Podcasts about pns

A tendência das mulheres jovens serem mais de esquerda e os homens de direita, o aproveitamento político em torno dos imigrantes que agrava a polarização social; e subsídio de PNS vs. caso Montenegro.See omnystudio.com/listener for privacy information.

A tendência das mulheres jovens serem mais de esquerda e os homens de direita, o aproveitamento político em torno dos imigrantes que agrava a polarização social; e subsídio de PNS vs. caso Montenegro.See omnystudio.com/listener for privacy information.

Em semana de apagão, a Rádio manteve o país conectado. É neste meio de excelência que comentamos o debate LM e PNS, o aproveitamento político de temas como a saúde mental e as comemorações da Liberdade.See omnystudio.com/listener for privacy information.

Funeral de papa Francisco ajudou numa conversação entre Trump e Zelensky, mas será que fez alguma diferença? E ainda, chegou o grande dia do debate entre os "besties" PNS e Montenegro.See omnystudio.com/listener for privacy information.

Na semana dos 51 anos do 25 de abril e dos 50 anos das primeiras eleições livres, pesámos a morte do Papa, analisámos os últimos debates, a resposta do TC à eutanásia, o caos da CPI e a prestação de PNS.See omnystudio.com/listener for privacy information.

Eu montenegrizo, tu montenegrizas, eles montenegrizam. Montenegro, que já protagonizava o hino da AD, promoveu-se agora a protagonista também por outra via, a criar a palavra “montenegrização”. A personalização da campanha laranja (o CDS aqui não risca nada) vai de vento em popa. Os lexicógrafos que ponham mãos ao trabalho, porque num futuro dicionário da Academia não poderá falar o neologismo. Na sequência disto, também o líder socialista quis dar mostras de imaginação verbal acusando de imediato Montenegro de “venturização”. O que ninguém esperava era que Paulo Raimundo também entrasse do campeonato vocabular com uma poderosa acusação a Ventura, dizendo que ele não é capaz de mais do que o “nheca-nheca”. Enquanto isso, foi anunciada uma averiguação judicial preventiva a um negócio imobiliário de Pedro Nuno Santos. O líder do PS viu-se obrigado a um striptease em público das suas contas pessoais - tem um pai rico, é certo, mas ter pai rico ainda não é crime. Quem já faz contas ao momento pós-eleitoral é Miguel Relvas. O antigo braço direito de Passos Coelho acha que o “não é não” de Montenegro ao Chega é uma “birra”. Agora pensem.See omnystudio.com/listener for privacy information.

Esta semana, na estante, honrando o período pascal, temos duas obras com diferentes pendores religiosos: “Religião sem Deus”, de Ricardo Dworkin e “Nós os Que Lutamos com Deus”, de Jordan Peterson; temos também uma homenagem a um ensaísta desaparecido por estes dias: Fernando J. B. Martinho, autor do importante “Tendências Dominantes da Poesia Portuguesa na Década de 50”; e ainda uma antologia de contos no volume intitulado “A Sereníssima República”, o segundo dos quatro que constituem a obra contística completa de Machado de Assis.See omnystudio.com/listener for privacy information.

Na segunda semana de debates, analisámos os confrontos dos (quase todos) líderes partidários, as casas de PNS e debatemos o crime de Braga e o papel dos homens para travar a misoginia crescente.See omnystudio.com/listener for privacy information.

Catarina Martins considera uma loucura a averiguação prévia a Pedro Nuno Santos ter vindo a público. Paulo Núncio critica PNS por não ter tido cuidado a comentar a averiguação prévia a Montenegro.See omnystudio.com/listener for privacy information.

Hipótese de vitória do Chega foi com malas e polémicas por água abaixo. PNS foi a um mentoring para aprender a falar? E Hugo Mendes é ferida aberta para o PS?See omnystudio.com/listener for privacy information.

Marina Gonçalves (PS) critica a resposta tardia do Governo às tarifas de Trump e lamenta a falta de diálogo com a oposição. Rodrigo Saraiva (IL) acusa PNS de não ter estratégia para o futuro do país.See omnystudio.com/listener for privacy information.

António Mendonça Mendes (PS) não fecha a porta a uma nova geringonça, mas diz que só é possivel se o PS ganhar as eleições. Já Catarina Martins (BE) critica PNS por ter afastado soluções à esquerda.See omnystudio.com/listener for privacy information.

Menteri Keuangan Sri Mulyani mengungkapkan perkembangan terbaru terkait Tunjangan Hari Raya (THR) bagi Aparatur Sipil Negara (ASN), termasuk PNS, TNI, dan Polri. Saat ini, pemerintah tengah menyiapkan Peraturan Presiden (Perpres) sebagai dasar pencairan THR tahun ini.

In order to heal, you must remove the thorn. Becoming aware of all the stressors in your life and prioritizing more rest in your day will allow you to recreate more balance for your nervous system. Incorporate more PNS activities into your daily life to help repair your body and brain. Thank you for supporting the show! I appreciate you more than you know. Connect with Me:Instagram: sarahtmwellnessWebsite: www.sarahtwellness.comWant to build lasting healthy habits that become automatic? Want to build a healthy relationship with food? I offer 1:1 online fitness, nutrition, and health coaching through my coaching program where you can achieve that and much more: Apply here for coaching! Join my newsletter!Prime Protein- 15% off Discount (my fave protein powder) Namarie Activewear - Discount code: sarahtmwellness10 (non-toxic)Find the Good Brand - Discount code: sarahdavies10If you found this episode helpful, don't forget to share it with a friend and leave us a review on your favorite podcast platform!Sending you love, health, and all good vibes! xoxo, Sarah 

Moedas quer conquistar a maioria dos mandatos, mas a correr mal este sonho pode tornar-se num pesadelo. Já o PS está cada vez mais dividido. PNS conseguirá dar uma nova cambalhota para agradar todos?See omnystudio.com/listener for privacy information.

Alexandra Leitão faz tudo para apoiar PNS e não perder apoio do seu líder, mesmo que seja mudar de opiniões. E ainda, a baixa “apressada” , "com cheirinho a fraudulenta", de Miguel Arruda.See omnystudio.com/listener for privacy information.

Jelang pergantian kepemimpinan, Jakarta menjadi sorotan, usai terbitnya aturan yang dinilai memberi celah ASN boleh berpoligami. Ketentuan yang dimaksud tertuang dalam Peraturan Gubernur (Pergub) Nomor 2 Tahun 2025 tentang Tata Cara Pemberian Izin Perkawinan dan Perceraian. Penjabat (Pj) Gubernur Jakarta Teguh Setyabudi mengeklaim aturan itu bukan bertujuan mendukung ASN berpoligami, tetapi memperketat aturan perkawinan dan perceraian. Aturan tersebut juga diklaim sebagai mengacu pada Peraturan Pemerintah Nomor 45 Tahun 1990 tentang Izin Perkawinan dan Perceraian bagi PNS. Praktik poligami banyak ditolak karena bertentangan dengan kesetaraan gender. Komnas Perempuan menyebut poligami sebagai salah satu bentuk kekerasan terhadap perempuan dan salah satu penyebab terjadinya Kekerasan Dalam Rumah Tangga (KDRT). Bagaimana aturan ini mesti disikapi? Apa langkah yang harus diambil pemimpin baru Jakarta? Bagaimana mendorong pemerintah daerah membuat aturan yang melindungi perempuan? Kita bincangkan bersama Anggota DPRD DKI Jakarta Komisi E dari Fraksi PSI, Elva Farhi Qolbina dan Mutiara Ika Pratiwi, Ketua Perempuan Mahardhika. *Kami ingin mendengar saran dan komentar kamu terkait podcast yang baru saja kamu simak, melalui surel ke podcast@kbrprime.id

Ein Thema, das häufig in meine PNs auftaucht, ist emotionales Essen. Essen, obwohl man keinen Hunger hat. In dieser feinen ROC-TV-Folge sehen wir uns den Unterschied zwischen normalem Hunger und Appetit bzw. emotionalem Essen an und ich stelle Dir 3 effektive Strategien vor, wie man gegen emotionales Essen vorgehen kann. Die wichtigsten Stellen in diesem Video: 00:00 - Intro 01:17 - Hunger vs. Appetit 01:56 - Wie erkennt man den Unterschied? 05:16 - 3 Strategien für bewussteres Essen Ich freue mich über Dein Feedback und Deine Erfahrungen zu diesem Thema in den Kommentaren. Feinste Grüße und alles Gute für Dich, Chris #rocsports #rocprinzip #umsetzenisterfolg

