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(00:00:00) 222: A Tick Just Stole Your Steak. Here's How to Get Revenge (00:00:11) Welcome to the Itchy and Bitchy Podcast (00:00:42) Doc Itchy Medical Pet Supplements (00:01:13) Introducing Alpha-Gal Syndrome (00:04:51) The Tick's Deadly Spit (00:06:32) Symptoms and Diagnosis of Alpha-Gal (00:07:47) Dietary Avoidance and Prevention (00:12:56) Tick-Borne Diseases: The Scary Truth (00:15:09) Accurate Diagnosis and Treatment Challenges (00:21:39) Tick Prevention and Safety Tips (00:23:33) Isoxazolines: A New Era in Tick Prevention Ticked Off,The Tiny Bug That Could End Your BBQ ForeverTopic: Alpha-Gal Syndrome (AGS) | Tick-Borne Food Allergy | Red Meat AllergyHost:What Is Alpha-Gal Syndrome?Alpha-gal syndrome is an IgE-mediated food allergy triggered by lone star tick bites. Symptoms including hives, abdominal pain, and potentially life-threatening anaphylaxis, typically occur three to eight hours after eating meat, making the connection easy to miss.The Diagnosis ProblemAs of 2022, 42% of U.S. healthcare practitioners had never heard of alpha-gal syndrome, meaning patients often suffer for years without answers. What You Can DoManagement focuses on avoiding mammalian meat and products containing alpha-gal, preventing future tick bites, and referral to an allergist for severe reactions. The good news: the syndrome tends to wane over time with strict avoidance. Itchy & Bitchy is the podcast for anyone who has ever felt dismissed, misdiagnosed, or gaslit by a broken medical system. From gut health and hormone health to autoimmune disease and chronic pain, we investigate what science actually says. We examine functional medicine, holistic health, and alternative medicine with the same skeptical If it's pseudoscience, we'll call it. If it's medical gaslighting, patient advocacy failure, or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers, and wellness skeptics WE OFFER No filters. No BS. Just the truth your doctor didn't have time to tell you.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-bitchy-podcast--4303608/support.Itchy & Bitchy: Have you felt dismissed, misdiagnosed, or gaslit by a broken medical system. From gut health, hormones, autoimmune disease, chronic pain, holistic health, and alternative medicine ... medical gaslighting, patient advocacy , or misdiagnosis we'll call that too. For chronic illness warriors, self-advocacy seekers: WE OFFER No BS
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4065: Lea Genders reframes failure as an essential part of personal growth, showing how lasting behavior change comes from learning through setbacks rather than striving for perfection. By embracing small improvements, increasing self-awareness, and treating mistakes as feedback, she illustrates how sustainable success is built one imperfect step at a time. Read along with the original article(s) here: https://www.leagendersfitness.com/news/2017/10/21/9xyihrt2zhfobdcb7yi49g3ez4hexy Quotes to ponder: "Failure is feedback." "If you aren't failing, you probably aren't trying to learn, grow or improve in life." "The people that are the most successful are the people who have failed the most, because they keep trying, moving forward and learning when faced with setbacks." Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4064: Paula Davis-Laack explains how burnout develops through chronic stress, exhaustion, cynicism, and feelings of inefficacy, often fueled by perfectionism, mental clutter, and relentless overwork. She shares practical, research-backed strategies to build resilience, manage energy more effectively, reshape work responsibilities, and create a sustainable path to long-term success and well-being. Read along with the original article(s) here: https://livehappy.com/5-expert-tips-for-avoiding-burnout-at-work/ Quotes to ponder: "Burnout is a process of chronic stress and disengagement typically related to work but can impact many areas of your life." "Perfectionists strive for “the best” even when “good enough” will do." "Getting adequate opportunities for recovery during your workday, after work and on the weekend is critical." Episode references: Give and Take: Why Helping Others Drives Our Success by Adam Grant: https://www.amazon.com/Give-Take-Helping-Others-Success/dp/0143124986 Learn more about your ad choices. Visit megaphone.fm/adchoices
Fifteen years after her cancer diagnosis, Sheila Dillon asks what role food could play in cancer treatment, prevention and recovery - and why it is still so often overlooked.Earlier this year, the Government published a new 10-year National Cancer Plan for England, aiming to save 320,000 lives and ensure three in four people survive at least five years after diagnosis by 2035. It's been welcomed as an ambitious strategy, yet some say it has little to say about diet. References to food focus largely on reducing obesity - by making supermarkets to monitor and report on sales of healthy and unhealthy foods, and expanding access to weight-loss drugs. It also includes commitments to improving hospital food for children with cancer, and introducing prehabilitation programmes via the NHS App by 2028. So where does that leave food itself - in treatment, in recovery, and in the risk of relapse?Featuring interviews with: Clare Doney, the clinical lead for personalised care for the Northern Cancer Alliance covering the North East and North Cumbria. Dr Giota Mitrou, Executive Director of Research and Policy at World Cancer Research Fund International Prof. Robert Thomas, head of oncology at the Royal London Hospital for Integrated Medicine, part of University College Hospital and consultant oncologist at Addenbrooks hospital in Cambridge.Produced by Natalie Donovan for BBC Audio in BristolResources:https://mywellbeingspacenca.nhs.uk/https://www.wcrf.org/living-well/living-with-cancer/cancer-and-nutrition-helpline/These links will take you to an external website. The BBC is not responsible for the content of external sites.
The Anti-Hype Beauty Episode: Good Housekeeping's April Franzino on Testing, Trust, and the Aging Well Core Promise to the Listener The Not Old Better Show Good Housekeeping Good Better Best Interview Series Beauty advice has moved from the department store counter to the magazine page to the endless scroll. That shift matters, especially for adults 60+. Today, consumers are trying to make sense of sunscreens, retinol, dark spot correctors, fragrance, skin-tightening products, "anti-aging" claims, and social media recommendations that often sound more certain than the evidence allows. On this episode of The Not Old Better Show, I speak with April Franzino, Senior Beauty and Style Director at Good Housekeeping, Woman's Day, and Prevention. April brings the perspective of a journalist, editor, product tester, and consumer guide. We talk about the Good Housekeeping Beauty Awards, the role of Beauty Lab testing, why sunscreen remains central to skin care, and how readers can separate practical guidance from polished salesmanship. For me, the larger question is trust. Who has earned it? What has been tested? What should we question before spending money? Experience matters. Longevity matters. And in beauty, as in health journalism, confidence should never outrun evidence.
This podcast focused on the importance of mental health in families, emphasizing communication, stigma reduction, and support strategies for emotional well-being. Punam interviews Deepali Sansi, a Licensed Marriage and Family Therapist who has worked in Mental Health for more than 10 years. You can find her at: deepali-sansi-lmft-44190911b Deepali Sansi has been working at Buckelew Programs for the past four years and brings over a decade of experience in the mental health field. She is a Licensed Marriage and Family Therapist and currently serves as an Assistant Program Director for the 988 Suicide Prevention Program. She is certified in Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) and has extensive experience treating individuals with depression, anxiety, and trauma-related disorders. Her clinical expertise includes facilitating evidence-based therapeutic modalities such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Seeking Safety groups, and Art Therapy. Deepali is deeply passionate about working with families and adults who have experienced trauma, supporting them in building resilience and achieving meaningful recovery. She holds two graduate degrees: a Master's in Clinical Psychology from Delhi, India, and a Master's in Counseling with a concentration in Marriage and Family Therapy from Golden Gate University in San Francisco She comes with strong multicultural competence and experience working with diverse populations, Deepali is committed to helping individuals enhance self-esteem, develop insight, and cultivate healthy relationships that promote lasting and meaningful change.
In this podcast episode, the host interviews Evelyn (“Evie”), who runs Green Medicine of Wisconsin, a cash-based integrative clinic specializing in tick-borne disease in Oshkosh, Wisconsin. Evelyn shares her childhood tick bite and classic bullseye rash leading to a clinical Lyme diagnosis, later symptoms like fatigue, headaches, and sore throats, and her path from trauma neurosurgery and primary care into Lyme-focused practice. They discuss 2026's increased tick concerns, Evelyn's high household tick encounters, and a wood tick that tested positive for Powassan virus. She describes common clinic presentations (fatigue, cardiac abnormalities, cognitive issues), challenges with testing, and the importance of foundations like sleep, nutrition, stress, and light exposure. Prevention strategies include tick checks, avoiding tall grass, permethrin-treated clothing, proper tweezers removal, and optional tick testing. Treatment may involve antibiotics, herbals, homeopathics, peptides, HDC helminthic therapy, ozone/IV therapies, and intravenous light therapy, with many patients improving over time.— Connect With EvelynIG: https://www.instagram.com/thefusionfnp/https://www.gmofwi.com/ _________Sponsored By:→ VivaRays | This episode is sponsored by VivaRays - VivaRays Blue - code YOGI https://vivarays.com/→ Bon Charge | Go to https://boncharge.com/products/demi-red-light-device?rfsn=8108115.26608d & use code SARAHKLEINER for 15% off storewide._________Timestamp:00:00 Tick Symptoms Surge01:15 Why This Episode Matters02:13 Podcast Intro And Disclaimers03:26 Meet Evelyn Tick Specialist04:41 Evies Lyme Origin Story07:21 From Trauma NP To Lyme Clinic14:41 Modern Tick Boom And What We Can Control37:34 Why Medicine Misses Lyme38:32 Terrain First Foundations39:50 Stress Hormones and Pregnancy41:19 Tick Bite Prevention Basics46:26 Tick Testing and Next Steps54:04 Treatment Options Beyond Antibiotics01:02:49 Testing Advocacy and Finding Help——— This video is not medical advice & as a supporter to you and your health journey - I encourage you to monitor your labs and work with a professional!________________________________________Get all my free guides and product recommendations to get started on your journey!https://www.sarahkleinerwellness.com/all-free-resourcesCheck out all my courses to understand how to improve your mitochondrial health & experience long lasting health! (Use code PODCAST to save 10%) - https://www.sarahkleinerwellness.com/coursesMy free product guide with all product recommendations and discount codes:https://www.canva.com/design/DAF7mlgZpJI/xVyE4tiQFEWJmh_Xwx8Kbw/view?utm_content=DAF7mlgZpJIFree Webinar on Light & Health (includes free light bulb guide) - https://www.sarahkleinerwellness.com/mycircadianapp-free-webinarGet Early Access to Podcast Episodes & my Seasonal Food Course + UVB+Red Light Therapy course for free - https://open.substack.com/pub/sarahkleinerwellness/p/uvbred-light-protocol?r=5eztl9&utm_campaign=post&utm_medium=web&showWelcomeOnShare=true
These contributors discuss the charge for change, a report from the Piazza Center on moving beyond compliance for hazing prevention. They discuss moving beyond policies and legal compliance to changing culture and shifting the conditions that make change possible. They offer insights and suggestions for campus leaders to implement now. The post The Charge for Change: Build Safer Campuses Now with Research-Informed Hazing Prevention appeared first on Student Affairs NOW.
