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Our dear friends invited us to an event this weekend in LA… they are partnering with Gary Brecka to build Ultimate Longevity Centers which will bring treatments and testing that just hasn't been easily accessible before now. I believe the way we look at aging is outdated and I'm going to share the biggest take aways I got from his on stage message and chatting with him one on one. We are talking about very practical starting points and Gary Brecka's actual morning health routine. Stop waiting until something is wrong to start taking care of your body. We have been taught this idea that getting older automatically means getting weaker, having less energy, gaining weight, losing muscle, sleeping worse, becoming more anxious, needing more medications and eventually developing all of the diseases that "run in our family." Gary challenges a lot of that thinking. His message is essentially… What if we became obsessed with keeping our bodies functioning incredibly well for as long as possible? What if instead of asking, "How do I treat disease once I have it?" we asked, "How do I create a body that is incredibly difficult for disease to thrive in?" And then there's the longevity piece that completely fascinates me. Gary believes we're entering a period where medicine, AI, biological data and longevity research are going to advance so rapidly that lifespan could look radically different in the future. Maybe 120. Maybe beyond. We don't know. But what we do know is that we need to keep ourselves healthy enough NOW to benefit from whatever becomes possible later. So today's episode is about doing the things that give you the strongest, healthiest, most capable body possible. I've been listening to Gary Brecka talk about health, longevity, anxiety, genetics, sleep, sunlight, oxygen, muscle, bloodwork and what he believes is coming next in longevity science. THE BIG IDEA: YOUR HEALTH IS BUILT EVERY DAY One of my biggest takeaways from Gary is that health isn't something we deal with when there's a problem. It's something we're building every single day. Your sleep last night matters. What you do when you wake up matters. Whether you move your body matters. Whether you maintain muscle matters. Your metabolic health matters. Your stress matters. Your relationships matter. Your nutrition matters. Your environment matters. And individually, none of these things feels life-changing. But repeated for years and decades… they become your life. Gary describes his routine as simple, portable and repeatable. I LOVE that. Because the best health routine isn't the $100,000 biohacking setup. It's the one you'll actually do every day. HABIT #1: HYDRATE BEFORE YOU DO ANYTHING ELSE Gary starts his morning with water and minerals. One version of his routine is a large glass of room-temperature water with mineral salt and sometimes lemon. His current routine also frequently includes mineral salt, hydrogen water and essential amino acids. Wake up and hydrate. You've just spent roughly eight hours without drinking anything. Don't make coffee your first liquid of the day. Put water next to your bathroom sink. Put it next to your coffee machine. Make it automatic. Gary likes mineral salt because sodium and other minerals participate in fluid balance and normal nerve and muscle function. HABIT #2: GET OUTSIDE FIRST THING Gary says to get outside within the first part of your morning and get natural outdoor light into your eyes. His routine generally calls for about 10 minutes outside. Morning light helps tell your brain: It's daytime. Start the clock. Light is one of the strongest environmental signals for the circadian system. Properly timed morning light can shift circadian timing earlier and increase daytime alertness. And I love thinking of sleep this way: Your good night's sleep starts in the morning. We tend to think sleep health starts when we crawl into bed. But your body has been receiving signals all day telling it when to be awake and when to prepare for sleep. HABIT #3: BREATHE ON PURPOSE Gary talks about oxygen constantly. His personal morning practice has included three rounds of deep breathing followed by breath holds. And this connects to another thing we've been talking about: Anxiety. I love the idea that when you feel anxious, you shouldn't immediately decide: "I'm an anxious person." Anxiety is a state your nervous system is experiencing. Sometimes your thoughts are driving your physiology. And sometimes your physiology can amplify anxious thoughts. Either way, changing the physical state can sometimes help change the mental state. Research on structured breathwork has found modest improvements in stress and anxiety, although it isn't a cure-all and the quality of studies varies. HABIT #4: GIVE YOUR BRAIN SILENCE Gary often combines his morning breathing with quiet, gratitude and reflection. He has described sitting quietly for around 10 minutes, looking toward the horizon or closing his eyes and thinking about gratitude. (PodScripts (https://podscripts.co/podcasts/the-ultimate-human-with-gary-brecka/246-gary-brecka-answers-googles-most-searched-questions-on-his-diet-wellness-and-lifestyle?utm_source=chatgpt.com)) Think about how different this is from what most of us do. Eyes open. Phone. Email. Instagram. News. Text messages. Stress. Other people's priorities. And we wonder why we feel overstimulated. TRY THIS: Before consuming everybody else's thoughts… Have some of your own. What am I grateful for? What matters today? Who needs me today? How do I want to feel today? What is actually important? PRACTICAL VERSION: Five minutes. That's it. No phone. No podcast. No input. Just quiet. HABIT #5: USE CONTROLLED DISCOMFORT Cold exposure is another major Brecka habit. If he has access to a cold plunge, he uses it. When traveling, he has said a cold shower works too. But I think there is a bigger lesson here than whether everybody needs to buy a cold plunge. Stop designing your entire life around comfort. Human beings are unbelievably adaptable. Exercise is stress. Heat is stress. Cold is stress. Fasting is stress. Challenging your brain is stress. The key is appropriate amounts of stress followed by recovery. HABIT #6: MOVE EARLY Gary includes movement in his morning routine. But here's what I love: It doesn't need to be a full workout. Walk. Stretch. Squat. Lift. Do yoga. Go outside. Movement tells your body: We're alive. We're using this machine today. And then keep moving after the morning is over. One exceptionally practical habit is walking after meals. Instead of finishing dinner and immediately sitting on the couch… WALK FOR 10 MINUTES. Moving skeletal muscle after eating can help the body handle glucose. You don't need workout clothes. You don't need a gym. You don't even need to sweat. Walk around your neighborhood. Walk your dog. Walk while you're on a phone call. ONE OF THE EASIEST HEALTH RULES: Eat → walk. HABIT #7: BUILD MUSCLE LIKE YOUR FUTURE DEPENDS ON IT This is where I think longevity conversations get really practical. MUSCLE IS NOT JUST ABOUT LOOKING GOOD. Maintaining muscle becomes increasingly important as we age. Resistance training is one of the most powerful non-drug strategies available for preserving and building skeletal muscle. Losing muscle eventually affects: strength balance mobility independence your ability to recover from illness your ability to do normal life You're not building your 2026 body. You're building your 2056 body. HABIT #8: PRIORITIZE PROTEIN AND REAL FOOD- avoid processed foods Gary emphasizes protein and essential amino acids because preserving lean tissue is a major part of his longevity philosophy. The research strongly supports resistance training for preserving muscle, while evidence regarding how much additional benefit comes from protein supplementation specifically is more mixed. HABIT #9: PROTECT YOUR METABOLIC HEALTH I think this deserves WAY more attention. We obsess over weight. Gary talks much more about metabolic health. There is a difference. Weight is one number. Metabolic health includes things like: blood glucose insulin sensitivity blood pressure blood lipids waist circumference fitness body composition Instead of only asking: "How much do I weigh?" Ask: "How well is my body functioning?" Someone can lose weight while losing muscle. Someone can be thin and still have poor metabolic health. PRACTICAL HABITS: Strength train. Walk. Walk after meals. Eat mostly whole foods. Get enough sleep. Maintain healthy body composition. Reduce constant snacking if it isn't serving you. Know your basic health numbers. THE GOAL ISN'T SKINNY. The goal is metabolically capable. HABIT #10: TEST… DON'T JUST GUESS This might be one of my favorite parts of Brecka's philosophy. Stop guessing about everything. If you're exhausted all the time… investigate. If you're unusually anxious… investigate. If your sleep has suddenly changed… investigate. If your energy has disappeared… investigate. If your hormones feel completely different… investigate. If you feel awful despite doing "everything right"… investigate. Don't immediately decide: "I'm getting old." "This runs in my family." "I'm just an anxious person." "My metabolism sucks." "This is just how I am." ASK BETTER QUESTIONS. Could something modifiable be contributing? sleep nutrient deficiencies thyroid function iron status medications hormones metabolic health stress alcohol caffeine environment psychological health This does NOT mean ordering every exotic test on the internet. It means becoming curious about your own biology. HABIT #11: DON'T TURN ANXIETY INTO YOUR IDENTITY This is worth repeating because I think this is such an important mental shift. Instead of: "I AM anxious." Try: "I'm experiencing anxiety." Those are very different statements. One is an identity. One is a temporary condition worth investigating. Gary's message leans heavily toward investigating biology. He talks about things like methylation pathways and MTHFR. There are legitimate genetic influences on anxiety. But anxiety is complex. Research suggests anxiety disorders arise through a combination of genetic vulnerability and environmental influences, not one single "anxiety gene." (PubMed (https://pubmed.ncbi.nlm.nih.gov/15699295/?utm_source=chatgpt.com)) So I would approach it from ALL DIRECTIONS: Calm the body. Investigate the biology. Work on the thoughts. Breathwork. Sleep. Exercise. Less overstimulation. Healthy relationships. Therapy when needed. Medical evaluation when something feels physiologically off. Nutrition. Less caffeine when appropriate. Time outdoors. Don't choose between: "It's psychological." or "It's biological." It can be both. HABIT #12: GENETICS ARE INFORMATION… NOT ALWAYS DESTINY This is another Gary Brecka concept that I think is incredibly empowering when we phrase it accurately. People say: "Diabetes runs in my family." "Anxiety runs in my family." "Heart disease runs in my family." "Autoimmune disease runs in my family." And we can start thinking: Well… I guess that's coming for me too. But genetics often represent susceptibility rather than certainty. Your genes can increase risk. Your environment can increase or decrease risk. Your behaviors matter. Your metabolic health matters. Your exposures matter. Your entire biological environment matters. So instead of thinking: "My family gets this disease." Think: "I may have inherited a vulnerability. What parts of that vulnerability can I modify?" THAT is empowering. Important distinction: Some diseases absolutely are caused by inherited genetic mutations. So we should not say: "Genetic diseases aren't real." They absolutely are. The better message is: Genes can load the gun. They don't always pull the trigger. And with many complex chronic diseases, what ultimately happens involves an interaction between genetics and environment. HABIT #13: STOP THINKING OF SLEEP AS LOST PRODUCTIVITY Sleep is when your body gets to repair. And Brecka's evening routine reflects this. He emphasizes regular sleep, reducing stimulation late at night and setting up the next morning by protecting the night before. My favorite way to think about sleep: Tomorrow starts tonight. Stop trying to squeeze another hour out of your day if it destroys tomorrow. Decide when you're going to bed BEFORE you're tired. Dim things down. Get off your phone. Stop working. Let the nervous system receive a signal that the day is ending. Pick a bedtime and protect it the same way you'd protect an important meeting. NOW LET'S TALK ABOUT LIVING TO 120 The speed of advancement is changing. AI can analyze enormous amounts of biological data. Diagnostics are improving. Scientists are studying the actual biology of aging rather than treating aging purely as an unavoidable decline. Researchers are investigating cellular senescence, epigenetics, regenerative medicine and other mechanisms associated with biological aging. Gary believes these developments could eventually change human lifespan dramatically. And his argument is essentially: Stay alive and stay healthy long enough to benefit from what's coming. That hit me HARD. Because imagine being 75 in the future… But instead of arriving at 75: metabolically sick weak frail sedentary cognitively struggling carrying multiple preventable chronic illnesses You arrive: strong metabolically healthy active engaged cognitively sharp sleeping well maintaining muscle surrounded by people you love THAT is the bridge. Not: "How do I live forever today?" But: "How healthy can I be when tomorrow's medicine arrives?" DON'T JUST CHASE LIFESPAN. CHASE HEALTHSPAN. I don't want to simply exist until I'm 120. I want to LIVE. I want to: travel walk everywhere lift my suitcase play with grandchildren hike swim think clearly learn new things have great conversations have energy be independent laugh have purpose wake up excited THAT is longevity. Not adding years at the end where you can't live. Adding life to the years. WHAT SHOULD WE ACTUALLY DO RIGHT NOW? If you took this entire episode and boiled it down into a daily longevity checklist… MORNING Hydrate. Get outside. Get natural morning light. Breathe intentionally. Spend a few minutes in quiet. Think about gratitude. Move your body. Use cold exposure if you enjoy it and it's appropriate for you. Don't immediately flood your brain with stress. DURING THE DAY Eat nutrient-dense real food. Prioritize protein. Strength train consistently. Walk. Walk after meals. Stay metabolically healthy. Maintain muscle. Build meaningful relationships. Have purpose. Keep learning. Get outside. NIGHT Stop eating mindlessly late into the evening. Reduce stimulation. Get off the phone. Give yourself a predictable bedtime. Sleep. THROUGHOUT YOUR LIFE Know your numbers. Do appropriate preventive screening. Investigate symptoms rather than ignoring them. Don't automatically assume something is "just aging." Don't automatically assume family history means destiny. Continue learning as science changes. Protect your muscle. Protect your metabolism. Protect your brain. Protect your relationships. Protect your sleep. THE SIMPLEST VERSION OF EVERYTHING GARY BRECKA IS SAYING 1. Get sunlight. 2. Breathe. 3. Hydrate. 4. Move. 5. Build muscle. 6. Eat real nutrient-dense food. 7. Protect your metabolism. 8. Sleep like it matters. 9. Challenge your body sometimes. 10. Investigate problems instead of simply accepting them. 11. Don't confuse genetic risk with guaranteed destiny. 12. Don't turn anxiety into your identity. 13. Build relationships and a life that gives you purpose. 14. Stay unbelievably healthy while longevity science continues advancing. And maybe most importantly… DON'T WAIT UNTIL YOU'RE SICK TO BECOME INTERESTED IN YOUR HEALTH. I learned that every single thing that gives me the best chance of being healthy at 120 also gives me a better life at 45. Getting sunlight tomorrow morning makes tomorrow better. Sleeping tonight makes tomorrow better. Building muscle makes this decade better. Eating well makes today better. Getting outside makes today better. Putting my phone down makes today better. Managing anxiety makes today better. Having people I love around me makes today better. So this isn't really an episode about trying to cheat death. It's about refusing to sleepwalk through your health. Your body is the vehicle that carries you through every single experience you're hoping to have. Every trip. Every adventure. Every business idea. Every dinner. Every workout. Every moment with your kids. Every future grandkid. Everything. So take ridiculously good care of it. And instead of looking at aging and thinking… "Well, I guess everything starts going downhill from here…" What if we thought completely differently? What if our goal was: I want to be stronger next year. Healthier next year. More metabolically healthy next year. More informed next year. More capable next year. And then do it again. And again. And again. For decades. Let's make the goal to be fully alive for as much of it as humanly possible. That's the health lesson I'm taking from Gary Brecka. Don't wait for the future of longevity medicine. Build the kind of body today that's ready for it.

What if food is doing far more than providing calories, protein, carbohydrates, and fat? What if every bite is actually delivering information to your genes, cells, microbiome, and biological systems? In this fascinating solo episode, Darin challenges the century-old idea of viewing food simply as fuel and explores what happens when we begin seeing food as biological information. From carrots resembling eyes and walnuts resembling brains to nutrigenomics, plant compounds, biophotons, structured water, living enzymes, and the microbiome, Darin dives into the hidden layers of food that never appear on a nutrition label. He explores established research alongside emerging and controversial areas of science, explaining why the freshness, color, diversity, and wholeness of what we eat may matter far beyond its calorie count. Darin also reveals why "eating the rainbow" is really about consuming a wider library of chemical information and why feeding your gut microbes may be just as important as feeding yourself. This episode will completely change the way you look at what's sitting on your plate. What You'll Learn Why Darin believes the calorie model leaves out some of food's most important biological effects How nutrients and plant compounds can influence gene expression through nutrigenomics and epigenetics Why Darin describes every meal as sending a "memo" to your DNA What biophotons are and the emerging research around light emitted by living cells and foods Why fresh, living foods may carry information that heavily processed foods have lost The theory of structured or "exclusion zone" water in living foods What happens to naturally occurring enzymes when foods are heated and processed Why the colors of fruits and vegetables correspond to different families of protective plant compounds How your food communicates with the trillions of microbes living inside your gut Why dietary diversity and fermented foods may help create a healthier, more resilient microbiome Chapters 00:00:00 – Welcome to SuperLife 00:00:32 – Sponsor: Bite 00:02:47 – The hidden clues sitting inside your food 00:03:22 – Carrots, tomatoes, and walnuts: coincidence or clues? 00:04:13 – Why we've been too busy counting calories 00:04:39 – Food is information 00:04:47 – Why the calorie model leaves out the bigger picture 00:05:14 – Your body isn't a furnace 00:05:48 – How food communicates with your cells 00:06:25 – Nutrigenomics: how food talks to your genes 00:06:53 – Every meal can influence gene expression 00:07:22 – What memo are you sending your DNA? 00:07:52 – The strange science of biophotons 00:09:03 – Why fresh food emits different light than processed food 00:09:37 – Where biophoton research stands scientifically 00:10:26 – Structured water and the fourth phase of water 00:12:00 – What processing may do to water inside food 00:12:37 – Sponsor: Manna Vitality 00:14:35 – The controversial theory of food enzymes 00:15:18 – What we know about enzymes in raw and sprouted foods 00:15:37 – The hidden information missing from nutrition labels 00:15:58 – Can the color of your food unlock your potential? 00:16:16 – Why "eat the rainbow" is chemistry, not mysticism 00:16:38 – Anthocyanins and the power of purple, red, and blue foods 00:17:27 – Color is the plant's natural label 00:18:20 – Every color sends your body a different message 00:18:50 – The problem with the modern "beige diet" 00:19:14 – You're feeding 38 trillion microbes, not just yourself 00:19:46 – How gut bacteria transform fiber into powerful compounds 00:20:25 – The extraordinary conversation between plants and your microbiome 00:21:05 – Why plant diversity matters for immunity, mood, and hormones 00:21:31 – The Stanford fermented food study 00:22:02 – What fermented foods did to microbiome diversity and inflammation 00:22:30 – Ultra-processed food, inflammation, and what's coming next 00:22:45 – Continue the full deep dive on Patreon 00:23:24 – Closing thoughts Thank You to Our Sponsors Bite Toothpaste: Go to trybite.com/DARIN20 or use code DARIN20 for 20% off your first order Manna Vitality: Go to mannavitality.com/ and use code DARIN12 for 12% off your order. Join the SuperLife Patreon: This is where Darin now shares the deeper work: - weekly voice notes - ingredient trackers - wellness challenges - extended conversations - community accountability - sovereignty practices Join now for only $7.49/month at https://patreon.com/darinolien Find More from Darin Olien: Website: darinolien.com Instagram: @darinolien Book: Fatal Conveniences Platform & Products: superlife.com New Show: Roadmap to Happiness Key Takeaway "Food isn't just fuel. Every bite carries information—through nutrients, plant compounds, color, fiber, enzymes, and the interactions it creates with your microbiome. Your body isn't simply counting calories; it's responding to biological signals. So the question isn't only how much you're eating. It's what message you're sending your body every time you sit down to eat." Bibliography/Sources: Food as Information & Nutrigenomics Dutton, R. (2017). Hey, Hippocrates: Food isn't medicine. It's just food. STAT News . https://www.statnews.com/2017/04/10/hippocrates-food-medicine/ Genes and diet in the prevention of chronic diseases in future generations. (n.d.). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC8900696/ Müller, M., et al. (2026). Nutrigenomics and the interface between diet and gene expression. ScienceDirect . https://www.sciencedirect.com/ Nutriepigenomics. (n.d.). In Wikipedia . https://en.wikipedia.org/wiki/Nutriepigenomics Stover, P. J., & Garza, C. (n.d.). Food as exposure: Nutritional epigenetics and the new metabolism. PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC6486241/ Biophotons & Structured Water Bio-photons: The light in your cells, food & water. (n.d.). Watermatters . https://www.yourwatermatters.com/ Biophotons may shed new light on body and brain activity. (2025). Psychology Today . https://www.psychologytoday.com/ Pollack Laboratory. (n.d.). University of Washington. https://pollacklab.org/ Pollack, G. H. (2013). The fourth phase of water: Beyond solid, liquid, and vapor. Ebner & Sons Publishers . The legacy of light: Fritz-Albert Popp and the biomedical power of biophotons. (n.d.). Dr. Clark Store . https://drclarkstore.com/ Enzymes, Sprouting & Traditional Diets Characteristics of traditional diets. (n.d.). The Weston A. Price Foundation . https://www.westonaprice.org/ Edward Howell, MD. (n.d.). The Weston A. Price Foundation . https://www.westonaprice.org/ Germination: An alternative source to promote phytonutrients in edible seeds. (n.d.). Food Quality and Safety . https://academic.oup.com/fqs Howell, E. (1985). Enzyme nutrition: The food enzyme concept. Avery . Nutritional and end-use perspectives of sprouted grains: A comprehensive review. (2021). Food Science & Nutrition . https://onlinelibrary.wiley.com/doi/full/10.1002/fsn3.2477 Price, W. A. (1939). Nutrition and physical degeneration. Price-Pottenger Nutrition Foundation . Study on effect of germination on flavonoid content and nutritional value of different varieties of chickpeas. (2024). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC10787121/ Phytonutrients & Colors Anthocyanidins and anthocyanins: Colored pigments as food, pharmaceutical ingredients, and the potential health benefits. (2017). Food & Nutrition Research . https://pmc.ncbi.nlm.nih.gov/articles/PMC5613902/ Anthocyanins as key phytochemicals acting for the prevention of metabolic diseases. (n.d.). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC6489379/ The therapeutic potential of anthocyanins: Current approaches based on their molecular mechanism of action. (2020). Frontiers in Pharmacology . https://www.frontiersin.org/articles/10.3389/fphar.2020.01300/full Microbiome, Fiber & Fermented Foods From dietary fiber to host physiology: Short-chain fatty acids as key bacterial metabolites. (2016). Cell . https://www.cell.com/cell/fulltext/S0092-8674(16)30559-6 Stanford Medicine. (2021, July). Fermented-food diet increases microbiome diversity, decreases inflammatory proteins, study finds . https://med.stanford.edu/news/all-news/2021/07/fermented-food-diet-increases-microbiome-diversity-lowers-inflammation The mutual effect of dietary fiber and polyphenol on gut microbiota. (2025). ScienceDirect . https://www.sciencedirect.com/ Shape, Biomimicry & Botanical History Cardenas, D. (2013). Let not thy food be confused with thy medicine: The Hippocratic misquotation. e-SPEN Journal . https://doi.org/10.1016/j.clnme.2013.10.002 How do the 'three sister' plants work together? (n.d.). Soils Matter . https://soilsmatter.wordpress.com/ Kimmerer, R. W. (2013). Braiding sweetgrass: Indigenous wisdom, scientific knowledge, and the teachings of plants. Milkweed Editions . Nutritional benefits of lycopene and beta-carotene: A comprehensive overview. (n.d.). PubMed Central . https://pmc.ncbi.nlm.nih.gov/articles/PMC9317578/ The six tastes in Ayurveda: How rasa creates true satisfaction. (n.d.). Art of Living Retreat Center . https://artoflivingretreatcenter.org/ Three sisters farming: A model of regenerative agriculture. (n.d.). One Earth . https://www.oneearth.org/ Ultra-Processed Food & Meat Research Cleveland Clinic. (2018). Cleveland Clinic studies reveal role of red meat in gut bacteria, heart disease development . https://newsroom.clevelandclinic.org/ Hall, K. D., et al. (2019). Ultra-processed diets cause excess calorie intake and weight gain: An inpatient randomized controlled trial of ad libitum food intake. Cell Metabolism . https://doi.org/10.1016/j.cmet.2019.05.008 Harvard T.H. Chan School of Public Health. (2015). WHO report says eating processed meat is carcinogenic . https://www.hsph.harvard.edu/nutritionsource/2015/11/03/report-says-eating-processed-meat-is-carcinogenic-understanding-the-findings/ International Agency for Research on Cancer. (2015, October). Carcinogenicity of the consumption of red meat and processed meat. IARC Monographs Volume 114 . https://publications.iarc.fr/ The detrimental impact of ultra-processed foods on the human gut microbiome and gut barrier. (2025). Nutrients . https://www.mdpi.com/2072-6643/17/1 Ultra-processed foods and food additives in gut health and disease. (2024). Nature Reviews Gastroenterology & Hepatology . https://www.nature.com/articles/s41575-024-00898-3 Ultra-processed foods, gut microbiota, and inflammatory bowel disease: A critical review of emerging evidence. (2025). PubMed . https://pubmed.ncbi.nlm.nih.gov/

Zapraszam na moją stronę http://borkowskiadam.plBadania wykorzystane w odcinkuPaluch et al., 2022 — metaanaliza 15 kohort dotycząca kroków i śmiertelności. ⁠PubMed – Paluch 2022⁠Saeidifard et al., 2019 — trening oporowy wiązał się z niższą śmiertelnością; jeszcze silniejszą zależność obserwowano przy połączeniu treningu siłowego i aerobowego. ⁠PubMed – Saeidifard 2019⁠Kodama et al., 2009 — 33 badania; każde +1 MET wydolności wiązało się z 13% niższym ryzykiem śmierci ogółem i 15% niższym ryzykiem zdarzeń sercowo-naczyniowych. ⁠PubMed – Kodama 2009⁠Jiménez-Lupión et al., 2023 — przegląd systematyczny i metaanaliza treningu mocy oraz sprawności funkcjonalnej związanej z ryzykiem upadków. ⁠PubMed – Jiménez-Lupión 2023⁠Lopez et al., 2022 — metaanaliza porównująca trening mocy z klasycznym treningiem siłowym u osób starszych; wyniki sugerowały niewielką przewagę treningu mocy dla części miar funkcjonalnych, przy niskiej pewności dowodów. ⁠PubMed – power vs strength training⁠Sherrington et al., 2017 — 88 badań, 19 478 uczestników; ćwiczenia zmniejszały częstość upadków o 21%, a większe efekty występowały w programach mocniej angażujących równowagę. ⁠PubMed – Sherrington 2017

You can grow a great garden and still lose a crop if you miss one invisible detail. We get into that reality with garlic, where a listener question opens the door to the unglamorous stuff that actually decides your harvest: nematodes, leek moth, and what “clean seed” really means when you plant year after year. Bev, our master gardener guest, breaks down what to watch for on garlic scapes, why regular crop walks matter, and how fall cleanup and crop rotation reduce the pests that overwinter in debris. If you've ever wondered why your garlic looks fine until it suddenly doesn't, you'll leave with a clearer plan. We also zoom out to the wider outdoor table. We talk seasonal foraging and plant ID cues you can use on a drive or a walk, including staghorn sumac, chicory along the roadside, and the difference between interesting health claims and evidence you can trust. You'll hear how we like to sanity-check natural health and medicinal plant chatter using sources like PubMed and ScienceDirect, so curiosity stays grounded. Then we bring it back to the kitchen, because the point of growing food is eating well. We compare hardneck vs softneck garlic for cold-climate gardens, share how to cure garlic for real shelf life, and swap practical preservation ideas: freezing garlic, dehydrating it into powder, and using hot varieties for next-level dill pickles. We also talk old-school jar favorites like candied jalapenos, beet pickles, relishes, salsa, and chili sauce handed down through family recipes. If this helps you, subscribe, share it with a gardener or forager, and leave a review so more people find the show.

