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In this episode, Dr. Jockers sits down with Dr. Jaban Moore to explore how mold, pathogens, and heavy metals can quietly impact your energy, immune system, and long-term health. You'll learn why some people are more susceptible to toxins than others and how understanding your total toxic burden can change the way you approach healing. You'll discover a practical, step-by-step detox strategy that begins with creating a safe environment, supporting drainage pathways, and using targeted protocols before more advanced detoxification. Dr. Moore also explains why detox isn't just about removing toxins, it's about helping your body regain the ability to heal and function optimally. The conversation also covers simple ways to reduce toxic exposure in your home, the hidden role of mold and water damage, and everyday habits that can support resilience and longevity. Along the way, you'll gain practical insights into creating an environment where your body can thrive for years to come. In This Episode: 00:00 Mold Colonization Basics 00:21 Show Intro and Guest 04:22 Interview Kickoff Detox Focus 05:25 How Toxins Disrupt Cells 08:58 Why Some Are Sensitive 15:17 Mold Exposure Sources 16:56 Mold Types and Testing 20:46 Home Prevention Checklist 24:27 Dry Fogging and Cleanup 27:04 Sheetrock Dust Cleanup 29:21 Mold Detox Roadmap 30:19 Drainage and Binders 31:20 Colonization and Antifungals 33:47 SIBO Parasites Order 38:25 Radioactive Metals Focus 40:54 Water Filtration Distilling 44:52 Radon Mitigation Success 46:27 Metal Detox Supplements 49:30 Longevity Habits Biohacks 52:32 Final Wrap and Thanks Enjoy a clean, protein-packed snack with PaleoValley's Grass-Fed Beef Sticks. Made without sugar, additives, or preservatives, they're packed with healthy fats and grass-fed nutrients to help curb cravings, support steady energy, and keep you satisfied on the go. Save 15% with code DRJOCKERS at paleovalley.com/drjockers. Looking for a cleaner approach to healthier-looking hair? EverBella's Essential Growth Hair Serum combines botanical ingredients like rosemary, castor oil, jojoba, argan, peppermint, and lavender oils to nourish the scalp and support stronger, healthier-looking hair. Visit everbella.com and use code JOCKERS30 to save 30% off your entire purchase today. "Detox works best when your body feels safe enough to heal." Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean TuneIn Radio Resources: Enjoy 15% off grass-fed beef sticks with code DRJOCKERS at paleovalley.com/drjockers. Visit everbella.com and use code JOCKERS30 to save 30% off your entire purchase Connect with Dr. Jaban Moore: Website: https://drjabanmoore.com/ Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https:/www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/ If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/
Time is money, but when it comes to ACL rehabilitation, the calendar alone does not determine readiness for return to play. On this episode of BackTable Bone & Sport, host Dr. Larry Balle is joined by returning guest Dr. Andy Glidewell to discuss modern protocols for anterior cruciate ligament (ACL) rehabilitation. They cover the ACL's role in knee stability, common injury mechanisms, and why moving beyond timeline-based milestones is crucial for optimal recovery. Glidewell emphasizes that while surgery reconstructs the ligament, rehabilitation is what restores true knee function. --- Get the BackTable apphttps://www.backtable.com/app --- Timestamps00:00 - Introduction05:55 - Collaborative ACL Protocols 09:56 - Anatomy Review: The Role of the ACL 14:41 - ACL Rehab Misconceptions19:04 - Rehab Goal Metrics: Time vs. Subjective Measures28:55 - Early Post-Op Priorities36:26 - Tweaking ACL Protocols Based on ACL Reconstruction Graft 42:30 - Use of Orthobiologics in Surgery47:15 - Progressing BFR to ARPE to Hypertrophy in Rehab56:38 - Incorporating Plymometrics and Agility Training in ACL Rehab1:00:19 - The Mental Hurdles in ACL Rehab and Return to Sport01:08:00 - Clinical Pearls in ACL Rehab01:10:20 - Wrap Up --- More about this episodeThe conversation explores early post-operative priorities, the importance of progressive strength and functional testing, and the need for closer collaboration between surgeons and physical therapists. Additional topics discussed include shifting from time-based to subjective and objective criteria for return to sport, and evolving approaches to open-chain knee extension to address persistent quadriceps deficits and reduce anterior knee pain. --- ResourcesDr. Andy Glidewellhttps://www.trainrecovermove.com/andyglidewellpthttps://uamshealth.com/provider/michael-a-glidewell/ --- BackTable Bone & Sports is the go-to podcast for orthopedic surgeons, sports medicine docs, pain specialists, and MSK radiologists. Download the free BackTable app to get early access to new episodes, cases, and courses curated by physicians in your specialty.► https://www.backtable.com/app
Hey Joes. As the title implies, our Joes take flight this month. Buckle up, it's going to be a bumpy ride. And I guarantee you... one Joe does not survive. Also, be sure to check out the website http://headcast.headspeaks.com for the Supplemental material under The Energon Protocols Debrief. Write in to gijoe@headspeaks.com and we'll read your letter on the air! Take a listen and let us know what you think. On Facebook and Twitter we can be found by searching for G.I. Joe: A Real American Headcast And be sure to look for us on Patreon. If you like what we're doing, join Big Danny Cool and Shawn Adams and throw a few bucks in the tin at http://patreon.com/HeadcastNetwork. You can also call us at 559-500-3182 and leave a message and we will play your message on the air. Yo Joe!
In this episode, I sit down with nervous system expert Jonny Miller to explore how emotional regulation shapes our relationships, health, parenting, and overall well being. Jonny shares the deeply personal story that led him into this work after the loss of his fiancée, and explains why avoiding emotions often creates more suffering than allowing yourself to feel them. Together, we discuss emotional debt, grief, somatic awareness, breathwork, nervous system regulation, parenting under stress, and practical tools for building resilience. You'll learn why emotions are meant to move through the body, how to recognize signs of dysregulation, and simple practices that can help you respond with more calm, presence, and connection. → Leave Us A Voice Message! Topics Discussed: → How do you regulate your nervous system? → What is emotional debt? → Can breathwork reduce anxiety? → Why do we avoid difficult emotions? → How do you process grief in a healthy way? Sponsored By: → Function | Check your health the way I do. Function provides 160+ lab tests for $1/day and member pricing on advanced imaging. Join at https://functionhealth.com/bewellbykelly and use code BEWELL25 for a $25 credit. → Be Well By Kelly Protein Powder & Essentials | Get $10 off your order with PODCAST10 at https://bewellbykelly.com. → Timeline | Timeline's clinically proven formula is now available at a new, lower price. Mitopure now starts at $79, when you subscribe at https://timeline.com/KELLY Timestamps: → 00:00:00 - Introduction→ 00:01:51 - Nervous System Mastery→ 00:04:05 - Suicide + Grief→ 00:13:21 - Feel Your Feelings→ 00:14:56 - Defining Emotions→ 00:16:45 - Mental Loops→ 00:18:53 - Nervous System Regulation→ 00:22:42 - Psychosomatic Response→ 00:28:01 - Traumatic Birth→ 00:31:22 - Emotional Hygiene→ 00:32:49 - Breathwork + Co-Regulation→ 00:38:47 - Exercise + Mental Health→ 00:43:48 - Beginner Emotional Regulation→ 00:45:47 - Different Types of Breathwork→ 00:47:15 - Breathwork Tutorial→ 00:50:21 - Intention Setting→ 00:52:22 - Reactive Nervous System→ 00:54:36 - Parenting + Emotional Regulation→ 00:57:37 - Gratitude + Unpleasant Emotions→ 01:00:46 - Fear of Death→ 01:04:20 - The Pressures of Entrepreneurship→ 01:09:29 - Goal Setting→ 01:13:43 - Clarified Desire→ 01:16:26 - Root Wants + Needs→ 01:19:39 - Decreasing Tension→ 01:23:46 - Watching Your Kids Struggle→ 01:25:11 - Closing Thoughts Further Listening: → Why You Feel Stuck: Trauma Patterns, Self-Worth + Nervous System Healing Show Links: → Free nervous system assessment | https://nsmastery.com/assessment → Protocols for self-regulation | https://protocolcards.com/ Check Out: → X | https://x.com/jonnym1ller?lang=en → LinkedIn | https://www.linkedin.com/in/jonnym1ller/%E2%81%A0 → Website: https://www.jonnymiller.co/ → Course: https://nsmastery.com/lenny → Youtube | https://www.youtube.com/@JonnyMiller Check Out Kelly: → Instagram → Youtube → Facebook
In this episode, we establish effective priorities and clear communication with patients to reduce overwhelm, improve compliance, and achieve better outcomes, especially when managing chronic health, gut, brain, or autoimmune conditions.We'll explore strategies for setting mutually agreed priorities, communicating the reasons and duration for supplements and lab tests, and factoring in the mind-body connection, including habits, attitudes, and self-talk that impact results. Enroll now in: Attitudes, Limbic System, and Mind-Body Influence on Functional Medicine Outcomes, with David Musnick, MD at https://pages.kharrazianinstitute.com/musnick-mind-bodyTIMESTAMPS: 00:00 Assessing patient hope and understanding06:01 Prioritizing Symptoms on First Visit09:26 Discussing lab test costs upfront11:38 Discussing food allergy testing options15:12 Scheduling and preparing follow-up visits20:05 Discussing Patient Supplement Guidance22:52 Discussing patient supplement instructions24:31 Timing and staging supplementsSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.
07-29-26Deuteronomy 19 & 20Pastor: Greg Hill
You can fit a man for a new leg. Machinists can carve titanium into the shape of what he lost, and in six months he'll walk into a room and no one will know the difference. There are specialists for this. Protocols. Insurance codes. An entire industry built around the quiet miracle of replacing what the body loses.But what do you fit a woman for when grief takes the part of her that used to laugh first, before she thought? What do you build for the man whose faith was amputated in a hospital corridor, watching a monitor go flat?
