Podcasts about PPI

 In dieser Episode betrachten wir  das Thema Reverse Mentoring bei der ERGO Group und zeigen, warum generationsübergreifendes Zuhören heute ein entscheidendes Führungswerkzeug ist. Unsere Gäste Judith Lameyer und Joachim Fensch berichten aus erster Hand, wie der Perspektivwechsel nicht nur die Unternehmenskultur beeinflusst, sondern auch zu besseren Entscheidungen und schnellerer Transformation beiträgt. Von persönlichen Erfahrungen, der Bedeutung von Work-Life-Balance, bis hin zu den Herausforderungen und Erfolgen des Reverse Mentoring – diese Folge liefert exklusive Einblicke in die moderne Führung und den Wandel der Arbeitswelt. Freu dich auf inspirierende Gespräche, Learnings zum Thema Selbstreflexion und handfeste Tipps für die Umsetzung von Reverse Mentoring in deinem Unternehmen. Viel Spaß beim Zuhören!Schreibt uns gerne eine Nachricht!PPI – Inspired by Simplicity. PPI verbindet Fach- und Technologie-Know-how, um komplexe Finanzprojekte in der Versicherungs- und Bankenwelt unkompliziert umzusetzen. Mit über 800 Expert:innen, europaweit führenden Lösungen im Zahlungsverkehr und der Vision „From Paper to Pixels“ begleitet PPI ihre Kunden erfolgreich in die digitale Zukunft.