Kalorien, Makros und Aktivitätsdaten versprechen Kontrolle – doch wie verlässlich sind Tracking-Apps, Portionsangaben und die Kalorien der Smartwatch wirklich? Wir erklären, für wen Ernährungstracking sinnvoll sein kann, welche typischen Fehler die Ergebnisse verfälschen, wann der Zahlenfokus problematisch wird und wie man das Tracking später wieder ausschleicht. ------------------------------------------------------------------------ Dominiks Buch zur pflanzenbasierten Sporternährung im UTB-Verlag: https://www.utb.de/doi/book/10.36198/9783838560328 Dominiks Gesundheitscommunity: www.gsundes-hannover.de Dominiks Online-Knie-Kurs: https://gsundes-hannover.de/knieschmerzen/ Dominiks Online-Rücken-Kurs: https://copecart.com/products/34bd5abb/checkout Marcs veganes Online-Fitness-Coaching: https://vegainer-academy.com/ Marcs Online-Kurs: https://www.copecart.com/products/a50f88f2/checkout ------------------------------------------------------------------------ Werbung: Dieser Podcast wird unterstützt von der Firma Watson Nutrition. Die Firma bietet als einzige umfassend laborgeprüfte Nahrungsergänzungsmittel für eine optimierte Nährstoffversorgung. Zum Angebot zählen Multi-Supplemente, Mono-Supplemente, Sportsupplemente wie Kreatin oder auch Proteinriegel, Shakes und essenzielle Aminosäuren Mit dem Code veganperformance erhältst du 5 % Rabatt auf deine Bestellung.  Zur Firmenwebseite: Watson Nutrition ------------------------------------------------------------------------ Redaktionelle Anmerkungen 00:03:01–00:03:25 und 00:11:31–00:12:07 Einordnung: Die genannten FFMI-Werte sind nicht als harte genetische Grenzen einzelner Personen zu verstehen. Sie beschreiben statistisch modellierte Bereiche, die in den untersuchten Populationen nur von einem kleinen Anteil erreicht wurden. Aus den Daten lässt sich daher nicht ableiten, dass ein bestimmter Mensch einen höheren Wert unabhängig von Training, Ernährung und Zeit grundsätzlich niemals erreichen kann. 00:55:20–00:55:43 und 00:57:09–00:57:28 Einordnung: Ein tatsächlich bestehendes und über längere Zeit anhaltendes Energiedefizit führt zum Abbau gespeicherter Körperenergie. Aus den von einer Tracking-App angezeigten Zahlen lässt sich jedoch nicht sicher schließen, dass dieses Defizit auch wirklich besteht. Fehler bei Portionsgrößen, Lebensmitteldaten und der Schätzung des Energieverbrauchs sind möglich. Kurzfristig kann der Gewichtsverlauf außerdem durch Wasserhaushalt, Verdauungsinhalt, Zyklus, Medikamente oder Erkrankungen überlagert werden. 00:59:09–00:59:51 Einordnung: Dass eine niedrigere Energiezufuhr nach einiger Zeit leichter fällt, belegt nicht automatisch die Entwicklung eines neuen biologischen „Setpoints“. Ebenso denkbar sind Anpassungen der Gewohnheiten, der Mahlzeitenzusammensetzung, der Appetitwahrnehmung und des Umgangs mit Hunger. Die Regulation des Körpergewichts ist komplex und lässt sich nicht auf einen einzelnen festen Sollwert reduzieren. 01:11:55–01:12:30 Einordnung: Mikronährstoffwerte aus Tracking-Apps sind nicht grundsätzlich wertlos, häufig aber deutlich unvollständiger und unsicherer als Angaben zu Energie und Makronährstoffen. Fehlende Datenbankwerte bedeuten nicht, dass ein Lebensmittel den betreffenden Nährstoff nicht enthält. Die Angaben können Hinweise auf mögliche Ernährungsmuster geben, eignen sich aber weder zur sicheren Beurteilung des Versorgungsstatus noch zur Diagnose eines Mangels. 01:26:25–01:26:53 Einordnung: Das Beispiel einer möglichen Nutzung von Apple-Health-Daten für personalisierte Werbung war hypothetisch. Apple erklärt, Gesundheitsdaten aus der Health-App nicht für seine Werbeplattform zu verwenden. Bei anderen Apps und verbundenen Drittanbietern können die Regelungen abweichen. Entscheidend sind daher die jeweils geltende Datenschutzerklärung, erteilte Einwilligungen und die tatsächlich verbundenen Dienste. 01:28:28–01:28:39 Einordnung: Die Nutzung einer datenschutzkonformen Coaching-Software entbindet Coaches oder andere Behandelnde nicht automatisch von ihrer eigenen datenschutzrechtlichen Verantwortung. Je nach Ausgestaltung bleiben sie für die Verarbeitung verantwortlich und müssen unter anderem Zweck, Rechtsgrundlage, Zugriffsrechte, Auftragsverarbeitung und sichere Speicherung prüfen. Die Wahl einer geeigneten Software ist dabei nur ein Bestandteil der erforderlichen Maßnahmen. Quellenverzeichnis Alhammad, N., Alajlani, M., Abd-alrazaq, A., Epiphaniou, G., & Arvanitis, T. (2024). Patients' perspectives on the data confidentiality, privacy, and security of mHealth apps: Systematic review. Journal of Medical Internet Research, 26, Article e50715. https://doi.org/10.2196/50715 Amaral Cejas, O., Sannier, N., Abualhaija, S., Ceci, M., & Bianculli, D. (2025). GDPR-relevant privacy concerns in mobile apps research: A systematic literature review [Preprint]. arXiv. https://doi.org/10.48550/arXiv.2411.19142 Anderberg, I., Kemps, E., & Prichard, I. (2025). The link between the use of diet and fitness monitoring apps, body image and disordered eating symptomology: A systematic review. Body Image, 52, Article 101836. https://doi.org/10.1016/j.bodyim.2024.101836 (Research @ Flinders) Aslanova, M. S., Valieva, A. S., Bogacheva, N. V., & Skupova, A. M. (2024). Mobile food tracking apps: Do they provoke disordered eating behavior? Results of a longitudinal study. Psychology in Russia: State of the Art, 17(1), 67–83. https://doi.org/10.11621/pir.2024.0104 Banal, M. G., Bongga, D., Angbengco, J. M., Amarra, S., & Panlasigui, L. (2024). MyFitnessPal smartphone application: Relative validity and intercoder reliability among dietitians in assessing energy and macronutrient intakes of selected Filipino adults with obesity. BMJ Nutrition, Prevention & Health, 7(1), 54–60. https://doi.org/10.1136/bmjnph-2023-000770 Chotwanvirat, P., Prachansuwan, A., Sridonpai, P., & Kriengsinyos, W. (2024). Advancements in using AI for dietary assessment based on food images: Scoping review. Journal of Medical Internet Research, 26, Article e51432. https://doi.org/10.2196/51432 Cofre, S., Sanchez, C., Quezada-Figueroa, G., & López-Cortés, X. A. (2025). Validity and accuracy of artificial intelligence-based dietary intake assessment methods: A systematic review. British Journal of Nutrition, 133(9), 1241–1253. https://doi.org/10.1017/S0007114525000522 Doherty, C., Baldwin, M., Keogh, A., Caulfield, B., & Argent, R. (2024). Keeping pace with wearables: A living umbrella review of systematic reviews evaluating the accuracy of consumer wearable technologies in health measurement. Sports Medicine, 54(11), 2907–2926. https://doi.org/10.1007/s40279-024-02077-2 (PubMed) Eaton, M., Probst, Y., Foster, T., Messore, J., & Robinson, L. (2024). A systematic review of observational studies exploring the relationship between health and non-weight-centric eating behaviours. Appetite, 199, Article 107361. https://doi.org/10.1016/j.appet.2024.107361 Gioia, S., Vlasac, I. M., Babazadeh, D., Fryou, N. L., Do, E., Love, J., Robbins, R., Dashti, H. S., & Lane, J. M. (2023). Mobile apps for dietary and food timing assessment: Evaluation for use in clinical research. JMIR Formative Research, 7, Article e35858. https://doi.org/10.2196/35858 Hallock, R., Ufholz, K., & Patel, N. (2024). Self-monitoring of weight as a weight loss strategy: A systematic review. Current Cardiovascular Risk Reports, 18, 163–172. https://doi.org/10.1007/s12170-024-00746-5 (DOI) Ho, D. K. N., Chiu, W.-C., Kao, J.-W., Tseng, H.-T., Lin, C.-Y., Huang, P.-H., Fang, Y.-R., Chen, K.-H., Su, T.-Y., Yang, C.-H., Yao, C.-Y., Su, H.-Y., Wei, P.-H., & Chang, J.-S. (2024). Reliability issues of mobile nutrition apps for cardiovascular disease prevention: Comparative study. JMIR mHealth and uHealth, 12, Article e54509. https://doi.org/10.2196/54509 Khazen, W., Jeanne, J.-F., Demaretz, L., Schäfer, F., & Fagherazzi, G. (2020). Rethinking the use of mobile apps for dietary assessment in medical research. Journal of Medical Internet Research, 22(6), Article e15619. https://doi.org/10.2196/15619 König, L. M., Attig, C., Franke, T., & Renner, B. (2021). Barriers to and facilitators for using nutrition apps: Systematic review and conceptual framework. JMIR mHealth and uHealth, 9(6), Article e20037. https://doi.org/10.2196/20037 McCaig, D., Elliott, M. T., Prnjak, K., Walasek, L., & Meyer, C. (2020). Engagement with MyFitnessPal in eating disorders: Qualitative insights from online forums. International Journal of Eating Disorders, 53(3), 404–411. https://doi.org/10.1002/eat.23205 Nunes, C. L., Casanova, N., Francisco, R., Bosy-Westphal, A., Hopkins, M., Sardinha, L. B., & Silva, A. M. (2022). Does adaptive thermogenesis occur after weight loss in adults? A systematic review. British Journal of Nutrition, 127(3), 451–469. https://doi.org/10.1017/S0007114521001094 (Cambridge University Press) Patel, M. L., King, A. C., Rosas, L. G., Bennett, G. G., Collins, L. M., Gallis, J. A., Zeitlin, A. B., Talreja, P. S., Crosthwaite, P. C., Collins, K. A., Lim, A. W., & Kim, T. S. (2025). Optimizing self-monitoring in a digital weight loss intervention (Spark): Protocol for a factorial randomized trial. JMIR Research Protocols, 14, Article e75629. https://doi.org/10.2196/75629 Pravst, I., Hribar, M., Žmitek, K., Blažica, B., Koroušic Seljak, B., & Kušar, A. (2022). Branded foods databases as a tool to support nutrition research and monitoring of the food supply: Insights from the Slovenian Composition and Labeling Information System. Frontiers in Nutrition, 8, Article 798576. https://doi.org/10.3389/fnut.2021.798576 Raber, M., Liao, Y., Rara, A., Schembre, S. M., Krause, K. J., Strong, L., Daniel-MacDougall, C., & Basen-Engquist, K. (2021). A systematic review of the use of dietary self-monitoring in behavioural weight loss interventions: Delivery, intensity and effectiveness. Public Health Nutrition, 24(17), 5885–5913. https://doi.org/10.1017/S136898002100358X Rezende, F., Oliveira, B. M. P. M., & Poínhos, R. (2024). Assessment of intuitive eating and mindful eating among higher education students: A systematic review. Healthcare, 12(5), Article 572. https://doi.org/10.3390/healthcare12050572 Speakman, J. R., & Hall, K. D. (2023). Models of body weight and fatness regulation. Philosophical Transactions of the Royal Society B: Biological Sciences, 378(1888), Article 20220231. https://doi.org/10.1098/rstb.2022.0231 (PubMed Central (PMC)) Stehr, P., Karnowski, V., & Rossmann, C. (2020). The multi-faceted usage patterns of nutrition apps: A survey on the appropriation of nutrition apps among German-speaking users of MyFitnessPal. BMC Medical Informatics and Decision Making, 20, Article 279. https://doi.org/10.1186/s12911-020-01294-9 Zečević, M., Mijatović, D., Kos Koklič, M., Žabkar, V., & Gidaković, P. (2021). User perspectives of diet-tracking apps: Reviews content analysis and topic modeling. Journal of Medical Internet Research, 23(4), Article e25160. https://doi.org/10.2196/25160 Zhang, L., Misir, A., Boshuizen, H., & Ocké, M. (2021). A systematic review and meta-analysis of validation studies performed on dietary record apps. Advances in Nutrition, 12(6), 2321–2332. https://doi.org/10.1093/advances/nmab058 (PubMed)

In this month's episode, Sue, John and Paul welcome Professor & Chief of Service (Dermatology) at UC Davis, Stephen D White to the podcast. Chapter 1: Sheep Skin Detectives (03:09) Sue sets the scope: primary-care perspective rather than rare autoimmune disease. Stephen confirms autoimmune skin disease is vanishingly rare in sheep (pemphigus foliaceus essentially unreported, bar one Barbary sheep case in a zoo). (06:10) Sue asks whether clinical distribution helps localise the cause in a pruritic sheep the way it does in a dog or cat. Stephen explains it's less reliable — thick wool can mask hair loss even with significant pruritus, though rubbing behaviour is usually evident. Lice are visible with a hand lens; mites are not. (08:07) Question on empirical response to treatment. Stephen notes lice usually respond well to licensed ectoparasiticides (mainly avermectins); isoxazolines are unlicensed in ruminants and unreported in sheep specifically (though used in camelids, and anecdotally a bighorn sheep). Repeat treatment at 2–4 weeks is usually needed to catch hatching eggs. Chapter 2: Suspect Number 1 - Ectoparasites (11:30) John asks for top differentials in a pruritic sheep, Stephen answers: “ectoparasites, ectoparasites, and ectoparasites” — mites, lice and sheep keds (which are insects, not mites). He stresses checking in-contact sheep, since one animal may be subclinical while another is severely affected. (13:49) Sue asks why would a referral centre see an ectoparasite case at all? Stephen: usually a failed or incomplete owner-applied treatment, or a backyard sheep simply not monitored closely enough for early signs. (15:29) On technique: always scrape if pruritic, using a medical-grade spatula rather than a blade (sheep are skittish; a slip with a blade causes injury). An otoscope with the cone removed doubles as a magnifier and light source. Dermatophytosis should also be considered — often presenting as facial alopecia rather than fleece loss — and can coexist with ectoparasitism. (15:09) John ask about photosensitisation. Stephen distinguishes hepatogenous causes (impaired phylloerythrin metabolism from hepatotoxic plants, or a genetic defect in Corriedale lambs) from primary photodynamic plant ingestion (e.g. St John's Wort). Lesions favour the head and distal limbs. Flock-wide cases point to an environmental cause (send hay/pasture samples to the local extension lab); idiosyncratic reactions (as seen with clover in horses) may occur but are poorly documented in ruminants. Chapter 3: Dermatological Movie Stars (26:48) John introduces orf, referencing its cameo in Sheep Detectives. Stephen describes it as a parapoxvirus infection, usually self-limiting, but causing anorexia through oral pain — a problem in production settings. A non-resolving “super orf” form causes severe weight loss. Stephen shares data from the retrospective study: of ten orf-affected sheep, five were euthanised, due to generalised cutaneous lesions or concurrent Corynebacterium pseudotuberculosis abscesses — evidence that orf can significantly compromise immune function. One case of orf-associated facial alopecia resolved fully once the virus cleared. (31:07) On zoonotic risk and management: gloves are essential when handling any crusting lesion in sheep or goats. Management includes moistening hay to ease painful feeding, antibiotics for secondary bacterial infection, and parenteral treatment or stomach tubing in severe anorexia. (33:17) Sue asks about bacterial skin disease. Stephen identifies C. pseudotuberculosis and staphylococcal abscesses as the main presentations — often large, anywhere on the body, commonly peri udder in females. Internal abscessation (lungs, liver) is a key concern; aspirated purulent masses warrant involving a large-animal colleague, with caution against environmental contamination during drainage. Dermatophilosis is discussed as globally widespread and rain-associated, presenting dorsally, or interdigitally as “strawberry footrot.” Stephen references a 2008 paper (Norris) linking resistance to greasy, high-wax, low-pH, fine-fibre wool with higher suint content — traits that reduce moisture retention. (41:10) Wrap-up: Stephen credits the study's primary author, a veterinary student, and flags Aidan Foster's JAVMA review of skin disease in alpacas, goats, pigs and sheep as further reading (both for show notes). (42:00) Sue closes with a reflection that sheep dermatology follows the same diagnostic logic as small animal practice — FNA, impression smears, skin scrapes, hair plucks — and should feel less daunting to primary-care vets than expected. Silly question to end: what's the most ridiculous thing you've done purely because everyone else was doing it?   References mentioned (from Sue's closing remarks) Lauth et al. (2025) – Skin disease in sheep (Ovis aries): a retrospective report of 299 cases at a university veterinary medical teaching hospital (1986–2020). Veterinary Dermatology. This is the retrospective study Stephen co-authored, discussed throughout the episode. Wiley Online Library: https://onlinelibrary.wiley.com/doi/abs/10.1111/vde.13338  PubMed: https://pubmed.ncbi.nlm.nih.gov/40091266/  Foster AP (2023) – Challenges in the diagnosis and management of skin diseases in alpacas, goats, pigs, and sheep. Journal of the American Veterinary Medical Association, 261(S1). The review article flagged in the wrap-up as further reading. AVMA Journals: https://avmajournals.avma.org/view/journals/javma/261/S1/javma.22.12.0572.xml  PubMed: https://pubmed.ncbi.nlm.nih.gov/36917614/ 

La densidad nutricional de los alimentos agrícolas se refiere a la cantidad de vitaminas, minerales y proteína que aporta un cultivo, más allá de su tamaño o su rendimiento por hectárea. Frutas, verduras y cereales muestran hoy niveles distintos de hierro, calcio, zinc y proteína frente a los registrados hace setenta años, según comparaciones de bases de datos oficiales de composición nutricional en Estados Unidos.Tres factores explican este cambio. El fitomejoramiento agrícola priorizó durante décadas el rendimiento y la resistencia a plagas, sin medir con el mismo peso la capacidad de cada variedad para absorber nutrientes. El aumento de dióxido de carbono en la atmósfera provoca un efecto de dilución que reduce la proteína y ciertos minerales en granos básicos. Y buena parte de los suelos cultivables del mundo presenta deficiencia de zinc, lo que limita lo que cualquier semilla puede absorber.La biofortificación surge como respuesta concreta. Programas internacionales como HarvestPlus demuestran que el mejoramiento genético convencional puede elevar hierro, zinc y provitamina A en cultivos básicos sin sacrificar rendimiento.Este tema conecta agronomía, ciencia de suelos, cambio climático y seguridad alimentaria global, con implicaciones directas para productores, certificadoras y consumidores.Entender la densidad nutricional ayuda a distinguir entre producir más comida y producir comida que realmente nutre a quien la consume.Suscríbete a El noticiero del agro:https://blogagricultura.com/noticias/Escucha Agricultura Profesional:https://open.spotify.com/show/2ZuOW2DhD7PK4SM33gtFWy?si=e33021063a114550--Créditos musicales:INTROMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/kevin-graham/53License code: 62TIV9S8Q1XCM65WOUTROMusic from #Uppbeat (free for Creators!):https://uppbeat.io/t/ra/let-good-times-rollLicense code: KUSUTAITXDLYUTHQ--Fuentes consultadas:Davis, D. R., Epp, M. D., y Riordan, H. D. (2004). Changes in USDA Food Composition Data for 43 Garden Crops, 1950 to 1999. Journal of the American College of Nutrition. Disponible en PubMed: https://pubmed.ncbi.nlm.nih.gov/15637215/ScienceDaily (2004). Study Suggests Nutrient Decline In Garden Crops Over Past 50 Years. https://www.sciencedaily.com/releases/2004/12/041203100522.htmScientific American. Dirt Poor: Have Fruits and Vegetables Become Less Nutritious? https://www.scientificamerican.com/article/soil-depletion-and-nutrition-loss/Phloem. Agricultura y Cambio climático: el probable efecto del CO2 atmosférico sobre la nutrición mineral de plantas. https://phloem.cl/agricultura-y-cambio-climatico-el-probable-efecto-del-co2-atmosferico-sobre-la-nutricion-mineral-de-plantas/HarvestPlus / CGIAR. Mejores Cultivos, Mejor Nutrición: América Latina y el Caribe. https://www.biofortificados.com/wp-content/uploads/2019/09/Biofortificacio%CC%81n-la-evidencia-cienti%CC%81fica_compressed.pdf

Send us Fan MailNote: This episode is for educational purposes only and is not medical advice. While I've done my best to accurately interpret the cited journal articles, please read the original sources yourself for full context before drawing conclusions.This episode picks up where last week's left off — not questioning the "probable CTE" label itself, but asking what to do given the uncertainty around it. We dig into why a child's developing brain (myelination, the hippocampus) may respond to repeated heading differently than an adult's, then lay out the strongest evidence for restricting heading in kids under 12, including real-world results from youth hockey's body-checking bans. We give equal time to the case for caution, including genuine peer-reviewed findings that complicate the picture. We also break down an angle rarely covered: the physics of the ball itself, using a Guinness World Record Premier League shot to show why "the ball got lighter" doesn't necessarily mean heading got safer. Finally, we look at what happens when rule changes are actually tried, and the kind of resistance to change that has nothing to do with the science at all. 02:45 - Segment One: Why a Child's Brain Is Different07:15 - Segment Two: The Case For Changing the Rules15:40 - Segment Three: The Case Against — Or At Least, For Caution21:25 - Segment Four: The Ball Itself — Why “It's Not Heavy and Wet Anymore” Doesn't Settle It27:30 - Segment Five: What's Already Been Tried31:30 - Segment Six: The Old Guard — Resistance That Isn't About the Science 34:30 - Segment Seven: Where This Leaves Us * Dr Julie Stamm Episode 28: Kids, Youth Sport and Concussion with Dr Julie Stamm* Dr Julie Stamm Episode 66: The Brain on Youth Sports, Athletic Trainers and Concussion Research with Dr Julie Stamm* Dr Robert Cantu Episode 81: Concussion, CTE and Repetitive Head Impacts with Dr Robert Cantu  Twitter: @first concussionFacebook: Headfirst: A concussion podcastInstagram: Headfirst_ Concussion  Email: headfirstconcussion@gmail.comEpisode — Reference List1. Stamm, J.M. The Brain on Youth Sports: The Science, the Myths, and the Future. Rowman & Littlefield, 2021.2. Mackay, D.F., Russell, E.R., Stewart, K., MacLean, J.A., Pell, J.P., Stewart, W. Neurodegenerative disease mortality among former professional soccer players. New England Journal of Medicine. 2019;381(19):1801–1808.3. Russell, E.R., Mackay, D.F., Stewart, K., et al. Association of field position and career length with risk of neurodegenerative disease in male former professional soccer players. JAMA Neurology. 2021.4. Cantu, R.C. Concussion and Our Kids: America's Leading Expert on How to Protect Young Athletes and Keep Sports Safe. Houghton Mifflin Harcourt.5. Emery, C.A., et al. Body checking and injury rates in youth ice hockey: comparison of Alberta and Quebec leagues. JAMA. 2010.6. Black, A.M., Macpherson, A.K., Hagel, B.E., et al. Policy change eliminating body checking in non-elite ice hockey leads to a threefold reduction in injury and concussion risk in 11- and 12-year-old players. British Journal of Sports Medicine / cited via PubMed. 2016.7. Krolikowski, M.P., Black, A.M., Palacios-Derflingher, L., et al. The effect of the zero tolerance for head contact rule change on the risk of concussions in youth ice hockey players. American Journal of Sports Medicine. 2016.8. Reduction of high school ice hockey injuries with implementation of new checking/boarding rules. PubMed-indexed study, referenced 2021.9. Hutchison, M.G., et al. Concussion characteristics in the National Hockey League before and after the introduction of Rule 48. JAMA Network Open. 2023.10. The impact of body checking on youth ice hockey injuries (Pee Wee/Bantam age-group analysis). Referenced in Orthopaedic Journal of Sports Medicine, via SAGE Journals.11. Rodrigues, A.C., Lima, M.D.M., de Souza, L.C., Furtado, C., Marques, C.E., Gonçalves, L., Lima, M.V., Lasmar, R.P., Caramelli, P. No Evidence of Association Between Soccer Heading and Cognitive Performance in Professional Soccer Players: Cross-Sectional Results. Frontiers in Neurology. 2019;10:209.12. Auger, J., Markel, J., Pecoski, D.D., Leiva-Molano, N., Talavage, T.M., Leverenz, L., Shen, F., Nauman, E.A. Factors affecting peak impact force during soccer headers and implications for the mitigation of head injuries. PLOS ONE. 2020;15(10):e0240162.13. Koizumi, A., Hong, S., Sakamoto, K., Sasaki, R., Asai, T. A Study of Impact Force on Modern Soccer Balls. Procedia Engineering. 2014;72:423–428.14. Kirkendall, D.T., Garrett, W.E., et al. Heading in Soccer: Integral Skill or Grounds for Cognitive Dysfunction? (Review discussing ball physics, F = ma, and leather-vs-synthetic ball history.)15. Guinness World Records. Fastest shot on goal in English top division football (soccer) — David Hirst, Sheffield Wednesday, 183 km/h, 16 September 1996.16. The Ringer. What happens when soccer bans heading? 2017. (Twellman, Barker.)17. WBUR Only A Game. (Don't) use your head. 2015. (Comstock.)18. BBC coverage of grassroots English heading-ban trials and the Raúl Jiménez injury, 2020.19. Scottish Football Association public statement on proposed under-12 heading ban, following Mackay et al. 2019.

