Podcasts about Polypharmacy

In this episode of the Clinical Update podcast, academic GP Dr Sam Finnikin speaks to MIMS Learning's medical editor Sangeeta Krishnan about the essential role of shared decision-making  in modern primary care. Sam talks about why shared decision-making is a legal and ethical responsibility, and how GPs can effectively integrate it into the standard 10-minute consultation. They also discuss the unique challenges of polypharmacy, the art of ‘not doing' as an active clinical choice, and how to communicate complex risks to patients in a way they can best understand.Educational objectivesAfter listening to this podcast, healthcare professionals should be better able to:Evaluate the role of shared decision making as a fundamental, non-optional approach to every clinical decision.Implement strategies to achieve shared decision-making within 10-minute consultations by leveraging continuity of care and splitting decisions over time.Apply evidence-based medicine with care to individual patients, particularly those with multimorbidity and polypharmacy who are often excluded from research populations.Understand the concept of ‘not doing' (active watchful waiting) and how it can improve healthcare efficiency and patient outcomes.Communicate risks effectively using absolute numbers, natural frequencies, and positive/negative framing to aid patient deliberation.Encourage patient autonomy while providing tailored recommendations that incorporate a patient's individual values and preferences. You can access the website version of this podcast, along with a list of key learning points, on MIMS Learning - and make notes for your appraisal. MIMS Learning offers hundreds of hours of CPD for healthcare professionals, along with a handy CPD organiser.Please note: this podcast is presented by medical editors and discusses educational content written or presented by doctors, nurses and other healthcare professionals on the MIMS Learning website and at live events.MIMS LearningRegister for a FREE accountStrategies for the safe deprescribing of antidepressantsCase series: polypharmacy in older people with mental health conditionsPolypharmacy in a patient with dementia: nursing home case studyDr Pipin Singh on best care for nursing home patientsMultiple morbidity: nursing home case studyGuidance update: latest NICE guidelines on hypertensionDepression: clinical review Hosted on Acast. See acast.com/privacy for more information.

In this second part of our polypharmacy discussion with Steve Williams, we continue to explore whether large language models like Microsoft Copilot could play a practical role in supporting medication reviews. We consider a real case from a duty day in general practice where Copilot was used to assess prescribing safety and generate a summary of deprescribing opportunities. This prompt was used: “Review the following medication list using the latest British Geriatrics Society (BGS) guidance and the Scottish Polypharmacy Guidance (7-step approach). For each medicine, identify: Indication and whether it is still appropriate Clinical risks (frailty, falls, anticholinergic burden, renal function, interactions) Deprescribing opportunities Safer alternatives if applicable Monitoring requirements Then provide a concise summary of priority actions and any safety red flags that need urgent review. Here is the medication list: [PASTE MEDICATIONS HERE]  Include references to the relevant guideline steps where appropriate.” The conversation also covers a new study led by Professor Tony Avery, which tested an LLM against an expert clinician to assess medication safety in nearly 300 anonymised GP patient records. While the model achieved 100% sensitivity in detecting clinical issues, it matched the expert's full assessment in under half of cases, with failures arising from overconfidence, lack of contextual reasoning, and occasional hallucinations such as misidentifying medications. Steve is self-described as a “curious pragmatist” and feels that LLMs are of great interest, and their ability to flag problems with high sensitivity - when guided by good prompts and established clinical frameworks - makes them a genuinely useful preparation tool, provided the clinician still does the thinking. As Steve puts it, the technology looks promising, but "human intelligence is very underrated..." A Real-World Evaluation of LLM Medication Safety Reviews in NHS Primary Care. Evidence Based Polypharmacy Reviews and the 7 Step Process: TURAS training Thinking Critically About AI (Video lecture by Dr Jessica Morley) How we make decisions – dual process theory and unconscious biases (MeReC Bulletin 2011) You can subscribe to the SNUG podcast on the following platforms: SNUG podcast on Apple podcasts      SNUG podcast on Spotify

The panel opens with credentials clarification and personal stories highlighting how U.S. medicine prioritizes drugs over lifestyle solutions. #MedicalReform #PillCulture #LifestyleMedicine #HealthTalks

Stephen and Jonathan delve into various health topics, focusing on the implications of statin use, the importance of understanding blood test results, and the challenges of navigating healthcare systems. They discuss the role of diet, particularly the carnivore diet, in managing health conditions, and the significance of supplements. The conversation also touches on the complexities of blood pressure management, dietary guidelines in hospitals, and the potential risks associated with high-fat consumption. Overall, the discussion emphasises a holistic approach to health, advocating for understanding root causes rather than relying solely on medications.Chapters00:00 Introduction to Health Conversations01:20 The Statins Debate and Misreported Studies04:32 Polypharmacy and Root Cause Analysis09:28 Understanding Blood Test Results11:54 Experiences with Healthcare Systems15:24 Dietary Guidelines and Hospital Food17:54 Interpreting Blood Metrics19:12 The Role of Supplements in Health20:12 Blood Pressure and Health Indicators22:09 Managing High Blood Pressure27:00 Fat Adaptation and Gallbladder Health29:57 Water Fasting and Dietary Discipline30:52 Constipation and Dietary Adjustments34:23 Postprandial Insulin Response36:58 Carnivore Diet and Polycythemia41:42 Fat Consumption and Diabetes Risk45:51 Potassium Iodide Supplementation

Steve Williams is a senior clinical pharmacist with 35 years of NHS experience, and a co-host of the Aural Apothecary Podcast - a show that takes "an authentic yet light-hearted take on the world of medicines and healthcare in the UK". Steve shares his approach to tackling polypharmacy with us, having moved from acute hospital settings to general practice specifically to address the root causes of medication-related hospital admissions. Working with a 21,000-patient practice, he describes a systematic approach to structured medication reviews - stratifying patients by risk (those on 8+ medications, high-risk combinations, or dependence-forming medicines), allocating pharmacist time to proactive reviews, and combining medication reviews with long-term condition management in single 30-minute appointments. The discussion explores the scale of the problem in the UK: a thousand pills dispensed per second, a million people on 10 or more repeat medicines, and an estimated million hospital admissions annually due to medication issues. Steve advocates for training and empowering "competent prescribers" - whether GPs, pharmacists, or nurses - to confidently review and deprescribe medications, noting that his Dorset system has successfully incentivised practices to reach targets for reviewing high-polypharmacy patients. The big question is - can AI start to help us tackle and reduce polypharmacy? Scottish polypharmacy guidance (updated) The latest version 2025 - draft version for consultation, loads of detail, examples of using the 7-step approach British Geriatrics Society: Pragmatic prescribing to reduce harm for older people with moderate to severe frailty  Excellent clear 2-page guidance Health Innovation Network: The mechanics of tackling overprescribing and problematic polypharmacy  Steve's comprehensive guide to tackling polypharmacy in primary care Health Innovation Wessex: project Polypharmacy Links to Steve's training resources. Manage my meds – for patients and carers to help patients prepare for a medicines review. The Aural Apothecary: Dr Jessica Morley. Will Artificial Intelligence save the NHS? Talking General Practice: AI and the future of general practice – Prof Brendan Delaney

When Laura Delano was just 14 years old, a single psychiatric appointment set her on a 14-year path of diagnoses, medications, and a belief that her brain was permanently broken. In this conversation, the author of Unshrunk shares how treatment that initially promised relief gradually led to dependency, identity loss, and despair — and how questioning that narrative changed the course of her life.Laura and Leslie explore what real informed consent in mental health care should look like, why patients and doctors often lack full information, and how diagnoses and polypharmacy can shape — and sometimes distort — a person's understanding of themselves. This episode isn't anti-medication; it's pro-information, pro-agency, and pro-humanity — an invitation to think more deeply about mental health, healing, and the power of informed choice.Hosted on Ausha. See ausha.co/privacy-policy for more information.