Dr. DebWhat if I told you that the stomach acid medication you’re taking for heartburn is actually causing the problem it’s supposed to solve that your doctor learned virtually nothing about nutrition, despite spending 8 years in medical school. That the very system claiming to heal you was deliberately designed over a hundred years ago by an oil tycoon, John D. Rockefeller, to create lifelong customers, not healthy people. Last week a patient spent thousands of dollars on tests and treatments for acid reflux, only to discover she needed more stomach acid, not less. The medication keeping her sick was designed to do exactly that. Today we’re exposing the greatest medical deception in modern history, how a petroleum empire systematically destroyed natural healing wisdom turned medicine into a profit machine. And why the treatments, keeping millions sick were engineered that way from the beginning. This isn’t about conspiracy theories. This is a documented history that explains why you feel so lost about your own body’s needs welcome back to let’s talk wellness. Now the show where we uncover the root causes of chronic illness, explore cutting edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb. And today we’re diving into how the Rockefeller Medical Empire systematically destroyed natural healing wisdom and replaced it with profit driven systems that keeps you dependent on treatments instead of achieving true health. If you or someone you love has been running to the doctor for every minor ailment, taking acid blockers that seem to make digestive problems worse, or feeling confused about basic body functions that our ancestors understood instinctively. This episode is for you. So, as usual, grab a cup of coffee, tea, or whatever helps you unwind. Settle in and let’s get started on your journey to reclaiming your health sovereignty all right. So here we are talking about the Rockefeller Medical Revolution. Now, what if your symptoms aren’t true diagnosis, but rather the predictable result of a medical system designed over a hundred years ago to create lifelong customers instead of healthy people. Now I learned this when I was in naturopathic school over 20 years ago. And it hasn’t been talked about a lot until recently. Recently. People are exposing the truth about what actually happened in our medical system. And today I want to take you back to the early 19 hundreds to understand how we lost the basic health wisdom that sustained humanity for thousands of years. Yes, I said that thousands of years. This isn’t conspiracy theory. This is documented history. That explains why you feel so lost when it comes to your own body’s needs. You know by the turn of the 20th century. According to meridian health Clinic’s documentation. Rockefeller controlled 90% of all petroleum refineries in America and through ownership of the Standard Oil Corporation. But Rockefeller saw an opportunity that went far beyond oil. He recognized that petrochemicals could be the foundation for a completely new medical system. And here’s what most people don’t know. Natural and herbal medicines were very popular in America during the early 19 hundreds. According to Staywell, Copper’s historical analysis, almost one half of medical colleges and doctors in America were practicing holistic medicine, using extensive knowledge from Europe and native American traditions. People understood that food was medicine, that the body had natural healing mechanisms, and that supporting these mechanisms was the key to health. But there was a problem with the Rockefeller’s business plan. Natural medicines couldn’t be patented. They couldn’t make a lot of money off of them, because they couldn’t hold a patent. Petrochemicals, however, could be patented, could be owned, and could be sold for high profits. So Rockefeller and Andrew Carnegie devised a systematic plan to eliminate natural medicine and replace it with petrochemical based pharmaceuticals and according to E. Richard Brown’s comprehensive academic documentation in Rockefeller, medicine men. Medicine, and capitalism in America. They employed the services of Abraham Flexner, who proceeded to visit and assess every single medical school in us and in Canada. Within a very short time of this development, medical schools all around the us began to collapse or consolidate. The numbers are staggering. By 1910 30 schools had merged, and 21 had closed their doors of the 166 medical colleges operating in 19 0, 4, a hundred 33 had survived by 1910 and a hundred 4 by 1915, 15 years later, only 76 schools of medicine existed in the Us. And they all followed the same curriculum. This wasn’t just about changing medical education. According to Staywell’s copper historical analysis. Rockefeller and Carnegie influenced insurance companies to stop covering holistic treatments. Medical professionals were trained in the new pharmaceutical model and natural solutions became outdated or forgotten. Not only that alternative healthcare practitioners who wanted to stay practicing in alternative medicine were imprisoned for doing so as documented by the potency number 710. The goal was clear, create a system where scientists would study how plants cure disease, identify which chemicals in the plants were effective and then recreate a similar but not identical chemical in the laboratory that would be patented. E. Richard Brown’s documents. The story of how a powerful professional elite gained virtual homogeny in the western theater of healing by effectively taking control of the ethos and practice of Western medicine. The result, according to the healthcare spending data, the United States now spends 17.6% of its Gdp on health care 4.9 trillion dollars in 2023, or 14,570 per person nearly twice as much as the average Oecd country. But it doesn’t focus on cure. But on symptoms, and thus creating recurring clients. This systematic destruction of natural medicine explains why today’s healthcare providers often seem baffled by simple questions about nutrition why they immediately reach for a prescription medication for minor ailments, and why so many people feel disconnected from their own body’s wisdom. We’ve been trained over 4 generations to believe that our bodies are broken, and that symptoms are diseases rather than messages, and that external interventions are always superior to supporting natural healing processes. But here’s what they couldn’t eliminate your body’s innate wisdom. Your digestive system still functions the same way it did a hundred years ago. Your immune system still follows the same patterns. The principles of nutrition, movement and stress management haven’t changed. We’ve just forgotten how to listen and respond. We’re gonna take a small break here and hear from our sponsor. When we come back. We’re gonna talk about the acid reflux deception, and why your cure is making you sicker, so don’t go away all right, welcome back. So I want to give you a perfect example of how Rockefeller medicine has turned natural body wisdom upside down, the treatment of acid, reflux, and heartburn. Every single day in my practice I see patients who’ve been taking acid blocker medications, proton pump inhibitors like prilosec nexium or prevacid for years, not for weeks, years, and sometimes even decades. They come to me because their digestive problems are getting worse, not better. They have bloating and gas and nutrition deficiencies. And we’re seeing many more increased food sensitivities. And here’s what’s happening in the Us. Most people often attribute their digestive problems to too much stomach acid. And they use medications to suppress the stomach acid, but, in fact symptoms of chronic acid, reflux, heartburn, or gerd, can also be caused by too little stomach acid, a condition called hyper. Sorry hypochlorhydria normal stomach acid has a Ph level of one to 2, which is highly acidic. Hydrochloric acid plays an important role in your digestion and your immunity. It helps to break down proteins and absorb essential nutrients, and it helps control viruses and bacteria that might otherwise infect your stomach. But here’s the crucial part that most people don’t understand, and, according to Cleveland clinic, your stomach secretes lower amounts of hydrochloric acid. As you age. Hypochlorhydria is more common in people over the age of 40, and even more common over the age of 65. Webmd states that the stomach acid can produce less acid as a result of aging and being 65 or older is a risk factor for developing hypochlorhydria. We’ve been treating this in my practice for a long time. It’s 1 of the main foundations that we learn as naturopathic practitioners and as naturopathic doctors, and there are times where people need these medications, but they were designed to be used short term not long term in a 2,013 review published in Medical News today, they found that hypochlorhydria is the main change in the stomach acid of older adults. and when you have hypochlorydria, poor digestion from the lack of stomach, acid can create gas bubbles that rise into your esophagus or throat, carrying stomach acid with them. You experience heartburn and assume that you have too much acid. So you take acid blockers which makes the underlying problem worse. Now, here’s something that will shock you. PPI’s protein pump inhibitors were originally studied and approved by the FDA for short-term use only according to research published in us pharmacists, most cases of peptic ulcers resolve in 6 to 8 weeks with PPI therapy, which is what these medications were created for. Originally the American family physician reports that for erosive esophagitis. Omeprazole is indicated for short term 4 to 8 weeks. That’s it. Treatment and healing and done if needed. An additional 4 to 8 weeks of therapy may be considered and the University of Minnesota College of Pharmacy, States. Guidelines recommended a treatment duration of 8 weeks with standard once a day dosing for a PPI for Gerd. The Canadian family physician, published guidelines where a team of healthcare professionals recommended prescribing Ppis in adults who suffer from heartburn and who have completed a minimum treatment of 4 weeks in which symptoms were relieved. Yet people are taking these medications for years, even decades far beyond their intended duration of use and a study published in Pmc. Found that the threshold for defining long-term PPI use varied from 2 weeks to 7 years of PPI use. But the most common definition was greater than one year or 6 months, according to the research in clinical context, use of Ppis for more than 8 weeks could be reasonably defined as long-term use. Now let’s talk about what these acid blocker medications are actually doing to your body when used. Long term. The research on long term PPI use is absolutely alarming. According to the comprehensive review published in pubmed central Pmc. Long-term use of ppis have been associated with serious adverse effects, including kidney disease, cardiovascular disease fractures because you’re not absorbing your nutrients, and you’re being depleted. Infections, including C. Diff pneumonia, micronutrient deficiencies and hypomagnesium a low level of magnesium anemia, vitamin, b, deficiency, hypocalcemia, low calcium, low potassium. and even cancers, including gastric cancer, pancreatic cancer, colorectal cancer. And hepatic cancer and we are seeing all of these cancers on a rise, and we are now linking them back to some of these medications. Mayo clinic proceedings published research showing that recent studies regarding long-term use of PPI medication have noted potential adverse effects, including risks of fracture, pneumonia, C diff, which is a diarrhea. It’s a bacteria, low magnesium, low b 12 chronic kidney disease and even dementia. And a 2024 study published in nature communications, analyzing over 2 million participants from 5 cohorts found that PPI use correlated with increased risk of 15 leading global diseases, such as ischemic heart disease. Diabetes, respiratory infections, chronic kidney disease. And these associations showed dose response relationships and consistency across different PPI types. Now think about this. You take a medication for heartburn that was designed for 4 to 8 weeks of use, and when used long term, it actually increases your risk of life, threatening infections, kidney disease, and dementia. This is the predictable result of suppressing a natural body function that exists for important reasons. Hci plays a key role in many physiological processes. It triggers, intestinal hormones, prepares folate and B 12 for absorption, and it’s essential for absorption of minerals, including calcium, magnesium, potassium, zinc, and iron. And when you block acid production, you create a cascade of nutritional deficiencies and immune system problems that often manifest as seemingly unrelated health issues. So what’s the natural approach? Instead of suppressing stomach acid, we need to support healthy acid production and address the root cause of reflux healthcare. Providers may prescribe hcl supplements like betaine, hydrochloric acid. Bhcl is what it’s called. Sometimes it’s called betaine it’s often combined with enzymes like pepsin or amylase or lipase, and it’s used to treat hydrochloric acid deficiency, hypochlorhydria. These supplements can help your digestion and sometimes help your stomach acid gradually return back to normal levels where you may not need to use them all the time. Simple strategies include consuming protein at the beginning of the meal to stimulate Hcl production, consume fluids separately at least 30 min away from meals, if you can, and address the underlying cause like chronic stress and H. Pylori infections. This is such a sore subject for me. So many people walk around with an H. Pylori infection. It’s a bacterial infection in the stomach that can cause stomach ulcers, causes a lot of stomach pain and burning. and nobody is treating the infection. It’s a bacterial infection. We don’t treat this anymore with antibiotics or antimicrobials. We treat it with Ppis. But, Ppis don’t fix the problem. You have to get rid of the bacteria once the bacteria is gone, the gut lining can heal. Now it is a common bacteria. It can reoccur quite frequently. It’s highly contagious, so you can pick it up from other people, and it may need multiple courses of treatment over a person’s lifetime. But you’re actually treating the problem. You’re getting rid of the bacteria that’s creating the issue instead of suppressing the acid. That’s not fixing the bacteria which then leads to a whole host of other problems that we just talked about. There are natural approaches to increase stomach acid, including addressing zinc deficiency. And since the stomach uses zinc to produce Hcl. Taking probiotics to help support healthy gut bacteria and using digestive bitters before meals can be really helpful. This is exactly what I mean about reclaiming the body’s wisdom. Instead of suppressing natural functions, we support them instead of creating drug dependency, we restore normal physiology. Instead of treating symptoms indefinitely, we address the root cause and help the body heal itself. In many cultures. Bitters is a common thing to use before or after a meal. But yet in the American culture we don’t do that anymore. We’ve not passed on that tradition. So very few people understand how to use bitters, or what bitters are, or why they’re important. And these basic things that can be used in your food and cooking and taking could replace thousands of dollars of medication that you don’t really need. That can create many more problems along the way. Now, why does your doctor know nothing about nutrition. Well, I want to address something that might shock you all. The reason your doctor seems baffled when you ask about nutrition isn’t because they’re not intelligent. It’s because they literally never learned this in medical school statistics on nutritional education in medical schools are staggering and help explain why we have such a health literacy crisis in America. According to recent research published in multiple academic journals, only 27% of Us. Medical schools actually offer students. The recommended 25 h of nutritional training across 4 years of medical school. That means 73% of the medical schools don’t even meet the minimum standards set in 1985. But wait, it gets worse. A 2021 survey of medical schools in the Us. And the Uk. Found that most students receive an average of only 11 h of nutritional training throughout their entire medical program. and another recent study showed that in 2023 a survey of more than a thousand Us. Medical students. About 58% of these respondents said they received no formal nutritional education while in medical school. For 4 years those who did averaged only 3 h. I’m going to say this again because it’s it’s huge 3 h of nutritional education per year. So let me put this in perspective during 4 years of medical school most students spend fewer than 20 h on nutrition that’s completely disproportionate to its health benefits for patients to compare. They’ll spend hundreds of hours learning about pharmaceutical interventions, but virtually no time learning how food affects health and disease. Now, could this be? Why, when we talk about nutrition to lower cholesterol levels or control your diabetes, they blow you off, and they don’t answer you. It’s because they don’t understand. But yet what they’ll say is, people won’t change their diet. That’s why you have to take medication. That’s not true. I will tell you. I work with people every single day who are willing to change their diet. They’re just confused by all the information that’s out there today about nutrition. And what diet is the right diet to follow? Do I do, Paleo? Do I do? Aip? Do I do carnivore? Do I do, Keto? Do I do? Low carb? There’s so many diets out there today? It’s confusing people. So I digress. But let’s go back. So here’s the kicker. The limited time medical students do spend on nutrition office often focuses on nutrients think proteins and carbohydrates rather than training in topics such as motivational interviewing or meal planning, and as one Stanford researcher noted, we physicians often sound like chemists rather than counselors who can speak with patients about diet. Isn’t that true? We can speak super high level up here, but we can’t talk basics about nutrition. And this explains why only 14% of the physicians believe they were adequately trained in nutritional counseling. Once they entered practice and without foundational concepts of nutrition in undergrad work. Graduate medical education unsurprisingly falls short of meeting patients, needs for nutritional guidance in clinical practice, and meanwhile diet, sensitive chronic diseases continue to escalate. Although they are largely preventable and treatable by nutritional therapies and dietary. Lifestyle changes. Now think about this. Diet. Related diseases are the number one cause of death in the Us. The number one cause. Yet many doctors receive little to no nutritional education in medical school, and according to current health statistics from 2017 to march of 2020. Obesity prevalence was 19.7% among us children and adolescents affecting approximately 14.7 million young people. About 352,000 Americans, under the age of 20, have been diagnosed with diabetes. Let me say this again, because these numbers are astounding to me. 352,000 Americans, under the age of 20, have been diagnosed with diabetes with 5,300 youth diagnosed with type, 2 diabetes annually. Yet the very professionals we turn to for health. Guidance were never taught how food affects these conditions and what drug has come to the rescue Glp. One S. Ozempic wegovy. They’re great for weight loss. They’re great for treating diabetes. But why are they here? Well, these numbers are. Why, they’re here. This is staggering to put 352,000 Americans under the age of 20 on a glp, one that they’re going to be on for the rest of their lives at a minimum of $1,200 per month. All we have to do is do the math, you guys, and we can see exactly what’s happening to our country, and who is getting rich, and who is getting the short end of the stick. You’ve become a moneymaker to the pharmaceutical industry because nobody has taught you how to eat properly, how to live, how to have a healthy lifestyle, and how to prevent disease, or how to actually reverse type 2 diabetes, because it’s reversible in many cases, especially young people. And we do none of that. All we do is prescribe medications. Metformin. Glp, one for the rest of your life from 20 years old to 75, or 80, you’re going to be taking medications that are making the pharmaceutical companies more wealth and creating a disease on top of a disease on top of a disease. These deficiencies in nutritional education happen at all levels of medical training, and there’s been little improvement, despite decades of calls for reform. In 1985, the National Academy of Sciences report that they recommended at least 25 h of nutritional education in medical school. But a 2015 study showed only 29% of medical schools met this goal, and a 2023 study suggests the problem has become even worse. Only 7.8% of medical students reported 20 or more hours of nutritional education across all 4 years of medical school. This systemic lack of nutrition, nutritional education has been attributed to several factors a dearth of qualified instructors for nutritional courses, since most physicians do not understand nutrition well enough to teach it competition for curriculum time, with schools focusing on pharmaceutical interventions rather than lifestyle medicine and a lack of external incentives that support schools, teaching nutrition. And ironically, many medical schools are part of universities that have nutrition departments with Phd. Trained professors who could fill this gap by teaching nutrition in medical schools but those classes are often taught by physicians who may not have adequate nutritional training themselves. This explains so much about what I see in my practice. Patients come to me confused and frustrated because their primary care doctors can’t answer basic questions about how food affects their health conditions. And these doctors aren’t incompetent. They simply were never taught this information. And the result is that these physicians graduate, knowing how to prescribe medications for diabetes, but not how dietary changes can prevent or reverse it. They can treat high blood pressure with pharmaceuticals, but they may not know that specific nutritional approaches can be equally or more effective. This isn’t the doctor’s fault. It’s the predictable result of medical education systems that was deliberately designed to focus on patentable treatments rather than natural healing approaches. And remember this traces back to the Rockefeller influence on medical education. You can’t patent an apple or a vegetable. But you can patent a drug now. Why can’t we trust most medical studies? Well this just gets even better. I need to address something that’s crucial for you to understand as you navigate health information. Why so much of the medical research you hear about in the news is biased, and why peer Review isn’t the gold standard of truth you’ve been told it is. The corruption in medical research by pharmaceutical companies is not a conspiracy theory. It’s well documented scientific fact, according to research, published in frontiers, in research, metrics and analytics. When pharmaceutical and other companies sponsor research, there is a bias. A systematic tendency towards results serving their interests. But the bias is not seen in the formal factors routinely associated with low quality science. A Cochrane Review analyzed 75 studies of the association between industry, funding, and trial results, and these authors concluded that trials funded by a drug or device company were more likely to have positive conclusions and statistically significant results, and that this association could not be explained by differences in risk of bias between industry and non-industry funded trials. So think about that. According to the Cochrane collaboration, industry funding itself should be considered a standard risk of bias, a factor in clinical trials. Studies published in science and engineering ethics show that industry supported research is much more likely to yield positive outcomes than research with any other sponsorship. And here’s how the bias gets introduced through choice of compartor agents, multiple publications of positive trials and non-publication of negative trials reinterpreting data submitted to regulatory agencies, discordance between results and conclusions, conflict of interest leading to more positive conclusions, ghostwriting and the use of seating trials. Research, published in the American Journal of Medicine. Found that a result favorable to drug study was reported by all industry, supported studies compared with two-thirds of studies, not industry, supported all industry, supported studies showed favorable results. That’s not science that’s marketing, masquerading as research. And according to research, published in sciencedirect the peer review system which we’re told ensures quality. Science has a major limitation. It has proved to be unable to deal with conflicts of interest, especially in big science contexts where prestigious scientists may have similar biases and conflicts of interest are widely shared among peer reviewers. Even government funded research can have conflicts of interest. Research published in pubmed States that there are significant benefits to authors and investigators in participating in government funded research and to journals in publishing it, which creates potentially biased information that are rarely acknowledged. And, according to research, published in frontiers in research, metrics, and analytics, the pharmaceutical industry has essentially co-opted medical knowledge systems for their particular interests. Using its very substantial resources. Pharmaceutical companies take their own research and smoothly integrate it into medical science. Taking advantage of the legitimacy of medical institutions. And this corruption means that much of what passes for medical science is actually influenced by commercial interests rather than pursuant of truth. Research published in Pmc. Shows that industry funding affects the results of clinical trials in predictable directions, serving the interests of the funders rather than the patients. So where can we get this reliable, unbiased Health information, because this is critically important, because your health decisions should be based on the best available evidence, not marketing disguised as science. And so here are some sources that I recommend for trustworthy health and nutritional information. They’re independent academic sources. According to Harvard Chan School of public health their nutritional, sourced, implicitly states their content is free from industry, influence, or support. The Linus Pauling Institute, Micronutrient Information Center at Oregon State University, which, according to the Glendale Community college Research Guide provides scientifically accurate information about vitamins, minerals, and other dietary factors. This Institute has been around for decades. I’ve used it a lot. I’ve gotten a lot of great information from them. Very, very trustworthy. According to the Glendale Community College of Nutrition Resource guide Tufts, University of Human Nutritional Research Center on aging is one of 6 human nutrition research centers supported by the United States Department of Agriculture, the Usda. Their peer reviewed journals with strong editorial independence though you must still check funding resources. And how do you evaluate this information? Online? Well, according to medlineplus and various health literacy guides when evaluating health information medical schools and large professional or nonprofit organizations are generally reliable sources, but remember, it is tainted by the Rockefeller method. So, for example, the American College of cardiology. Excuse me. Professional organization and the American Heart Institute a nonprofit are both reliable sources. Sorry about that of information on heart health and watch out for ads designed to look like neutral health information. If the site is funded by ads they should be clearly marked as advertisements. Excuse me, I guess I’m talking just a little too much now. So when the fear of medicine becomes deadly. Now, I want to address something critically important that often gets lost in conversations about health, sovereignty, and questioning the medical establishment. And while I’ve spent most of this episode explaining how the Rockefeller medical system has created dependency and suppressed natural healing wisdom. There’s a dangerous pendulum swing happening that I see in my practice. People becoming so fearful of pharmaceutical interventions that they refuse lifesaving treatments when they’re genuinely needed. This is where balance and clinical judgment become absolutely essential. Yes, we need to reclaim our basic health literacy and reduce our dependency on unnecessary medical interventions. But there are serious bacterial infections that require immediate antibiotic treatment, and the consequences of avoiding treatment can be devastating or even fatal. So let me share some examples from research that illustrate when antibiotic fear becomes dangerous. Let’s talk about Lyme disease, and when natural approaches might not be enough. The International Lyme Disease Association ilads has conducted extensive research on chronic lyme disease, and their findings are sobering. Ileds defines chronic lyme disease as a multi-system illness that results from an active and ongoing infection of pathogenic members of the Borrelia Brdorferi complex. And, according to ilads research published in their treatment guidelines, the consequences of untreated persistent lyme infection far outweigh the potential consequences of long-term antibiotic therapy in well-designed trials of antibiotic retreatment in patients with severe fatigue, 64% in the treatment arm obtained clinically significant and sustained benefit from additional antibiotic therapy. Ilas emphasizes that cases of chronic borrelia require individualized treatment plans, and when necessary antibiotic therapy should be extended their research demonstrates that 20 days of prophylactic antibiotic treatment may be highly effective for preventing the onset of lyme disease. After known tick bites and patients with early Lyme disease may be best served by receiving 4 to 6 weeks of antibiotic therapy. Research published in Pmc. Shows that patients with untreated infections may go on to develop chronic, debilitating, multisystem illnesses that is difficult to manage, and numerous studies have documented persistent Borrelia, burgdorferi infection in patients with persistent symptoms of neurological lyme disease following short course. Antibiotic treatment and animal models have demonstrated that short course. Antibiotic therapy may fail to eradicate lyme spirochetes short course is a 1 day. One pill treatment of doxycycline. Or less than 20 days of antibiotics, is considered a short course. It’s not long enough to kill the bacteria. The bacteria’s life cycle is about 21 days, so if you don’t treat the infection long enough, the likelihood of that infection returning is significant. They’ve also done studies in the petri dish, where they show doxycycline being put into a petri dish with active lyme and doxycycline does not kill the infection, it just slows the replication of it. Therefore, using only doxycycline, which is common practice in lyme disease may not completely eradicate that infection for you. So let’s talk about another life threatening emergency. C. Diff clostridia difficile infection, which represents another example where antibiotic treatment is absolutely essential, despite the fact that C diff itself is often triggered by antibiotic use. According to Cleveland clinic C. Diff is estimated to cause almost half a million infections in the United States each year, with 500,000 infections, causing 15,000 deaths each year. Studies reported by Pmc. Found thirty-day Cdi. Mortality rates ranging from 6 to 11% and hospitalized Cdi patients have significantly increased the risk of mortality and complications. Research published in Pmc shows that 16.5% of Cdi patients experience sepsis and that this increases with reoccurrences 27.3% of patients with their 1st reoccurrence experience sepsis. While 33.1% with 2 reoccurrences and 43.2% with 3 or more reoccurrences. Mortality associated with sepsis is very high within hospital 30 days and 12 month mortality rates of 24%, 30% and 58% respectively. According to the Cdc treatment for C diff infection usually involves taking a specific antibiotic, such as vancomycin for at least 10 days, and while this seems counterintuitive, treating an antibiotic associated infection with more antibiotics. It’s often lifesaving. Now let’s talk about preventing devastating complications. Strep throat infections. Provide perhaps the clearest example of when antibiotic treatment prevents serious long-term consequences, and, according to Mayo clinic, if untreated strep throat can cause complications such as kidney inflammation and rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, and a specific type of rash of heart valve damage. We also know that strep can cause pans pandas, which is a systemic infection, often causing problems with severe Ocd. And anxiety and affecting mostly young people. The research is unambiguous. According to the Cleveland clinic. Rheumatic fever is a rare complication of untreated strep, throat, or scarlet fever that most commonly affects children and teens, and in severe cases it can lead to serious health problems that can affect your child’s heart. Joints and organs. And research also shows that the rate of development of rheumatic fever in individuals with untreated strep infections is estimated to be 3%. The incidence of reoccurrence with a subsequent untreated infection is substantially greater. About 50% the rate of development is far lower in individuals who have received antibiotic treatment. And according to the World health organization, rheumatic heart disease results from the inflammation and scarring of the heart valves caused by rheumatic fever, and if rheumatic fever is not treated promptly, rheumatic heart disease may occur, and rheumatic heart disease weakens the valves between the chambers of the heart, and severe rheumatic heart disease can require heart surgery and result in death. The who states that rheumatic heart disease remains the leading cause of maternal cardiac complications during pregnancy. And additionally, according to the National Kidney foundation. After your child has either had throat or skin strep infection, they can develop post strep glomerial nephritis. The Strep bacteria travels to the kidneys and makes the filtering units of the kidneys inflamed, causing the kidneys to be able to unable or less able to fill and filter urine. This can develop one to 2 weeks after an untreated throat infection, or 3 to 4 weeks after an untreated skin infection. We need to find balance. And here’s what I want you to understand. Questioning the medical establishment and developing health literacy doesn’t mean rejecting all medical interventions. It means developing the wisdom to know when they’re necessary and lifesaving versus when they’re unnecessary and potentially harmful. When I see patients with confirmed lyme disease, serious strep infections or life. Threatening conditions like C diff. I don’t hesitate to recommend appropriate therapy but I also work to support their overall health address, root causes, protect and restore their gut microbiome and help them recover their natural resilience. The goal isn’t to avoid all medical interventions. It’s to use them wisely when truly needed, while simultaneously supporting your body’s inherent healing capacity and addressing the lifestyle factors that created the vulnerability. In the 1st place. All of this can be extremely overwhelming, and it can be frightening to understand or learn. But remember, the power that you have is knowledge. The more you learn about what’s actually happening in your health, in understanding nutrition. in learning what your body wants to be fed, and how it feels, and working with practitioners who are holistic in nature, natural, integrative, functional, whatever we want to call that these days. The more you can learn from them, the more control you have over your own health and what I would urge you to do is to teach your children what you’re learning. Teach them how to live a healthy lifestyle, teach them how to keep a clean environment. This is how we take back our own health. So thank you for joining me today on, let’s talk wellness. Now, if this episode resonated with you. Please share it with someone who could benefit from understanding how the Rockefeller medical system has shaped our approach to health, and how to reclaim your body’s wisdom while using medical care appropriately when truly needed. Remember, wellness isn’t just about feeling good. It’s about understanding your body, trusting its wisdom, supporting its natural healing capacity, and knowing when to seek appropriate medical intervention. If you’re ready to explore how functional medicine can help you develop this deeper health knowledge while addressing root causes rather than just managing symptoms. You can get more information from serenityhealthcarecenter.com, or reach out directly to us through our social media channels until next time. I’m Dr. Dab, reminding you that your body is your wisest teacher. Learn to listen, trust the process, use medical care wisely when needed, and take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode.The post Episode 250 -The Great Medical Deception first appeared on Let's Talk Wellness Now.