Are your tampons quietly exposing you to toxic metals and chemicals that could affect your hormones and fertility? In this episode of Building Your Family, Dr. Nancy Reame breaks down what the FDA has (and hasn't) done on tampon safety since 2005 and how that compares to Europe. We cover the real story behind tampon safety, Toxic Shock Syndrome, and what the science actually says about toxins in period products. You'll learn how chemicals are absorbed through the vagina, what we know about toxic metals like lead and cadmium in tampons, and how all of this may impact menstrual health and fertility. Dr. Reame explains:     The history of tampon safety and how Toxic Shock Syndrome changed regulations     Why US tampon regulations haven't been updated since 2005, and how Europe handles toxic materials differently     How and why the vagina is so absorbent, and what that means for chemical exposure     What current research suggests about toxic metals and endocrine-disrupting chemicals in period products     The real risks of long-term exposure vs what's been overhyped     Pros and cons of alternatives like menstrual cups and pads (including how to use them safely)     How to read labels, evaluate brands, and find reliable, science-based resources     How to stay appropriately concerned without spiraling into panic We also talk about advocacy: how to push for better testing, transparency in ingredients, and stronger public health guidance for women's health products. If you care about menstrual health, fertility, and safer period products, hit subscribe, share this episode with a friend, and check the links in the description for the research and resources mentioned. PubMed: https://pubmed.ncbi.nlm.nih.gov/32382713/ Consumer reports: https://www.consumerreports.org/ Made Safe: https://madesafe.org/ Mamavation: https://mamavation.com/   #tamponsafety #toxicshocksyndrome #periodproducts #womenshealth #menstrualhealth #fertility #toxins #endocrinedisruptors #reproductivehealth #periodtalk  #buildingyourfamilypodcast

For decades, we've been told that eating less fat is one of the healthiest things we can do. That advice reshaped the foods we buy, the way we think about weight loss, and even how parents feed their children.But what if we misunderstood fat in the first place?In this episode, nutrition researcher Dr. Arne Astrup traces how the war on fat began, why many of its core assumptions haven't held up under decades of research, and what we've learned instead. Rather than asking whether fat is "good" or "bad," he argues that the more useful questions are: What foods actually keep us healthy? Why do some people gain weight more easily than others? And what happens when we reduce nutrition to single nutrients instead of whole foods?Free course: Improve your metabolic healthGet our free email course on how glucose, nutrition, exercise, sleep, and measurement can help you build habits that support better energy and long-term health: ⁠⁠⁠⁠⁠⁠⁠https://levels.link/wnl⁠

Iron Radio: AI, Forums, and the Future of Fitness/Nutrition Content On Iron Radio, hosts Dr. Lonnie Lowery and Dr. Mike T. Nelson discuss how AI and social media are reshaping strength and sports-nutrition education, using the rise and decline of forum-based brands like Biotest and T-Nation as context. They argue that AI produces confident answers even when wrong, making baseline knowledge and better prompting essential, and suggest strategies like asking for pro/con cases and restricting sources (e.g., PubMed). They note algorithms reward negative, context-free “myth-busting” clips, accelerating noise and short attention spans, while long-form podcasts, newsletters, and trusted individuals may become the new “moat.” They explore businesses building proprietary “expert AI” trained on decades of content, concerns about AI-generated writing undermining credibility, and using AI to automate low-value tasks while preserving human expertise. 00:00 Welcome to Iron Radio 01:33 Biotest and Community Models 03:27 Content Overload Era 03:59 AI Confidence Problem 04:40 Following Individuals Over Content 05:33 Article Spinning and SEO 06:28 Dead Internet Theory 07:23 Influencer Culture Shift 08:27 Attention Span Crisis 10:10 Newsletter Strategy 11:46 Storytelling in Science 12:13 Writing Better AI Prompts 13:59 AI Limitations Revealed 16:22 Navigating Information Noise 17:08 Instagram Algorithm Analysis 17:55 Negativity Drives Engagement 20:27 Custom AI Solutions 21:27 Context Loss Problem 21:48 Myth Busting Confusion 23:14 Trust and Authority 24:17 Government Sources Questioned 25:40 Forum Communities Discussion 26:08 Business Strategy Adaptation 27:02 AI Writing Limitations 28:16 AI Generated Content Dilemma 30:20 Smart AI Automation 30:49 Professional Standards Matter 32:04 Closing Thoughts Donate to the show via PayPal HERE.You can also join Dr Mike's Insider Newsletter for more info on how to add muscle, improve your performance and body comp - all without destroying your health, go to www.ironradiodrmike.com Thank you!Phil, Jerrell, Mike T, and Lonnie

Je kunt pas bron zijn als je de bron kunt erkennen, zei mijn collega Stéphanie Beijnes van Good Place 2 Work, mijn flexibele werkplek voor vrouwelijke ondernemers. Wat ik bedoel met die bron, wat er gebeurt wanneer je die niet erkent en hoe alles in jouw leven kan stromen wanneer je contact maakt met jouw innerlijke bron: Dát hoor je in deze aflevering. Ik ben Fiona Cook en ik begeleid leiders en ondernemers al meer dan 20 jaar van innerlijke onrust naar helderheid, balans en bewust leiderschap, waarbij jij minder hard hoeft te werken omdat je veel meer vertrouwt op je intuïtie. Ik werk met de onderstroom, de diepere dynamieken die bepalen hoe jij leidt, je verbindt en je plek inneemt in al jouw rollen. Ik werk Systemisch met familie- en organisatie opstelling. www.cookcoaching.nl Lees meer over ROOTED Plan gerust een 30-minuten call in om te kijken of ROOTED iets is voor jou. Sources: Delgadillo, Saxon & Barkham 2018 — Wiley Wilkinson et al. 2017 — PubMed

OpenEvidence didn't leave Europe because of regulation alone — its ad-and-data business model never fit the European market. When OpenEvidence, the $12B clinical AI search platform used daily by over 40% of US physicians, withdrew from the EU and UK in April 2026 citing the EU AI Act, European clinicians lost a tool many had quietly adopted. In this episode, Philippe Habets — physician-scientist and CEO of Amsterdam-based EvidenceHunt — argues the story is as much about business models as regulation: ad-funded clinical search and selling clinician search behaviour to pharma don't transfer to Europe, where clinicians distrust anything that looks commercial. We also examine what AI evidence search is measurably doing inside hospitals: more uniform knowledge across teams, fewer junior-to-senior consultations, faster decisions — and the open question of whether that convergence improves care or narrows clinical thinking. Guest: Philippe Habets, MD PhD, CEO & co-founder, EvidenceHunt (Amsterdam) What the conversation covers: - Why OpenEvidence left Europe: EU AI Act vs the ad-based and data-selling business model - What hospitals did after OpenEvidence's exit — governance, procurement, shadow AI use - How AI literature search changes clinical decision making and medical hierarchies - Automation bias, tunnel vision and who is liable when AI is wrong - Guardrails in practice: PII stripping, refusing clinical advice, reformulating case questions into research questions - Why LLM answers differ between tools — and the omission problem in complex patients - Living guidelines: automating systematic literature reviews and guideline updates (some protocols are 17 years old) - Should patients have access to the same evidence tools as clinicians? - EvidenceHunt vs OpenEvidence: data sources, GDPR, medical device regulation - What won't change in healthcare AI in the next three years Previous episode with Philippe Habets (2023): https://www.youtube.com/watch?v=F8tC0B4NvpM CHAPTERS 00:00 Introduction 03:11 OpenEvidence leaves Europe: what it meant for a European competitor 04:31 No user spike — but hospitals started asking questions 06:54 What EvidenceHunt is: from PubMed frustration to systematic reviews 11:35 How clinicians actually adopt AI evidence tools 13:46 Uniform knowledge, fewer senior consultations: measured effects on clinical thinking 16:24 Tunnel vision, automation bias and the liability question 18:04 Guardrails in practice: PII stripping and refusing clinical advice 20:31 The omission problem: evidence is group statistics, patients are N of 1 23:26 The real reason OpenEvidence left: ads, data-selling and European distrust 29:03 Should patients have the same evidence tools as clinicians? 31:51 Why disclaimers aren't enough — safeguards must be enforced in the product 33:43 Living guidelines: automating updates for protocols up to 17 years old 40:00 The biggest product challenge: too many features, one clean interface 41:40 What won't change in healthcare AI in the next three years FACES OF DIGITAL HEALTH Website: https://www.facesofdigitalhealth.com Newsletter: https://fodh.substack.com LinkedIn: https://www.linkedin.com/company/faces-of-digital-health Spotify: https://open.spotify.com/show/4cElKJHrauyP6QJQaCkvdY Apple Podcasts: https://podcasts.apple.com/gb/podcast/faces-of-digital-health/id1194284040 #digitalhealth #healthcareAI #OpenEvidence #EUAIAct #clinicaldecisionsupport #evidencebasedmedicine #healthtech

(A note before we get into it: this article is educational, not medical advice. Talk to your doctor or a registered dietitian before making major changes to your diet — especially if you have diabetes or pre-diabetes, take blood-sugar medication, are pregnant or nursing, or are managing any chronic condition. Nothing here is intended to diagnose, treat, cure, or prevent any disease.)Research shows well-built plant-based diets usually lower blood sugar. If yours moved the other way, one of six silent glucose traps is almost always the reason — and every one of them is fixable.TLDR* The research is actually on vegetarianism's side. Large reviews of clinical trials show vegetarian and vegan diets tend to lower A1C, not raise it.* So if your numbers went up, something in how the diet was built is the real cause — not the fact that it's plant-based.* Six usual suspects: too little protein, “naked” carbs with no brakes, shrinking muscle mass, too much fermentable fiber too fast, high stress/cortisol, and late-night eating.* Each one is a fixable habit, not a reason to abandon vegetarianism.Wait — Doesn't “Plant-Based” Mean Healthier Blood Sugar?Usually, yes. When researchers actually put vegetarian diets to the test in clinical trials, the pattern is consistent: people following them tend to see their A1C go down, not up. A meta-analysis pooling multiple randomized trials found vegetarian diets were linked to a meaningful drop in A1C, and a separate meta-analysis of nine trials found a similar reduction — enough that it would be considered clinically significant by the FDA's own bar for new diabetes drugs.So if you switched to vegetarian eating and your last lab draw came back worse, I want to be straight with you: that's not the expected outcome, and it's not “just what happens” when you cut out meat. Something specific is working against you. The good news is that it's almost always one of a handful of well-understood mechanisms — and once you know which one, it's a quick fix, not a diet overhaul.Think of it like this: a car engine doesn't run worse because you switched to a different brand of gas. It runs worse because something specific — a clogged filter, bad timing, low oil — is getting in the way. Same idea here. Let's go through the six most common “clogs.”THRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.1. The Protein Drop You Didn't NoticeThis is the single most common one. When people cut out meat, they usually don't replace that protein gram-for-gram with plant protein — they replace it with more carbs, because carbs are what fill the plate: extra rice, extra bread, extra pasta.Here's why that matters for blood sugar specifically. Protein eaten alongside carbohydrate isn't just “extra food” — it changes how your body handles the carbs. A meta-analysis of controlled feeding trials found that adding protein to a carb-containing meal meaningfully lowers the post-meal glucose spike, largely by boosting the insulin response that clears sugar out of the bloodstream faster. Pull protein out of the meal and carbs hit your blood essentially unguarded.Think of protein as the brakes on a sugar rollercoaster. Take the brakes off, and the same carbs you were eating before now send your blood sugar higher and faster than they used to.2. Naked Carbs, No BrakesThis is the same problem from a different angle: oatmeal for breakfast, a rice bowl for lunch, a smoothie for a snack. All reasonable foods — but if none of them are paired with enough protein or fat, and you're not about to go move that sugar with a workout, it hits your bloodstream as a fast, unbuffered spike. Your body answers with a bigger insulin surge, and doing that meal after meal, day after day, is exactly the pattern linked to declining insulin sensitivity over time.3. The Muscle FactorThis one surprises people: your muscles are the biggest “storage tank” for the sugar you eat. After a meal, skeletal muscle soaks up roughly 70–80% of the glucose that comes out of your bloodstream, using it to refill glycogen stores. Researchers who study this consider muscle glucose uptake the single biggest lever on whole-body insulin sensitivity.So when protein intake drops and resistance training isn't part of the picture, muscle mass tends to shrink over time — and that storage tank gets smaller. Less tank space means the same meal now leaves more sugar circulating in your blood for longer, which shows up as a slow, creeping rise in A1C.Muscle is basically your body's biggest gas tank for sugar. Shrink the tank, and the same fill-up overflows.4. High Fiber, High StressFiber itself is not the villain here — in fact, the right kind of fiber is one of the best tools for blood sugar control. Viscous, soluble fibers (found in oats, beans, and psyllium) form a gel in your gut that physically slows down how fast sugar gets absorbed, and trials show this type of fiber measurably lowers both A1C and fasting blood sugar.The issue is a different kind of fiber problem: volume and speed. Vegetarian diets are often naturally high in fermentable fiber — beans, lentils, certain grains — and when your gut bacteria break that fiber down, the fermentation process produces gas as a byproduct. Ramp up fiber intake quickly, especially the fast-fermenting kinds, and you can outpace your gut's ability to comfortably process it, leading to bloating and discomfort. That physical stress on your body, especially combined with everyday life stress, triggers cortisol release — and cortisol has a direct, well-documented job of raising blood glucose by signaling your liver to make more sugar and by making your cells less responsive to insulin.Think of fiber fermentation like a construction project in your gut. The building itself (your microbiome) benefits — but a project moving too fast kicks up a lot of dust (gas and bloating) along the way.5. Timing and Circadian RhythmsThe lifestyle shift that often comes with going vegetarian — more grazing, more small meals, more snacking — can quietly push more of your eating into the evening. That timing matters more than most people realize. Multiple studies using identical meals given at different times of day have found that the exact same meal produces a bigger blood sugar spike at night than it does in the morning, because your insulin sensitivity and beta-cell function both naturally dip in the evening. One study even found a late meal after 8pm was independently linked to worse A1C.Your body runs on a work shift for carbs. The day shift (morning, early afternoon) handles them efficiently. The night shift is running on a skeleton crew — the same carb load left unprocessed for longer, working against you while you sleep.6. Cortisol: The Common ThreadYou'll notice cortisol keeps coming up — that's not a coincidence. Cortisol's actual job during stress is to make more glucose available fast, by triggering your liver to produce it and by directly blunting how well your cells respond to insulin. Whether the stressor is emotional (a hard week at work) or physical (a gut that's working overtime to ferment more fiber than it's used to, or a body that's lost muscle mass and is struggling to regulate blood sugar as efficiently), the hormonal response is the same: more sugar released, less efficiently cleared.Who's Most Likely to Notice This?Not everyone who goes vegetarian sees their A1C move. The people most likely to notice these effects are those who already have some combination of insulin resistance, chronic stress, poor sleep, low muscle mass, or a sensitive gut. For them, a vegetarian diet doesn't cause the problem — it tends to reveal a metabolic bottleneck that was already there, quietly, underneath a different diet.This isn't a case against vegetarian eating. The clinical research is genuinely favorable toward it. It's a case for building it correctly — with enough protein, the right kind and pace of fiber, resistance training to protect muscle, and carbs eaten earlier in the day, paired with something that slows them down.Six Bottlenecks at a GlanceThe Bottom LineThe question was never really “is vegetarianism good or bad for blood sugar?” — the research says it's generally good when it's built well. The real question is: what's your body's current metabolic bottleneck? Is it protein? Muscle? Fiber pacing? Timing? Stress? Most people are dealing with one or two of these more than the others, and once you know which, the fix is usually a small, specific adjustment — not throwing out the diet.The goal isn't just to tweak what's on your plate. It's to find the actual thing standing between you and the results you were expecting when you made this change in the first place.References* Vegetarian and Vegan Dietary Patterns to Treat Adult Type 2 Diabetes: A Systematic Review and Meta-Analysis of RCTs — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S2161831324001285* Vegetarian diets and glycemic control in diabetes: a systematic review and meta-analysis — PubMed: https://pubmed.ncbi.nlm.nih.gov/25414824/* The Effect of Adding Protein to a Carbohydrate Meal on Postprandial Glucose and Insulin Responses: A Systematic Review and Meta-Analysis — ScienceDirect: https://www.sciencedirect.com/science/article/pii/S0022316624003924* The Role of Skeletal Muscle Glycogen Breakdown for Regulation of Insulin Sensitivity by Exercise — Frontiers in Physiology: https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2011.00112/full* Glucose Uptake by Skeletal Muscle within the Contexts of Type 2 Diabetes and Exercise — MDPI/Nutrients: https://www.mdpi.com/2072-6643/14/3/647* Effect of viscous soluble dietary fiber on glucose and lipid metabolism in patients with T2DM: systematic review and meta-analysis — PMC: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10500602/* Dietary fiber in irritable bowel syndrome (fermentation and gas production) — PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC5548066/* Fibre, fermentation, FODMAPs and flatulence — Quadram Institute: https://quadram.ac.uk/blogs/fibre-fermentation-fodmaps-and-flatulence/* Physiology, Cortisol — StatPearls, NCBI Bookshelf: https://www.ncbi.nlm.nih.gov/books/NBK538239/* Endogenous circadian system and circadian misalignment impact glucose tolerance via separate mechanisms in humans — PNAS: https://www.pnas.org/doi/10.1073/pnas.1418955112* Impact of circadian disruption on glucose metabolism: implications for type 2 diabetes — Diabetologia/PMC: https://pmc.ncbi.nlm.nih.gov/articles/PMC7002226/* Chronotype, Chrononutrition and Glucose Tolerance Among Prediabetic Individuals (late-dinner/A1C link): https://cdn.clinicaltrials.gov/large-docs/64/NCT05163964/Prot_SAP_ICF_004.pdfTHRIVE 120 - TriplePlayDoc is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. 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

Coffee Lodge InstagramCoffee Lodge - Updated June 2026 - 92 Photos & 83 Reviews - 412 S Main St, Rolesville, North Carolina - +19194136733 - Coffee & Tea - YelpThe Food SectionExit strategy - The Food SectionBeloved coffee shop Tim Hortons could open in the Triangle | Raleigh News & ObserverTim Hortons - Wikipediakann nicht sein

The Cobalamin is the gateway brain vitamin. Since B12 plays a role in so many foundational processes that power our minds and bodies, people should begin their Biohacking by ensuring they are getting enough of the B vitamins before diving into hardcore Nootropic or pharmaceutical solutions.Being the "King of B Vitamins," there's an abundance of research done on it; over 8000 articles of relevant research are published on PubMed, and over 700 human clinical trials in this century alone. Here we'll break down the recent performance enhancement studies...3:09 The Cobalamins4:44 Scientific research: Recent performance enhancement studies13:54 The Gateway Brain Vitamin 15:02 Energizing Nootropic19:40 Mitochondrial support21:02 Empowering neuroplasticity27:21 Vs Depression29:49 Deficiency32:22 Anti-Aging Vitamin34:19 Cognitive Enhancer35:56 Food Sources38:24 Cyanocobalamin vs Methylcobalamin vs Hydroxocobalamin41:00 Sources44:28 Getting B12 from a multivitamin?47:52 Recommended Daily50:19 Side Effects51:03 B12 misinformation01:00:49 ConclusionRead Meta-Analysis

Click to Text Thoughts on Today's EpisodeThe wellness industry will always have something new to sell you — red light masks, cold plunge tubs, vagus nerve stimulators, hydrogen water bottles, sleep maxing gadgets. And honestly? Some of them might even be worth it. But how do you know?In this final episode of the Common Sense series, I'm giving you something more valuable than a product review: a framework for thinking. Seven questions to ask yourself before you buy anything — so you can move forward with clarity, confidence, and yes, a little healthy skepticism.In this episode:The one question that cuts through almost any wellness trend: does this claim actually make sense?How to spot "magic wand" language — and why no single product will ever fix your sleep, your energy, or your hormonesWho's really behind the recommendation, and why that matters more than the testimonialWhat the research actually says about popular trends like vibration plates, infrared saunas, and vagus nerve stimulatorsWhy the right tool isn't always the best tool — and how to match a product to your actual needs and lifestyleA honest conversation about privilege, economics, and what else that money could do for your healthHow to make sure your wellness choices align with your values and what God is calling you to right nowA quick-start research guide: how to use AI, Perplexity, Consensus, and PubMed to go deeper than a Google searchResources mentioned:Why Now is the Perfect Time to Integrate the Blue Zones Lifestyle — Season 18, Episode 13Sleep Better in Midlife: 16 Common Sense Tips that Actually WorkInhale Calm, Exhale Stress: A Common Sense Guide to BreathingPerplexityConsensusPubMedHow To Fitness Podcast with Kate Lyman and Michael UlloaMy latest recommended ways to nourish and move your body, mind and spirit: Nourished Notes Bi-Weekly Newsletter30+ Non-Gym Ways to Improve Your Health (free download)Connect with Amy: GracedHealth.com Instagram: @GracedHealthYouTube: @AmyConnell

We have more health information available to us than ever before, and somehow people are more confused than they have ever been. Amanda, Chris (PhD exercise science), and Jess Gordon get into why nutrition and fitness misinformation spreads so easily, what makes it so believable, and how to build a better filter without getting an advanced degree. They cover why "doing your own research" on PubMed can actually give you a false sense of confidence, why simplicity almost always beats truth online, how fear and urgency get used to sell you things, and the specific red flags that should turn your BS meter on. Blue check marks, letters behind a name, always and never statements, and the toxic ingredient headlines that make everyone clutch their pearls. Nobody here is telling you to stop learning online. They are just handing you a sharper filter for what you find! Black Iron Nutrition Book a Free Discovery Call Free Macro Calculator Free Downloads Black Iron Blog

The FiltrateJoel Topf kidneyboy.bsky.socialSwapnil Hiremath @hswapnil.medsky.social Pedro Teixeira @nephcrit.bsky.socialSpecial GuestsEwout J. Hoorn, Professor of Medicine Erasmus MC, Netherlands. One of the primary authors.Harish Seethapathy, Assistant physician at Massachusetts General HospitalEditingVipin VergheseThe Kidney Connection written and performed by Timothy YauShow Notes A Randomized Trial of Targeted Hyponatremia Correction in Hospitalized Patients in NEJM Evidence, in PubMed, in NephJCSeethapathy: Severe Hyponatremia Correction, Mortality, and Central Pontine Myelinolysis in NEJM EvidenceMacMillan: Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia in NEJM EvidenceSALSA: Risk of Overcorrection in Rapid Intermittent Bolus vs Slow Continuous Infusion Therapies of Hypertonic Saline for Patients With Symptomatic Hyponatremia: The SALSA Randomized Clinical Trial in JAMA Internal MedicineSALT 1 and 2: Tolvaptan, a Selective Oral Vasopressin V2-Receptor Antagonist, for Hyponatremia in NEJM Hyponatremia registry: Current treatment practice and outcomes. Report of the hyponatremia registry in Kidney InternationalThe Richard Sterns' article on the lower mortality with more severe hyponatremia: Mortality and Serum Sodium: Do Patients Die from or with Hyponatremia? in CJASNThe European Hyponatremia Guidelines: Clinical practice guideline on diagnosis and treatment of hyponatraemia in The European Journal of EndocrinologyThe American Hyponatremia Guidelines: Diagnosis, Evaluation, and Treatment of Hyponatremia: Expert Panel Recommendations in American Journal of MedicineTreating hyponatremia: damned if we do and damned if we don't by Tom Berl in Kidney InternationalProspective (clamp) versus reactive (rescue) DDAVP in hyponatremia: Safety and efficacy of proactive versus reactive administration of desmopressin in severe symptomatic hyponatremia: a randomized controlled trial in Nature Scientific Reports and as covered in PBFluidsHelbert Rondon's RCT of urea Urea for Chronic Hyponatremia on ClinicalTrials.govTubular SecretionsSwapnil: Catfishing on CatNet: A Novel by Naomi Kritzer (Amazon)Harish: Disney CruiseEdward: Flesh: A Novel (Booker Prize Winner) by David Szalay (Amazon)Pedro: Scrubs reboot (IMDB)Joel: KIDNEYcon

Dr. Don and Professor Ben talk about the risks from eating pick your own berries in an area during a norovirus spike in June 2026. Dr. Don - not risky

Are light runs (Zone 2 runs) better than heavier workouts? Sophie goes on a semi-manic tangent in her most enthusiastic episode yet to answer whether less intense exercise might actually help your fitness level, aerobic threshold and mitochondrial efficiency. Also, Chris tells a funny marathon story and a viewer question tries to fact-check to the fact checkers on whether walking and running burn the same amount of energy.   Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE   Email us your questions at thebodyofevidence@gmail.com.   Hosts:     Christopher Labos & Sophie Tseng Pellar Editor:    Robyn Flynn Researcher: Auriane Journet Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris' book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer   Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: 1.   Storoschuk, K. L., Moran-MacDonald, A., Gibala, M. J., & Gurd, B. J. (2025). Much Ado About Zone 2: A Narrative Review Assessing the Efficacy of Zone 2 Training for Improving Mitochondrial Capacity and Cardiorespiratory Fitness in the General Population: KL Storoschuk et al. Sports Medicine, 55(7), 1611-1624.  2.   Mølmen, K. S., Almquist, N. W., & Skattebo, Ø. (2025). Effects of exercise training on mitochondrial and capillary growth in human skeletal muscle: a systematic review and meta-regression. Sports Medicine, 55(1), 115-144. 3.   Inglis, E. C., Iannetta, D., Rasica, L., Mackie, M. Z., Keir, D. A., Macinnis, M. J., & Murias, J. M. (2024). Heavy-, severe-, and extreme-, but not moderate-intensity exercise increase V̇o 2max and thresholds after 6 wk of training. Medicine & Science in Sports & Exercise, 56(7), 1307-1316. 4.   McConell, G.K., Wadley, G.D., Le plastrier, K. and Linden, K.C. (2020), Skeletal muscle AMPK is not activated during 2 h of moderate intensity exercise at ∼65% in endurance trained men. J Physiol, 598: 3859-3870. https://doi.org/10.1113/JP277619 5.   Meixner, B., Filipas, L., Holmberg, H. C., & Sperlich, B. (2025). Zone 2 Intensity: A Critical Comparison of Individual Variability in Different Submaximal Exercise Intensity Boundaries. Translational sports medicine, 2025, 2008291. https://doi.org/10.1155/tsm2/2008291 6.   Harber MP, et al. Impact of Cardiorespiratory Fitness on All-Cause and Disease-Specific Mortality: Advances Since 2009. Progress in Cardiovascular Diseases 2017;60(1):11-20. PubMed 28286137 7.   Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory Fitness as a Quantitative Predictor of All-Cause Mortality and Cardiovascular Events in Healthy Men and Women: A Meta-analysis. JAMA 2009;301(19):2024-2035. PubMed 19454641  

In the past, we've issued warnings about how kids are consulting with non-human AI chatbots online to get advice on all sorts of things, including mental health issues. The trend is dangerous, as so many of the news and research reports are now telling us. A new peer-reviewed study published on PubMed reports on how these AI chatbots are responding to the questions kids ask about appearance, body image, weight, eating, and diet. The responses reveal that chatbots are providing answers that lean into cultural standards for eating, thinness, and appearance, rather than pointing kids to safe dietary practices. There are legitimate concerns regarding the impact of these answers on kids, particularly the very real possibility of encouraging issues related to body dysmorphia and disordered eating. Parents, we need to set the table for our kids to come to us with these questions by fostering strong relationships that will result in our ability to give biblically-faithful answers to all of their questions.