In this episode of Your Health University, Jamie sits down with Dr. Jimmie Williamson, Chief Behavioral Health Officer at Your Health, to break down why behavioral health belongs inside primary care—not outside it. Jimmie explains how telehealth lowered stigma, how mental health diagnoses (“F codes”) often correlate with frequent ER use, and why Your Health moved from intuition to data-driven referral models using tools like Power BI. They also map the full behavioral health ecosystem—from psych nurse practitioners to therapists to the psych pharmacist—and clarify when and how teams should refer patients for the right level of support. The takeaway is simple: earlier behavioral health intervention can improve lives, reduce hospital visits, and strengthen value-based care outcomes system-wide. www.YourHealth.Org

In this week's episode of Medicine: The Truth, hosts Dr. Robert Pearl and Jeremy Corr look closely at the stories and controversies shaping U.S. healthcare at the start of 2026. From a severe flu season and resurgent vaccine-preventable diseases to drug pricing, autism research and the growing role of AI in medicine, the episode offers a data-driven look at where American healthcare is headed. The show opens with warnings about infectious disease. A dangerous H3N2 flu strain is driving hospitalizations, particularly among children, while measles and whooping cough outbreaks continue to spread among unvaccinated populations. To Dr. Pearl, these trends do not appear random. They reflect falling vaccination rates, weakened public-health messaging and growing political interference at federal agencies tasked with protecting the public. From there, the conversation turns to vaccine policy itself. Recent changes at the CDC (including a sharply reduced childhood vaccine schedule and new recommendations against universal newborn hepatitis B vaccination) raise serious concerns. Pearl explains why comparisons to countries like Denmark (with its reduced vaccine schedule) are deeply misleading, and why abandoning universal vaccination in a fragmented U.S. healthcare system risks reversing decades of progress. Here's a look at other must-know stories from this episode of Medicine: The Truth: Positive vaccine evidence: New CDC data show significant reductions in emergency visits among children who received COVID vaccines, reinforcing their safety and effectiveness. Pandemic lessons for children: Pediatric obesity rose during COVID lockdowns, while mental health outcomes improved after schools reopened, underscoring the tradeoffs of prolonged closures. Drug pricing deals with manufacturers: The administration's agreements with pharmaceutical companies apply narrowly to government purchases and exclude many high-cost drugs, limiting their overall impact. First oral GLP-1 approved: The FDA cleared the first pill version of a GLP-1 weight-loss drug, offering convenience but likely remaining unaffordable until prices fall closer to $200 per month. Autism research update: Rising autism prevalence is driven largely by broader diagnostic criteria and awareness. Large studies continue to show no link to vaccines or acetaminophen, while new research points to strong genetic factors and distinct autism subtypes. ACA exchange subsidy uncertainty: Congress has yet to prevent looming premium increases for millions of exchange enrollees. Pearl argues for avoiding coverage cliffs and capping household contributions as a share of income. Polypharmacy in seniors: One in eight Medicare Part D beneficiaries now takes eight or more medications, increasing the risk of side effects, falls and hospitalizations in a fragmented system. New dietary guidelines: Federal recommendations now emphasize animal protein alongside stronger warnings against sugar and ultra-processed foods, a shift that may conflict with earlier public-health messaging. AI's expanding role in healthcare: OpenAI's tools increasingly integrate health data from electronic records and consumer apps, signaling how quickly generative AI is becoming part of medical decision-making. Medicare and AI oversight: Traditional Medicare is moving toward AI-assisted prior authorization for certain procedures, a response to fraud and low-value care that Pearl says is inevitable as costs continue to rise. Tune in to Medicine: The Truth for more fact-based coverage and analysis of healthcare's biggest stories. * * * Dr. Robert Pearl is the author of the new book “ChatGPT, MD: How AI-Empowered Patients & Doctors Can Take Back Control of American Medicine” about the impact of AI on the future of medicine. Fixing Healthcare is a co-production of Dr. Robert Pearl and Jeremy Corr. Subscribe to the show via Apple, Spotify, Stitcher or wherever you find podcasts. Join the conversation or suggest a guest by following the show on Twitter and LinkedIn. The post MTT #102: Vaccines under fire, rising disease & the cost of politics in medicine appeared first on Fixing Healthcare.

Could you discuss GABA for insomnia and sleep support?  Are there long-term health benefits?What impact does a cocktail of pharmaceutical drugs have on the microbiome?Can I take more than 2 daily doses of Dr. Ohira's probiotics?Which is the correct estrogen to take in HRT?  Estriol or estradiol?In light of the recent EPA proposal to double permissible formaldehyde emissions, how does this jibe with MAHA?

Top stories of 2025Does the use of statins lead to muscle loss?I have mitral valve prolapse with regurgitation. Should I increase my supplement dosages?

Is your combination of medications increasing your fall risk? Learn about the rising epidemic of deaths related to falls, and what you can do for prevention in this episode: https://bit.ly/4q1EpqfFalls are one of the most underestimated health crises facing older adults today—and the numbers are staggering. More than 41,000 Americans over age 65 died from falls in 2023. That's more than breast cancer, prostate cancer, car crashes, and overdoses combined. And yet, most of us still think of falls as "bad luck" or "just part of aging."We're not just talking about fall prevention. We're talking about injury prevention, mobility, safer aging, and adding healthy years to your life. If you want to stay independent, upright, and living the life you love, this episode is essential listening. #FallPrevention #FallRisk #SeniorHeath #Aging #AgingSafely #Overmedication #MedicationReview #ElderExercise #TaiChi #EveryoneDiesThePodcast #EveryDayIsAGift In This Episode:03:10 - Are Prescription Drugs Causing the Epidemic of Fatal Falls?08:36 – Movie Review: “The Apprentice”11:01 – Recipe of the Week: Brownie Cookies13:40 – The Importance of a Will22:38 - Understanding Fall Risk and Consequences of a Fall24:09 - Causes of Falls: Intrinsic and Extrinsic Factors25:58 - Causes of Falls: Situational Factors33:01 – What You Can Do To Prevent a Fall47:14 – “Fear” – A Poem by Kahlil Gabran49:11 – OutroSupport the showGet show notes and resources at our website: every1dies.org. Facebook | Instagram | YouTube | mail@every1dies.org

In this episode, Dr. Kharrazian dives into the complex world of mood disorders, shining a light on why conditions like depression and anxiety have become such significant global health challenges. He questions the mainstream approach to treating mood disorders, revealing the limitations and biases present in antidepressant research and the pharmaceutical industry's influence on published data.Dr. Kharrazian explores what's truly happening in the brains of those suffering from chronic mood issues, moving beyond the conventional neurotransmitter model to focus on the importance of neuronal health and plasticity. He breaks down the latest findings on treatments like ketamine, the real risks and shortcomings of long-term antidepressant use, and the many underlying biological factors—from neuroinflammation to neurodegeneration—that practitioners need to consider.Enroll in the complete master class: Mood and Anxiety Disorders Clinical Strategies and Treatment Applications with Dr. Datis Kharrazian at: https://pages.kharrazianinstitute.com/mood-and-anxiety-disordersFor patient-oriented functional medicine courses, visit https://drknews.com/online-courses/For practitioner functional medicine certification courses, visit https://kharrazianinstitute.com/For Certified Functional Nutrition education for both practitioners and lay people, visit https://afnlm.com/00:00 "Anxiety Meds: Benefits and Concerns"03:27 Placebo Effect Outperforms Antidepressants08:33 "Antidepressant Trial Reporting Bias"10:09 "Long-Term Antidepressant Effectiveness Questioned"14:43 Depression: Beyond Neurotransmitter Issues18:06 Mood Disorders: Causes and Approaches21:45 "Functional Medicine & Health Education"Support this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.

