webapp=1&sender_device=pcInstagram: https:https://www.instagram.com/playmakerscorner/?hl=enFacebook: https://www.facebook.com/PlaymakerCornerYoutube: https://www.youtube.com/channel/UCUEcv0BIfXT78kNEtk1pbxQ/featured Twitch: https://www.twitch.tv/playmakerscorner Website: https://playmakerscorner.com/ Listen to us on:Spotify: https://open.spotify.com/show/4rkM8hKtf8eqDPy2xqOPqr Apple Podcasts: https://podcasts.apple.com/us/podcast/the-cycle-365/id1484493484?uo=4 Breaker: https://www.breaker.audio/the-cycle-365
“Blackwater” gets used as shorthand for everything people fear or fantasize about in modern war, but the real work was often simpler and darker: move a diplomat through Baghdad and make sure they come back alive. We sit down with Morgan Lorette, a former Blackwater contractor, and trace the whole path from Air National Guard Security Forces to Iraq convoy life, including the money, the culture shock, and the gut-level truth of what changes when you're operating outside a normal military justice system.We talk candidly about what Blackwater actually did for the State Department, why “combat Uber” is a more accurate label than Hollywood's raid-and-rescue myth, and how protective security decisions got made when car bombs were common and seconds mattered. Morgan breaks down team dynamics, the mix of elite veterans with regular troops, and the uncomfortable reality that some people freeze while others go too far. We also get into contractor pay, bonuses, taxes, and why the paycheck can feel addictive, especially when lifestyle inflation, divorce, and debt start stacking up back home.After the interview, we pivot to modern policing and accountability: a town hall clip that raises real First Amendment questions, a taser failure that shows why distance and hands-on skills matter, and a body-cam shooting in a nightlife district where split-second judgment has life-changing consequences. If you care about use of force, executive protection, police training, and the human cost of high-risk work, this one stays with you.Subscribe for more long-form conversations, share this with a friend who needs the real version of these stories, and leave a review so more people can find the show.send us a message! twocopsonedonut@yahoo.comSupport the showPlease see our Youtube channel https://www.youtube.com/c/TwoCopsOneDonut Join our Discord!! https://discord.gg/BdjeTEAc *Send us a message! twocopsonedonut@yahoo.com
Intermittent fasting. Cold plunges. Daily HIIT. These trends have real benefits — but not for every body, and not in every season of life. In this episode, I break down why three of the most popular wellness trends can quietly work against your hormones if you're already dealing with chronic stress, HPA axis dysregulation, and the hormonal shifts of entering midlife. Plus — three embarrassingly simple tools that actually support your nervous system and your hormones right now.Resources:Read the full blog post on these 3 Wellness Trends and their impacts on your hormonesBook Your Free Hormone Clarity CallGet your FREE copy of Maybe It's Not You: The Truth on PMSSources referenced:Bhutani et al. (2010), Obesity — intermittent fasting and cortisol in womenWitbracht et al. (2015), UC Davis — breakfast skipping and HPA axis disruptionSystematic review and network meta-analysis, PMC (2025) — exercise, dose, and cortisol regulationDr. Stacy Sims — HIIT and women's physiology, drstacysims.comAbout KateKate Nguy is the founder of Shee Revival and a Certified Hormone Health Practitioner and Cycle-Syncing Strategist who helps busy women in their 30s and 40s balance their hormones and reclaim their energy. Specializing in the hormonal ups and downs of midlife—from PMS and perimenopause to burnout and cortisol overload—Kate guides women to feel at home in their bodies and live in sync with their natural cycles. Through cycle syncing, hormone hacks, and nervous system regulation, Kate empowers women to rebalance their hormones, reconnect to their bodies, and revive the vibrant, grounded version of themselves underneath the overwhelm.Tune in now and join the movement toward better hormone health!Follow me @hormoneswithkate on Instagram for more insights, tips, and support!
Send us Fan MailIn this episode, we explore the strategic impact of short-term missions and the critical need for a shift toward gospel-centered ministry. While the U.S. church invests billions in short-term trips, only a fraction of those resources reaches unreached peoples with the gospel. We discuss the distinction between humanitarian aid and biblical missions—focusing on evangelism, church planting, and disciple-making in places like Italy, where the evangelical presence is less than 1%. We also share key takeaways from our recent short-term cohort, including how intentional evangelism can revive a dry soul and the vital role of financial stewardship in advancing the Great Commission. Plus, get the latest updates on our new Missions Academia courses and the vision for a church plant in Bassano. Links:Jesse's SubstackBecome a PMc AmbassadorPMc Short-term CohortsMission FacilityVision TripPMc Missions BlogPartnerLong-Term MissionsMissionary InternshipPMc AcademiaThe Italian Cohort - join PMc's online Discord communityServe - PMc has numerous avenues of involvementFreely join the online Discord group of PMc! The Italian CohortSupport the showDo you love God, Italians, Italy, and the church of Jesus Christ? Do you want to play a more personal role in missions work abroad? Do you want to get all our content and updates (plus bonus material no one else sees) before anyone else? We invite you to join The Italian Cohort - our online community group on Discord - and gain inside access to the work going on in Italy.
Get access to The Backroom, with 100+ exclusive episodes of 1Dime Radio, on Patreon: https://www.patreon.com/OneDimeIn this episode of 1Dime Radio, I am joined by David McKerracher, founder of @theory_underground and author of *Timenergy*, to ask whether the post-left can finally be theorized beyond a dead internet scene, a vague political identity, or a euphemism for moving right. We discuss our upcoming book *Post-Left Theory*, the left as a master signifier, the post-left as a frontier rather than an ideology, the leftist industrial complex, the limits of anti-woke and PMC critique, why Marxism does not resolve the left's impasse, and the possibility of recovering community and the good life beyond the political duopoly.We also preview TUCON 2026 and CanonFest, taking place at McKerracher Family Farm in Northern Idaho from August 26–31. Get tickets and see the full schedule here: https://canontcg.com/canonfestIn the Patreon-exclusive Backroom, we ask why not move right, explain why neither Dave nor I are right-wingers, and discuss why recognizing the post-left impasse does not require joining the political right.You can listen to 1Dime Radio on Spotify, Apple Podcasts, or wherever you get podcasts.Timestamps:0:00 Backroom Preview: Why Post-Left Does Not Mean Right2:56 Intro3:53 TUCON 2026 and Post-Left Theory16:50 What Is the Post-Left?25:55 The Post-Left Is not an Ideology39:34 The Leftist Industrial Complex51:00 Where Anti-Woke Critiques Fall Short1:05:21 Why Not Just Marxism?1:21:31 Why We Aren't Rightists (Continued in The Backroom, on Patreon)GUEST:David McKerracher, founder of Theory Underground, author of *Timenergy*, and chief editor of *Underground Theory** Theory Underground: https://theoryunderground.com/* YouTube: https://www.youtube.com/@theory_underground* Substack: https://theoryunderground.substack.com/* Underground Theory, Volume 2, featuring essays by Tony and Dave: https://www.amazon.ca/Underground-Theory-TIMENERGY-I-EDUCATION-ebook/dp/B0G19L25B4* TUCON 2026 / CanonFest TICKETS: https://canontcg.com/canonfestFOLLOW 1Dime:* Substack: https://1dimereview.substack.com/* X: https://x.com/1DimeOfficial* Instagram: https://www.instagram.com/tonyof1dime/* Main 1Dime YouTube channel: https://www.youtube.com/@1DimeeLeave a like, comment, and subscribe. Give 1Dime Radio a 5-star rating on Spotify, Apple Podcasts, or wherever you listen.