Segment 1 - Interview with O'Shea Bowens What do we really know about "AI Network Protocols"? Network security is about to get popular all over again. Generative AI caused a disruptive explosion across all of tech and every company's roadmap. The move from chatbots to AI agents doubled down on that disruption. Now agents need to talk to each other? Boom: we have MCP. A2A. Universal Commerce Protocol. General purpose and specialized protocols for agent communication. What does this look like from the network perspective, though? O'Shea Bowen joins us to answer this question, and he thinks the results are interesting enough to spark a resurgence of interest in network security tooling. Segment Resources: https://www.nsa.gov/Portals/75/documents/Cybersecurity/CSIMCPSECURITY.pdf?ver=bmgiSbNQLP6Z_GiWtRt6bg%3D%3D https://labs.cloudsecurityalliance.org/research/csa-research-note-mcp-security-crisis-20260504-csa-styled/ https://cyberone.security/blog/building-an-ai-security-strategy-without-stalling-business-growth Segment 2 - Interview with Jeremiah Grossman Jeremiah Grossman on why we've been measuring cyber risk wrong for 20 years After decades helping shape modern web security, and building companies that were ultimately acquired by Synopsys and Tenable, Jeremiah Grossman believes cybersecurity has arrived at an inflection point. His argument is a provocative one: for years, the industry has optimized around the wrong metrics. His latest venture, Root Evidence, aims to help security teams identify which risks are most likely to cause meaningful business loss, and he has the evidence - real-world breach data, cyber insurance claims, digital forensics intelligence, attack surface intelligence, and observed attacker behavior - to back it up. Find all of CyberRisk TV's Black Hat 2026 coverage at: https://www.securityweekly.com/blackhat Segment 3 - Weekly Enterprise News Finally, in the enterprise security news, We vibe check the AI model situation hidden devices in California cars causes concerns OpenAI's models escape sandboxes and breaches another AI company, totally by accident, they promise! Grok Build uploads all your files, totally by accident, they promise! Eclipsium debuts a firmware version of patch tuesday! HTTP gets a new method common problems with incident response Which one of the security weekly hosts would consider switching to a “dumb phone”? All that and more, on this episode of Enterprise Security Weekly. Visit https://www.securityweekly.com/esw for all the latest episodes! Show Notes: https://securityweekly.com/esw-469
Segment 1 - Interview with O'Shea Bowens What do we really know about "AI Network Protocols"? Network security is about to get popular all over again. Generative AI caused a disruptive explosion across all of tech and every company's roadmap. The move from chatbots to AI agents doubled down on that disruption. Now agents need to talk to each other? Boom: we have MCP. A2A. Universal Commerce Protocol. General purpose and specialized protocols for agent communication. What does this look like from the network perspective, though? O'Shea Bowen joins us to answer this question, and he thinks the results are interesting enough to spark a resurgence of interest in network security tooling. Segment Resources: https://www.nsa.gov/Portals/75/documents/Cybersecurity/CSIMCPSECURITY.pdf?ver=bmgiSbNQLP6Z_GiWtRt6bg%3D%3D https://labs.cloudsecurityalliance.org/research/csa-research-note-mcp-security-crisis-20260504-csa-styled/ https://cyberone.security/blog/building-an-ai-security-strategy-without-stalling-business-growth Segment 2 - Interview with Jeremiah Grossman Jeremiah Grossman on why we've been measuring cyber risk wrong for 20 years After decades helping shape modern web security, and building companies that were ultimately acquired by Synopsys and Tenable, Jeremiah Grossman believes cybersecurity has arrived at an inflection point. His argument is a provocative one: for years, the industry has optimized around the wrong metrics. His latest venture, Root Evidence, aims to help security teams identify which risks are most likely to cause meaningful business loss, and he has the evidence - real-world breach data, cyber insurance claims, digital forensics intelligence, attack surface intelligence, and observed attacker behavior - to back it up. Find all of CyberRisk TV's Black Hat 2026 coverage at: https://www.securityweekly.com/blackhat Segment 3 - Weekly Enterprise News Finally, in the enterprise security news, We vibe check the AI model situation hidden devices in California cars causes concerns OpenAI's models escape sandboxes and breaches another AI company, totally by accident, they promise! Grok Build uploads all your files, totally by accident, they promise! Eclipsium debuts a firmware version of patch tuesday! HTTP gets a new method common problems with incident response Which one of the security weekly hosts would consider switching to a "dumb phone"? All that and more, on this episode of Enterprise Security Weekly. Visit https://www.securityweekly.com/esw for all the latest episodes! Show Notes: https://securityweekly.com/esw-469
Hey Joes. Our Joes return from our version of Burning Man and encounter some... Thing back at Joe base.! Also, be sure to check out the website http://headcast.headspeaks.com for the Supplemental material under The Energon Protocols Debrief. Write in to gijoe@headspeaks.com and we'll read your letter on the air! Take a listen and let us know what you think. On Facebook and Twitter we can be found by searching for G.I. Joe: A Real American Headcast And be sure to look for us on Patreon. If you like what we're doing, join Big Danny Cool and Shawn Adams and throw a few bucks in the tin at http://patreon.com/HeadcastNetwork. You can also call us at 559-500-3182 and leave a message and we will play your message on the air. Yo Joe!
Segment 1 - Interview with O'Shea Bowens What do we really know about "AI Network Protocols"? Network security is about to get popular all over again. Generative AI caused a disruptive explosion across all of tech and every company's roadmap. The move from chatbots to AI agents doubled down on that disruption. Now agents need to talk to each other? Boom: we have MCP. A2A. Universal Commerce Protocol. General purpose and specialized protocols for agent communication. What does this look like from the network perspective, though? O'Shea Bowen joins us to answer this question, and he thinks the results are interesting enough to spark a resurgence of interest in network security tooling. Segment Resources: https://www.nsa.gov/Portals/75/documents/Cybersecurity/CSIMCPSECURITY.pdf?ver=bmgiSbNQLP6Z_GiWtRt6bg%3D%3D https://labs.cloudsecurityalliance.org/research/csa-research-note-mcp-security-crisis-20260504-csa-styled/ https://cyberone.security/blog/building-an-ai-security-strategy-without-stalling-business-growth Segment 2 - Interview with Jeremiah Grossman Jeremiah Grossman on why we've been measuring cyber risk wrong for 20 years After decades helping shape modern web security, and building companies that were ultimately acquired by Synopsys and Tenable, Jeremiah Grossman believes cybersecurity has arrived at an inflection point. His argument is a provocative one: for years, the industry has optimized around the wrong metrics. His latest venture, Root Evidence, aims to help security teams identify which risks are most likely to cause meaningful business loss, and he has the evidence - real-world breach data, cyber insurance claims, digital forensics intelligence, attack surface intelligence, and observed attacker behavior - to back it up. Find all of CyberRisk TV's Black Hat 2026 coverage at: https://www.securityweekly.com/blackhat Segment 3 - Weekly Enterprise News Finally, in the enterprise security news, We vibe check the AI model situation hidden devices in California cars causes concerns OpenAI's models escape sandboxes and breaches another AI company, totally by accident, they promise! Grok Build uploads all your files, totally by accident, they promise! Eclipsium debuts a firmware version of patch tuesday! HTTP gets a new method common problems with incident response Which one of the security weekly hosts would consider switching to a "dumb phone"? All that and more, on this episode of Enterprise Security Weekly. Show Notes: https://securityweekly.com/esw-469
Segment 1 - Interview with O'Shea Bowens What do we really know about "AI Network Protocols"? Network security is about to get popular all over again. Generative AI caused a disruptive explosion across all of tech and every company's roadmap. The move from chatbots to AI agents doubled down on that disruption. Now agents need to talk to each other? Boom: we have MCP. A2A. Universal Commerce Protocol. General purpose and specialized protocols for agent communication. What does this look like from the network perspective, though? O'Shea Bowen joins us to answer this question, and he thinks the results are interesting enough to spark a resurgence of interest in network security tooling. Segment Resources: https://www.nsa.gov/Portals/75/documents/Cybersecurity/CSIMCPSECURITY.pdf?ver=bmgiSbNQLP6Z_GiWtRt6bg%3D%3D https://labs.cloudsecurityalliance.org/research/csa-research-note-mcp-security-crisis-20260504-csa-styled/ https://cyberone.security/blog/building-an-ai-security-strategy-without-stalling-business-growth Segment 2 - Interview with Jeremiah Grossman Jeremiah Grossman on why we've been measuring cyber risk wrong for 20 years After decades helping shape modern web security, and building companies that were ultimately acquired by Synopsys and Tenable, Jeremiah Grossman believes cybersecurity has arrived at an inflection point. His argument is a provocative one: for years, the industry has optimized around the wrong metrics. His latest venture, Root Evidence, aims to help security teams identify which risks are most likely to cause meaningful business loss, and he has the evidence - real-world breach data, cyber insurance claims, digital forensics intelligence, attack surface intelligence, and observed attacker behavior - to back it up. Find all of CyberRisk TV's Black Hat 2026 coverage at: https://www.securityweekly.com/blackhat Segment 3 - Weekly Enterprise News Finally, in the enterprise security news, We vibe check the AI model situation hidden devices in California cars causes concerns OpenAI's models escape sandboxes and breaches another AI company, totally by accident, they promise! Grok Build uploads all your files, totally by accident, they promise! Eclipsium debuts a firmware version of patch tuesday! HTTP gets a new method common problems with incident response Which one of the security weekly hosts would consider switching to a "dumb phone"? All that and more, on this episode of Enterprise Security Weekly. Show Notes: https://securityweekly.com/esw-469
Andrew Huberman Biography Flash a weekly Biography. In the past few days, Andrew Huberman's public story has revolved around a blend of high-profile media, ongoing business activity, and a few tantalizing hints to his fiercely guarded personal life, all of which continue to shape the long arc of his biography. The most biographically significant development is the continued impact of his marathon appearance on The Tim Ferriss Show, episode 876, titled “Dr. Andrew Huberman — Peptides, Performance, and Protocols.” Tim Ferriss and summary outlets like Shortform report that Huberman laid out detailed, protocol-level guidance on peptides, stress, and performance, emphasizing his core principle that “high morning cortisol, low evening cortisol” should anchor every health routine. This episode, released this week, is already being widely clipped and shared, reinforcing Huberman's position as a leading public architect of evidence-based health protocols and broadly expanding his influence into peptide and longevity culture. Closely tied to that is the ongoing circulation of his YouTube content, including recent episodes such as “Accelerate Learning & Increase Cognitive Capacity,” where he elaborates on new, hard, and social activities as the best evidence-backed tools for building cognitive capacity, a point echoed by neuroscience-focused accounts like BetterBrain on LinkedIn. These appearances and shares are consolidating his reputation not just as a sleep-and-focus guy, but as a broad systems thinker about brain optimization and learning. On the business and ecosystem front, Fortune reports that billionaire Bill Ackman's Pershing Square Foundation has purchased a massive Manhattan site to build the Ackman Oxman Institute for brain research. While Huberman is not named as a principal in the project, the institute's planned focus on rehab, longevity, and nutrition sits directly in his domain, and industry observers are already informally speculating that figures like Huberman could be drawn into advisory, collaborative, or visiting roles over time. That speculation remains unconfirmed; there is no verified reporting yet that Huberman is involved. Huberman's own platform continues to evolve: his Instagram reel inviting listeners to submit audio questions at HubermanLab.com/myquestion underscores his shift toward a more interactive, community-driven model, potentially influencing the future format of Huberman Lab episodes and deepening his relationship with a global audience. Meanwhile, a cluster of online commentary pieces, including Glam Fame Monitor and Harvest Church blogs, describe him as married to a partner in academia and explore his “quiet presence” of a wife or girlfriend. These posts rely on public records and limited disclosures but are not backed by major news outlets, so details of his relationship status and partner's identity should be treated as lightly sourced and partly speculative, consistent with his long-standing effort to keep his private life off the main stage. There are no widely reported major negative headlines, scandals, or career reversals about Huberman in the past 24 hours from primary news organizations; the current narrative is one of steady expansion of his protocols into mainstream performance and wellness culture, with growing entanglement between neuroscience, media, and high-end philanthropy. Thank you for listening, and be sure to subscribe so you never miss an update on Andrew Huberman, and search the term Biography Flash for more great biographies. Thanks for listening. This has been a Quiet Please production. Get the best deals https://amzn.to/3ODvOta