In this episode of Walk, Don't Run to the Doctor, we take a deep dive into statins, their true benefits, their real risks, and the massive role lifestyle plays in shaping heart disease outcomes. Rather than accepting oversimplified medical advice, this episode empowers you to think critically, understand uncertainty in medicine, and make fully informed decisions about your own health. You'll learn how to interpret risk statistics (like relative vs absolute risk), why lifestyle may outperform medication for many people, and why statins are helpful for some—yet potentially unnecessary or harmful for others. If you've ever been told "your cholesterol is high, you need a statin," this episode will give you the tools to ask better questions and understand whether that advice truly applies to someone like you.   Key Takeaways: -Medical uncertainty is real — many "facts" are actually opinions without solid or applicable evidence. -Statins help some people more than others: -Strong evidence for people who already had a heart attack. -Much smaller benefit (sometimes minimal) for healthy, active people without prior heart disease. -Absolute vs. relative risk matters: -A "25% reduction in risk" may really mean only 1 fewer event per 100 people. -Lifestyle changes can reduce risk by 50–80%, often outperforming statin benefits—especially for people who exercise, eat whole foods, avoid smoking, keep weight down, and drink moderately. -Statin risks are real: Muscle pain: up to 1 in 10 Diabetes risk increased: about 1 in 200 Possible cognitive impairment (enough for an FDA warning) Polypharmacy (multiple medications) increases uncertainty and side-effect risks.   Get your copy of Good Food Great Medicine, 4th ed.: https://a.co/d/1D6hIYM More references can be found at www.GreatMed.org   Would you like Dr. Hassell to answer your question on the air? Contact us! Phone/text: 503-773-0770 e-mail: info@GreatMed.org EIN: 88-326-7056 Write us a letter. We love to hear from you. This podcast is sponsored by our generous listeners.   Send questions, comments, and support to: GreatMed.org 4804 NW Bethany Blvd., Suite I-2, #273 Portland OR 97229   Check out this video on Completely Rethinking the Link Between Statins, Cholesterol, & Heart Disease, w/ Dr. Aseem Malhotra: https://www.youtube.com/watch?v=-RU3Ouxt1vs&t=251s   References from today's podcast: Ioannidis J. P. (2005). Why most published research findings are false. PLoS medicine, 2(8), e124. https://doi.org/10.1371/journal.pmed.0020124 Luo, Y., Liu, J., Zeng, J., & Pan, H. (2024). Global burden of cardiovascular diseases attributed to low physical activity. American journal of preventive cardiology, 17, 100633. https://doi.org/10.1016/j.ajpc.2024.100633 Ye, Z., Det al.  (2025). Association of statins use and genetic susceptibility with incidence of Alzheimer's disease. The journal of prevention of Alzheimer's disease, 12(2), 100025. https://doi.org/10.1016/j.tjpad.2024.100025

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Download the transcript

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Listen to the podcast here

Subscribe to the video podcast: https://www.youtube.com/@LiveHolPlus/podcastsMental health is not a simple checklist, it is a whole body story. In this hol+ episode, Dr. Taz sits down with Dr. James Greenblatt, a pioneer of integrative and nutritional psychiatry, to rethink how we approach depression, anxiety, ADHD, and eating disorders through labs, nutrients, hormones, and personalized care.Together, they unpack why so much suffering persists despite more medications, how root cause testing changes outcomes, and why simple shifts like correcting vitamin D, B12, iron, thyroid, zinc, and omega 3 can transform mood and resilience. They also explore nutrigenomics for precision dosing, the real limits of 10 minute telehealth med checks, and where tools like ketamine, psychedelics, and lithium orotate fit only after foundations are in place.From practical lab targets and cost effective protocols to the crossroads of food, sleep, screens, and ADHD, this conversation invites us to see mental health not as a diagnosis to medicate, but as a system to understand and support.Dr. Taz and Dr. Greenblatt discuss:The gap between symptom focused care and root cause testingKey labs for mood, vitamin D, B12, iron, thyroid, hormonesWhy micronutrients come first for eating disordersMTHFR, methylfolate, glutathione, and antidepressant responseNutrigenomics for personalized vitamin and mineral dosingThe risks of quick med stacking and 10 minute checksWhere ketamine, psychedelics, and lithium orotate may help, and when they do notADHD, ultra processed foods, sugary drinks, sleep, and screen timeAbout Dr. James Greenblatt, MDDr. James Greenblatt, MD is a board certified psychiatrist and a pioneer of integrative and nutritional psychiatry. For more than three decades he has treated patients with ADHD, depression, anxiety, and eating disorders using personalized protocols that combine conventional care with targeted nutrients and lab guided precision. He is the author of multiple books including Finally Focused and the upcoming Finally Hopeful.Connect further to Hol+ at https://holplus.co/- Don't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+.Get your copy of The Hormone Shift: Balance Your Body and Thrive Through Midlife and MenopauseStay ConnectedSubscribe to the audio podcast: https://holplus.transistor.fm/subscribeSubscribe to the video podcast: https://www.youtube.com/@DrTazMD/podcastsFollow Dr. Taz on Instagram:https://www.instagram.com/drtazmd/https://www.instagram.com/liveholplus/Join the conversation on X: https://x.com/@drtazmdTikTok: https://www.tiktok.com/@drtazmdFacebook: https://www.facebook.com/drtazmd/Follow Dr. James Greenblatt MD: Website: https://jamesgreenblattmd.com Platform: https://PsychiatryRedefined.org Instagram: https://instagram.com/psychiatry_redefinedDon't forget to like, subscribe, and hit the notification bell to stay updated on future episodes of hol+00:00 Introduction, testing gap and the B12 tragedy01:31 Pharma model and 10 minute med checks02:37 Framing the crisis and why patients feel stuck05:49 How psychiatry arrived at symptom based meds07:29 What to test, hormones and core nutrients10:49 The Whole Body Map explained12:39 Vitamin D, B12, iron, thyroid, practical targets17:52 Why meds fail without nutrition18:23 Eating disorders, zinc, omega 3, methylfolate24:33 MTHFR, folate, and glutathione26:34 Nutrigenomics and personalized dosing29:51 Ketamine and psychedelics, proceed with caution32:26 Lithium orotate, irritability and dementia research38:57 Polypharmacy, slowing down, doing the work43:21 ADHD, diet, sleep, screens, lifestyle links46:28 Where to learn more, resources, closing (00:00) - Chapter 1 (00:00) - Introduction, testing gap and the B12 tragedy (01:31) - Pharma model and 10 minute med checks (02:37) - Framing the crisis and why patients feel stuck (05:49) - How psychiatry arrived at symptom based meds (07:29) - What to test, hormones and core nutrients (10:49) - The Whole Body Map explained (12:39) - Vitamin D, B12, iron, thyroid, practical targets (17:52) - Why meds fail without nutrition (18:23) - Eating disorders, zinc, omega 3, methylfolate (24:33) - MTHFR, folate, and glutathione (26:34) - Nutrigenomics and personalized dosing (29:51) - Ketamine and psychedelics, proceed with caution (32:26) - Lithium orotate, irritability and dementia research (38:57) - Polypharmacy, slowing down, doing the work (43:21) - ADHD, diet, sleep, screens, lifestyle links (46:28) - Where to learn more, resources, closing