(A note before we get into it: this article is educational, not medical advice. Talk to your doctor or a registered dietitian before making major changes to your diet — especially if you have diabetes or pre-diabetes, take blood-sugar medication, are pregnant or nursing, or are managing any chronic condition. Nothing here is intended to diagnose, treat, cure, or prevent any disease.)Research shows well-built plant-based diets usually lower blood sugar. If yours moved the other way, one of six silent glucose traps is almost always the reason — and every one of them is fixable.TLDR* The research is actually on vegetarianism's side. Large reviews of clinical trials show vegetarian and vegan diets tend to lower A1C, not raise it.* So if your numbers went up, something in how the diet was built is the real cause — not the fact that it's plant-based.* Six usual suspects: too little protein, “naked” carbs with no brakes, shrinking muscle mass, too much fermentable fiber too fast, high stress/cortisol, and late-night eating.* Each one is a fixable habit, not a reason to abandon vegetarianism.Wait — Doesn't “Plant-Based” Mean Healthier Blood Sugar?Usually, yes. When researchers actually put vegetarian diets to the test in clinical trials, the pattern is consistent: people following them tend to see their A1C go down, not up. A meta-analysis pooling multiple randomized trials found vegetarian diets were linked to a meaningful drop in A1C, and a separate meta-analysis of nine trials found a similar reduction — enough that it would be considered clinically significant by the FDA's own bar for new diabetes drugs.So if you switched to vegetarian eating and your last lab draw came back worse, I want to be straight with you: that's not the expected outcome, and it's not “just what happens” when you cut out meat. Something specific is working against you. The good news is that it's almost always one of a handful of well-understood mechanisms — and once you know which one, it's a quick fix, not a diet overhaul.Think of it like this: a car engine doesn't run worse because you switched to a different brand of gas. It runs worse because something specific — a clogged filter, bad timing, low oil — is getting in the way. Same idea here. Let's go through the six most common “clogs.”THRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.1. The Protein Drop You Didn't NoticeThis is the single most common one. When people cut out meat, they usually don't replace that protein gram-for-gram with plant protein — they replace it with more carbs, because carbs are what fill the plate: extra rice, extra bread, extra pasta.Here's why that matters for blood sugar specifically. Protein eaten alongside carbohydrate isn't just “extra food” — it changes how your body handles the carbs. A meta-analysis of controlled feeding trials found that adding protein to a carb-containing meal meaningfully lowers the post-meal glucose spike, largely by boosting the insulin response that clears sugar out of the bloodstream faster. Pull protein out of the meal and carbs hit your blood essentially unguarded.Think of protein as the brakes on a sugar rollercoaster. Take the brakes off, and the same carbs you were eating before now send your blood sugar higher and faster than they used to.2. Naked Carbs, No BrakesThis is the same problem from a different angle: oatmeal for breakfast, a rice bowl for lunch, a smoothie for a snack. All reasonable foods — but if none of them are paired with enough protein or fat, and you're not about to go move that sugar with a workout, it hits your bloodstream as a fast, unbuffered spike. Your body answers with a bigger insulin surge, and doing that meal after meal, day after day, is exactly the pattern linked to declining insulin sensitivity over time.3. The Muscle FactorThis one surprises people: your muscles are the biggest “storage tank” for the sugar you eat. After a meal, skeletal muscle soaks up roughly 70–80% of the glucose that comes out of your bloodstream, using it to refill glycogen stores. Researchers who study this consider muscle glucose uptake the single biggest lever on whole-body insulin sensitivity.So when protein intake drops and resistance training isn't part of the picture, muscle mass tends to shrink over time — and that storage tank gets smaller. Less tank space means the same meal now leaves more sugar circulating in your blood for longer, which shows up as a slow, creeping rise in A1C.Muscle is basically your body's biggest gas tank for sugar. Shrink the tank, and the same fill-up overflows.4. High Fiber, High StressFiber itself is not the villain here — in fact, the right kind of fiber is one of the best tools for blood sugar control. Viscous, soluble fibers (found in oats, beans, and psyllium) form a gel in your gut that physically slows down how fast sugar gets absorbed, and trials show this type of fiber measurably lowers both A1C and fasting blood sugar.The issue is a different kind of fiber problem: volume and speed. Vegetarian diets are often naturally high in fermentable fiber — beans, lentils, certain grains — and when your gut bacteria break that fiber down, the fermentation process produces gas as a byproduct. Ramp up fiber intake quickly, especially the fast-fermenting kinds, and you can outpace your gut's ability to comfortably process it, leading to bloating and discomfort. That physical stress on your body, especially combined with everyday life stress, triggers cortisol release — and cortisol has a direct, well-documented job of raising blood glucose by signaling your liver to make more sugar and by making your cells less responsive to insulin.Think of fiber fermentation like a construction project in your gut. The building itself (your microbiome) benefits — but a project moving too fast kicks up a lot of dust (gas and bloating) along the way.5. Timing and Circadian RhythmsThe lifestyle shift that often comes with going vegetarian — more grazing, more small meals, more snacking — can quietly push more of your eating into the evening. That timing matters more than most people realize. Multiple studies using identical meals given at different times of day have found that the exact same meal produces a bigger blood sugar spike at night than it does in the morning, because your insulin sensitivity and beta-cell function both naturally dip in the evening. One study even found a late meal after 8pm was independently linked to worse A1C.Your body runs on a work shift for carbs. The day shift (morning, early afternoon) handles them efficiently. The night shift is running on a skeleton crew — the same carb load left unprocessed for longer, working against you while you sleep.6. Cortisol: The Common ThreadYou'll notice cortisol keeps coming up — that's not a coincidence. Cortisol's actual job during stress is to make more glucose available fast, by triggering your liver to produce it and by directly blunting how well your cells respond to insulin. Whether the stressor is emotional (a hard week at work) or physical (a gut that's working overtime to ferment more fiber than it's used to, or a body that's lost muscle mass and is struggling to regulate blood sugar as efficiently), the hormonal response is the same: more sugar released, less efficiently cleared.Who's Most Likely to Notice This?Not everyone who goes vegetarian sees their A1C move. The people most likely to notice these effects are those who already have some combination of insulin resistance, chronic stress, poor sleep, low muscle mass, or a sensitive gut. For them, a vegetarian diet doesn't cause the problem — it tends to reveal a metabolic bottleneck that was already there, quietly, underneath a different diet.This isn't a case against vegetarian eating. The clinical research is genuinely favorable toward it. It's a case for building it correctly — with enough protein, the right kind and pace of fiber, resistance training to protect muscle, and carbs eaten earlier in the day, paired with something that slows them down.Six Bottlenecks at a GlanceThe Bottom LineThe question was never really “is vegetarianism good or bad for blood sugar?” — the research says it's generally good when it's built well. The real question is: what's your body's current metabolic bottleneck? Is it protein? Muscle? Fiber pacing? Timing? Stress? Most people are dealing with one or two of these more than the others, and once you know which, the fix is usually a small, specific adjustment — not throwing out the diet.The goal isn't just to tweak what's on your plate. It's to find the actual thing standing between you and the results you were expecting when you made this change in the first place.References* Vegetarian and Vegan Dietary Patterns to Treat Adult Type 2 Diabetes: A Systematic Review and Meta-Analysis of RCTs — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S2161831324001285* Vegetarian diets and glycemic control in diabetes: a systematic review and meta-analysis — PubMed: https://pubmed.ncbi.nlm.nih.gov/25414824/* The Effect of Adding Protein to a Carbohydrate Meal on Postprandial Glucose and Insulin Responses: A Systematic Review and Meta-Analysis — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S0022316624003924* The Role of Skeletal Muscle Glycogen Breakdown for Regulation of Insulin Sensitivity by Exercise — Frontiers in Physiology: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2011.00112/full* Glucose Uptake by Skeletal Muscle within the Contexts of Type 2 Diabetes and Exercise — MDPI/Nutrients: https://www.mdpi.com/2072-6643/14/3/647* Effect of viscous soluble dietary fiber on glucose and lipid metabolism in patients with T2DM: systematic review and meta-analysis — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500602/* Dietary fiber in irritable bowel syndrome (fermentation and gas production) — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC5548066/* Fibre, fermentation, FODMAPs and flatulence — Quadram Institute: https://quadram.ac.uk/blogs/fibre-fermentation-fodmaps-and-flatulence/* Physiology, Cortisol — StatPearls, NCBI Bookshelf: https://www.ncbi.nlm.nih.gov/books/NBK538239/* Endogenous circadian system and circadian misalignment impact glucose tolerance via separate mechanisms in humans — PNAS: https://www.pnas.org/doi/10.1073/pnas.1418955112* Impact of circadian disruption on glucose metabolism: implications for type 2 diabetes — Diabetologia/PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC7002226/* Chronotype, Chrononutrition and Glucose Tolerance Among Prediabetic Individuals (late-dinner/A1C link): https://cdn.clinicaltrials.gov/large-docs/64/NCT05163964/Prot_SAP_ICF_004.pdfTHRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe
Dr. Don and Professor Ben talk about the risks from eating chicken tikka masala splashed with hot tub water. Dr. Don - not risky
Jon Issacs of the Portland Metro Chamber joins the show to share his thoughts on Tom Dundon's appearance at the PMC meeting last week and explains if there's any progress being made from the Moda Center renovation funding discussions.
In the latest episode of the Public Power Now podcast, Eric Moerman, a City Council member of the public power community of Sioux Center, Iowa, and the incoming Chair of APPA's Policy Makers Council, provides an overview of the Policy Makers Council and details how PMC members advocate for APPA's legislative and regulatory priorities. The PMC's fly-in meeting in Washington, D.C., will take place this year on July 14-15. This episode is sponsored by brought to you by Caterpillar Energy Services. Energy costs are rising -- and municipalities are feeling the pressure to do more with less. Cat AMP from Caterpillar Energy Services gives utilities and communities a powerful way forward.
For the last 400 years when medical researchers conducted an autopsy they would throw this away as medical waste, not realizing it was actually a powerful connective organ...now Western science has finally caught up with Chinese Medicine in discovering the power of fascia. What is fascia in your body and how can learning about it benefit you? In this episode you'll learn: What fascia tissue is and how it connects every system in your body, allowing for strength and mobility. How your fascia actually communicates throughout your body. If one organ has an issue, it could be impacting another one. How your fascial system is your body's electrical system, conducting energy, a fact Western medicine is finally waking up to while Traditional Chinese Medicine has known it for thousands of years. How embryology is the process through which one cell becomes your whole body, from conception to birth, and your meridian lines form the blueprint. How to strengthen your fascia through moving, stretching, hydrating and breathing. For more reading on this topic: pick up The Spark in the Machine: https://a.co/d/0d2LkDKT Acupuncture points and meridians correspond to connective-tissue planes - Langevin & Yandow, The Anatomical Record, 2002 https://doi.org/10.1002/ar.10185. Electrical resistance is lower along connective-tissue planes that follow meridians - Measured impedance Electrical impedance along connective tissue planes (PMC) https://doi.org/10.1186/1472-6882-5-10. The interstitium, a fluid-filled collagen network, was described as one of the body's largest organs 2018 Scientific American, - Meet your interstitium, The interstitium as a defined anatomical structure Benias & Theise NewYork-Presbyterian https://www.nyp.org/publications/professional-advances/gastro/introducing-the-interstitium-a-new-anatomical-structure Fascia behaves as a tensegrity structure, a body-wide tension network - Biotensegrity and the mechanics of fascia https://doi.org/10.1016/B978-0-7020-3425-1.00054-4 Fasciacytes produce the gliding fluid; the whole fascial web is being mapped in 3D - https://fasciaguide.com/article/fascial-net-plastination-project Your body is not just bone-on-bone, like the bricks that form a house's foundation. It is a tension web, and if you pull one string the whole thing moves. ------ Want more of The Ancient Health Podcast? Subscribe to the YouTube channel. Follow Doctor Motley Instagram Facebook Website ------ *You can get cell support in gummy form: Mitopure now starts at $79, when you go to timeline.com/DRMOTLEY. *Join Doctor Motley's newsletter for TCM insights and regular podcast updates: https://www.doctormotley.com/ *Do you have a ton more in-depth questions for Doctor Motley? Check out his course on emotions and the body in his membership. You'll find other courses full of his expertise and clinical wisdom, plus bring all your questions to his weekly lives! To try risk-free for 15 days click here: https://www.doctormotley.com/15
Send us Fan MailIn this interactive Sunday school lesson, missionary Jesse teaches from Mark 6:30-44 (the feeding of the 5,000), showing Jesus' divine power to multiply small offerings, His compassion for the lost, and the need for rest amid ministry fatigue. He draws out five soul-strengthening truths for everyday believers and connects them to the challenges and hopes of gospel work in spiritually resistant Italy, including their upcoming potential move to Bassano del Grappa. The lesson encourages faithful service wherever God places us while staying refreshed in Christ.Appreciate this content? Buy Jesse a coffee at BMC or support the PMc Mission directly.Links:Jesse's SubstackBecome a PMc AmbassadorPMc Short-term CohortsMission FacilityVision TripPMc Missions BlogPartnerLong-Term MissionsMissionary InternshipPMc AcademiaThe Italian Cohort - join PMc's online Discord communityServe - PMc has numerous avenues of involvementFreely join the online Discord group of PMc! The Italian CohortSupport the showDo you love God, Italians, Italy, and the church of Jesus Christ? Do you want to play a more personal role in missions work abroad? Do you want to get all our content and updates (plus bonus material no one else sees) before anyone else? We invite you to join The Italian Cohort - our online community group on Discord - and gain inside access to the work going on in Italy.