How do you go from voicing a beaver in a sleep med commercial to portraying TV's most amoral attorney on its most iconic crime drama?! For actor, author, and teacher Michael Kostroff, the answer is: embrace the unexpected.Best known as cunning defense lawyer Maurice Levy on HBO's The Wire, Michael joins Weezy this week to reflect on a career that has taken him from television dramas and Broadway musicals to films, teen comedies, sitcoms and commercials.You will currently find him on the MGM+/Prime Marvel superhero series (available in both color and black & white!) Spider-Noir with Nicolas Cage, as New York City's mayor and he's also just wrapped up his first Broadway run as the bank manager in Dog Day Afternoon.Along the way, he shares behind-the-scenes stories from the national tour of The Producers (where lightning-fast costume changes and a grueling schedule collided with back and forth flights to film The Wire). Michael's career then took him to The Plot Against America, The Wizard of Lies (with Robert De Niro!) and The Blacklist.Michael shares his thoughts on The Wire's rarified role as a television landmark, why its richly layered characters continue to resonate, and whether he minds being typecast. He also talks about his four books, including Letters from Backstage, which grew out of emails that unexpectedly found a massive audience, and The Stage Actor's Handbook, born from his desire to provide aspiring actors with the practical guidance missing from their theater education. Michael opens up about the life-saving community he found in theater and the salve it offered for his unhappy childhood. We peek at his viral apartment tour video, revealing the unglamorous truth behind the doors of a working actor. We get schooled on the perils of backstage "showmances," and we learn why, after decades of surprising turns, he's still excited to see where the next one leads.This is a warm, funny, and inspiring conversation with an actor whose career proves that the most rewarding paths are often the least predictable.In current media-- Weezy: The American Experiment and Little House on the Prairie on NetflixProducer Dina: AMC/AMC+ Series Dark Winds, streaming on NetflixPath Points of Interest:Michael KostroffMichael Kostroff on WikipediaMichael Kostroff on IMDBMichael Kostroff on InstagramMichael Kostroff on FacebookMichael Kostroff on YoutubeApartment TourBooks by Michael KostroffThe Stage Actor's Handbook: Traditions, Protocols, and Etiquette for the Working and Aspiring ProfessionalBy Michael Kostroff and Julie GarnyéLetters From BackstageThe American ExperimentLittle House On The PrairieDark Winds
Episode 358 hosts Dr Rob Weiss (GP from Melbourne, Australia) In this episode we explore the trending but highly controversial topic of peptides. We discuss the background to these products, the growing demand from the general public and address the significant dangers of black-market peptides. Our guest explains how he educated himself about this niche speciality and his thoughts about why no significant studies or evidence exists for most commonly used peptides. We learn about his approach to using peptides in patients with musculoskeletal injuries and his clear distinction between this approach vs people using peptides for self-prescribed 'looksmaxing' and within the 'gym bro' culture. 00:00 Introduction 00:41 Peptides Episode Overview 02:06 IA Community App Updates 03:47 Meet Our Special Guest, Dr Robert Weiss 05:41 What Peptides Are 10:50 Why Peptides Went Mainstream 17:46 Evidence and Prescribing 22:59 GLP-1 Breakthroughs 28:41 Clinical Uses and Protocols 33:06 Safety and Misuse 34:55 Retatrutide Explained 37:20 Safety vs Hype 38:59 Black Market Risks 40:58 Compounding and Quality Standards 44:58 Biohacking and Peptide Trends 47:04 Regulation and Oversight 52:11 GHK-Cu and Skin Rejuvenation 58:27 The Future of Peptides 01:02:05 Evidence vs Anecdotes 01:06:09 Learning Resources 01:07:07 Wrap Up and Outro DOWNLOAD OUR NEW APP IA COMMUNITY FOR FREE: DOWNLOAD FOR APPLE DEVICES DOWNLOAD FOR ANDROID DEVICES Our free content includes: Inside Aesthetics podcast - listen to or watch every episode inside the app Conference Diary - browse every major event and booking links Aesthetic News - keep up to date with the latest stories Invites to our live stream events - RSVP for our 1st Unfiltered LIVE with Julie Bass-Kaplan here THEN GET A FREE 30 DAY SUBSCRIPTION: FOR HEALTHCARE PROFESSIONALS FOR BUSINESS OWNERS/NON-CLINICAL PROFESSIONALS
Andrew Huberman, Ph.D., is a neuroscientist and tenured professor in the Departments of Neurobiology and Ophthalmology at Stanford University School of Medicine, where he runs the Huberman Lab. He is the author of Protocols: An Operating Manual for the Human Body.This episode is brought to you by:ProLon science-backed Fasting Mimicking Diet that helps activate cellular renewal through fasting, while still eating nourishing mealsEight Sleep Pod Cover 5 sleeping solution for dynamic cooling and heatingMomentous high-quality creatine for cognitive and muscular supportHelix Sleep premium mattressesTimestamps:00:00:00 — Who is Dr. Andrew Huberman?00:02:03 — Dean Potter, The Dark Wizard, and the physics of raw energy.00:04:11 — Why competition destroys performance.00:05:45 — Laird Hamilton, tow-in surfing, and the lure of big waves.00:06:27 — Training with Dorian Yates.00:18:29 — The full weekly split that keeps building strength at 50.00:21:00 — Neck training.00:25:56 — AssaultBike vs. Airdyne.00:31:12 — Revisiting MDMA and psychedelics.00:48:06 — Inducing plasticity is only half the job.00:53:17 — The one-day protocol that cut my anxiety by 90%.01:00:27 — Cortisol as the master key.01:03:26 — Peptides demystified: GLP-1s, growth hormone, and BPC-157.01:14:44 — The Enhanced Games, the Deca burrito, and the honesty problem.01:17:56 — Pinealon, epitalon, and the hunt for more REM sleep.01:25:02 — Why women, not gym bros, are the real peptide market.01:35:52 — Why "no reported side effects" is a trap.01:43:48 — Stem cells, cartilage regrowth, and mining the body for medicine.01:46:37 — AI, wearables, and the race to write to the nervous system.01:54:12 — The MIT mask that puts you to sleep in six minutes.01:56:09 — Inside Andrew's new operating manual, Protocols.02:03:30 — Navigating grief and remapping loss.02:04:40 — Shut up, suit up, show up.02:08:03 — Parting thoughts.*For show notes and past guests on The Tim Ferriss Show, please visit tim.blog/podcast.For deals from sponsors of The Tim Ferriss Show, please visit tim.blog/podcast-sponsorsSign up for Tim's email newsletter (5-Bullet Friday) at tim.blog/friday.For transcripts of episodes, go to tim.blog/transcripts.Discover Tim's books: tim.blog/books.Follow Tim:Twitter: twitter.com/tferriss Instagram: instagram.com/timferrissYouTube: youtube.com/timferrissFacebook: facebook.com/timferriss LinkedIn: linkedin.com/in/timferrissSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Co-hosts Ryan Piansky, a patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Science Advisory Council, interview Dr. Claire Beveridge about EoE and dysphagia. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own. Key Takeaways: [:49] Co-host Ryan Piansky introduces this episode, brought to you thanks to the support of Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz. [1:17] Holly introduces today's topic, research on eosinophilic esophagitis (EoE) and dysphagia. [1:24] Holly introduces and welcomes today's guest, Dr. Claire Beveridge, a gastroenterologist at the Cleveland Clinic. Dr. Beveridge heads the EoE Adult Clinic and the Transition from Pediatric to Adult EoE Clinic. [1:36] Holly, a speech pathologist, says she is very excited to dive into the research Dr. Beveridge did with EoE and dysphagia. Holly asks Dr. Beveridge to share some of her background. [1:48] Dr. Beveridge was recruited to the Cleveland Clinic about five years ago to head the EoE Center. She loves the work they have done there. [1:57] Dr. Beveridge says it's been nice to center everything on their EoE patients and have multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and more. It's been a great experience. [2:15] Dr. Beveridge says the other thing they are really proud of is having a Transition Clinic. It can be tough for patients to transition from pediatric to adult care. [2:23] Dr. Beveridge says this is something she was inspired to do when she was finishing her training at the University of Pennsylvania, where they had been doing some of that. It was really important to her when she joined Cleveland Clinic. [2:34] Dr. Beveridge, with her Co-director, Dr. Sophia Patel, helps patients transition from pediatric to adult care. [2:41] Holly speaks of the challenge of transitioning from pediatric care at a multidisciplinary clinic to adult care. [3:08] Dr. Beveridge says you can't do any training at Northwestern without loving the esophagus. She did her residency there, got exposed to esophagology, and got to know Dr. Gonsalves and Dr. Hirano really well. [3:33] Drs. Gonsalves and Hirano are really big names in EoE. Dr. Beveridge was fascinated by the disease. She loved the patients and wanted to help them and make them feel better. It's a burgeoning field. [3:48] Dr. Beveridge says that it's only in the last few years that we have had FDA-approved medications for it, and that we have been jerry-rigging asthma medications to treat our patients. [4:03] Dr. Beveridge says it's really exciting to see the treatment options we can offer. [4:10] Ryan says it's exciting to see how EoE management has changed. [4:16] Ryan says we see so many patients who are untreated or poorly treated for years, who have restructuring of their esophagus and present with dysphagia, or have strictures and rings leading to food impactions; the long-term effects of untreated EoE. [4:34] Ryan says it's exciting that now we do have better treatment options for people, right off the bat. [4:43] Dr. Beveridge conducted some research on EoE and dysphagia and presented a poster at the 2024 Digestive Diseases Week. [4:51] The poster was titled, "Esophageal Luminal Diameter is Associated with Dysphagia and Eosinophilic Esophagitis: Implications for Endoscopic Dilation Therapy." [5:11] Dr. Beveridge says dysphagia means issues with swallowing. It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen. [5:31] Dr. Beveridge says patients who have had EoE for a long time become accustomed to how they swallow. Things a patient may think are normal, like needing water and taking a sip after each bite, are learned accommodating behaviors. [5:58] Dr. Beveridge says accommodating behaviors are that you're needing to imbibe extra water, you're modifying how you're eating, extra chewing, avoiding pills, avoiding other certain foods, and things like that that can be modifying factors. [6:19] So, difficulty with swallowing, things getting stuck, slowly moving down, but also keeping in mind some of those modifying behaviors that we may end up using. [7:23] Dr. Beveridge says her motivation was seeing patients in her clinic who were having persistent symptoms, and getting them into histological remission. The goal of treating your EoE is to get the eosinophils less than 15; close to zero is great. [7:45] Dr. Beveridge says we have patients who, despite doing their endoscopies and taking biopsies, things look fine; they're still having issues with swallowing. Why is that the case? [7:58] Dr. Beveridge says in a different research paper she had done, looking at some of the predictors for that, one of them was fibrostenosis. There are also other things that can contribute, like esophageal hypervigilance and a fear of swallowing. [8:21] If a patient has had a food impaction, it's going to be scary to try to swallow again. Some of it is behavioral, but some of it is structural. At what luminal diameter (the size of the esophagus) is that causing a clinical problem for patients? [8:45] A normal esophagus is 20 to 24 mm in diameter. Traditionally, around 14 to 16 mm in diameter has been when we say that patients get symptoms or they're feeling the issues with swallowing. [9:03] Dr. Beveridge says a lot of those studies have never been done specifically for EoE patients. [9:08] Dr. Beveridge wanted to know, if we exclude cancer, if we exclude acid reflux, and all of these other things, and just look at our EoE patients, what size of the esophagus are we looking at? [9:20] Dr. Beveridge explained they specifically looked at patients whose histology was under control and then compared those