Nervous system is responsible for multiple functions of our body. It is divided into peripheral nervous system (PNS) & central nervous system (CNS). The PNS has motor and sensory component, while the motor system consists of Autonomic (Involuntary) and somatic (Voluntary). Autonomic Nervous System (ANS) controls our urinary bladder functioning, which if affected can cause reduction of urinary bladder contractibility causing post void retention of urine in bladder, increase frequency of urination & recurrent UTI. Water intake may need to be restricted in people with poor pumping capacity of heart or kidney failure or any having any other condition with fluid overload. To maintain overall health, focus on walking more, getting adequate sleep, and staying positive. A cheerful attitude and smiling can contribute to your well-being and that of your loved ones, ensuring a healthier future for everyone. Recorded on: 29.11.2024 Recorded at: Akashwani Nagpur

Client Q&A: body connection vs awareness, what does a healed relationship with food look like, dieting when pregnant, framing exercise as pleasure, satisfaction vs fullness, we listen and we don't judge, rushing and not noticing, curating your insta feed to feel good, when to programme strength sessions when running is the priority, is weight gain always overeating, when to sociailise and when to not, favourite ways at activate PNS and SNS and why do I binge on food I don't like 1-1 coaching spaces may be available now For more information visit www.emilia.fitness or find:@anna_etphd @emiliathompsonphd @etphd_coaching @lynn_etphdcoaching

Early in fetal development, the precursors of the major systems in the body are outlined. The three germ layers (endoderm, mesoderm, ectoderm) are formed during the third week of development. We'll focus on the ectoderm, from which the entire nervous system (central and peripheral) forms. But first, let's back up to review the anatomy of the central nervous system (CNS) and peripheral nervous system (PNS) so that we know what the end products of their development are. The CNS comprises the brain and spinal cord; the PNS is composed of the 31 pairs of spinal and 12 pairs of cranial nerves and all the ganglia. After listening to this AudioBrick, you should be able to: List the derivatives of ectoderm. Define neurulation and explain how it occurs, including closure and the dates of neuropore closure. Describe the origin, migration, and fate of neural crest cells, particularly those that form the peripheral nervous system. Explain how the neural tube is organized into three layers. Describe how the spinal cord develops from the neural tube, and describe the contributions of each to these layers to the structure of the mature spinal cord, with emphasis on the alar and basal plates. Describe the development of the brain, including the five brain vesicles, the brainstem, and the cerebral cortex. You can also check out the original brick on the development of the nervous system from our Neurology and Special Senses collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/ from our Musculoskeletal, Skin, and Connective Tissue collection, which is available for free. Learn more about Rx Bricks by signing up for a free USMLE-Rx account: www.usmle-rx.com You will get 5 days of full access to our Rx360+ program, including nearly 800 Rx Bricks.  After the 5-day period, you will still be able to access over 150 free bricks, including the entire collections for General Microbiology and Cellular and Molecular Biology. *** If you enjoyed this episode, we'd love for you to leave a review on Apple Podcasts.  It helps with our visibility, and the more med students (or future med students) listen to the podcast, the more we can provide to the future physicians of the world. Follow USMLE-Rx at: Facebook: www.facebook.com/usmlerx Blog: www.firstaidteam.com Twitter: https://twitter.com/firstaidteam Instagram: https://www.instagram.com/firstaidteam/ YouTube: www.youtube.com/USMLERX Learn how you can access over 150 of our bricks for FREE: https://usmlerx.wpengine.com/free-bricks/

In this episode, Associate Editor, Kevin C. Klatt, PhD, RD, and Early Career Editor, Cora Best PhD, MHS, RDN, speak with authors and nutrition physicians David S. Seres, MD, ScM, PNS, FASPEN and Leen Hasan, MD about their recent publication in the Nutrition for the Clinician series titled, “Navigating complex nutritional challenges after bariatric surgery: malnutrition, multiple nutrient deficiencies, and gastrointestinal dysfunction in pregnancy“. This case details the assessment, diagnosis and treatment of a patient with a past medical history of bariatric surgery and cholecystectomy presenting with malnutrition and SIBO during pregnancy. Dr's Seres and Hasan expertly discuss the challenges and nuances of nutrition assessment and intervention in the context of inflammation and malabsorption.Claim CME credit for this course at discover.nutrition.org.Be sure to connect with us! AJCN: @AJCNutrition; Dr. Klatt: @kcklatt;. Find all of the publications from the American Society for Nutrition (@nutritionorg; @jnutritionorg) at our website: https://nutrition.org/publications/....The deadline for NUTRITION 2025 abstract submissions is January 13, 2025, 11:59 PM ET. Learn more and submit today!

Episode Summary: In this episode of The Coach Debbie Potts Show, we dive deep into the mechanisms behind optimizing fat-burning efficiency and metabolic flexibility while exploring actionable strategies to reduce stress and enhance recovery. Discover how regulating cortisol, improving insulin sensitivity, and focusing on mindful lifestyle practices can transform your metabolic health, boost energy, and promote fat loss. Key Highlights: Mechanisms for Enhanced Fat-Burning and Recovery Optimize Fat-Burning Efficiency: Learn how reducing cortisol and inflammation supports fat oxidation and prevents fat storage. Support Metabolic Flexibility: Understand how switching between fat and carbohydrate metabolism enhances energy efficiency. Improve Insulin Sensitivity: Discover how better glucose and fat metabolism lowers the risk of insulin resistance. Enhance Recovery: Explore how stress reduction and quality sleep improve exercise performance and fat loss. Stress Reduction Strategies You Can Start Today Mindful Breathing and Meditation: How: Practice diaphragmatic breathing for 5–10 minutes daily. Why: Activates the parasympathetic nervous system (PNS), reduces cortisol, and improves oxygenation. Physical Activity for Stress Relief: How: Incorporate low-intensity Zone 2 cardio or walking for 30 minutes daily. Why: Lowers cortisol, reduces inflammation, and boosts endorphins. Prioritize Sleep: How: Aim for 7–8 hours of quality sleep. Establish bedtime routines and limit blue light exposure. Why: Restorative sleep lowers cortisol and enhances recovery. Time in Nature: How: Spend 20–30 minutes outdoors in green spaces daily. Why: Nature reduces stress hormones and improves mood. Cold Exposure Techniques: How: Take cold showers or immerse in cold water for 2–5 minutes at 55–59°F. Why: Activates the PNS, builds mitochondrial resilience, and enhances stress tolerance. Balanced Nutrition with Adaptogens: How: Focus on anti-inflammatory foods, lean protein, and adaptogenic herbs like ashwagandha. Why: Supports blood sugar stability, reduces inflammation, and modulates stress response. Actionable Solutions for Metabolic Efficiency Meal Timing: Schedule meals earlier in the day and avoid eating close to bedtime to align with circadian rhythms. Cold Exposure: Stimulate mitochondrial function and activate brown adipose tissue (BAT) through cold showers or ice baths. Mindful Stress Management: Regularly engage in mindfulness practices to regulate cortisol and support fat metabolism. Takeaways: By incorporating these holistic strategies into your daily routine, you can: Enhance fat-burning efficiency. Improve mitochondrial health and energy production. Support overall metabolic health and stress resilience. Tune in to this episode for an in-depth discussion on these transformative practices, and start implementing them today to optimize your health, performance, and well-being! Resources Mentioned: Connect with Coach Debbie Potts: Website Follow on Social Media: Instagram | Facebook Recommended Adaptogens: Ashwagandha, Rhodiola rosea (consult a healthcare professional). Subscribe & Share: Love this episode? Don't forget to subscribe, leave a review, and share it with someone looking to optimize their metabolic health!