Since Donald Trump returned to the Presidency in 2025, the US has become increasingly isolationist. It has pulled out of the Paris climate agreement and the IPCC, left the World Health Organisation, as well as a whole host of other international organisations and agencies. So, when President Trump leaves the White House, will the US be able to rebuild trust on the international stage? This week on Cleaning Up, former US Secretary of State and Special Presidential Envoy for Climate John Kerry sits down with Michael Liebreich and reflects on some of the defining diplomatic efforts of his career, from negotiating the Iran nuclear deal to helping secure the Paris Climate Agreement. Secretary Kerry explains how years of relationship-building and behind the scenes diplomacy helped bring Iran to the negotiating table and why he believes the original nuclear agreement succeeded in limiting Iran's nuclear programme. He also shares his frustration at what he sees as the dismantling of agreements and relationships that took years to build, and the challenge of restoring trust in US leadership on the global stage. Secretary Kerry also shares his perspective on working with China, the importance of international cooperation, and the role diplomacy still has to play. They also discuss rebuilding trust in US leadership, and the shifting balance between the US and China in clean energy. Topics Include: How the Obama administration negotiated limits on Iran's nuclear programme The diplomacy behind the Paris Climate Agreement The meaning of "common but differentiated" in climate diplomacy Lessons from Kyoto, Paris and Dubai on international climate agreements Why engaging adversaries matters more than isolating them How can the U.S. rebuild trust on a global stage? Petrostate vs electrostate: the shifting US-China dynamic Leadership Circle: Cleaning Up is proud to be supported by its Leadership Circle. The members are Actis, Alcazar Energy, Arup, Copenhagen Infrastructure Partners, Cygnum Capital, Davidson Kempner, Ecopragma Capital, EDP, Eurelectric, the Gilardini Foundation, KKR, Mitsubishi Heavy Industries, National Grid, Octopus Energy, Quadrature Climate Foundation, Schneider Electric, SDCL and Wärtsilä. For more information about the Leadership Circle, visit cleaningup.live Links: John Kerry's bio: https://galvanizeclimate.com/team/secretary-john-kerry Galvanize https://galvanizeclimate.com/ Our Ocean Conference https://www.ouroceanconference.org/ Todd Stern on Cleaning Up https://www.youtube.com/watch?v=ffnZzO6CMI8 Ernie Moniz on Cleaning Up https://www.youtube.com/watch?v=0shzlRv4MTY Acronyms: ADNOC - Abu Dhabi National Oil Company LNG - Liquified Natural Gas OPCW - Organisation for the Prevention of Chemical Weapons ESG - Environment, Social and Governance IRGC - Islamic Revolutionary Guard Corps
On this, our 331st Evolutionary Lens livestream, we discuss sunscreen and vegans. It's Summer, and the sun is out! Should you slather yourself in sunscreen, stay indoors, or seek moderate exposure to the sun that grows in intensity that more your skin becomes acclimated to the season? The last, of course. Research has found that sunscreen use may be positively correlated with skin cancer, but a) “sunscreen” is not just one thing, and most but not all sunscreen is positively toxic, and b) all cause mortality is lower in people who get regular (non-sunscreened) sun exposure, so even if sunscreen does lower your risk of skin cancer—the sun is protecting your health in other ways. Also consider ditching the sunglasses, and donning a hat. Then: even the New York Times can't figure out whose team they're on, as a vegan in Portland tries to get Oregonians to outlaw hunting, fishing, animal research, conventional livestock production, and “lethal pest control.”*****Our sponsors:Mud/WTR: Start your new morning ritual & get up to 43% off your @MUDWTR with code DarkHorse at http://mudwtr.com/DarkHorse #mudwtrpodCaraway: save up to $230 on the 12 piece cookware set vs buying the products individually; include minis duo & save up to $350. Visit http://Carawayhome.com/DarkHorse to take an additional 10% off using code DarkHorse on your next purchase.Puori: Clean and safe supplements, lab tested and guaranteed. Go to http://Puori.com/DarkHorse for 32% off grass-fed whey protein with a subscription. DarkHorse code works on all products!*****Join us on Locals! Get access to our Discord server, exclusive live streams, live chats for all streams, and early access to many podcasts: https://darkhorse.locals.comHeather's newsletter, Natural Selections (subscribe to get free weekly essays in your inbox): https://naturalselections.substack.comOur book, A Hunter-Gatherer's Guide to the 21st Century, is available everywhere books are sold, including from Amazon: https://amzn.to/3AGANGg (commission earned)Check out our store! Epic tabby, digital book burning, saddle up the dire wolves, and more: https://darkhorsestore.orgMusic: "Marble Machine" by WintergatanThis track can be downloaded for free at www.wintergatan.netFree License to use this track in your video can be downloaded at www.wintergatan.net*****Mentioned in this episode:Hulscher's substack: https://www.thefocalpoints.com/p/study-finds-sunscreen-use-linkedJeremian et al 2023. Gene–Environment analyses in a UK biobank skin Cancer cohort identifies important SNPs in DNA repair genes that may help prognosticate disease risk. Cancer Epidemiology, Biomarkers & Prevention, 32(11): 1599-1607: https://pmc.ncbi.nlm.nih.gov/articles/PMC10840669/pdf/nihms-1929398.pdfNicholson & Exley, C 2007. Aluminum: a potential pro-oxidant in sunscreens/sunblocks? Free Radical Biology and Medicine, 43(8): 1216-1217: https://www.ovid.com/journals/frbm/abstract/10.1016/j.freeradbiomed.2007.07.010~aluminum-a-potential-pro-oxidant-in-sunscreenssunblocksHunter-Gatherer's Guide: https://amzn.to/3AGANGg (commission earned)NYT in Oregon: https://www.nytimes.com/2026/06/21/us/politics/animal-rights-cruelty-oregon.htmlSupport the show
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4059: Marc Chernoff explores how constant busyness, overcommitment, and the pressure to do everything can quietly drain your energy and pull you away from what matters most. By embracing simplicity, sustainable habits, and clearer priorities, you'll discover how doing less can lead to greater fulfillment, focus, and peace of mind. Read along with the original article(s) here: https://www.marcandangel.com/2019/11/12/5-signs-youve-been-doing-too-much-for-too-long/ Quotes to ponder: "Busyness is an illness." "You're either going to do a few things well, or do everything poorly." "Our excessive possessions (and obligations) are not making us happy. Even worse, they are taking us away from the things that do. Once we let go of the things that don't matter, we are free to pursue all the things that really do matter." Episode references: 1,000 Little Things Happy, Successful People Do Differently: https://www.amazon.com/1000-Little-Things-Happy-Successful/dp/059332773X Learn more about your ad choices. Visit megaphone.fm/adchoices
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-490 Overview: In the US, maternal morbidity and mortality rates are among the highest in the western world, and stroke is one of the leading causes—responsible for 1 of 12 maternal deaths. This rate is estimated to be much higher in high-risk pregnancies. Join us as we discuss a recent study examining rates of maternal stroke in which 1 in 4 women with stroke experienced a missed diagnostic opportunity and hear what these findings mean for your practice. Episode resource links: Haghighi N, Bourscheid RM, Shang C, et al. Identifying missed diagnostic opportunities in maternal stroke. Stroke. 2026;57(2). doi:10.1161/STROKEAHA.125.052995 Chen Y, Shiels MS, Uribe-Leitz T, et al. 2025. Pregnancy-Related Deaths in the US, 2018-2022. JAMA Network Open. Lappen JR, Pettker CM, Louis JM. 2021. American Journal of Obstetrics and Gynecology. Society for Maternal-Fetal Medicine Consult Series #54: Assessing the Risk of Maternal morbidity and Mortality. American Journal of Obstetrics and Gynecology. Miller EC, Bello NA, Chen PR, et al 2026. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement from the American Heart Association. Stroke. Bushnell C, Kernan WN, Sharrief AZ, et al. 2024. Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/¬American Stroke Association. Stroke. Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-490 Overview: In the US, maternal morbidity and mortality rates are among the highest in the western world, and stroke is one of the leading causes—responsible for 1 of 12 maternal deaths. This rate is estimated to be much higher in high-risk pregnancies. Join us as we discuss a recent study examining rates of maternal stroke in which 1 in 4 women with stroke experienced a missed diagnostic opportunity and hear what these findings mean for your practice. Episode resource links: Haghighi N, Bourscheid RM, Shang C, et al. Identifying missed diagnostic opportunities in maternal stroke. Stroke. 2026;57(2). doi:10.1161/STROKEAHA.125.052995 Chen Y, Shiels MS, Uribe-Leitz T, et al. 2025. Pregnancy-Related Deaths in the US, 2018-2022. JAMA Network Open. Lappen JR, Pettker CM, Louis JM. 2021. American Journal of Obstetrics and Gynecology. Society for Maternal-Fetal Medicine Consult Series #54: Assessing the Risk of Maternal morbidity and Mortality. American Journal of Obstetrics and Gynecology. Miller EC, Bello NA, Chen PR, et al 2026. Prevention and Treatment of Maternal Stroke in Pregnancy and Postpartum: A Scientific Statement from the American Heart Association. Stroke. Bushnell C, Kernan WN, Sharrief AZ, et al. 2024. Guideline for the Primary Prevention of Stroke: A Guideline from the American Heart Association/¬American Stroke Association. Stroke. Guest: Susan Feeney, DNP, FNP-BC, NP-C Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com The views expressed in this podcast are those of Dr. Domino and his guests and do not necessarily reflect the views of Pri-Med.