who continued to experience symptoms with those who did not. The goal was to determine the histologic threshold at which patients begin to experience dysphagia. [9:54] Dr. Beveridge says they saw this threshold at 16 mm (1.6 cm). That's still quite the difference from a normal esophagus of 20 to 24. [10:08] Dr. Beveridge says our esophagus can definitely handle being smaller, but then, once you get to that 16 mm, for a lot of patients, it really does cause that feeling of things getting stuck or slowly moving down. [10:20] Holly says what's cool about the retrospective data Dr. Beveridge looked at, and the parameters she placed in the research, is that when a patient goes in for an endoscopy, the doctor can measure and say maybe this is why dysphagia is going on. [10:48] Holly finds that adult patients with food impactions are scared to eat the same food again. She loves having this data to share with patients and say, let's look at what your esophagus measures at. Let's do a smaller bite. Let's add a dip and liquid. [11:12] Holly says data can push so much progress. Holly, having multiple chronic illnesses, loves when doctors can say, this is going to be safe. This is the mode that we're going to go with. [11:30] Dr. Beveridge says in the retrospective study, they were looking at stuff that had already been done. We decided from here to assess patients more prospectively. All of this was based on chart review from when the note said symptoms or no symptoms. [11:53] Dr. Beveridge says when she started this EoE clinic at the Cleveland Clinic, part of it was to standardize better how we were collecting data from patients to understand their symptoms. [12:07] Dr. Beveridge has a standardized questionnaire for patients to understand if they are having heartburn and difficulty with swallowing, so she can know that at each point of their endoscopy. [12:18] Dr. Beveridge says it will be nice, hopefully in the future, when she can give a little more detail and depth in terms of assessing this more prospectively and seeing if that same number holds up or if she needs to tweak it a little bit. [12:34] Holly thinks it's fascinating. Numbers give us so much information, to know if my mm is this versus this, the next time, or during allergy season or not. [12:53] Ryan says it's cool that you're able to look back at existing patient records and identify this information. Now we have that 16 mm number in mind to say maybe this is where we'll start to see increased risk of dysphagia in these patients. [13:28] Dr. Beveridge says, how we had to do it retrospectively was based on the endoscopist estimating what the size is. Gastroenterologists recognize they're not always the best at estimating the size of the esophagus. [13:50] Dr. Beveridge says, if your endoscope could not pass through, or it was snugly passing through, you know the diameter of the endoscope. If a dilation was done, at what size dilation do we start to see a disruption? [14:19] Dr. Beveridge says, the goal of a dilation is to get a disruption because there's scar tissue we want to break open. A patient might think disruption means a perforation or something more scary, but that is the goal. We want to break open that scar tissue. [14:42] Dr. Beveridge says, once we see that scar tissue break open a little bit, then we can estimate what the diameter is, based on the size dilator we used. [15:10] Dr. Beveridge says for adults, we use a standard adult upper endoscope, and that's about 13 mm. The ones we use for kids are about 6 mm. [15:35] Dr. Beveridge says the adult endoscope is around 13 mm, and it's around 14 to 16 mm when we start to see the symptoms. [16:07] Dr. Beveridge says there are two main types of dilation that we do. One is the Savary dilator or wire-guided dilator, a long dilator that stretches the entire esophagus, from the mouth down to the stomach. [17:20] Dr. Beveridge says another way of doing it is while you have the endoscope in, you thread a catheter. At the end of the endoscope, there's a balloon. You fill the balloon with saline up to different sizes. Typically, they go up by 3 mm, so 12 to 15 mm. [18:01] Dr. Beveridge says the catheter balloon dilator is good for discrete strictures because the balloon isn't going to do the entire esophagus; it's just going to do one area of the esophagus, and you're watching it the whole time. [18:19] For the wire dilator, you remove the scope. You're not able to see, so it's important to assess ahead of time how narrow things are, so you start at a safe dilation. You go in each time to see if there's starting to be disruption, and then you can do more. [18:44] Holly asks if a gastroenterologist doing an upper endoscopy with sedation sees that it's tight, would the gastroenterologist automatically do a dilation? Or, can a patient with dysphagia symptoms request to have a dilation? [19:28] Dr. Beveridge says, right before an endoscopy, she discusses it with the patient and gets consent. She asks, even if their symptoms are good, but in the endoscopy she sees a narrowing where she would recommend a dilation, if they're OK with that. [20:05] Dr. Beveridge says, if they're having issues with swallowing, often she will ask if they're OK with her doing a dilation. If she sees a narrowing, she can focus on that area and dilate it. [20:19] Dr. Beveridge says not everywhere in the esophagus can we see as well. The very beginning of the esophagus is challenging to see and challenging to evaluate on imaging. [20:32] Dr. Beveridge talks about empiric dilation. You don't see a narrowing, but you want to rule it out, so you do a dilation at a safe size, like 16 or 18 mm, to make sure you're not missing something up high. [20:58] Dr. Beveridge says she always talks about that with her patients. Most say, go ahead. Some patients definitely want dilation; other patients say no, they really don't. [21:12] Dr. Beveridge then asks the patient if there's real narrowing that may cause a food impaction, would they want dilation then, or hold off for another day? [21:30] Dr. Beveridge never wants to do something the patient is not comfortable with. She also doesn't want them to need another endoscopy unnecessarily, if she can avoid that for them in the moment. [21:46] Dr. Beveridge mentions the BougieCap used in Europe. It's a cap you put at the end of the endoscope. You use your endoscope as the dilator. You watch the whole time. It is hard plastic that causes a nice dilation. We may see it come to the U.S. [22:37] Dr. Beveridge speaks of the FLIP catheter, which is a catheter with a balloon that doesn't cause dilation but distends and helps measure the diameter. [23:33] Holly asks if Dr. Beveridge gives tips to patients on how to prepare for dilation and the recovery process. [23:49] Dr. Beveridge had an upper endoscopy. She says there's nothing like experience to understand it better. She didn't have a dilation, but the biopsies caused discomfort. [24:21] Dr. Beveridge says a lot of her patients have been through upper endoscopies, so they know how it feels. She warns them that the biopsies and dilation can cause discomfort. [24:33] What's challenging is that everyone is different. Some patients are going to be more hypersensitive to it, and other patients are going to say they felt nothing and they were fine. [24:46] Dr. Beveridge says some patients need to modify their diet for a few days to avoid significant chest pain. You never want someone to have to go to the ER for significant chest pain when it will just heal over time, and there's no perforation. [25:12] Dr. Beveridge says other patients will be like her, eating chips and pretzels and saying they're fine. Dr. Beveridge typically has them start with liquids, nothing too hot or too cold, and advance as tolerated. [25:28] Dr. Beveridge says patients can always use TylenolⓇ and over-the-counter numbing agents. You'll still have patients who will get significant discomfort. For the most part, starting with liquids has worked for Dr. Beveridge's patients. [25:44] Holly recommends over-the-counter when her patients call, after she talks to their GI. Holly says after she has an endoscopy, she starts on liquids and shakes. On day three, she's fine. Holly says individualized care is amazing. We all are different. [26:14] In the pediatric setting, the parents get the counseling, and they have not had sedation, but on the adult side, you're talking with the patient, who had sedation. Sometimes they don't remember. [26:40] Dr. Beveridge says when possible, she waits for family members to come back and tells them they're going to have to "be the memory" because the patient probably won't remember this conversation. [26:55] If a patient says no, they don't want them to come back and hear about it, always respect that. But Dr. Beveridge always tells them, you may not remember what we say. [27:30] Ryan asks about data on how many times someone may need dilations. Dr. Beveridge says it comes down to the patient, but the biggest issue can be uncontrolled inflammation. [27:44] Dr. Beveridge says if a patient's EoE is not controlled, inflammation leads to continued scarring down. That's why we talk about dilation as being an adjunctive measure, but not a treatment for EoE. It doesn't do anything for the inflammation. [28:03] Dr. Beveridge says she has patients who ask why she can't just do a dilation every now and then. Dr. Beveridge considers dilation to be safe when needed, but if you can avoid it, that would be nicer for everyone. [28:21] Dr. Beveridge says there's no great data on whether you only need one, or whether you're going to need 10, but one big theme is just: have we gotten your inflammation under control? That's also true for other conditions, such as acid reflux. [28:45] Holly wasn't diagnosed until she was in her mid-twenties, and she had several upper endoscopies as a teenager and college student to dilate her, to help the situation. [29:17] Holly says she had to get more endoscopies to figure out her weird food triggers that are not typical for everybody, so even if she's treated, she still has inflammation. That's why she had so many upper endoscopies. [29:30] Ryan talks about underlying issues causing inflammation. Dilation is not treating those underlying causes. It's just helping with one symptom of this dysphagia, by expanding the esophagus. [29:50] Ryan asks, What changes in symptoms should patients expect after the dilation? Dr. Beveridge says, ideally, if there's been a stricture, you're going to start to feel like your swallowing is better. You can get pills and food down better. [30:07] Dr. Beveridge says, immediately post-dilation, sometimes people feel a little bit worse. Everything you swallow may be uncomfortable for you. But if it's been a successful dilation, hopefully, you're going to feel that things are going down better. [30:40] Holly says she is so grateful that Dr. Beveridge looked into this, and hopefully, there will be a new protocol in the future. Holly asks what other key takeaways from this research may interest Dr. Beveridge in researching something further. [31:02] Dr. Beveridge says, making sure that we're not missing scar tissue is big and important. One thing that we're trying to look at with our Pediatric GI colleagues is what threshold we should be looking at for the pediatric patient population. [31:19] Dr. Beveridge says a pediatric patient's esophagus is a different size than an adult patient's. Understandably, we are more cautious when doing a dilation in the pediatric patient population than we are with adults. [31:34] Dr. Beveridge may recommend empiric dilation for an adult but will feel more cautious about that with pediatric patients than with adult patients. Understanding what that threshold should be for the pediatrics is going to be really interesting. [31:57] Dr. Beveridge says the diameter threshold we discussed is going to be important to know about, but everyone is different. You may have a diameter of 14 mm, you feel fine, and you don't want a dilation; you can accommodate OK. That's reasonable. [32:15] Dr. Beveridge says she has had patients who get up to 18 mm, and that helps them, but they need a little bit more. If someone needs more of a dilation, we do that. Yes, have a threshold to assess, but always assess for what's personal for your patient. [33:04] Dr. Beveridge says not just to assess the luminal diameter, but a thing that is helpful for gastroenterologists to know will be if there are other factors at play. As in her study of dysphagia predictors, anxiety, depression, and hypervigilance can play roles. [33:37] Dr. Beveridge has patients who have to have a critical narrowing for them to finally feel an issue. Other patients, if they have the slightest of narrowing, are feeling something. Some patients are just more vigilant of what's happening in their esophagus. [34:07] Dr. Beveridge says there's definitely a role for asking if your anxiety is under control. If there's feedback in the nerves, should we ask your GI Psychologist to be involved in terms of CBT for your esophagus? Take a look at everything. [34:27] Dr. Beveridge says another part of the study they looked at was: are there different thresholds of eosinophils that we should be looking at? Is it just less than 15, or do some patients need it to be lower? Less than six? Less than 10? [34:43] Dr. Beveridge says look at it as a whole for your patient. [34:53] Dr. Beveridge says next, she will be working on a very long-term project: Can we identify a