Send us Fan MailWe've all used the phrase "real people" — meaning the regular folks, the everyday ones, as opposed to the famous, the wealthy, the powerful. But what if that whole distinction is a lie? This week, I'm pulling apart the binary between "ordinary" and "extraordinary" — sharing a story from my own childhood, a lesson from my years writing public policy, and some genuinely surprising research on what actually makes us alike. Spoiler: the line between you and a billionaire is a lot thinner than either of you think. Grab your coffee — this one's personal. Quote of the Week “If it's not accessible to the poor, it is neither radical nor revolutionary” Citations· Witherspoon, D.J., Wooding, S., Rogers, A.R., et al. (2007). Genetic similarities within and between human populations. Genetics, 176(1), 351–359. https://doi.org/10.1534/genetics.106.067355· Ekman, P., Friesen, W.V., O'Sullivan, M., et al. (1987). Universals and cultural differences in the judgments of facial expressions of emotion. Journal of Personality and Social Psychology, 53(4), 712–717. https://pubmed.ncbi.nlm.nih.gov/3681648/· Systematic review (2025) of 21 peer-reviewed studies (1972–2024) on cultural differences in the production of emotional facial expressions. PMC. https://pmc.ncbi.nlm.nih.gov/articles/PMC12907163/· Killingsworth, M.A. (2024). Money and Happiness: Extended Evidence Against Satiation. Happiness Science. https://happiness-science.org/money-happiness-satiation/· Killingsworth, M.A., Kahneman, D., Mellers, B. (2023). Income and emotional well-being: A conflict resolved. Proceedings of the National Academy of Sciences, 120. (referenced in CBC coverage: https://www.cbc.ca/radio/costofliving/money-can-buy-happiness-1.7107592)· "If it's not accessible to the poor, it is neither radical nor revolutionary" — widely circulated activist quote since at least 2016; original source unattributed. Let's go, let's get it done.Get more information at: http://projectweightloss.org
Across the first half of 2026, sound is increasingly moving across culture, science, and media, expanding from niche wellness practices into mainstream cultural programming, clinical research, and neuroscience. In this episode of Sound Healing News, Natalie Brown explores how sound baths, vibroacoustic therapy, and immersive sound experiences are appearing in concert halls, botanical gardens, healthcare research, and media coverage, while scientists and journalists alike begin to develop a shared language around attention, nervous system regulation, and human experience. This episode of Sounds Heal Podcast is sponsored by Crystal Tones, creators of the original Alchemy Crystal Singing Bowls®. Crystal Tones bowls are handcrafted in the United States from ultra-pure quartz crystal and infused with precious metals, gemstones, and rare minerals through a proprietary alchemical process. Each instrument carries its own distinct tonal character, harmonic richness, and vibrational quality, making them widely used in sound meditation, contemplative practice, therapeutic sound environments, and performance settings around the world. Known for their depth of tone and complex overtone fields, Crystal Tones has become a significant presence in the evolution of modern sound culture, with their instruments featured in wellness spaces, ceremonial contexts, and immersive sound experiences internationally. More information can be found at http://www.crystalsingingbowls.com. Natalie Brown, host of Sounds Heal Podcast, founder of Sounds Heal Studio, Sound Healing Academy Lead Teacher for North America: http://www.soundshealstudio.com http://www.facebook.com/soundshealstudio http://www.instagram.com/nataliebrownsoundsheal http://www.youtube.com/soundshealstudio Email: soundshealstudio@gmail.com Music by Natalie Brown, Hope & Heart http://www.youtu.be/hZPx6zJX6yA Episode references: Los Angeles Master Chorale – Sound Waves: A Transcendent Sound Bath for the Soul https://www.globenewswire.com/news-release/2026/05/12/3293188/0/en/Escape-the-Chaos-Los-Angeles-Master-Chorale-Presents-Sound-Waves-a-Transcendent-Sound-Bath-for-the-Soul.html Sound in Bloom – Rotary Botanical Gardens https://events.wiscotix.com/e/sound-bath-june-2026 Sunset Spirit Sound Bath – Sonoma Botanical Garden https://www.sonomacounty.com/events/sunset-spirit-sound-bath/ Summer Solstice Sound Healing – San Diego Botanic Garden https://sdbg.org/programs/06-20-summer-solstice-sound-healing/ Floating Sound Bath – Salamander DC Spa https://www.salamanderdc.com/spa/floating-sound-bath Floating Sound Bath – Minneapolis https://floatingsoundbathmpls.com/ Se7en Waves Floating Sound Experience https://se7enwaves.com/floating Sound baths are one of 2026's biggest wellness trends – Atlanta Journal-Constitution https://www.ajc.com/wellness/2026/03/sound-baths-are-one-of-2026s-biggest-wellness-trends/ The Guardian – What is a sound bath and does it work https://www.theguardian.com/commentisfree/2026/may/12/sound-bath-what-is-it-does-it-work-music-meditation-relaxation-nervous-system-science Traditional Medicine Conference 2026 – Vibroacoustic Therapy program https://traditionalmedicineconference.com/program/scientific-program/2026/vibroacoustic-therapy-integrating-sound-science-and-traditional-healing Music-based interventions in clinical settings (PMC) https://pmc.ncbi.nlm.nih.gov/articles/PMC5871151/ Computational music cognition and neural entrainment https://arxiv.org/abs/2601.12280 Neuroscience of rhythm and attention https://arxiv.org/abs/2605.02527 Vogue Arabia – Frequency sound shaping wellness in 2026 https://www.voguearabia.com/article/frequency-sound-shaping-wellness-in-2026 MusicRadar – Sound as scaffolding for the nervous system https://www.musicradar.com/music-tech/when-approached-thoughtfully-electronic-music-can-act-as-a-kind-of-scaffolding-for-the-nervous-system
The Cycling Tech Brief: the cycling tech that actually matters this week — and whether to update, wait, or ignore.Eovolt Afternoon Twenty V0 recalled across Europe over frame weld failure risk — Check your serial number under the bottom bracket now — if it falls in the recall range, stop riding and contact an authorised UTO/Eovolt dealer immediately.Peloton extends Bike and Bike+ seatpost replacement to UK, Germany, Austria and Australia — voluntary, not a formal recall — If you own an original-series Bike or Bike+ in the UK, Germany, Austria, or Australia, order your free seatpost now via Peloton's member support portal — don't wait for a second notification.Real-world battery burn test: COROS Dura solar yield edges Garmin Edge 1040 Solar in consistent drain, but feature load distorts the comparison — Monitor: if you ride ultra-distance with navigation always on, the Dura's consistent drain gives it a genuine edge — but if you need rich offline maps and rerouting without a phone signal, the Edge 1040 Solar (increasingly on sale) remains the more capable tool.TrainingPeaks Premium annual price rises to $134.99 — first increase in a decade — Monitor: if you're a self-coached athlete on the annual plan, review whether you actively use the PMC and structured workouts before your renewal — if you do, the increase is modest; if you don't, now is the moment to audit.⚠️ OUT OF SCOPE — Yamaha Ténéré 700 is a motorcycle, not a bicycle or cycling-tech product — Drop this item from the show — it is a motorcycle recall and does not belong in a cycling-tech rundown.Daily cycling intelligence from SEMIPRO CYCLING, produced with AI-assisted research, scripting, and synthetic voice.
The Cycling Tech Brief: the cycling tech that actually matters this week — and whether to update, wait, or ignore.Eovolt Afternoon Twenty V0 recalled in UK and Europe over frame-shattering weld defect — If you own an Afternoon Twenty V0, check your serial number under the bottom bracket now, stop riding, and contact UTO immediately — don't buy or ride affected units.Amazon-sold Bigniu BG10 e-bike battery explodes during charging, burning Florida rider — lawsuit filed — Do not buy high-powered 'e-bikes' from unvetted Amazon sellers; look for UL-certified batteries and verify the product meets legal e-bike classification before purchase or indoor charging.Peloton extends Bike+ seatpost replacement to UK, Germany, Austria and Australia — voluntary upgrade, not a formal recall — If you own an original-series Bike or Bike+ in the UK, Germany, Austria, or Australia, check your inbox for Peloton's email, order the free seatpost now — shipping slots are first-come, first-served with up to a 12-week wait.TrainingPeaks Virtual v19.99 ships 450+ community-driven fixes plus new world routes and hardware support — Update now — this is a meaningful stability and fidelity release, especially if you use GPXplore or export FIT files to third-party analysis tools.TrainingPeaks clarifies Basic vs Premium split in freshly updated 2026 breakdown — the paywall is steeper than many realise — Monitor: the Basic tier is too limited for self-coached structured training — trial Premium for 14 days to decide if the PMC and scheduling flexibility justify the cost versus free alternatives.Daily cycling intelligence from SEMIPRO CYCLING, produced with AI-assisted research, scripting, and synthetic voice.
Tobacco industry contributions to the development of ultraprocessed food in the United States, 1985–2007: A case study of Lunchables American Journal of Public Health Tobacco firms began acquiring US food companies in the 1960s-1990s to increase revenues and leverage research and development across holdings in tobacco, alcohol, and ultra-processed foods (UPF) subsidiaries. In this case study, the authors examine the development of Lunchables® following Phillip Morris (PMC) acquisition of Kraft and General Foods (KGF). PMC applied a “consumer-driven product development” strategy, previously used for tobacco, in the development process to maximize consumer appeal. PMC also used technologies from KGF to make lower-nicotine cigarettes and then low-fat versions of Lunchables®, in a “better-for-you” strategy to preserve market share in the face of health concerns about both products. The authors suggest public health strategies and policies used to address tobacco could be expanded to UPFs to reduce harm to children. Read this issue of the ASAM Weekly Subscribe to the ASAM Weekly Visit ASAM
Send us Fan MailA raw, informative update from Jesse Schreck on the mission field in Italy, unpacking eye-opening stats (60 million people,
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Paul Rainey. He holds a powerful executive role in the media world, shaping the future of iconic brands like Billboard, Rolling Stone, and SXSW.