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4059: Marc Chernoff explores how constant busyness, overcommitment, and the pressure to do everything can quietly drain your energy and pull you away from what matters most. By embracing simplicity, sustainable habits, and clearer priorities, you'll discover how doing less can lead to greater fulfillment, focus, and peace of mind. Read along with the original article(s) here: https://www.marcandangel.com/2019/11/12/5-signs-youve-been-doing-too-much-for-too-long/ Quotes to ponder: "Busyness is an illness." "You're either going to do a few things well, or do everything poorly." "Our excessive possessions (and obligations) are not making us happy. Even worse, they are taking us away from the things that do. Once we let go of the things that don't matter, we are free to pursue all the things that really do matter." Episode references: 1,000 Little Things Happy, Successful People Do Differently: https://www.amazon.com/1000-Little-Things-Happy-Successful/dp/059332773X Learn more about your ad choices. Visit megaphone.fm/adchoices
Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 4059: Marc Chernoff explores how constant busyness, overcommitment, and the pressure to do everything can quietly drain your energy and pull you away from what matters most. By embracing simplicity, sustainable habits, and clearer priorities, you'll discover how doing less can lead to greater fulfillment, focus, and peace of mind. Read along with the original article(s) here: https://www.marcandangel.com/2019/11/12/5-signs-youve-been-doing-too-much-for-too-long/ Quotes to ponder: "Busyness is an illness." "You're either going to do a few things well, or do everything poorly." "Our excessive possessions (and obligations) are not making us happy. Even worse, they are taking us away from the things that do. Once we let go of the things that don't matter, we are free to pursue all the things that really do matter." Episode references: 1,000 Little Things Happy, Successful People Do Differently: https://www.amazon.com/1000-Little-Things-Happy-Successful/dp/059332773X Learn more about your ad choices. Visit megaphone.fm/adchoices
Sexually transmitted infection (STI) management continues to evolve, with new treatment options, prevention strategies, and practice considerations that are important for pharmacists to understand. This course reviews recent updates in STI care, including newly approved oral therapies for gonorrhea and doxycycline post-exposure prophylaxis. You will be better prepared to recognize practice-relevant changes and support evidence-based STI prevention, treatment, and patient counseling. HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTFrancisco Franco, PharmD, MS, AAHIVPRegistered Store Manager,Walgreens Pharmacists, REDEEM YOUR CPE HERE!CPE is available to Health Mart franchise members onlyTo learn more about Health Mart, click here: https://join.healthmart.com/PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by enrolling in the course. Click here to enroll!CPE INFORMATION Learning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe recent updates in STI treatment and prevention that are relevant to pharmacy practice.2. Compare emerging strategies for managing gonorrhea and STI post-exposure prophylaxis.Rachel Maynard and Francisco Franco have no relevant financial relationships to disclose.0.075 CEU/0.75 HrUAN: 0107-0000-26-241-H01-P Initial release date: 6/22/2026Expiration date: 6/22/2027Additional CPE details can be found here.
Ce lundi 22 juin, Antoine Denoix, PDG d'AXA Climate, était l'invité dans Le monde qui bouge - L'Interview, de l'émission Good Morning Business, présentée par Laure Closier. Ils ont abordé le nouveau rapport qui révèle le coût exorbitant de l'inaction face à l'urgence climatique, ainsi que la rentabilité financière des mesures d'adaptation. Retrouvez l'émission du lundi au vendredi et réécoutez la en podcast.
Sexually transmitted infection (STI) management continues to evolve, with new treatment options, prevention strategies, and practice considerations that are important for pharmacists to understand. This course reviews recent updates in STI care, including newly approved oral therapies for gonorrhea and doxycycline post-exposure prophylaxis. You will be better prepared to recognize practice-relevant changes and support evidence-based STI prevention, treatment, and patient counseling.HOSTRachel Maynard, PharmDGameChangers Podcast Host and Lead, Clinical & Partnership Education, CEimpactGUESTFrancisco Franco, PharmD, MS, AAHIVPRegistered Store Manager,WalgreensGET CE FOR LISTENING!Stay Compliant. Grow Clinically. Practice with Confidence. Pharmacist CE Subscription: All your CE in one convenient subscription.All episodes, CE, and Practice Resources for the GameChangers Clinical Update is included with your Pharmacist CE Subscription. But wait…there's even more!The Pharmacist CE Subscription includes: - Compliance and licensure CE - GameChangers Clinical Updates- Practical continuing education across patient care topics *The subscription does not include microcredentials or certificates, which are available separately for pharmacists seeking specialized service training. Purchase Now!PRACTICE RESOURCEReceive the exclusive Practice Resource to use as a reference guide for this episode by purchasing the Pharmacist CE Subscription. CPE REDEMPTIONThis course is accredited for continuing pharmacy education! Click the link below that applies to you to take the exam and evaluation to claim credit:If you are already enrolled in this course, click here to redeem your credit. To purchase the Pharmacist CE Subscription and claim your CPE credit, click here or to purchase this course individually, click here. CPE INFORMATIONLearning ObjectivesUpon successful completion of this knowledge-based activity, participants should be able to:1. Describe recent updates in STI treatment and prevention that are relevant to pharmacy practice.2. Compare emerging strategies for managing gonorrhea and STI post-exposure prophylaxis.Rachel Maynard and Francisco Franco have no relevant financial relationships to disclose.0.075 CEU/0.75 HrUAN: 0107-0000-26-241-H01-P Initial release date: 6/22/2026Expiration date: 6/22/2027Additional CPE details can be found here.Follow CEimpact on Social Media:LinkedInInstagram
Mayor Walker is joined by Draper City Fire Chief Clint Smith and Wildland Fuels Crew Supervisor Parker Hansen to discuss the upcoming fire season, as well as changes within the State of Utah affecting the Wildland Urban Interface (WUI).Episode Links:Utah WUI interactive map (to check if home or address is in high risk area): wildfirerisk.utah.govFireworks restrictions zone map: draperutah.gov/fireNational Fire Protection Association: nfpa.orgDraper notifications: draperutah.gov/notifyWUI presentation on HB48 at city hall on YouTube: Draper Wildland Urban InterfaceOpen House (https://www.youtube.com/watch?v=SMIhKqPCN_k)Originally published June 22, 2026.
Carol Bennett from the Australian Communications Consumer Action Network told Tom Elliott there is a level of responsibility that needs to be taken by banks, telcos and digital platforms.See omnystudio.com/listener for privacy information.
CardioNerds (Amit and Dan), Billy Joe Mullinax, and Saahil Jumkhawala discuss the long term management of pulmonary embolism with Dr. Soophia Naydenov. The episode focuses on the approach to patients who struggle with persistent symptoms like dyspnea and fatigue even after completing the acute phase of anticoagulation. This spectrum of disease, ranging from mild post-PE impairment to chronic thromboembolic pulmonary hypertension (CTEPH), requires a structured follow-up. The discussion covers the critical importance of identifying CTEPH early, the necessary timelines for follow-up, and the appropriate objective screening tools and invasive testing to guide patient care toward full functional recovery. Audio editing by CardioNerds academy intern, Grace Qiu. Dr. Dinu Balanescu and Dr. Billy-Joe Mullinax are Co-chairs for the CardioNerds PE Series, developed in collaboration with the PERT Consortium. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Pulmonary Embolism PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Acronyms PE: Pulmonary Embolism PERT: Pulmonary Embolism Response Team CTEPH: Chronic Thromboembolic Pulmonary Hypertension QL: Quality of Life VTE: Venous Thromboembolism DASH: D-dimer, Age, Sex, History of non-provoked PE (a risk score) CPET: Cardiopulmonary Exercise Testing PFTs: Pulmonary Function Tests VQ Scan: Ventilation-Perfusion Scan DOACs: Direct Oral Anticoagulants TPA: Tissue Plasminogen Activator (Thrombolytics) ECMO: Extracorporeal Membrane Oxygenation Pearls: Post-PE “Syndrome” is a Spectrum: It is more accurately a spectrum of disease (sequelae of PE) rather than a single syndrome, ranging from mild fatigue/dyspnea to the most severe form, CTEPH. Structured Follow-up is Mandatory: All PE survivors need a structured follow-up, typically with checkpoints at 3, 6, 12, and 16–24 months, with the primary goal being to detect CTEPH, the deadliest, yet potentially curable, disease on the spectrum. Screening Should Be Objective and Practical: When screening for persistent symptoms, use objective assessment tools like the Post-VTE Functional Status (PVFS) scale or the Modified Medical Research Council (MMR-C) scale, as highly comprehensive but cumbersome tools (like the PE Quality of Life questionnaire) may not be practical for routine clinical use. Recurrence Risk Scores Aid in Anticoagulation Duration: Simple scores like the DASH score or the HERDO2 score (for women) can provide guidance when considering the continuation versus discontinuation of anticoagulation after the initial treatment phase. Invasive Testing for Persistent Symptoms: If a patient remains symptomatic at the 6-month mark despite normal non-invasive testing (chest X-ray, ECG, PFTs, six-minute walk, echo, VQ scan, CPET), consider invasive testing such as Right Heart Catheterization (RHC) at rest or with exercise, or an invasive CPET. Notes: Notes drafted by Saahil Jumkhawala. 