non-invasive method of screening a patient, diagnosing a patient for EoE, or monitoring a response to therapy? [35:13] Dr. Beveridge has looked at transnasal endoscopy, which is put into this category of minimally invasive. It's still invasive; you're putting a scope through someone's nose, but it doesn't require sedation, which is a nice thing for some patients. [35:29] There's the EnteroTrack, which started in Colorado. A patient swallows a string, and it stays in their esophagus for an hour, and we look at the proteins to see if things are active or not active. [35:45] Dr. Beveridge is also looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE? [36:01] It's assessing about 100 different compounds, not looking at one in particular, but how the whole thing looks. What signature is there, based on looking at all the compounds? [36:15] Dr. Beveridge presented some of that data at DDW and has a grant from the ACG to look at this and assess patients with and without EoE. [36:33] Dr. Beveridge says further, doing longitudinal data of looking at patients once they've gotten into remission on treatment and seeing, do we then see a signature change? [36:47] Dr. Beveridge says no one is under any illusion that endoscopies are going away. They will always be part of what we do in gastroenterology, but there are limitations: sedation, a full day away from work, nothing by mouth, and a driver, etc. [37:04] If there are alternatives to help supplement that, it would be nice. One of the barriers for patients doing diet elimination is the number of endoscopies that are required. If there's a way to assess by breath if a food is a trigger, that would be good. [37:32] Dr. Beveridge says that's the big thing she's looking at, but it will take years. It's not going to be a quick, easy one, but it's very interesting to take a look at. [37:45] Holly speaks of how much treatment has changed since she was diagnosed. She has done all the scopes. She says this sounds amazing. She loves that people like Dr. Beveridge are thinking of how to make testing less invasive and more comfortable. [38:12] Dr. Beveridge says another thing she is excited about is the transition of care. She recently did a survey and is analyzing the data to assess what the barrier is from the physician perspective in terms of helping our patients transition. [38:40] Dr. Beveridge is also looking at doing a nice multi-center consensus to help this as well, led by Dr. Sophia Patel and Dr. Emily McGowan, who are fantastic in the EoE world, looking to see how we can make this better for our patients. [38:58] Ryan says, with so much interesting work coming up, we'll have to have you back to chat about some of these additional projects. Everyone is super interested in less invasive stuff and better treatment pathways. Transition of care is an important part of that. [39:11] Ryan appreciates Dr. Beveridge for joining the conversation and hopes to have her back on another episode so we can learn more about EoE and these different future research endeavors. [39:20] For our listeners who would like to learn more about EoE today, you can visit apfed.org/EoE and check out the links in the show notes below. [39:27] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder, available at apfed.org/specialist. [39:36] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections. [39:46] If you have personally been impacted by eosinophilic disorders and are interested in sharing your experience, please check out apfed.org/shareyourstory. [39:55] Ryan thanks Dr. Beveridge for joining us. This was a fun conversation and really insightful. Holly thanks APFED's Education Partners AstraZeneca, GSK, Sanofi, Regeneron, and Takeda for supporting this episode. Mentioned in This Episode: APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.orgapfed.org/specialist apfed.org/connections Claire Beveridge, MD Cleveland Clinic Education Partners: This episode of APFED's podcast is brought to you thanks to the support of AstraZeneca, GSK, Sanofi, Regeneron, and Takeda. Tweetables (Edited): "I have loved the work that we've done [at the Cleveland Clinic]. It's been really nice to center everything on our EoE patients and have nice multidisciplinary care with speech-language pathologists, allergists, dietitians, pulmonologists, and everyone." — Claire Beveridge, MD "It's a little crazy to think that it's only in the last few years that we have had FDA-approved medications for [EoE], and that we have been jerry-rigging asthma medications to treat our patients." — Claire Beveridge, MD "On the whole, dysphagia means issues with swallowing. … It's a feeling of something getting stuck or something slowly moving down. There are also subtle symptoms that can happen." — Claire Beveridge, MD "The goal of a dilation is to get a disruption because there's scar tissue we want to break open." — Claire Beveridge, MD "I am looking at the breath metabolome. If we breathe into a bag and take a look at all the volatile organic compounds that are in our breath, can we find a signature related to EoE?" — Claire Beveridge, MD Guest Bio: Claire Beveridge, MD, is a Staff Member in the Department of Gastroenterology and Hepatology and heads the Eosinophilic Esophagitis (EoE) adult clinic as well as the transition pediatric to adult EoE clinic. Dr. Beveridge's specialty interests include: EoE, Achalasia, Barrett's esophagus, GERD, esophageal swallowing disorders, and esophageal motility disorders.
Advocates say missed or delayed Parkinson's medication can lead to serious complications during hospital stays.
In this episode, Heather kicks off a brand-new coaching series by bringing you inside a real coaching session with Elevate member Dave Mayes of Instinct Pet Photography. Dave Mayes is the owner of Instinct Pet Photography in Australia. You can view his incredible work here: https://instinctpetphoto.com/ Together, they simplify a challenge that many business owners face: struggling to truly switch off from work. What begins as a conversation about taking a day off quickly uncovers the real issue beneath the surface—and it's probably not what you think. Key Takeaways: Complicated problems create confusion. Simplifying the real issue makes it much easier to find a solution. The challenge isn't always what it appears to be. What feels like a productivity issue may actually be a trust issue. Protocols create freedom. Clear boundaries around work and communication make it easier to truly unplug. You don't have to respond immediately to be professional. Healthy expectations create better experiences for both you and your clients. Trust yourself—and your business. Believing everything will fall apart without you is often just a story your brain is telling. Most client situations aren't emergencies. Recognizing this allows you to create healthier boundaries without sacrificing great service. Your thoughts determine how well you rest. It's not just putting the phone away—it's learning how to quiet your mind. Coaching helps uncover the real problem. Sometimes one question is all it takes to reveal what's actually keeping you stuck. Small mindset shifts create lasting change. Solving the right problem leads to better habits, better decisions, and greater peace of mind. You don't have to figure everything out alone. Learning alongside others accelerates growth and helps you solve challenges faster. What if the reason you can't switch off has nothing to do with your workload? What if the real problem is the story you're telling yourself about what will happen if you do? This coaching session uncovers one simple shift that can completely change how you work—and how you rest. Press play and discover the real problem hiding beneath the surface. How to Support the Podcast: Subscribe to the podcast on iTunes or wherever you listen to podcasts. Please like, share, and leave a review. If you like the content, please share with your friends by posting on social media so that we can reach and impact more people. Join our next free coaching workshop: www.getcoachedbyheather.com Connect: Heather Lahtinen: Website, Facebook, Instagram
Randy Newberg sits down with MTNTOUGH coaches Sarah Maschino and Nick Bechtold to break down the brand-new Always Ready 50+ program. Designed for hunters and active adults over 50 (but perfect for anyone rebuilding after injury, desk life, or time off), this 12-week, 3-day-per-week plan focuses on strength, balance, mobility, and progressive conditioning without the beat-down. They discuss building a “fitness buffer” for longevity, training around common aches and injuries, the difference between motivation and discipline, and real stories of older hunters reclaiming bucket-list adventures. Practical, honest, and life-changing — this is how you stay dangerous for decades.V I D E O S TO W A T C H N E X T
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Becca: Hi Dr. Cabral! My husband is challenged by a "cobalt conundrum". Several years back he was overexposed to wet cement, spending hours mixing it with his hands. (Big mistake) Shortly after he developed a severe body rash along with painful cramps and diarrhea. After many tests, they found an allergy to cobalt via a skin test, and we assume it relates to the cement mixing incident. Severely limiting cobalt both topically and in diet has helped, but he still struggles with GI issues. Functional medicine tests showed leaky gut. He attempted treatment but even one basic supplement (dairy free igg) caused severe stomach issues. Meanwhile he's missing vital nutrients from avoiding b12 (cobalt) etc. How can he address leaky gut and allergies when he's so sensitive to treatments? Signed, Your Fan Ally: Hi Dr. Cabral, I am a new Level 2 graduate and I have a new client who is 20-years old with a history of anorexia. she is 5-years post treatment. She complains of bloating, constipation, and just having trouble eating. She is of normal weight, and is looking for relief. I was thinking of doing the Big 3 labs and the CBO protocol.. Any recommendations would be very appreciated. I do not want to recommend the wrong plan of care for her. Warmest regards, Ally :) Tommy: Hey Dr. C, I'm an IHP, 36. Had a birth defect, 3 operations by the age of 8 including tonsillectomy. Sleep issues began at 9, insomnia by 12, eczema, fainting, 14 years of steroid creams and thousands of antibiotics. I've got high heavy metals and Citrabacter freundi. I can't tolerate any protocols even at a lower dose, they make my existing problems worse. On days where I train intensely I struggle to shut off. I feel like my body is always stuck in a low level of stress. I've cut down my training a lot but I'm not sure what else I can do. I'm tolerating zinc Carnosine which helps but I still always have red skin on my face. Still struggle to tolerate stress. If only I could do a heavy metal protocol. Sarah: Hi! Hope you are well and love tuning in daily to learn from you! I have been trying to heal leaky gut and chronic hives for over a decade now. Because I am very reactive I stop and start a lot. However, I recently gave in and started a low dose prednisone and over a couple weeks lost 10lbs of inflammation, hives gone, that I couldn't break with any diet (restriction), exercise etc. I would like to do some testing and do the CBO protocol as this started after antibiotics. My question is, will this skew the results of cortisol/A1C and will it be okay to continue on to keep symptoms calm while getting to the root and going through some protocols? Thanks! (BTW) I have tried all the natural stabilizers and didn't help calm symptoms. (Quercetin, Vit C, Mag, etc) Sienna: Hi Dr. Cabral, this is a follow up to my question on 3782 re testing for perimenopause please. Thank you for your guidance and if I could run EL labs I would. I have NO access to Saliva Testing in my country (and EL don't ship here). So I know about SMM & Fertility Labs but can't run them so I am *specifically* asking IF estrogen & progesterone tested by an endocrinologist (BLOOD) have ANY value as a way to look at levels? LH, FSH & AMH are great as I can get these from bloods, can you please provide the healthy ranges vs. perimenopause? Would really appreciate it as this is the only option I have to look deeper & PCP here don't have a functional approach so really value your guidance on anything you can share to help me support my body. Thank-you, Sienna Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3817 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? 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We know that we're supposed to forgive, but what if someone has wronged you so deeply that you don't know where to start? In this week's interview, Dr. Bruce Hebel joined us to teach you how to forgive using his 7 Protocols of Forgiveness. You've heard it before: "Bitterness is the poison we drink hoping someone else dies." You've been drinking poison, brother, but this episode is your 7-step antidote. Check out https://tinyurl.com/forgiveness115 for more information! Want to protect your marriage? Get our free ebook: 7 Guardrails to Protect Your Marriage Before It's Too Late. https://meninthearena.org/pages/7-marriage-guardrails Has Men in the Arena helped you make a change in your life, small or large? We want to hear your impact story! https://meninthearena.org/pages/hero-stories You can start a ministry to father the fatherless in your church! Learn how with our sponsor, Kids Outdoor Zone at https://kidsoutdoorzone.com/arena.