Weihnachten vorbei? Neue Folge unterm Tannenbaum!

Weihnachten vorbei? Neue Folge unterm Tannenbaum! Story eines bayrischen Talents: Vom Fußballtorwart zum unstoppbaren DT mit 27 College-Offers (Ohio State, Alabama & Co.). Camps mit PPI, Bowl vs. Michigan, Transfer zu Texas inkl. Duelle gegen Marlin Klein & Manuel Beigel! Neuer Partner: Lifesum Lange Tracking-Apps getestet für meine Abnehmreise Lifesum gewinnt! Vorteile zeige ich euch bald. Jetzt: 55% Rabatt auf Jahreslizenz (weniger als halber Preis!). Link in Bio: https://stry.cl/footballschland Alle weiteren Partner findet ihr unter https://www.footballschland.com/partner Direkt reinhören! #Footballschland #DeutschesTalent #CollegeFootball #NFLDream #Lifesum Learn more about your ad choices. Visit podcastchoices.com/adchoices ...Dieser Podcast wird vermarktet von der Podcastbude.www.podcastbu.de - Full-Service-Podcast-Agentur - Konzeption, Produktion, Vermarktung, Distribution und Hosting.Du möchtest deinen Podcast auch kostenlos hosten und damit Geld verdienen?Dann schaue auf www.kostenlos-hosten.de und informiere dich.Dort erhältst du alle Informationen zu unseren kostenlosen Podcast-Hosting-Angeboten. kostenlos-hosten.de ist ein Produkt der Podcastbude.

En este cierre de año, Wall Street busca impulso mientras los mercados se preparan para una semana corta por las festividades. Aquí están los temas clave del día:

Based on a popular well known Christmas carol this episode reminds us about prescribing thoughtfully, recognising key red flags, and keeping often-missed diagnoses like bile acid diarrhoea, coeliac disease and liver disease on the radar. The episode also reinforces the importance of early-life microbiome influences and structured differential diagnosis for abdominal symptoms in primary care. Prescribing and de-prescribing • Taper PPIs rather than stopping abruptly to avoid rebound acid hypersecretion, driven by upregulated gastrin during PPI therapy. • Always link NSAID use and H. pylori status to ulcer risk, and remember: gastric ulcers typically cause pain with meals, duodenal ulcers 2–3 hours after eating. Diagnosis, tests and red flags • Use three coeliac test “groups”: serology (tTG/EMA, with total IgA checked), genetics (HLA‑DQ2/DQ8) and duodenal biopsies; ensure patients eat gluten for at least six weeks pre‑testing and to endoscopy. • Actively screen for GI red flags: dysphagia and weight loss (upper GI), PR bleeding and unexplained iron‑deficiency anaemia (lower GI), and escalate for urgent investigation. Practical tools and endoscopy indications • Use the Bristol Stool Chart (types 1–7) routinely in consultations to standardise conversations about stool form and avoid ambiguous “food analogies.” • Remember the three main indications for endoscopy: diagnostic (e.g. dyspepsia, chronic diarrhoea), surveillance (Barrett's, polyp follow‑up) and therapeutic (RFA/EMR in Barrett's, polyp removal). Conditions to consider and not miss • Keep bile acid diarrhoea prominent in the differential for IBS‑D: up to ~40% of IBS‑D patients may have it, particularly with ileal disease/resection, Crohn's, or post‑cholecystectomy. • Maintain a broad GI bleeding differential beyond cancer (e.g. gastritis, peptic ulcer, Mallory–Weiss tear, haemorrhoids/fissures, liver disease/coagulopathy, IBD, angiodysplasia, diverticular disease). Liver disease, microbiome and early life • Remember major causes of liver failure in primary care: excess alcohol, paracetamol overdose, DILI, autoimmune hepatitis, Wilson's disease, haemochromatosis, viral hepatitis B/C and progressive MASLD. • Support breastfeeding where possible to promote a healthy infant microbiome (HMOs favouring bifidobacteria) and recognise how birth mode and early microbes shape immune development and later allergy/immune risk. Structuring abdominal symptom assessment • For undifferentiated abdominal symptoms, consciously work through a core list: IBS, lactose intolerance, coeliac disease, gastroenteritis, SIBO, IBD, diverticular disease, colorectal cancer, peptic ulcer disease, gallstones/biliary colic, pancreatic insufficiency and medication‑related causes (e.g. metformin, NSAIDs, antibiotics). • Use these categories to guide targeted history, examination, basic tests and thresholds for referral back to gastroenterology or specialist services. Chapters (00:00:04) - The 12 Days of Gutmas(00:01:04) - PPIs(00:02:19) - How to manage gastric and duodenal ulcers on(00:03:40) - Celiac disease tests 6, Interventions(00:05:33) - GI red flags on Christmas Day(00:07:48) - The main indications for endoscopy(00:09:07) - 7 causes of liver failure on Christmas Day(00:10:17) - Healthy gut microbiome 8 days after Christmas(00:12:03) - Bile acid diarrhea(00:13:52) - 10 causes of abnormal gastrointestinal bleeding(00:15:34) - The microbiome of the body(00:17:55) - 12 causes of abdominal dysrhythmia(00:19:59) - 12 Days of Gutmas

Entrevista de Leandro Gabin a Pedro Siaba Serrate, Head of Research & Strategy en PPI, con el panorama de los mercados y las inversiones en el cierre del año.

I avsnitt 76 av podcasten Fastighet & Finans lägger duon fokus på kommunicerade affärer under december månad. Bland godbitarna som omnämns finns en bytesaffär i miljardklassen, ett miljardköp utanför nordens gränser samt ett börsbolag som trots stor rabatt mot substansvärde ångar på med förvärv. Trots julfrid i finansmarknaden är samtalsämnen inte svåra att hitta. SBB och PPI har som vanligt skapat rubriker. SBB med ett återköpserbjudande av obligationer och PPI med besked om utdelning om 1 norska krona per aktie samt rekryteringen av en nyckelmedarbetare. Hosted on Acast. See acast.com/privacy for more information.

Kia ora,Welcome to Tuesday's Economy Watch where we follow the economic events and trends that affect Aotearoa/New Zealand.I'm David Chaston and this is the international edition from Interest.co.nz.Today we start with news precious metals prices are zooming higher today, most to new all-time heights.But first in the US, the Chicago Fed's National Activity Index is back being tracked following the shutdown and it shows activity still notably lower than its long run trend, even if it did improve in September from August. It is barely back to the same drag level it was a year ago.American holiday retail sales for November and December are projected to grow between +3.7% and +4.2% over the same months last year, a weaker gain than last year's +4.3% increase. Revenue growth in November was about +1% compared to November 2024, with flat unit demand. Consumers are reportedly cautious, focusing spending on necessities, and higher-income consumers are driving most of the spending, while lower-income consumers remain constrained. Inflation-adjusted sales volumes are probably not growing. Ecommerce is a bright spot, with Deloitte forecasting a +7% to +9% growth for the season.In Canada, their November PPI came in +6.1% higher than a year ago. But this result was twisted by the very sharp run-up in the costs of precious metals, and diesel (after US sanctions on Russian diesel twisted their demand for Canadian product). But even without those, they would have had more than a +4% rise.In Japan at one point yesterday, their 10 year government bond hit 2.10% and its highest level since 1999. It has eased slightly since, but this has had a depressive impact on the Yen, and there is market talk of intervention now.In China, their central bank held key lending rates at record lows for a seventh consecutive month in December, as expected. Earlier they had left their seven-day reverse repo rate unchanged at 1.4% and this is now their main policy rate. They seem to have less intentions for more monetary stimulus as the economy looks like it is on track to meet this year's growth target of "around 5%".And staying in China, they have slapped some substantial duty penalties on certain EU dairy products. The claim is that the French and Dutch subsidise their production. Although these new duties are relatively narrowly targeted, it will be a major trade escalation in the eye of the EU.And we should also note that India and New Zealand have agreed a new substantial free trade deal. Almost all New Zealand business groups have welcomed the breakthrough, which the Indians are using as a benchmark for deep agreements with other countries. But 2026 is election year and one party, NZ First, is using the deal to promote its anti-immigration credentials.The UST 10yr yield is now at 4.17%, up +2 bps from this time yesterday.The price of gold will start today at US$4437/oz, and up +US$99 from yesterday and easily a new record high. Silver has surged to, up +US$2 to just under US$69/oz, and also a new record high. Platinum hit US$2115/oz earlier today, and approaching it 2008 record highs.American oil prices are up almost +US$1.50 from yesterday at just under US$58/bbl, while the international Brent price is now just under US$62/bbl.The Kiwi dollar is up +40 bps from yesterday, now at just under 58 USc. Against the Aussie we are unchanged at 87.1 AUc. Against the euro we are up +10 bps at 49.3 euro cents. That all means our TWI-5 starts today just under 62.1, and up +30 bps from yesterday.The bitcoin price starts today at US$89,163 and up +0.9% from this time yesterday. Volatility over the past 24 hours has been modest, at just under +/- 1.3%.You can get more news affecting the economy in New Zealand from interest.co.nz.Kia ora. I'm David Chaston. We are taking a short break and we will be back on Monday, December 29 with another update.

Beyond Pain to Purpose: Pastor Mike Walter on Ankylosing Spondylitis and Building PPIKids | Conversations with a Chiropractor In this episode of Conversations with a Chiropractor, Dr. Stephanie Wautier sits down with local Marquette pastor Mike Walter for a conversation that moves from the most personal kind of struggle to the most practical kind of impact. Pastor Mike opens up about being diagnosed with ankylosing spondylitis early in life, what it's like to carry an "incurable" label into adulthood, and the daily choices that became non-negotiable as he worked to stay functional, present, and hopeful. He also talks candidly about faith when the pain does not go away, the difference between knowing the right answers and actually living them, and how internal battles can show up even in people who look steady from the outside. Then the conversation widens. Pastor Mike shares the story behind Prodigal Preacher International, including the moments and relationships that pulled him toward refugee support, safety for girls, school sponsorship, and hunger prevention work in East Africa. You'll hear what small donations actually do, why recurring giving matters, and how transparent, consistent support can turn into real protection and education for kids who need it most. If you've ever wondered how someone keeps going with chronic pain, or how to make generosity feel real instead of abstract, this one lands.