1. The Spectrum of Post-PE Disease The term “post-PE syndrome” should be used with caution, as it refers to a spectrum of disease rather than a single entity. This spectrum includes symptoms (sequelae) that exist in a patient’s life following an incidental PE event that they did not have before. On one extreme is Chronic Thromboembolic Pulmonary Hypertension (CTEPH): The definition is clear, but it is the most deadly type, though thankfully rare (2% to 4%). It involves a residual clot and pulmonary hypertension identifiable at rest. In the middle is Chronic Thromboembolic Disease (CTED): Patients may have residual defects seen on a VQ or CT scan, but they do not have pulmonary hypertension. On the other side is a milder disease, which can include fatigue, dyspnea, or a patient’s perceived impairment, where the definitions of CTEPH and CTED are not met, but the patient remains symptomatic. 2. Structured Follow-up and Screening for Post-PE Symptoms Structured follow-up is key for all PE survivors, though the structure may vary based on available resources (PCP, Cardiology, Pulmonary, or multidisciplinary clinic). Recommended Timeline for Follow-up: Data from studies like ELOPE and FOCUS suggest checkpoints at 3, 6, 12, and up to 16 to 24 months. This timeline is designed to identify patients who may develop CTEPH. 88% of patients who develop CTEPH will be identified within about a year. A structured follow-up can reduce the delay in CTEPH diagnosis from 10–12 months to 4–6 months. Personal Practice Note: A quick 2–3 week/30-day check-in is recommended for severely ill patients (e.g., those who had TPA, profound shock, or ECMO support) to ensure medication compliance, manage symptoms, and identify red flags. Screening Tools (Objective Assessment): The first step is an inventory of patient symptoms, leaning toward objective rather than subjective assessment. Recommended Simple Tools: Modified Medical Research Council (MMR-C) for dyspnea evaluation. Post-VTE Functional Status (PVFS) scale. The Pulmonary Embolism Quality of Life (QL) questionnaire is comprehensive but long, making it tedious and better suited for research. Future Utility: Technology (AI/electronic tools) may assist in administering these questionnaires before the clinic visit, presenting the information as a “dashboard” for the provider. 3. Management of Persistent Symptoms and Further Testing Initial Non-Invasive Tests (Often done at 3 months): Echocardiogram VQ Scan Full PFTs Six-minute walk CPET Further Evaluation for Persistent Symptoms (e.g., at 6 months): If non-invasive tests (Chest X-ray, ECG, CPET) are normal but symptoms persist, more invasive testing should be considered as the patient has not returned to baseline. Repeat VQ scan or echocardiogram if symptoms have changed. Right Heart Catheterization (RHC) at rest or with exercise. Invasive CPET. PA gram (Pulmonary Angiogram) to assess vasculature. 4. Recurrence Risk and Anticoagulation Duration The decision to continue or discontinue anticoagulation depends on the patient’s risk factors, the situation of the PE (provoked or unprovoked), presence of active cancer, and patient preference. Recurrence Risk Scores: Simple scores are preferred for practicality. DASH Score. HERDO2 Score (particularly for women). The Vienna Score can be considered if the question is whether to restart anticoagulation after a disruption. Role of D-dimer in Abbreviation: While D-dimer can be used to guide the decision to restart anticoagulation after a planned pause (if D-dimer is high, resume), patient symptoms are preferable to guide management decisions like early abbreviation. 5. Prevention of Post-PE Syndrome Currently, there is no clear tool known to prevent the post-PE syndrome/spectrum of disease. Best Current Advice for Prevention/Recovery: Anticoagulation compliance. Pulmonary rehabilitation, which aids in faster recovery. General precautions, such as smoking cessation and body weight management. Future Research: Ongoing trials are investigating whether acute management strategies (e.g., using thrombolytics in intermediate-risk PE) can prevent long-term sequelae. (The PYTHO trial did not show a reduced rate of CTEPH in intermediate-risk PE patients who received thrombolytics). References: Khan, F., Tritschler, T., Kahn, S. R., & Rodger, M. A. “Venous Thromboembolism.” The Lancet, vol. 398, no. 10294, 2021, pp. 64-77. doi:10.1016/S0140-6736(20)32658-1. Kearon, C., & Kahn, S. R. “Long-Term Treatment of Venous Thromboembolism.” Blood, vol. 135, no. 5, 2020, pp. 317-325. doi:10.1182/blood.2019002364. Kahn, S. R., & de Wit, K. “Pulmonary Embolism.” The New England Journal of Medicine, vol. 387, no. 1, 2022, pp. 45-57. doi:10.1056/NEJMcp2116489. Di Nisio, M., van Es, N., & Büller, H. R. “Deep Vein Thrombosis and Pulmonary Embolism.” The Lancet, vol. 388, no. 10063, 2016, pp. 3060-3073. doi:10.1016/S0140-6736(16)30514-1. Chopard, R., Albertsen, I. E., & Piazza, G. “Diagnosis and Treatment of Lower Extremity Venous Thromboembolism: A Review.” JAMA, vol. 324, no. 17, 2020, pp. 1765-1776. doi:10.1001/jama.2020.17272.
In this episode of PICU Doc on Call, hosts Dr. Monica Gray and Dr. Pradip Kamat explore procedural sedation in the pediatric ICU. They cover sedation levels, pre-screening, risk stratification using ASA classifications, and medication selection tailored to each patient's hemodynamic and respiratory status. Through real-world case discussions involving respiratory failure, septic shock, and acute neurological decline, they highlight the importance of end-tidal CO2 monitoring and early adverse event recognition. Key takeaways include avoiding the term "conscious sedation," preparing rescue plans, and prioritizing patient safety through careful assessment and monitoring.Show Highlights:Definitions and levels of sedation (minimal, moderate, deep sedation, and general anesthesia)Importance of terminology in procedural sedationMonitoring sedation levels using scales like the Richmond Agitation-Sedation Scale (RASS)Pre-screening and risk stratification considerations for pediatric patientsASA physical status classification system for assessing patient riskUnique challenges of procedural sedation in critically ill childrenAdverse events associated with pediatric procedural sedation, particularly respiratory complicationsManagement strategies for specific cases requiring sedation (e.g., respiratory failure, septic shock)Importance of end-tidal CO2 monitoring during sedationKey takeaways for safe sedation practices in the pediatric ICU settingReferences: Nir Atlas; Rahul C. Damania; Pradip P. Kamat In Fuhrman & Zimmerman - Textbook of Pediatric Critical Care Chapter 135, 1624-1628Statement on Continuum of Depth of Sedation: Definition of General Anesthesia and Levels of Sedation/Analgesia by Committee on Quality Management and Departmental Administration. Last Amended: October 23, 2024.Coté CJ, Wilson S; AMERICAN ACADEMY OF PEDIATRICS; AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. Guidelines for Monitoring and Management of Pediatric Patients Before, During, and After Sedation for Diagnostic and Therapeutic Procedures. Pediatrics. 2019 Jun;143(6):e20191000. doi: 10.1542/peds.2019-1000. PMID: 31138666.xKrauss B, Green SM. Procedural sedation and analgesia in children. Lancet. 2006 Mar 4;367(9512):766-80. doi: 10.1016/S0140-6736(06)68230-5. PMID: 16517277.Sharif S, Kang J, Sadeghirad B, Rizvi F, Forestell B, Greer A, Hewitt M, Fernando SM, Mehta S, Eltorki M, Siemieniuk R, Duffett M, Bhatt M, Burry L, Perry JJ, Petrosoniak A, Pandharipande P, Welsford M, Rochwerg B. Pharmacological agents for procedural sedation and analgesia in the emergency department and intensive care unit: a systematic review and network meta-analysis of randomised trials. Br J Anaesth. 2024 Mar;132(3):491-506. doi: 10.1016/j.bja.2023.11.050. Epub 2024 Jan 6. PMID: 38185564.Smith, Heidi A. B. MD, MSCI (Chair)1,2; Besunder, James B. DO, FCCM3,4; Betters, Kristina A. MD1; Johnson, Peter N. PharmD, BCPS, BCPPS, FCCM, FPPA, FASHP5,6; Srinivasan, Vijay MBBS, MD, FCCM7,8; Stormorken, Anne MD9,10; Farrington, Elizabeth PharmD, FCCM11; Golianu, Brenda MD12,13; Godshall, Aaron J. MD14; Acinelli, Larkin CPNP-AC, ACHPN15; Almgren, Christina CPNP16; Bailey, Christine H. MD17; Boyd, Jenny M. MD18,19; Cisco, Michael J. MD20; Damian, Mihaela MD, MPH21,22; deAlmeida, Mary L. MD23,24; Fehr, James MD13,25; Fenton, Kimberly E. MD, FCCM14; Gilliland, Frances DNP, CPNP-AC/PC26,27; Grant, Mary Jo C. CPNP-AC, PhD, FAAN28; Howell, Joy MD29; Ruggles, Cassandra A. PharmD, BCCCP, BCPPS30; Simone, Shari DNP31,32; Su, Felice MD21,22; Sullivan, Janice E. MD33,34; Tegtmeyer, Ken MD, FAAP, FCCM35,36; Traube, Chani MD, FCCM29; Williams, Stacey CPNP-AC37; Berkenbosch, John W. MD, FAAP, FCCM (Chair)33,34. 2022 Society of Critical Care Medicine Clinical Practice Guidelines on Prevention and Management of Pain, Agitation, Neuromuscular Blockade, and Delirium in Critically Ill Pediatric Patients With Consideration of the ICU Environment and Early Mobility. Pediatric Critical Care Medicine 23(2):p e74-e110, February 2022. | DOI: 10.1097/PCC.0000000000002873Benzoni T, Agarwal A, Cascella M. Procedural Sedation. [Updated 2025 Mar 22]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551685/Kerson AG, DeMaria R, Mauer E, Joyce C, Gerber LM, Greenwald BM, Silver G, Traube C. Validity of the Richmond Agitation-Sedation Scale (RASS) in critically ill children. J Intensive Care. 2016 Oct 26;4:65. doi: 10.1186/s40560-016-0189-5. PMID: 27800163; PMCID: PMC5080705.Tel-Dan SF, Shavit D, Nates R, Samuel N, Shavit I. Emergency Physician-Administered Sedation for Thoracostomy in Children With Pleuropneumonia. Pediatr Emerg Care. 2021 Dec 1;37(12):e1209-e1212. doi: 10.1097/PEC.0000000000001975. PMID: 31929389.Cosgrove P, Krauss BS, Cravero JP, Fleegler EW. Predictors of Laryngospasm During 276,832 Episodes of Pediatric Procedural Sedation. Ann Emerg Med. 2022 Dec;80(6):485-496. doi: 10.1016/j.annemergmed.2022.05.002. Epub 2022 Jun 23. PMID: 35752522.Cravero JP, Blike GT, Beach M, Gallagher SM, Hertzog JH, Havidich JE, Gelman B; Pediatric Sedation Research Consortium. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Pediatrics. 2006 Sep;118(3):1087-96. doi: 10.1542/peds.2006-0313. PMID: 16951002.