When should a dental practice owner continue coaching a team member, and when is it time to let that person go? In this episode, Kirk Behrendt speaks with Katrina Sanders, a clinical dental hygienist, business owner, and dental educator, about identifying leadership gaps, clarifying expectations, evaluating core-value alignment, and addressing performance problems before they damage the team. You will learn how to distinguish between employees who lack support and employees who are unwilling to meet expectations, why accountability should never be a surprise, and which behaviors may signal that termination is the right decision. To build a stronger, more aligned team, listen to Episode 1074 of The Best Practices Show!Main Takeaways:Leaders must clearly communicate expectations, standards, and operating procedures before holding team members accountable.Core values give team members practical guidance for making decisions and understanding what excellence looks like.Practice owners should determine whether inadequate tools, training, calibration, or support are preventing a team member from succeeding.Regular scorecards and feedback conversations give employees a clear understanding of whether they are meeting expectations.A team member's lack of motivation may result from toxic team dynamics rather than an absence of drive.Employees who reject accountability, remain misaligned with core values, or repeatedly refuse to improve may need to be released.Team members should not be surprised by termination when leaders have provided timely feedback, corrective action, and opportunities to improve.Episode Chapters:00:00 Intro01:40 When is it truly time to let a team member go?04:02 Katrina explains what she discovered after returning from maternity leave.06:34 Leaders must examine whether expectations were communicated clearly.12:00 Core values establish practical standards for team behavior.19:23 Missing tools may be the real cause of poor clinical performance.20:24 Regular check-ins create a clear line of sight for success.23:00 Expectations should evolve as team members gain experience.24:01 Drive, determination, and work ethic cannot always be trained.26:11 Toxic team dynamics can demotivate otherwise strong employees.27:48 The “today is the day” conversation allows employees to self-select out.34:00 Counteroffers may not solve the underlying reason an employee wants to leave.37:16 Consistently reinforcing core values helps protect the practice culture.40:31 Katrina identifies the conditions that may justify termination.43:00 Katrina previews her Pockets, Paradigms and Protocols program.Guest Bio/Guest Resources:In the ever-changing world of dental science where research, technology, and techniques for patient care are constantly evolving, dental professionals look to continuing education to provide insight, deliver actionable steps, empower, and create a dramatic impact within their clinical practice.With wit, charm, and a dash of humor, Katrina Sanders enchants dental professionals with her course deliverables, insightful content, and delightful inspiration. Her message of empowerment rings mighty throughout her lectures and stirs a deep sense of motivation amongst course participants.Katrina is the Clinical Liaison for AZPerio, the country's largest periodontal practice. She performs clinically, working alongside Diplomates to the American Board of Periodontology in the surgical operatory. Katrina perfected techniques during L.A.N.A.P. surgery, suture placement, IV therapy, and blood draws. She instructs on collaborative professionalism and standard-of-care protocols while delivering education through hygiene boot camps and study clubs.Resources mentioned:Website: www.katrinasanders.comInstagram: https://www.instagram.com/thedentalwinegenist/Program: https://katrinasanders.com/speaking/https://smilesource.com/exchangeMore Helpful Links for a Better Practice & a Better Life:The Best Practices Show: https://www.actdental.com/podcast/Smile Source Community Hub: https://www.actdental.com/community-hubUpcoming Events & Workshops: https://www.actdental.com/events/Smile Source: https://www.smilesource.com/Subscribe on Apple Podcasts: https://podcasts.apple.comSubscribe on Spotify: https://open.spotify.com
Do you keep starting a new Hashimoto's protocol, only to abandon it a few weeks in when something newer shows up? If that cycle feels familiar, you are not lacking discipline. You are missing a filter. In this episode, Esther explains why do I keep starting over with Hashimoto's protocols, and it is not the reason you think. The real issue is that every new supplement or protocol lands with equal weight because there is no way to sort it against what you are already doing. In this episode, you'll learn: The real reason starting over feels like progress, even when it isn't The two bucket filter (thyroid or immune) for sorting anything new that crosses your feed Four questions to ask before you try another supplement or protocol Hit play to get the filter that stops the cycle for good. Hashimoto's Decoded: Thyroid or Immune Finally understand what's actually happening in your body. https://healthwithhashimotos.com/hashimotos-decoded/ Hashimoto's Discernment Coaching Not more information. A way to think about all of it. https://healthwithhashimotos.com/book-now/ ABOUT THE PODCAST & ESTHER: The Health with Hashimoto's podcast will help you explore the root causes of your autoimmune condition and discover holistic solutions to address your Hashimoto's thyroiditis. It is hosted by Esther Yunkin, a registered nurse, holistic health educator, and Hashimoto's warrior. This podcast is for informational and educational purposes. Please discuss any questions or concerns with your healthcare professional. These statements have not been evaluated by the Food and Drug Administration. Products mentioned are not intended to diagnose, treat, cure or prevent any disease.
Charlotte Greenway in for Nick and joined by the Racing Post's Lee Mottershead. To kick off today's show, Charlotte catches up with Gavin Chengalanee, racing manager to George Waud, after Maltese Cross's victory in Paris last night as he shares what that meant and what might be next for the talented colt. Joseph O'Brien looks ahead to his runner this weekend including his three in the Irish Oaks, Thundering On being one. Joe Fanning is along to share why now he feels it's the right time to retire from the saddle after nearly 40 years but promises he'll still very much be involved in the industry. Then news from the bloodstock world, Tim Kent shares what we can expect from this year‘s Goffs Premier yearling sale as the catalogue has just been released and further afield Adrian Todd of South Africa's Equine Health and Protocols shares his delight at Great Britain's decision to permit the direct import of live horses from South Africa to Great Britain. Then to finish off today's show, we get our final update from Hong Kong of the 2025/26 season with J McGrath.
Send us Fan MailSpencer Feldman is a multiple patent-holding inventor, master formulator, detoxification expert, and founder of RemedyLink. For more than 20 years, Spencer has researched and developed detoxification protocols and wellness products focused on helping people reduce toxic burden, support the body's natural detox pathways, and optimize long-term health.His work in detoxification and alternative health has helped shape an entire segment of the wellness industry — particularly in the areas of environmental medicine, heavy metals, biofilms, chronic illness support, and detox protocols.After struggling with his own health challenges, Spencer became obsessed with understanding why so many people remain chronically sick despite modern medicine.Today, Spencer is known for simplifying complex health concepts into fascinating, practical conversations that deeply resonate with podcast audiences. He combines scientific depth, unconventional thinking, personal experience, and highly actionable insights in a way that makes listeners rethink how health actually works.He is the author of the book Notes Of a Master Formulator- Principles and Protocols for Detoxification, Microbiome, and Environmental MedicineFind Spencer at-https://remedylink.com/Find Boundless Body at-myboundlessbody.comBook a session with us here!
Charlotte Greenway in for Nick and joined by the Racing Post's Lee Mottershead. To kick off today's show, Charlotte catches up with Gavin Chengalanee, racing manager to George Waud, after Maltese Cross's victory in Paris last night as he shares what that meant and what might be next for the talented colt. Joseph O'Brien looks ahead to his runner this weekend including his three in the Irish Oaks, Thundering On being one. Joe Fanning is along to share why now he feels it's the right time to retire from the saddle after nearly 40 years but promises he'll still very much be involved in the industry. Then news from the bloodstock world, Tim Kent shares what we can expect from this year‘s Goffs Premier yearling sale as the catalogue has just been released and further afield Adrian Todd of South Africa's Equine Health and Protocols shares his delight at Great Britain's decision to permit the direct import of live horses from South Africa to Great Britain. Then to finish off today's show, we get our final update from Hong Kong of the 2025/26 season with J McGrath.
Surgery doesn't end when you leave the operating theatre. And in fact, it begins long before you step into the hospital. Dr Rob Whitfield is a surgeon intent on doing things differently for his patients aka doing things better. From informed consent, to holistic and personalized post-op care and removing toxic implants, he is setting a new standard. With AI, regenerative medicine, and direct-to-consumer biotechnology the future isn't just better surgery but smarter preparation and recovery.Dr. Robert Whitfield understands what you're going through. He has listened to thousands of patients describe the same experience: symptoms that don't add up, doctors who dismiss them, and a desperate search for someone who will take them seriously.As a board-certified plastic surgeon certified by the American Board of Plastic Surgery, Dr. Whitfield has published the largest PCR-tested explant capsule series in the world, presented at major medical conferences, and built a patient education library with over 26 million views. He created the SHARP Method specifically because standard surgical care wasn't enough for his patients.ContactWebsite - https://www.drrobertwhitfield.com Join us as we explore:The unappreciated risks of breast implants, breast implant illness and genuine informed consent.What Dr Whifield's has learnt removing implants and testing them, and his unique SHARP method. Genetic sequencing, AI, genomic supplementation and where the standard of care is heading, including surgical robots.MentionsScience - Dr Whitfield's research and publications, https://www.drrobertwhitfield.com/media/researchSupport the showFollow Steve's socials: Instagram | LinkedIn | YouTube | Facebook | Twitter | TikTokSupport the show on Patreon:As much as we love doing it, there are costs involved and any contribution will allow us to keep going and keep finding the best guests in the world to share their health expertise with you. I'd be grateful and feel so blessed by your support: https://www.patreon.com/MadeToThriveShowSend me a WhatsApp to +27 64 871 0308. Disclaimer: Please see the link for our disclaimer policy for all of our content: https://madetothrive.co.za/terms-and-conditions-and-privacy-policy/
Peptides are being treated like the missing piece in recovery, skin longevity, fat loss, performance, and aging. The usual belief is that if you find the right compound, the right dose, or the right stack, the body will finally respond the way you want it to. But what if the protocol is not the first thing that needs to be fixed?In this episode of Biohacking Beauty, I sit down with Chris Duffin to unpack what most peptide conversations skip: the state of the body receiving the signal. They get into why cellular terrain matters, what happens when people chase regenerative tools before the foundation is ready, and how skin can reveal whether the body is actually prepared to adapt, repair, and age well.Chris Duffin is the Human Performance Expert, an internationally recognized authority in human performance science, and the first person in history to squat and deadlift over 1,000 pounds for multiple reps. His work sits at the intersection of strength, resilience, peptide science, executive performance, and regenerative health, which makes this conversation a rare look at what it actually takes to build a body that can respond to advanced tools instead of just relying on them.What's Discussed:(02:15) Why peptides are powerful, but not the whole answer.(05:12) What cellular terrain has to do with regeneration.(09:18) Why looking healthy does not always mean the body is resilient.(15:07) How peptides fit into a bigger recovery and longevity strategy.(27:09) What peptide reactions may reveal about the body underneath.(50:06) Why skin rejuvenation depends on the body's ability to respond.(01:06:05) How peptide hype is changing the longevity conversation.Listen to this episode of Biohacking Beauty to understand what needs to happen inside the body before peptides, procedures, or any regenerative tool can actually move the needle.Resources Mentioned:Age-Associated Changes in Oxidative Stress and NAD+ Study: journals.plos.org/plosone/article/ FASEB study on how methylene blue delays cellular senescence cells: faseb.onlinelibrary.wiley.com/doi/ Find more from Young Goose:Use code PODCAST10 to get 10% OFF your first purchase, and if you're a returning customer use the code PODCAST5 to get 5% OFF at younggoose.comInstagram: @young_goose_skincareFind more from Chris Duffin: Instagram: @mad_scientist_duffinWebsite: enhancedexecutive.com/
Bob Zimmerman — SETI has tightened protocols for announcing alien life to prevent "clickbait" claims lacking evidence, with scientists encouraged to be more transparent about mistakes and maintain anonymity during discoveries; future missions include deploying helicopters to Mars and launching the Habitable Worlds Observatory in the 2040s. (16)
What if I told you one of the biggest reasons your orthodontic results don't last has nothing to do with braces or aligners?As orthodontists, we're trained to move teeth—but lasting results depend on much more than mechanics. In this episode, I sit down with Autumn Henning, speech-language pathologist, certified orofacial myologist, founder of Chrysalis Orofacial, and one of the leading educators in the myofunctional therapy world, to talk about something every orthodontist should understand: oral function matters.We dive into what myofunctional therapy actually is, why airway treatment requires an interdisciplinary approach, and why no single provider—or appliance—can solve every airway or sleep-related issue. Autumn explains how speech, swallowing, breathing, tongue posture, and orthodontics all work together, and why better diagnosis always leads to better outcomes. If you're treating growing patients—or simply want more stable orthodontic results—this episode will change how you think about collaboration and patient care.*Quotes*"Protocols are probabilities. They work a lot of the time, but they're never going to work 100% of the time." *— Autumn Henning*"I believe there's a reason for everything. I don't accept 'idiopathic' without asking why." *— Autumn Henning**Key Takeaways*Intro (00:00)Autumn's background & oral function trifecta (01:59)How Chrysalis and Touch Training were created (03:51)Why orthodontics can't solve airway problems alone (04:49)What myofunctional therapy actually is (06:21)Hardware vs. software (09:16)Why interdisciplinary care matters (11:31)What happens during a myofunctional evaluation? (22:03)Virtual vs. in-person therapy (25:11)Treatment timeline & investment (27:44)Why school speech therapy often misses these patients (34:05)The future of airway treatment is collaboration (37:11)*
Building a cardiogenic shock program isn't just clinical, it's a system redesign. In this episode, host Shane Turner sits down with Jenny Sinclair, ECMO Coordinator at Saint Louis University Hospital to break down what it takes to develop and launch a regional cardiogenic shock program.As a critical care nurse with 12+ years of experience in mechanical circulatory support, Jenny shares practical, evidence-based strategies for implementing protocols, aligning teams across hospitals with varying resources, and overcoming real-world barriers so more patients can be identified sooner, transferred faster, and treated more consistently.