In dieser Folge dreht sich alles um das oder vielleicht ungeliebte Herzensthema der Datenmigration in der Versicherungswelt. Mit Tanja Kick und Craig Entweile begrüßen wir dazu zwei echte Expert:innen aus dem Consulting von PPI, die täglich im Maschinenraum von Migrationsprojekten unterwegs sind. Sie sprechen über typische Stolperfallen, Klischees und warum waschechte Migrationsprofis sowohl planen als auch improvisieren können müssen.Mit ihrem neuesten Whitepaper im Gepäck geben sie tiefe Einblicke in Best Practices, Strategien und echte Aha-Momente aus ihren Projekten – von der Auswahl just so vieler Daten wie unbedingt nötig bis hin zu charmanten Praxistipps für das Mapping und new-age Testmethoden. Ob Komposit- oder Lebensmigration, die Folge räumt Mythen aus dem Weg, zeigt, worauf es wirklich ankommt und blickt in die nahe Zukunft der Migration zwischen uniformen Systemlandschaften, Automatisierung und KI.Wer also gerade eine Migration plant, ins Zielsystem umziehen möchte oder einfach hören will, wie auch zwischen Karneval, Veggie Bowls und automatisierten Tests Projekte zum Erfolg werden, ist hier genau richtig!Schreibt uns gerne eine Nachricht!Dieser Podcast wird von msg unterstützt. Die msg Gruppe ist führender Anbieter im Versicherungsmarkt für moderne Systemlösungen. Von Automation- über KI- und SAP- bis hin zu modernen Kommunikations- und Vertriebslösungen. Die msg bündelt moderne Technologien mit tiefem Branchen Know-How. Folge uns auf unserer LinkedIn Unternehmensseite für weitere spannende Updates.Unsere Website: https://www.insurancemondaypodcast.de/Du möchtest Gast beim Insurance Monday Podcast sein? Schreibe uns unter info@insurancemondaypodcast.de und wir melden uns umgehend bei Dir.Dieser Podcast wird von dean productions produziert.Vielen Dank, dass Du unseren Podcast hörst!

En el capítulo 1.005 de este jueves, 11 de diciembre, Francisco Aldaya te comenta el resultado de la primera colocación de deuda en dólares del gobierno de Milei con el análisis de Pedro Siaba Serrate de PPI, el acuerdo de MercadoLibre para incorporar robots humanoides y los comentarios de Galperin sobre la competencia china, y la decisión de la Fed de recortar tasas por tercera vez consecutiva. Además, Mariano Espina con todo sobre la política argentina en #RecintosDelPoder.

In this episode of the RiskReversal Podcast, Guy Adami and Liz Thomas discuss various market developments as the year-end approaches. They focus on the bond market's reaction to anticipated rate cuts and the possible implications of rising treasury yields. The conversation also touches on concerns about the U.S. government deficit, liquidity issues, currency volatility, and the upcoming change in Fed leadership. They analyze potential economic data impacts, such as PPI, Jolts, and retail spending figures. The discussion expands to the rising activity in mergers and acquisitions, the performance of consumer staples versus consumer discretionary stocks, and the global trends in yield movements. Finally, they explore the outlook for gold, healthcare, and biotech sectors for 2026, along with potential market rotations and valuations. —FOLLOW USYouTube: @RiskReversalMediaInstagram: @riskreversalmediaTwitter: @RiskReversalLinkedIn: RiskReversal Media

//The Wire//2300Z December 8, 2025////ROUTINE////BLUF: WAR REIGNITES IN SOUTHEAST ASIA AS BORDER CLASHES FLARE UP BETWEEN THAILAND AND CAMBODIA. MILITARY COUP ATTEMPTED IN BENIN.// -----BEGIN TEARLINE------International Events-Southeast Asia: Over the weekend hostilities recommenced between Thailand and Cambodia. What started the latest round of fighting is not clear, however Thailand has crossed into the disputed zone and occupied the village of Pairachan (also known locally as "Prey Chan" village). The US State Department has upgraded the travel alert for the region, due to the ongoing fighting along the border.Analyst Comment: As usual, both sides have accused the other of reigniting hostilities, and right now it's not clear who actually started what. Nevertheless, Thailand has been bombing Cambodia fairly regularly, and Cambodia has been launching unguided rockets at Thailand in return (even though Cambodia states that they have not retaliated). Sporadic fighting has been reported all along the front throughout the day, with most of the heavy shelling being confined to the border itself. No official word on any casualties yet, but Thai sources claim one of their soldiers was killed, while Cambodian sources claim 4 soldiers killed/wounded on their side.Africa: A brief military coup was attempted in the small nation of Benin over the weekend, which took the form of a low level military commander seizing a TV station and announcing that he had taken control of the government. Lieutenant Colonel Pascal Tigri announced the overthrowing of the government and the deposition of the President on television. Turns out, none of that had actually happened, and the TV station was the only location that rebel forces had actually captured. LTC Tigri and his platoon of soldiers were captured shortly afterwards.-HomeFront-Washington D.C. - This afternoon the Bureau of Labor Statistics announced that they will not be publishing the Producer Price Index (PPI) for the month of October, and the PPI report for November will be delayed until January.Analyst Comment: This follows the previous jobs report, the CPI report, and various other reports also not being available for October, reports which usually provide major indicators of how the economic is functioning. The PPI specifically is intended to track the changes in the prices of goods at the producer-level, and is normally used in comparison with the CPI (and other reports) to gauge how major manufacturers and big industry in general is doing. Inferences can be made without this specific dataset, however when a major report is not available this causes problems with data analysis. With the economy, "no news" is usually covering up "bad news", as a rule of thumb. Either way, it's not possible to know what the story is without the data.-----END TEARLINE-----Analyst Comment: For the aspiring warlords of the world, in order for a military coup to be successful, it's generally advised to actually seize control of government before making the announcement of such. Some units loyal to LTC Tigri were successful in closing a few border checkpoints, however no actual key sites were seized by the rebels before making the announcement on TV. Most interestingly, the neighboring nation of Nigeria assisted in providing air support for the government of Benin to help put down the coup attempt. This is part of a long-standing security pact, and mostly took the form of Nigerian aircraft flying over important sites in Benin (such as military bases, checkpoints, etc) to see if anyone on the ground would shoot at them (and thus reveal their allegiance to the rebels). Or at least, that seems to be the theory used during the response. In some cases, Nigerian aircraft were fired upon with small arms, and at least one report exists that alleges Nigerian aircraft dropping a bomb in Benin. Locals in Benin

The latest wave of delayed government data is finally in, and it's helping the CRE community reestablish a clearer view of the economy heading into 2026. Join Omar and Cole as they interpret new banking, retail, PPI, and sentiment indicators, translating them into implications for capital availability, demand, and development pipelines. Key Moments:01:12 Quarterly Banking Profile insights05:49 Commercial real estate lending trends10:36 Retail sales and economic indicators13:02 Producer Price Index analysis15:07 Federal Reserve's Beige Book highlights22:42 Consumer Confidence and GDP Nowcast28:11 Upcoming data releases and final thoughts Resources Mentioned:FDIC Quarterly Banking Profile - https://www.fdic.gov/quarterly-banking-profileUS Bureau of Labor and Statistics Producer Price Index - https://www.bls.gov/pPI/US Census Bureau Advance Retail Trade Report - https://www.census.gov/retail/sales.htmlFederal Reserve Beige Book - https://www.federalreserve.gov/monetarypolicy/publications/beige-book-default.htmThe Conference Board US Consumer Confidence Index - https://www.conference-board.org/topics/consumer-confidence/index.cfmGDP Now - https://www.atlantafed.org/cqer/research/gdpnowUS Commercial Real Estate Transaction Analysis – Q3 2025 - https://www.altusgroup.com/insights/us-commercial-real-estate-transaction-analysis-q3-2025Email us: altusresearch@altusgroup.comThanks for listening to the “CRE Exchange” podcast, powered by Altus Group. If you enjoyed this episode, please leave a review to help get the word out about the show. And be sure to subscribe so you never miss another insightful conversation.#CRE #CommercialRealEstate #Property

Ready to transform your dental practice? Save $100 on any online course using code START26 and gain 24/7 access to cutting-edge veterinary dental training: https://internationalveterinarydentistryinstitute.org/veterinary-dental-online-webinars-courses-discount/?utm_source=podcast&utm_medium=podcastlink&utm_campaign=start26  —------------------------------------------------------------------- Host: Dr. Brett Beckman, DVM, FAVD, DAVDC, DAAPM In this episode of The Vet Dental Show, Dr. Victoria Lukasik, DVM, DACVAA, discusses essential anesthetic planning strategies for veterinary dentistry, emphasizing balanced protocols, patient assessment, and the importance of acting on pre-anesthetic laboratory values. Learn how to create a complete anesthetic plan to provide seamless and optimal care for each patient. What You'll Learn:  ✅ Master balanced anesthetic protocols for dental procedures.  ✅ Understand the importance of pre-anesthetic patient assessment.  ✅ Discover how to interpret and act on pre-anesthetic lab results.  ✅ Simplify fasting guidelines for dogs and cats.  ✅ Apply gastric protection strategies to prevent reflux.  ✅ Recognize the impact of patient temperament on drug selection. Key Takeaways:  ✅ Implement updated fasting guidelines to stabilize blood glucose and reduce reflux risk.  ✅ Utilize proton pump inhibitors and SYP pride to minimize gastroesophageal reflux during anesthesia.  ✅ Tailor drug doses based on patient physical status, comorbidities, and temperament.  ✅ Prioritize thorough patient assessment, including lab work and physical exams, to inform anesthetic choices.  ✅ Scale drug doses appropriately for fragile or geriatric patients to avoid overdosing.

In this episode, we're joined again by Jim Paulsen to break down the key themes shaping markets and the economy heading into 2026. Jim explains why policymakers may be fighting the wrong battle, why real sustainable growth has quietly collapsed over the past 20 years, and how shifts in policy, demographics, productivity, inflation, and investor psychology all tie together. We also walk through Jim's latest charts from Paulsen Perspectives and explore what they mean for stocks, sectors, interest rates, the dollar, and leadership in the year ahead.Topics covered in this episode:• The state of inflation and why CPI and PPI may be sending a very different message• The 20-year collapse in real sustainable GDP growth• Why job creation, labor force growth, and productivity have all structurally weakened• The rise in unemployment duration and what it signals about lost “animal spirits”• How demographics, immigration policy, and cultural shifts are shaping growth• Productivity puzzles: innovation vs. distraction in a tech-driven economy• Why the real economic risk may be deflation, not inflation• How monetary policy, the yield curve, the dollar, and fiscal policy have remained contractionary• Tariffs as a hidden tax and their real impact on inflation• How an easing cycle could reshape market leadership in 2026• Jim's Total Policy Stimulus Index and what it reveals about small caps, cyclicals, value, and foreign stocks• The difference between today's tech cycle and the dot-com bubble• What a broadening market might look like if policy finally turns supportive• How international equities could respond to a weaker dollar• Why tech may underperform without collapsing• Jim's expectations for S&P 500 returns in 2026 and the potential for a more balanced leadership environmentTimestamps:00:00 Market setup and inflation overview02:00 Reviewing recent corrections and sector broadening04:00 Bond yields, easing expectations, and fear-based asset leadership06:00 Tech's relative performance beginning to fade07:00 GDP growth collapse over two decades09:00 Structural slowdown in job creation10:30 Labor force growth and aging demographics12:00 The doubling of unemployment duration14:00 Population trends, immigration, and slowing productivity17:00 The rise of de-risking and falling monetary velocity19:00 Trade deficits, globalization, and policy contraction22:00 Why inflation risk may be overstated26:00 CPI/PPI data versus the inflation narrative29:00 Money supply, real rates, and the longest yield curve inversion31:00 The strong dollar as a contractionary force34:00 International stock performance and currency impact35:00 Tax burden relative to slower growth37:00 Tariffs as taxes and their real economic effect39:00 What would it take to restore growth and optimism?42:00 The Total Policy Stimulus Index explained47:00 Policy's impact on equal-weight, small caps, cyclicals, and value52:00 How foreign stocks respond to policy and the dollar54:00 Tech valuations today vs. the dot-com era55:00 Fed response differences between now and 200057:00 Why today's tech cycle is structurally different59:00 What 2026 might look like for the S&P 50001:01:00 Why price targets are inherently unreliable01:01:45 Closing thoughts and sign-off

September's economic data is finally out—despite government shutdown delays—and it offers a mixed but important look at inflation, spending, and what's coming next for interest rates. In this episode, Kathy breaks down the latest Producer Price Index showing cooling core wholesale inflation, rising energy costs, and how retail sales held up in September. She also explains what the delayed CPI and PPI reports mean for market volatility, Fed decisions, and real estate investors heading into year-end. JOIN RealWealth® FOR FREE https://realwealth.com/join-step-1  FOLLOW OUR PODCASTS Real Wealth Show: Real Estate Investing Podcast https://link.chtbl.com/RWS Source:  https://www.cnbc.com/2025/11/25/core-wholesale-prices-rose-less-than-expected-in-september-retail-sales-gain.html 

Nossos sócios Luiz Eduardo Portella, Tomás Goulart e Victor Ary debatem, no episódio de hoje, os principais acontecimentos da semana no Brasil e no mundo. No cenário internacional, o destaque foi o discurso de John Williams, do Fed, que reforçou a perspectiva de corte de 25 bps na reunião de dezembro. Os dados nos EUA foram escassos por conta do feriado de Thanksgiving, e os que foram divulgados ainda são referentes a setembro: vendas no varejo um pouco abaixo do esperado, e PPI em linha com a expectativa. No Reino Unido, o governo anunciou um pacote que aumenta impostos e amplia a folga fiscal, mas com a maior parte da consolidação concentrada nos últimos anos da projeção. No Brasil, o IPCA-15 veio um pouco acima do esperado, mas refletindo também efeitos da COP 30 sobre preços de hospedagem e turismo. Já os dados de mercado de trabalho – Caged e PNAD - mostraram alguma desaceleração, mas ainda nível robusto. Os dados de confiança demonstraram retomada em termos de atividade. Por fim, o presidente do BCB, Gabriel Galípolo, reafirmou o tom de serenidade, indicando que não houve divulgação de dados que alterassem as perspectivas do comitê. No mercado de crédito, a semana foi mais volátil que o normal e marcada por fluxo irregular. O índice de empresas high grade fechou estável, apesar das oscilações, enquanto o de empresas low rated abriu 15 bps na semana, devolvendo parte da forte compressão do início do mês. O mercado primário ainda seguiu sólido em novembro, mas com pipeline mais esvaziado. A perda do grau de investimento da Raízen foi oficializada, mas já era precificada pelo mercado local. Nos EUA, o juro de 10 anos fechou 5 bps, e as bolsas tiveram bom desempenho – S&P 500 +3,73%, Nasdaq +4,93% e Russell 2000 +5,52%. O juro de 30 anos no Reino Unido fechou 18 bps. No Brasil, o jan/35 fechou 24 bps, o Ibovespa valorizou 2,78% e o real 1,28%. Na próxima semana, atenção para o PIB do 3º tri no Brasil e para os ISMs de novembro nos EUA.