Dr James Doty says Balance Your Nervous System To Manifest Your Desired Goals The word manifest may put you off, but I like James Doty (MD)'s  definition of manifesting. He says “once the body and the mind are in a state of balance, we have the power of manifestation, we can start thinking clearly about what we want to manifest.” Renown Stanford neurosurgeon and neuroscientist  Dr James Doty says we all  have goals and intentions. When your nervous system is balanced you can begin to manifest.Studies  show that as little as 5 minutes outside in nature or even looking at an image of nature balances your nervous system. When you are outside in nature your autonomic nervous system shifts to the parasympathetic (PNS) and you become less self focused, calm, and more connected to others and your world around you. You experience joy and awe. The relaxed PNS state (that can also be achieved by breathing and just thinking about the joy and awe in the world) is what Dr James Doty's recent book “Mind Magic: The Neuroscience of Manifestation and How It Changes Everything” (link: https://www.amazon.ca/Mind-Magic-Neuroscience-Manifestation-Everything/dp/1399710966/ref=monarch_sidesheet_title) teaches. The book is well worth the read and fits beautifully with your practice of spending time in nature or green spaces. The ability to manifest is based in NeuroscienceDoty's idea of manifestation is not the self-serving get rich quick scheme,  tarot cards, crystals, or pseudoscience.  Doty's view is based in “significant developments in brain imaging that allows us to watch the brain transform on a cellular, genetic, and even molecular level. We can now speak about manifestation in terms of cognitive neuroscience……and the brain's extraordinary ability to change, heal, and remake itself, known as neuroplasticity.” Manifesting according to Dr. Doty is the process of intentionally embedding thoughts and desires into your subconscious. For this he suggests visualization and picturing powerful positive emotions of your desired goal. Why? Because your brain will not know the difference between the real and the imagined.  Dr Doty says this is manifestation is not magic – it is neuroscience.For peer reviewed research on how your time spent in green space can change your mindset, balance your nervous system and your heart rate please go to my website https://treesmendus.com and check out my books Take Back Your Outside Mindset: Live Longer, Stress Less, and Control Your Chronic Illness and Optimize Your Heart Rate: Balance Your Mind and Body With Green Space

In this episode of the Spine & Nerve Podcast, Dr. Brian Joves and Dr. Jason Kung dive into the evolving world of peripheral nerve stimulation (PNS). As the field of pain medicine continues to progress, new studies are offering more insights into advanced therapies for challenging conditions like peripheral neuralgia and chronic pain. This discussion focused on the COMFORT study, which evaluates the efficacy of the Nalu PNS System, and discuss recent data presented at the American Society of Regional Anesthesia and Pain Medicine (ASRA) meeting concerning the SPRINT PNS System. Key Topics Covered: COMFORT Study Insights: The doctors analyze the one-year data from the COMFORT trial, a randomized controlled study assessing the Nalu PNS System combined with conventional treatments versus conventional treatments alone for chronic neuropathic pain. They highlight significant findings, including an 87% responder rate with an average pain reduction of 69% among responders at 12 months. SPRINT PNS System Data: Discussion extends to new data from the SPRINT PNS System, particularly the RESET Clinical Trial, which compares 60-day percutaneous PNS to standard interventional management for chronic low back pain. The trial's primary endpoint results indicate that PNS provided clinically meaningful and statistically superior reductions in pain, as well as improvements in function and quality of life. Clinical Implications and Future Directions: Dr. Joves and Dr. Kung explore the broader implications of these studies for clinical practice, emphasizing the importance of personalized treatment plans and the potential for PNS therapies to offer durable pain relief. They also discuss the evolving landscape of pain management and the need for ongoing research to refine and validate these therapeutic approaches. Resources and Links: https://nalumed.com/clinical-trials/comfort-trial/ https://www.sprtherapeutics.com/2024/11/21/new-sprint-pns-data-for-low-back-shoulder-knee-and-headache-at-23rd-annual-asra-pain-medicine-meeting/ Follow us on LinkedIn: ⁠Jason Kung, MD and Brian Joves, MD⁠ Subscribe to the Spine & Nerve Podcast everywhere podcasts are available Keep striving to provide the best care for your patients and stay informed on the evolving practices in pain management! This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, they may not represent the views of Spine & Nerve.