A single, accurate medication list can prevent harm, yet it's often the messiest part of home visits. We unpack how to turn a kitchen-table pile of bottles into a clear, living record that protects patients, reduces polypharmacy, and keeps agencies compliant. Drawing on decades at the bedside and in surveys, we walk through the moments where discrepancies hide—transitions between providers, “as needed” meds, herbals and supplements, dose tweaks after a clinic visit—and show how to bring everything into alignment with orders and what's actually in the home.View CHAP's new resource: Medication Reconciliation in Home-Based Care We get specific about what good medication reconciliation looks like in home health and hospice: verify at every visit, include non-covered and OTC products, and escalate discrepancies to the prescriber right away. You'll hear why misalignment across the home list, the medication profile, and facility records is a top CMS deficiency and how it can escalate to immediate jeopardy when safety is at risk. We also dig into the April 2024 Home Health CoP interpretive update that lets agencies define who performs medication reviews based on scope and policy, while underscoring the nonnegotiable goal: a timely, accurate, and complete list.Education and tools make the difference. We share practical strategies for teach-back, multilingual materials, and adapting for hearing or vision limits. We cover the Beers Criteria for older adults, ISMP resources, safe storage and disposal, and tech that improves adherence—delivery services, synchronized refills, pre-filled packs, and smart dispensers. Expect actionable checklists, questions to ask on every visit, and a reminder to have patients carry a current list to appointments and during any transition of care.Visit our websiteConnect with us - LinkedIn, Twitter, YouTube, FacebookMake Lives Better

Justin Coleman chats with geriatrician and clinical pharmacologist Alex Choo about potentially inappropriate medicines [PIMs] for older people. They discuss the challenges of prescribing for older people and how to use the new Australian PIMs list. The discussion covers some of the 15 drug classes on the list, including antidepressants, benzodiazepines, opioids and NSAIDs. Read the full article by Alex in Australian Prescriber.

Stream this podcast to learn from experts Alexis E. Horace, PharmD, BCACP,andNimish Patel, PharmD, PhD, AAHIVP, how specialist pharmacists can overcome key barriers to care and apply best practices for optimization of antiretroviral therapy for HIV. Topics covered include: Leveraging pharmacists' expertise to advance HIV treatmentPharmacist roles in HIV care and management The current ART landscapeRegimen simplificationConsideration of patient preferences, health factors, and comorbidities for ART optimizationART management for treatment-experienced patients, including those with multidrug-resistant HIVPresenters:Alexis E. Horace, PharmD, BCACPProfessor of Pharmacy PracticeUniversity of Louisiana at Monroe College of PharmacyNew Orleans CampusCrescentCare Ambulatory Care Clinical Pharmacist, HIV SpecialtyNew Orleans, LouisianaNimish Patel, PharmD, PhD, AAHIVPProfessor of Clinical PharmacyDivision of Clinical PharmacySkaggs School of Pharmacy & Pharmaceutical SciencesUniversity of California, San DiegoLa Jolla, CaliforniaLink to full program: https://bit.ly/41agtqQGet access to all of our new podcasts by subscribing to the CCO Infectious Disease Podcast on Apple Podcasts, Google Podcasts, or Spotify.

Dave Mac and Stephen Thomas delve into the alarming issue of iatrogenic deaths, which are deaths caused by medical errors. They discuss the statistics surrounding these errors, the personal stories that highlight the human impact, and the systemic issues within the healthcare system that contribute to these tragedies. The conversation emphasises the need for better reporting, the role of technology in reducing errors, and the importance of patient advocacy. They also explore the cultural shifts needed in healthcare to improve transparency and patient outcomes.https://open.substack.com/pub/theukcarnivore/p/the-doctor-will-maybe-kill-you-now?r=14wb5g&utm_campaign=post&utm_medium=web&showWelcomeOnShare=falseChapters00:00 Understanding Iatrogenic Deaths03:07 The Scale of Medical Errors05:53 Personal Stories and Misdiagnosis08:49 The Need for Better Reporting12:09 Systemic Issues in Healthcare15:00 The Role of Technology in Reducing Errors18:01 Polypharmacy and Its Dangers21:13 Cultural Shifts in Healthcare23:53 Global Implications of Medical Errors26:54 The Importance of Patient Advocacy30:01 The Future of Healthcare and Transparency

Chris Duffin is joined by Anthony Castor for an in-depth exploration of peptides and their role in optimizing health, training, and recovery. Together, they break down the complexities of building peptide protocols—discussing how to identify bottlenecks in your own training or wellness, the art and science of combining interventions effectively (without overcomplicating or wasting resources), and why understanding cellular pathways and mechanisms of action matters.  Whether you're curious about cellular medicine, looking to fine-tune your supplement stack, or just want sharper tools in your resilience toolbox, this episode offers practical, actionable wisdom to help you get the most out of your health and performance strategies—without unnecessary complexity. Let's get started!   Here are my top three takeaways from the episode: Precision Beats Overload: When it comes to peptides (and training), more isn't always better. Identify your “bottlenecks” and use the least amount of intervention necessary. Streamline your approach and only deploy peptides with mechanisms that authentically support your goals. Understand the Mechanisms: Before layering in another supplement or peptide, take the time to map out which cellular pathways you want to target—and avoid overlap or counterproductive combinations. Knowing howsomething works is crucial to making smart choices (the “why” matters, not just the “what”). Continuous Assessment is Key: Monitor progress with clear performance indicators—whether that's lab work, improved cognition, or how you feel. Be ready to adjust your protocol, rotate interventions, and remove what you no longer need.   This episode of the ARCHITECT of RESILIENCE podcast is available on Apple, Spotify & YouTube, and is sponsored by  @marekhealth : Performance. Longevity. Optimization.

Longevity & Detox Power of C60: A Deep Dive with a ToxicologistClick On My Website Below To Schedule A Free 15 Min Zoom Call:www.Over40FitnessHacks.comOver 40 Fitness Hacks SKOOL Group!Get Your Whoop4.0 Here!Dr. Joe Nieusma - Live Longer Labs - Toxicologistwww.SuperiorToxicology.comLiveLongerLabs.com (Use code DRJOE15 for a discount)

In this episode of Iron Radio, hosts Coach Phil Stevens, Dr. Mike T Nelson, and Dr. Lonnie Lowery discuss the recent shift in fitness trends from strength-based training to aesthetic-focused workouts. They explore the rise of powerlifting and Olympic weightlifting thanks to CrossFit, and the subsequent swing back to physique training driven by social media influencers and the supplement industry. The conversation also touches on the increased female participation in bodybuilding, the role of hormone replacement therapy (HRT) clinics, and the surge in the global supplement market. Tune in for an insightful discussion on how the pendulum swings in the fitness industry and the implications of these trends.00:59 Shift from Aesthetics to Functional Lifting01:45 The Rise of Powerlifting and Olympic Weightlifting02:30 Backlash and Return to Aesthetics04:25 Market Trends and Supplement Industry10:15 Impact of COVID-19 on Fitness Trends11:58 Challenges in Bodybuilding and HRT Clinics14:46 Exploring TRT and Peptide Clinics15:27 Shady Practices in Hormone Clinics16:00 The Evolution of Longevity Clinics16:44 Normalization and Accessibility of Enhancements18:41 Women and Polypharmacy in Bodybuilding20:45 Concerns Over Medical Advice and Optimization23:11 The Return of Bodybuilding Trends  Donate to the show via PayPal HERE.You can also join Dr Mike's Insider Newsletter for more info on how to add muscle, improve your performance and body comp - all without destroying your health, go to www.ironradiodrmike.com Thank you!Phil, Jerrell, Mike T, and Lonnie