Scott Hoyt joins the podcast to provide a look into the holiday retail season and to discuss the state of the U.S. consumer more broadly. The team reviews the downbeat data on consumer confidence, the labor market, inflation and housing, and contemplates the implications for consumer spending this Christmas. The team remembers to take a listener question on income inequality and the mood gets even darker. Happy Thanksgiving everyone!Hosts: Mark Zandi – Chief Economist, Moody's Analytics, Cris deRitis – Deputy Chief Economist, Moody's Analytics, and Marisa DiNatale – Senior Director - Head of Global Forecasting, Moody's AnalyticsFollow Mark Zandi on 'X' and BlueSky @MarkZandi, Cris deRitis on LinkedIn, and Marisa DiNatale on LinkedIn Questions or Comments, please email us at helpeconomy@moodys.com. We would love to hear from you. To stay informed and follow the insights of Moody's Analytics economists, visit Economic View. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Stocks are up two straight days following Monday's tech-led rally bolstered by Alphabet and Broadcom. PPI and retail sales data loom along with Best Buy and Alibaba results.Important DisclosuresThis material is intended for general informational purposes only. This should not be considered an individualized recommendation or personalized investment advice. The investment strategies mentioned may not be suitable for everyone. Each investor needs to review an investment strategy for his or her own particular situation before making any investment decisions.The Schwab Center for Financial Research is a division of Charles Schwab & Co., Inc.All names and market data shown above are for illustrative purposes only and are not a recommendation, offer to sell, or a solicitation of an offer to buy any security. Supporting documentation for any claims or statistical information is available upon request.Past performance is no guarantee of future results.Diversification and rebalancing strategies do not ensure a profit and do not protect against losses in declining markets.Indexes are unmanaged, do not incur management fees, costs, and expenses and cannot be invested in directly. For more information on indexes, please see schwab.com/indexdefinitions.The policy analysis provided by the Charles Schwab & Co., Inc., does not constitute and should not be interpreted as an endorsement of any political party.Fixed income securities are subject to increased loss of principal during periods of rising interest rates. Fixed income investments are subject to various other risks including changes in credit quality, market valuations, liquidity, prepayments, early redemption, corporate events, tax ramifications, and other factors.All expressions of opinion are subject to change without notice in reaction to shifting market, economic or political conditions. Data contained herein from third party providers is obtained from what are considered reliable sources. However, its accuracy, completeness or reliability cannot be guaranteed.Investing involves risk, including loss of principal, and for some products and strategies, loss of more than your initial investment.The Schwab Center for Financial Research is a division of Charles Schwab & Co., Inc.Apple Podcasts and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries.Google Podcasts and the Google Podcasts logo are trademarks of Google LLC.Spotify and the Spotify logo are registered trademarks of Spotify AB.(0130-1125) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Lots of data hit the wire on Tuesday, from an uptick in pending home sales, to September's PPI and retail sales. Kevin Green talks about what it means for the FOMC and December probabilities for an interest rate cut. KG also talks about Nvidia's (NVDA) dip below $170 and the significance of the break, highlighting the volatility it brought to the SPX. He later notes the stark selling action in crude oil and its link to a peace deal in Ukraine. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – / schwabnetwork Follow us on Facebook – / schwabnetwork Follow us on LinkedIn - / schwab-network About Schwab Network - https://schwabnetwork.com/about

Summary del Show: • Los futuros bajan levemente tras el rally tecnológico: $SPX -0.1%, $US100 -0.3% y $INDU plano. El mercado espera ventas minoristas atrasadas, PPI de septiembre y confianza del consumidor, con el foco en márgenes ante aranceles y señales de gasto resiliente. • Meta consideraría gastar miles de millones en TPUs de Google desde 2027 y alquilarlos vía Google Cloud en 2026. La nota presiona a $NVDA y $AMD y apoya a Alphabet $GOOG/$GOOGL, abriendo un frente competitivo directo en chips de IA para data centers. • Novartis $NVS sube en premarket tras la aprobación de la FDA a Itvisma, primera terapia génica intratecal para SMA desde los 2 años con mutación SMN1. Dosis única, sin ajustes por edad/peso, con datos sólidos de eficacia y seguridad en STEER y STRENGTH. • Bed Bath & Beyond $BBBY comprará The Brand House Collective por $26.8M en acciones, cerrará >40 tiendas poco rentables en 2026 y promete ≥$20M en sinergias anuales; Amy Sullivan será la CEO del nuevo Beyond Retail Group tras el cierre (1T26).

You've been taking Prilosec for years. Your doctor prescribed it for heartburn, or you bought it over-the-counter. It helped at first. But now you're also taking Tums multiple times a week. You feel bloated after eating. You can't finish a sandwich without discomfort. And your migraines? Still there. Here's what nobody tells you: Your heartburn medication is making your migraines worse. Proton pump inhibitors (PPIs) like Prilosec and Nexium suppress your stomach acid. Your stomach is supposed to be pH 1. Strong enough to take paint off a car. That's how you absorb minerals from food. When your stomach acid is suppressed, a sphincter at the top of your stomach doesn't get the signal to close. It stays open and weakens over time. Meanwhile, you can't absorb the minerals every cell in your body needs. The box says: "Do not take longer than 14 days." I've had clients on Prilosec for 20 years. I just worked with two clients, both with daily head pain, both on PPIs for decades, both still experiencing heartburn even on the medication. We restored their digestive function, reduced their migraines significantly, and weaned them off Prilosec without rebound. Your heartburn and migraines are connected because both signal blockers in your body's ability to get nutrients to cells, clear waste, and restore vitality. If you're on a PPI and struggling with migraines, let's talk. Schedule your free consultation here: https://www.drlesliecisar.com/apply Free Training: 5 Proven Steps to Being Migraine Free (Even if you think you've already tried everything.) https://www.drlesliecisar.com/5SHMN Connect with us: Website: https://www.drlesliecisar.com/ Free Facebook Group: Healing Migraines Naturally, with Leslie Cisar, ND Ready to try something radically different that actually works? Read more about my approach here: https://www.drlesliecisar.com/map

This holiday-shortened week features a busy earnings schedule along with retail sales and PPI. VIX and crypto trading may be key to watch after last week's tech-driven sell-off.Important DisclosuresThis material is intended for general informational purposes only. This should not be considered an individualized recommendation or personalized investment advice. The investment strategies mentioned may not be suitable for everyone. Each investor needs to review an investment strategy for his or her own particular situation before making any investment decisions.The Schwab Center for Financial Research is a division of Charles Schwab & Co., Inc.All names and market data shown above are for illustrative purposes only and are not a recommendation, offer to sell, or a solicitation of an offer to buy any security. Supporting documentation for any claims or statistical information is available upon request.Past performance is no guarantee of future results.Diversification and rebalancing strategies do not ensure a profit and do not protect against losses in declining markets.Indexes are unmanaged, do not incur management fees, costs, and expenses and cannot be invested in directly. For more information on indexes, please see schwab.com/indexdefinitions.The policy analysis provided by the Charles Schwab & Co., Inc., does not constitute and should not be interpreted as an endorsement of any political party.Fixed income securities are subject to increased loss of principal during periods of rising interest rates. Fixed income investments are subject to various other risks including changes in credit quality, market valuations, liquidity, prepayments, early redemption, corporate events, tax ramifications, and other factors.All expressions of opinion are subject to change without notice in reaction to shifting market, economic or political conditions. Data contained herein from third party providers is obtained from what are considered reliable sources. However, its accuracy, completeness or reliability cannot be guaranteed.Investing involves risk, including loss of principal, and for some products and strategies, loss of more than your initial investment.The Schwab Center for Financial Research is a division of Charles Schwab & Co., Inc.Apple Podcasts and the Apple logo are trademarks of Apple Inc., registered in the U.S. and other countries.Google Podcasts and the Google Podcasts logo are trademarks of Google LLC.Spotify and the Spotify logo are registered trademarks of Spotify AB.(0130-1125) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

En el episodio de hoy, el foco se divide entre avances tecnológicos, tropiezos en el sector farmacéutico y el rebote del mercado mientras se acerca una semana corta pero cargada de datos económicos clave:

Commentary from Fed governor John Williams opened the door much wider for a December interest rate cut, says Charles Schwab's Cooper Howard. He explains how Williams' words reignited bullish hopes. Cooper tells investors to watch for any and all jobs and inflation data until the December meeting, pointing to the upcoming PPI print as a critical one. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

Dan Deming weighs in on current market dynamics, noting a significant rotation out of overvalued sectors into underappreciated areas. He cautions that next week's economic data, including PPI, PCE, and consumer confidence, could shift market sentiment. Dan also discusses the perceived overvaluation of high-flying tech stocks like Nvidia (NVDA) and Oracle (ORCL), suggesting a prolonged rotation as the market questions the sustainability of A.I. sector valuations.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

If you have bloating, reflux, low energy, constipation, or feel like every meal is a guessing game for your gut, this episode is going to make so many things finally click.This week on The Balance with Britt Podcast, I'm joined by Holistic Nutritionist Maryanne Wayland, a women's gut health specialist who helps her clients get to the bottom of stubborn digestive symptoms through functional testing and root cause work.Together, we unpack everything you have never been taught about stomach acid. Spoiler alert. Most women do not have too much stomach acid. They often have too little. And that imbalance can trigger bloating, indigestion, burping, nutrient deficiencies, fatigue, and even skin issues.In this episode we cover• What stomach acid actually is and why your body relies on it • The biggest myths about acid reflux and why “too much acid” is rarely the problem • The real signs of low stomach acid and how to tell the difference between low acid and true reflux • How stress, rushing meals, and under-eating weaken digestion • What low stomach acid does to nutrient absorption, energy, bowel movements, and your microbiome • Why so many people are given antacids when they actually need more support, not suppression • The risks of long term antacid or PPI use that no one talks about • Foods and habits that naturally support healthy stomach acid levels • Simple at home ways to get a sense of where your own stomach acid is at • Thoughts on ACV, digestive bitters, minerals, and other natural tools • When to work with a practitioner and the symptoms you should never ignoreIf you are feelingBloated after almost every mealExhausted no matter how much you sleepConstipated or dealing with unpredictable digestionFoggy, puffy, or inflamedConfused by your reflux symptomsThis episode will help you understand what your body is trying to tell you and where to start.Connect with Britt

Gut motility may be the most important and least discussed aspect of health. One vital part of gut motility is the Migrating Motor Complex. The Migrating Motor Complex (MMC) is the gut’s “street sweeper,” clearing food and bacteria to maintain intestinal homeostasis between meals. In this episode, we review its physiology, regulatory mechanisms, and clinical relevance – from SIBO to functional GI disorders – highlighting why this cyclical motility pattern matters for patient care. Today you’ll meet the migrating motor complex: your gut’s built-in street sweeper that clocks in when you’re not eating. This behind-the-scenes cleaning cycle is essential to GI health! Today on The Lab Report: 3:20 Gut motility – peristalsis and segmentation 5:45 Migrating Motor Complex (MMC) 8:40 Motilin, serotonin, and the vagus nerve 11:15 Acidification of the small intestine and Motilin 13:25 Signaling the vagus nerve 16:20 MMC’s role in SIBO/IMO 17:50 Prokinetics and meal spacing 22:00 Question of the Day What is the relationship between PPI’s and MMC? Additional Resources: SIBO Breath Test GI Effects Stool Profile Subscribe, Rate, & Review The Lab Report Thanks for tuning in to this week’s episode of The Lab Report, presented by Genova Diagnostics, with your hosts Michael Chapman and Patti Devers. If you enjoyed this episode, please hit the subscribe button and give us a rating or leave a review. Don’t forget to visit our website, like us on Facebook, follow us on Twitter, Instagram, and LinkedIn. Email Patti and Michael with your most interesting and pressing questions on functional medicine: podcast@gdx.net. And, be sure to share your favorite Lab Report episodes with your friends and colleagues on social media to help others learn more about Genova and all things related to functional medicine and specialty lab testing. To find a qualified healthcare provider to connect you with Genova testing, or to access select products directly yourself, visit Genova Connect. Disclaimer: The content and information shared in The Lab Report is for educational purposes only and should not be taken as medical advice. The views and opinions expressed in The Lab Report represent the opinions and views of Michael Chapman and Patti Devers and their guests.See omnystudio.com/listener for privacy information.