For certain diagnoses and patients who meet clinical criteria, neuromodulation can provide profound, long-lasting relief that significantly improves quality of life. In this episode, Aaron Berkowitz, MD, PhD, FAAN speaks with Prasad Shirvalkar, MD, PhD, author of the article “Neuromodulation for Neuropathic Pain Syndromes,” in the Continuum® October 2024 Pain Management in Neurology issue. Dr. Berkowitz is a Continuum® Audio interviewer and a professor of neurology at the University of California San Francisco in the Department of Neurology and a neurohospitalist, general neurologist, and clinician educator at the San Francisco VA Medical Center at the San Francisco General Hospital in San Francisco, California. Dr. Shirvalkar is an associate professor in the Departments of Anesthesia and Perioperative Care, Neurological Surgery, and Neurology at Weill Institute for Neurosciences at the University of California, San Francisco in San Francisco, California. Additional Resources Read the article: Neuromodulation for Neuropathic Pain Syndromes Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @AaronLBerkowitz Guest: @PrasadShirvalka Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor in Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors, who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Berkowitz: This is Dr Aaron Berkowitz, and today I'm interviewing Dr Prasad Shirvalkar about his article on neuromodulation for painful neuropathic diseases, which appears in the October 2024 Continuum issue on pain management in neurology. Welcome to the podcast, and if you wouldn't mind, please introducing yourself to our listeners.  Dr Shirvalkar: Thanks, Aaron. Yes, of course. So, my name is Prasad Shirvalkar. I'm an associate professor in anesthesiology, neurology and neurological surgery at UCSF. I am one of those rare neurologists that's actually a pain physician.  Dr Berkowitz: Fantastic. And we're excited to have you here and talk to you more about being a neurologist in in the field of pain. So, you wrote a fascinating article here about current and emerging neuromodulation devices and techniques being used to treat chronic pain. And in our interview today, I'm hoping to learn and for our listeners to learn about these devices and techniques and how to determine which patients may benefit from them. But before we get into some of the clinical aspects here, can you first just give our listeners an overview of the basic principles of how neuromodulation of various regions of the nervous system is thought to reduce pain? Dr Shirvalkar: Yeah, I would love to try. But I will promise you that I will not succeed because I think to a large extent, we don't understand how neuromodulation works to treat pain, to describe or to define neuromodulation. Neuromodulation is often described as using electrical stimuli or a chemical stimuli to alter nervous system activity to really influence local activity, but also kind of distant network activity that might be producing pain. On one level, we don't fully understand how pain arises, specifically how chronic pain arises in the nervous system. It's a huge focus of study from the NIH Heal Initiative and many labs around the world. But acute pain, which is kind of when you stub your toe or you burn your finger, is thought to be quite different from the changes over time and the kind of plasticity that produces emotional, cognitive and sensory dimensions. Really what I think is its own disease, chronic pain, of which there are multiple syndromes when we use neuromodulation, either peripheral nerve stimulation or electrical spinal cord stimulation. One common or predominant theory actually comes from a paper in science from 1967 and people still use it, foundational theory and it's called the gate control theory. Two authors, Melzack and Wall, postulated that at the spinal level, there are, there's a local inhibitory circuit or, you know, there's a local circuit where if you provide input to either peripheral nerves or either spinal cord ascending fibers that to kind of summarize it, there's only so much bandwidth, you know, that nerves can carry. And so that if you literally pass through artificial signals electrically, that you will help gate out or block natural pathological but natural pain signals that might be arising from the periphery or spinal cord. So, you know, one idea is that you are kind of interfering with activity that's arising for chemical neuromodulation. The most common is something known as intrathecal drug infusion drug delivery ITTD for that we quite literally put a catheter in the spinal fluid, you know, at the level of the dorsal horn neurons that we think are responsible for perpetuating or creating the pain. Where's the pain generator? And you really, you can infuse local anesthetic, you can infuse opioids. And what's nice is you avoid a lot of systemic side effects and toxicity because it goes right to the spinal cord, you know, by infusing in the fluid. So there's a couple of modalities, but I will say just, like maybe all of our living experience, pain is in the brain. And so, we don't really understand, I would say, what neuromodulation is doing to the higher spinal or brain levels. Dr Berkowitz: Fascinating topic. And yeah, very interesting to hear both what our current understanding is that some of our current understanding is based on data that's 60 years old and that we're actually probably learning about pain by using these modulation techniques, even though we don't really understand how they might be working. So interesting feedback loop there as well as in as in the as in this land. So, your article very nicely organizes the neuromodulation techniques from peripheral to central. So, encourage our listeners to check out your article. And first before we get into some of the clinical applications, just to give the listeners the lay of the land, can you sort of lay out the devices and techniques available for treating pain at each level of the neuroaxis? We'll get into some of the indications in patient selection in a moment, but just sort of to lay out the landscape. What's available that you and your colleagues can use or implant at different levels when we're thinking of referring patients too? Dr Shirvalkar: Absolutely. So, starting from the least invasive or you know, over the counter patients can purchase themselves a TENS machine. Many folks listening to this have probably tried a TENS machine in the past. And the idea is that you put a couple of pads, at least two. So you have like a dipole or you have a positive and a negative lead and you basically inject some current. So, the pads are attached to a battery and you can put these pads over muscle. If you have areas where myofascial pain or sore muscles, you can put them, frankly, over nerves as well and stimulate nerves that are deeper. Most TENS machines kind of use electrical pulses that occur at different rates. You change the rates, you can change the amplitude and patient can kind of have control for what works best. Then getting slightly more invasive, we can often stimulate electrically peripheral nerves. To do this we implant through a needle, a small wire that consists of anywhere from one electrical contact to four or even eight electrical contact. What I think is particularly cool, like TENS, which is transcutaneous electrical nerve stimulation that goes through the skin. Peripheral nerve stimulation aims to stimulate nerves, but you don't have to be right up against the nerve. So, yeah. We typically do this under an ultrasound and you can visualize a nerve like the sciatic nerve, peroneal nerve, or you know, even if someone has an ulnar or a neuropathy, you know, that's the compression. There's a role obviously for surgery and release, but if they have predominantly pain, it's not related to a mechanical problem per se, you could prevent a wire from a peripheral nerve stimulator as far as one centimeter from a nerve and it'll actually stimulate that that modulated and then, you know, kind of progressing even more deeply. The spinal cord stimulation, SCS, it's probably the most ubiquitous or popular form of neuromodulation for pain. People use it for all kinds of diseases. But what it roughly involves is a trial period, which is a placement of either two cylindrical wires, not directly over the spinal cord, but actually in the epidural space, right? So, it's kind of like when you get an epidural injection or doing labor and delivery, when women get epidural catheters, placing spinal cord stimulator leads in that same potential space outside the dura, and you're stimulating through the dura to actually target the ascending dorsal column fibers. And so, you do a trial period or a test drive where the patients get these wires put in. They're coming out of the skin, they're connected to a battery, and they walk around at home for about a week, take careful notes, check in with them, and they keep a diary or a log about how much it helps. Separately. I will say it's hard to distinguish this, the placebo effect often, but you know, sometimes we want to use the placebo effect in clinical practice, but it is a concern, you know, with such invasive things. But you know, if the trial works well, right, you basically can either keep the leads where they are and place a battery internally. And it's for neurologists. You're familiar with deep brain stimulation. These devices are very similar to DVS devices, but they're specifically made for spinal cord stimulation. And there's now like seven companies that offer manufacturers that offer it, each with their own proprietary algorithm or workflow. But going yet more invasive, there is intrathecal drug delivery, which I mentioned, which involves placement of the spinal catheter and infusion of drug into spinal fluid. You could do a trial for that as well. Keep a patient in the hospital for a few days. You've all probably had experience with lumbar drains. It's something real similar. It just goes the other way. You know, you're infusing drugs, and it could also target peripheral nerves or nerve roots with catheters, and that's often done. And last but not least, there's brain stimulation. Right now, it's all experimental except for some forms of TMS or transcranial magnetic stimulation, which is FDA approved for migraine with aura. There are tens machine type devices, cutaneous like stimulators where you can wear on your head like a crown or with stickers for various sorts of migraines. I don't really talk about them too much in in the article, but if there's a fast field out there for adjunctive therapy as well,  Dr Berkowitz: Fantastic. That's a phenomenal overview. Just so we have the lay on the land of these devices. So, from peripheral essentially have peripheral nerve stimulators, spinal cord stimulators, intrathecal drug delivery devices and then techniques we use in other areas of neurology emerging for pain DBS deep brain stimulation and TMS transcranial magnetic stimulation. OK let's get into some clinical applications now. Let's start with spinal cord stimulators, which - correct me if I'm wrong - seem to be probably the most commonly seen in practice. Which patients can benefit from spinal cord stimulators? When should we think about referring a patient to you and your colleagues for consideration of implantation of one of these spinal cord stimulator devices?  Dr Shirvalkar: So, you know, it's a great question. I would say it's interesting how to define which patients or diagnosis might be appropriate. Technically, spinal cord stimulators are approved for the treatment of most recently diabetic peripheral neuropathy. And so, I think that's a really great category if you have patients who have been failed by more conservative treatments, physical therapy, etcetera, but more commonly even going back, neuropathic low back pain and neuropathic leg pain. And so, you think about it and it's like, how do you define neuropathic pain. Neuropathic pain is kind of broadly defined as any pain that's caused by injury or some kind of lesion in the somatosensory nervous system. We now broaden that to be more than just somatosensory nervous system, but still, what if you can't find a lesion, but the pain still feels or seems neuropathic. Clinically, if something is neuropathic, we often use certain qualitative descriptors to describe that type of pain burning, stabbing, electric light, shooting radiates. There's often hyperpathia, like it lingers and spreads in space and time as opposed to, you know, arthritis, throbbing dull pain or as opposed to muscle pain might be myofascial pain, but sometimes it's hard to tell. So, there aren't great decision tools, I would say to help decide. One of the most common syndromes that we use spinal cord stimulation for is what used to be called failed back surgery syndrome. We never like to, we now try to shy away from explicitly saying something is someone has failed in their clinical treatment. So, the euphemism is now, you know, post-laminectomy syndrome. But in any case, if someone has had back surgery and they still have a nervy or neuropathic type pain, either shooting down their legs and often there's no evidence on MRI or even EMG that that something is wrong, they might be a good candidate, especially if they're relying on long term medications that have side effects or things like full agonist opioids, you know that that might have side effects or contraindication. So, I would say one, it's not a first line treatment. It's usually after you've gone through physical therapy for sure. So, you've gone through tried some medications. Basically, if chronic pain is still impacting your life and your function in a meaningful way that's restricting the things you want to do, then it it's totally appropriate, I think, to think about spinal cord stimulation. And importantly, I will add a huge predictor of final court stimulation success is psychological composition, you know, making sure the person doesn't have any untreated psychological illness and, and actually making sure their expectations going in are realistic. You're not going to cure anyone's pain. You may and that's, you know, a win, but it's very unlikely. And so, give folks the expectation that we hope to reduce your pain by 50% or we want you to list personally, I like functional goals where you say what is your pain preventing you from doing? We want to see if you can do X,Y, and Z during the trial period. Pharmacostimulation right now. Yeah. Biggest indication low back leg pain, Diabetic peripheral neuropathy. There is also an indication for CRPS, complex regional pain syndrome, a lesser, I'd say less common but also very debilitating pain condition. For better or worse. Tertiary quaternary care centers. You often will see spinal cord stem used off label for neuropathic type pain syndromes that are not explicitly better. That may be for example, like a nerve injury that's peripheral, you know, it's not responding. A lot of this off label use is highly variable and, you know, on the whole at a population level not very successful. And so, I think there's been a lot of mixed evidence. So, it's something to be aware about.  Dr Berkowitz: That's a very helpful framework. So, thinking about referring patients to who have most commonly probably the patients with chronic low back pain have undergone surgery, have undergone physical therapy, are on medications, have undergone treatment for any potential psychological psychiatric comorbidities, and yet remain disabled by this pain and have a reasonable expectation and goals that you think would make them a good candidate for the procedure. Are those similar principles to peripheral nerve stimulation I wasn't familiar with that technique, I'm reading your article, so are the principles similar and if so, which particular conditions would potentially benefit from referral for a trial peripheral nerve stimulation as opposed to spinal cord stimulation?  Dr Shirvalkar: Yeah, the principles are similar overall. The peripheral nerve stimulation, you know, neuropathic pain with all the characteristics you listed. Interestingly enough, just like spinal cord stim, most insurances require a psychological evaluation for peripheral nerve stim as well. And we want to make sure again that their expectations are reside, they have good social support and they understand the kind of risks of an invasive device. But also, for peripheral nerve stem, specifically, if someone has a traumatic injury of an individual peripheral nerve, often we will consider it seeing kind of super scapular stimulation. Often with folks who've had shoulder injuries or even sciatic nerve stimulation. I have done a few peroneal nerve stimulations as well as occipital nerve stimulation from migraine, so oxygen nerve stimulation has been studied a lot. So, it's still somewhat controversial, but in the right patient it can actually be really helpful. Dr Berkowitz: Very helpful. So, these are patients who have neuropathic pain, but limited to one peripheral nerve distribution as opposed to the more widespread back associated pains, spine associated pains. Dr Shirvalkar: Yeah, Yeah, that's right. And maybe there's one exception actually to this, which is brachial plexopathy. So, you know, folks who've had something like a brachial plexus avulsion or some kind of traumatic injury to their plexus, there is I think good Class 2 evidence that peripheral nerve stem can work. It falls under the indication. No one is as far as to my knowledge, No one's done an explicit trial, you know PNS randomized controlled trial. Yeah, that's, you know, another area one area where PNS or peripheral nerve stems emerging is actually, believe it or not in myofascial low back pain to actually provide muscle stimulation. There are some, there's a company or two out there that seeks to alter the physiology of the multifidus muscle, one of your spinal stabilizer muscles to really see if that can help low back pain. And they've had some interesting results.  Dr Berkowitz: Very interesting. You mentioned TENS units earlier, transcutaneous electrical nerve stimulation as something a patient could get over the counter. When would you encourage a patient to try TENS and when would you consider TENS inadequate and really be thinking about a peripheral nerve stimulator?  Dr Shirvalkar: Yeah, you know TENS we think of as really appropriate for myofascial pain. Folks who have muscular pain, have clear trigger points or taught muscle bands can often get relief from TENS If you turn a TENS machine up too high, you'll actually see muscle infection. So, there's an optimal level where you actually can turn it up to induce, like, a gentle vibration. And so folks will feel paresthesia and vibrations, and that's kind of the sweet spot. However, I would say if folks have pain that's limited or temporary in time or after a particular activity, TENS can be really helpful. The unfortunate reality is TENS often has very time-limited benefits - just while you're wearing it, you know? So, it's often not enduring. And so that's one of the limitations. Dr Berkowitz: That's helpful to understand. We've talked about the present landscape in your article, also talk a little bit about the future and you alluded to this earlier. Tell us a little bit about some off label emerging techniques that we may see in future use. Who, which types of patients, which conditions might we be referring to you and your colleagues for deep brain stimulation or transcranial magnetic stimulation or motor cortex stimulation? What's coming down the pipeline here?  Dr Shirvalkar: That's a great question. You know, one of my favorite topics is deep brain stimulation. I run the laboratory that studies intracranial signals trying to understand how pain is processed in the brain. But, believe it or not, chronic pain is probably the oldest indication for which DBS has been studied. the first paper came out in 1960, I believe, in France. And you know, the, the original pivotal trials occurred even before the Parkinson's trial and so fell out of favor because in my opinion, I think it was just too hard or too difficult or a problem or too heterogeneous. You know, many things, but there are many central pain syndromes, you know, poststroke pains, there's often pains associated with Parkinson's disease, epilepsy, or other brain disorders for which we just don't have good circuit understanding or good targets. So, I think what's coming down the pipeline is a better personalized target identification, understanding where can we stimulate to actually alleviate pain. The other big trend I think in neuromodulation is using closed loop stimulation which means in contrast to traditional electrical stimulation which is on all the time, you know it's 24/7, set it and forget it. Actually, having stimulation respond or adapt to ongoing physiological signals. So that's something that we're seeing in spinal cord stem, but also trying to develop in deep brain stimulation and noninvasive stimulation. TMS is interestingly approved for neuropathic pain in Europe, but not approved by the FDA in the US. And so I think we may see that coming out of pipeline broader indication. And finally, MR guided focused ultrasound is, is a kind of a brand new technique now. You know, focused ultrasound lesions are being used for essential tremor without even making an incision in the skull or drilling in skull. But there are ways to modulate the brain without lesioning. And, you know, I think a lot of research will be emerging on that in the next five years for, for pain and many other neuronal disorders. Dr Berkowitz: That's fascinating. I didn't know that history that DBS was first studied for pain and now we think of it mostly for Parkinson's and other movement disorders. And now the cycle is coming back around to look at it for pain again. What are some of the targets that are being studied that are thought to have benefit or are being shown by your work and that of others to have benefit as far as DBS targets for, for chronic pain? Dr Shirvalkar: You know, that's a great question. And so, the hard part is finding one target that works for all patients. So, it may actually require personalization and actually understanding what brain circuit phenotypes do you have with regards to your chronic pain and then based on that, what target might we use? But I will say the older targets. Classical targets were periaqueductal gray, which is kind of the opioid center in your brain. You know, it's thought to just release large amounts of endogenous opioids when you stimulate there and then the ventral pusher thalamus, right. So, the sensory ascending system may be through gait control theory interferes with pain, but newer targets the answer singlet there's some interest in in stimulating there again, it doesn't work for everybody. We found some interesting findings with the medial thalamus as well as aspects of the caudate and other basal ganglion nuclei that we hopefully will be publishing soon in a data science paper.  Dr Berkowitz: Fantastic. That's exciting to hear and encourage all of our listeners to check out your article. That goes into a lot more depth than we had time to do in this short interview, both about the science and about the clinical indications, pros and cons, risks and benefits of some of these techniques. So again, today I've been interviewing Dr Prasad Shirvalkar, whose article on neuromodulation for painful neuropathic diseases appears in the most recent issue of Continuum on pain management in neurology. Be sure to check out Continuum Audio episodes from this and other issues. And thank you again to our listeners for joining today.  Dr Shirvalkar: Thank you for having me. It was an honor. Dr Monteith: This is Dr Teshamae Monteith, associate editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/AudioCME. Thank you for listening to Continuum Audio.