In this episode of The Heart to Heart podcast, Dr. Mike Hart welcomes back Dr. Kwadwo Kyeremanteng to discuss his new book, 'Prevention Over Prescription.' The conversation covers various aspects of health, focusing on how to avoid the need for medications by adopting healthier lifestyle choices. Key topics include the importance of nutrition, particularly increasing protein intake, consistent exercise, and stress management techniques.Dr. Kyeremanteng emphasizes the role of sleep quality, community building, and finding a purpose in life as essential pillars of health. Both doctors share personal anecdotes and practical tips for making sustainable lifestyle changes. Guest Bio and Links: Dr. Kwadwo Kyeremanteng is a board-certified intensive care and palliative care physician, as well as a department head at a major Canadian hospital and a respected medical educator. He is the author of Prevention Over Prescription and the founder of Guided Nutrition, a wellness-focused supplement company designed to help people improve their health through evidence-based lifestyle strategies. Drawing from over 15 years of ICU experience, Dr. Kwadwo specializes in metabolic health, longevity, and the practical tools needed to prevent chronic disease. His work focuses on empowering patients to take control of their health through simple, sustainable changes—long before they end up in the hospital. Dr. Kwadwo is also the host of the Quadcast and a trusted voice on social media, where he shares clear, actionable insights on fitness, nutrition, purpose, and mental wellbeing. Listeners can learn more about Dr. Kwadwo Kyeremanteng at drkwadwo.ca, on IG @quadcast, and on YouTube  Prevention Over Prescription – by Dr. Kwadwo Kyeremanteng Timecodes: (0:00) Welcome back to the Hart2Heart Podcast with Dr. Mike Hart (0:15) Dr. Hart introduces guest, Dr. Kwadwo Kyeremanteng to the show (0:30) Discussing the New Book: Prevention Over Prescription (01:00) Hockey Talk and Personal Fitness (03:30) The Importance of Metabolic Health (06:00) Exercise and Consistency (12:00) "You're either gonna suffer one way or another. It's way better to suffer on the treadmill than to suffer in the ICU." (15:00) Nutritional Advice and Protein Intake (23:00) Stress Management and Community (29:00) Making a Difference in Patient Care (30:00) Stress Management Techniques (31:00) The Importance of Community and Relationships (32:30) Sleep Quality and Its Impact (35:30) The Prescription Trap (46:00) Lab Markers for Health --- Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap that exists in the medical community.  Connect on social with Dr. Mike Hart: Social Links: Instagram: @drmikehart Twitter: @drmikehart Facebook: @drmikehart  

In this powerful episode of IDD Health Matters, host Dr. Craig Escudé sits down with Dr. Mike Cummings, Vice Chair of Psychiatry at the University of Buffalo School of Medicine and Medical Director for several psychiatric programs across New York State. Dr. Cummings brings a wealth of experience from leading New York's busiest psychiatric ER to developing innovative programs like START and APEC that provide person-centered psychiatric support for individuals with intellectual and developmental disabilities (IDD). Together, they unpack the challenges of polypharmacy, the importance of understanding behavior as communication, and how to empower families and individuals through education and collaborative care. Dr. Cummings also shares insights into his YouTube series Coffee Talk with Mike and Janelle, which aims to demystify psychiatric care for families and caregivers in the IDD community. From crisis prevention to positive psychology, this episode is a must-listen for healthcare providers, support professionals, and anyone committed to improving the quality of mental health care for people with IDD.

In this podcast episode, Sara A. Hurvitz, MD, FACP, La-Urshalar B. Brock, FNP-BC, CNM, and Jordan Hill, PharmD, BCOP, discuss the important role of the multidisciplinary team in achieving comprehensive and individualized care of patients with HR-positive/HER2-negative metastatic breast cancer and preexisting comorbidities, including:Key Comorbidities in Patients with HR+/HER2- MBCImpact of PolypharmacyRole of APPs in Comprehensive CareRole of CDK4/6 Inhibitors and Other Treatments for HR+/HER2- MBCUtility of RWE dataCommunicating Treatment Options With Patients and CaregiversUnderstanding Patient Goals and Coordinating With the Multidisciplinary Team to Individualize Treatment and Maximize Quality of LifeLink to full program:https://bit.ly/4jCQe38

We explore the expanding field of Geriatric Emergency Medicine. Hosts: Ula Hwang, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Geriatric_Emergency_Medicine.mp3 Download Leave a Comment Tags: Geriatric Show Notes Key Topics Discussed Importance and impact of geriatric emergency departments. Optimizing care strategies for geriatric patients in ED settings. Practical approaches for non-geriatric-specific EDs. Challenges in Geriatric Emergency Care Geriatric patients often present with: Multiple chronic conditions Polypharmacy Functional decline (mobility issues, cognitive impairments, social isolation) Adapting Clinical Approach Core objective remains acute issue diagnosis and treatment. Additional considerations for geriatric patients: Review and caution with medications to prevent adverse reactions. Address functional limitations and cognitive impairments. Emphasize safe discharge and care transitions to prevent unnecessary hospitalization. Identifying High-Risk Geriatric Patients Screening tools: Identification of Seniors at Risk (ISAR) Frailty screens Alignment with the “Age-Friendly Health Systems” initiative focusing on: Mentation Mobility Medications Patient preferences (what matters most) Mistreatment (elder abuse awareness)

Dr. Dean St Mark, a pharmacologist and product formulator for UK-based brand called Supplement Needs, brings his expertise on testosterone, PEDs, and their health implications to the podcast.• TRT usage has shifted from older men to being prescribed for men in their mid-20s with hypogonadism• Many users push beyond replacement therapy (800 ng/dL) into enhancement territory (1200+ ng/dL) • Androgens impact brain chemistry, creating psychological dependency through altered dopamine thresholds• Female athletes face unique risks including potentially irreversible virilization effects like voice deepening• Polypharmacy and arbitrary dosing based on gym advice rather than science increases health risks• "FemTest" protocols inappropriately extrapolate safety data from PCOS patients to healthy female athletes• Excessive size and muscle mass may contribute to early mortality in bodybuilders (40-60 years old)• EPO can benefit endurance athletes but requires careful monitoring due to blood viscosity concernsFind Dr. Dean St Mark on Instagram @DeanSTM.

Send BFTA a commentDr. H breaks down the complex task of deprescribing into six clear steps, starting with the most important and challenging question of all:   Who is the patient and why are they suffering?"Bringing Therapy into Med Management"-- a psychotherapy training intensive with Dr. H for psych NPs and PAs this October in Ft Collins https://www.craigheacockmd.com/training/BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

In this episode of "Next Steps 4 Seniors: Conversations on Aging," host Wendy Jones discusses the critical topic of medication management for aging adults. Wendy, along with an unnamed speaker, highlights the complexities and risks of managing multiple medications, including memory issues and pharmacy. They share real-life stories to illustrate the dangers of improper medication use and emphasize the importance of collaboration with healthcare providers. Wendy advises consulting pharmacists for potential drug interactions and maintaining updated medication records. The episode aims to provide practical tips to help families ensure the safety and well-being of their aging loved ones. Have questions or suggestions? Call 248-651-5010 or email hello@nextsteps4seniors.com. For podcast topics or sponsorship opportunities, contact marketing@nextsteps4seniors.com. Don’t forget to subscribe, follow, and share on your favorite podcast platform. Visit NextSteps4Seniors.com to learn more and explore additional resources. Let’s take the next steps together! This episode is proudly sponsored by Aeroflow Urology, a leader in incontinence care solutions. You may be eligible to receive your incontinence supplies at no cost through your insurance, delivered discreetly and directly to your door. *Some exclusions apply Visit aeroflowurology.com/ns4s to learn more and see if you're eligible.Learn more : https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

In this episode, we explore the unique challenges and considerations in treating older adults, focusing on the need for a different approach to care due to polypharmacy and multimorbidity. We delve into the complexities of managing these patients, emphasizing the importance of understanding frailty—how to assess, prevent, and address it. The discussion also covers late-onset rheumatoid arthritis, its distinction from rheumatoid arthritis, and why it often goes underdiagnosed and undertreated. We introduce the 5 M's framework; a geriatric care model that helps clinicians focus on what truly matters to older adults. Additionally, we address the role of palliative care in rheumatology, highlighting its importance beyond end-of-life care, and provide guidance on shared decision-making with older adults and their families to ensure patient-centered outcomes.   