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Paul Rainey. He holds a powerful executive role in the media world, shaping the future of iconic brands like Billboard, Rolling Stone, and SXSW.
Dr. Don and Professor Ben talk about the risks of licking someone else's ear wax off your finger Dr. Don - not risky
Dr. Don and Professor Ben talk about the risks from racing a bike through belgian toothpaste (i.e., mud). Dr. Don - not risky
Today's topic is something the Dental A-Team hears about a lot: Our practice is awesome, but we struggle to find new patients. Kiera talks about why this is such a common issue, and gives tips on what you can do to address it. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners. This is Kiera and I am so freaking pumped about today's podcast and I hope you are too. Today's gonna be a fun day. It's about something that I absolutely love and hate. For those of you that have been listening to the podcast for a while, welcome. I'm Kiera Dent. I'm so happy you're here. My job and our company's motto is to possibly impact the world of dentistry in the greatest way possible. And we do that through this podcast. We put it on for free for you. Tactical practical advice for you every single week for doctors and teams because honestly trying to get both on the same page is really tricky. being a team member myself, being a business owner myself, working with hundreds of offices across the nation, our team works with hundreds of offices, our consulting team is like truly second to none. I do believe that we have the most experienced expert team that you could ever ask for. And they truly guide doctors and teams to fulfillment, to success, and they do it with ease. And of course we pop the confetti and have a ton of fun. So today I wanted to just dive in. And talk about like, why are great practices still struggling to attract patients? I think that this comes up on many coaching calls in lots of different areas. And it's something of like, but the practice is amazing. Why are they not getting the patients? And I think something that I pulled from some business courses I've taken is it does not matter how great your business is. It matters how well your business is marketed. And so I think for us to just look at this and say, all right, how do we market better? And what are the things? So I have found that it is not because like you are clinically sound or you're not clinically sound. It's really about like being easy to choose and how are we able to be easy to choose as a practice versus being hard. And there's some simple things today that I wanted to go through because like you can have great dentistry, a solid team, great intentions, but if growth is feeling harder than it should, or we're not attracting these patients, let's talk about some ways to do this. And yes, there are PPO, there's fee for service, there are different things that happen for both of those. But literally what I found is we've got to like look through what a patient's experiencing before they even come into your practice. So I feel like the growth and systems conversation is like not just about marketing conversations. A lot of times we're like, here, I want the magic bullet. I want you to like give me these items and we can just get all these new patients. And I want to too. And I'm here to say that marketing has a place. ⁓ But I also want you to realize like what are your patients choosing you for? And so looking through your reviews, you can actually throw it into AI and say like, What are the top like five things that come from these reviews that we're receiving as to why patients are choosing us? And there was a great quote from Top Tips for Effective Clinical Communication in the British Dental Journal, yes, PMC 2023. And they said, effective communication is central to every element of clinical practice from first contact with reception to the point the patient leaves the building. And when I read that quote, I loved that quote because I feel like so often we don't think about all these mini touch points. And I know we've talked about it before, but it's like, let's work through, like maybe we don't need more new patients. Maybe we just need a better path from attention to appointment. Yes, I love that. From attention, like grabbing their attention to them setting the appointments. And so where can we look for like common misdiagnosis within the practice? What does this look like? And so usually people are like, we need more marketing, we need more patients. And that's not wrong. I was on a coaching call with a practice and we were talking about like, A great ratio for everybody to have is we need the patient base to be 200 patients per hygienist per day in one week. So for example, if I've got 10 columns of available hygiene in a week, I need 200 patients. Yes, I did easy math for you. What is that answer? 200 patients times 10, bingo, 2000 patients would be an active patient base. Usually seen within the last 12 to 18 months is how many we need to see. So we were looking and this practice was running 14 columns of hygiene in a week. Well, that's 2,800 patients. They only have 1900 active patients. So what would most practices say? We need more new patients. Let's run into marketing. But like, are there other things that we can do instead of just needing marketing? Like could we maybe, are there patients already sitting within our practice that we need to have? Maybe we do need to have more new patients. Yes, the ideal is 30 new patients per month per doctor. But is that always the case? Are they maybe hiding in the crevices of your practice that we could pull forward? So me and this office manager had a call, talked about it. looked, we went back to their recall. She was like, here, I got six patients on there. And I was like, well, that's inconvenient. So what things could we do? And so what can we really look for of what about our, are we looking at our re care and our reactivation? Are we reappointing all of these patients? Like before we even go and jump into marketing, which I'm not here to say don't market, but what about all the patients sitting in our database right now? One, can we reactivate them? The answer is yes. Two, with all the patients coming through, are we asking every single patient, who else can we schedule for you? We absolutely love you. How else can we like, who else can we schedule? Who else do you know that we could schedule for you? So when I look at this, like where is the true diagnosis and do we actually need more? Or is it that like, no, we just need to be better with this. The practice is also asking me like, Kiera, is it the economy? Like we're not getting all these new patients we used to. And I want to say that like generally speaking dentistry is pretty economy bulletproof. Like most patients come in, Things have it. Now, fee for service, you're gonna struggle more because patients might only like to do one cleaning versus two cleanings, but your insurance driven practices, great news for you. You've already got your patients there. And I'm not here to say that insurance is bad. I actually think insurance is one of the best marketing pieces to drive patients to your practice. And then it's a thousand dollar coupon, like a thousand dollars to get a patient. I know you're like, but Carrie, we take all the cuts and the fees. I don't disagree with you, but how much does it cost to bring on a new patient? Look at that cost. to benefit and if I can like go beyond their max and my team is really good with that, $1,000 for an insurance max. I understand that not always that's the case, but is that worth it? I say typically yes. So when we look at this, why like, do we really need more marketing? Do we really need more patients? I want you to look for like, let's make sure our systems are tight and taut before we go after and hit the marketing because that just means we got to make sure our bucket, like the walls aren't empty. We don't have a hole in our bucket, but we actually are filling that bucket with these patients. So that step one is I want you to look there. Me and this office manager, did we find? We found over 800 patients in their database right now. That's how many patients they need. We don't need to go after new patients. We just need to use the patients we already have in our practice because then our practice is full. Now, if we want to grow, then maybe yes, but even that look to see who is in our database version. People don't want this. It's not sexy. It's not fun. It's like, no, but I just want marketing. I want them to be dropped into my lap. I hear you. but let's make sure that we have that. Now, if we've elected that we do need to go for marketing and we've already tightened up and we have all these pieces, we've got our re-care, we've got our reactivation, we're calling patients, we're making sure that they're reappointed, we're looking and we're running this report consistently, we're asking every single time we schedule patients, who else can I schedule for you? We are actively asking for referrals and reviews. If that's already done, and that's a big if, then we go and look into marketing. So what I want you to look at for you is like, Do we need to have different messaging on there? How is our, like when we do market, I want you to look at like, what's my website, what's Google, what's our phone experience and is that matching the first impression of us? What about our clarity? Like, are we really crystal clear on who we're trying to market to? Do we have that dialed in? Our dentistry should speak for itself and so tightening up our first impression, tightening up like what our practice is saying to patients and making sure that patients really truly feel like this office is so different than any other practice, that's going to make sure like that impression online needs to match our patient experience and vice versa. Our patient experience needs to match our online presence. Sometimes offices are so good, but their online presence looks like they are like dated 50 years ago. So making sure that your practice matches, because if a patient's confused, they might not be converting for you. And so let's just look to make sure does our online presence and our phone calls match our clinical excellence in the practice and does our clinical excellence in the practice match our phone calls and our outside experience? And I hope you guys can see like those two have to be the same. When you pop on Dental A Team, like you listen to me on the podcast, when you join our team, it's freaking fun. We have fun in person masterminds. We have fun in person visits. Teams love when we come. It's got to match what you hear on the podcast. And if it doesn't, people are like, Kiera, I love your energy. And I'm like, I know I have to hire consultants to have my same level of energy. They're not exactly clones of me. But otherwise it feels like a mismatch and you're like, wow, that person's like really low and cure is really high. You join Dental A Team because you love our energy. You love our style. You love what we present and preach on the podcast. That's why you join. Now, if you didn't experience that, that that's going to be a mismatch. Same thing with you and your practice. Is that a mismatch? Can you tighten that up? So then when it's that we go back to the leaking, we already talked about leaking. So when I look at this, we want to make sure that like we are matching online. And then I talked about our acquisition, our retention, our reactivation, our reappointment rates. But then in addition to that, there might be more that we could diagnose on there of our experience is amazing. Everything's matching. We might need to go into marketing, but like, let's talk about some other areas where you might have new patients just coming through, through this, which can tie to your marketing. So we've decided our online matches, we're going to go for marketing. We need to get more new patients and or it's already our new patients there. Let's look at how many missed calls we have. People think all the time, like we're just so busy. We're so busy. missing those calls can actually be impacting your practice with those new patients. Then how do we follow up with them? So if we miss calls, like some people are like, it's fine. We just have a text. Well, that person's hunting right now for a practice. What's that patient experience? And remember, it's these great practices who are failing to attract new patients. Is it because we're missing calls? Is it because we're not doing well with that new patient? Do we not make them fall in love with us when we do get them on the phone? That patient should hang up and be like, Gosh, Jason or whomever their spouse significant other best friend. I am so freaking pumped to go to that dental practice. If they are not saying that when they hang up with your office, there is something that could be lost there. What about what happens with all these patients that are not like coming through? Do we have a process in place to make sure they get back on the books? What about are we having like a set process in our practice where we're consistently asking for reviews and referrals all the time? And then also like, do we have this poor handoff from like when a patient calls us and says, this is what I need. And then they take them to the back office and it's not even remotely what they have. Do we have that in there? And so when we look