We referred to today's PMI as "PPI" since Katy had nothing but positive remarks during her segment... Discover how she shines as our little beacon of positivity, here.The fun continues on our social media pages!Jeremy, Katy & Josh Facebook: CLICK HERE Jeremy, Katy & Josh Instagram: CLICK HERE

In Episode 296 of the Hammer Territory Podcast, Stephen Tolbert and Shawn Coleman discuss a big day for Drake Baldwin and the Atlanta Braves. Topics include the impact of Baldwin being named the NL Rookie of the Year, the PPI specifics, whether the Braves should go after a free agent with a qualifying offer attached, the latest on the coaching staff, and much more. Check out https://square.com/go/FOUL and go support your favorite neighborhood spot to see what Square has been up to in your neck of the woods.See omnystudio.com/listener for privacy information.

As of Friday, 91% of companies reported earnings for the third quarter with 13.1% year-over-year growth, which is much stronger than the 7.9% expected. This week will likely be a pivotal week as investors weigh whether a correction is the next step for the market or if last week's tech selling is just a pause. Much of that will likely come down to if the shutdown ends. Related, the monthly inflation reports (CPI and PPI) are scheduled for Thursday though they may likely be delayed by the shutdown. 

Willkommen zu einer neuen Folge des Insurance Monday Podcasts! In dieser Episode dreht sich alles um die Transformation von Versicherungskernsystemen – ein Thema, das aktuell über die Zukunftsfähigkeit vieler Versicherer entscheidet. Host Alexander Bernert begrüßt dazu zwei ausgewiesene Experten von PPI: Tobias Kohl, Partner mit langjähriger Erfahrung in großen Transformationsprojekten, und Frederik Wulf, Manager und Co-Autor der einzigen herstellerunabhängigen Marktstudie zu Versicherungskernsystemen im DACH-Raum.Gemeinsam sprechen sie darüber, worauf es bei der Auswahl und Einführung moderner Kernsysteme wirklich ankommt, welche Trends aktuell den Markt bestimmen – von KI über Cloud bis Regulatorik – und warum die Transformation längst kein optionales IT-Projekt mehr ist, sondern überlebenswichtig für Versicherungsunternehmen jeder Größe. Außerdem geben sie spannende Einblicke in die Methodik und zentrale Erkenntnisse der aktuellen Studie von PPI und diskutieren, was Versicherer und Hersteller daraus unmittelbar für sich mitnehmen können.Freut euch auf interessante Anekdoten aus der Praxis, klare Empfehlungen und den einen oder anderen überraschenden Einblick in die Welt hinter den Kulissen der Versicherungs-IT!Schreibt uns gerne eine Nachricht!Dieser Podcast wird von msg unterstützt. Die msg Gruppe ist führender Anbieter im Versicherungsmarkt für moderne Systemlösungen. Von Automation- über KI- und SAP- bis hin zu modernen Kommunikations- und Vertriebslösungen. Die msg bündelt moderne Technologien mit tiefem Branchen Know-How. Folge uns auf unserer LinkedIn Unternehmensseite für weitere spannende Updates.Unsere Website: https://www.insurancemondaypodcast.de/Du möchtest Gast beim Insurance Monday Podcast sein? Schreibe uns unter info@insurancemondaypodcast.de und wir melden uns umgehend bei Dir.Dieser Podcast wird von dean productions produziert.Vielen Dank, dass Du unseren Podcast hörst!

Common medications like Tylenol, statins, and diabetes drugs quietly deplete essential nutrients and stress your liver. Learn which five medications cause nutritional deficiencies, what nutrients they deplete, and actionable steps to restore balance while protecting your liver health through targeted supplementation and lifestyle changes. FEATURED SUPPLEMENT Liver Boost – Every medication you take passes through and stresses your liver, depleting essential nutrients like glutathione, CoQ10, and B vitamins. Liver Boost is specifically formulated to support your liver's detoxification pathways and help regenerate liver function.  Learn more: https://mswnutrition.com/products/liver-boost 5 KEY TAKEAWAYS Acetaminophen Destroys Glutathione – Every dose of Tylenol depletes your liver's master antioxidant (glutathione), reducing your body's ability to detoxify and fight inflammation, which can lead to liver toxicity with long-term use. Statins Lower CoQ10 Levels – Cholesterol medications deplete CoQ10, a critical nutrient for heart and liver function that supports mitochondrial energy production. Anyone on statins should supplement with CoQ10 to prevent deficiency. Metformin Causes B12 Deficiency – This common diabetes medication depletes vitamin B12, leading to fatigue, nerve damage, and digestive issues. Long-term metformin users need regular B12 monitoring and supplementation. Birth Control Depletes Multiple Nutrients – Oral contraceptives reduce B6, B9 (folate), and magnesium levels, affecting liver function, hormone regulation, and overall health, especially problematic for women on long-term birth control. PPIs Create Dangerous Deficiencies – Acid-reducing medications like Nexium deplete B12, magnesium, and zinc, impairing digestion, liver health, and nutrient absorption, creating a vicious cycle of deficiency. TIMESTAMPS 00:00 – START – Welcome and episode overview 02:15 – Understanding how medications affect your liver 04:30 – Acetaminophen depletes glutathione and damages liver function 08:45 – Why glutathione is the master antioxidant your body needs 12:20 – NAC supplementation and liver regeneration strategies 16:40 – Statins lower CoQ10 and impact mitochondrial energy production 21:10 – Metformin causes B12 deficiency in diabetic patients 25:30 – How vitamin B12 supports energy, nerves, and digestion 28:45 – Birth control pills deplete B6, B9, and magnesium 32:20 – Estrogen regulation and liver health connection 35:50 – PPIs and antacids cause multiple nutrient deficiencies 39:15 – FDA warning about magnesium depletion from long-term PPI use 42:30 – Action steps for protecting your liver while on medications 45:00 – Supplementation recommendations and lab testing guidance RESOURCES PubMed – Research database for glutathione, medication-induced nutrient depletion, and liver function studies: https://pubmed.ncbi.nlm.nih.gov/ Book a Consultation with Nurse Doza – Schedule your personalized medication and liver health consultation: https://www.nursedoza.com/ MSW Nutrition Liver Boost – Targeted liver support supplement: https://mswnutrition.com/products/liver-boost MSW Nutrition Boost – Daily vitamin supplement with B12, B6, B9, and magnesium: https://www.mswnutrition.com/products/boost MSW Nutrition NAC Plus – N-Acetylcysteine supplement for glutathione production: https://www.mswnutrition.com/products/nac-plus Free Liver Detox Course – Available at School of Doza website CONNECT

In this episode of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner and long-time surgical partner Deidre Schodroski dive deep into the real-world challenges bariatric patients face after surgery. From the surge in heartburn after gastric sleeve procedures to long-term PPI use, iron deficiencies, protein shake intolerance, hypoglycemia, and muscle loss—this episode delivers practical, science-backed solutions for every stage of the journey.They also discuss the synergistic benefits of combining GLP-1 medications with bariatric surgery, how to manage complications, and why technology like the Pound of Cure app and Sage, the AI dietitian, is transforming personalized weight loss care. If you've ever felt lost in the complexity of postop life or medications, this conversation offers clarity, direction, and support.- Discover why PPIs aren't always the enemy- Learn how to build muscle after surgery- Understand how meds + surgery = better results- Get protein shake tips that actually work for your gut- Start using our free app to optimize your careLearn more about how POC can help you: https://poundofcureweightloss.com/

Chegamos ao episódio final da série!Neste episódio, Fernando Marcato retoma a história do saneamento a partir do período da Lava Jato e do impeachment da presidente Dilma, chegando à criação do Programa de Parcerias de Investimentos (PPI) no governo Michel Temer. Ele explica como o PPI e o BNDES ganharam papel estratégico na estruturação de concessões e privatizações, destacando o protagonismo de nomes como Adalberto Vasconcelos, Marco Aurélio Barcelos, Tarcísio de Freitas e Maria Sílvia Bastos.Fernando descreve como a mudança de postura do BNDES, de financiador para estruturador de projetos, reorganizou o setor e abriu caminho para o novo marco legal de saneamento de 2020. Ele detalha os efeitos práticos dessa transição, o impacto da cláusula que afetava contratos de programa em caso de privatização, e como isso levou à necessidade de atualizar o marco regulatório.O episódio percorre a estruturação da concessão da CEDAE no Rio de Janeiro, ainda antes do novo marco, e a sequência de projetos estaduais liderados pelo BNDES, como no Ceará, Alagoas e Amapá. Fernando analisa também algumas privatizações e avanços que fizeram parte da consolidação do cenário atual do saneamento no Brasil.Somos o primeiro podcast brasileiro voltado exclusivamente para temas relacionados à infraestrutura.#utilidadepublica #infraestrutura #saneamento #historiadobrasil #serviçopublico

Have you ever wondered how to get OFF your PPI safely - without hurting your body in the process? This is one of the most common questions I get from my clients who are struggling with acid reflux. And I get it. I've worked with clients on 1 PPI a day… 2 PPIs a day… even 3 PPIs a day PLUS tums and antacids stacked on top. I've worked with a client told by doctors at the University of Michigan that there was nothing left they could do for her. And I've gotten clients like her all the way down to ZERO PPIs. Here's the thing: if you're on a PPI, your acid reflux is probably pretty severe. Stopping cold turkey can leave you in pain, afraid to eat, and stuck in fear. So - how do you get off PPIs safely? That is exactly what we're covering today. On today's episode, we're diving into: The #1 thing stopping you from getting off PPIsHow to taper off PPIs without painStories of clients who've ended 20+ and even 40+ years of acid reflux with this approach If you're ready to finally end your reflux for good - this episode is for you. TIMESTAMPS:00:00 - Introduction: Safely Getting Off PPIs 01:14 - Welcome to the Better Belly Podcast 02:24 - Understanding the Fear of Stopping PPIs 05:28 - Steps to Safely Taper Off PPIs 06:53 - The Better Belly Blueprint Program 10:01 - Monitoring Symptoms and Adjusting PPIs 17:37 - Client Success Stories 19:03 - Conclusion and Next Steps EPISODES MENTIONED:285// Two Steps to Reversing Your Acid Reflux (for good!)Acid reflux testimonials:Andrea - 200// How to End 20+ Years of Constipation and Acid Reflux in 3 MonthsDon - 242// How He Ended 40+ Years of Diarrhea, Bloating, and Acid Reflux (Don's Testimonial)Jamie - 249// She Beat Her Bloat, Constipation, and Acid Reflux in One Month HEAL YOUR GUT TODAY!Option #1)

In this conversation, The doctors discusses the implications of long-term use of Proton Pump Inhibitors (PPIs), their efficacy, risks, and the importance of tapering off these medications. The discussion covers the physiological effects of PPIs, the necessity of addressing underlying causes of reflux, and the potential for natural and herbal alternatives to support patients in tapering off PPIs. The conversation emphasizes the importance of patient education and the need for a gradual approach to discontinuing PPIs to avoid rebound symptoms.TakeawaysPPIs are effective for short-term use but not for long-term.Tapering off PPIs should take three to six months.Natural alternatives can help manage reflux symptoms.Melatonin can improve lower esophageal sphincter function.Nutrient deficiencies are a risk with long-term PPI use.DGL has been shown to improve quality of life in patients.Patient education is crucial in managing PPI use.Underlying causes of reflux should be addressed.Herbal remedies can provide additional support during tapering.A gradual tapering process is essential to avoid rebound symptoms.