Send us Fan MailEddie Rodriguez is a returning guest on our show! Check out his first appearance on episode 955 of Boundless Body Radio!Eddie Rodriguez is the founder and host of BrainHeal(th), an educational YouTube channel dedicated to sharing what he and his family have learned and are learning in caregiving for his father, diagnosed with early-onset Alzheimer's disease.Eddie is an advocate for metabolic neurology, metabolic psychiatry, and cognitive health strategies, like the Bredesen Protocol, for the prevention and treatment of neurological and psychiatric disorders. With extensive experience in commercial financing, corporate- and sales-process consulting, and leadership development, he combines his professional expertise with a passion for transforming how mental and neurological conditions are framed and treated going forward.He is also the Board President of Metabolic Collective, a new 501(c)(3) whose mission is to accelerate the real-world adoption of metabolic therapies (especially ketogenic protocols) for serious mental illness and neurological disorders by building a global, peer-led grassroots movement.Find Eddie at-YT- @BrainHeal_th_https://metaboliccollective.org/Find Boundless Body at-myboundlessbody.comBook a session with us here!
Headline: SETI Protocols and the Scientific Search for Extraterrestrial Life Guest: Michael Garrett Michael Garrett introduces updated SETI protocols for handling potential contact with extraterrestrial intelligence. The guidelines emphasize the scientific method and verification to avoid false alarms. Garrett suggests searching for machine technology or waste heat from advanced civilizations across the electromagnetic spectrum. (15)1951 ATOMIC ATMOSPHERE TEST
Justin (20-year 75th Ranger Regiment veteran) and Coach Sarah Maschino break down MTNTOUGH's new 9-week AFT prep program, “The Standard.” Designed specifically for the Army Fitness Test (trap bar deadlift, hand-release push-ups, plank, sprint-drag-carry, and 2-mile run), this program delivers progressive strength, smart run training, combat-focused kit days, and vertical gain work. Built for soldiers who already train hard year-round, it balances volume and recovery while building the discipline and mental toughness needed to perform under pressure. Also excellent for other tactical athletes and civilians wanting a structured 9-week strength + conditioning block.This program is available now! Check it out here: https://lab.mtntough.com/programs/collection-resx8gv4cbm?category_id=280074V I D E O S TO W A T C H N E X T
In this episode, Christina Prevett discusses the pitfalls of standardized post-operative protocols, emphasizing the importance of individualized care and clinical judgment in rehabilitation. She highlights how rigid protocols can hinder patient recovery and professional autonomy. Key Topics: The limitations of surgeon-prescribed protocols The importance of clinical judgment in rehab Research evidence on post-op rehab effectiveness The impact of protocols on therapist autonomy Patient variability and personalized care The influence of healthcare policies on rehab practices The role of research in shaping rehab guidelines Strategies for advocating for autonomous practice 00:00Introduction to Post-Operative Protocols 02:53The Limitations of Standardized Protocols 06:10The Need for Individualized Care 08:54Research and Its Impact on Rehabilitation 11:49Advocating for the Role of Physical Therapists/ Occupational Therapists
This episode reframes jet lag as a deeper physiological stress caused by circadian disruption affecting hormones, digestion, immunity, mood, and energy—especially if your baseline includes poor sleep, inflammation, gut issues, or blood sugar instability. You'll get a three-phase protocol for before, during, and after flying: start hydrating with electrolytes 3–4 days ahead, eat clean, nutrient-dense meals, avoid alcohol, and use light strategically based on travel direction (east: earlier bedtime + morning sunlight; west: later schedule + evening light). 00:00 Jet Lag Reframed00:48 What You'll Learn02:53 Why Jet Lag Hits Hard04:57 Pre-Flight Prep06:42 Light and Food Timing08:50 In-Flight Survival11:08 Post Landing Reset13:40 Recovery Tools14:13 Frequent Flyer Mindset15:36 Extra Travel Hacks16:53 Recap and Action Steps18:54 Gear and Routine Tips20:59 Final Wrap UpOrder supplements: https://us.fullscript.com/welcome/tripleplayperformanceBlue Blockers (code: TRIPLEPLAYDOC): https://spectra479.com This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit tripleplaydoc.substack.com/subscribe
Cesar Millan is a world-renowned dog behavior expert. We discuss how to adjust your energy and behavior to ensure your dog is calm and happy and always follows your lead. Cesar shares specific tools for: returning home to your dog each day, structuring their walks, and eliminating aggressive behaviors and anxiety. We discuss how to determine if your dog is front, middle, or back of the pack order—a hardwired feature that determines much of their needs and personality. And we explore how human-human interactions are based on balances in energy, too. Both dog owners and non-owners will gain extremely valuable insights and tools from this episode. Read the episode show notes at hubermanlab.com. Pre-order Protocols: https://protocolsbook.com Thank you to our sponsors AG1: https://drinkag1.com/huberman LMNT: https://drinklmnt.com/huberman Joovv: https://joovv.com/huberman Eight Sleep: https://eightsleep.com/huberman Function: https://functionhealth.com/huberman Timestamps (00:00:00) Cesar Millan (00:03:54) Animal Instincts & Human Energy (00:06:31) Spirit, Sending Energy, Tool: Silence, Calm & Confident (00:16:48) Sponsors: LMNT & Joovv (00:19:30) Walking Dog; Pack Order, Tool: Picking a Puppy (00:26:44) Human & Dog Hierarchy; Greeting Dog, Tool: No Look, No Touch, No Speak (00:35:11) Calm Dog, Structured Walk, Tool: Weighted Backpack (00:44:17) Sponsor: AG1 & Eight Sleep (00:46:57) Exercise, Discipline & Affection (00:50:23) Relationship to Death, Spirituality (00:55:30) Human Energy, Rescue Dogs; Sensing Stress (01:01:36) Animal Intelligence, Cats; Being a Pack Leader (01:07:27) Calm Greeting, Humanizing Animals, Safety & Security, Anxious Dogs (01:12:41) Safety & Horses, Respecting Dogs; Human Selfishness, Pack Leader (01:21:31) Sponsor: Function (01:23:15) Human Leaders; Pack Order, Prioritizing Affection (01:32:17) Picking Human Partners, Good Pack Leaders (01:44:40) Dog & Testing Boundaries, Tool: Calm & Confidence (01:52:34) Cultivating Self-Awareness & Self-Discipline, Life Values (01:58:02) Clearing Mind, Tool: Cold Plunge (02:02:22) Honoring Pet Death, Celebration, Expressing Sadness (02:12:13) Understanding Energy, Dog Training & Hard Work (02:17:25) Dog Breeds & Exercise, Fostering Dogs; Spay & Neuter, Humping (02:23:50) Petting Dogs; Barking & Destructive Behaviors, Tools: Early Walks, Challenges (02:31:31) Spirit & Instincts, Training Humans; Acknowledgements (02:35:50) Zero-Cost Support, YouTube, Spotify & Apple Follow, Reviews & Feedback, Protocols Book, Sponsors, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
June was a long month, and Jonah Goldberg is feeling entitled to a little bit of self-indulgence. Instead of turning to the bottle, however, he has opted for a rollicking, frolicsome ramble through the deep history of conspiracy theory. Jonah is joined by Andrew McKenzie-McHarg, author of the definitive volume on the topic, to discuss conspiracy theory (singular), etymology, secularization, 19th-century social science, the paranoid style, The Protocols of the Elders of Zion, Argentina, magic and science, antisemitism, apocalyptic thinking, Karl Popper, Richard Hofstadter, Karl Marx, World War I, Donald Trump, social media, institutions, and Catholicism. Show Notes: —Andrew McKenzie-McHarg - The Hidden History of Conspiracy Theory —Jesse Walker - The United States of Paranoia: A Conspiracy Theory —Richard Hofstadter - “The Paranoid Style in American Politics” —Jesse Walker review of The Hidden History of Conspiracy Theory in Reason The Remnant is a production of The Dispatch, a digital media company covering politics, policy, and culture from a nonpartisan perspective. To access all of The Dispatch's offerings—including the Saturday Ruminant, audio versions of all our articles and newsletters, and Jonah's twice-weekly G-File—click here. Instructions on how to set up your members-only feed can be found here, and if you'd like to remove all ads from your podcast experience, consider becoming a premium Dispatch member by clicking here. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Optimal Body podcast, Doctors of Physical Therapy Doc Jen and Doctor Dom explore the critical link between walking speed and overall health in older adults. They discuss research showing that resistance training can significantly improve gait parameters, emphasizing that muscle power is the most important modifiable factor influencing walking speed. The hosts highlight key exercise like calf raises, hip abduction, and squats, stressing the need for progressive overload to stimulate real muscle adaptation and improve gait. They encourage listeners of all ages to prioritize strength training to reduce fall risk, support cognitive health, and improve longevity. Ultimately, the episode underscores health tips on how targeted exercise can improve gait and overall quality of life. Zulu Weighted Vest: Upgrade your everyday movement with the ZULU Weighted Vest — designed to increase calorie burn, naturally engage your core, and improve posture with every step. Perfect for walks, workouts, and daily errands. Use code OPTIMAL for 20% off at checkout. Needed Discount: Jen trusted Needed Supplements for fertility, pregnancy, and beyond! Support men and women's health with vitamins, Omega-3, and more. Used by 6,000+ pros. Use code OPTIMAL for 20% off at checkout! We Think You'll Love: Free Longevity Webinar Jen Health Discount Jen's Instagram Dom's Instagram YouTube Channel For full show notes and resources visit https://jen.health/podcast/468 What You'll Learn: 2:01 Gait Speed as the Sixth Vital Sign 4:43 Why Walking Speed Matters 6:16 Gait Speed and Longevity 8:50 The Importance of Muscular Power 9:37 Preventing Age-Related Muscle Loss 11:05 Key Findings from the Research 12:42 The Importance of Progressive Overload 15:30 Most Effective Exercises for Gait Speed 16:10 How to Progress Exercises Safely 19:20 Applying These Principles to Daily Life 20:14 Starting a Strength Training Routine 21:41 Training to Failure Explained 23:27 The Value of Supervised Training Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Ever feel like your energy is entirely trapped in your head, spinning like a top while your physical body feels running on empty? Welcome to Day 1 of The Resonance Roadmap: 7 Days of Chakra Energy Regulation. This classic session was recorded during the collective pause of the pandemic, capturing a rare, uniquely potent energy designed for raw stability and absolute comfort. Tonight, or whenever you press play, we dive into the Root Chakra—the biological foundation of your entire nervous system. When stress hits, your vital life force instinctively flies upward to power a hyper-vigilant brain, leaving your physical roots completely dry and depleted. This episode hands you the direct keys to reverse that biological drain. You'll learn the neuro-somatic science of how dropping your awareness into the base of your spine instantly signals your adrenal glands to stop pumping cortisol. The payoff? Immediate relief from the invisible weight of daily deadlines, a profound dropping of your shoulders, and a deep, delicious sense of physical safety. You don't have to keep forcing your way through the mental static. Hit play, claim your stability, and let your body remember how it feels to be completely supported.