It is time for my summer slow down but the tricksters do not rest. So for a couple of episodes, I want to share with you some of the new fangled ways the underside of the bottom of the barrel will try to get you to read, click or share.  This time a look at busty thumbnails and Barney Google's type eyes in social media title cards and thumbnails. The TLDL is that there are all kinds of ways to get attention.  Attention sometimes equals clicks and then clicks equal cash or data harvesting.  When possible, avoid the Reaper.   Resources Mentioned:  The Trust It or Trash It website has tutorials on how to evaluate a health or mental health site for being a safe place to get information.  The National Library of Medicine has a section of the website that also has tutorials on health literacy topics.    On the PubMed page there is a on-line tutorial or you can download the PDF version of  Evaluating Internet Health Information: A Tutorial Emergency Resources The Trevor Project: Provides crisis support specifically for LGBTQ+ youth through phone (1-866-488-7386), text (START to 678-678), and online chat. Available 24/7. They also provide peer support and community.    Veterans Crisis Line: Call 988 and press 1, text 838255, or chat online. There are phone lines for those serving overseas. Visit the website to find the current status of the Veteran line and international calling options.    National Crisis Text Line: Text HOME to 741741 for free, confidential support 24/7. This service operates independently of the 988 service. Users can use text, chat or WhatsApp as a means of contact.   Disclaimer:  Links to other sites are provided for information purposes only and do not constitute endorsements.  Always seek the advice of a qualified health provider with questions you may have regarding a medical or mental health disorder. This blog and podcast is intended for informational and educational purposes only. Nothing in this program is intended to be a substitute for professional psychological, psychiatric or medical advice, diagnosis, or treatment.

Dr. Don and Professor Ben talk about the risks from licking the chicken marinade spoon, while pregnant. Dr. Don - risky ☣️ Professor Ben - risky ☣️ A review of Campylobacter infection during pregnancy: a focus on C. jejuni - ScienceDirect Investigating the influence of organic acid marinades, storage temperature and time on the survival/inactivation interface of Salmonella on chicken breast fillets - ScienceDirect Campylobacter jejuni infection during pregnancy: long-term consequences of associated bacteremia, Guillain-Barré syndrome, and reactive arthritist - PubMed

112. Dr. Stephanie Gray, a functional medicine practitioner, nurse practitioner, and author of Your Fertility Blueprint. After navigating a complex, 10-year secondary infertility battle that involved eight IUIs, two out-of-state surgeries for endometriosis, and a devastating standstill with multiple failed euploid embryo transfers, Stephanie had to become her own medical detective. She shares how she used PubMed research to advocate for her own health, eventually uncovering a chronic, low-grade uterine infection (endometritis) from a previous birth and a silent blood clotting condition that conventional doctors completely missed.Stephanie shares the powerful cross-section where conventional reproductive endocrinology and functional medicine meet. Dr. Gray explains why she believes the global decline in fertility is being heavily driven by a toxic world, touching on environmental toxins, soil depletion, and EMF radiation. She also shares the exact high-dose antioxidant protocol she used to achieve an incredible 60% euploid embryo rate at age 39. From the traumatic reality of surviving a life-threatening postpartum hemorrhage to navigating a high-risk pregnancy with placenta previa, Stephanie's story is a masterclass in patient self-advocacy. Tune in to discover the practical, root-cause steps you can take to optimize your egg quality and uterine environment, and get a heavy dose of encouragement to trust your intuition when something doesn't feel right.Get the resources, transcript, and more information about this episode: https://over40fabulousandpregnant.com/episode112/Get Rejoova Eggs & Rejoova Repair. Use code FAB for 10% offShop the Show

Harvard Professor Dr. JoAnn Manson reveals the final results of the VITAL trial: a landmark study on Vitamin D, telomeres, and disease prevention.Is Vitamin D the most underrated molecule in longevity science? Dr. JoAnn Manson, Professor of Medicine at Harvard Medical School and lead investigator of the massive VITAL trial, joins us to present groundbreaking new data. We move past the traditional focus on bone health to explore how 2,000 IU of Vitamin D preserves telomere length, effectively slowing biological aging by three years. Dr. Manson discusses the 22% reduction in autoimmune diseases and the 17% reduction in advanced metastatic cancers found within the 25,000-participant study. We also tackle the "BMI Gap", the critical reason why Vitamin D benefits are often blunted in certain populations, and the importance of the Vitamin D/Omega-3 synergy. This conversation provides a definitive clinical roadmap for anyone using these supplements to extend their healthspan. Rooted in gold-standard randomized controlled trial data, this is an essential update on the science of aging well.MEDICAL DISCLAIMER: Modern Healthspan provides reports on peer-reviewed longevity research. We do not provide medical advice, diagnosis, or treatment. The clinical findings presented by Dr. JoAnn Manson from the VITAL trial are for informational use only. Please see your physician before starting 2,000 IU of Vitamin D or any other supplement protocol.

Content warning: childhood abuse, childhood sexual abuse, sexual assault, rape, abduction, missing persons, gun violence, murder, and mental illness.Amber Rodgers is a survivor, business professional, and creative from Texas. As early as she can remember, her life was filled with chaos. By the time she was fourteen, she was a multi-crime survivor, and by 19 she would serve as a witness in her best friend's murder trial. Amber moved forward by cultivating a successful career and loving family, until her past trauma instigated a cascading effect in her mental health and relationships. Although Amber has shared portions of her story at-large, it took her decades and a life-altering mental health journey to realize the deep impact her teen years had had on her. The Broken Cycle Media team is deeply appreciative of Amber's transparency, rawness, and advocacy. These episodes are dedicated in loving memory of Kytrina Marie Locascio.Sources: -Centers for Disease Control and Prevention. “About Adverse Childhood Experiences.” CDC, U.S. Department of Health and Human Services, 2025, https://www.cdc.gov/violenceprevention/aces/. -Centers for Disease Control and Prevention. “Adverse Childhood Experiences (ACEs).” CDC Vital Signs, U.S. Department of Health and Human Services, https://www.cdc.gov/vitalsigns/aces/index.html. -Centers for Disease Control and Prevention. “Psychosocial Factors and Health Equity.” CDC, U.S. Department of Health and Human Services, https://www.cdc.gov/dhdsp/health_equity/psychosocial.htm. -Felitti, Vincent J., et al. “Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study.” American Journal of Preventive Medicine, vol. 14, no. 4, 1998, pp. 245–258.-Hughes, Karen, et al. “The Effect of Multiple Adverse Childhood Experiences on Health: A Systematic Review and Meta-Analysis.” The Lancet Public Health, vol. 2, no. 8, 2017, pp. e356–e366. doi:10.1016/S2468-2667(17)30118-4.-McKay, Matthew T., Laura Kilmartin, Aisling Meagher, Mary Cannon, Colm Healy, and Mary C. Clarke. “A Revised and Extended Systematic Review and Meta-Analysis of the Relationship between Childhood Adversity and Adult Psychiatric Disorder.” Journal of Psychiatric Research, vol. 156, 2022, pp. 159–174. PubMed, https://pubmed.ncbi.nlm.nih.gov/36274532/. -Swedo, Elizabeth A., et al. “Prevalence of Adverse Childhood Experiences Among U.S. Adults—Behavioral Risk Factor Surveillance System, 2011–2020.” Morbidity and Mortality Weekly Report, vol. 72, no. 26, 2023, pp. 707–715, https://www.cdc.gov/mmwr/volumes/72/wr/mm7226a2.htm. -Zhang, Y., et al. “Cumulative Adverse Childhood Experiences and Risk of Mental Disorders: A Systematic Review and Meta-Analysis.” Acta Psychiatrica Scandinavica, 2026, https://www.sciencedirect.com/science/article/pii/S0001691826007559. Accessed 2 June 2026.For additional resources and a list of non-profit organizations that can help, please visit http://www.somethingwaswrong.com/resources*Thank you again to Rula and Quince for sponsoring this episode. *Remember, Rula patients typically pay $15 per session when using insurance. Connect with quality therapists and mental health experts who specialize in you at https://www.rula.com/wcn #rulapod *And don't forget to elevate your summer wardrobe, go to quince.com/wcn for free shipping on your order and 365-day returns, now available in Canada too.

Welcome to the kickoff of the Action Game series on The Empowered Team Podcast—where Kari Schneider dives into what actually drives results: action. In this solo episode, Kari unpacks the surprising science behind why high achievers and intelligent leaders are more likely to procrastinate—and what to do about it. What You'll Learn: Why overthinking is a strength (and how it turns into a trap) Learn how your brain's “prediction machine” can create decision loops that stall progress—and how to break free. The truth about perfectionism Discover why perfectionism isn't a high standard—it's procrastination in disguise, and how it leads to burnout instead of results. The research-backed method that increases follow-through by 200–300% Kari shares the powerful concept of implementation intention (when-then planning) and how it eliminates hesitation and drives consistent action. Key Insight: High performance isn't about more motivation—it's about clarity, structure, and making decisions your brain can execute. Memorable Quote: “Overthinking isn't weakness—it's intelligence without a deadline.” Take Action: Before you finish this episode, choose ONE thing you've been delaying—and decide exactly when and what action you'll take. If you're ready to stop circling and start executing, this episode will give you the clarity and momentum you've been missing. Key Research Links: Peter Gollwitzer — Implementation Intentions Core 1999 paper: https://www.prospectivepsych.org/sites/default/files/pictures/Gollwitzer_Implementation-intentions-1999.pdf  Meta-analysis (94 studies): https://cancercontrol.cancer.gov/sites/default/files/2020-06/goal_intent_attain.pdf  Wikipedia overview (accessible summary): https://en.wikipedia.org/wiki/Implementation_intention  Google Scholar profile: https://scholar.google.com/citations?user=Vl1IDvYAAAAJ&hl=en  Flett & Hewitt — Perfectionism & Procrastination Original multidimensional perfectionism paper (1991, PubMed): https://pubmed.ncbi.nlm.nih.gov/2027080/  Perfectionism & procrastination chapter: https://link.springer.com/chapter/10.1007/978-1-4899-0227-6_6  30-year review (2021): https://www.apa.org/pubs/journals/features/cap-cap0000288.pdf  #LeadershipDevelopment #HighPerformance #MindsetShift #Productivity #SelfMastery

In this episode, Lisa discusses one of the most common concerns after tongue tie release: reattachment. But rather than focusing only on whether tissue has “grown back,” she widens the conversation to include aftercare, feeding function, healing, follow-up, and the importance of an individualized care plan.Lisa explains why persistent or returning symptoms after frenotomy do not always mean reattachment. Feeding challenges may be related to incomplete release, healing patterns, oral motor habits, body tension, milk supply, latch mechanics, reflux, or the baby needing help learning to use new tongue mobility.She also reviews current research and guidelines on revision, recurrence, massage, stretching, and follow-up care, highlighting that the evidence is still evolving and that not all studies or professional organizations define aftercare the same way.Using her CAREFUL™ framework, Lisa explains how professionals can think through these cases more clearly by listening to parent concerns, assessing function, relating symptoms to possible causes, educating families, focusing on function, understanding scope and referral needs, and looping back with follow-up.The key message: Preventing reattachment is not just about keeping tissue apart. It is about helping feeding function improve.Mentioned in this episode:Lisa's course, Professional's Guide to Tongue Tie in the Breastfeeding Infant, teaches the CAREFUL™ approach and helps professionals move beyond “Is there a tie?” into a more functional, dyad-centered way of supporting breastfeeding families.Learn more at: tonguetieexperts.net/professionalLisa's parent book, Tongue Tie for Parents, is available on Amazon for families looking for clear, supportive guidance about tongue tie and breastfeeding.More from Tongue Tie ExpertsExplore additional resources, including downloads, free guides, and links mentioned in this episode—along with access to our courses and new book:

Your mood struggles might not be a mindset problem — they might be a methylation problem. In this episode, Nurse Doza breaks down the TMG supplement (trimethylglycine), how it drives serotonin and dopamine production, and why pairing it with SAMe in BLISS delivers clean energy and mood support — no caffeine, no stimulants, results in minutes. Featured Partner: MSW Nutrition — BLISS BLISS by MSW Nutrition combines two of the most underutilized mood-support compounds in functional medicine — trimethylglycine (TMG) and SAMe — in a fast-absorbing sublingual powder. Together, they fuel the methylation pathways your body needs to produce serotonin, dopamine, and sustainable energy — exactly the mechanisms Nurse Doza unpacks in this episode. No caffeine. No fillers. No stimulants. Just the two ingredients your brain chemistry has been waiting for.

Send us Fan MailDo you really need a scanner, whole slide images, and AI infrastructure before you can start in digital pathology?In this episode, I argue that you do not.I'm Dr. Aleksandra Zuraw, veterinary pathologist and digital pathology educator, and this talk is about a belief I hear all the time: I don't have the tools yet, so there is no point learning digital pathology. I used to think that too. When I was training in Berlin, there was one Leica 6-slide scanner, and it felt like digital pathology was only for a small group of chosen people. That experience made the field feel distant, exclusive, and not really available to beginners. What changed for me was not a new scanner. It was a small project.I needed a more consistent way to quantify a senescence marker in archived skin samples, so I used a microscope camera, captured images, opened them in Microsoft Paint, and manually marked cells with colored dots. It was scrappy. Very low tech. But it was also digital, consistent, and verifiable. That project became my first real step into digital pathology and helped me get my first job in the field, where I worked between pathologists and image analysis scientists on biomarker quantification and patient stratification problems. That is the core point of this episode: knowledge unlocks technology.Scanners matter. AI tools matter. But the deeper bottleneck is whether enough people understand how to use these tools, ask good questions, and connect pathology expertise with digital workflows. That is why this episode is really about readiness. Not readiness of the hardware. Readiness of the people.I also talk about Dr. Taladzer from Pakistan, whose story makes this point even more clearly. At the time, Pakistan had around 220 million people, about 500 pathologists, and zero scanners. She still started learning digital pathology during COVID using a microscope and camera, joined the Digital Pathology Association, taught herself from papers and online resources, and kept going even after multiple AI vendors rejected her because she did not have whole slide images. Eventually, she found a DIY image analysis platform, learned to annotate and train models on static images, completed projects quickly, and went on to publish more than 10 digital pathology papers without ever using WSI.Why should you listen?Because this episode is for pathologists and lab leaders who are interested in digital pathology but still feel stuck at the beginning. It is for people waiting for permission, perfect infrastructure, or a formal roadmap. And it is for trailblazers who came back from a meeting or conference energized, but need a practical way to turn that energy into action before it fades.I also address an important AI question near the end: How do we know an AI model is good enough for pathology? I talk about why models are only as good as the pathologist annotations used to train them, why concordance between pathologists matters, how orthogonal labels like IHC can improve model quality, and why pathologists still need to stay in the loop as these systems develop and get deployed.If you are trying to figure out where to start, this episode gives you a practical answer: start where you are. Start with what you have. Start learning now.Episode Highlights00:00 – Why the real barrier to digital pathology is usually not the hardware 00:33 – What it feels like to be at the beginning of the digital pathology journey 02:50 – My first practical digital pathology project using a microscope camera and Microsoft Paint 05:37 – How that low-tech project led to my first digital pathology job 08:52 – Why knowledge, not infrastructure, is the real unlock 09:57 – Dr. Taladzer's story: starting digital pathology in Pakistan with zero scanners 12:03 – What happened after repeated vendor rejection and why persistence mattered 14:39 – The “forgetting loop” vs the “commitment loop” after conferences 16:48 – Practical next steps: book, PubMed alerts, journal clubs, webinars, vendor resources 18:52 – Why I believe digital pathology is the gateway to faster diagnosis 20:00 – How to think about whether an AI model is really ready for pathologyResources MentionedDigital Pathology 101 – free book recommended as a starting point for learning digital pathology. Digital Pathology Association – mentioned as a learning resource and professional community. PubMed alerts for AI and digital pathology. Journal clubs – mentioned as one way to keep learning consistently. Webinars and vendor resources – suggested as practical ways to keep building knowledge. A4A – the DIY image analysis platform that supported Dr. Taladzer's early work with static image annotation and model training. Support the showGet the "Digital Pathology 101" FREE E-book and join us!