Farieha Aziz is a Karachi-based journalist and a recipient of the All Pakistan Newspaper Society (APNS) Award for Best Investigative Report (2007–2008). She is the co‑founder of Bolo Bhi, a civil society organisation working on advocacy, policy, and research in the areas of digital rights, gender, and civic responsibility. She regularly conducts awareness trainings on digital safety, the cybercrime law, and anti‑harassment policies. She also provides assistance to women seeking legal recourse against harassment and gender‑based violence, both offline and online. Farieha has researched and written extensively on the right to freedom of expression, press freedom, and laws such as the Prevention of Electronic Crimes Act (PECA) 2016, particularly their impact on women. She has been a petitioner in various public‑interest cases, including the challenge to the two‑finger test—which was struck down as unconstitutional by the Lahore High Court—and has also assisted courts as an amicus curiae. The Pakistan Experience is an independently produced podcast looking to tell stories about Pakistan through conversations. Please consider supporting us on Patreon:https://www.patreon.com/thepakistanexperienceTo support the channel:Jazzcash/Easypaisa - 0325 -2982912Patreon.com/thepakistanexperienceAnd Please stay in touch:https://twitter.com/ThePakistanExp1https://www.facebook.com/thepakistanexperiencehttps://instagram.com/thepakistanexpeperienceThe podcast is hosted by comedian and writer, Shehzad Ghias Shaikh. Shehzad is a Fulbright scholar with a Masters in Theatre from Brooklyn College. He is also one of the foremost Stand-up comedians in Pakistan and frequently writes for numerous publications. Instagram.com/shehzadghiasshaikhFacebook.com/Shehzadghias/Twitter.com/shehzad89Join this channel to get access to perks:https://www.youtube.com/channel/UC44l9XMwecN5nSgIF2Dvivg/joinChapters0:00 Introduction 1:30 PECA and Defamation laws 11:00 Social Media campaigns and justice in PECA17:20 AI 22:00 Protest and comparing with other countries 28:00 State dealing with parties and how to manage monsters 33:00 State repression38:00 Social Media, Bans and Censorship 45:50 Iran, Repression, Freedom and Human Rights 54:00 Khwaja Asif's tweet56:00 State being strong and comparing with Godi Media 1:01:20 Afghan hatred and Pakistan's position In the world1:11:00 Encouraging young people to become activists 1:16:40 Audience questions
What do you do when you're 31, just bought your first house, and hear the words "you have breast cancer"? In this powerful episode, Jen sits down with Jessica Slocumb — a nearly nine-year breast cancer survivor, prevention advocate, and the heart behind the Instagram community @breast.friends_united. Jessica shares the moment everything changed, from feeling a lump while getting ready for work to the radiating pain she believes was God telling her to get checked. We talk about her stage 2, estrogen- and HER2-positive diagnosis, five rounds of chemo, a double mastectomy, and the year of HER2 infusions that followed — plus the honest, messy, in-between parts no one prepares you for. Jessica opens up about the testimony she received on her front stoop, the question her oncologist couldn't answer ("what caused this?"), and how that one unanswered question sent her on a journey to research the lifestyle, environmental, and wellness factors so often left out of the conversation. This conversation is for any woman who's newly diagnosed, in the thick of treatment, or trying to reduce her risk — and for anyone who loves someone walking this road. In this episode we cover: Finding a lump at 31 and why she almost skipped the mammogram Her full treatment path: chemo, double mastectomy, tissue expanders, and recalled implants The "we don't know what causes cancer" answer that changed everything Small, doable swaps to reduce everyday toxic burden — laundry detergent, skincare, food, candles, and water Why diet and going organic were her first changes (glyphosate, grass-fed, pasture-raised) The 28-day study on switching to non-toxic products and breast cancer gene expression Childhood trauma, nervous system regulation, and why stress is part of healing How cancer reshaped her relationships — and the wisdom her husband gave her Releasing the fear of recurrence and living fully anyway Her message for the woman hearing "you have breast cancer" tonight "God takes our ashes and turns them to beauty. This is only a season — your world is not over." Connect with Jessica: Instagram: @breast.friends_united A note: This episode is for education and encouragement, not medical advice. Always work with your own care team on decisions about screening, treatment, and prevention. If this episode moved you, share it with a woman who needs it today — someone is sitting alone in her diagnosis right now, and your share might be the thing that reaches her. And as always… Not Today Cancer.
A new generation of HIV prevention tools could help reshape the global response to the virus which has led to the deaths of over 44 million worldwide – but without sustained funding, political commitment and community leadership, millions more risk being left behind.Ahead of next week's High-Level Meeting on HIV/AIDS, Mandeep Dhaliwal, Director of the Prosperity and Well-being Hub at the UN Development Programme (UNDP), told UN News the world's reached a pivotal moment in the fight against HIV as Governments prepare to negotiate a new Political Declaration.Speaking to Jolina Dong, Ms. Dhaliwal outlined the development body's new Power of Prevention initiative, which supports the community-led rollout of lenacapavir, a highly effective HIV prevention injection administered twice a year, in high-need countries.
In the latest episode of The Health Literacy 2.0 Podcast, host Seth Serxner welcomes renowned preventive medicine expert Dr. David Katz for a profound discussion on the root causes of chronic disease, the power of nutrition, and the challenge and importance of true health literacy.A trailblazer in public health and nutrition, David has spent over 30 years as an academic physician, researcher, and founding director of Yale's Prevention Research Center. Board-certified in both internal and preventive medicine, he's dedicated his career to translational research - turning what we already know about health into real-world action - and to advancing our understanding of how lifestyle choices, especially diet, account for the vast majority of premature death and chronic disease.Seth Serxner and Dr. David Katz also discuss:Root Causes, Not Just Symptoms: Most chronic diseases can be traced to modifiable behaviors, especially tobacco use, poor diet, and physical inactivity, rather than their presenting medical diagnoses 03:01.Diet as a Leading Killer: Today, poor diet has overtaken tobacco as the number one cause of premature death in the U.S., responsible for over 500,000 deaths annually 10:35.The Misguided System: Our healthcare model is like lining up ambulances below Humpty Dumpty's wall—far too reactive, fixing people after the fall rather than preventing the damage in the first place 08:31.Making Diet Measurement Easy: Dr. David Katz developed Diet ID, a novel, image-based tool that lets anyone quickly and easily assess their diet quality through pattern recognition, making nutritional assessment scalable and user-friendly 16:27.Skill Power Over Willpower: The current food environment works against healthy eating; it's not just about willpower, but about building the skills to navigate an unhealthy culture 21:27.Behavior Change Science: The path to better eating is rooted in proven behavioral strategies, including small, individualized changes and an understanding of emotional and social eating cues 22:08.Diet Quality as a Vital Sign: Just as we routinely track blood pressure, diet quality should be an essential health metric, but the right tools are needed to make it happen 14:28.Consensus Over Confusion: Through the True Health Initiative, Dr. David Katz brings together leading experts across nutrition philosophies to agree on the core fundamentals: real food, mostly plants, and moderation, cutting through the noise of dietary debate 26:33.Health of People and Planet: Individual health cannot be separated from planetary health; the choices we make about food impact not just our own well-being, but the earth itself 31:25.As misinformation spreads and wellness challenges continue to mount, this episode is a call to action: empowering people with real knowledge, practical tools, and a sense of agency to build healthier lives - and a healthier world.Learn About EdLogicsWant to see how EdLogics' gamified platform can boost health literacy, drive engagement in health and wellness programs, and help people live happier, healthier lives?Visit the EdLogics website: www.edlogics.com.Get Seth's BookCheck out The Wellbeing Effect by Seth Serxner.
Primary care docs Mark Ebell, Kate Rowland, Henry Barry and Gary Ferenchick tackle 4 new studies: health benefits of cocoa supplements, the best antibiotic for managing uncomplicated UTIs in women, left atrial appendage closure for AF with high bleeding or stroke risk, and evolocumab for primary (sort-of) prevention of MACE in patients with diabetes.Essential Evidence Plus: www.essentialevidenceplus.comhttps://www.iafp.org/2026ac Cocoa and health: https://pubmed.ncbi.nlm.nih.gov/35294962/ Antibiotics for UTI: https://pubmed.ncbi.nlm.nih.gov/42026010/ Left atrial appendage closure and AF: https://pubmed.ncbi.nlm.nih.gov/41849741/ https://pubmed.ncbi.nlm.nih.gov/41903215/
Text Dr. Lenz any feedback or questions 2025 Pediatric Cyclic Vomiting Syndrome (CVS) Guidelines: A Brain–Gut, Migraine-Based Action PlanThe script explains updated 2025 guidelines for pediatric cyclic vomiting syndrome (CVS), framing CVS as a disorder of gut–brain interaction and a “migraine equivalent,” with up to 82% of affected children having personal or family migraine history, shifting treatment focus to the central nervous system. It highlights links to nociplastic pain/central sensitization and higher rates of neurodivergence (ADHD, autism), supporting a holistic biopsychosocial approach and trigger management, especially consistent sleep. Key terminology (abortive vs prophylactic therapy, strong vs conditional recommendations) is clarified. The only strong recommendation is early abortive anti-migraine therapy (triptans like sumatriptan or high-dose NSAIDs like ibuprofen) during prodrome; conditional options include aprepitant, ondansetron, and early IV rehydration. Prevention starts with lifestyle and supplements (riboflavin, CoQ10), then escalates to propranolol, cyproheptadine, or amitriptyline; topiramate is generally avoided unless others fail. The guidelines address catamenial and “calendar time” CVS, distinguish CVS from cannabinoid hyperemesis syndrome via six months of cannabis cessation, and emphasize creating a written green/yellow/red CVS action plan for home, school, and emergency care.00:00 Lost in the Fog01:56 CVS as Brain Gut Disorder04:19 Migraine Link Explained06:13 Nociplastic Pain and Sensitization08:48 Neurodivergence Connection10:50 Guideline Terms Decoded13:26 Abortive Rescue Plan17:18 Preventing Future Episodes22:05 Special Subtypes and CHS24:08 Action Plan Zones26:04 Holistic Approach and Wrap UpClick here for the YouTube Channel Click here for the YouTube channel Support the showWhen I started this podcast and YouTube Channel—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 29+ years as an MD.Please remember to talk with your doctor about your symptoms and care. This content doesn't replace per...