In this Complex Care Journal Club podcast episode, Dr. Kathleen C. Thomas discusses a cross-sectional study of associations between neighborhood context with psychotropic polypharmacy and psychotherapy among children with high-needs for medical or psychiatric care. She describes the inclusion of parent advisors on the study team, the inclusion of children with medical complexity in the study population, key insights including the importance of non-medical supports, and the next steps from this work. SPEAKER Kathleen C. Thomas, PhD, MPH Professor and Vice Chair of Research and Graduate Education Division of Pharmaceutical Outcomes and Policy Eshelman School of Pharmacy University of North Carolina at Chapel Hill HOST Kristina Malik, MD Assistant Professor of Pediatrics, University of Colorado School of Medicine Medical Director, KidStreet Pediatrician, Special Care Clinic, Children's Hospital Colorado DATE Initial publication date: January 13, 2025. ARTICLE REFERENCED Thomas KC, Annis IE, deJong NA, Christian RB, Davis SA, Hughes PM, Prichard BA, Prichard JR, Allen PS, Gettinger JS, Morris DN, Eaker KB. Association Between Neighborhood Context and Psychotropic Polypharmacy Use Among High-Need Children. Psychiatr Serv. 2024 Sep 11:appips20230639. doi: 10.1176/appi.ps.20230639. Epub ahead of print. PMID: 39257315. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/3rffshwp3q2km53w7xckq38/011025_CCJCP__Where_You_Live_Matters Clinicians across healthcare professions, advocates, researchers, and patients/families are all encouraged to engage and provide feedback! You can recommend an article for discussion using this form: forms.gle/Bdxb86Sw5qq1uFhW6 Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Thomas KC, Malik KE. Where You Live Matters: Psychotropic Polypharmacy and Psychotherapy in Children with High-Needs‌. 01/2025. OPENPediatrics. Online Podcast. https://soundcloud.com/openpediatrics/where-you-live-matters-psychotropic-polypharmacy-and-psychotherapy-in-children-with-high-needs.

Women's health can feel like a never-ending mystery, right? One symptom leads to another question, and the cycle keeps going. In this special New Year's Q&A, I'm sitting down with my daughter Amira again to answer the questions so many of you have been asking. From the effects of medications and hormone disruptors to lessons I learned from my mom's health journey, we're unpacking stories and strategies to help you feel more in control of your body and your choices.   Let's talk about the stuff that's been keeping you up at night—like hair loss and those annoying heart flutters that seem to come out of nowhere. We're getting into why these things happen, especially during menopause, and what you can actually do about them.   Oh, and if you're tired of hitting that midday slump or fighting off cravings, I've got a little secret for you: my Keto Green Shake. It's not just tasty—it's a game changer for energy, focus, and feeling good in your skin. Head over to dranna.com/tryketoshake and give it a try—I promise you'll love it!   Key Timestamps: [00:00] Introduction. [00:05:35] Polypharmacy and its consequences. [00:10:13] Empowering patients in healthcare decisions. [00:15:10] Hormone disruptors and health risks. [00:19:22] Hair loss in postmenopausal women. [00:22:23] Hormone replenishment versus replacement. [00:25:42] Hair loss solutions and tips. [00:36:18] Women's heart health and hormones.   Memorable Quotes:   "You really have to ask questions. If you're not feeling that you have the ability, the hospitality to ask questions and get answers from your medical providers, facilities, insurance, whatever. You keep looking, you are the best advocate for your health." [00:09:59] – Dr. Anna Cabeca   "Test, don't guess." [00:33:15] – Dr. Anna Cabeca   Links Mentioned: Keto Green Shake: https://dranna.com/tryketoshake   Connect with Dr. Anna Cabeca: Website: https://drannacabeca.com/pages/show Instagram: https://www.instagram.com/thegirlfrienddoctor/ YouTube: https://www.youtube.com/@thegirlfrienddoctor TikTok: https://www.tiktok.com/@drannacabeca   Produced by Evolved Podcasting: www.evolvedpodcasting.com

Zana Carver, PhD, is an associate professor with expertise in physiology, toxicology, and pharmacokinetics. In this episode, using thyroid issues as an example, Dr. Carver explains that the medical industry intentionally develops tests that lead to a failure to diagnose root medical problems, allowing multiple symptoms to develop, leading to perpetual polypharmacy. Reference Links https://informedchoicewa.substack.com/ Learn more about your ad choices. Visit podcastchoices.com/adchoices

Zana Carver, PhD, is an associate professor with expertise in physiology, toxicology, and pharmacokinetics. In this episode, using thyroid issues as an example, Dr. Carver explains that the medical industry intentionally develops tests that lead to a failure to diagnose root medical problems, allowing multiple symptoms to develop, leading to perpetual polypharmacy.Reference Linkshttps://informedchoicewa.substack.com/ Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

2024–a year in review (America's worsening health picture); Obesity and cancer incidence rise in U.S. while healthspan declines; First-of-its-kind lawsuit takes aim at ultra-processed food makers; Nutritional support for childhood developmental disorders; Dr. Mark Hyman, integrative pioneer, gets the New York Times treatment; Can a blood pressure medication cause canker sores? Curbing Omega-6s, boosting Omega-3s, improves prostate cancer outcomes. 

Diabetes Core Update is a monthly podcast that presents and discusses the latest clinically relevant articles from the American Diabetes Association's four science and medical journals – Diabetes, Diabetes Care, Clinical Diabetes, and Diabetes Spectrum. Each episode is approximately 25 minutes long and presents 5-6 recently published articles from ADA journals. Intended for practicing physicians and health care professionals, Diabetes Core Update   discusses how the latest research and information published in journals of the American Diabetes Association are relevant to clinical practice and can be applied in a treatment setting. Welcome to diabetes core update where every month we go over the most important articles to come out in the field of diabetes. Articles that are important for practicing clinicians to understand to stay up with the rapid changes in the field.  This issue will review: 1.     Association of semaglutide with first-time diagnosis of Alzheimer's disease in patients with type 2 diabetes 2.     Increasing Medication Use and Polypharmacy in Type 2 Diabetes 3.     Association of Energy Intake and Dietary Glycemic Load in Different Time Periods With Cardiovascular Disease Mortality Among U.S. Adults With Type 2 Diabetes 4.     Comparative effectiveness of sodium-glucose cotransporter-2 inhibitors for recurrent nephrolithiasis among patients with pre-existing nephrolithiasis or gout 5.     GLP-1 Receptor Agonists and the Path to Sustainable Obesity Care   For more information about each of ADA's science and medical journals, please visit.www.diabetesjournals.org. Hosts: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health John J. Russell, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Director, Family Medicine Residency Program, Chair-Department of Family Medicine, Abington Jefferson Health