Photobiomodulation Stroke Recovery: How Laser Therapy Is Restarting Damaged Brains After Stroke For seven years, a woman lived unable to remember faces. She had developed prosopagnosia, a condition that turned every person she met into a stranger, no matter how many times they had been introduced. She kept notes. She took photographs. She built systems to compensate for what her brain could no longer do on its own. Then she sat down for a single laser therapy session with Dr. Robert Hedaya. One session later, the problem was gone. “I can remember the face of the person I worked with this morning and his wife and the dimple on his face,” she told him, describing something she hadn’t been able to do in nearly a decade. What Dr. Hedaya witnessed that day and what he now works to replicate for stroke survivors, people living with aphasia, early dementia, and Parkinson’s, is the result of a therapy called photobiomodulation. And the principle behind it may fundamentally change how you understand your own recovery ceiling. Your Neurons May Not Be Dead. They May Just Be Stuck When a stroke occurs, conventional medicine draws a clear line. Tissue that is destroyed is gone. Deficits that persist beyond the early recovery window are considered permanent. Survivors are told, sometimes gently, sometimes bluntly, that they have plateaued. Dr. Hedaya challenges that directly. In his clinical experience, there is often a population of neurons that survived the stroke intact but are no longer functioning. They are alive. Their cellular architecture is preserved. But they have lost their energy supply, specifically, the ability to produce ATP, the molecule that powers every cellular process in the body. Without energy, these neurons go quiet. They stop firing. From the outside, this looks like permanent damage. But it isn’t. It is dormancy. This mirrors the concept of the chronic penumbra explored in hyperbaric oxygen therapy research, where viable tissue sits in a suspended state, waiting for conditions to change. Dr. Hedaya’s approach is different in method but identical in premise: the brain has not finished recovering. It is waiting for the right signal. Photobiomodulation provides that signal. What Photobiomodulation Actually Does “After the first laser treatment, the problem was gone. Gone. She told me — I can remember the face of the person I worked with this morning.” — Dr. Robert Hedaya Photobiomodulation, also called transcranial laser therapy, delivers precise wavelengths of near-infrared light to targeted areas of the scalp. The photons penetrate through the skull, meninges, and tissue to reach dormant neurons, where they act on the fourth complex of the mitochondrial electron transport chain, the site where nitric oxide accumulates and blocks ATP production. The photons dislodge that nitric oxide. The mitochondria resume normal energy output. The neuron now has what it needs to resume its function. The downstream effects are significant: new synapses form through a process called synaptogenesis, brain-derived neurotrophic factor (BDNF) is produced, inflammation decreases, and misfolded proteins associated with cognitive decline begin to clear. Given energy, the brain begins repairing itself, not because the laser forces it to, but because the cells already know what to do. They were just waiting for the fuel. How QEEG Makes It Precise Not every stroke survivor responds to the same laser parameters or needs treatment in the same regions. This is where Dr. Hedaya’s approach clearly separates from consumer LED helmets or generic light therapy devices. Before any laser is applied, he conducts a quantitative EEG, a brain mapping process that measures electrical activity at 19 points across the scalp. Unlike a standard EEG, which relies on a clinician reading scrolling waveforms visually, QEEG uses AI to analyse thousands of data points and reverse-engineer the source. The result is a functional map: which networks are underperforming, which are overactive, and where pathways between regions have broken down. This is paired with a neuroquant MRI that measures 30 to 40 distinct brain structures volumetrically. Together, they function as a GPS triangulating exactly where the laser should be directed, at what wavelength, power, pulse frequency, and joule delivery for each individual patient. These parameters are adjusted as the patient responds, session by session. This level of precision is what distinguishes clinical photobiomodulation from anything available over the counter. A half-watt LED helmet delivering diffuse light through hair and scalp is not the same intervention. Depression After Stroke – And the Whole-Body Connection Roughly 30% of stroke survivors experience depression in the aftermath. This is not simply an emotional response to a difficult event – it is a physiological outcome with identifiable drivers that conventional psychiatry often does not investigate. Dr. Hedaya’s model, which he calls whole psychiatry, treats post-stroke depression as a downstream expression of broader disruption: hypothyroidism, hormonal imbalance, B12 deficiency, elevated mercury from dietary sources, gut dysbiosis, chronic inflammation, and unresolved neurological stress all play measurable roles. In one of his current stroke cases, treating low thyroid function triggered seizure sensitivity because post-stroke tissue is more vulnerable to excitatory input. That kind of complexity is precisely why a comprehensive functional evaluation must precede treatment. For survivors too depleted to engage with lifestyle changes, Dr. Hedaya will now often begin with laser therapy directly. Once cellular energy is restored, the motivation and capacity to make further changes typically follow. The jump-start, he has found, enables everything else. Is Recovery Still Possible After a Plateau? If you have been told you have reached your ceiling, the core message of this episode is worth sitting with: the plateau is often not a biological fact. It is frequently the consequence of underlying conditions that haven’t been identified, and dormant tissue that hasn’t been activated. “The brain is incredibly plastic,” Dr. Hedaya says. “When you challenge it and give it everything it needs, nutrients, light, hormones, and remove the toxins, great things can happen. There is hope. There is so much hope.” His practice, the Whole Psychiatry and Brain Recovery Center, offers initial consultations via Zoom for those who cannot travel to New Jersey. For survivors with a local physician willing to collaborate, educational consultation is also available. Reach Dr. Hedaya at wholepsychiatry.com. If this episode opened something up for you, Bill’s book – The Unexpected Way That A Stroke Became The Best Thing That Happened follows the full arc of what recovery can become when you stop accepting the ceiling and start questioning it. Find it at recoveryafterstroke.com/book. If the Recovery After Stroke podcast has supported your journey, you can support the show at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. The Laser That Restarts Brains – Dr. Robert Hedaya on Photobiomodulation, QEEG, and Whole Psychiatry After Stroke A laser pointed at the right spot in your brain can restart neurons that stopped working. Dr. Robert Hedaya explains how and who it can help. Hyperbaric Oxygen Therapy – Dr. Amir Hadanny Highlights: 00:00 Introduction – Photobiomodulation Stroke Recovery 01:09 Dr. Hedaya’s Medical Journey 07:55 Transition to Functional Medicine 10:31 Photobiomodulation Stroke Recovery Applications 19:21 Understanding Laser Mechanisms 24:36 Jumpstarting Healing with Laser Therapy 29:48 Understanding EEG vs. QEEG 34:10 Addressing Depression Post-Stroke 39:38 Holistic Approaches to Recovery 46:20 Patient-Centered Care and Follow-Up 51:38 The Role of Spirituality in Healing Transcript: Introduction – Photobiomodulation Stroke Recovery Dr Bob Hedaya (00:00) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. Dr. Hedaya’s Medical Journey Bill Gasiamis (00:41) Welcome everyone to the Recovery After Stroke podcast. I’m Bill Gasiamis and my guest today is Dr. Robert Hedaya, a board-certified psychiatrist, functional medicine practitioner, and the founder of the Hull Psychiatry and Brain Recovery Center in New Jersey. Dr. Hedaya trained at Georgetown and the National Institute of Mental Health. And over the course of his career, he moved from conventional psychopharmacology into functional medicine after discovering of what was driving his patient’s symptoms had nothing to do with their medications and everything to do with their biology. In more recent years, Dr. Hedaya has added a tool that very few practitioners anywhere in the world are using, QEEG, guided transcranial photobiomodulation. That’s laser therapy, precisely using a functional brain map to reactivate neurons that survived the stroke but stopped working. In this conversation, we get into the science behind photobiomodulation and what it actually does inside the cell. How QEEG brain mapping removes the guesswork from treatment, why post-stroke depression is so often mismanaged, the role of nutrition, hormones, and toxin load in recovery. and why Dr. Hedaya believes the plateau most survivors are told about is not the biological sealing they’ve been led to believe it is. Now, before we get into this episode, if you found this podcast helpful in your recovery, my book, The Unexpected Way That a Stroke Became the Best Thing That Happened goes deeper into the tools and mindset shifts that support long-term recovery and personal transformation. You can find it at recoveryafterstroke.com/book. And if this show has supported you, you can support it at patreon.com/recoveryafterstroke. Now let’s get into it. Bill Gasiamis (02:38) Dr. Hedaya. Welcome to the podcast. Dr Bob Hedaya (02:41) Thank you. Pleasure to be here. Bill Gasiamis (02:43) It is a very good pleasure to have you here as well. The reason being is because I, what we’re going to discuss, but B the way that you came to be on my podcast was through somebody who listens to my podcast, reaching out and saying, need to have this gentleman on your podcast. And I get that a lot. And sometimes it’s like, thank you for the referral, but maybe that’s not for me, but this is definitely for me. Can you give me a little bit of. Dr Bob Hedaya (03:01) Mm-hmm. Mm-hmm. Bill Gasiamis (03:13) background for people who are listening to understand how it is that you and I came to be on the podcast today, but more importantly, like your medical journey to today. Dr Bob Hedaya (03:26) Well, so first of all, I ⁓ was treating a woman who was, let’s say, about 50 years old. She had several strokes. And her husband looked me up, and they came here for treatment. in New Jersey. And ⁓ she had significant improvement in her ability to speak over a short period of time. That’s a little. kind of summary of the situation, but it was ⁓ profound. She still has work to do, a lot of work to do, but she’s doing it and she’s progressing nicely. So that’s, he basically, I guess, decided this needs to get out. And so he contacted you, et cetera, et cetera. In terms of my journey, ⁓ that could take a few hours. So let me try and summarize it. I will say I basically went to medical school, took off six months to study medicine on my own after two years because I really, lot of reasons, but one of them was I just was memorizing things and I didn’t really understand what I was doing. And so I took off six months and I really learned about the human body. I studied, I had a schedule, a very fixed schedule, about 10 hours a day of studying and exercise and eat. was very, you know, I was young and regimented. And I had six books, six subjects that I wanted to get through and I did. And I learned all about the body and different parts of the body, how they interact with each other. And also I was able to understand and predict even certain kinds of processes and problems in the body. So that was an integrative experience, which ⁓ later really served as the foundation for what I do. Fast forward, I was going to be a surgeon, decided to be a psychiatrist instead, because I was fascinated by by the human mind. And what happened was I was trained at Georgetown National Institute of Mental Health in Washington, DC. And then I was in practice for about a year. And I was treating a woman who had panic attacks. And they weren’t getting better after a year. And panic attacks are pretty easy to treat. And so I was like, what’s going on here? She paged me one night after a year, Saturday night. And I remember I had a little beeper, you know, and I went to find a phone booth and, hey, Joanne, what’s going on? It’s midnight, right? She’s talking to me, I’m having a panic attack. And I mean, I still remember the anguish in her voice. You know, it was really, really, really rough to listen to. So Monday morning, I went into the office very early and I’m like, I’m missing something. What am I missing? So I found I had one piece of blood work. had a blood count and the size of her red blood cells was large. and I had seen that and didn’t know what it meant and ignored it. Very little. It wasn’t very large. It was just a little bit out of the norm. And I was trained in hospitals. know, in hospitals, you don’t worry about the little things. You worry about the train wrecks, right? So you never really learn what the little things mean. So here was a so-called little thing and it was ruining her life. Meanwhile, I did some research. It was a B12 deficiency. I gave her B12 injection. And with the first injection, her panic was gone. Transition to Functional Medicine I mean, gone, gone, gone. And I was like, whoa, what else am I missing? Because psychiatry, neuropsychiatry, it’s a revolving door. You go to this doctor, you take these meds, you do this therapy. That works for a while, then you go somewhere else. I figured I’m missing a lot of stuff. And basically, ended up learning. I didn’t know it was called functional medicine, but I ended up learning functional medicine on my own. Wrote a book, got introduced. to Jeff Bland at IFM. contacted me and took formal training and then, you know, that was what I was doing. And I did that, ⁓ put out a second book ⁓ and that was a best seller. And ⁓ the book was called the Anti-Depressant Survival Program. But really it was functional medicine psychiatry or whole psychiatry, which I like to call it. But it’s functional medicine psychiatry, but the publisher wanted… you know, a nice fancy title that would, know, so they decided to call it the Anti-Depressant Program, you know, survival program. Anyway, the best seller and we had thousands of phone calls, we had a lot of publicity and I couldn’t obviously see everybody. So I picked people who had treatment resistant depression and people who had the resources and the motivation or the support to be able to do what they needed to do. And I just treated them with functional medicine. And at this time, you’ve got to realize I was a psychopharmacologist. I was also trained as a psychopharmacologist. So I was doing a lot of psychopharmacology. I mean, a lot. And now I’m doing functional medicine on everybody. And after about three years, I’m noticing that I’m not actually doing that much psychopharmacology anymore. And everybody’s getting better. And the diabetes is going away. and osteoporosis is going away and one woman’s MS lesion in her brain went away and I’m like, what’s going on here? You know what? I might be lying to myself. So maybe I’m paying attention to the positive cases and I’m ignoring the negative. So I hired a statistician to go over all my cases over the course of this period of time, it two or three years. Ended up in 23 cases of treatment resistant depression. ⁓ I wasn’t lying to myself. Every single person went into recovery, not partial remission, not 50 % better, fully recovered by 10 months, every single one. And I was just blown away that, you know, I mean, I was blown away before, but then it was like, well, you’re not really lying to yourself. So that’s what I was doing until 2014 when I retired. I had actually an inaccurate diagnosis. I retired and… turned out it was incorrect. So it was actually really good to be retired, although I missed it terribly, really missed medicine terribly. But it gave me some time. And this is where this kind of starts to relate more to your audience. ⁓ I’m sitting on a hammock for six hours reading a book. Well, you can’t do that when you’re in practice. Bill Gasiamis (10:07) Good thing to do. Yeah. Photobiomodulation Stroke Recovery Applications Dr Bob Hedaya (10:13) That doesn’t happen. So but I was you know in retirement, so I’m reading this book and put two and two together over the course of time and I learned about laser which which they were using in Russia in 1980s and learned how the laser worked and And I was like whoa this could really help the brain and Then I was thinking now. I’m not in practice right, but I’m then I’m thinking but how would I know where to? point the laser in the brain for a patient. And then I keep reading in the book, and then they start talking about in the next chapter about quantitative EEG. And I’m like, oh, that’s how I would know. So I spent the next three years or so actually studying these methodologies. And then in 2017, I want to say, or 2018, I treated my first patient who had early dementia. published this case actually. I was treating her for early dementia. And I had treated her for six months with functional medicine, know, hormones and treating infections, et cetera, et cetera. And she really was much better. And then I was ready to do my first quantitative EEG. And she’s doing much better. She still has some symptoms. And I do the QEG. And actually, if I could share my I don’t know if I can, Okay, so basically what I just sent you is ⁓ how her brain looked after six months of functional medicine, right? So I was shocked because I thought her brain would look much better. And then I said, okay, let’s do the laser. So I knew where to point it because the QEG and this was the shocker. With the first laser, she had a problem. before the laser treatment of facial blindness. I don’t know if you know what that is. It’s people who can’t remember faces. They just met someone, they can’t remember the face. It’s called prosopagnosia. She had acquired it seven years earlier. Bill Gasiamis (12:11) I do. Yeah. Dr Bob Hedaya (12:21) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, what? What is proto-diagnosia? I don’t know what that is. She says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. But then I realized, I reasoned it out, realized, well, she had a population of neurons that were kind of alive, but they were not really functioning. And then I kind of jump started them with the laser and they went about their business and did their job. Bill Gasiamis (13:19) I love it. So, that’s a contrast on what you’re doing as in psychiatry, because psychiatry from, you know, my understanding is, you know, if you, if you speak to somebody who’s been through psychiatry and you ask them, how’s your condition or how is your situation or what has improved, very few people can say, ⁓ well, I’m, I’m better. I’ve overcome it. We’ve moved beyond the resolve that Dr Bob Hedaya (13:27) Yeah. Bill Gasiamis (13:47) Nobody really does that. They kind of just continue to go through the motions of another appointment, another medication, another adjustment in the amount of medication, et cetera. And what you said also seems a little bit ridiculous and kind of too quick. How do you get that kind of a solution that’s meant to take ages? You’re supposed to go through the typical times and it’s supposed to be costly and Dr Bob Hedaya (14:06) Too quick. Bill Gasiamis (14:16) unattainable and all these things. And it makes people feel sometimes I know stroke survivors who come across promises like that from other ⁓ people who talk about ⁓ perhaps ⁓ non-studied, ⁓ no scientific background kind of solutions to stroke and then kind of give everyone a blanket. If we do this, we’ll fix your stroke deficits, which is not true. ⁓ And then And then it leaves people feeling like they got ripped off. If they paid money, it leaves people lost for hope that there is no hope, cetera. And we kind of find ourselves in a, okay, desperate, what do we do now situation, right? And that’s kind of why I got excited when your patient’s husband reached out and said that we should chat. And I had a bit of a look into the kind of work that you do. ⁓ Functional medicine, I’ve heard about heaps. Dr Bob Hedaya (15:00) Hmm. Bill Gasiamis (15:14) And I love that it’s merged with psychiatry because when I started my journey in 2012, overcoming the first brain bladed and the second brain blade six weeks later, I went into functional medicine study to find out not formally, but I started doing what I didn’t know at the time was studying functional medicine and understanding like how I can decrease the inflammation in my brain. and provide the right environment for healing. And the first thing I came across was a book by somebody that you’re gonna know, Mark Hyman. And the book was, ⁓ the book was, ⁓ Eight Fat Get Thin. I read it, not wanting to get thin, I read it ⁓ because it ticked the boxes for the diet that I was gonna use to reduce inflammation in my brain. Dr Bob Hedaya (15:54) Okay. Bill Gasiamis (16:12) And the side effect was I thin. I wasn’t going for that because I was taking medication. was taking ⁓ dexamethasone, which made me put on weight and made these like all these types of ⁓ terrible side effects, but it was helping reduce the inflammation in my brain. So I, I was happy to have it, but I needed to achieve the same outcome as dexamethasone. Dr Bob Hedaya (16:13) I’m kidding. Bill Gasiamis (16:41) or a similar outcome as dexamethasone on a permanent basis without taking dexamethasone to improve the situation in my brain. And then I started to realize that I had a lot of power and I was ⁓ only not guided properly because my physicians, my doctors weren’t able to offer advice in that space. And had I not been the curious kind of guy that I was, I never would have come across Dr. Hyman and some other amazing guys who wrote books at around about that time that were similar in nature. so you’re, and then, and then a little while later, I found there was a Tasmanian, ⁓ psychiatrist, forget her name, but I have her book on my shelf upstairs who wrote a book about, ⁓ psychiatry and food and, the link between food and a good psychiatric outcome. Dr Bob Hedaya (17:15) huh. Bill Gasiamis (17:39) in the brain. And I just thought, okay, there’s much, much more that needs to happen here. Now, this the connections, there’s a lot of connections here. So recently on my YouTube channel, somebody left a comment I wanted to know about red light therapy, and will it help their brain? And I’m like, I have no idea. But let me do some research. I went on to PubMed, I found some articles and wouldn’t you believe it, there is a whole bunch of ⁓ proper data that Dr Bob Hedaya (17:40) You know what? Come on. Bill Gasiamis (18:08) suggests that there is a benefit. The only challenge that I always have with all of these potentially beneficial interventions is there’s no diagnosis done in the first place to determine whether somebody actually is eligible for a particular intervention. And what it sounds like you’re able to do is the diagnostics part and determine their eligibility. Tell me a little bit about why that is important. Dr Bob Hedaya (18:35) Right. Okay, so let me back, I wanna back up, because you said something very important, then I wanna reiterate it. I just gave you before a case of a woman who in five minutes, her problem was gone, right? Not, people should not think that’s the norm, okay? Not the norm. Occasionally it happens, I have a guy who had a head injury and had light sensitivity and confusion in certain situations with light, and one treatment, boom, gone. Understanding Laser Mechanisms People, you know, I have cases like that, but most of the time this is a gradual process. So people should not think it’s a cure-all for everybody. We do have to know who it’s good for. So what we do diagnostically before we do this is I will look at their brain, you know, obviously take some history and all of that business, but we do a quantitative neuroquant MRI. So we look at the different structures inside the brain. You know, we look at… Bill Gasiamis (19:32) Lovely. Dr Bob Hedaya (19:32) 30, 40 different structures. And then we also do a quantitative EEG, which is an electroencephalogram. We measure the electricity in the brain in 19 different places. And then there’s this really AI that takes all this data and it reverse engineers it. It’s called the inverse solution. And you can actually see the pathways, all of the pathways in the brain and the surface areas of the brain. And you can look at that, correlate that with the person’s symptoms. with the neuroquant MRI, it’s like a GPS, right? A triangulation of information and then assuming there’s not a mass or an aneurysm or some reason not to do the laser like an overactive brain or something like that, then we could consider using the laser. And then we also know where we want to do it based on the symptoms, based on the QEG, based on the neuroquant. We will decide what we’re going to target. And then we combine that, sometimes, not always. Bill Gasiamis (20:05) Hmm. Dr Bob Hedaya (20:31) with neurofeedback so we can exercise the areas that we want to exercise or calm down the areas that we want to calm down. And sometimes with hyperbaric oxygen, things like that. And hormones, using hormones or things like that. Bill Gasiamis (20:42) Yep. Hyperbaric oxygen has been a topic that I’ve discussed as well on the podcast and the people that I spoke to about hyperbaric oxygen and guys, I can’t remember right now, but I’ll put a link in the show notes for anyone listening so that you can go and find that episode and have a listen to it. Basically, what I loved about their approach was that they did a massive amount of diagnosis beforehand to determine where the penumbras were and then target those penumbras while the person was in the chamber. by getting them to do certain exercises that would activate those areas and therefore be targeted. So it sounds like the laser therapy is similar. Tell me about the laser. What kind of a laser is it? How does it get targeted to a specific spot? And what does it do when it goes there? I mean, I imagine it just doesn’t point there and go, I’ll illuminate that and it’ll be better. How does it actually work? Dr Bob Hedaya (21:18) Mm-hmm. Mm-hmm. Okay, so the laser, there are a bunch of different parameters that we have to adjust for each person. So it’s the frequency, how fast is the wavelength? What’s the wavelength? How many times per second is it pulsed? 10 times per second, 40 times per second, 50 times per second. Is it a 8, 10 nanometer wavelength or is it a 1064 wavelength? How many joules are we delivering? you know, where are we delivering it? So there are lots and lots of parameters to adjust, right? ⁓ What does it do? So simple, the first thing that it does, it does many, many things, right? But the very, very first thing it does is it actually releases ATP, the energy molecule, from your mitochondria. So it basically, the photon goes to the fourth channel, the fourth complex in the mitochondria, bumps off the nitric oxide, and that opens the flow of ATP. Well, if your brain, if your neurons have energy, they say, ⁓ energy, ⁓ well, we know what to do with energy. Let’s fix the puddles. Let’s build the roads. Let’s make the connections. Let’s do whatever we got to do. So now you’re getting energy flow. You also get synaptogenesis. You build new synapses. You get production of brain-derived neurotrophic factor. Bill Gasiamis (23:01) Wow. Dr Bob Hedaya (23:05) You get reduction of inflammation, get reduction of tau proteins and misfolded proteins. ⁓ You get, subjectively, get cognitive enhancement. aphasia, you know, people can start to speak. I mean, I can tell you one story. We used to shave people before doing the laser because I wanted to… Remember, you got a skull, you got the skin, you got all this stuff, right? How are you going to get the light into the brain, right? So we know that only about Bill Gasiamis (23:31) Mmm. Dr Bob Hedaya (23:35) 2.6 % of the light goes through the skull and the meninges and all the layers, right? So we used to shave people because I want to get the hair out of the way, right? At least get rid of some of it. So I had this woman who came to me, this is probably seven years ago, I guess. And at that time, I would not use the laser until I had done functional medicine on the patient. Because I figured, you know, let’s get the terrain straight. the nutrients, the hormones, get rid of the infections, get rid of the toxins, then we’ll apply the sunlight to the brain, to the plant, right? That was my logic. I thought that made perfect sense. So this woman came to me. She was 70 years old, obese. The husband wanted me to give her the laser. She wouldn’t change her diet, not an iota. High blood pressure, obesity. She could not speak. She would not take a medicine. She would not… Bill Gasiamis (24:04) Mm-hmm. Mm. Jumpstarting Healing with Laser Therapy Dr Bob Hedaya (24:33) Like, you name it, non-compliant all the way. Maybe you could say a word or two, that was it. Her husband begged me. I said, listen, it’s a waste, okay? It’s just a waste. I can’t ask her to shave her head. It’s not gonna work. I’m not doing it. He did not stop. So finally, I said, okay, fine, I’ll do it. So I was in my office and I’m making the laser plan. And I’m just writing, and something pops out of my mouth, God, I need a miracle. So I go into the laser room, and I start doing the laser. She starts talking. I have tears. He has tears. She starts talking. So by the end of like 20 sessions, I’m sitting with her having a 45-minute therapy session, because it turns out she was really severely abused when she was young. ⁓ She’s having a whole conversation with me. Turns out she’s psychotic also now. She’s also a psychotic and we didn’t know. So she needs to take some medicine for the psychosis because in the middle of the night, she’s going around with a baseball bat and she wants to like do, and she wouldn’t take medicines, I had to stop the laser. But that was an amazing thing because that was one, but with aphasia, typically it’s more gradual, much more gradual. But I have had a couple of patients where, and a woman came from Chicago and she just started talking also. So everyone’s different. You can’t necessarily come into this expecting that kind of thing is wonderful when it happens, but you Bill Gasiamis (26:14) Yeah. I love the fact that you can intervene with a laser, but also people can intervene with all the things that you said that that patient wasn’t doing beforehand. And that you that’s the top of the hierarchy of how you approach healing the brain is you do all those things. And then you supplement with ⁓ with a therapy like laser or whatever. And you kind of combine that and you make Dr Bob Hedaya (26:25) Yeah, yeah, you got it. Bill Gasiamis (26:42) like the, you make a soup of amazing things that all come together at the same time to support you together. And laser is just one of those things, but all the hierarchy like is so important because Dr Bob Hedaya (26:48) Yeah. It’s all important, all important. But I will tell you this. I have come to the point now where I believe that like people come to me and they don’t want to do anything and I’m like, okay, because I can jumpstart you, assuming you’re a good candidate. I can jumpstart you with the laser. I could just jumpstart you and then once I’ve jumpstarted you, say, ⁓ yeah, okay, I’ll do this. ⁓ okay, I’ll do a little of this. I’ll do a little. Because I’m bypassing everything and I’m giving you energy. Right? And so if you have energy, then, you know, there’s a lot that you can do that you couldn’t do before. So I kind of switched my model, really, only because of the accident of this guy who insisted I give his wife the laser, you know. Bill Gasiamis (27:30) Yeah. That’s not a way to go. mean, ⁓ there isn’t one way to solve a problem. there’s probably many iterations of, know, like how you can put that particular, like intervention together for a person that could specify for that individual, we’re going to go down this approach for you. You were going to go down this approach to get you going. Since you have all these, ⁓ challenges and energy is difficult. Maybe we’ll go directly with the laser and then Dr Bob Hedaya (27:46) Bye. Mm-hmm. Bill Gasiamis (28:09) We give you the skills, the energy, Dr Bob Hedaya (28:09) That’s right. That’s right. Bill Gasiamis (28:12) the training, the coaching, the support to implement the rest of the stuff that you need to implement to continue providing the right ⁓ space for your brain to heal in ongoing so you’re not just relying on laser. Dr Bob Hedaya (28:14) Yeah. ⁓ Yeah, yeah Yeah, if someone comes to me post stroke for example and the laser is appropriate I’m not gonna say well, we’ll get around to laser in six months. I’m not gonna do that They need relief they need help if it can help them Let’s do that. Let’s jump on that and you know, and then is the other stuff we need to do will do it And there’s usually stuff to do ⁓ But I want to get the healing remember the laser is healing It’s clearing out proteins, reducing inflammation, increasing blood flow, synaptogenesis, doing all these good things over the course of time. So you really want to get that process going, I feel, as soon as you can. then, okay, now you can work on the diet that’s going to take some time, check the hormones, make sure there’s no infections, toxic element, you know, all that functional medicine stuff. Maybe you need some medication for depression, you know, it’s having a… a phaser or a stroke or a head injury or some of things like this, they turn your life upside down better than I know. It’s ⁓ incomprehensible, really. Bill Gasiamis (29:26) Yeah, really. Yeah, really challenging. With a laser, how much laser for how long, how often? Understanding EEG vs. QEEG Dr Bob Hedaya (29:37) Great question. So let me say a couple of things. First of all, we have laser and then we have the LED helmets, right? You’ve read about and read the helmets, right? So there are a lot of studies on the helmets. There’s a question of whether they’re really having a direct effect because for a few reasons. Number one, it’s LED, it’s not a laser. Number two, the voltage is so low, if you’re only getting 2.6 % through and it’s so low to begin with, what do you think you’re actually delivering into the tissue? know, it’s hard to imagine that you’re delivering much. there, know, Henderson, I think, wrote an article where he showed there’s no penetration into the brain. But the studies do show cognitive benefit. So it could be an indirect effect or, you know, all the studies are done by the companies that make the… the helmet, there could be some bias. I don’t know the answer there. The laser ⁓ itself is more potent, so we’re doing, say, 30 watts. So the equivalent of a 30-watt light bulb, right? They might be doing half a watt, a very, very, very dim light bulb. We’re doing 30 watts. Now, we’re targeting the area or areas that we want to hit. Now, it goes through 2.6. Bill Gasiamis (30:34) devices. Dr Bob Hedaya (31:03) 5 % of it goes through. And then of course it’s going to be diffused, right? And it’s going to hit the surface tissues more. 1064 will penetrate deeper into the brain, but you don’t really have to go that deep because there’s downstream effects that happen, right? So we really, and then we adjust the parameters depending on how someone does. for example, you know, I had a woman who I was treating And actually it was the patient who her husband contacted you. I was treating her with a certain amount of energy and then after about five sessions I went up, I doubled the energy and boom, she had a response. But we have no way of knowing that’s what she needed. It’s all a calculation. But she, you know… Bill Gasiamis (31:39) Yes. Dr Bob Hedaya (32:00) Whatever it is, the thickness of the skull or the membranes or whatever it is, that’s what you needed and that’s what worked. Bill Gasiamis (32:06) Yeah. Tell me about ⁓ QEEG. So let’s dive deeper into it a little bit because we kind of glossed over it. I think it’s important to discuss how it’s different from EEG, ⁓ what EEG is and then what the Q adds to EEG. Dr Bob Hedaya (32:24) OK, so the EEG, imagine somebody, you put a cap on, and it has all these electrical wires that are measuring the electricity that comes, that’s on your scalp. It’s coming from your brain, but it’s measured at the scalp. And each one is measuring the energy from that spot, comparing it to other spots. And then you might, your viewers might remember. all those squiggly lines, you’ll see like 19 or 20 squiggly lines and you’re like, what is this spaghetti? I don’t know what this is. And I mean, even in medical school, we looked at it and our eyes would glaze over because who knows what it is. So the neurologists look at it and they’ll scroll through it and look for certain patterns to see is there a seizure or is there area of damage where there’s a lot of slowing like the frequency of the electricity slows down if there’s tissue damage, right? And they look visually to see what they can find. But we know with AI, you can get the patterns that you can determine. There’s no way the human mind, the human eye, a trained eye, I don’t care how long you’ve been looking at EEGs, there’s no way you can extract this data that we now extract. So the quantitative is actually looking at the quantity of this, what’s going on here versus the quantity of electricity that’s here versus what’s here versus what’s here. And then all of that is calculated and they say, ⁓ well, if this is high and this is here and this is low here and this is this, well, that means they’re coming from this deeper place here and that’s under functioning. And, you know, that’s done over thousands, thousands of points in a very short order, very short order. It’s amazing. I can’t imagine practicing without this. So now I can look at the thalamus. I can look at the putamen. Addressing Depression Post-Stroke Bill Gasiamis (34:07) Mm-hmm. Dr Bob Hedaya (34:17) In my office, I can do these tests in my office. If a patient is my patient, I can send the QEG to their home and do it in their home. And I get this imagery that’s immensely better than a spec scan. It’s not an MRI, an MRI structure. This is function. Okay, this is function. It tells us how different parts are functioning. Bill Gasiamis (34:40) What’s lighting up? What’s not lighting up? What could be lighting up better? What’s not going to light up anymore? Dr Bob Hedaya (34:45) What’s the information flow? How is the flow going from here to here? How about this network? Is this network working? Is this network overworking? Is it underworking? How about the neuron populations that are firing when I’m relaxed? How are they doing? How about the ones when I’m thinking? How about the ones when I’m thinking fast? How about the populations when I’m emotional? We can look at all those populations and see what’s going on with those populations. And then we can actually target them. train them, et cetera. And then we have that data that we treat, and then we measure and see is it getting better? Do we need to change the protocol? It’s not helping, it is helping, et cetera. Bill Gasiamis (35:29) Yeah. with stroke, so many things come from stroke that people are not equipped to handle. You know, firstly, all of the, ⁓ the parts relating to, ⁓ simply the person discovering them, they’re, they’re immortal after all, you know, you become a mere mortal immediately and you kind of work out the most terrible thing that could have happened to me happened. My brain is injured and all these things go away. Right. And then. Unfortunately, like I think it’s 30 % the studies of people who experienced stroke will then also experience depression. Like as if recovering from stroke isn’t enough and all the deficits that you also have to recover from depression. What’s it like? How can that be supported with this particular method, this approach that we’re discussing here today? Dr Bob Hedaya (36:28) So ⁓ kind of separate from stroke, ⁓ treat treatment resistant depression with laser all the time. With stroke, we use the laser, but you have to watch the QEG to make sure you’re not getting overstimulation, number one. Number two, I learned this with the patient that referred me to you, ⁓ that after, put us in touch, there was actually a central Bill Gasiamis (36:44) huh. for us in touch. Dr Bob Hedaya (36:58) hypothyroidism, meaning the low thyroid function, right? And we had to treat that, but the problem was as we treated that, there was a supersensitivity and because the tissues after stroke are more vulnerable to seizures, the patient actually had a seizure. She was actually having seizures we didn’t know, mild seizures. And then when we treated the thyroid, then we actually ended up having seizures. now we have to support, you need thyroid function to be good in order to not be depressed, right? If you have low thyroid, you’re much more likely to be depressed in the face of a stroke or other stresses. So we were kind of a little bit of a bind there because we went and treated, but it’s too sensitive. So anyway, we’re actually threading that needle nicely and we’re moving slowly and carefully and keeping, there’s no seizure activity now. But you have to treat the depression because of the depression itself. Bill Gasiamis (37:29) Yep. Dr Bob Hedaya (37:55) is a big problem because you know to recover from stroke, man, you gotta work hard. You gotta keep a good attitude. gotta have your eye on the ball. There’s no room for like… I’m going to give up. There’s no room for that. I mean, of course you feel it and I mean, it’s all natural feelings, but you have to really be determined and that’s essential. so with depression that is ⁓ really can get in the way. So we treat it. The laser can treat it. Sometimes pharmacology, sometimes therapy, sometimes yoga, know, hyperbaric, all these things that we do with the nutrition, making sure the hormones are right. All these things work together, you know. Bill Gasiamis (38:14) Yeah. I love all of those things that you mentioned. And then all of a sudden you just throw in yoga. mean, it just, it’s so counterintuitive, isn’t it? When you have a conversation about all these acronyms and all these tests and lasers and all that kind of stuff, and then you just throw in yoga casually like that. It’s, and we underplay it, but it’s such a massive thing in the picture of what creates the environment for a good recovery, but also I love that you mentioned the thyroid in that conversation as well about depression and what can also be a trigger to depression and people may have depression, never check their thyroid and not know that it’s a thing. Now I’ve had thyroid surgery, have ⁓ half of my thyroid removed because I had a massive ⁓ goiter on one side and that was such a difficult thing to discover and have to go through 16 months after brain surgery. but they only discovered it after my brain surgery when they did a chest x-ray, because I wasn’t recovering properly and they found that I had this goitre which would have been there for a long, long time impacting my health and all sorts of things. And I make that point because often people who have had a stroke and can’t speak, for example, have aphasia, ⁓ or their arm doesn’t work or the leg doesn’t work properly, will say, I just wanna fix this thing. If I could speak, Dr Bob Hedaya (39:40) No. Holistic Approaches to Recovery Bill Gasiamis (40:09) everything’s better, but they’ve never looked at the other things that may be contributing to keeping the speech at a level which is not good enough for them, for example, to be comfortable with. And it’s like this one track mind, I’ll just get my speech back, I’ll get my speech back, you what do I need to do? Or make it go, get back for me. There’s often no looking into the other things that might be causing depression, for example. Dr Bob Hedaya (40:31) Thank you. Bill Gasiamis (40:38) After stroke, know for a fact that the gut gets impacted ⁓ very dramatically from a stroke and the gut is highly linked to ⁓ mood and how you feel. And nutrition is what supports the gut to feel better and taking out things from the diet that are ⁓ making the gut sluggish and not work appropriately will ⁓ improve your mood and how you feel. It’ll make a difference and Dr Bob Hedaya (40:59) Okay. Yeah. Bill Gasiamis (41:08) and it’ll add to one of those little tools that supports depression and makes depression less impactful and you have less swings, et cetera. And that’s kind of the point that you’re making is that you don’t just turn up and do psychiatry. We’re gonna do psychiatry, treat you pharmacologically and then send you on your way and then see you in six, 12, eight months again or whatever and then just repeat the process again. It’s a whole, know, holistic is the word that you hear, but it is a broader conversation that people need to be having. And that sounds like what you guys do. It sounds like the conversation doesn’t encompass, it encompasses everything. It doesn’t just focus on one intervention. Dr Bob Hedaya (41:56) That’s why I call it whole psychiatry. But it really should be whole neuropsychiatry or whole brain or, you know, but it’s whole body, whatever you want to call it. It’s really more than the body because obviously the social connections play a big role as well, you know. So yeah, everything you’re saying is 100 % true and it’s all real. Everything you’re saying is real. Everything you do. mean, simple things going back to the B12. You you need B12 to… Bill Gasiamis (41:58) Yeah. Dr Bob Hedaya (42:26) remyelinate your neurons. need to keep the mercury, by the way, got to keep the mercury levels low. know, the mercury, if you’re eating tuna fish or swordfish and you have high mercury levels, know, the mercury will actually prevent you from making new branches. The mercury actually will bind on tubulin, which is like a brick that you need to build new roads. And it will prevent the tubulin from building new roads in your brain. So here you are working hard trying to… Bill Gasiamis (42:28) Mmm. Dr Bob Hedaya (42:54) do things and you’re a can of ⁓ whatever tuna fish with loads of mercury two, three, four times a week. Well, that’s not working, you know. So that’s why you really want to look at the whole thing. It’s a lot. It’s really a lot. You know, it’s a big program, but you you take, take steps. Everybody has different needs or not everybody has to do everything. Bill Gasiamis (43:04) Yeah. Yeah. Not everybody needs to do everything to achieve significant results, but it’d be amazing to be able to find the things and target those, the ones that you’re to get the most bang for buck on. So you’re to putting time and effort into things that are not getting results. For example, an led hat from, uh, Amazon for $9 that you put on your head. And it’s basically just a red light hat. It’s not really doing the thing, right? Dr Bob Hedaya (43:32) Hmm. Ha ha ha. Bill Gasiamis (43:49) And that’s kind of why I started to have that conversation and do a little bit of research in what they, know, what’s medically known as or scientifically known as photo bio modulation, you know, the idea is great, but then it came to me from somebody who I imagine was looking at a seven or eight or $9, $10 cap with red lights that put on the head and they Dr Bob Hedaya (44:00) Right. Bill Gasiamis (44:15) paid money for a cap and hoping for an outcome and they didn’t get an outcome and then they’re wondering why. I suggest when people are looking into those topics, is gonna go and have a look at the science, what it says about the nanometers of the type of light that you need to be experiencing, how, where, who, and always do these things with medical supervision. It really challenges me when I find out people do things like, know, methylene blue was a thing. Dr Bob Hedaya (44:44) Right. Bill Gasiamis (44:45) uh, very recently and people will just go get a bottle of Methylene blue from somewhere and just start taking it and have no idea what they’re doing and, and, and, know, what they could hope for. They could be making things worse than for themselves and actually making themselves, um, like make things a lot harder for themselves. So, uh, my point is this all needs to be done under medical supervision. Typically when you, somebody reaches out to you, how do you begin the conversation and then how does that person engage with you? And then what happens after they’re treated? Because often I know from my experience with all my neurologists, et cetera, very rarely do I see anybody a second time, six months, 12 months, 18 months, five years down the track. You usually go in, they patch you up, they send you home, you get back to your life and then maybe you do one MRI. Dr Bob Hedaya (45:36) Really? Bill Gasiamis (45:44) ⁓ for a few years after brain surgery just to make sure that everything’s stable. But that’s about it. Nobody follows up with you. Dr Bob Hedaya (45:52) No, it’s a whole different ball game with us. No. So what we do first is ⁓ if someone will contact us through the website, which is wholepsychiatry.com, they will actually fill out a form. And if we feel that it looks like we might be able to be helpful to them, then we will send them a welcome letter. And then they will have the opportunity to meet with our new patient coordinator at no charge. Patient-Centered Care and Follow-Up and she’ll talk with them for 15 to 30 minutes and kind of tell them what’s going on and see if they, you know, the fit is good, et cetera. And then they have an opportunity if they want to meet with me on Zoom for 15 to 30 minutes and ⁓ I’ll figure out, can I help them? Can I not help them? Is it a good fit, et cetera? And then if it looks like, you know, green light and they decide they want to move forward and it makes sense, then we’ll schedule an evaluation. The time duration of the evaluation depends on what kind of patient. It could be a couple of hours, could be four and a half hours. But usually for neurological patients, straightforward, it’s a shorter evaluation. And before the evaluation, we’ll collect the neuro-quant and the QEG and the old records, et cetera. And then I will go through all of that data plus lab data that we collect. And I will then have an idea. Okay, what’s going on here? Now there’s all these things. There’s digestion, there’s nutrition, there’s immune function, inflammation, toxins, hormones, all the hormones, structural issues, chiropractic issues, traumatic brain injury, cardiovascular issues, et cetera. We look at all of that and then to see what are the players here and spiritual, social resources, connectivity. We look at all of this. And then we have a whole picture of what’s going on. And then we can figure out, okay, how do we want to approach this? And sometimes we approach it very lightly. Say we just start with the laser, that’s it. Or sometimes somebody says, no, I want to really get in there and fix everything that’s wrong. Okay, well, we identified these five or six things that need correction. So let’s stage this in order. And that’s what we’ll do. And everyone’s different. And then we have follow-up depending on what we need in two weeks, in a month, six weeks, not usually six weeks. Once things are stable, it could be every two, three months or four months. But in the meantime, I’m in the boat rowing, paddling with them. That’s the way I do it. I treat people, really, I try to treat people just like I would want to be treated myself, like I would want my family to be treated. I do the very best. I love what I do, you know what I mean? I just love what I do and I try to do the best, highest quality. And it’s not that I’m perfect, not that I don’t make mistakes, ⁓ not that I know everything because that’s for sure that I don’t, but that’s my approach. So I try to be in the boat with the patient. As long as the patient’s paddling, I’m paddling just as hard, if not. Bill Gasiamis (49:02) Yeah, it sounds like at least if things, if you don’t make the right approach initially, there’s a whole bunch of tools and resources and things that you can kind of focus on. And one of the things you mentioned, again, you glossed over it, but I love that you do this is spiritual. Like it might be a spiritual journey that the person needs to take. And it’s so overlooked because people, you know, do have… Dr Bob Hedaya (49:22) yeah. yeah, yeah. Bill Gasiamis (49:30) existential crisis after a stroke. it’s like a spirituality helps somehow for a lot of people ease, heal that, ⁓ help people move through, you know, the weeds and come out into the opening and then kind of see the opportunities and where they need to go next. And people don’t need to engage with somebody like you to go on a spiritual journey. That might just be something they’ve ever looked and they can just go, you know what, I’m going to pick up the Bible or ⁓ I’m going to learn about this particular ⁓ spiritual journey or whatever and go through it and do whatever it is that they need to do to kind of start beginning the healing journey in their own special unique way. It’s really important that spirituality gets addressed and it’s not glossed over. And I’m not saying that you did or I did or we do, but in the back of the minds, stroke survivors may not consider that being important. The Role of Spirituality in Healing Dr Bob Hedaya (50:31) Yeah, first of all, I’m passionate about spirituality. I mean, passionate because the truth, in my opinion, is that consciousness, your level of awareness is really consciousness is the foundation, the substrate of everything that exists. The material is an outflow from consciousness. So I could talk about this forever. Not everyone is oriented this way. So, you know, I just saw a businessman, very successful businessman ⁓ last week. He doesn’t want to just, you know, get me back online. OK, I don’t want to hear this mumbo jumbo and I just can’t. I don’t want to delve into it. Just get me better. know. But other people are like, I want to find the meaning, you know, and it’s very important. to find the when I think generally for most people finding the meaning in it is critical. And I’ll say one thing, my mother, may she rest in peace, was in the emergency room, probably 25, 30 years ago, I don’t know, something was wrong, she was in the emergency room for seven, eight hours or whatever, and some guy comes by and says, ma’am, can I get you a sandwich? And she says, oh yeah, please, please get me a sandwich. He gets her a tuna fish sandwich, whatever it is, right? He leaves. She’s so grateful. She’s so grateful that she volunteers in the hospital for 20 years. Okay? This guy has no idea what he did and all the people that he helped through her, right? So you’re, you you and you’re not just you, but we, each of us in our small minds, we have no idea. the impact we have on other people. So if it’s important to a person to have a meaningful life, understand that you don’t have to be running a company. You can smile at a stranger, change their day. There are things that you can do and you have an impact. Now, that’s a small consolation when you’re dealing with a stroke, obviously, but that’s when you kind of want to work to a meaningful ⁓ attitude and a good attitude. So yes, the spirituality is… many people very important. Bill Gasiamis (52:54) David who brought us together ⁓ wanted me to meet you so I could interview you. that part of the role that he played in what happened to his wife ended becoming something that helped other people. Isn’t it interesting? The whole journey started on. Dr Bob Hedaya (53:15) Exactly. Bill Gasiamis (53:20) He contacted me because he wanted to make something good come of what happened to his wife, which I’m sure his wife was also interested in. And he said, you need to get Dr. Hedaya on because we need to share more information, make this stuff aware. so, and I’m like, well, that’s perfect. Of course I do. Whoever comes to me with that kind of information because they want to help other stroke survivors because he’s hoping that other caregivers that are in his shoes have a better outcome. They have more support. They have more information. They have more tools. Dr Bob Hedaya (53:27) Mm-hmm. Bill Gasiamis (53:50) That’s the spiritual journey. You don’t have to call it ⁓ Christianity, Judaism. You don’t have to call it something. You don’t have to label it, but that is what spirituality looks like in practice. Dr Bob Hedaya (53:56) Right. Right. That’s exactly it. That’s exactly it. And it gives me chills because, you know, I know his wife is suffering, you know, and ⁓ but she’s making really great headway, but it’s hard, you know. But look at look that he’s reaching out and he cares enough about other people and to and make her journey and what she’s gone through and what she’s learned be useful to other people. That’s it. That’s just beautiful. I mean, that that speaks volumes about him and her. Bill Gasiamis (54:32) It does absolutely and her and your work because your work is not unique. You’re not the only one doing this kind of work. I think there’s only kind of a small percentage of ⁓ medical professionals in the field that are practicing in this way. And hopefully that continues to grow. ⁓ If somebody wanted to, well, somebody lots of people are listening to this today. If anyone wanted to reach out ⁓ who thinks, you know, that they might be able to ⁓ benefit from or go down this kind of approach. How should they go about that? What questions should they be asking of you, et cetera? Like how do they begin? Because this is a different conversation than I have ⁓ neurological injury, have aphasia. It needs to be positioned differently, this conversation. Dr Bob Hedaya (55:29) Tell me what you mean. I’m not really clear what you’re saying. Bill Gasiamis (55:33) If somebody wants to find a clinician who practices the way that you practice, you guys, for example, you know, you know, who thinks about the brain in a different way. What, what should they be looking for and what. Dr Bob Hedaya (55:38) Aha, I see, I see. I would say that they should go to the website for the Institute for Functional Medicine. And there’s a tab. This is find the practitioner. And make sure you look for a practitioner that is certified, fully certified. And then investigate the practitioners who are in your area and see if they experience. in this area. there are not I’m not aware of, there’s a guy somewhere in the Midwest here who’s using a laser, I believe. And then maybe other people that I don’t know about using lasers, but I’m not aware of anybody that I could say, go see this person for this quantitative EEG guided transcranial photobiomodulation. I’m not saying that that is readily available. It’s not. But the whole functional medicine thing, there are a lot of practitioners. And I think that’s the way to go there. Just do your homework. Bill Gasiamis (56:48) Yeah. Yeah. Cool. Your organization is whole psychiatry and the brain recovery center. Is that right? Okay. So the psychiatry part of it, ⁓ people might be listening and going, well, that doesn’t apply to me, the specific word specifically doesn’t need to apply to an individual to engage with you because, we’re not just dealing with the psychiatry part of somebody’s recovery. Dr Bob Hedaya (56:56) Yeah. Right. Thank you. No, no, we’re dealing, we treat psychiatric, but we treat neurological. You know, I started as a psychiatrist. was, you know, certified by the American Board of Psychiatry and Neurology, but I was doing psychiatry. then, you know, just following, you know, learning and whatever, I ended up, you know, doing some neurology here. And so, but we didn’t change the name to the whole neuropsychiatry and brain recovery. Maybe we should, or maybe the whole brain recovery center or something like that. So, you we do both, no, and if, and if, I can’t be helpful, of course, I’m going to tell people this, we really don’t want to waste people’s time, energy, money, et cetera. ⁓ But it’s, it’s been, you know, I have to say an amazing journey. And I would say when you follow for me, this is me, my life, following my passion of learning about the brain and understanding the brain and Bill Gasiamis (57:45) Yeah. Dr Bob Hedaya (58:14) looking for the fundamentals of how do things work and just there’s a common sense in medicine. I looked at the laser when I was reading that book and I was like, wow, ATP in the brain, that could really help the brain. How would I