at this, I think it's part of we've got to be tracking and auditing. How many missed calls do we have? How long does it take us to get a missed call to schedule? What about for new patient scheduling? When do we get our new patients in? What about who's overall the followup of this? And then also, how are we asking for reviews in our practice? If those things, in addition to re-care, reappointment, reactivation, I just listed off eight things. I've got them on my fingers if you're watching the video. Eight things, if we are not doing that, don't talk to me about trying to get new patients and like, ⁓ we can't attract them. You were attracting them, we're just not handling them correctly. We're not taking care of them because this practice is not converting what you're already paying for. And I think if we can't be good stewards over what we're already paying for, Why are we asking for more? To me, I'm like, tighten the bows. Like that's way easier, but that's discipline and discipline does equal freedom. So for practices, it might be worthwhile before we even jump on the horn and say, we need more new patients. I'm just going to list it off for you. Missed call numbers. We're going to go through our like from missed to scheduling. What about who's over all the followups of all these? What about our review process? What about our re-care? What about our reactivation? What about our reappointment? If those aren't tight, you have the patience in your practice, you're just not using them and handling them with care. And so make sure that you're not like, I hate wasting money and I think that this is one of the greatest opportunities to waste money. So when we think about it, like here's top funnel, right? We talked about, we gotta make sure our leak is not leaking, okay? Bucket has all the holes filled. Then we gotta make sure what are we saying online versus what they're experiencing and what they're experiencing is that showcased online. Tighten all that up. And then when we look at this, I'm like, okay, we are solid on this. But what really, really is going to speak and help and what's going to create massive growth for your practice is when the patient journey feels clear, consistent, easy from the first click to the first visit. So when we think about this, we talked about this a little while ago, like what does this new customer want? What does this new patient want? We want to pay attention to like how quickly are we responding to people? What happens when they show up to our practice? Are we so like excited. Is it genuinely? ⁓ Someone told me a quote for the Ritz-Carlton and it said, ladies and gentlemen, serving ladies and gentlemen. And I have not stopped thinking about their mission statement because I think about it if like, do you have high level professionals serving high level professionals? Or do we have high level professionals serving friends and family of the community? Or do we have like everyday community team members serving and loving everyday team, like community families? Whatever it is, making sure that this patient feels like the journey is so consistent with what we're putting online, what we're saying we are. So how do we have this? And so really making sure that there is this whole process, like patients love you from the first day that they call you. Patients are excited to work with you. Patients are just giddy. Patients, when they leave the practice, are giddy to refer you, to leave a review for you, to leave a referral. And I think people forget... that this could actually be a very easy process. So ways that teams can do this is like, let's actually run through a new patient calling, call the practice and like, let's hear how they answer. And don't be afraid to give honest feedback. This is what we're here for. We are here to give honest feedback. And so what was that experience like? Did I feel like you were so excited that you're my best friend that you can't wait to welcome me into the practice? Or if you're more of a holistic practice that it's a Zen, it's a calming, it's a we've got you and we're gonna take great care of you. How do people feel when they call your practice? That's number one. Number two, let's go online. What do our reviews say? What does our website look like? And does that match when you come into the practice? And if it doesn't, what small little changes, notice they're small, not giant ones. What small changes need to happen? Do we need to update our Google presence? Do we need to update our website? What do we need to do from there? Okay, so we go through that. Then we walk through the practice as a new patient. So come in the door, act like a new patient or act like a regular patient. Let's do role play both of them. How is a new patient greeted? Are they just given an iPad and told to sit there? Is it like, me have a concierge style with them. What about new patients? Are we saying, hey, it's so great to see you, Kiera. How's your family? Gosh, like let me make sure I get your next cleaning scheduled for you. I know that you absolutely love to like zip out the door you're busy. And who else can I schedule for you? Let me make your life simple while we're waiting. I'll grab you a cup of coffee while you wait. Are we doing that? Did you just hear how many little opportunities I asked? The new patients coming in, the patient there, like how to get more patients just by loving them and being a friend to them. Then what is it like when we take them to the back office? How is our new patient experience? them in the hygiene chair. How do we explain our pieces? And then what's our wrap up at the end? How do doctors wrap up the exams? How do we take that patient to the front office? How do we hand them off to the front office team to make sure that they're having this amazing experience? Front office team, how are you wrapping up? Are we asking for reviews at that point in time? Do we maybe have a little postcard that we can give them of like, we're trying to help more patients like you. Best way to do it is to leave us a five star review. I love working with you, Kiera. You absolutely make my day. Every time you come into the practice, I would love it if you'd leave me five star review. Just so you know, my hygienist at the office that I absolutely loved asked me that. I went right home, I had the little postcard, set it on my counter, did the review that night, because it was so simple. That review, also it sat there. My husband doesn't go to that practice. And I was like, I love my hygienist, Jayce. You should probably schedule, like we should get you scheduled for that. Little subtle things. And I'm already patient. I'm the cheapest, easiest marketing to go after. And my patient experience was amazing when I went in there. Now, when I got annoyed with them, it was because I wouldn't get the same hygienist. I didn't have the same doctor. People didn't know my name. They were late. I left. I ended up leaving the practice. So those little things that we don't think matter are what are deterring. So not only do you role play through what's going great in your practice, but maybe that's also question mark, why would people leave our practice? Asking that question can also be a great audit of why, and are we following up on missed phone calls? Are we calling people back? Are we scheduling them for unscheduled treatment plans? Are we running this report every single month? Like, do you see how there's an entire ecosystem around these patients? And so when I asked the question at the beginning of why great practices still struggle to attract patients, I think the better question on that is, are we actually doing the little pieces that drive us forward consistently? Are we hoping and praying for miracles of new patients to just rain from the sky? It's like, I can have rain come every single day from the sky, but if I'm not collecting it in buckets, purifying that, making sure I have a system for that, as much rain that comes down is never going to be enough for you. And so when I look at this, I think it's a space of how can we make sure that our marketing dollars are being well taken care of? Every patient in our practice feels like they are a VIP and that they want to send more patients to us. Those simple, small things are actually how great practices can freaking thrive. These are how my best of the best do it. When I look at my highest ones, the ones who have repeat customers constantly, they're tight. Their reappointments are there. Their missed calls, they track that, they monitor that. That's a KPI for them. They check to see how long before we get back to missed calls. They are reducing that missed call number. Their reappointment percentages are high from hygienists. They're running the reports. They do not have many patients sitting in their re-care and reactivation campaigns. They are running those on a regular basis, getting patients back into the practice. They also are making sure that they're auditing how's our patient experience. What's our online presence saying versus what's our inside presence saying? How is our experience? Why would they be leaving us? Let's tighten this up. Let's tighten this up. Let's make sure every encounter is great. We are constantly asking for reviews and referrals. And if that feels daunting to you, then great news. You just heard an amazing opportunity to grow your practice with minimal effort. This is how you're able to do it. You don't need to be fancy, flashy, showy, none of that. All you need to do is have consistency and intentionality. And so I think it's one of those things of growth comes from being clear, being consistent, and actually having a great experience every time they come, because patients stay for that. So when it's not easy, when you feel like this, a lot of times it's just like doctors are like, I'm busy in the back, Kiera. I'm doing dentistry. I'm drilling and filling. Like, how am supposed to have time for this? And office managers are like, you don't even talk to me. I'm trying to get all the billing out there. I don't disagree. And I feel like these are the cobwebs within the practice that make a practice great or have a practice crumble. And I think so often people think they need more new patients or they need all these different things when actually all they need is to tighten up and refine and optimize what they already have and have somebody help them with that. So I would love to help you guys. I'd love to find out like where is this breakdown? Where can we tackle it and help hold you guys accountable to it so you actually see the fruits of your labors. So you're actually able to do that. So reach out Hello@TheDentalATeam.com if you want some help with this. And today I really want you each to go through an audit. Auditor missed calls. audit our website, audit where we are like, how long does it take us to call missed calls back? How are we reappointing? How many patients are in our unscheduled lists? How are we following up on them? Do we have a process for that? What's our experience? Are we asking for reviews? And I want you to pick one thing from today's podcast, not all of it, because that can feel daunting, but one thing where we can tighten, sharpen, and refine and optimize to where we don't have these gaps in our practice. Yes, marketing has its place. But like I said, all the rain can come to you, but if you're not collecting it, refining it and optimizing it, doesn't matter how much rain falls, you're always gonna want more. Just like you're always going to want more new patients. These are little, simple, easy ways to grow your practice. If you're struggling with it, reach out, Hello@TheDentalATeam.com. Sometimes you don't need a different strategy, you just need to be held accountable. Sometimes it's not going crazy. Like literally this could be a whole marketing podcast, but instead I'm telling you little simple things you can do in your practice today to grow. You don't need to do it. So I want to remind you that patients don't choose practices that are best in theory. They choose practice that feels easiest to trust. And sometimes I get annoyed because I do watch practices and there are some practices that I don't think should be the highest top practice. And yet they are because they are the easiest to trust. are the easiest. They are the best marketed. They are the ones that just make the process simple. You can think about a competitor you might have. And question mark, why would patients go there versus you when you might be a better clinician, a better overall experience? I'm not here to say that dentists are not great. I know we're all striving. I also know that some dentists are better than others. And so how can we make sure that the best dentists, those of you listening are winning? I want to make sure that you're winning. So reach out Hello@TheDentalATeam.com. And as always, this is your practice. This is your opportunity. This is your moral obligation to serve patients at the highest level possible. And I just implore you and invite you. to take one step today, make your practice just a little bit better, a little bit brighter. And if we can help in any way, we're here for you. You have it, it's all yours. And I just remind you that we are so lucky to live in the time we do, to do what we get to do every single day. And if I can help you in any way, reach out. And as always, thanks for listening. I'll catch you next time on the Dental A Team Podcast.