It's been one year since the U.S. Centers for Disease Control and Prevention, in an unprecedented move, dismissed all the members of its Advisory Committee on Immunization Practices (ACIP), kicking off what would turn out to be a very concerning and busy year for infectious disease specialists. We're going to recap this turbulent period – which includes a resurgence of measles, an unusually rough flu season, the emergence of a new COVID strain and outbreaks of hantavirus and Ebola – with Dr. William Schaffner, one of the country's most frequently quoted medical experts on infectious disease, vaccination, and public health. As a member of ACIP for decades, Dr. Schaffner brings unique insight into the dismantling of the committee and the distrust of vaccines that lies at the root of the changes. As he explains to Raise the Line host Lindsey Smith, while many vaccine critics are beyond reach, there are those he describes as vaccine hesitant that may be persuadable if the right approach is taken. “Beyond providing facts, we have to listen to them and respond to their concerns and make them feel comfortable. Information is fundamental, but behavior change only comes with a change in attitude.” Tune in for a wealth of wisdom and context that includes observations on: What's complicating containment of the Ebola outbreak; Challenges in public health communication in the current social media environment; What grade health authorities should get on their response to the hantavirus outbreak. Mentioned in this episode:Vanderbilt University School of Medicine If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Epidemiology is the study of how and why diseases affect different groups of people, and what the science increasingly shows is that preventing disease and preserving health are deeply connected. In this episode, we focus on endometrial cancer, a disease where many risk factors are within our control. We speak with Immaculata De Vivo, PhD, professor in the Department of Epidemiology at the Harvard T.H. Chan School of Public Health, about how lifestyle factors like movement, nutrition, stress management, and social connection can influence our biology and long-term health. We also explore the biological impact of chronic stress in cancers like endometrial cancer and discuss how listeners can feel more informed, empowered, and proactive during healthcare visits. Credits Host: Neha Pathak, MD, FACP, DipABLM Producer/Editor: Lauren Summers Show Notes: Lauren Summers Guest: Immaculata De Vivo, PhD See omnystudio.com/listener for privacy information.
Dr. Derine Winning takes listeners pet questions during "The Vet Is In". On this episode - a new tick prevention the vet is trying out this year (spoiler: it's the oral one!), can you bathe a dog too much, skin irritations, incontinence, cats eating grass and more! See omnystudio.com/listener for privacy information.
The Centers for Disease Control and Prevention is battling one of the worst Ebola outbreaks on record, calling on its workforce to help contain its spread overseas. But the CDC is dealing with last year's staffing cuts and still lacks permanent leadership in many of its roles. Further, Internal surveys show employees responding to the outbreak are also dealing with low morale. Federal News Network's Jory Heckman has more. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Shomari Jackson was raised in East St. Louis, but he spent most of his childhood and teen summers in Arizona visiting his dad. He went to college in Arizona, but as he puts it, "Arizona chewed him up and spit him out." He returned home, experienced some major life events, navigated mental health issues, and finally grappled with the questions that would move him forward: Who was he? What was he capable of? How had trauma (historical, generational, personal) affected him? And most importantly, how did he want to carry himself into the world? Shomari went on to complete both his bachelors and masters degrees, and he's been advocating for equitable change in Arizona ever since.Today, Shomari is the owner and executive director of The South Mountain W.O.R.K.S. Coalition, a nationally recognized substance use prevention organization that focuses on systems change and building resilient communities in South Phoenix and throughout Maricopa County. He is the 2021 recipient of the Arizona Innovation in Health Equity Award, and on this episode, he shares what it means to reshape systems of inequity and support communities with an equity lens. Not only is this conversation timely, it's necessary. We hope you'll listen in.To learn more: http://southmountainworks.org/To connect with Shomari: shomari@southmountainworks.org or harmreduction@southmountainworks.org
Stay informed on current events, visit www.NaturalNews.com - Building Off-Grid Solar Systems and Skill Development (0:11) - The Importance of Practical Skills and Self-Reliance (6:38) - The Situation in Iran and Energy Supply Challenges (13:27) - The Role of Israel and the U.S. in the Conflict (20:18) - Preparing for a Potentially Unstable Future (27:09) - The Impact of AI and Technology on Society (34:41) - The Signal Relief Product and Its Benefits (41:43) - Real-World Applications and Testimonials (49:06) - The Role of Prevention and Rehabilitation (55:34) - The Future of Pain Management and Technology (1:01:06) - Fibromyalgia Case Study and Initial Observations (1:06:28) - Electromagnetic Noise and Its Impact on Health (1:12:00) - Marketing and User Experiences (1:17:45) - Amputee and Veteran Testimonials (1:22:58) - Expansion and Future Developments (1:28:47) - Final Thoughts and Encouragement (1:34:46) Watch more independent videos at http://www.brighteon.com/channel/hrreport ▶️ Support our mission by shopping at the Health Ranger Store - https://www.healthrangerstore.com ▶️ Check out exclusive deals and special offers at https://rangerdeals.com ▶️ Sign up for our newsletter to stay informed: https://www.naturalnews.com/Readerregistration.html Watch more exclusive videos here:
In this episode, the late John Routt Reigart, MD, FAAP, discusses generic and biosimilar prescribing in children and adolescents. David Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP, also speak with Christina Rostad MD, FAAP, about the use of maternal vaccinations and monoclonal antibodies for the prevention of RSV. For resources go to aap.org/podcast.
The meeting in Old Slaughter's Coffee House formalised the organisation's structure and objectives. Early activities included bringing prosecutions against individuals accused of mistreating animals, distributing pamphlets, and encouraging more humane standards in markets, transport, and ...
In this episode of The Dairy Podcast Show, Abbi Goldenberg, Director of Sales and Marketing at Farm Inc., explains hoof bath treatment protocols and their role in preventing lameness. She highlights hoof health management, footbath consistency, and economic considerations. Abbi highlights why consistent prevention delivers stronger returns over time. Listen now on all major platforms!"Preventing hoof health issues reduces the frequency and severity of lameness cases, supporting better consistency in dairy herd management systems."Meet the guest: Abbi Goldenberg serves as Director of Sales and Marketing at Farm Inc., bringing a lifelong background in dairy cattle and experience across genetics, herd monitoring, and hoof health management. Raised in a dairy family, her work focuses on improving cow mobility, consistency in hoof care, and operational efficiency. Learn more from Abbi Goldenberg on The Dairy Podcast Show, available on all major platforms.Liked this one? Don't stop now — Here's what we think you'll love!Martin Folkema: Rubber Flooring and Dairy Cow Comfort | Ep. 187What you'll learn:(00:00) Highlight(01:29) Introduction(03:32) Lameness impact(04:52) Prevention focus(06:06) Technology limits(08:25) Footbath variability(11:29) ROI evaluation(17:39) Final questionsThe Dairy Podcast Show is trusted and supported by innovative companies like:* Agri-Comfort* CowManager* Priority IAC* Evonik* Afimilk* Adisseo- dsm-firmenich- BoviSync- Chemlock Nutrition- Natural Biologics- Protekta- AHV- Agrarian Solutions- DietForge
Do you know your Butyrate status and why it matters? In this episode, Ali Miller RD, digs into short chain fatty acids and metabolites in the colon with a big emphasis on butyrate. This beneficial compound provides energy for the body while reducing inflammation, protecting your gut barrier, and improving colon cell health. With the rate of colorectal cancer on the rise of 2% increase per year, we need to pause and consider diet and lifestyle strategy. You will learn foods to increase in your diet to support butyrate levels, how to address dysbiosis or gut infection, particular strains of gut flora that aid in production of butyrate, and how to assess your status in a stool test. Ali will discuss the importance of increasing fiber in your diet with a variety of sources and why eliminating or greatly limiting seed oils is key for colon health. This episode also covers the connection of environmental toxicity, considerations of your toilet paper choice, and if it's worth getting a bidet. Links in this episode: Test your stool with a GI Map and get a customized interpretation from Ali Miller RD Shop my Beat the Heat Probiotic Promo Use BEATTHEHEAT26 to buy 2 get 1 50% off Choosing the Right Probiotic Guide Probiotic Challenge Protocol Restore Baseline Probiotic Rebuild Spectrum Probiotic Targeted Strength Probiotic Episode 448 Naturally Nourished Podcast Do I really need a colonoscopy + All about Cologuard 40 Clove of Garlic Soup
In this episode of Parallax, Dr Ankur Kalra is joined by Professor Ron Blankstein, a leading authority in preventive cardiology and cardiac imaging at Harvard Medical School and Brigham and Women's Hospital, Boston. Together they trace the remarkable journey of cardiac computed tomography (CT) from a niche diagnostic test to an indispensable pillar of contemporary cardiovascular practice. Professor Blankstein shares the moving story behind his new textbook, a companion to the legendary Braunwald's Heart Disease, recounting his personal collaboration with the late Dr Eugene Braunwald, who initiated the project and remained meticulously involved in its development until his passing. How has cardiac CT reshaped the diagnosis and management of coronary disease? What does the future of plaque analysis and photon-counting technology hold? And why should every cardiology fellow now consider CT essential to their training? Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.
The traits that make someone a great doctor, caring deeply, holding high standards, never switching off, are the same traits quietly driving burnout in medicine. Dr. Ira van der Steenstraten has spent over a decade working with junior doctors across Queensland and now coaches doctors one-on-one, and what she keeps finding is that most are not struggling because the system is hard. They are struggling because nobody ever taught them to treat themselves with the same compassion they extend to every patient. This episode asks a confronting question: what if burnout is not a workload problem, but a self-compassion problem? And what do you actually do about a critical inner voice that has been running unchallenged for decades? Highlights [03:00]: Dr. van der Steenstraten describes what it was like to sit across the table from patients suffering deeply from the same condition she was living with herself, and what she noticed that changed how she understood the mind-body connection. [07:00]: A report landed in Australia in 2013 with numbers so alarming that a group of junior doctors decided enough was enough. What they built in response reached more than 4,500 interns across Queensland. [15:00]: Burnout gets talked about constantly in medicine, but Dr. van der Steenstraten draws a distinction between burnout and something else entirely that is far more common and far more misunderstood. [19:00]: She describes a period in her own clinical career where she showed up every day, did her job, and felt hollow doing it. The reason why will resonate with doctors across every specialty. [25:00]: Something unexpected happened when hospital leadership was invited into the wellbeing workshops. Dr. van der Steenstraten explains what it was and why it changed everything in the room. [30:00]: The very qualities that get doctors into medicine are the ones that make them most vulnerable inside it. Dr. van der Steenstraten explains why this is not a coincidence and what needs to happen next. Three Key Takeaways 1. Burnout and moral distress are not the same thing. Most doctors know what burnout feels like, but fewer have a name for the specific frustration of being unable to practice medicine the way they believe it should be practiced. Dr. van der Steenstraten describes moral distress as something distinct from burnout, with different drivers and a very different path forward. She has watched the moment doctors hear this distinction described clearly, and the response in the room is always the same. When you finally have the language for what is happening to you, something shifts. That shift is where recovery begins. 2. Self-compassion is not a soft skill. It is a clinical risk factor. The selection process for medical school tends to attract people who are caring, conscientious, and hard on themselves. Then medical training reinforces exactly those tendencies. Dr. van der Steenstraten argues that low self-compassion is one of the most underrecognized risk factors for burnout in medicine, and that the critical inner voice most doctors carry has often been running since long before they ever set foot in a hospital. The good news is that it is not fixed. The harder truth is that it takes more than awareness alone to change it. 3. Connection inside the workshop was the intervention. When Dr. van der Steenstraten asked groups of junior doctors what they found most valuable about the wellbeing program, the answer was rarely a specific strategy or framework. It was the moment they realized they were not alone. That simple recognition, that the person sitting next to them was carrying the same weight, consistently came back as the most powerful part of the experience. It raises a pointed question about what is actually lost when wellbeing programs move entirely online. Guest Bio Dr. Ira van der Steenstraten is a psychiatrist, psychotherapist, and wellbeing coach based in Brisbane, Australia. She coached more than 4,500 junior doctors through her Queensland-wide wellbeing program and now works one-on-one with doctors internationally through Vitae Wellbeing Leadership.