We explore central nervous system (CNS) fatigue, focusing on its role in heavy lifting and strength training. Inspired by a listener's question, we delve into the nature of CNS fatigue, its common misinterpretations in gym culture, and what scientific research reveals about it. We clarify the distinctions between CNS fatigue, peripheral nervous system (PNS) fatigue, and mental fatigue, debunking prevalent myths and highlighting the true factors affecting gym performance. 00:00 Welcome to the Consistency Project Podcast 01:02 Listener Question on CNS Fatigue 04:19 Research Insights on CNS Fatigue 06:51 Understanding Muscle and Mental Fatigue 12:20 Takeaways and Final Thoughts

    Exploring the Efficacy of Autologous Platelet Leukocyte Rich Plasma Injections in Chronic Low Back Pain & Understanding Degenerative Lumbar Spinal Stenosis  Host David Rosenblum, MD  Episode Date: October 25, 2024 In this episode, Dr. David Rosenblum discusses two significant studies related to chronic low back pain and degenerative lumbar conditions. The first study focuses on the use of autologous platelet leukocyte rich plasma (PLRP) injections for treating atrophied lumbar multifidus muscles, while the second study investigates the correlation between muscle atrophy and the severity of degenerative lumbar spinal stenosis (DLSS).  Featured Article 1:  - Effect of Autologous Platelet Leukocyte Rich Plasma Injections on Atrophied Lumbar Multifidus Muscle in Low Back Pain Patients with Monosegmental Degenerative Disc Disease - **Authors:** Mohamed Hussein, Tamer Hussein    Key Points Discussed  1. Background:  Correlation between lumbar multifidus muscle dysfunction and chronic low back pain. 2.  Study Overview: 115 patients treated with weekly PLRP injections for six weeks, followed for 24 months. 3.  Outcome Measures:  Significant improvements in NRS and ODI scores, with high patient satisfaction. 4. Conclusions: PLRP injections into the atrophied multifidus muscle are safe and effective for managing chronic low back pain.  Featured Article 2:  -   Degenerative Lumbar Spinal Stenosis  Authors:*  Gen Xia, Xueru Li, Yanbing Shang, Bin Fu, Feng Jiang, Huan Liu, Yongdong Qiao  Key Points Discussed  1. Background:  DLSS is a common condition in older adults, often leading to muscle atrophy and disability. 2. Study Overview: A retrospective analysis involving 232 patients to investigate the correlation between muscle atrophy and spinal stenosis severity. 3.  Results:     - Significant differences in the ratio of fat-free multifidus muscle cross-sectional area between stenotic and non-stenotic segments.    - A strong positive correlation was found between multifidus atrophy and the severity of spinal stenosis.    - The atrophy was more pronounced on symptomatic sides of the spine compared to contralateral sides. 4.  Conclusions:  The findings suggest that more severe spinal stenosis is associated with greater muscle atrophy, emphasizing the importance of addressing muscle health in DLSS patients.  Discussion:  Dr. Rosenblum provides insights into how these studies inform clinical practices for treating chronic low back pain and managing degenerative conditions. He emphasizes the need for comprehensive treatment strategies that consider both muscle health and spinal integrity which may be achieved via peripheral nerve stimulation of the medial branch nerve and multifidus muscle or PRP injection in to the multifidus muscle.  Closing Remarks:  Listeners are encouraged to stay informed about innovative treatment options and the importance of muscle assessment in managing spinal disorders.   **Follow Us:** - Subscribe to the Painexam Podcast for more episodes discussing the latest in pain management research and treatments. - Connect with us on social media [insert social media links]. NRAP Academy also offers: Board Review Anesthesiology Pain Management Physical Medicine and Rehabilitation Regenerative Medicine Training  Live Workshops Online Training The Virtual Pain Fellowship (online training program with discount to live workshops)         Regional Anesthesia & Pain Ultrasound Course   Private Training Available Email Info@NRAPpain.org **Disclaimer:** The information presented in this podcast is for educational purposes only and should not be considered medical advice. Always consult a healthcare professional for medical concerns. References Xia, G., Li, X., Shang, Y. et al. Correlation between severity of spinal stenosis and multifidus atrophy in degenerative lumbar spinal stenosis. BMC Musculoskelet Disord 22, 536 (2021). https://doi.org/10.1186/s12891-021-04411-5 Hussein M, Hussein T. Effect of autologous platelet leukocyte rich plasma injections on atrophied lumbar multifidus muscle in low back pain patients with monosegmental degenerative disc disease. SICOT J. 2016 Mar 22;2:12. doi: 10.1051/sicotj/2016002. PMID: 27163101; PMCID: PMC4849261.