Dr. Don and Professor Ben talk about the risks from adding homemade taco seasoning directly to cooked meat after turning the heat off. Dr. Don - not risky
Send us Fan MailIn this special episode recorded on the road in the US, Jesse Schreck shares a powerful sermon from Mark 6 on Jesus feeding the 5,000. What begins as a much-needed rest for weary disciples turns into a beautiful display of Christ's compassion, divine power, and training of His followers.Drawing from his own missionary experiences in Italy and the life of the late Kurt Jost, Jesse unpacks five soul-strengthening truths for faithful servants: the importance of rest and reflection, compassion for the lost, our need for the true Good Shepherd, dependence on God's strength, and why God's way is always better.Whether you're serving locally, on the mission field, or feeling worn out in ministry, this episode will encourage you to trust Jesus, offer what little you have, and watch Him multiply it for His glory. Perfect for missionaries, pastors, and everyday disciples.Recorded missionary-style from a living room while visiting churches—join us in praying for the work in Italy!Appreciate this content? Buy Jesse a coffee at BMC or support the PMc Missiondirectly.Links:Jesse's SubstackBecome a PMc AmbassadorPMc Short-term CohortsMission FacilityVision TripPMc Missions BlogPartnerLong-Term MissionsMissionary InternshipPMc AcademiaThe Italian Cohort - join PMc's online Discord communityServe - PMc has numerous avenues of involvementFreely join the online Discord group of PMc! The Italian CohortSupport the showDo you love God, Italians, Italy, and the church of Jesus Christ? Do you want to play a more personal role in missions work abroad? Do you want to get all our content and updates (plus bonus material no one else sees) before anyone else? We invite you to join The Italian Cohort - our online community group on Discord - and gain inside access to the work going on in Italy.
Get access to The Backroom (100+ exclusive episodes) on Patreon: https://www.patreon.com/OneDimeOn this episode of 1Dime Radio, regular guest, David McKerracher and I talk about his new Substack article The Natality Pill. Part of this discussion includes the concepts of castration culture, and the Liberal Rumspringa. We trace how secular adolescence, PMC institutions, and marketized intimacy sever people from natality, tradition, and each other. We also touch on midwifery's suppression and left‑wing self‑sabotage.In The Backroom on Patreon Dave and I discuss the controversial questions of Race, Sex, Gender and all of the topics woke white liberals never like to go near. Timestamps:0:00 The Backroom Preview: The Lesson of Bernie Sanders3:53 Introduction 06:28 Natality Pill and Wanting Kids12:33 From Kibbutz to Liberal Rumspringa50:24 Bernie Bends the Knee57:10 Privilege Stack and Literalists01:19:58 Castration Culture Explained01:24:25 Parents, Patriarchy, and Growing UpFOLLOW 1Dime:• Substack (Articles and Essays): https://1dimereview.substack.com/• X/Twitter: https://x.com/1DimeOfficial• Instagram: instagram.com/1dimeman• Check out my main channel videos: https://www.youtube.com/@1DimeeGUEST:Dave — Theory Underground• Check out the Theory Underground YouTube Channel: https://www.youtube.com/@theory_underground• Check out the Underground Theory Book (Im in it too!) : https://www.amazon.com/Underground-Theory-David-McKerracher/dp/B0CH2CXSGNCheckout Dave's Substack: https://substack.com/@theoryunderground?r=2sschq&utm_medium=ios&utm_source=stories&shareImageVariant=blurLeave a like, drop a comment, and give the show a 5-star rating on Spotify, Apple, or wherever you listen to this.
Your mood struggles might not be a mindset problem — they might be a methylation problem. In this episode, Nurse Doza breaks down the TMG supplement (trimethylglycine), how it drives serotonin and dopamine production, and why pairing it with SAMe in BLISS delivers clean energy and mood support — no caffeine, no stimulants, results in minutes. Featured Partner: MSW Nutrition — BLISS BLISS by MSW Nutrition combines two of the most underutilized mood-support compounds in functional medicine — trimethylglycine (TMG) and SAMe — in a fast-absorbing sublingual powder. Together, they fuel the methylation pathways your body needs to produce serotonin, dopamine, and sustainable energy — exactly the mechanisms Nurse Doza unpacks in this episode. No caffeine. No fillers. No stimulants. Just the two ingredients your brain chemistry has been waiting for.
So many practice leaders and owners feel it, but so few say it — the weight of ownership can sometimes be too much. Kiera talks about how common stress among dentists is, what those stressors can look like, and how to start lessening that weight today. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent- Dental A Team (00:00) Hello, Dental A Team listeners, this is Kiera and I hope you're having a great day. I hope that you are excited about life. I hope that you just remember like, we are so lucky. We get to be in dentistry. We get to hang out on the podcast together. I get to go with you on whatever road you're going on today, whatever life you're doing, whatever you're doing. I am so grateful that you're choosing to take me along with you. And today I just wanted to talk about something that I feel is really near and dear to me. It's near and dear to a lot of our dentists. We ran a really fun webinar last year and I'm excited to do it again. And it was probably our best webinar we've ever run. I had probably the best turnout we've ever had. But I think it was because we hit the strongest topic and we're actually gonna be discussing this at summit this year, at our webinars this year. So if this hits home, I would invite you to join us ⁓ at any of them because you don't have to do this alone. And what it is is the hidden weight of ownership. And I think it's like what every practice leader and owner feels, but they rarely say. And I just feel that people, I don't know, we have a mastermind and there's a girl in our mastermind, we're in person. And I remember I was asking for people like, hey, how was the mastermind for you? What were your takeaways? And every single time I asked that question, the mastermind, someone always raises their hand and they always say, it feels so good to be amongst peers and colleagues. and to realize that I'm not alone. And I'm like, if we all know each other is going through this, but we don't say it, I think we live in our head a lot. And when you're in your head, you're dead. And so I think a lot of times like ownership is heavy. And for myself, it's heavy. And for all of you listening, it's heavy. And I think what we don't see is it's like, we carry payroll. We worry about cashflow. We feel like we're responsible for team culture and morale. We read the book. I mean, I've been on it. I've told you guys, read Extreme Ownership by Jacka Willings. Everything in your practice is a direct reflection of you and you are responsible for it. So then you're like, great, patient complaints, like this is my fault. Can't tell you how many doctors I've had get bad reviews while I've been in office or we've been working with them or with our consultants and the doctor literally cannot let it go for weeks, months. Like it just eats at them. And I don't blame you. You feel like everyone else clocks out and you still have to carry this home. They all get to go home. They get to have their paycheck. I don't, I get to sit in this amazing space that I built for myself that I absolutely just want to like. let go. And I think it's one of those things of like, you're a great dentist. It's just the weight of feeling like you're responsible for all of it. And I know I feel this too. And so today I just wanted to invite you of like, Hey, let's talk about some tactical places of how to make ownership feel a little bit lighter that could make it to where you're not alone. You don't have to be alone. And there's actually some tactical pieces for you and welcome to the Dental A Team, the space where you don't need to be alone, running a practice that's successful should be easy. And that's what we're on a mission to do and to positively influence you. to help you realize that things are better than you think they are, but to give you a tangible path, not just theories and ideas, but a tangible path to go from where you are today to where you want to go. And I'm Kiera Dent and I'm obsessed with dentistry. I'm obsessed with helping people have their dream freaking lives. I realized after a long time, and this might sound so cheesy to you, but the purpose of my life is to truly like be a creator. And what it is, is it's to create and like help people's dreams come true. And I know that sounds so silly, but I look at all of my goals. They're always for other people like. sending my mom on her dream trip, buying my dad his dream car, getting Jason his dream car, helping my team members get their dream lives, like helping this team member buy a house, helping this dentist get their like dream house in Florida. Like that freaking lights me up. And so the bigger the dream, the bigger the opportunity. And I think for you, if you're listening today, I hope you just feel like I'm giving you a giant hug of understanding, of knowing, of letting you know that you're not doing this alone. And so I just want you to know that this today is not a pep talk. This is like, A lot of leaders like it's only them that feels this way. But guess what? It's super common. And I want you to know that you were trained to be a dentist, you aren't trained to be an owner. And so today, I wasn't trained to be an owner either. And guess what? We've all had to freaking learn it. And so I'm here to tell you, here to help you out of the way. ⁓ And I think that this is a great quote. Leaders increasingly need to serve a wide array of follower and organizational needs without depleting their own energy or risking burnout. And that came from a qualitative investigation of leader vitality in 2023 of PMC. And I just think about this and like the ADA also said in their health policy in 2024, they said 82 % of dentists feel major stress in their career. And I just thought like, shoot, this is something we need to talk about. Like you're carrying like this array. Like I think about my shoulders and like almost like football player with shoulder pads and I'm like, my shoulders aren't big enough to carry all this. And yeah, I'm expected to carry payroll, expected to carry this, expected to carry that, that I think it almost like literally by default weighs this down. so, Let's talk about what makes it feel heavier and how to actually lighten that load. So I think it's one of those spaces of like, we talked about you're responsible for everyone's paycheck. You feel like every team problem, it was a reflection of you. Like turnover when somebody turns over, I don't know about you guys. like used to stew on this for days on end. Like I felt like I was a problem. Like, hi, Taylor Swift. Like, hi, I'm the problem. It's me. My team hates me. ⁓ We feel like success feels like it's impossible. I feel like everybody else has it. I feel like cashflow, feel like team stress, feel like decision fatigue. Like Jason sometimes at the end of a day, he's like, Kiera, what do want for dinner? And I'm like, one more decision. Like, I don't freaking care. I don't care. I don't care what I eat. Maybe some of you do, but it's just like, I am so sick of this. And when they stack, that's where it can just feel very, very heavy. And so I think what I've learned and what I've seen other people do is like, let's actually like name the weight rather than letting it sit there and separating the emotional stress from operational problems. So A lot of times what I'll do is I grab my journal and I'm like, what feels heavy right now? Like, what is it? And just list it. And like, I'm allowed to do a huge laundry list. And I look to see like, is this current? mean, shoot, if you guys could see behind this camera, I've got six giant papers and it's like, here's all my stressors. This, this, this, this, like it's there. But when we're in our head, we're dead, remember that? So getting it out of our head, putting it on paper and actually naming it and saying like, okay, I just have a lot of categories. And sometimes I look like, My name's in a lot of boxes on our org chart, even today, 10 years later. Why? That's a care thing. That's not a team thing. That's me. And so then I also look to say, what are the top one or two stressors today? And is it a current thing or is it a future thing? Like I look at my list here and it's like this, this, this, this. Some of those are problems that I'm like not focusing on that I'm waiting on right now. Like they're the weight on me, but they're four or five months down the line. Some of them are urgent and pressing. And so what is it? And I think helping you rise like you're not weak, you might just be carrying too many categories of weight at the same time. So then what we do is getting it out of your head. Let's make sure that we, we actually name it. We figure out what it is. Is it current today or is it future? And then what on there? Like, I just have a whole list. Then after that, I want you to make sure that you're not accidentally making your weight heavier than is intentional because when it stays like very personal, or