Taking multiple medications, called polypharmacy, is often a cause and contributor to health problems as we age. Seventy percent of people over 40 take at least one drug, twelve percent of people over 65 take ten or more prescription or nonprescription medications. And a whopping 95% of people older than 65 are taking a medication that increases their risk for falls. Dr. Fleming helps patients and providers understand what to watch for and provides simple tools for avoiding complications.   Key Takeaways To Tune In For: (01:08) - Understanding Polypharmacy (07:09) - The Risks of Blood Pressure Medications (11:11) - The Dangers of Drug Interactions (17:07) - Tips for Patients to Navigate Medication Reviews (21:14) - The Role of Advocates in Healthcare (25:05) - Recommended Resources for Healthy Aging     Resources talked about in this episode Guest website - Vital Aging Clinic

In this solo episode Dr. H shares his current thoughts on working in the here and now; polypharmacy; the root causes of suicidality; diagnostic parsimony ; ketamine microdosing; and online psych NP training programs.BFTA on IG @backfromtheabysspodcasthttps://www.instagram.com/backfromtheabysspodcast/BFTA/ Dr. Hhttps://www.craigheacockmd.com/podcast-page/

DISCLAMER >>>>>>    The Ditch Lab Coat podcast serves solely for general informational purposes and does not serve as a substitute for professional medical services such as medicine or nursing. It does not establish a doctor/patient relationship, and the use of information from the podcast or linked materials is at the user's own risk. The content does not aim to replace professional medical advice, diagnosis, or treatment, and users should promptly seek guidance from healthcare professionals for any medical conditions.   >>>>>> The expressed opinions belong solely to the hosts and guests, and they do not necessarily reflect the views or opinions of the Hospitals, Clinics, Universities, or any other organization associated with the host or guests.       Disclosures: Ditch The Lab Coat podcast is produced by (Podkind.co) and is independent of Dr. Bonta's teaching and research roles at McMaster University, Temerty Faculty of Medicine and Queens University. Welcome to another episode of "Ditch the Lab Coat," the podcast where we critically explore the latest in medical science and healthcare with engaging discussions and a dose of skepticism. I'm your host, Dr. Mark Bonta, and today we have an insightful conversation lined up with our distinguished guest, Dr. Allan Detsky. Dr. Detsky, a professor at the University of Toronto and former Chief Physician at Sinai Health Systems, brings his extensive knowledge in evidence-based medicine, health policy, and clinical experience into our discussion.In this episode, we'll delve into the complex landscape of pain management and the opioid crisis, explore the future health challenges posed by climate change and societal shifts in civility, and critique the growing influence of unregulated health advice on social media. Dr. Detsky shares his candid views on the pharmaceutical industry's role in drug development, conflicts of interest, and the intricate relationship between lifestyle changes and medical advancements.We'll also discuss the limitations of evidence-based medicine, especially when it comes to treating patients with multiple conditions, and the challenges of applying clinical guidelines to real-world settings. Plus, stay tuned for an announcement about a website overhaul, launching in December, featuring expanded blog content for our curious listeners.Join us as we unravel these pressing issues and more, always questioning, always learning. "Ditch the Lab Coat" continues right now.00:00 - Podcast begins with healthcare insights from Dr. Alan Detsky.05:31 - Highlighting the role of randomized trials in improving evidence-based medicine.08:52 - Questioning the efficacy of zinc supplements for healthy young adults.10:27 - Clinical study results often fail to align with real patient demographics.16:57 - Lack of shared decision-making opportunities for hospitalized patients.19:22 - Discussing right-wing skepticism toward pharmaceutical companies, balanced with acknowledgment of their contributions.21:21 - Exploration of how pharmaceutical companies prioritize profits over public-interest-driven drug development.25:00 - Reflecting on personal and professional relationships with drug industry figures.30:43 - Increasing dependency on lifelong medications in healthcare.35:14 - Potential for AI to address systemic issues despite its resource demands.36:35 - Emphasizing the importance of verifying credentials to avoid unqualified healthcare professionals.

Joining us on Well Said is Dr. Philip Solomon, Geriatrics Fellowship Program Director at Northwell Health, Director of Geriatric Education and Clinical Integration, and Assistant Professor at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell to discuss the difficulties faced by those needing to be on many different medications at once.

This episode of “Good Health, Better World” is all about polypharmacy, or more than one medication at the same time. Tune in to understand some of the considerations for chronic medications as we age, and hear about how insurance plans and pharmacies work together to help members and patients manage their medications as prescribed.  Find show notes and additional information at upmchp.us/ghbw-s4ep5

An alarming number of individuals find themselves dependent on antidepressants and psychiatric medications, desperately seeking guidance on how to safely discontinue their use. The general medical community has failed to assist people in safely getting off these drugs. The dependency can create severe withdrawal symptoms. Most doctors have no clue how to get their patients off safely keeping them in a cycle of drug dependency. The worst of prescribers will frame the withdrawal symptoms as worsening "depression" and justification for staying on drugs. On Episode 154 of the Radically Genuine Podcast Dr. Roger McFillin dives into the topic of deprescribing and tapering off psychiatric drugs with a pharmacist. Dr. Shawn Gill, PharmD, is a pharmacist, writer, podcaster, and entrepreneur dedicated to sparking change in healthcare through deprescribing. He is the founder of Deprescribe Solutions, an independent consulting practice focused on reversing early-stage chronic conditions in mental health, hypertension, and type 2 diabetes. He hosts the "Deprescribe" podcast and writes the Substack newsletter "B.U.D.S," where he explores topics in health, deprescribing, parenting, and personal growth. Chapters00:00 The Silent Epidemic of Over-Prescription03:06 The Role of Pharmacists in Mental Health06:11 Understanding Compounding Pharmacy09:01 Polypharmacy: A Growing Concern11:58 The Dangers of SSRIs and SNRIs15:12 The Ethics of Prescribing Practices18:01 Navigating Withdrawal and Tapering20:57 Hyperbolic vs. Linear Tapering24:14 Protracted Withdrawal: Understanding the Risks26:49 Preventing Dependency: Education and Awareness29:58 The Future of Mental Health TreatmentResources: Systematic review detailing the relationship between SERT occupancy and SSRI dosing.- This is a great systematic review that breaks down the hyperbolic nature of SSRIs. It also elucidates on the potential pharmacology and mechanism behind protracted withdrawal, which we touched upon. RELEASE Clinical Trial - RCT which will be investigating hyperbolic tapering vs. linear tapering. The trial will begin in 2025.Outro Health - Fantastic organization trying to scale and make hyperbolic tapering accessible to the US. Dr. Sean Gill SubstackDeprescribe Podcast w/ Dr. Sean Gill RADICALLY GENUINE PODCASTDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here—-----------FREE DOWNLOAD! DISTRESS TOLERANCE SKILLS