A guy walks into a hardware store with vinegar, borax, copper mesh, a propane torch, and tweezers. If you have Morgellons, you know exactly what he's building — and exactly why he can't tell the kid in the orange vest. This episode opens with that scene, then goes somewhere most coverage of Morgellons disease refuses to go: the staged, recognizable progression of what people think they have before they arrive at Morgellons. Scabies. Worms. Springtails. Collembola. Lyme. Nanobots. Smart dust. The Oklahoma study at 2 AM on PubMed.Crystal Clear lays out why that sequence itself is data — not delusion. Diseases have stages of symptoms. Morgellons has stages of misidentification, marched through in roughly the same order by thousands of strangers across continents who've never spoken. That pattern requires an explanation. “Mass delusion” isn't one.Plus two records updates worth your attention:        •       A new Oklahoma Open Records Act request submitted to the State Department of Health regarding the 2000 Collembola study (Altschuler, Crutcher, et al.) — the one with the manipulated photographs.        •       An IRS 4506-A request for the Morgellons Research Foundation's final 990 filings (2009, 2010, 2011) came back denied with three stacked, internally inconsistent reasons — while the Pennsylvania Department of State has a complete eight-year paper trail for the same organization, including the dissolution filing. Schedule N would document where the money went on the way out. Schedule N is what's missing.You are not crazy. What you have is.Keywords / tags:Morgellons, Morgellons disease, Crystal Clear, More Morgellons podcast, Morgellons fibers, Morgellons stages, Morgellons symptoms, Collembola Oklahoma study, Morgellons Research Foundation, MRF 990, IRS 4506-A, Schedule N, nonprofit dissolution, Altschuler Crutcher, springtails Morgellons, Lyme Morgellons, nanobots smart dust, CDC Morgellons 2012, Mick West, contested illness, medical gaslighting, patient communities, investigative podcast

IN this episode, Dr's J and Santhosh explore the medical traditions of the Big Easy, including voodoo and cajun medicine. Along the way they cover the history of how voodoo is perceived versus how it is practiced, the oldest us medical board, disease gating classicism, yellow fever treatments in the 1850s, voodoo queen marie laveau, Dr Santhosh voodoo lesson, cajun traiteurs, faith healers and herbal lore, and more! SO sit back as we dig into the medical traditions of the crescent city!Further Readinghttps://egrove.olemiss.edu/cgi/viewcontent.cgi?article=1081&context=southernanthro_proceedings#:~:text=Those%20who%20follow%20Vodou%20believe,by%20a%20Western%20medical%20practitioner.https://roguearthistorian.substack.com/p/marie-laveau-a-life-of-healing-andHaitian vodou as a health care system: between magic, religion, and medicine - PubMed https://share.google/YN5IQaDOesyjWiHWW chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://ora.ox.ac.uk/objects/uuid:749d8bac-63a7-4afe-9696-5cfa40dfc854/files/mce6ae3fd6cdbef1dd2b31c521deda7a2Support Us spiritually, emotionally or financially here! or on ACAST+travelmedicinepodcast.comBlueSky/Mastodon/X/Instagram: @doctorjcomedy @toshyfroTikotok: DrjtoksmedicineGmail: travelmedicinepodcast@gmail.comSpotify: https://open.spotify.com/show/28uQe3cYGrTLhP6X0zyEhTPatreon: https://www.patreon.com/travelmedicinepodcast Hosted on Acast. See acast.com/privacy for more information.

Near-Infrared Light Therapy After Stroke: Does the Science Hold Up? A viewer reached out recently with a question I have been getting more frequently: Does near infrared light therapy actually help the brain recover after stroke? It is a fair question — the claims circulating online range from cautiously promising to outright extraordinary. In this post, I am going to cut through the noise and look at what the peer-reviewed research actually shows. What is Near-Infrared Light Therapy? Near infrared (NIR) light therapy — also called photobiomodulation (PBM) or transcranial photobiomodulation (tPBM) when applied to the head — uses specific wavelengths of light (typically 630-1100 nm) to penetrate tissue and interact with cells at a biological level. This is not a tanning lamp or a heat lamp. The mechanism is specific: NIR light at the right wavelengths is absorbed by cytochrome c oxidase, a key enzyme in mitochondrial energy production. When stimulated, cytochrome c oxidase increases ATP synthesis — essentially giving cells more energy to carry out repair and function. For neurons recovering from ischaemic or haemorrhagic stroke, the theory is compelling: damaged brain cells that are energy-starved might benefit from an additional energy stimulus. The Mechanism: What the Biology Says The cytochrome c oxidase pathway is well-established in photobiology. What is less settled is whether light at therapeutic intensities can penetrate the skull deeply enough to reach relevant brain structures. Skull and scalp tissue absorb and scatter light substantially. Transcranial delivery requires sufficient power density (irradiance) at the source and long enough exposure to accumulate meaningful fluence (energy dose) at depth. Studies using ex vivo human skull specimens suggest that only 1-3% of surface irradiance reaches cortical tissue at clinically relevant depths — and deeper subcortical structures receive even less. This does not make tPBM ineffective — it means dosing is everything. And most consumer devices do not disclose their irradiance or fluence specifications, which makes comparing them to clinical trials nearly impossible. What the Research Shows Animal Studies: Encouraging Signals Several well-designed rodent studies have demonstrated that tPBM applied within hours to days of stroke onset reduces infarct volume, improves functional recovery, and modulates neuroinflammation. A 2019 study by Thunshelle et al. found tPBM reduced lesion size in ischaemic stroke models and improved neurobehavioural scores. Animal models are useful for mechanistic insights. However, rodent skulls are thinner and brain structures are more superficial than in humans — so translational accuracy is limited. Human Clinical Trials: More Complicated The human evidence is where the story becomes nuanced. The NeuroThera Effectiveness and Safety Trial (NEST-1 and NEST-2) were the most prominent early RCTs. NEST-1 (2007) reported positive outcomes for acute ischaemic stroke patients treated within 24 hours. However, NEST-2 (2009), a larger double-blind RCT with 660 patients, failed to replicate those results on its primary outcome measure. NEST-3 was halted early in 2013 after an interim analysis showed it was unlikely to meet its primary endpoint. What went wrong? Researchers identified several issues: heterogeneous stroke populations, inconsistent dosing protocols, and the fundamental challenge of transcranial light delivery in adults with varying skull thickness and tissue composition. More recent work has shifted focus. A 2023 review by Zomorrodi et al. examined pulsed tPBM and found preliminary evidence for cognitive and neurological benefits in traumatic brain injury and neurodegeneration — but noted the absence of large, well-powered RCTs in stroke specifically. The Consumer Device Problem Here is where I have to be direct with anyone considering purchasing a NIR device for home use. Clinical studies use medical-grade devices with precisely calibrated irradiance, typically 10-700 mW/cm2 at the source, with controlled exposure times to achieve specific fluence targets (often 0.9-36 J/cm2). Consumer devices vary enormously — and most do not publish their specifications at all. Buying a NIR cap or helmet marketed for brain wellness is not equivalent to receiving the protocol used in clinical research. This does not mean it is harmful. It means we do not know whether you are getting a therapeutic dose, a sub-therapeutic dose, or anything in between. The Stakes If you are in recovery from a stroke or brain injury and you are exploring every option — which I completely understand — the risk here is not primarily financial. The risk is investing hope, time, and energy into something that may or may not be delivering what clinical trials suggest is therapeutic. The opportunity, on the other hand, is real: the underlying biology is sound, and the research pipeline is active. This is an area worth watching closely. Three Actionable Steps Talk to your neurologist or rehab physician before purchasing any device. Ask specifically whether tPBM has been considered in your care plan and what the current clinical guidance is. If you want to explore the evidence yourself, search PubMed (pubmed.ncbi.nlm.nih.gov) for transcranial photobiomodulation stroke — filter for systematic reviews and RCTs published after 2018 for the most current picture. Check ClinicalTrials.gov (clinicaltrials.gov) for active trials recruiting stroke survivors for tPBM studies. Participation in a trial gives you access to a properly calibrated protocol and contributes to the evidence base. What Recovery Can Look Like When the brain is given the right conditions — adequate sleep, nutrition, rehabilitation, reduced inflammation, and potentially adjunct therapies that the evidence supports — healing happens in ways that can surprise both patients and clinicians. I have spoken with hundreds of stroke survivors on this channel who found approaches that contributed meaningfully to their recovery. Not a single one found a shortcut. But many found tools — used thoughtfully, in partnership with their medical team — that made a genuine difference. That is what this channel is about: doing the work so you can make informed decisions. References Lampl Y et al. Infrared laser therapy for ischemic stroke: a new treatment strategy. Stroke. 2007;38(6):1843-9. PMID: 17463313. pubmed.ncbi.nlm.nih.gov/17463313 Zivin JA et al. Effectiveness and Safety of Transcranial Laser Therapy for Acute Ischemic Stroke (NEST-2). Stroke. 2009;40(4):1359-64. PMID: 19233936. pubmed.ncbi.nlm.nih.gov/19233936 Thunshelle C, Hamblin MR. Transcranial Low-Level Laser (Light) Therapy for Brain Injury. Photomed Laser Surg. 2016;34(12):587-598. PMID: 27854434. pubmed.ncbi.nlm.nih.gov/27854434 Zomorrodi R et al. Pulsed Near Infrared Transcranial and Intranasal Photobiomodulation Significantly Modulates Neural Oscillations. Sci Rep. 2019;9(1):6309. PMID: 31004089. pubmed.ncbi.nlm.nih.gov/31004089 Bill Gasiamis is a stroke survivor and the host of the Recovery After Stroke podcast. He is not a medical professional. Nothing in this post constitutes medical advice. Always consult your treating physician before starting any new therapy. The post Near-Infrared Light Therapy After Stroke: Does the Science Hold Up? appeared first on Recovery After Stroke.