There's no shortage of advice when it comes to gut health right now.Parasite cleanses. Heavy metal detoxes. Protocols that promise to fix everything in a matter of weeks.And if you've been dealing with bloating, fatigue, constipation, or symptoms that never quite resolve, it makes sense why those promises are so appealing.But what if some of the things you're doing to heal are actually putting more stress on your body instead of helping it?In this episode of Message in the Middle, Marianne sits down with Dr. Kate Davis, a licensed chiropractor and Functional Medicine doctor whose own decade-long struggle with chronic gut issues led to the discovery of a significant parasite infection that had been missed for years.Together, they unpack what's really happening beneath the surface when gut healing doesn't work, why jumping into detox protocols too quickly can backfire, and how to approach healing in a way that actually supports the body.This conversation is honest, eye-opening, and deeply validating for anyone who feels like they've already tried everything and still isn't getting results.In this episode, we cover: Why parasite cleanses and detox trends can sometimes do more harm than good What's actually happening in the body during strong “detox reactions” The biggest gut health myths circulating right now Why gut healing often fails, even when you're doing all the “right” things What “expensive pee” really means and why absorption matters The correct order of healing and why skipping steps can keep you stuck How gut health connects to stress, trauma, and the nervous system Where to start if you feel overwhelmed, discouraged, or out of options If you've ever felt like your body isn't responding the way it should, this episode will help you understand why and remind you that you're not as stuck as you think.Connect with Dr. Davis: WebsiteInstagram DM me the number ‘100' on Instagram (@drkatedavis) and I'll give you $100 off an initial consult + labs packageYouTube Podcast (Unconventional Medicine) Connect with Marianne:Website: Message In The Middle with MarianneMessage In the Middle Facebook Group: https://www.facebook.com/groups/422430469323847/YouTube: https://www.youtube.com/@MessageInTheMiddle/playlistsLinkedIn: https://www.linkedin.com/in/marianne-demello-smith-678b9966Email: Contact | Message In The Middle with MarianneSubscribe to Message In the Middle:Apple PodcastsSpotifyYouTubeLeave Us a Review: If you enjoyed today's episode, please leave a review and share your favorite takeaway. Your feedback helps us reach more listeners and bring you even more valuable content.Keep the conversation going - Join us for more insightful conversations in the Message in the Middle Private Facebook Community & subscribe to Message in the Middle podcas...
Dr. Elizabeth Yurth, co-founder of Boulder Longevity Institute, is one of the rare physicians who spent 30 years in orthopedic and sports medicine before pivoting to longevity and regenerative medicine. This episode covers joint health in women, osteoarthritis, bone density, peptides, perimenopause, hormones, mitochondrial health, and the regenerative protocols most women have never been offered.What she found after decades of patching people together: we have been thinking about joint disease completely wrong. Osteoarthritis is not a wear and tear condition. It is a metabolic disease driven by mitochondrial dysfunction, hormonal decline, and chronic low-grade inflammation, and it can be prevented, slowed, and in many cases reversed if you start addressing it at the root.Most women wait until something breaks before paying attention. By then, the damage has been building for years. The interventions that actually work are available now. They are just not in the standard conversation.Join the most comprehensive *female-specific community for health and longevity optimization.* After over a decade dedicated to human performance and women's health, I created this space to share everything you need to know to optimize health and lifespan. Inside, you'll get access to exclusive protocols, live Q&As, the latest female longevity science, and a private, supportive community of like-minded women.https://kayla-barnes-lentz.circle.so/checkout/become-a-memberIn this conversation we explore:Why osteoarthritis is not a wear and tear disease and what the research actually showsHow progesterone protects your ligaments, tendons, and bone (and why estrogen gets all the credit)Why birth control creates the perfect storm for joint and ligament injuryWhy mitochondrial dysfunction is at the root of joint disease, muscle loss, and brain decline and why you have to repair before you revHip fractures carry a 25% mortality rate in women, and most have never had a DEXA scanConnect with Kayla:Instagram: https://www.instagram.com/kaylabarnes/TikTok: https://www.tiktok.com/@femalelongevityTwitter:https://x.com/femalelongevityWebsite:https://www.kaylabarnes.com/Spotify: https://open.spotify.com/show/4OLWWn22RGB0argbRPvAaQ?si=8e91b3c9e0ce4054Apple: https://podcasts.apple.com/us/podcast/longevity-optimization-with-kayla-barnes-lentz/id1591130227Follow Her Female Protocol: https://www.protocol.kaylabarnes.comLearn more about Dr. Elizabeth Yurth:Website: https://boulderlongevity.com/ Instagram: https://www.instagram.com/dryurth/YouTube: https://www.youtube.com/@dryurth #longevity #womenslongevity #peptides #jointhealth #bonedensity #musclebuilding #mitochondria #regenerativemedicine #perimenopause #womenshealth #biohacking #osteoarthritis #hormones #longevityoptimization
June 2026 Bizarre News - Paranormal Podcast This month's Bizarre News covers four stories that somehow span the full spectrum of weird — starting with a ghost hunting vlogger in Malaysia who went live, disappeared mid-stream for 40 hours, and was eventually found in a public restroom in a weakened state with zero explanation for where he'd been. We also got into a new UN-backed protocol that now requires international approval before anyone can respond to potential alien signals, which sounds very responsible and also like the most frustrating thing imaginable when the aliens are literally trying to text us back. And then Brazil had a whole situation where the national emergency alert system got hacked and sent millions of people messages saying "humans, we have arrived, we are not your friends" — right on the heels of a viral UFO video from the country that allegedly led to men in black SUVs circling the guy's house — while we also covered the brand new North American Cryptid Museum that just opened in Plano, Texas, with 75 full-size lifelike cryptid recreations, park ranger guides, and a scent box that lets you smell the skunk ape.
Show DescriptionIn praise of a solid Shure microphone (sponsor??), AI being really helpful in certain situations, TypeScript complaints about complaining, TypeScript at CodePen, should we all slow down a bit, CI jail and work trees, AT Proto and related protocols, interestForElement in HTML, and how many spoons do you have left for Clues by Sam? Listen on WebsiteLinks MV7+ - Podcast Microphone - Shure USA Lit Devin | The AI Software Engineer Understanding Standard.Site Now in your timeline: Standard.site brings richer previews from across the open web - AT Protocol tv for developers — CodeTV HTMLButtonElement: interestForElement property - Web APIs | MDN Using interest invokers - Web APIs | MDN Spoons by Sam - daverupert.com htmx ~ Code is Cheap(er) SponsorsMacroMacro is a tool to cut through the noise - It's a workspace built for engineers; One place for all your emails, tasks, team chat, and documents. Sign up at Macro.com and get $100 of your subscriptions using code SHOPTALK100
Download our App for Android and Apple here: https://onelink.to/8d3fhuChrist Is King: America After Trump — November 12–14, 2026 in Dallas, Texas. Tickets are limited. Register now to secure your seat!https://newchristianright.com/conference/SPONSORS:Paleovalley – If you're trying to eat clean but still need something convenient, these 100% grass-fed beef sticks are a solid option. High-protein, gut-friendly, and made without the junk found in most processed snacks.Use Code: NXR26 To Grab 15% off their Grass-Fed Beef Sticks here: https://paleovalley.com/promos/nxr-studios-multi-product-page?utm_source=youtube&utm_campaign=nxr
In this Huberman Lab Essentials episode, I explain the biology of flexibility and discuss the organ systems that shape range of motion and limb flexibility. I also discuss different types of stretching, which methods are most effective, and practical tools for timing stretching relative to exercise. Finally, I provide specific protocols for how intensely and how often to stretch to maximize flexibility, support exercise performance, and offset age-related losses of flexibility. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman LMNT: https://drinklmnt.com/huberman Eight Sleep: https://eightsleep.com/huberman Timestamps (00:00:00) Flexibility (00:00:22) Muscle, Nerves & Connective Tissue; Range of Motion (00:03:16) Golgi Tendon Organs, Load Sensing (00:04:41) von Economo Neurons, Body Discomfort, Stretch Relaxation (00:11:11) Sponsor: LMNT (00:12:43) Types of Stretching: Dynamic, Ballistic, Static & Proprioceptive Neuromuscular Facilitation (PNF) (00:15:43) Tool: Static Stretching Protocol, Frequency (00:18:33) Warming Up for Stretching, Exercise (00:20:37) Sponsor: Eight Sleep (00:21:55) Static Stretching & Aging (00:22:18) Tool: Anderson Method, Feeling the Stretch (00:23:44) Low Intensity Stretching, Tool: "Micro-Stretching" (00:27:22) Should You Stretch Before Exercise? (00:29:01) Sponsor: AG1 (00:30:20) Insula, Pain Tolerance & Yoga (00:35:10) Recap of Stretching Protocols Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices
"Same Protocols, Same Deadly Results" Monica Babcock joins Silk to discuss her husband and the protocols she believes took his life! Tonight at 10pm ET on Lindell TV.. #DiamondandSilk http://DiamondandSilkMedia.com Use Promo Code: DIAMOND or TRUMPWON 1. http://DiamondandSilkStore.com2. https://thedrardisshow.com/shop-all/?aff=123. http://PatchThat.com4. https://cardiomiracle.com/?ref=DIAMOND5. https://MyPillow.com/TrumpWon6. https://DrStellaMD.com7. https://www.Curativabay.com/?aff=18. http://MaskDerma.comSee omnystudio.com/listener for privacy information.
Molly Sims is a model, actress, producer, founder of YiSE Beauty, and host of the Lipstick on the Rim podcast. After decades in the beauty and fashion industry, she's amassed an incredible wealth of knowledge on what actually works when it comes to looking and feeling your best.In this episode, Molly shares the beauty lessons she's learned from modeling around the world, why she's more confident in her 50s than she was in her 20s, and how she shifted from seeking external validation to finding confidence from within.We discuss the European approach to aging, why restraint is often the key to looking great as you get older, and the importance of staying true to yourself rather than chasing every beauty trend. Molly also opens up about dealing with acne, hyperpigmentation, and insecurities throughout her career, despite being one of the industry's most recognizable faces.Plus, we get into her favorite lasers and beauty treatments, her peptide obsession, exact Sports Illustrated prep, five-minute makeup routine, fragrance favorites, how to find great providers, and the best and worst beauty advice she's ever received.You can find Molly @mollybsims on Instagram, and don't forget to check out her beauty brand @yisebeauty.This episode is brought to you by:Visit hungryroot.com/blonde to get 40% off your first box and a free item of your choice.Visit ProlonLife.com/BLONDE to get 15% off their 5-day nutrition program.Head to armra.com/WELL or enter WELL to get 30% off your first subscription order.Go to fatty15.com/WELL and use code WELL at checkout for an additional 15% off their Starter Kit.Go to Ritual.com/WELL for 25% off your first month.Head over to thisisneeded.com and use code WELL for 20% off your first orderHead to ladder.fit/WELL for a 7-day free trial and $10 off your first month.This episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.Produced by Dear Media See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.