Both Democrats and Republicans agree that we have a health care crisis, with high costs and poor outcomes.  This week, a fired-up Dr. Prather talks about a proven solution to this crisis.  In this episode, you'll discover:—How America spends the most on health care, but has the worst outcomes when compared to all other industrialized nations.—The drug problem in America, both in terms of illicit drugs and an over-reliance on pharmaceuticals.  And the problem of Polypharmacy, which impacts 40% of those over the age of 65 who are taking more than 4 prescription drugs. —Why Dr. Prather says that, if drugs and pharmaceuticals were the answer to our health care, then Americans should be the healthiest people on the planet.—The reason the news media aren't interested in reporting negative stories on pharmaceuticals.  And the astonishing percentage of news media revenues that come directly from Big Pharma.—Why Dr. Prather says he is actually "proud" of America's Disease Care, but that we're missing the necessary Structure-Function Care which should be our source of primary care for best patient results.—How Blue Cross/Blue Shield of Illinois did a 10-year study that proved the health care model used in Dr. Prather's office lowers health care costs by 60%, while improving patient outcomes by 85%.  And why the pharmaceutical companies oppose this health care model because it resulted in an 80% reduction in pharmaceutical costs.—The importance of Health Savings Accounts (HSA's) in health care reform to put the power in the hands of the patients, not government or insurance company bureaucrats. —How we can have better pharmaceutical drugs and a more innovative pharmaceutical industry through smart regulatory reform. —Why pharmaceutical industry "capture" of the very government agencies regulating them is such a problem. —Plus, how you can attend Dr. Prather's speech on this subject at the Trinity Health Expo on Saturday, September 28th at 1 p.m.http://www.TheVoiceOfHealthRadio.com

About this episode: One in five U.S. adults is taking five or more prescription drugs at a time, often for years without reassessment of need, dosage, or possible interactions. Today, a look at polypharmacy and why it's important for physicians to periodically check in with patients about all the prescription—and nonprescription—drugs they're taking. The guests also discuss the importance of considering non-pharmaceutical treatments like physical or talk therapy, and empowering patients and their care partners to ask questions about what they're being prescribed. Guests: Dr. Cynthia Boyd is a geriatrician and faculty at Johns Hopkins Medicine. She is also a senior associate with the Johns Hopkins Center on Aging and Health. Dr. Ariel Green is a geriatrician and faculty at Johns Hopkins Medicine. She is also a core faculty member of the Johns Hopkins Bloomberg School of Public Health Center for Drug Safety and Effectiveness. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Taking Multiple Medications? You May Need to Scale Back.—The New York Times Taking more than 5 pills in a day? ‘Deprescribing' can prevent harm—especially for older people—The Conversation Contact us: Have a question about something you heard? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on X @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed

Today's sponsor of the 10 Commandments of Polypharmacy podcast is FreedAI. Freed listens, transcribes, and writes medical documentation for you. FreedAI is offering a discount exclusive to RLP listeners! Users will get $50 off their first month with Freed! Use the discount code: RLPPOD Here is part 2 of 2 on the final 5 of the 10 commandments of polypharmacy. 6. Thou shalt identify limits for medications not intended for chronic use as well as not continue a medication indefinitely for symptoms that have an expected short duration 7. Thou shalt not start a medication from a similar medication class without appropriate rationale 8. Thou shalt not initiate a medication without considering medications that may treat duplicate conditions – Kill two birds with one stone 9. Thou shalt consider eliminating or reducing medications at every medication review 10. Thou shalt be willing to accept risk in discontinuing a medication if they were willing to accept the risk of initiating a medication

On this special episode, I provide some real-life examples and layout 5 of my 10 commandments of polypharmacy. Today's sponsor of the Top 10 Anticoagulant Drug Interactions podcast is FreedAI. Freed listens, transcribes, and writes medical documentation for you. FreedAI is offering a discount exclusive to RLP listeners! Users will get $50 off their first month with Freed! Use the discount code: RLPPOD Here are the first 5 commandments that are addressed in the podcast. 1. Thou shalt not start, ask for, dispense, or administer medication without reviewing a medication list that is accurate, up to date, and complete with over-the-counter medications and supplements 2. Thou shalt consider utilizing non-drug approaches and interventions to solve patient problems before initiating medication 3. Thou shalt assess if a medication is effective before adding a new medication for the same condition 4. Thou shalt consider any new symptom is an adverse effect of another medication until proved otherwise 5. Thou shalt not start a medication without an appropriate indication and assessing appropriate lab work

Join us for a discussion on medication awareness and prescribing cascades with Paula Rochon, a geriatrician. As we embark on a new year, many focus on diet and exercise resolutions, but overlooking medication management can have profound implications for health. With nearly 4 in 10 adults over 65 taking five or more medications, polypharmacy is a pressing concern. In this episode, Paula shares insights into the risks of polypharmacy, particularly for older adults, and illuminates the phenomenon of prescribing cascades. Learn how recognizing and addressing prescribing cascades can mitigate unnecessary medication use and improve patient outcomes. Paula Rochon is a geriatrician. She discusses the KevinMD article, "Now is a good time to reassess your medications with your clinician." Our presenting sponsor is Nuance, a Microsoft company. Together, Microsoft and Nuance are leveraging their rich digital technology and advanced AI capabilities to tackle some of health care's biggest challenges. AI-driven technology promises to revolutionize patient and provider experiences with clinical documentation that writes itself. The Nuance Dragon Ambient eXperience, or DAX for short, is a voice-enabled solution that automatically captures patient encounters securely and accurately at the point of care. DAX Copilot combines proven conversational and ambient AI with the most advanced generative AI in a mobile application that integrates directly with your existing workflows. Physicians who use DAX have reported a 50 percent decrease in documentation time and a 70 percent reduction in feelings of burnout, and 85 percent of patients say their physician is more personable and conversational. Discover AI-powered clinical documentation that writes itself. Visit https://nuance.com/daxinaction to see a 12-minute DAX Copilot demo. VISIT SPONSOR → https://nuance.com/daxinaction SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended GET CME FOR THIS EPISODE → https://earnc.me/IkYiYX Powered by CMEfy.

This episode of Vitality Radio features a return of the Vital Rant! Jared discusses a PubMed article titled the War Against Polypharmacy. Data suggests that among those who take prescription medications, the average number of medications taken is four! Many are taking far more than that. You'll learn about the mortality risk increase with multiple pharmaceutical drugs and how you can reduce that risk by finding natural alternatives to many of those drugs.Jared also interviews Shane and Liz Watt about the Be Healthy Utah Natural Health and Wellness Conference taking place this month in Sandy, Utah. If you aren't local to Sandy, you will have the opportunity to hear the recorded presentations after the event as well so you won't want to miss hearing about the lineup of speakers for the event!Finally, Jared shares another Homeopathic Minute from his series of quick, easy to digest information on single homeopathic remedies. Today's remedy is Belladonna.Products:Belladonna HomeopathicAdditional Information:The War Against Polypharmacy - PubMed article#260: Prescribing Poisons. Commonly Prescribed Drugs; Are the Risks Worth the Benefits? Part 1#414: A Natural Approach to Healthy Blood Pressure#266: Prescribing Poisons Part 2. Ibuprofen, PPI's, and Flouroquinalone Antibiotics#264: Jen's Story: How One Woman Fought Through Addiction, Mental and Physical Illness to Find Vitality.#227: VR Vintage: There is an Herbal Supplement that Works for Diabetes, Blood Pressure and Cholesterol Better than Drugs! Berberine is that Powerful!#347: Thyroid Health: Why Your Doctor Might Be Looking at the Wrong Numbers With Dr. Todd Cameron#407: Deep Dive on Nattokinase: A Special Enzyme with Cardiovascular Benefits and More with Julia Craven#259: Osteoporosis: Answering all of Your Big Questions of how to Prevent and Reverse it Naturally!#260: Prescribing Poisons. Commonly Prescribed Drugs; Are the Risks Worth the Benefits? Part 1Be Healthy Utah discount code: vitality40BeHealtyUtah.com***Be sure to listen to Wednesday podcasts this year for Jared's Homeopathic Minute to learn more about specific remedies.#393: What Is Homeopathy and How Does It Work? With Guillaume LoisVisit the podcast website here: VitalityRadio.comYou can follow @vitalityradio and @vitalitynutritionbountiful on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Please also join us on the Dearly Discarded Podcast with Jared St. Clair.Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.