vague or just in my head, this is where it can actually get heavier. So like trying to be everything to everybody. No one else is owning outcomes, unclear roles, lack of KPI visibility, like avoiding hard conversations that would honestly make your life a lot better. Assuming people will just figure it out, like if they just cared, they would figure it out. Like this isn't how it is. That's not what it is. And so when we have it in there and it's just there and it's vague and it's personal, looking at your list and saying, is this something that I'm taking personally? Is this really about me? Is it vague and could I define it better? And if not, like, let me clear those up because then what we can do is we can look to see, is this a you? Is this a you problem in leadership? Is this something where we need to rise our team up? Or is this something that like we can honestly delegate and get it off of us? So when we look at that, accountability is going to reduce stress and we've got to have clarity and follow through so that we were not having like a ton of guesswork. So what it looks like is like, then I look at my list and I'm like, okay, is this personal and personal attack on me? Do I need to fix that personally? Is it begging? Could I clear this up? And then from there, what really needs to happen today? And is it truly a Kiera slash owner issue or is this something I can delegate and give clear ownership and clarity on and move it off of my plate? So it feels very heavy when you don't know like who owns this, how is winning happening and is it reassured? Like I love a KPI scorecard. That's why we put KPI scorecards in place. This is why we have like who owns this metric. We have job descriptions. We have job duties for people. Like helping you just see like, okay, if I have an issue with payroll, who's the person on my team that's responsible for that? All these things that are keeping you late at night. I've got to order, I've got to pick this out, I've got to do this. Okay, great, is that really a you thing or is this even be part of someone's job description or do you just need to let go of it? If I'm looking at stress on cashflow, okay, great. Like, is it a spending problem? Is it a production problem or is it a collections problem? What really is it and who owns that and can I give accountability to someone? And I think so often we just sit here. Like for me, I sit and swirl. I'm like, okay, all these things are going on, all these things, and they call it the crazy eight. So then I like flip around and I'm like, my gosh, everything's falling. So getting it on paper, figuring out what really is the crux and then picking the top one or two items that are gonna move it for you, that starts to lighten the load. So it's what one or two things really need to happen today. And we move out of hero mode into leadership mode. We have our numbers tell us the truth. Like I can sit here and freak out all day. And sometimes I'm like, my gosh, we're behind on this, we're behind on this. But when I look at the PNL and I have the numbers and I look at our cashflow report, is it really that or is it just my like psychoticness honestly, of ruminating on it when it's really not that bad. So what are the numbers tell us? Numbers are always gonna tell the truth. And then we've got to give ownership to our team and we don't take it back on. I feel like anytime I delegate, it never comes back to me. And then we have these check-ins rather than building resentment. I realize a lot of times, I'm holding resentment because I don't talk to my team. I don't fill them in. I'm not telling them what's going on. Build like one-on-ones every single week if you need to. So you got more regular touch points when they aren't these heavy daunting. And then like, just recognize that sometimes it's freaking hard. Like right now, Dental A Team is going through a growth stretch phase right now. Like, I'm living this right now, which is why I can speak to this very authentically. And what I found is it's just sometimes hard. That doesn't mean it's failure, but I found. When does my load get lighter? One, when I prioritize what really needs to happen today rather than what needs to happen in four months. Two, delegate out things that really are not my responsibility and I can pass other people, but have a check-in cadence. So can I check in on a KPI scorecard? Can I check it on these other areas so it doesn't get lost? And I'm not talking about everything. It could just be one thing. Like literally we weren't hiring very well. We made a KPI scorecard. I know how many resumes have been done. I know how many interviews have been done. I know how many people are on our bank. It's so great for me. Now it doesn't sit in my head of like, where's high? Like literally, I wish you guys could see, I hope you can see it. Like, I hope this becomes a real like rubbing my head. All right. Where's your hiring app? What needs to get done for this? I just tell me is someone coming like for the love of everything holy? Where are we out on production? Where are we at on unscheduled treatment? Where are we at? Make it into a KPI. Have people report every single week. Then you can look at the numbers and see really where is the problem. Is it a diagnosis? Is it a case closing problem? Is it a new patient problem? We then can figure it out. And what this does is it then is a, is it a people problem, a process problem or a priority problem? Like I love this. And so for you guys, like look at it. Is it a people problem, a process problem or a priority problem? And then figure out which one of those are you going to address. And this is great for me. Like this is truly, hey, Kiera, take this on. Is it people, process or priority problem? Half the time I will say it's a priority problem. We want all these nonsense things to be fixed today. when really they're not truly the burning urgent piece. And if you fix the root problem, the bulk of your issues would go away. Now, who else can help me carry this load? I used to make laundry lists and now I make laundry lists and see how many of these can I delegate out and make sure they're reported back to me rather than me doing it. And then I look at my numbers and I really live by the numbers. And then the last piece is maybe what conversation have I been avoiding that would actually lighten this immediately. I'm really gonna sit on that for a minute because I think this one actually is the hardest one for me. Maybe for you, it's the people, like it's the people problem, process problem or priority. Like I don't prioritize. Maybe it's that I refuse to delegate problem. Maybe it's I don't look at the numbers problem or maybe it's I avoid conversation. So who are you? Are you on the priority issue? Are you on the delegation issue? Are you on the numbers issue or are you on the avoiding conversation? Every single one of us has a, I say like, aren't like sins, but I feel like it's like, what's my flavor of choice? Who am I? And I think even identifying who you are for me, it's the conversations I avoid. And I've had to accept like, someone said this the other day to me, they said, nothing's worth your piece, Kiera. And I thought about that. And I thought, all right, conversations need to be had. And they're not confrontation. They're just conversations. So when we look at this, and we can say like, do I not prioritize correctly? Do I not delegate? Do I not look at my numbers and metrics to make these things less stressful? Or what conversations am I having? This is how you start to lighten your load because you stop caring everything. You start identifying it and you start leading your team. This isn't an overnight sensation, but I think so often the days feel long and the months are fast. We overestimate what we can get done in a day and underestimate what we can get done in a year. I hope you heard that. We overestimate what we can get done in a day and underestimate what we can get done in a year. So half the time this feels heavy because you're carrying cash pressure, team pressure, decision pressure, priority pressure, emotional pressure, but we let it all sit there. And the goal is not to feel nothing. The goal is to stop carrying everything alone. And the goal is to stop doing this based on emotions, but rather live in facts. Like let's get the emotion out. Let's live in facts. Because I really want you to recognize that having this, again, a recap is... We sit here and we have it like where it sits there quietly and everything is there and we feel responsible. Then we sit there and we make everything personal and about us and it's unclear and it's vague. And then what we do is we actually move out of that mode into leadership mode and we start to lead. We start to guide, we use our numbers. And I think for you when you're having this, this is real life. Every owner feels this. You're not special sitting over there licking your wounds. I do this all the time. I'm like, no one else. Like I am so, it's my ego. Zip it ego. Let's get into leadership mode. My ego wants to sit there and be like, oh, woe is me. I have all these issues. Yeah, guess what? I freaking signed up for this when I decided to be a business owner. That doesn't mean it makes it easier. And it doesn't mean you need to go about it alone. And it doesn't mean that you are alone because every owner, every person feels this. It's just a matter of what are we going to do? So action items are number one, you've got to get it out of your head and you got to prioritize. Number two, I got to figure out who I'm going to delegate this to. Number three, I'm going to make sure I've got KPIs and scorecards to fix these metrics of all these problems. Truly everything can be solved by a number and four, I'm gonna start to have the conversations that I need to have. You just take those four bullet points on and you put that on a sticky note and you live by that, your life will look different in 30 days, guaranteed. But how often do we go into denial? We go into doom scrolling. We go into like, whoa, well, their problems aren't as bad as mine, so I'm doing pretty good. We go into like, tomorrow's a great day. I had a great, huge case. Everything's good again. No. It's just gonna hit you, it's gonna boomerang back to you. So let's stop the boomerang, let's stop the fatigue, let's stop the crazy eight and let's actually commit to doing one thing, one thing. And if you're so in it, I'm in it. I mean, today I actually had a great call. I called a mentor, I called a coach and I said like, hey, I need help. We set it all up and I was like, where are my blind spots? What can I do and what perspective do you see? And I think that's the beauty of having a coach, having a mentor, having somebody who's not in it with you. So you don't have to solve it all alone. I actually realized that ownership is pretty easy. The mental stamina to get through it is why we need coaches and support groups around us. That's why we joined masterminds. That's why we have a peer group. That's why we have other people. This is why you've got a coach that's there for you at your beck and call in dental 18. You've got a CEO founder that can literally speak to your exact problems and help you out. You have a peer group of brilliant people at the mastermind. They're like, it was amazing. Someone told me, said, Kiera, what I realized is amazing. They've been a client with me for gosh, six years. And he said, Kiera, I didn't realize how many incredible practices that you have around you that now we get access to. You guys, I attract and collect great people. And if you're listening to the podcast, I guarantee you, you're probably one of them and I'd love you to be a part of it. Don't do this alone. Why don't you grow your practice 10X this year? Why don't you your profitability at least five to 10 % this year? Do it with people. that get it, that understand it, that are willing to drive you through it. You do not need to do this. can email today, hello at the Dental A Team. You can go and click on and book a call. But I think it's a matter of when pain hurts, execute. Because tomorrow it might get better, but that doesn't mean it got resolved. It was just a bandage. It was just a happy day. this, like the root is we gotta fix this and we gotta fix it forever. So I want you just to realize that sometimes when you feel this like hidden weight of ownership, What it usually is signaling is that you need stronger leadership, you need stronger structure, and sometimes you don't know how to get there on your own, but I guarantee you that that's gonna get you out of it. So I want you to just realize this is for you. This is why we talk about it. This is people don't talk about it. And I want you to truly have the help, have the resources. So if we can help in any way, fantastic. Reach out, Hello@TheDentalATeam.com and just do yourself a favor. I think this is the greatest gift you can give yourself as an owner, as a leader. ⁓ is to not sit here and stress constantly, to not sit here and carry under the heavy weight of ownership that is unnecessary. We can lighten the load today. It can be removed. And I think having a fairy godmother consultant is one of the greatest things that we could ever offer you. reach out, Hello@TheDentalATeam.com. And as always, thanks for listening. I'll catch you next time on the Dental A Team podcast.