Kick off your week with the crew as they dive right into their Peaks & Pits where Alex shares what went through the floor of her master bathroom that landed right on her kitchen stove, and where Branden shares what is a non-negotiable for his tattoo work.  They're back on the SPICY Ask Alex grind where you'll hear what immediately gets them going. They also dive deep into the Diddy debacle and discuss whether Diddy do it, or Diddy not. We all know the answer. This week's resilient guest, Chevonne shares her story of how she overcame ovarian cancer and PNS. The crew wraps up the cast with a fibal game of trivia, they've decided it'll be a Conspiracy Corner to close it out going forward. Make sure to follow the crew on social @resilientaf3 @thatdreas @brandengraye --- Support this podcast: https://podcasters.spotify.com/pod/show/resilientaf3/support

Presidente da República tem telefonado a LM e PNS. De madrugada.

Montenegro e PNS trocaram emojis sobre Orçamento.

Are you tired of constantly seeking validation from others? Do you find yourself putting everyone else's needs before your own? It's time to break free from the approval trap and start living life on your own terms! In this comprehensive guide, we'll explore: The psychology behind approval addiction How to recognize signs of people-pleasing behavior Practical strategies to build self-confidence and self-worth Techniques for setting healthy boundaries Ways to cultivate self-acceptance and self-love The power of embracing authenticity FULL GUIDE HERE: https://drive.google.com/drive/folders/1RMaoPBSIGhTm1BT8V1N5LnJumcFuR5fb?usp=sharing TRY OUT SCRINTAL 10% OFF: https://scrintal.com/?utm_source=YT&utm_medium=PNS&utm_campaign=A10734&d=NATALIE10 Whether you're a chronic people-pleaser or just looking to boost your self-esteem, this video offers actionable advice to help you reclaim your life and find true happiness – without needing constant validation from others. Here's the tea Introduction: 0:00-0:52 Scrintal: 0:53-2:35 What is a Schema? 2:36-3:30 Where does approval seeking come from? 3:31-4:40 How we react to the schema 4:41-4:56 Surrender 4:57-5:38 Avoid it 5:39- 6:02 Rejection Sensitivity 6:03-7:57 Overcompensate 7:58-9:05 Shame vs Guilt 9:05-9:39 3 common scenarios 9:40-9:44 Approval from parents 9:45-12:18 Approval from strangers 12:19-14:07 Social media's role 14:08-16:02 Society's expectations & how to not care 16:03-17:57 Approval from a social group 17:58-18:58 Never take advice from these people 18:59-20:22 Reframe 20:22-20:29 Whose opinion matters? 20:30-21:10 Create an alter ego 21:11-22:24 Not everyone thinks negatively of you 22:25-24:21 Outro 24:22-25:42 ALL MY LINKS HERE- https://beacons.ai/natalieetched STREAM IMPROVEMENT FOR IMBECILES: Spotify: https://podcasters.spotify.com/pod/sh... Apple Podcasts: https://podcasts.apple.com/us/channel... Here's some Shadow work prompts! https://www.scienceofpeople.com/shado... https://www.soberish.co/shadow-work-p... Thanks for watching ! Checkout my tiktok: @natalieetched - also my instagram @mylifeasetch business inquires: etchedbusiness@gmail.com LAST VIDEO: https://youtu.be/cRn2o299LPQ Equipment: Canon Rebel T6i Blue Yeti Nano Adobe Premiere Pro if you have any suggestions on any content you would like to see let me know! I'll see you in the next one

Today, we're exploring a groundbreaking new study that challenges the long-held belief of a rigid separation between the central nervous system (CNS) and the peripheral nervous system (PNS). This research reveals how cerebrospinal fluid (CSF) extends to peripheral nerves, highlighting a unified system that could reshape our understanding of nerve health and pathologies. We'll explore what this means for chiropractors and healthcare providers, discuss the study's implications, and provide actionable insights for your practice.Episode Notes: Cerebrospinal fluid flow extends to peripheral nerves further unifying the nervous systemJane is an online platform for health and wellness practitioners that makes it simple to book, chart, schedule, bill, and get paid. I you're ready to get started, click here and use the code EBC1MO for a 1-month grace period on your new account.The Best Objective Assessment of the Cervical Spine- Provide reliable assessments and exercises for Neuromuscular Control, Proprioception, Range of Motion, and Sensorimotor-Integration. Learn more at NeckCare.comPatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

Summary Dr. Reed Berger, MD, PNS, an obesity medicine physician, discusses the use of GLP agonists and bariatric surgery in treating obesity. She explains the different types of GLP agonists and their approved uses for obesity and weight loss. Dr. Berger also discusses the efficacy and side effects of these medications, as well as the importance of protein in the diet for weight loss. She emphasizes the need for patients to receive proper nutrition and exercise guidance, and highlights the role of vitamins and supplements in supporting weight loss. In this conversation, Dr. Reed Berger discusses the use of GLP agonists in weight loss and the management of obesity. He explains that GLP agonists can be used after bariatric surgery to help patients maintain weight loss. The timing of starting GLP agonists after surgery depends on the individual patient. Dr. Berger also discusses the phenomenon of 'Ozempic face' and the potential causes behind it. He mentions that weight loss medications like phentermine and combination medications like Contrave can still be used in conjunction with GLP agonists. He also highlights the challenges of prior authorizations and medication shortages in the field of obesity medicine.   Takeaways GLP agonists, such as Ozempic and Wegovy, are approved for weight loss and can help patients feel full and think about food less. Protein is important for weight loss as it is thermogenic and helps maintain lean body mass. Exercise is crucial for maintaining weight loss and increasing basal metabolic rate. Vitamins and supplements, such as multivitamins, vitamin D, and vitamin B12, may be recommended to support weight loss. Proper nutrition and exercise guidance are essential for patients starting GLP agonists or undergoing bariatric surgery. GLP agonists can be used after bariatric surgery to help patients maintain weight loss. The timing of starting GLP agonists after surgery depends on the individual patient. Weight loss medications like phentermine and combination medications like Contrave can still be used in conjunction with GLP agonists. Prior authorizations and medication shortages are challenges in the field of obesity medicine. Chapters 00:00 - Introduction and Overview 02:15 - Dr. Berger's Clinic and Focus 04:29 - Benefits of Telemedicine for Weight Management 05:22 - Different GLP Agonists and Their Uses 09:08 - Efficacy and Mechanisms of GLP Agonists 10:18 - Effects on Hunger Sensation and Gastric Emptying 13:01 - Nutrition Recommendations for GLP Agonist Patients 15:14 - Incorporating Exercise into Weight Management 18:29 - Supplementation and Vitamins for Weight Loss Patients 19:53 - Using GLP Agonists After Bariatric Surgery 21:17 - The 'Ozempic Face' and Potential Mechanisms 24:26 - Treatment of the 'Ozempic Face' 26:50 - Challenges of Prior Authorizations and Medication Shortages 29:26 - Other Medications in Weight Management 35:26 - The Future of Obesity Medicine