SHOW SCHEDULE 10-15--25 CBS EYE ON THE WORLD WITH JOHN BATCHELOR 1964 ATLANTIC CITYCONVENTION HALL THE SHOW BEGINS IN THE DOUBTS ABOUT CONGRESS.... 10-15--25 FIRST HOUR 9-915 HEADLINE: Obamacare Subsidies Trigger Government Shutdown Debate GUEST NAME: Michael Toth SUMMARY: Michael Toth explains that the current government shutdown debate centers on extending two expensive Biden-era Obamacare subsidies. These changes allow individuals earning over 400% of the federal poverty line to receive subsidies and provide 100% coverage for the near-poor. The original Obamacare cross-subsidy structure failed because young, healthy individuals found premiums too high. Toth advocates deregulation, such as allowing insurance companies to charge lower, risk-adjusted rates and enabling single business owners to use Professional Employer Organizations (PEOs) for cheaper coverage. 915-930 HEADLINE: Obamacare Subsidies Trigger Government Shutdown Debate GUEST NAME: Michael Toth SUMMARY: Michael Toth explains that the current government shutdown debate centers on extending two expensive Biden-era Obamacare subsidies. These changes allow individuals earning over 400% of the federal poverty line to receive subsidies and provide 100% coverage for the near-poor. The original Obamacare cross-subsidy structure failed because young, healthy individuals found premiums too high. Toth advocates deregulation, such as allowing insurance companies to charge lower, risk-adjusted rates and enabling single business owners to use Professional Employer Organizations (PEOs) for cheaper coverage. 930-945 HEADLINE: Hamas, Hostages, and Middle East Turmoil: Challenges to the Trump Ceasefire Plan GUEST NAME:Jonathan Schanzer SUMMARY: Jonathan Schanzer discusses complications in the Trump ceasefire plan, including Hamas delaying the return of deceased hostages to maintain leverage. The released prisoners, including potential Hamas leaders, raise concerns about where the organization's center of gravity will shift if they are deported to places like Turkey or Qatar. Schanzer views Turkey, an autocratic supporter of Hamas, as a problematic guarantor of the ceasefire. Internationally, Iran continues its nuclear program despite snapback sanctions, and al-Sharaa is meeting with Putin regarding Russian assets in Syria. 945-1000 HEADLINE: Hamas, Hostages, and Middle East Turmoil: Challenges to the Trump Ceasefire Plan GUEST NAME:Jonathan Schanzer SUMMARY: Jonathan Schanzer discusses complications in the Trump ceasefire plan, including Hamas delaying the return of deceased hostages to maintain leverage. The released prisoners, including potential Hamas leaders, raise concerns about where the organization's center of gravity will shift if they are deported to places like Turkey or Qatar. Schanzer views Turkey, an autocratic supporter of Hamas, as a problematic guarantor of the ceasefire. Internationally, Iran continues its nuclear program despite snapback sanctions, and al-Sharaa is meeting with Putin regarding Russian assets in Syria. SECOND HOUR 10-1015 HEADLINE: China's Predicament in the Middle East and Domestic Economic Instability GUEST NAME: General Blaine Holt SUMMARY: General Blaine Holt analyzes China's strategic challenges, noting Beijing is concerned about losing access to critical oil and gas resources as US leadership advances the Abraham Accords. China's previous regional deals, like the Saudi-Iran agreement, lacked substance compared to US business commitments. Holt suggests internal pressures might lead Iran toward the Accords. Domestically, China faces accelerating deflation and uncertainty regarding Xi Jinping's leadership due to four competing factions before the fourth plenum. 1015-1030 HEADLINE: South Korea's Descent into Authoritarianism and Persecution of Opposition GUEST NAME: Morse Tan SUMMARY: Morse Tan argues that South Korea is moving toward a "rising communist dictatorship" that oppresses political and religious figures. The indictment of the Unification Church leader and the targeting of the rightful President Yoon exemplify this trend. This persecution serves as an intimidation campaign, demonstrating the regime's disregard for the populace. Tan recommends the US implement active measures, including sanctions relating to a coup d'état and visa sanctions, while also pressing for greater military cooperation. 1030-1045 HEADLINE: Russian War Economy Stalls as Oil Prices Decline and Sanctions Bite GUEST NAME: Michael Bernstam SUMMARY: Michael Bernstam reports that the Russian economy is struggling as global oil prices decline and sanctions increase transportation costs, leading to a $13 to $14 per barrel discount on Russian oil. The "military Keynesianism" economy is exhausted, resulting in staff cuts across industrial sectors. Forecasts indicate contraction in late 2025 and 2026, with the IMF lowering its growth projection for 2025 to 0.6%. Russia is avoiding sanctions by routing payments through neighbors like Kyrgyzstan, who have become major financial hubs. 1045-1100 HEADLINE: Lessons from the Swiss National Bank: Risk-Taking, Exchange Rates, and Fiscal Responsibility GUEST NAME: John Cochrane SUMMARY: Economist John Cochrane analyzes the Swiss National Bank (SNB), noting it differs greatly from the US Federal Reserve by investing heavily in foreign stocks and bonds to manage the Swiss franc's exchange rate. The SNB's massive balance sheet carries risks accepted by Swiss taxpayers and the Cantons. Switzerland, being fiscally responsible (running no budget deficits), finds central banking easier. Cochrane advises that the US Fed should not be buying stocks or venturing into fiscal policy. THIRD HOUR 1100-1115 HEADLINE: China Retaliates Against Dutch Chipmaker Seizure Amid European Fragmentation GUEST NAME:Theresa Fallon SUMMARY: Theresa Fallon discusses China imposing export controls on Nexperia after the Dutch government seized control of the chipmaker, which was owned by China's Wingtech. The Dutch acted due to fears the Chinese owner would strip the technology and equipment, despite Nexperia producing low-quality chips for cars. Fallon notes Europe needs a better chip policy but struggles to speak with one voice, as fragmented policy allows China to drive wedges and weaken the EU. 1115-1130 HEADLINE: China's Economic Slowdown, Deflation, and the Spectre of Japanification GUEST NAME: Andrew Collier SUMMARY: Andrew Collier discusses China's economic woes, characterized by persistent deflation, with the CPI down 0.3% (6 out of 9 months in the red) and the PPI down for 36 straight months. This environment raises concerns about "Japanification"—a multi-decade slowdown after a property crash. Major structural changes to stimulate consumer consumption are unlikely at the upcoming Communist Party plenum, as the system favors state investment. The property market collapse means foreign investment is leaving, and Collier suggests the economy may not bottom until 2027 or 2028. 1130-1145 HEADLINE: SpaceX Starship Success, Private Space Dominance, and Government Inaction GUEST NAME: Bob Zimmerman SUMMARY: Bob Zimmerman describes SpaceX's Starship Super Heavy 11th test flight as "remarkable," highlighting successful booster reuse and controlled re-entry despite missing tiles. He asserts that private enterprise, like SpaceX, runs the "real American space program" aimed at Mars colonization, outpacing government efforts. In contrast, European projects like Callisto, proposed in 2015, demonstrate government "inaction." JPL is also laying off staff following the cancellation of the Mars sample return project, forcing organizations like Lowell Observatory to seek private funding. 1145-1200 HEADLINE: SpaceX Starship Success, Private Space Dominance, and Government Inaction GUEST NAME: Bob Zimmerman SUMMARY: Bob Zimmerman describes SpaceX's Starship Super Heavy 11th test flight as "remarkable," highlighting successful booster reuse and controlled re-entry despite missing tiles. He asserts that private enterprise, like SpaceX, runs the "real American space program" aimed at Mars colonization, outpacing government efforts. In contrast, European projects like Callisto, proposed in 2015, demonstrate government "inaction." JPL is also laying off staff following the cancellation of the Mars sample return project, forcing organizations like Lowell Observatory to seek private funding. FOURTH HOUR 12-1215 HEADLINE: Commodity Market Trends and UK's Lack of Risk Appetite for AI Innovation GUEST NAME: Simon Constable SUMMARY: Simon Constable notes that data center expansion for AI is increasing prices for copper (up 15%) and steel (up 14%). He points out that the UK lags significantly behind the US in building new AI data centers (170 vs. 5,000+) due to a lack of risk appetite, insufficient wealth, and poor marketing of new ideas. Separately, Constable discusses the collapse of a UK China spying trial because the prior government failed to officially classify China as a national security threat during the alleged offenses. 1215-1230 HEADLINE: Commodity Market Trends and UK's Lack of Risk Appetite for AI Innovation GUEST NAME: Simon Constable SUMMARY: Simon Constable notes that data center expansion for AI is increasing prices for copper (up 15%) and steel (up 14%). He points out that the UK lags significantly behind the US in building new AI data centers (170 vs. 5,000+) due to a lack of risk appetite, insufficient wealth, and poor marketing of new ideas. Separately, Constable discusses the collapse of a UK China spying trial because the prior government failed to officially classify China as a national security threat during the alleged offenses. 1230-1245 HEADLINE: AI Regulation Debate: Premature Laws vs. Emerging Norms GUEST NAME: Kevin Frazier SUMMARY: Kevin Frazier critiques the legislative rush to regulate AI, arguing that developing norms might be more effective than premature laws. He notes that bills like California's AB 1047, which demands factual accuracy, fundamentally misunderstand AI's generative nature. Imposing vague standards, as seen in New York's RAISE Act, risks chilling innovation and preventing widespread benefits, like affordable legal or therapy tools. Frazier emphasizes that AI policy should be grounded in empirical data rather than speculative fears. 1245-100 AM HEADLINE: AI Regulation Debate: Premature Laws vs. Emerging Norms GUEST NAME: Kevin Frazier SUMMARY: Kevin Frazier critiques the legislative rush to regulate AI, arguing that developing norms might be more effective than premature laws. He notes that bills like California's AB 1047, which demands factual accuracy, fundamentally misunderstand AI's generative nature. Imposing vague standards, as seen in New York's RAISE Act, risks chilling innovation and preventing widespread benefits, like affordable legal or therapy tools. Frazier emphasizes that AI policy should be grounded in empirical data rather than speculative fears.

HEADLINE: China's Economic Slowdown, Deflation, and the Spectre of Japanification GUEST NAME: Andrew Collier SUMMARY: Andrew Collier discusses China's economic woes, characterized by persistent deflation, with the CPI down 0.3% (6 out of 9 months in the red) and the PPI down for 36 straight months. This environment raises concerns about "Japanification"—a multi-decade slowdown after a property crash. Major structural changes to stimulate consumer consumption are unlikely at the upcoming Communist Party plenum, as the system favors state investment. The property market collapse means foreign investment is leaving, and Collier suggests the economy may not bottom until 2027 or 2028. 1890 PEKING

The government shutdown kept PPI and jobless claims off the table Thursday morning, though Kevin Hincks suggests that you can still piece a puzzle together on how consumers are faring. He explains how reports from United Airlines (UAL) play a role in the big picture. He later explains the impact all of this will have on the FOMC and its interest rate path.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

PREVIEW China's Economic Slowdown, Deflation, and the Spectre of Japanification. Guest: Andrew Collier. Andrew Collier discusses China's economic woes, characterized by persistent deflation, with the CPI down 0.3% (6 out of 9 months in the red) and the PPI down for 36 straight months. This environment raises concerns about "Japanification"—a multi-decade slowdown after a property crash. Major structural changes to stimulate consumer consumption are unlikely at the upcoming Communist Party plenum, as the system favors state investment. The property market collapse means foreign investment is leaving, and Collier suggests the economy may not bottom until 2027 or 2028. 1950 PEKING

Update your approach to the evaluation and management of GERD with Dr. James Callaway. Learn when to consider ambulatory reflux monitoring and how to determine if someone has an indication for long-term PPI therapy.  Claim CME for this episode at curbsiders.vcuhealth.org! Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME Show Segments Intro Case Definitions and symptoms Reflux mechanisms and triggers Medications for Acid suppression  Endoscopy and Ambulatory Reflux Monitoring  Stopping the PPI  Additional etiologies of reflux symptoms  Outro Credits Written and Produced by: Elena Gibson MD  Infographic and Cover Art:Elena Gibson MD  Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Sai S Achi MD, MBA, FACP Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: James Callaway MD  Disclosures Dr. Callaway reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.  Sponsor: Panacea Financial  Schedule a free consultation today and make sure your career stays more treat than trick. Get started at Panacea.Legal Sponsor: Mint Mobile Ready to say yes to saying no? Make the switch at MINTMOBILE.com/CURB Sponsor:  Continuing Education Company Visit CMEmeeting.org/curbsiders  and use promo code Curb30 to get 30% off all online courses and webcasts.

HEADLINE: China's Economic Contradictions: Deflation and Consumer Wariness Undermine GDP Growth ClaimsGUEST NAME: Fraser Howie SUMMARY: John Batchelor speaks with Fraser Howie about China facing severe economic contradictions despite high World Bank forecasts. Deflation remains rampant with frequently negative CPI and PPI figures. Consumer wariness and high youth unemployment at one in seven persist throughout the economy. The GDP growth figure is viewed as untrustworthy, manufactured through debt in a command economy. Decreased container ship arrivals point to limited actual growth, exacerbated by higher US tariffs. Economic reforms appear unlikely as centralization under Xi Jinping continues.