In this episode of Disruption/Interruption, host KJ sits down with Ome Ogbru, PharmD, CEO and founder of AINGENS, to tackle a decades-old problem hiding in plain sight: life sciences runs on groundbreaking science, but is buried in broken processes. After 20+ years as a clinician, professor, and pharmaceutical executive, Ome reached a breaking point, and instead of finding a new job, he built a new company. He shares how generative AI, used responsibly and strategically, can finally give researchers their time back, cut through misinformation, and help the right information reach the right people faster. Four Key Takeaways: The scientific content workflow is fundamentally broken [4:15] -- Research teams are so resource-strapped that PhDs spend their time managing IT systems instead of doing science. Procuring a software solution could take one to two years and often didn't even solve the right problem. Generative AI isn't the magic wand, it's how you use it [20:01] -- When Ome first tested ChatGPT on biotech content and got poor results, he had a revelation: the tool wasn't the problem. The problem was not knowing how to use it. Pairing AI with deep domain expertise and proper workflows is where the real power lies. The human expert must remain in the driver's seat [32:30] -- AINGENS' platform (MACG) is built so the professional is in control. The AI handles the time-consuming, mundane tasks like literature search, drafting, and formatting, while the expert applies regulatory knowledge, judgment, and guardrails. Misinformation in life sciences is a public health problem [35:49] -- Misinformation travels faster than accurate data. Ome's vision is for generative AI to help industry proactively get accurate, personalized scientific information to the people who need it, patients, clinicians, and researchers alike, before the noise wins. Quote of the Show (35:41):"Misinformation flies faster than correct information." -- Ome Ogbru Join our Anti-PR newsletter where we’re keeping a watchful and clever eye on PR trends, PR fails, and interesting news in tech so you don't have to. You're welcome. Want PR that actually matters? Get 30 minutes of expert advice in a fast-paced, zero-nonsense session from Karla Jo Helms, a veteran Crisis PR and Anti-PR Strategist who knows how to tell your story in the best possible light and get the exposure you need to disrupt your industry. Click here to book your call: https://info.jotopr.com/free-anti-pr-eval Ways to connect with Ome Ogbru:LinkedIn: https://www.linkedin.com/in/ome-ogbru-pharmd/Company Website: http://www.aingens.com How to get more Disruption/Interruption: Amazon Music - https://music.amazon.com/podcasts/eccda84d-4d5b-4c52-ba54-7fd8af3cbe87/disruption-interruption Apple Podcast - https://podcasts.apple.com/us/podcast/disruption-interruption/id1581985755 Spotify - https://open.spotify.com/show/6yGSwcSp8J354awJkCmJlDSee omnystudio.com/listener for privacy information.

Episode Description In this episode of The Peripheral, Justin  sits down with Amy to discuss her long battle with chronic knee injuries, frustrating experiences with traditional medical care, and her decision to seek stem cell treatment outside the United States. Amy shares her journey from multiple injuries and misdiagnoses to traveling to Mexico for advanced regenerative therapy using MUSE cells from umbilical cords. She covers the procedure details, costs, recovery, and life-changing results, including improved mobility, reduced pain, and unexpected benefits like better sleep and mental health. If you're dealing with joint issues or curious about alternative treatments, this candid conversation highlights the pros, cons, and realities of medical tourism. Guest Information Amy Zajac: A podcast enthusiast and advocate for regenerative medicine, Amy shares her personal story of resilience after years of knee problems. She's based in Minnesota and has a background in active lifestyles like hiking and boot camp workouts. Additional Notes Resources Mentioned: Amy references MUSE cells (pluripotent mesenchymal stem cells from umbilical cords), Vagus Nerve Reset (Stellate Ganglion Block), and clinics in Mexico (not named for privacy, but vetted via PubMed, doctor credentials, and affiliations like Cedars-Sinai). Always consult a healthcare professional and do your own research before pursuing treatments. Listen and Subscribe Tune in to The Peripheral for more stories on health, true crime, and the unexpected edges of life. Available on Spotify, Apple Podcasts, YouTube, and wherever you get your podcasts. Follow us on X (@ThePeripheralPod) for updates, and rate/review to help us grow! If you have a story to share, email justin@theperipheralpodcast.com.   https://www.instagram.com/dr.akhan/reels/

How did Mimi Morgan defy the odds? Once bedridden and facing daunting diagnoses like Parkinson's disease, rheumatoid arthritis, and the effects of a stroke, Mimi's story is one of extraordinary resilience. From relying on multiple medications to now living a vibrant, adventurous life—lifting weights, swimming in icy waters, and thriving as an artist and equestrian—Mimi has become an inspiration to many. In this second interview, we dive deeper into her remarkable transformation and the unconventional path she took to heal herself. Tune in and discover the mystery behind Mimi Morgan's journey to health and vitality—you won't want to miss what's next. X @mimikmorgan https://x.com/mimikmorgan?s=21 IG @mimimorgank https://www.instagram.com/mimikmorgan/ Mimi's Website www.Just10moresteps.com Randomized Controlled Trial Showing significant improvement in Parkinson's disease with ketogenic diets, over a week designed Mediterranean diet: Low-fat versus ketogenic diet in Parkinson's disease: A pilot randomized controlled trial Authors: Phillips MCL, Murtagh DKJ, Gilbertson LJ, Asztely FJS, Lynch CDP Journal: Movement Disorders. 2018 Aug;33(8):1306-1314 DOI: 10.1002/mds.27390 PMID: 30098269 PubMed link: https://pubmed.ncbi.nlm.nih.gov/30098269/ PMC free full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC6175383/ Wiley publisher link: https://movementdisorders.onlinelibrary.wiley.com/doi/10.1002/mds.27390   Join my NEW 90-day Carnivore Challenge group on Mighty Networks below! https://dr-chaffee-s-90-day-carnivore-challenge.mn.co/landing/ If you liked this and want to learn more go to my new website www.DrAnthonyChaffee.com