This episode dives into the emerging concept of psychobiotics, exploring how these live (probiotic) microorganisms can positively impact mental health by interacting with the gut-brain axis. We'll provide an in-depth look at the anatomy of the gut lining and the enteric nervous system, explaining how these pathways facilitate communication between the gut and the brain. Additionally, we'll spotlight the psychobiotic Bifidobacterium longum 1714, detailing its mechanisms and benefits for stress and anxiety relief. Topics: 1. General Overview of Psychobiotics - Definition and origin of the term "psychobiotics". - Mental health benefits: alleviating anxiety, depression, enhancing cognitive function, and stress resilience. - Introduction to the gut-brain axis. 2. The Gut-Brain Axis - Detailed explanation of the gut-brain axis. - Overview of the divisions of the nervous system (CNS and PNS). - Further division of the PNS into somatic and autonomic nervous systems. - Division of the autonomic nervous system. - Detailed structure and function of the enteric nervous system (ENS). 3. Gut Lining Anatomy - Layers of the gut lining from the inside out: gut lumen, mucus layers, intestinal epithelium. - Structure and function of the intestinal epithelium and its renewal process. - The role of villi and microvilli in increasing the surface area for nutrient absorption. - Overview of the lamina propria and its immune components. - Overview of the muscularis mucosae 4. Submucosa and Enteric Nervous System (ENS) - Description of the submucosa and its components (blood vessels, lymphatics, nerves). - Detailed structure and function of the submucosal (Meissner's) plexus. - Beyond the submucosa: muscularis externa and the myenteric (Auerbach's) plexus. - Interaction between the ENS and the vagus nerve. 5. Psychobiotics in Action: Bifidobacterium longum 1714 - Introduction to Bifidobacterium longum 1714 and its mental health benefits. - Production of key metabolites (SCFAs, serotonin, GABA) and their roles. - Interaction of metabolites with the ENS and the vagus nerve. - Detailed pathway of signals from the gut to the brain. 6. Other Notable Psychobiotics - Quick overview of other psychobiotics studied for mood regulation: - Lactobacillus rhamnosus GG - Lactobacillus helveticus R0052 - Bifidobacterium breve M-16V - Lactobacillus casei Shirota - Bifidobacterium infantis 35624 - Lactobacillus plantarum PS128 Thank you to our episode sponsor: ⁠⁠Liver Medic⁠⁠⁠ Use code Chloe20 to save 20% on ⁠⁠⁠⁠"Leaky Gut Repair"⁠⁠⁠⁠ ⁠⁠⁠⁠Brendan's YouTube Channel⁠⁠⁠⁠ ⁠⁠⁠⁠https://x.com/livermedic⁠⁠⁠⁠ Thanks for tuning in! Get Chloe's Book Today! "⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠75 Gut-Healing Strategies & Biohacks⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠" Follow Chloe on Instagram ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@synthesisofwellness⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Follow Chloe on TikTok @chloe_c_porter Visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠synthesisofwellness.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ to purchase products, subscribe to our mailing list, and more! --- Support this podcast: https://podcasters.spotify.com/pod/show/chloe-porter6/support

In this episode, we delve into stress management strategies tailored for Type A personalities, emphasizing both physiological and psychological aspects of stress. While physical health factors like nutrition, exercise, and sleep are crucial, today's focus is on the psychological impact of stress. Understanding Stress: Type A individuals often associate stress with productivity, viewing it as a badge of honor. However, chronic stress can significantly impact health, influencing cardiovascular health, gut health, hormone levels, eating behaviors, and overall well-being. Immediate Stress Relief Techniques: To counteract acute stress responses, it's essential to activate the parasympathetic nervous system (PNS). Techniques like the physiological sigh and box breathing can lower cortisol levels, reduce anxiety, and enhance emotional balance in stressful moments. Andrew Huberman's demonstration of the physiological sigh: https://www.youtube.com/watch?v=rBdhqBGqiMc&ab_channel=AndrewHuberman Long-Term Stress Management: Effective stress management goes beyond traditional coping mechanisms like exercise and food. While beneficial, relying solely on these can perpetuate stress. Instead, incorporating activities that activate the PNS, such as gentle movement like walking, journaling, meditation, and engaging in enjoyable activities, helps maintain overall balance. Setting Boundaries and Mindset Shifts: Type A personalities often struggle with overcommitment and a constant drive for productivity, leading to chronic stress. Learning to set boundaries, say no, and shift from a stress-inducing mindset to a more positive outlook are crucial steps in managing stress effectively. Connect with Coach Diana Leigh 1:1 coaching: https://www.coachdianaleigh.com/1-1-coaching Instagram, Threads, and TikTok: @coachdianaleigh Email: coachdianaleigh@gmail.com

Let's dive into the fascinating world of our nervous systems and stress responses in this must-listen episode. I'm pulling back the curtain on one of my favorite things to talk about: our nervous systems and how they impact our everyday life. It's time we learn and befriend the body and system God put us into! HIGHLIGHTS: - Explore the nervous system: Learn how it orchestrates everything from basic functions to complex emotions. - Unveil the components: Discover the central nervous system (CNS) and peripheral nervous system (PNS) and their vital roles. - Get savvy with stress: Understand acute vs. chronic stress and common triggers that keep us on our toes. - Decipher the stress response: Delve into the 'fight or flight' reaction and the sympathetic nervous system's role in gearing us up for action. Tune in for nerdy insights, relatable stories, and practical tips to befriend your body and thrive in life.   WHERE TO CONNECT WITH ME: Follow me on social media @chantelleenelson and visit comealivelifecoaching.com for more info on how to work with me!

Three Osteopathic Practitioners' Holistic Perspectives on Health, Mindset, Movement, Longevity, Beauty & more. After taking some time away from recording to maintain our practices and professional development, we warmly welcome you to our newest series on... DIGESTION! A highly anticipated, grossly underrated, and slightly taboo topic that is deserving of all the attention. In this episode we will cover: 0:30- Digestive stats, why our osteopathic structural approach should be the first step in tackling gut issues  5:25- How the digestive system works: anatomy of the GI tract 7:25- Intro to IBS: importance of the rate of digestion, and how a spoonful of sesame seeds can flag and help track your own motility 10:12- The autonomic nervous system and its parasympathetic and sympathetic divisions control motility. Why a balance of the two is crucial for healthy digestion 11:58 What an excess sympathetic state looks like vs prolonged parasympathetic state; why both should be balanced before or alongside supplementation / diet changes  13:40 Specific nerves of the PNS: the vagus nerve and pelvic (splanchnic nerves); how tech neck, neck tension/restriction could impact these nerves and in turn digestion 16:05 Why hip and pelvic dysfunction can disturb these nerves 17:25- Why the "fusebox" of the body should never be ignored when systems functions go awry! Would you buy all new light bulbs before checking the source of power?  controls all of our organs functions: the spine.  18:24- Recognizing the brain gut connection (& why its legit!); vicious cycle of stress on digestion 19:54- Heightened stress states; what they tell us and what they don't have to 23:40- At home tips we give to patients with IBS symptoms 25:03- Children's digestion— potty training, constipation, the potential emotional stress or physical anatomical stress involved 26:20- Working all along the spine in different ways- utilizing inhibition and stimulation along the spine, the sympathetic nervous system's means of communication along the spine and ribs in our mid back 29:08- Commonly diagnosed spinal issues (herniated discs, spinal stenosis, osteoarthritis) and how they can be affecting your digestion more than you knew 32:50- Our tips on movements and hands on assessment post meal and in times of digestive upset, working to stimulate the vagus nerve via breath work, and inhibit sympathetic nerves energetically with mindfulness and expansion through the mid spine and body And finally, how we can help balance our body's pressure gradients We're passionate about showcasing Osteopathy as an integral part of healthcare. As well as other alternative practices that share the common goal of staying proactive when it comes to health. Want to get inspired to take your health into your own hands? Discover how small, intentional changes have great effects on how we move through life. We are going to cover it all! Find us on Instagram & TikTok @WellAndBack Please consider Rating, Reviewing & Subscribing to our Podcast. Music from #Uppbeat (free for Creators!): ⁠⁠https://uppbeat.io/t/richard-smithson/shacked-up⁠⁠ (⁠https://uppbeat.io/t/richard-smithson/shacked-up⁠) License code: CI8KXYV0EGUPVTAN

www.patreon.com/banjopodcast   This episode features Kevin Kniebel, a talented banjoist, singer, and songwriter who performs and records with the jamgrassy old time band Pert Near Sandstone! PNS brings some great songwriting and arrangements to their high-energy, foot-stomping enthusiastic old timey sound, which makes them one of the top must-see live bands on today's festival scene. Sponsored by Peghead Nation, Paige Capos, Elderly Instruments, and Sullivan Banjos Kevin Kniebel on the web: https://pertnearsandstone.com/   Buy Picky Fingers Merch!! https://www.banjopodcast.com/shop/   Learn banjo from Keith (and many other fantastic instructors) at Midwest Banjo Camp!   Contact the show: pickyfingersbanjopodcast@gmail.com  