CBS EYE ON THE WORLD WITH JOHN BATCHELOR 1900 KYIV THE SHOW BEGINS IN THE DOUBTS THAT CONGRESS IS CAPABLE OF CUTTING SPENDING..... 10-8-25 FIRST HOUR 9-915 HEADLINE: Arab Intellectuals Fail Palestinians by Prioritizing Populism and Victimhood Narrative in Gaza ConflictGUEST NAME: Hussain Abdul-Hussain SUMMARY: John Batchelor speaks with Hussain Abdul-Hussain about Hamas utilizing the power of victimhood to justify atrocities and vilify opponents. Arab and Muslim intellectuals have failed Palestinians by prioritizing populism over introspection and self-critique. Regional actors like Egypt prioritize populist narratives over national interests, exemplified by refusing to open the Sinai border despite humanitarian suffering. The key recommendation is challenging the narrative and fostering a reliable, mature Palestinian government. 915-930 HEADLINE: Arab Intellectuals Fail Palestinians by Prioritizing Populism and Victimhood Narrative in Gaza ConflictGUEST NAME: Hussain Abdul-Hussain SUMMARY: John Batchelor speaks with Hussain Abdul-Hussain about Hamas utilizing the power of victimhood to justify atrocities and vilify opponents. Arab and Muslim intellectuals have failed Palestinians by prioritizing populism over introspection and self-critique. Regional actors like Egypt prioritize populist narratives over national interests, exemplified by refusing to open the Sinai border despite humanitarian suffering. The key recommendation is challenging the narrative and fostering a reliable, mature Palestinian government. 930-945 HEADLINE: Russian Oil and Gas Revenue Squeezed as Prices Drop, Turkey Shifts to US LNG, and China Delays Pipeline GUEST NAME: Michael Bernstam SUMMARY: John Batchelor speaks with Michael Bernstam about Russia facing severe budget pressure due to declining oil prices projected to reach $40 per barrel for Russian oil and global oil surplus. Turkey, a major buyer, is abandoning Russian natural gas after signing a 20-year LNG contract with the US. Russia refuses Indian rupee payments, demanding Chinese renminbi, which India lacks. China has stalled the major Power of Siberia 2 gas pipeline project indefinitely. Russia utilizes stablecoin and Bitcoin via Central Asian banks to circumvent payment sanctions. 945-1000 HEADLINE: UN Snapback Sanctions Imposed on Iran; Debate Over Nuclear Dismantlement and Enrichment GUEST NAME: Andrea Stricker SUMMARY: John Batchelor speaks with Andrea Stricker about the US and Europe securing the snapback of UN sanctions against Iran after 2015 JCPOA restrictions expired. Iran's non-compliance with inspection demands triggered these severe sanctions. The discussion covers the need for full dismantlement of Iran's nuclear program, including both enrichment and weaponization capabilities, to avoid future conflict. Concerns persist about Iran potentially retaining enrichment capabilities through low-level enrichment proposals and its continued non-cooperation with IAEA inspections. SECOND HOUR 10-1015 HEADLINE: Commodities Rise and UK Flag Controversy: French Weather, Market Trends, and British Politics GUEST NAME: Simon Constable SUMMARY: John Batchelor speaks with Simon Constable about key commodities like copper up 16% and steel up 15% signaling strong economic demand. Coffee prices remain very high at 52% increase. The conversation addresses French political turmoil, though non-citizens cannot vote. In the UK, the St. George's flag has become highly controversial, viewed by some as associated with racism, unlike the Union Jack. This flag controversy reflects a desire among segments like the white working class to assert English identity. 1015-1030 HEADLINE: Commodities Rise and UK Flag Controversy: French Weather, Market Trends, and British Politics GUEST NAME: Simon Constable SUMMARY: John Batchelor speaks with Simon Constable about key commodities like copper up 16% and steel up 15% signaling strong economic demand. Coffee prices remain very high at 52% increase. The conversation addresses French political turmoil, though non-citizens cannot vote. In the UK, the St. George's flag has become highly controversial, viewed by some as associated with racism, unlike the Union Jack. This flag controversy reflects a desire among segments like the white working class to assert English identity. 1030-1045 HEADLINE: China's Economic Contradictions: Deflation and Consumer Wariness Undermine GDP Growth ClaimsGUEST NAME: Fraser Howie SUMMARY: John Batchelor speaks with Fraser Howie about China facing severe economic contradictions despite high World Bank forecasts. Deflation remains rampant with frequently negative CPI and PPI figures. Consumer wariness and high youth unemployment at one in seven persist throughout the economy. The GDP growth figure is viewed as untrustworthy, manufactured through debt in a command economy. Decreased container ship arrivals point to limited actual growth, exacerbated by higher US tariffs. Economic reforms appear unlikely as centralization under Xi Jinping continues. 1045-1100 HEADLINE: Takaichi Sanae Elected LDP Head, Faces Coalition Challenge to Become Japan's First Female Prime Minister GUEST NAME: Lance Gatling SUMMARY: John Batchelor speaks with Lance Gatling about Takaichi Sanae being elected head of Japan's LDP, positioning her to potentially become the first female Prime Minister. A conservative figure, she supports visits to the controversial Yasukuni Shrine. Her immediate challenge is forming a majority coalition, as the junior partner Komeito disagrees with her conservative positions and social policies. President Trump praised her election, signaling potential for strong bilateral relations. THIRD HOUR 1100-1115 VHEADLINE: DeepSeek AI: Chinese LLM Performance and Security Flaws Revealed Amid Semiconductor Export Circumvention GUEST NAME: Jack Burnham SUMMARY: John Batchelor speaks with Jack Burnham about competition in Large Language Models between the US and China's DeepSeek. A NIST study found US models superior in software engineering, though DeepSeek showed parity in scientific questions. Critically, DeepSeek models exhibited significant security flaws. China attempts to circumvent US export controls on GPUs by smuggling and using cloud computing centers in Southeast Asia. Additionally, China aims to dominate global telecommunications through control of supply chains and legal mechanisms granting the CCP access to firm data.E V 1115-1130 HEADLINE: DeepSeek AI: Chinese LLM Performance and Security Flaws Revealed Amid Semiconductor Export Circumvention GUEST NAME: Jack Burnham SUMMARY: John Batchelor speaks with Jack Burnham about competition in Large Language Models between the US and China's DeepSeek. A NIST study found US models superior in software engineering, though DeepSeek showed parity in scientific questions. Critically, DeepSeek models exhibited significant security flaws. China attempts to circumvent US export controls on GPUs by smuggling and using cloud computing centers in Southeast Asia. Additionally, China aims to dominate global telecommunications through control of supply chains and legal mechanisms granting the CCP access to firm data. 1130-1145 HEADLINE: Taiwanese Influencer Charged for Threatening President; Mainland Chinese Influence Tactics ExposedGUEST NAME: Mark Simon SUMMARY: John Batchelor speaks with Mark Simon about internet personality Holger Chen under investigation in Taiwan for calling for President William Lai's decapitation. This highlights mainland Chinese influence operations utilizing influencers who push themes of military threat and Chinese greatness. Chen is suspected of having a mainland-affiliated paymaster due to lack of local commercial support. Taiwan's population primarily identifies as Taiwanese and is unnerved by constant military threats. A key propaganda goal is convincing Taiwan that the US will not intervene. 1145-1200 HEADLINE: Sentinel ICBM Modernization is Critical and Cost-Effective Deterrent Against Great Power CompetitionGUEST NAME: Peter Huessy SUMMARY: John Batchelor speaks with Peter Huessy about the Sentinel program replacing aging 55-year-old Minuteman ICBMs, aiming for lower operating costs and improved capabilities. Cost overruns stem from necessary infrastructure upgrades, including replacing thousands of miles of digital command and control cabling and building new silos. Maintaining the ICBM deterrent is financially and strategically crucial, saving hundreds of billions compared to relying solely on submarines. The need for modernization reflects the end of the post-Cold War "holiday from history," requiring rebuilding against threats from China and Russia. FOURTH HOUR 12-1215 HEADLINE: Supreme Court Battles Over Presidential Impoundment Authority and the Separation of Powers GUEST NAME: Josh Blackman SUMMARY: John Batchelor speaks with Josh Blackman about Supreme Court eras focusing on the separation of powers. Currently, the court is addressing presidential impoundment—the executive's authority to withhold appropriated funds. Earlier rulings, particularly 1975's Train v. City of New York, constrained this power. The Roberts Court appears sympathetic to reclaiming presidential authority lost during the Nixon era. The outcome of this ongoing litigation will determine the proper balance between executive and legislative branches. 1215-1230 HEADLINE: Supreme Court Battles Over Presidential Impoundment Authority and the Separation of Powers GUEST NAME: Josh Blackman SUMMARY: John Batchelor speaks with Josh Blackman about Supreme Court eras focusing on the separation of powers. Currently, the court is addressing presidential impoundment—the executive's authority to withhold appropriated funds. Earlier rulings, particularly 1975's Train v. City of New York, constrained this power. The Roberts Court appears sympathetic to reclaiming presidential authority lost during the Nixon era. The outcome of this ongoing litigation will determine the proper balance between executive and legislative branches. 1230-1245 HEADLINE: Space Force Awards Contracts to SpaceX and ULA; Juno Mission Ending, Launch Competition Heats UpGUEST NAME: Bob Zimmerman SUMMARY: John Batchelor speaks with Bob Zimmerman about Space Force awarding over $1 billion in launch contracts to SpaceX for five launches and ULA for two launches, highlighting growing demand for launch services. ULA's non-reusable rockets contrast with SpaceX's cheaper, reusable approach, while Blue Origin continues to lag behind. Other developments include Firefly entering defense contracting through its Scitec acquisition, Rocket Lab securing additional commercial launches, and the likely end of the long-running Juno Jupiter mission due to budget constraints. 1245-100 AM HEADLINE: Space Force Awards Contracts to SpaceX and ULA; Juno Mission Ending, Launch Competition Heats UpGUEST NAME: Bob Zimmerman SUMMARY: John Batchelor speaks with Bob Zimmerman about Space Force awarding over $1 billion in launch contracts to SpaceX for five launches and ULA for two launches, highlighting growing demand for launch services. ULA's non-reusable rockets contrast with SpaceX's cheaper, reusable approach, while Blue Origin continues to lag behind. Other developments include Firefly entering defense contracting through its Scitec acquisition, Rocket Lab securing additional commercial launches, and the likely end of the long-running Juno Jupiter mission due to budget constraints.

Are you tired of chasing your acid reflux symptoms with PPI's, annoying food restrictions like the GERD diet, or hyper-vigilance about when and how much food you eat? When you ask your doctor if there's ANYTHING else you can do to help your acid reflux, do they tell you that you just need to pop another antacid, avoid trigger foods, or sleep on a wedge pillow? Do you wish there was a solution to acid reflux that was permanent, so you could eat late at night without worrying about a reflux flare, or that you could eat your favorite foods again without feeling punished for it later? If you said yes to any of these questions, then this episode is for you. On today's episode, my goal is to lay out acid reflux in one MASTER episode so that, by the end of it, you can have a map for exactly how to find, and deal with, the root cause(s) of your acid reflux. In this episode, I'm talking about: The real causes of acid reflux and GERD symptoms (and why it's not “too much acid”)The difference between acid reflux, GERD, LPR, and silent reflux — and why this episode can help ALL of these diagnosesWhy standard acid reflux drugs (PPIs, acid reducers) give quick relief but cause long-term problemsHow the acid reflux diet and GERD diet miss the root causeAnd, most importantly, 2 steps to reversing your acid reflux (for good!) If you're tired of relying on medication to manage your acid reflux and want freedom from your stomach terror - then this episode is for you. TIMESTAMPS:00:00 - Introduction to Acid Reflux Struggles 00:56 - Understanding Acid Reflux and GERD 01:44 - Welcome to the Better Belly Podcast 04:27 - The Anatomy and Symptoms of Acid Reflux 08:16 - Diagnosing Acid Reflux 10:24 - Causes of Acid Reflux 13:00 - Pressure Systems and Acid Reflux 25:49 - Conventional Treatments for Acid Reflux 28:25 - The Impact of Low Stomach Acid on Nutrient Absorption 29:32 - The Vicious Cycle of PPIs and Acid Reflux 31:29 - Steps to Reverse Acid Reflux 33:37 - Identifying Pathogens and Their Effects 40:09 - The Role of Histamine in Acid Reflux 40:49 - Fascial Restrictions and Their Impact 44:53 - Testing for Low Stomach Acid 48:05 - Comprehensive Testing and Treatment Plan 51:22 - Client Success Stories and Testimonials 53:08 - Conclusion and Next Steps EPISODES MENTIONED:47// The Gut-Sinus Connection233// H. Pylori: Symptoms of H. Pylori, How to Interpret H. Pylori Test Results, and Why H. Pylori Treatments Fail40// Reduce Acid Reflux with the Magic Power of Zinc68// 10 Markers on Your Bloodwork Linked to Acid Reflux

El índice de perfusión periférica (PPI) es una medida no invasiva que refleja la relación entre el flujo sanguíneo pulsátil y el flujo sanguíneo no pulsátil en los tejidos periféricos. En términos simples, permite valorar la calidad de la perfusión sanguínea en áreas distales, como los dedos de las manos. Su medición es rápida y sencilla, ya que se obtiene a través de sensores de oxímetro de pulso avanzados que calculan esta relación y ofrecen un valor numérico. En el contexto del shock séptico, donde la perfusión tisular se ve comprometida a pesar de que los parámetros macro-hemodinámicos (como la presión sanguínea) puedan estar dentro de rangos aceptables, el PPI se convierte en una herramienta innovadora. Permite evaluar directamente el estado microcirculatorio, clave en la supervivencia del paciente crítico. El artículo publicado en The American Journal of Emergency Medicine (Yılmaz et al., 2025) ofrece evidencia de que usar el índice de perfusión periférica para guiar la resucitación del paciente en shock séptico mejora la supervivencia y acelera la depuración del lactato, en comparación con las estrategias tradicionales basadas únicamente en la presión arterial media (MAP). Tabla de Contenido Resumen del Estudio: PPI vs. Manejo Estándar Resultados clave: Implicaciones Clínicas: Cambiando el Paradigma en Sepsis Relación con la Formación Profesional: Cursos Clave en ECCtrainings a) Critical Care Transport b) Emergency Nursing c) Critical Care Nursing Casos Clínicos: Aplicación del PPI en la Práctica Beneficios de Integrar el PPI en Protocolos El Riesgo de No Adoptar el PPI Transformación Profesional: Del Conocimiento a la Acción Conclusión Referencia (APA) Resumen del Estudio: PPI vs. Manejo Estándar El estudio, diseñado como un ensayo clínico prospectivo y controlado, incluyó 200 pacientes divididos en dos grupos: manejo estándar vs. manejo guiado por PPI. Grupo control: manejo basado en guías tradicionales (SSC), con objetivo de mantener la MAP ≥ 65 mmHg. Grupo experimental: manejo basado en el índice de perfusión periférica para guiar la resucitación del paciente en shock séptico. Los pacientes con PPI

Consumer prices have been overall slow to reflect the Trump administration's new tariffs. So we called up some retailers to understand why they haven't raised their prices, even though their costs are higher. It turns out, bumping up prices isn't as easy as pushing a button — and can come with consequences. Also in this episode: Bond yields tell us where the economy's headed, volatile categories can have an outsize impact on the PPI, and a new book investigates the “double tax” Black women face.Every story has an economic angle. Want some in your inbox? Subscribe to our daily or weekly newsletter.Marketplace is more than a radio show. Check out our original reporting and financial literacy content at marketplace.org — and consider making an investment in our future.