What if a single gene is quietly affecting your mood, energy, sleep, and focus — and most doctors never test for it? In this episode of the Longevity Series, Nurse Doza breaks down MTHFR gene support: what methylation is, why this gene matters, and how BLISS by MSW Nutrition delivers targeted sublingual support — sometimes with noticeable results the same day. BLISS by MSW Nutrition is a sublingual powder formulated with two active ingredients specifically designed to support the MTHFR gene and the methylation cycle. For people with MTHFR variants — who may struggle with mood regulation, low energy, brain fog, and disrupted sleep — BLISS bypasses the digestive process entirely, delivering its active compounds directly into the bloodstream under the tongue for fast, efficient absorption. Nurse Doza and co-founder Baldo both have confirmed MTHFR issues and take BLISS daily — this is a supplement built from personal need, not theory. One box contains 30 packets, making it a full 30-day protocol.
Cortisol after cancer is the conversation nobody on my care team had with me. I was diagnosed with breast cancer in 2021 — invasive ductal carcinoma, stage one, grade two. I went through lumpectomy, radiation, ovarian suppression, and two years on an aromatase inhibitor before I had to come off because my bones were already in osteoporosis. Throughout all of it, my nervous system was screaming. My cortisol was running hot all day long, confirmed by a Dutch test. And not one doctor told me what stress was doing to my body or how to mitigate it. In this solo episode of Not Today Cancer, I'm walking you through the seven activities that lowered my cortisol...broken into the things that don't cost a dime (meditation, breathwork, walking outside, unplugging) and the things that do (acupuncture, energy healing, therapy). I'm also sharing the actual research behind each one, so you know this isn't woo...it's documented science. What you'll learn: • Why cortisol is wrecked after a cancer diagnosis (and why mine was high long before) • The symptoms of high cortisol most breast cancer survivors miss • How mindfulness meditation protected the cortisol rhythm of breast cancer survivors in a randomized controlled trial • Why a single session of slow breathing drops cortisol immediately • The "nature pill" research showing 20–30 minutes outside lowers cortisol 21% per hour • Why the NCCN officially recommends acupuncture for cancer survivors If you're a breast cancer survivor, caregiver, or anyone whose body has been running on fumes...this episode is for you. We don't get the option of not mitigating stress. Pick one thing on this list and start tomorrow. Disclaimer: This episode reflects my personal experience and a summary of public research. It is not medical advice. Always consult your care team.
A lot of people can quote the right theory, wear the right shirt, and post the right meme. Then the moment arrives when you have to sit down with a coworker, ask what they need, and move them toward collective action and suddenly they vanish. We take on that tension by reading and reacting to the provocation “The Left-Wing Deadbeat,” using our own union organizing experience to separate what's real from what's just frustration dressed up as advice.We talk about why some organizing stories feel instantly familiar yet still leave out the most important details: timelines, workplace conditions, power mapping, and what the organizer actually did to develop leaders. From disruptive committee members to under-socialized online habits, we keep coming back to a basic organizing truth: you don't win by judging politics, you win by building relationships, teaching skills, and giving people a path to act. That includes modeling one-on-one conversations, debriefing conflicts, and treating coworkers like human beings instead of line items.Along the way we get into labor movement debates that shape strategy on the ground: rank and file unionism versus staff-driven approaches, labor aristocracy and “PMC” shorthand, what proletarianization looks like in tech and academia, and why certain alliances like cozying up to police unions can blow back strategically. We also look at militancy, when it helps, when it becomes a burnout machine, and why political education matters even in bread-and-butter fights.If you care about workplace organizing, union strategy, and building durable worker power, subscribe, share this with a coworker, and leave a review. What kind of “deadbeat” behavior have you seen, and what actually helped turn it around?Link: https://organizing.work/2020/05/the-leftwing-deadbeat/Send us Fan Mail Musis by Bitterlake, Used with Permission, all rights to BitterlakeSupport the showCrew:Host: C. Derick VarnIntro and Outro Music by Bitter Lake.Intro Video Design: Jason MylesArt Design: Corn and C. Derick VarnLinks and Social Media:twitter: @varnvlogblue sky: @varnvlog.bsky.socialYou can find the additional streams on YoutubeCurrent Patreon at the Sponsor Tier: Jordan Sheldon, Mark J. Matthews, Lindsay Kimbrough, RedWolf, DRV, Kenneth McKee, JY Chan, Matthew Monahan, Parzival, Adriel Mixon, Buddy Roark, Daniel Petrovic,Julian
In this episode, we talk about the viral moment so many creators secretly hope for, that one clip, one guest, or one algorithm push that suddenly changes everything. But the PMC cast and crew get honest about what actually happens when attention spikes, why it does not always bring the right audience, and how chasing views can pull you away from serving the people your show is really for. We also get into the quieter kind of growth, the slow drip of better episodes, clearer messaging, stronger systems, and listeners who come back because the work actually connects. Here's the thing, a viral moment might open the door, but it will not build the room for you.Episode Highlights:[01:48] New Live Time and Links[04:13] The Viral Breakthrough Myth[05:07] Defining “Viral” in Podcasts[06:22] Money and Mindset[08:51] Guests and Unexpected Moments[12:00] Planned Virality and Teams[14:48] Creating Moments and Algorithms[16:46] Viral Spikes vs. Strategy[19:21] When Going Viral Helps Growth[23:34] Redefining “Viral” One by One[28:30] Consistency After Going Viral[28:57] Preparing for the Moment[30:10] Spotlight Clip Submissions[31:19] Virality as a Distraction[33:50] Money Over Metrics[35:37] Creating a Content Library[42:52] Money Monday Preview[43:31] Wins from the WeekLinks & Resources: Get Your Podcast Featured on our Show:podcastingmorningshow.com/spotlightThe Podcasting Morning Chat: www.podcastingmorningshow.comWays to Watch or Listen: https://www.podcastingmorningshow.com/joinus/Meet the PMC Cast and Crew:https://podcastingmorningshow.com/peopleJoin The Empowered Podcasting Facebook Group:www.facebook.com/groups/empoweredpodcastingBook A Free Call With Marc: https://calendly.com/ironickmedia/freestrategycallApplication To Submit Your Show For Evaluation: https://podcastingmorningshow.com/evalJoin us every other Monday at 7 AM ET for the Obsession Worthy Podcasts:http://podcastingmorningshow.com/owp/Join us LIVE every weekday morning at 8 am ET (US) on Clubhouse: https://podcastingmorningshow.com/clubhouseEPC3 Speaker Application: https://empoweredpodcasting.com/speakersPowered by iRonickMedia.com and ContentCreatorsAccountant.comSend in your mailbag questions: https://www.podcastingmorningshow.contact/ or marc@ironickmedia.comWant to be a guest on The Podcasting Morning Chat? Send me a message on PodMatch, here: https://podmatch.com/hostdetailpreview/1729879899384520035bad21b
Listen and subscribe to Money Making Conversations on iHeartRadio, Apple Podcasts, Spotify, www.moneymakingconversations.com/subscribe/ or wherever you listen to podcasts. New Money Making Conversations episodes drop daily. I want to alert you, so you don’t miss out on expert analysis and insider perspectives from my guests who provide tips that can help you uplift the community, improve your financial planning, motivation, or advice on how to be a successful entrepreneur. Keep winning! Two-time Emmy and Three-time NAACP Image Award-winning, television Executive Producer Rushion McDonald interviewed Paul Rainey. He holds a powerful executive role in the media world, shaping the future of iconic brands like Billboard, Rolling Stone, and SXSW.
The Plant Free MD with Dr Anthony Chaffee: A Carnivore Podcast
How did Mimi Morgan defy the odds? Once bedridden and facing daunting diagnoses like Parkinson's disease, rheumatoid arthritis, and the effects of a stroke, Mimi's story is one of extraordinary resilience. From relying on multiple medications to now living a vibrant, adventurous life—lifting weights, swimming in icy waters, and thriving as an artist and equestrian—Mimi has become an inspiration to many. In this second interview, we dive deeper into her remarkable transformation and the unconventional path she took to heal herself. Tune in and discover the mystery behind Mimi Morgan's journey to health and vitality—you won't want to miss what's next. X @mimikmorgan https://x.com/mimikmorgan?s=21 IG @mimimorgank https://www.instagram.com/mimikmorgan/ Mimi's Website www.Just10moresteps.com Randomized Controlled Trial Showing significant improvement in Parkinson's disease with ketogenic diets, over a week designed Mediterranean diet: Low-fat versus ketogenic diet in Parkinson's disease: A pilot randomized controlled trial Authors: Phillips MCL, Murtagh DKJ, Gilbertson LJ, Asztely FJS, Lynch CDP Journal: Movement Disorders. 2018 Aug;33(8):1306-1314 DOI: 10.1002/mds.27390 PMID: 30098269 PubMed link: https://pubmed.ncbi.nlm.nih.gov/30098269/ PMC free full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC6175383/ Wiley publisher link: https://movementdisorders.onlinelibrary.wiley.com/doi/10.1002/mds.27390 Join my NEW 90-day Carnivore Challenge group on Mighty Networks below! https://dr-chaffee-s-90-day-carnivore-challenge.mn.co/landing/ If you liked this and want to learn more go to my new website www.DrAnthonyChaffee.com
On this Wellness Tech Series episode, Nurse Doza breaks down why red light therapy has become his go-to biohacking tool for mitochondrial health. He reviews the handheld LightpathLED panel he travels with — a dual-mode device combining red and blue light to regenerate cells, support skin health, and combat the effects of low solar exposure. Easy to use, easy to charge, and powerful enough to deliver results in just 10 minutes a day. Featured Partner: LightpathLED LightpathLED builds professional-grade red light therapy panels engineered for at-home and travel use — including compact handheld combo devices that deliver red (670 nm) and blue (450 nm) wavelengths in a single unit. That dual-mode technology directly addresses the two benefits Nurse Doza highlights in this episode: mitochondrial regeneration through red light and skin clarity through blue light. With the industry's densest LED count per square inch and a 5-year warranty, it's the red light panel built for people who are serious about their mitochondrial health.