The Do One Better! Podcast – Philanthropy, Sustainability and Social Entrepreneurship
In this episode of the Do One Better Podcast, Alberto Lidji speaks with Chris Sherwood, Chief Executive Officer of the NSPCC (National Society for the Prevention of Cruelty to Children), one of the United Kingdom's most respected and influential child protection charities. As technology continues to reshape childhood, Chris explores the urgent challenges facing children and young people online, from social media and algorithmic design to artificial intelligence, sextortion, online exploitation, and emerging digital risks. Drawing on insights from Childline, which receives a contact from a child or young person every 45 seconds, he shares what children are experiencing firsthand and why stronger protections are needed. The conversation examines the UK's Online Safety Act, the responsibilities of technology companies, and the growing debate over age restrictions, platform accountability, and digital regulation. Chris argues that while important progress has been made, legislation and enforcement must evolve at the pace of technological change, particularly as AI becomes increasingly embedded in young people's lives. At the same time, he highlights the enormous potential of AI to support education, learning, healthcare, and personal development. The challenge, he explains, is ensuring that innovation is accompanied by meaningful safeguards that make technology worthy of children's trust. The discussion also explores the NSPCC's commitment to listening directly to young people, ensuring that their voices shape public policy and the decisions that will affect their futures. Chris reflects on the differing perspectives of parents and children, the role of schools, and the practical steps adults can take to support safer online experiences. Finally, Chris shares his own leadership journey, from a childhood shaped by adversity to leading some of the UK's most prominent social purpose organisations, including the RSPCA, Relate, and now the NSPCC. Throughout, he returns to a guiding belief that meaningful change is possible when society is willing to act. Topics covered include: • The mission and work of the NSPCC and Childline • Online safety and child protection in the digital age • The strengths and limitations of the Online Safety Act • Social media, algorithms, and platform accountability • Sextortion, AI-generated abuse, and emerging online harms • Artificial intelligence and its implications for children and young people • Why young people's voices must be central to policymaking • The role of parents, schools, governments, and technology companies • Leadership, and optimism as a force for change Visit our Knowledge Hub at Lidji.org for information on 350+ case studies and interviews with remarkable leaders in philanthropy, sustainability and social entrepreneurship.
Today I speak with Dr. Nina Schwalbe, a public health scientist and former senior leader at UNICEF and Gavi who helped lead a Biden-appointed $7B global COVID vaccine effort, about why she's running for Congress in New York's District 12 in a crowded, money-dominated primary (June 23). We unpack how fundraising, media coverage, Democratic club endorsements, and super PACs shaped by Citizens United create a self-fulfilling "arms race," and she proposes reforms like campaign finance limits, matching funds, and equal-time standards. We also discuss evidence-based, systems-oriented policy priorities: expanding community health centers, lowering drug prices via pooled purchasing and single-payer, restoring CDC/FDA capacity, strengthening Medicare/Medicaid/ACA, investing in public housing, improving transparency and constituent services, and rebuilding trust in science through listening and primary care.(01:59) Why She Ran(05:55) Money And Primaries(08:26) Minimum Viable Campaign(12:08) Machine And Super PACs(16:13) Fixing Campaign Finance(17:06) Public Health Mindset(20:52) Transparency And Accountability(23:45) Street Level Messaging(26:08) NYC Infrastructure Priorities(27:49) Hyperlocal Transit Problems(28:06) What Congress Controls(30:46) Abundance Agenda Debate(32:46) Fixing Public Housing(33:23) Trust in Institutions(35:38) Rebuilding Health Trust(37:12) Community Health Centers(38:13) Why Drugs Cost More(39:42) Restore Public Health Agencies(41:35) Economics Shapes Health(43:39) Single Payer and Prevention(45:58) Chronic Illness Care Gaps(48:58) Working With Paul Farmer(52:23) Vision for Healthcare JusticeNina's campaignFollow Nina on Instagram
Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Kate Wells, “Michigan Found a Way To Reduce School Vaccine Waivers. Until It Backfired.,” June 3, 2026, https://kffhealthnews.org/public-health/vaccinations-school-vaccine-waivers-michigan-measles-covid-lockdowns/, KFF Health News. Centers for Disease Control and Prevention, “Measles Cases and Outbreaks,” May 29, 2026, https://www.cdc.gov/measles/data-research/index.html. Andrew Cass, “720 hospitals at risk of closure, by state,” June 1, 2026, https://www.beckershospitalreview.com/finance/720-hospitals-at-risk-of-closure-by-state/, Becker's Hospital Review. Center for Healthcare Quality and Payment Reform, “Rural Hospital at Risk of Closing,” May 2026, https://ruralhospitals.chqpr.org/downloads/Rural_Hospitals_at_Risk_of_Closing.pdf. University of Minnesota, “How rural and tribal communities are rewriting the rules for Alzheimer's prevention,” June 2, 2026, https://twin-cities.umn.edu/news-events/how-rural-and-tribal-communities-are-rewriting-rules-alzheimers-prevention. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.
Welcome to my podcast. I am Doctor Warrick Bishop, and I want to help you to live as well as possible for as long as possible. I'm a practising cardiologist, best-selling author, keynote speaker, and the creator of The Healthy Heart Network. I have over 20 years as a specialist cardiologist and a private practice of over 10,000 patients. Episode Introduction Dr. Warrick Bishop, a cardiologist, author, keynote speaker, and CEO of the Healthy Heart Network, hosts this solo episode focused on cardiovascular and general health prevention. Drawing on a recent paper from the University of Chicago, Dr. Bishop explores how primary care physicians can best prioritize preventative interventions to save the most lives. The episode aims to help patients and their loved ones understand which preventative strategies deliver the greatest health benefits. Key Takeaways: A University of Chicago study identified 42 different preventative interventions and ranked them by their ability to reduce mortality and morbidity, highlighting the challenge of covering all of them in a single medical consultation. Pre-exposure prevention for HIV in high-risk individuals ranks as the single most impactful intervention for gaining future life-years, yet it remains significantly underused in primary care settings. Breast cancer reduction medication (anti-estrogen and anti-aromatase drugs) for high-risk individuals ranks second in preventative value, a fact that surprises many, including Dr. Bishop himself. Pre-exposure prevention counseling for intravenous drug use ranks third, requiring primary care physicians to engage in sensitive but critically important conversations. Statin therapy for primary prevention ranks fourth overall and is considered underappreciated and underused, despite strong evidence supporting its benefits. Alcohol counseling and weight loss/dietician referral round out the top six patient-centered interventions, reflecting the ongoing importance of lifestyle modification. When ranked by efficient use of doctor's time rather than pure patient benefit, the list shifts slightly, with hepatitis B screening and hypertension screening entering the top six. For a practical real-world example, a 65-year-old overweight woman would be prioritized for statins, weight loss counseling (potentially including GLP-1 medications), and colorectal cancer screening, followed by reassessment. Not all preventative screenings are equally valuable — cervical screening ranks lower than commonly assumed, while breast cancer risk-reduction medication ranks far higher than most patients or doctors expect. Patients are encouraged to arrive at medical appointments informed and prepared, knowing their personal risk factors so they can make the most of limited consultation time.