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Anonymous:  Hi, dr. C. I live in Europe so it's difficult to get your DNS powder because of expensive shipping.. so my smoothies are full of berries, apples, bananas, avocado, steamed/cooked veggies (peas, broccoli, carrot, etc.) and herbs and spices.. I don't add any extra protein powders, hopefully the veggies, especially peas provide enough? But lately I've been more into oatmeal with blueberries & raspberries, a mashed banana, some bee pollen and a steamed apple.. sometimes some papaya gets in there too.. then I add A LOT of hemp seeds, probably at least 3 heaping tablespoons of it - is that too much & is it enough in terms of protein intake? I have a huge bowl of it, mostly it's the fruit and hempseeds with just a little bit of oatmeal.. But I don't think that breakfast keeps me full for long (neither does the smoothie) and after I get hungry, it's so fast that I start shaking & need to eat something straight away.. I even got hot flashes and dizzy two weeks ago instead of just getting hungry.. What am I doing wrong and how would you correct it? I guess it also has something to do with me not eating breakfast soon after I wake up? I drink a litre of lemon water (is that too much ?) and then do some tinctures so it takes me a while before I get to eat breakfast.. Thank you so much for your help, have a great day   Anonymous: Hello… I've been listening to your podcasts and wondering, what is the best way to eat fruit and when? I find it a bit confusing… Should it be before anything else or does that spike your blood sugar? If protein should be a part of every meal, but fruit eaten on its own… doesn't make sense? In a smoothie it can be mixed with everything else, but what if you just enjoy eating a lot of fruit on its own? What time of the day, when, considering other meals, etc..? Thank you   Alexandra: Hi Dr. Cabral, I'm an IHP Level 2 and very grateful for all the work you've done and the information you've provided. I've had a lot of equilife lab testing done. I've come back high in heavy metals - mercury (0.110) and aluminum (0.79). I've gone through a heavy metal detox and am actively continuing to detox through sauna and Epsom salt baths. My concern is that I'm a 28 y.o. female and have very bad pelvic pain that used to occur only before menstruation. It now occurs at other times of the month and has become quite limiting. I've been referred to a GYN surgeon who would like me to have exploratory surgery to address possible endometriosis. I know there must be another natural way to address the root cause of this. I prefer to avoid surgery. I would love any recommendations you have.   Colleen: Hi Dr. Cabral, Thank you for taking the time to answer these questions. Every time you do, it helps me in some way no matter the subject, and I'm sure the same is true for many others as well. I had a question about walking after a meal. If someone has weak digestion, would it be better to walk after eating or to rest and let the blood flow to the stomach? I'd think it'd be best to rest, but everywhere I turn, it seems the advice is that the best thing to do is walk after a meal to help with digestion. If so, how long should someone wait after a meal to go for a walk without getting out of the relaxed PNS state. (On ep. 1639 you mentioned 10-20 mins after a meal, just checking if that still applies if you have very weak digestion). Thank you again, hope this makes sense.   Ali: Hi Dr. Cabral! I am currently in the process of becoming IHP level 1 & 2 certified and am so grateful for all the resources and education you provide through these courses. After learning about all the conditions and disorders we are able to help with diet, nutrition, supplementation, and lifestyle changes, I was wondering if you have done any research on Narcolepsy and natural alternatives that could help. I am 25 years old and was diagnosed with Narcolepsy when I was 20. I am on the highest dosage of stimulants you can be just to get through the day feeling 'normal'. I am terrified of the long term effects this will have myself and others with Narcolepsy. Thanks in advance for even answering this question, have a wonderful rest of your week!   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/2857 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Louie stole Yoatzi's Kylie doll and the two hash it out on this episode. Yoatzi recaps her surprise birthday party, and we get in to...zodiac signs. This episode of Pretty Not Smart is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi Follow Laura: @lauramellado  To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

Alex Jarass joins us for this episode. Yoatzi and Alex reminisce on their relationship timeline, from falling in love to where it went wrong. This episode of Pretty Not Smart is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi Follow Laura: @lauramellado  To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

Louie is hungover, but is here to tell us about an infestation in his new house. Yoatzi and Louie reveal their phobias, and discuss sleep paralysis. This episode of Pretty Not Smart is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

It's still spooky season and we're recounting scary movie moments that traumatized us. Yoatzi scared Louie to the point he had an out of body experience, Louie talks about his costume that broke the internet, and Louie has a GHOST in his house. This episode of Pretty Not Smart is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

Yoatzi reveals her relationship status. Louie and Yoatzi talk about being comfortable being alone, their green, red, pink, and orange flags in relationships, and reveal some cringy date stories. Go to https://HelloFresh.com/50prettysmart and use code 50prettysmart for 50% off plus 15% off the next 2 months! This episode is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi Follow Laura: @lauramellado  To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

We are telling our biggest secrets...we're sharing more than we've ever shared before. This episode is sponsored by Better Help. Visit BetterHelp.com/PNS today to get 10% off your first month. For listeners of the show, Dipsea is offering an extended 30 day free trial when you go to https://DipseaStories.com/PRETTY Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

We revisit our humble beginnings working in the service industry and expose our biggest paychecks. Louie's accountant thought he was a p**n star, and Yoatzi explains why she credits Louie for launching her career as a content creator. This podcast is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. This podcast is brought to you by Cash App. With tools for saving and spending, it's the best place for you to level up your money and glow up your life. Cash App is a financial platform, not a bank. Banking services provided by Cash App's bank partner(s). For listeners of the show, Dipsea is offering an extended 30 day free trial when you go to https://DipseaStories.com/PRETTY Learn more about your ad choices. Visit podcastchoices.com/adchoices

We finally have our parents on the podcast! We dive into our childhood, funny stories, their marriage, and some emotional moments in our past. Get ready for an emotional roller coaster! If you want to glow up your life, you gotta glow up your money, so download Cash App in the App Store or Google Play. With no hidden fees and a free to order debit card, it feels like makeover for your finances. Cash App is a financial platform, not a bank. Banking services provided by Cash App's bank partner(s). This episode is sponsored by Better Help. Visit BetterHelp.com/PNS today to get 10% off your first month. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

We're exposing our craziest hookup stories. Yoatzi almost got arrested, Louie's fantasy comes true, and guess who answered a facetime from their mom during a hookup! Go to https://HelloFresh.com/50prettysmart and use code 50prettysmart for 50% off plus free shipping If you want to glow up your life, you gotta glow up your money, so download Cash App in the App Store or Google Play. With no hidden fees and a free to order debit card, it feels like makeover for your finances. This podcast is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month. For listeners of the show, Dipsea is offering an extended 30 day free trial when you go to https://DipseaStories.com/PRETTY Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices

We are angels, but we've partied a bit. Here are some of our craziest party stories. Don't try this at home! Go to https://HelloFresh.com/prettysmart50 and and use code prettysmart50 for 50% off plus free shipping! This episode is sponsored by Better Help. Visit https://BetterHelp.com/PNS today to get 10% off your first month If you want to glow up your life, you gotta glow up your money, so download Cash App in the App Store or Google Play. With no hidden fees and a free to order debit card, it feels like makeover for your finances. Follow us on TikTok: https://www.tiktok.com/@prettynotsmartpod Follow the Podcast on IG: @prettynotsmartpod Follow Louie: @louiecastro Follow Yoatzi: @yoatzi To watch our podcast on YouTube: https://www.youtube.com/channel/UC8Yo9OopqvIsgKmzXX6UR_g Don't forget to subscribe to the podcast for free wherever you're listening or by using this link: bit.ly/PrettyNotSmart If you like the show, telling a friend about it would be amazing! You can text, email, Tweet, or send this link to a friend: bit.ly/PrettyNotSmart Learn more about your ad choices. Visit podcastchoices.com/adchoices