Decades before Covid-19, the AIDS epidemic tore through communities in the US and around the world. It has killed some 40 million people and continues to take lives today. But early on, research and public policy focused on AIDS as a gay men's disease, overlooking other vulnerable groups—including communities of color and women. This month marks 45 years since the Centers for Disease Control and Prevention published its first report about a mysterious illness that would eventually be called AIDS. So we're bringing back Blindspot: The Plague in the Shadows, from reporters Kai Wright and Lizzy Ratner, which chronicles the first years of the HIV epidemic in New York City. One of the most influential activists for women with AIDS was Katrina Haslip, a prisoner at a maximum-security prison in upstate New York. In the 1980s, Haslip and other incarcerated women started a support group to educate each other about HIV and AIDS.Haslip took her activism beyond prison walls after her release in 1990, even meeting with CDC leaders. One of the main goals was to change the definition of AIDS, which at the time excluded many symptoms that appeared in HIV-positive women. This meant that women with AIDS often did not qualify for government benefits such as Medicaid and disability insurance. The podcast series Blindspot: The Plague in the Shadows is a co-production of The History Channel and WNYC Studios. This is an update of an episode that originally aired in February 2024. Support Reveal's journalism at Revealnews.org/donatenow Subscribe to our weekly newsletter to get the scoop on new episodes at Revealnews.org/newsletter Connect with us on Bluesky, Facebook and Instagram Learn about your ad choices: dovetail.prx.org/ad-choices
The March 2026 ACC/AHA Guideline on the Management of Dyslipidemia made a major pivot regarding Lipoprotein(a) by establishing a formal recommendation for universal screening in adults. This 2026 guideline, published in the Journal of the American College of Cardiology, issued a Class 1 recommendation stating that every adult should have their Lp(a) measured at least once in their lifetime. Because Lp(a) levels are genetically determined and remain highly stable throughout a person's life, a single lifetime check is sufficient for the vast majority of the population to establish their baseline risk. Well, that's great for Family medicine or internal medicine, but how does that affect us in women's health? Well, it's complicated: lipoprotein(a) has been associated with an increased risk of VTE and has also been associated, in some studies, with FGR, preeclampsia, and preterm birth! So, can these patients receive oral contraceptives? What about Perioperative and postop care? Do these patients require anticoagulation? What about pregnancy- is LDA recommended here? And lastly, what about TXA use in patients with HMB? This podcast topic comes from one of our podcast family members who is an OBGYN military personnel caring for our wonderful troops overseas. Listen in for details!16% OFF TONA ACTIVE WEAR PROMO: https://tonaactive.com/discount/CHAPANOSPINOBG1. Ezzat, D., Lopez, D. M., Claggett, B. L., Li, L., Mohammadnia, N., Schuermans, A., Hemeryck, J., Chang, A., Murillo, S., O'Donoghue, M. L., Bikdeli, B., Yu, Z., Natarajan, P., Patel, A. P., Pabon, M. A., & Honigberg, M. C. (2026). Lipoprotein(a) and incident venous thromboembolism in pre- and postmenopausal women, and in men. European Heart Journal, ehag252. https://doi.org/10.1093/eurheartj/ehag2522.ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Dyslipidemia Writing Committee. (2026). 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia. Circulation, 153, e1155–e1300. https://doi.org/10.1161/CIR.00000000000014233. CDC MEC 4. Prevention of Venous Thromboembolism in Gynecologic Surgery: ACOG Practice Bulletin, Number 232. Obstetrics and Gynecology. 2021. Committee on Practice Bulletins—Gynecology5. Sofi F, Marcucci R, Abbate R, Gensini GF, Prisco D.Lipoprotein(a) as a Risk Factor for Venous Thromboembolism: A Systematic Review and Meta-Analysis of the Literature.Seminars in Thrombosis and Hemostasis. 2017. Dentali F, Gessi V, Marcucci R, et al. Lipoprotein (A) and Venous Thromboembolism in Adults: The American Journal of Medicine. 2007.
How to Reverse Cognitive Decline, Grow Your Hippocampus, and Protect Your Brain from Alzheimer's Disease with Nutrition, Exercise, Sleep, and Stress Reduction Your brain is physically shrinking right now, and most people have no idea it's happening. In this episode, you will discover the exact mechanisms behind cognitive decline, why brain fog is always treatable, and the proven strategies to grow your brain back, protect your memory, and slash your Alzheimer's risk regardless of your genetics. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR Host Dave Asprey sits down with Dr. Majid Fotuhi, a neuroscientist and neurologist who earned his PhD from Johns Hopkins University and his medical degree from Harvard Medical School. He currently serves as an adjunct professor at the Mind/Brain Institute at Johns Hopkins while also teaching at George Washington University and Harvard Medical School. With 37 years of experience in clinical practice, teaching, and neuroscience research, Dr. Fotuhi pioneered the Brain Fitness Program, a multidisciplinary approach to cognitive performance and brain vitality at any age that has produced measurable results documented in peer-reviewed journals. He is the author of three books including the bestselling The Invincible Brain and one of the world's leading experts on neuroplasticity, hippocampus growth, and successful aging. If anyone has earned the right to tell you your brain can get better, it is him. Dr. Fotuhi and Dave break down why Alzheimer's is not a single disease but a soup of modifiable problems, why your lab results can show "normal" while your brain is starving, and how the five pillars of brain health connect directly to longevity, mitochondria function, and human performance. They also get into the brain effects of GLP-1s, the therapeutic promise of psychedelics like psilocybin and ketamine, the role of nootropics and supplements like B12, lithium orotate, and CoQ10, and why your VO2 max may be the single most important number for brain aging. . You'll Learn: Why 97% of Alzheimer's cases involve multiple modifiable causes and what to do about each one How to physically grow your hippocampus through exercise, meditation, and nutrition Why "normal" lab ranges are actively harming millions of people and what optimal actually looks like The 7 everyday things that are shrinking your brain right now How stress, loneliness, and isolation cause measurable brain atrophy Which supplements including B12, lithium orotate, CoQ10, and nootropics support long-term brain health Why VO2 max predicts brain aging better than almost any other marker What psychedelics like psilocybin and ketamine actually do to your brain according to a Johns Hopkins neurologist How the APOE4 gene affects Alzheimer's risk and why exercise can erase that risk entirely Why mitochondria health is the foundation of both brain function and longevity Thank you to our sponsors! - Viome | Check it out at viome.com and use code 10DAVE for 10% off. It's time to stop guessing and start knowing your body. - BrainTap | Go to http://braintap.com/dave to get $100 off the BrainTap Power Bundle. - Pique | Go to Piquelife.com/dave for 20% off. - BodyHealth | Visit BodyHeath.com and use code DAVE20 for 20% off your first purchase Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights inhealth, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: Majid Fotuhi, Dr. Majid Fotuhi, The Invincible Brain, brain health, cognitive decline, Alzheimer's prevention, hippocampus, neuroplasticity, brain fog, memory loss, APOE4, brain shrinkage, B12 deficiency, lithium orotate, CoQ10, nootropics, VO2 max, mitochondria, longevity, anti-aging, biohacking, brain optimization, sleep optimization, stress reduction, functional medicine, human performance, psilocybin, ketamine, GLP-1, semaglutide, telomeres, BDNF, brain training, cognitive performance Resources: • Learn More About Dr. Fotuhi's Work At: https://drfotuhi.com/ • Purchase Dr. Fotuhi's New Book The Invincible Brain: https://a.co/d/0iHCgPpL • Get My 2026 Clean Nicotine Roadmap | Enroll for free at https://daveasprey.com/2026-clean-nicotine-roadmap/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: 00:00 – Trailer 00:59 – Intro 03:00 – Cannabis & Nicotine 04:15 – Understanding Alzheimer's 05:38 – Five Pillars Explained 07:55 – Best Cognitive Training 09:08 – Brain Size & Growth 12:36 – B12 & Lab Ranges 17:48 – Head-to-Toe Evaluation 24:17 – Sex & Brain Health 25:43 – Loneliness & Isolation 33:59 – ApoE4 Genetics 35:28 – Alzheimer's Declining 48:44 – Lithium & Brain 59:38 – VO2 Max & Fitness 1:06:42 – Psychedelics 1:09:38 – GLP-1s & Brain 1:12:38 – Closing & Action Steps See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In the 1980s, a low-sodium diet was seen as the gold standard for healthy behavior. In 2026, salt has been repackaged as “electrolytes” and is now cast as a core component of wellness. How did we get here?Also, an important correction: One pound of butter to one pound of potatoes is Joel Robuchon's recipe.Support us:Hear bonus episodes on PatreonWatch Aubrey's documentaryBuy Aubrey's bookListen to Mike's other podcastGet Maintenance Phase T-shirts, stickers and moreLinks!The 25 Saltiest Restaurant Meals in America Facts, Issues, and Controversies in Salt Reduction for the Prevention of Cardiovascular Disease Salt Wars The INTERSALT Study: background, methods, findings, and implicationsSodium reductionSodium Intake Reduction: An Important But Elusive Public Health GoalEffects of Diet and Sodium IntakeSalt intake, stroke, and cardiovascular disease Racial and Ethnic Differences in Sodium Sources and Sodium Reduction Behaviors Among US AdultsThe Great Salt Debate: So Bad?Salt guidelines draw heavy backlashSodium Reduction in US Households' Packaged Food and Beverage PurchasesBlood pressure lowering efficacy of angiotensin converting enzyme (ACE) inhibitors for primary hypertensionThanks to Doctor Dreamchip for our lovely theme song!Support the show
Most of us have had that moment where we get our bloodwork back and shake our heads. We're still our active, health‑minded selves and out of nowhere—rising LDL, ApoB, A1C, and maybe blood pressure and Lp(a), too. This week, preventive cardiology dietitian Michelle Routhenstein joins us to unpack the cardiometabolic chaos and what's really driving it. She explains estrogen's protective role in lipids and blood pressure, why standard risk calculators and even calcium scores can miss women's disease, and which advanced labs are worth asking for. We also dig into how under‑fueling and low‑carb diets can worsen cardiometabolic health and plaque; why complex carbs, fiber, fermented foods, and gut health matter so much; and how to approach protein, red meat, electrolytes, nitric oxide, and statins in a personalized, empowering way—remembering that 80–90% of heart disease remains preventable when women get the right information and advocate for themselves.Michelle Routhenstein, MS, RD, CDCES, CDN is a preventive cardiology dietitian and founder of Entirely Nourished, a virtual practice focused on personalized, science-based nutrition for heart health. With over 14 years of experience, she helps people improve cardiometabolic risk and manage conditions like atherosclerosis, heart failure, and atrial fibrillation using a whole-person approach. She holds Bachelor's and Master's degrees in Clinical Nutrition from New York University, serves on the Forbes Health Advisory Board and the Medical Advisory Committee for the National Menopause Foundation, and is the author of The Truly Easy Heart-Healthy Cookbook and Simple Meal Solutions for High Blood Pressure. Her work has been featured in outlets including Forbes Health, Fox News, Prevention, Women's Health, and Good Housekeeping, and she works with clients virtually from New York via www.entirelynourished.comJoin us at Feisty Fest September 18-20, 2026: https://feisty.co/events/feisty-fest/Sign up for our FREE Feisty 40+ newsletter: https://feisty.co/feisty-40/Learn More about our 2026 Feisty Events, including Bike Camps and Cycling Trips: https://feisty.co/events/Follow Us on Instagram:Feisty Menopause: @feistymenopauseHit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099Support our Partners:Midi Health: You Deserve to Feel Great. Book your virtual visit today at https://www.joinmidi.com/Previnex: Get 20% off your order with code FEISTYBRAIN at https://www.previnex.com/ Wahoo: Use the code FEISTY2026 to get a free Headwind Smart Fan (value $300) with the purchase of a Wahoo KICKR RUN at https://shorturl.at/WVhdrCozy Earth: Use Code HITPLAY at https://cozyearth.com/ for up to 20% off