In this episode, Cheryl sits down with Brad Pitzele to unpack a long and complicated health journey that began with early autoimmune symptoms and escalated into psoriatic arthritis, debilitating fatigue, and eventually melanoma linked to immunosuppressive treatment. Frustrated by a system that offered only escalating medications and limited answers, Brad began an intense period of self-experimentation and research. His turning point came after a Lyme disease diagnosis, one that helped connect years of seemingly unrelated symptoms. This ultimately pushed him deeper into understanding the root causes of chronic illness, especially the role of mitochondrial dysfunction and inflammation. From there, the conversation shifts into the tools that helped Brad reclaim his health, including exercise with oxygen therapy (EWOT) and red and near-infrared light therapy. He explains how both approaches work at a cellular level to improve oxygen delivery, support mitochondrial function, and reduce inflammation. Thseare are all mechanisms that have implications for conditions like chronic fatigue, autoimmune disease, multiple sclerosis and even cardiovascular health. This episode is a deep dive into resilience, curiosity, and the power of continuing to search for answers when conventional paths fall short, offering both practical insight and hope for anyone navigating complex or unexplained health challenges. Connect with Brad at One Thousand Roads. Disclaimer: Links may contain affiliate links, which means we may get paid a commission at no additional cost to you if you purchase through this page. Read our full disclosure here. Takeaways Chronic symptoms do not always have clear answers and standard care often focuses on managing symptoms rather than addressing root causes Mitochondrial health plays a central role in energy, recovery, and overall resilience and when it is compromised nearly every system in the body is affected Inflammation and low oxygen levels go hand in hand, creating a cycle that can worsen chronic illness over time Exercise with oxygen therapy works by increasing oxygen delivery to tissues and may support energy production and reduce inflammation Red and near infrared light therapy may enhance mitochondrial function by increasing cellular demand for oxygen and boosting energy output Combining oxygen therapy with red light can create a complementary supply and demand effect at the cellular level Healing from complex or chronic conditions is rarely quick and consistent cumulative inputs over time matter more than short term fixes Self advocacy and curiosity are critical when navigating unexplained health issues or when conventional approaches fall short Small improvements over time can rebuild momentum and hope even before full recovery is achieved Simple inputs like oxygen, light, and movement can have powerful effects when applied consistently and strategically Watch on YouTube Disclaimer: Links may contain affiliate links, which means we may get paid a commission at no additional cost to you if you purchase through this page. Read our full disclosure here. CONNECT WITH CHERYL Shop all my healthy lifestyle favorites, lots of discounts!  21 Day Fat Loss Kickstart: Make Keto Easy, Take Diet Breaks and Still Lose Weight  Avaline Wines, Tested and Clean, Sugar Free Drinking Ketones Wild Pastures, Clean Meat to Your Doorstep 20% off for life  Clean Beauty 20% off first order DIY Lashes 10% off  NIRA at Home Laser for Wrinkles 10% off or current promo with code HealNourishGrow Instagram for daily stories with recipes, what I eat in a day and what’s going on in life Facebook YouTube  Pinterest TikTok Amazon Store The Shoe Fairy Competition Gear Getting Started with Keto Resources The Complete Beginners Guide to Keto Getting Started with Keto Podcast Episode Getting Started with Keto Resource Guide Episode Transcript Cheryl McColgan (00:00)Hey everyone, I’m Cheryl McColgan and today I am joined by Brad Pitzley and we are going to talk about some of his health history. He has a really interesting background with some challenging diseases and scenarios that he went through. And you know, like many of the guests on the HealNursery podcast, he just has a health journey that he wants to share with people and kind of what ended up actually helping him. Because so often people go down these roads with different conditions and they just have a lot of trouble finding out number one what it is, number two if there’s anything that can help them feel better or how to treat it. And so I think Brad’s going to have a lot of really interesting things to share with us today. So Brad, if you could just maybe start by, I don’t know how far in the way back machine you want to go, but kind of just, you know, give us a little bit about your health journey. And as we go along, I’m sure I’ll have some kind of questions to fill in for everyone. Brad Pitzele (00:50)Yeah, I had weird health things going on since grade school. I was diagnosed with psoriasis, but then I had other weird things that just kind of came and went. We’d go to the doctor, they’d give it a label. It would last for a while. There was no treatment for said label and then it would kind of just disappear and then I’d move on with life and then a year or six months or whatever, something else might pop up. But it really kind of started to come to a head. Um, probably around 2010 or 11, I started to develop autoimmune arthritis, what was considered psoriatic arthritis, which is, it’s basically like rheumatoid arthritis, but it’s what you get with psoriasis. Um, and they started to test all sorts of different drugs on me. The first sets didn’t work. Then they put me on, um, some immune suppressive drugs. They gave me relief for like maybe six months and they’d start wearing off and they would double the dose and they’re. I was kind of worse off when it wore off and then it would kind of bring me up a little bit. And then was kind of like I was taking a stair step into, you know, into a worse and worse place. And I was on those drugs for probably about two years. And then I developed melanoma. And that’s one of the side effects of the drugs is it’s got a high risk of cancer and specifically melanoma. So that was kind of a, a jumping off point for me. I, during that period, I also started to develop weird other symptoms. Like I started to get stiffness in the back of my legs. had tremendous brain fog and energy issues. had pain in my feet and I would take this back to the rheumatologist and I’d be like, this is, is this part of the, this disease? assume. he was like, no, that’s not part of the disease. And I was kind of shocked and like, well, it feels like part of the disease. It’s kind of, you know, it’s just. Cheryl McColgan (02:38)All right. Brad Pitzele (02:41)another symptom of whatever’s going on with me. But he didn’t really acknowledge that. And then when I got cancer, I went back to him and I was like, Hey, you know, I’m really afraid I’m like, if I keep taking these drugs, more risk of cancer. I don’t take these drugs. I, you know, I die, cripple crumpled up in a ball in the corner, so to speak. And he was kind of like, no, I don’t think that’s going to happen. Yeah. I think we’re just going to try another drug in the, the, the same category. And that was like, just started having alarm bells in my head. Just started shouting at me. was like, either path feels like it’s very bad. And I was a, I had a young children at the time. I was a relatively new father and that was even more scary. I was kind of the single income in the household. And I just started like, I’m like, what happens if these things happen to me to not just me, but my family. and that’s kind of when I started jumping off and like doing my own research and trying to figure out what I call a third path for because neither of those really made sense to me. Cheryl McColgan (03:40)those both sound like not very good options. I’m just kind of curious when you were going back to the doctor with these things, kind of two questions here actually. One, and I think I already know the answer, but one, were drugs the only answer that this doctor was able to give to you? And secondly, I think having the cancer being a known side effect of the drug is really interesting. you ever talk about what the mechanism there is or anything to know about that just for people with curiosity? Brad Pitzele (04:07)Yeah, so yeah, mostly it was drugs. He did also offer me injections of steroids into some of my joints. He was very skilled at it, because he said it was gonna be very painful. It wasn’t that painful, but steroids turn off your immune system. And it’s the same thing with some of the drugs I was on. One of them was a… I won’t call brand name, but it was a TNF inhibitor. TNF stands for tumor necrosis factor. And it’s basically in a component of our immune system. And so there was some research done and they found that if they turned off that component of your immune system, hey, the pain and symptoms go away. Unfortunately, as the name alludes to, it kills tumors. when you turn it, we all have cancer in our Cheryl McColgan (04:49)Yeah Brad Pitzele (04:52)body. Like right now as we speak, everyone has it. It’s just our immune system is able to kill it off and so it never really gains a foothold. But once you start tipping the balance of the scales, obviously, you know, it can run amok. And that’s what happened in my case. Cheryl McColgan (05:08)Yeah, very interesting. also it just brings up so many other questions that I’ll have to go down a rabbit hole after we’re done with our conversation. But so you had these things, you didn’t have good relief, you were still having symptoms, then you got cancer. And I assume obviously you had to get treated for that at that point. Was that really the turning point for you to just be like, I’ve got to find some other way to manage this? How did how did things go from there? Brad Pitzele (05:30)Yeah, it was, and I’m not gonna tell you it was a fast turn for me. It took me several years. But I mean, from there, I just started reading anything I could. I read books, I was out on the internet, I was in chat groups talking to other people who had similar symptoms, Facebook groups, Googling on PubMed, looking at research, so many rabbit holes I ran down. I was joking, I’m recovering engineer. ⁓ I got my undergraduate in mechanical engineering, so I’m very analytical by my nature, I suppose. Research didn’t scare me, and I just was reading anything I could. I wasn’t gonna… Cheryl McColgan (05:55)You Brad Pitzele (06:07)You know, wait for them to find something in the research and then try to translate it 20 years later. Like that does me no good. and I tried everything. I did a lot of self experimentation, everything from complete changes of diet, supplements, so many, mean, different modalities, all sorts of weird stuff. Sometimes my family looked at me pretty good side, I when they saw some of the stuff I was doing. but you know, when you’re, when you’re really desperate and. things are getting worse and worse. And particularly when you also feel this responsibility and obligation to your family, you just, it’s not even just about you. You’re like, what do I do? I like, I’m gonna disappoint all these people and life is not gonna be good for them. I just told myself, I’m not allowed. know, like this is absolutely not allowed. This is not gonna happen, but it kept happening for a few more years. And then, I ended up at a doctor’s office and he tried all sorts of things. Nothing was working. He was an MD, but he was non-insurance, so was integrative. And he was trying all sorts of alternate modalities on me. Even the things he was sure were gonna do anything, nothing was doing anything. He’s doing testing on me, nothing was popping. And then he suggested I do a Lyme disease test. I remember thinking, I’m like, doctor, I don’t have Lyme disease. I’m like, I’ve never been bitten by one of these ticks. I’ve never had that bullseye rash thing. I’m thinking to myself, I don’t have that. But I was kind of like, you know what? And it was expensive test at the time. It was like 500 bucks. Insurance didn’t pay. But I was like, you know what? I’m gonna pay the 500 bucks. I’m gonna do the test so he can see it’s negative and we can get him off this Lyme thing. We can get to the real deal because it’s not Lyme. And sure enough, it came back that I had Lyme disease and one of its co-infections called Bartonella, which is the infection that causes cat scratch disease as well. And I was so shocked. went back to him. was like, doc, what’s the chances this is a false positive? I don’t think I have it. And he was like, Brad, it’s a urine PCR, which means you have the DNA of those bacteria in your urine. What do you think is the chances it’s, it’s false positive? I’m like, got it. Cheryl McColgan (08:12)Not. Brad Pitzele (08:14)And that’s when it finally started to hit. ⁓ Cheryl McColgan (08:16)Well, just for people that aren’t familiar, I think everybody’s kind of heard of Lyme disease at some point, maybe Bartonella, but what did that kind of mean to you at the time? Like I’m sure once you got that diagnosis, you wanted to learn more about it. Were you thinking that that explained some of the things that you had up to this point or how did that mesh into the whole symptom profile? Brad Pitzele (08:36)Life disease is incredibly challenging. for a variety of reasons. One, it’s very difficult to get under control. There’s a lot of folks in America and across the world, quite frankly, suffering with it right now. The other reason it’s tough is there’s not a lot of doctors willing to treat it. There’s this whole stigma about it. What makes it particularly difficult is there’s this question on if it actually exists in some doctor’s head. It’s like the weirdest thing in the world. We know there’s this infectious agent, we know it infects humans, and yet when a human comes to the doctor and says, I’ve been infected by it, they’re like, are you sure? And so you kind of get, I think the term I hear often is medical gas lit. And on top of that, doctors, for legal reasons, often don’t want to touch it. So my doctor didn’t want to touch it. And he was like, look, you have to go to a Lyme specialist three hours away. I recommend him as best I can. And it was a long waiting list to get into this doctor’s office. And while I was waiting, just… I was relentless, you I just couldn’t sit here and let myself deal with all this. It was a three month wait. And so I just started reading voraciously on Lyme disease to your point. was reading all sorts of research. I was reading books on it, a lot of books on the, like the science and what was happening to your body mechanically. And it was actually pretty eye opening because when I started to read all these symptoms, I was like, I started to piece together all these pieces, the puzzle that happened to me in my childhood, ⁓ things that happened Cheryl McColgan (10:12)Mm. Brad Pitzele (10:13)more recently, things that the rheumatologist couldn’t explain, but now we’re clear as day what was going on. And so the jigsaw puzzle started to fall into place for me. So it was kind of an epiphany from that perspective, yeah. Cheryl McColgan (10:29)Yeah, that’s got to be the waiting had to be one of the hardest things, I’m sure. then once you finally got to him, did he because he was specialized in Lyme specifically, did he have any solutions for you? Or then was it somewhere that you still had to go to go down the road? Brad Pitzele (10:42)No. You know, the disappointing thing is, I ended up, the whole family was diagnosed with Lyme disease, not just me, my children and so forth. So we all carted in the car down three hours from, I live in Dallas area down in Austin. He had a lot of things to say to us. It was kind of stuff I’d already read. Most of it I’d already tried. know, supplements I’d already run through myself and like it became cost prohibited both the time and the visitation and we just didn’t get anywhere. So we probably visited him. five or six times and then I was like, okay, well this is not, know, and was, each time it was kind of clear, like his tools were somewhat limited. And so then it was time to kind of, while I was doing his stuff, I was also just actively experimenting. was, you know, was a, you know, a test dummy every set, every second of it, because again, you know, you just can’t wait, you know, come back in two months. You’re like, if this thing doesn’t work in a few weeks, I got to, I’ll keep doing it, but I’ll add other things. See where I go. Cheryl McColgan (11:46)Right, well, I’m sure once you knew that your whole family had this issue that probably made you want to solve it even more, not that it wasn’t enough for you to solve it for yourself, but now you’ve got other people in your family that you want to feel well, you know? Brad Pitzele (11:53)Yes. Absolutely, absolutely. was definitely set heavy on my mind. Just I didn’t want the kids to have to go down this path. Cheryl McColgan (12:06)So this kind of leads us into this whole backstory into the sign that’s behind your head right now, 1000 roads, because you kind of did that many roads to get here, right? And so what did you come across? I thought that was like one of the best business names I’ve ever seen, the way, knowing the backstory. But anyway, what was it that you found in the research or what led you to kind of, there’s a couple of things that did end up helping you, which is awesome, because I think now we’re going to share this with people because Brad Pitzele (12:16)Yeah, that’s right. you Thank you. Cheryl McColgan (12:35)Like you said, there’s plenty of people out there with Lyme disease. There’s plenty of people out there with unexplained illnesses or things that are affecting them. And, you know, there are some interesting tools that do work, worked in your case. So how did you end up finding what actually ended up working for you? Brad Pitzele (12:50)Well, I eventually started doing a lot of research on all sorts of things. And one thing that stuck with me was mitochondrial health. I hear more and more folks talking about it in recent years, which is great, but this is probably about a little 10, 12 years ago. It really wasn’t a well-spoken about area. the more I researched about mitochondrial health, the more I realized this is at the root of everything. So for your listeners, the mitochondria are this little organelle, this little subset inside all of your cells that produce the energy. And they’re extremely fragile. And when they get damaged or they’re not working efficiently, nothing works efficiently because everything takes energy, right? Us talking takes energy, thinking takes energy, moving our muscles, our organs working take energy, repair our immune system, all of it. And so often when you’re dealing with chronic health conditions, particularly when you’re dealing with an infectious agent or even cancers, they go after our mitochondria. because they kind of take the power down in the system and that gives them a leg up on our immune system and our defenses and it allows them to kind of I would call it just burrow deeper into our biology and you know shift the biology to be more favorable towards whatever that is. So for me it that was kind of an epiphany and I delved into a couple tools and the first one was something called exercise with oxygen therapy. also known as EWOT, E-W-O-T. No one was really talking about it. It was kind of the small little thing, not a lot of information out there. And then there was a second one, more folks have heard of today, which is red light therapy, and really red and near infrared light therapy. And they both work through mechanisms that help the mitochondria restore itself. Cheryl McColgan (14:45)Yeah, the exercise, I was looking at the photo on the website of the EWOT contraption and I’m kind of having a hard time conceptualizing. think what, and actually before we go into that, let’s address this other question that came up in my mind when I was looking at the contraption, because I’m like, okay, the thing that most people are probably somewhat familiar with nowadays is a hyperbaric oxygen chamber. And that is used in cancer treatment. think it was, Dr. Seyfried has this thing, and you might be familiar with him just like. through your mitochondrial research, but it’s called like a press pulse thing that they use with cancer patients. And it has to do with ketogenic diet, because you’re starving the cancer of sugar. And then also this hyperbaric oxygen therapy. That’s, that’s all just kind of a weird aside for people that are hearing this, it really has nothing to do with this conversation. But it’s interesting to look up. But for your thing, the hyperbaric works in one way. And I think people like you can visualize it, because you go in and you kind of just lay down. And that’s what it is. But this And when people go to the website, they’ll see it. It’s kind of, looks like a big balloon or a box. So guess I’m having trouble kind of conceptualizing how do you even use that or, how do you exercise with that? That’s a very long winded question, but hopefully we’ll get there. Brad Pitzele (15:47)Yeah. Sure. Well. Yeah, that’s great. So I think it’s two questions. What is it? How does it work sort of thing? Exercise with oxygen therapy at its principles really simple. It simply involves doing any sort of exercise, preferably something that gets your heart rate up, generally cardiovascular exercise, while wearing a mask and breathing near pure oxygen, so about 93 % oxygen. So to your point about how does the contraption or the EWATS system work, it works as, it’s like this, there’s actually a device called an oxygen concentrator that can produce an endless supply of oxygen. You plug it into the wall and you flip the switch and it takes the oxygen in your room, which is probably at like let’s say 21 % at sea level, and it purifies it to 93 % oxygen by separating out the other gases, the nitrogen and the argon. which is great, but these machines that you can plug into your wall, your home outlet, they produce only five or 10 liters of oxygen in a minute. And when you exercise, you can easily use 50 or 60 liters in a minute. So to get a 15 minute session in, you can easily use 900 plus liters of oxygen. And that machine’s only putting out at the best 10 liters of it. And so every minute. And so what we do is we take that machine and we fill a large reservoir to a thousand liters. So think of it as about six feet, five and a half, six feet squared. It looks like a big pillow. And we fill that thing with oxygen. Now to like dimensionalize this for folks, a thousand liters of oxygen is similar to the amount of oxygen you’ll breathe in an entire day. And we’ll fill this, this, you know, bloom, what we call a reservoir with oxygen. And then we’ll attach a hose with a mask on the end of it. Put the mask on and you just breathe out of that reservoir. of water. So again, in that 15 minutes, you can take in a whole day of oxygen. It’s really a massive amount. Now, how does it compare to hyperbaric oxygen? That’s a really good question. Hyperbaric oxygen, at its core, what you do is you get inside of a chamber, they pressurize it, and that forces more oxygen through your lung membrane and into your blood. Now, Once it gets past your lung membrane and into your blood, your, what happens in hyperbaric oxygen is it goes not just into your red blood cells, because if you look at your red blood cells right now, which are the parts of your blood that are designed to carry oxygen, they’re at capacity. Like you can put a little pulse oximeter on your finger and it’ll say 99 % or 100 % or 98%. And so there’s not room for more oxygen, but what hyperbaric does, and EWAT does the same thing, is it actually forces oxygen into your blood plasma. Now blood plasma is this clearish brown liquid, it’s effectively water plus plus, that all the red and white blood cells ride on. And so it can actually turn that into an oxygen carrying vehicle inside your blood, something that normally doesn’t carry very much oxygen. And that’s through a process called Henry’s Law, which goes beyond human biology. It’s really just a chemistry law that says, you take an insoluble gas and enforce it on top of an insoluble liquid, it’ll force the gas to go into solution. In this case, the gas is oxygen and the liquid is blood plasma. Now, in hyperbaric oxygen, the body tries to get back into balance. It notices there’s a surplus of oxygen in the blood. And so your body tries to regulate, go back to homeostasis by using something called vasoconstriction, which means your blood vessels constrict. They get smaller to allow less of that oxygen through. So your body is naturally fighting against delivering that oxygen. In spite of that, you deliver a large dose of oxygen to the tissues. In IWA, what we do is we come to the opposite. Instead of using pressure to force more oxygen into and through your lungs, we use exercise to pull it through. So when you start exercising, your body immediately recognizes that it needs more energy. And the gating factor in producing more energy is oxygen. We all in this Western world generally get enough food. It’s just we’re… When you’re exercising, there’s not enough oxygen. So when it notices this, you have all these physiological changes, right? You start breathing faster and deeper. Your lung membrane actually thins out to allow more oxygen to pass through. Your heart starts beating faster. Every beat is deeper. Your blood vessels actually dilate. They actually open up to allow larger blood flow through them. And then when you exercise, naturally, actually, your blood pressure goes up. And most of us think, no, high blood pressure is bad, but in exercise it’s actually really good because the more pressure inside your blood, that differential between the pressure in your circulatory system and the tissues is like a driving force that drives the oxygen out of the blood and into the tissues. we do EWAT, we’re taking advantage of all those physiological changes to allow us to take in oxygen very quickly and deliver it deeply into the tissues. in a 15 minute EWAT session, you could take in as much oxygen as you would in a hyperbaric session in 90 or more minutes. It’s really quite a large dose. Cheryl McColgan (21:09)Wow. then what about, so how does that affect the mitochondria? Does it just give them more energy and kind of helps them repair quicker? Or what’s the connection between mitochondrial health and the EY? Brad Pitzele (21:16)Thank This is actually the really fascinating part. And this is the thing that really got me more interested in it. EWAT was founded actually in the 1960s and 70s. There was this prolific inventor named Manfred von Arden. He was a German physicist and inventor. He invented the scanning electron microscope. He helped commercialize television technology in the 1930s. And he got interested in oxygen in 1960s and 70s because there was a gentleman named Warburg in the 1920s who had proven that he could take any cancerous cell, any regular cell and turn it into a cancerous cell simply by depriving it of oxygen. And the reverse was true. So Von Arden got interested in that, wanted to start experiment with oxygen, simply trying to reverse cancer. And along the way, what he discovered is something really powerful about our circulatory system, which is as we age, this thing we now refer to as inflammation happens inside our bodies, this slow, gradual increase in inflammation and that affects every part of our body including our circulatory system. But our circulatory system is actually kind of a weak link. At the very end of your circulatory system is your capillaries and they’re incredibly thin and they’re actually the component where the oxygen and the nutrients gets transferred from the circulatory system to the tissues. So you’ve got these really thin capillaries, thinner than a human hair, actually smaller than a red blood cell. In order for a red blood cell to get in a healthy capillary, it has to fold over like a taco to get in because it can’t fit in normal if it’s fully expanded. So there’s not a lot of room for error. And when you start having this inflammation, it causes blockages in the capillaries. So when that happens, you lose circulation downstream. You have what I call a brownout. All the cells on the other side of that inflammation are no longer getting red blood cells, they’re no longer getting oxygen. Luckily, our body does have a backup generator and that’s called anaerobic respiration. Anaerobic respiration is when they create energy without oxygen. But the problem with it is multi-fold. Number one, it only can produce about 5 % of the energy, it can produce what has oxygen. So immediately the cells are like powering down, they’re not able to do all of their essential functions. problem is it produces a massive amount of metabolic waste and free radicals and those things damage our mitochondria because our mitochondria are incredibly fragile as we spoke about earlier and they’re right at the heart of it wherever you’re producing energy you have some free radicals but now when you shift over to anaerobic all of a sudden you’re just spitting out all sorts of damaging chemicals if you will and it has no energy so it has no way to actually clear it and so it becomes I kind of call it’s like a doom loop, which is it starts with dysfunction the dysfunction causes more free radicals which causes more damage and dysfunction and Soon enough, you know, you’ve got these kind of almost zombie cells. They’re just having a hard time Doing anything and then when you do IWA what’s amazing is the oxygen because it’s Inside the plasma it can get through those blockages. So it immediately starts to feed those downstream cells the oxygen they’ve been starving but more importantly than that immediate fix if you will is they cause an anti-inflammatory effect and this was another like big aha in my healing journeys when I realized There’s plenty of research on this. Anywhere in your body you have inflammation, you have the hypoxia, which is the fancy medical term for oxygen starvation. So inflammation means local oxygen starvation. And anywhere you have oxygen starvation, you have inflammation. They go hand in hand. You can’t have one without the other. And so when we restore oxygen, even in the circulatory system, we can turn off that inflammation that’s happening in our capillaries, reestablish normal blood flow. So you get done doing your EWOT sessions. And Von Arden discovered this. had elderly people, he looked at their capillaries and their throughput, and he had them do just a couple sessions of EWOT, and they came back weeks later, and their microcirculation was still reestablished to more youthful levels. So he was able to open them back up where red blood cells were able to deliver oxygen. really at the root of it all is, you know, every chronic illness you can think of, it has inflammation. Right? mean, there’s not one Alzheimer’s, cancer, autoimmunity, the list goes on and on, name one and it has chronic inflammation. And there’s actually, there’s a gentleman, Arthur Guyton, he wrote the textbook, Medical Physiology, and every doctor any of us has ever gone to had to use that medical physiology book. when they went to medical school, it’s been the standard across the world for over 50 years. And he has this great quote where he says all disease at its root is lack of oxygen. And it’s really true because once the mitochondria break down and we start having inflammation, all the negative effects come from downstream from that. And so that was kind of my. Aha. Light bulb moment, which is if I can turn my mitochondria on it, and I can turn down the inflammation and eventually turn off the inflammation. then like my body will have energy to get ahead. can start to repair itself. It can start to detoxify the immune system. Then we’ll have energy to do everything it needs to do and help, you know, kind of kick on and start to fight a good battle, so to speak. Cheryl McColgan (26:58)Yeah, I mean, I want to go back to how this actually helped you and how you actually found one and all that stuff. But my brain is just going, the one thing that I keep coming to hearing your explanation, and that was an amazing explanation, by the way, for lay people, I can tell you’re an engineer or so. The system where you’re talking about going all the way to the capillaries, I heart disease is the number one killer, right? And we have, I think a lot of it is the chronic inflammation that you’re talking about, but. Obviously once that process is already done, you’re describing how the capillaries can’t get any red blood cells. So to me, it would make perfect sense that this might be not only did it help you in your disease process with Lyme disease and the arthritis and everything, but it seems like it would be pretty amazing for cardiovascular patients or people that don’t have good blood flow, like that on top of the mitochondrial benefit. Brad Pitzele (27:41)Hmm It’s actually, we are helping folks with everything from autoimmunity, cancer, Lyme, long COVID, chronic fatigue, Parkinson’s, heart disease, so many things, because if you can turn off the inflammation and you can give the body energy to heal, it will do just amazing things. That was kind of like the shocking thing to me when I first got into it. was like, wait a second. Like every time I was treating myself as a pin cushion and trying something new, I always had to the question like, what if this doesn’t work? and like what damage could I be doing? know, because there were things that were a little bit risky to be quite honest, where I found out risks, you know, a little bit too late for my liking. But this was one where was like, it’s oxygen. And like, so it was kind of shocking when I started looking at the benefits and I was like, this is kind of crazy that we’re talking about something as simple as oxygen with all these health benefits. But yeah, we’ve had folks with all sorts of different chronic cardiovascular conditions Cheryl McColgan (28:31)Right. Brad Pitzele (28:48)Now, there’s a lot of health benefits to it, but the other crazy thing about oxygen is there’s all these athletic performance benefits. And this is important because directly to your cardiovascular component, which is actually a lot of Olympic teams have used EWAT to improve their athletic performance. because athletic teams are very science driven, there’s some really good research on it showing it improves VO2 max, reduces recovery time. improves short-term memory, it improves power output, et cetera. And all of this is really due to being able to fuel our cells and our muscles more, and also helping clear out all that metabolic waste, because that metabolic waste primarily develops when you have a shortage of oxygen when you’re exercising. Cheryl McColgan (29:34)Amazing that something so simple could be so hugely beneficial. So once you finally saw this, you’re like, Werber knew this about cancer and this guy’s onto this exercise with oxygen thing. Like, well, how do you do it? Where do you get it? Like nobody’s ever seen this before. I think like you’re saying the athletic teams might have it and stuff, but I mean, I’ve certainly never been anywhere where I’ve seen like, hey, get EWOT therapy here. So how did you find it? Brad Pitzele (29:56)Yeah, it’s really, really kind of a rare thing. 15 years ago, it was incredibly rare. There really wasn’t anywhere to go. You could find it occasionally. You might find it in a chiropractor’s office here or there or some sort of recovery clinic. Nowadays, they’re more widespread. So there are places that do it, doctors, chiropractors. But for me, there were a couple of folks selling it, but they were… I didn’t have a whole lot of faith. There was no customer reviews. was no customers talking about it on chat. It was just them as the company and they, a lot of them spoke in superlatives and like marketing speak that it just didn’t make me feel really comfortable. And they were very expensive too. you know, they were maybe the cheapest was 5,000 and the most expensive one I saw was 25,000. and it was this kind of cross hatch of I didn’t have confidence and geez, that’s a lot of money for this next experiment when the last Cheryl McColgan (30:31)yeah. Brad Pitzele (30:49)26 behind me didn’t do anything or 57 or whatever it was. So that’s when I kind of decided, did a little bit more research and decided I was going to try to build my own. Cheryl McColgan (31:00)Yeah, was thinking that I was like, I was an engineer, the next thing would be like, can I just build this? So that’s what you did, obviously, right? Brad Pitzele (31:06)I did it out of necessity because I just didn’t have faith. I built my own. didn’t think it was, I’ll be honest, I didn’t think this was gonna be my solution. Nothing else was. And I started doing it and… You know, slowly but surely I started to walk out of that basement, that proverbial basement. I just kept taking steps up and up. At first it was subtle and then it was kind of all at once sort of thing where I was shocked. You know, was like things like, my gosh, my brain fog’s gone. I’m like focusing in a meeting or I just got down on the floor and played with the kids and I don’t need to lay in bed for two days in pain. And you know, slowly but surely I just felt better and better. And it wasn’t until I saw that same doctor again, and he was like, wow, you’re like a year later. And he was like, wow, you’re so much better. What did you do? And I told him, and he’s like, wow, would you consider selling them to my patients? And that was kind of the, you know, jumping off point where I was like, well, gosh, yeah, maybe we could help other people with this. Cheryl McColgan (32:04)Yeah, that’s awesome. I’m so glad, you know, it’s, it’s, it’s always an interesting thing on podcasts because sometimes you get, I think not on this particular podcast, but other ones, it’s like people that kind of are just selling stuff, you know, or snake oil things or whatever. But what I really love is when there are people that, you know, had their own health problem, they dive into the research, they try it all there, use themselves as an experiment as a pin cushion, as you said, and then they find something that actually works. And then they they make it so that they can share it with everybody else. don’t just keep it to yourself, because I’m sure it kind of felt like a miracle at the time if something finally worked for you. Brad Pitzele (32:41)You know, it really was. I was, because the hardest part is also when you’re in these groups and you’re talking to all these other folks and they’re like, oh, try this, nothing worked and then this worked. And you try that thing and it didn’t work. You you try 57 other different things, as I was saying, and you kind of just start losing any hope. You’re like, I don’t think, I think I’m just that case that there’s nothing that’s going to work. But yeah, when you do find it, it’s, yeah, it’s obviously life changing, even having hope and like, I always tell folks like when you’re really sick, it’s not about, you wanna get to 100%, like 100 % is amazing, it’s the dream we all have when we’re sick, but. more important than 100 % is like feeling better this week than last week or this month than last month because at some point when you’re in it, you just lose a lot of hope and it becomes kind of this like the spiral downward that you just don’t believe in anything and it just lowers you spiritually I just say. And having something to know like, hey, Yeah, it still kinda stinks, but like, remember a month ago it was worse, and so like, now you’re like, yeah, I can’t wait to see how I’m gonna be two months from now, you know, or where am gonna be by this summer sort of thing? Like, it was, it’s kinda the exact opposite. It’s kinda like this hope spiral, if you will. Cheryl McColgan (33:55)Yeah. Well, it’s kind of that’s something that I think it’s good to point out for people too, is that, you you mentioned there is all this research on this. There’s a lot of good science to back up mitochondrial health, that’s kind of mitochondrial health is kind of a long game. And it’s kind of something that you have to continually do not over, you know, just a few days and you’re going to feel so much better. It’s week after week, month after month, the more that you support your mitochondrial health, the more chance you have of really feeling better. So it’s not just this thing where you can try it for a week and you’re like, that doesn’t work. You have to keep up on it for a while, right? Brad Pitzele (34:24)Yeah. Yeah, you’re absolutely right in general speaking. mean, we have… people come to me and they ask like, how long am I going to have to do this for? I tell them is, I can’t say how long until you get to the top of the mountain, so to speak, but I find that most folks who get to the top of the mountain, they feel so good when they do it, they don’t ever want to stop. And some of those folks never really exercised, they hated it, but now they’re like, it’s like 15 minutes, I do it three or five times a week, and I feel amazing, so why wouldn’t I do it? And we talked about that capillary thinning, Cheryl McColgan (34:52)Mm-hmm. Brad Pitzele (34:58)That’s actually a chronic thing that happens to all of us in Western society. And so this is something that’s anti-aging at that very kind of cellular level. So I recommend it for folks, but. I guess for me when I was really sick, always say one of the hardest parts was the ceremony is this what they call them. Counting pills every night, doing this protocol, doing that protocol. You keep adding, like if there’s 10 more minutes in your day, you add 10 more minutes of some protocol that you’re hoping will make you feel better. And then you get to a point where you realize you’re spending six hours of your day, you know, just all you’re doing is these protocols and it just becomes overwhelming. like, even if I felt better, what’s the purpose of all I’m doing is going from from the sauna to the this and I’m doing this pill and I’m doing that. And that’s kind of the, what I found, one of the things I really loved about EWOD was it was something I could do consistently in my home, 15 minutes a day. And it helps with your mitochondrial health. It helps with detoxification. It helps with energy. So it’s like, multiple, it’s kind of multifaceted in the way it benefits you. relatively short period of time. Cheryl McColgan (36:07)Yeah, and you mentioned, and I want to be respectful of your time. know we’re kind of getting a little bit long here, but one of the other things when in respect to mitochondrial health is red light therapy. And there’s also a ton of great research on that. And so I kind of wasn’t surprised when I went to your website that that’s something that you also got into. I mean, I think that’s when you look at the number and the breadth of research on that, I think it’s pretty undeniable that it is good for people that serves a real purpose, that it does help the mitochondria. So at what point, Brad Pitzele (36:34)Yeah. Cheryl McColgan (36:35)after you found the EWAT, I’m assuming you kind of got on this mitochondrial health thing and then maybe stumbled into that stuff. that how it went or is there something else? Brad Pitzele (36:44)Yeah, I started looking at it early on, probably about six months after I was doing EWOT, four to six months right in there I’d say, I started doing Red Light. So you’re right, there’s like tens of thousands of peer-reviewed research studies out there and what it does. They work really interestingly together. Because we mentioned EWAT, when you do it, you increase the supply of oxygen massively, right? It’s a day of oxygen in 15 minutes. So you’re flooding your body with oxygen. And then if you do red light immediately afterwards, what it does is the way it primarily works is it increases oxygen demand in your mitochondria. So it forces the mitochondria to suck up more oxygen. And when they do that, they produce more energy. So any of the research you read on red light whether skin health collagen growth bone mental, brain health, me, athletic recovery performance, healing in general, it all comes from the same thing, is that it’s just forcing our mitochondria to suck up more oxygen and produce more energy. So if you compare those two, you compare them at the same time, you first drive a massive increase in supply of oxygen, and then you increase the mitochondrial demand for it, and so you get this kind of one-two punch. The interesting thing is why I think we need it in today’s society as well is we’re actually deficient on red and near infrared light. And the reason is, if you look at the sun, the sun is full spectrum. has everything from ultraviolet and the blues through the reds and the near infrareds. So when you go outside and it changes throughout the day, early and late in the day, you get more of those reds and near infrareds. And at high noon, you get more of the blues. unfortunately, or fortunately, however you want to look at it, over time as as ⁓ species, we’ve moved indoors and we started using indoor lighting primarily and we spend more and more time there. And then more recently, we’ve switched from incandescent to LED lighting. Now, LED lighting is very energy efficient and one of ways they make it incredibly energy efficient is they take out all the reds and the near infrareds that we experience as heat because obviously you don’t want your lighting to heat your room. You don’t want it to, everyone sees that as energy. waste and to that extent you’re trying to use it for lighting it can be. However, that puts us in a place where we spend a lot of time bathed in blue lights and not really getting enough of the reds and the other parts of the spectrum. Cheryl McColgan (39:27)Yeah, that’s another interesting rabbit hole for people to go down if they haven’t already is just the, you know, changing out some of the lighting in your home or using specific lighting for certain scenarios, like in your bedroom and towards night as you’re getting ready to go to sleep. But anyway, I just want to clarify one quick point there, because I’m envisioning, that was actually what I was envisioning when you started talking about the synergy between red light and the EWAT. So do you like do your EWAT with the red light panel like in front of you or do you just do it right after? Brad Pitzele (39:53)Yeah. I prefer to do it right after. The challenge with doing it right on you is to get the best benefit from red light. Red light works on something called a biphasic dose response, fancy science term, which just means the benefits over time look like a bell curve. So too little, you won’t get any benefit. There’s kind of like a just right where you get peak benefit. And then if you do more, it starts diminishing in benefit. It doesn’t harm. It’s just a waste of time, right? So you spent five more minutes to get less sort of thing. Cheryl McColgan (40:21)Mm-hmm. Brad Pitzele (40:22)with exercising in red light is one, I like to get as much skin exposure as possible so you’re hitting as many mitochondria as possible. And two is you’re moving. So sometimes you’re close to the light, sometimes you’re further away. And so you’re not really able to kind of measure that dose effectively to get inside that biphasic kind of peak zone. Cheryl McColgan (40:43)Okay, no, that makes a ton of sense. Although I still am going to put this out to you that, maybe you put at least on, you know, the little face mask while you’re exercising. I feel like you can attach it to the oxygen part, you know, and just put a red light around it. Maybe that’s a little too, maybe that’s a little too much. But anyway, well, Brad, this has been so wonderful. And I just appreciate you so much sharing your whole journey and then how you came to find this. Brad Pitzele (40:51)There you go. It makes yours waterproof. That’d be fun. Cheryl McColgan (41:09)If people want to connect with you online or learn more about EWOT and learn more about Red Light, where’s the best place that they can find you and connect with you? Brad Pitzele (41:17)Yeah, go to 1000roads.com slash Cheryl and we have a great offer for your listeners. They can check out. You can also ⁓ go to our YouTube channel. put out weekly videos. 1000roads, HQ is our channel. It’s all spelled out, O-N-E-T-H-O-U-S-A-N-D-R-O-A-D-S.com. Cheryl McColgan (41:25)Awesome. Okay, awesome, and all that will be in the show notes for everyone, so don’t feel like you have to write it down. But Brad, again, thank you so much for coming and sharing your knowledge today, and I really appreciate it. Brad Pitzele (41:46)Thank you so much, Cheryl.

Here is a quick reference so you feel confident if anyone asks: The migraine + GLP-1 pilot study is published in the journal Headache (PubMed confirmed), authored by Braca et al., conducted January through July 2024, published online June 17, 2025. It is the most current clinical study on this topic. 31 participants, 12 weeks. This is the one everyone is quoting. The nutrient deficiency study is published June 2025 in PubMed, covering 461,382 adults. Very large, very recent, very credible. The muscle loss data comes from the American Diabetes Association's annual meeting in June 2025 and a Nature Reviews Endocrinology paper from July 2025. The pill approval is December 2025 (Wegovy pill) and April 1, 2026 (Foundayo/orforglipron, Eli Lilly's pill). Both are current. The FDA supplement warning on compounded and fraudulent GLP-1 products is actively updated through early 2026 on the FDA's website. Everything in this outline is sourced from 2024 or 2025, with the pill approvals being the most recent news. The hemiplegic migraine case study is from PubMed, published 2024. Resources: FREE DOWNLOAD: Toxic Migraine Triggers Guide Get the complete guide showing you the hidden inflammatory triggers fueling your migraines, including toxins in your medication, environment, and everyday life. https://dwvirtualguide.com/free-guide Book a Free Migraine Breakthrough® Assessment: Let's assess your unique migraine situation and uncover what's been keeping you stuck. https://pages.debbiewaidlcoach.com/breakthroughcall Connect with Debbie: Instagram: https://www.instagram.com/debbiewaidl.coach/ Women's Migraine Freedom™ Facebook Group: https://www.facebook.com/groups/womensmigrainefreedom Website: https://pages.debbiewaidlcoach.com/ Email: freedom@debbiewaidl.com Disclaimer: The Migraine Freedom™ Your Way Podcast and information provided by Debbie Waidl and guests is presented solely to provide helpful information, education, and entertainment on the subjects discussed. The use of information or resources mentioned on or linked from this podcast is at the user's own risk and discretion. This podcast is not intended to diagnose or treat any medical condition. For diagnosis or treatment of any medical problem, consult your own physician. Debbie Waidl and In The Balance Health Coaching, LLC are not responsible for any medical conditions or liable for any damages or negative consequences from any treatment, action, application, or preparation to any person reading or following the information presented on this podcast. References are provided for informational purposes only and do not constitute an endorsement of any websites or other sources.  

Climate change in the context of healthcare can feel overwhelming but it doesn't have to be paralyzing. We're diving into the intersection of climate change and antimicrobial resistance with a focus on practical, actionable steps healthcare organizations can take.   Drs. Shreya Doshi, Andrea Pallotta and Preeti Jaggi join Dr. Whitney Buckel to talk about what's real, what matters for healthcare, and where stewardship teams can make a meaningful impact. References: 1.       Sustainabil‑ID. https://sustainabil-id.com/ 2.       National Academy of Medicine. Climate Collaborative.https://nam.edu/our-work/programs/climate-and-health/climate-collaborative/ 3.       Medicine for a Changing Planet. https://www.medicineforachangingplanet.org 4.       Cascades Canada. https://cascadescanada.ca/ 5.       EcoRxChoice. https://ecorxchoice.com 6.       Rx for Climate. https://www.rxforclimate.org/ 7.       Practice Greenhealth. https://practicegreenhealth.org 8.       Healthcare Without Harm. https://healthcarewithoutharm.org 9.       Healthcare Sustainability and Infectious Diseases. _J Pediatric Infect Dis Soc._https://academic.oup.com/jpids/pages/healthcare-sustainability-and-infectious-diseases 10.    PubMed. PMID: 40434281. https://pubmed.ncbi.nlm.nih.gov/40434281/ 11.    PubMed Central. PMC12616928. https://pmc.ncbi.nlm.nih.gov/articles/PMC12616928/ 12.    Sustainable Healthcare Networks. Scale and spread quality improvement initiative promoting metronidazole IV‑to‑oral switch.https://networks.sustainablehealthcare.org.uk/resources/scale-and-spread-quality-improvement-initiative-promoting-metronidazole-iv-oral-switch- Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) or @breakpointspodcast_sidp (https://www.instagram.com/breakpointspodcast_sidp/)https://www.instagram.com/breakpointspodcast_sidp/?hl=en Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ SIDP welcomes pharmacists and non-pharmacist members with an interest in infectious diseases, learn how to join here: https://sidp.org/Become-a-Member Listen to Breakpoints on iTunes, Overcast, Spotify, Listen Notes, Player FM, Pocket Casts, Stitcher, Google Play, TuneIn, Blubrry, RadioPublic, or by using our RSS feed: https://sidp.pinecast.co/

If you've struggled with overeating, it's not just about discipline. It's about biology, environment, and hormones.   And for the first time, we have tools that directly address those systems.   Here's a strict, evidence-based breakdown of the negative side effects of GLP medications from: 1. Peer-reviewed clinical trials (PubMed / NEJM / meta-analyses) 2. What is (and is not) documented from Dr. Amin Hedayat   Follow us on IG @preplifepodcast @glamgirlbikini @amyehinger @leemarie183   Watch on YouTube: Glam Girl Bikini   Join the team: https://www.glamgirlbikini.com/get-started/    1st Phorm Supplements we use: https://1stphorm.com/?a_aid=glamgirlbikini 

Medical menopause after a breast cancer diagnosis is nothing like the gradual kind. When your ovaries are shut down with Zoladex injections or removed through surgery, your estrogen doesn't decline over years — it drops by up to 90% overnight. And most women are sent home with a pamphlet and a six-week follow-up. In this episode, Jen shares her personal experience — four months on Zoladex injections followed by a bilateral oophorectomy — and breaks down everything your doctor didn't have time to explain: what medical menopause actually does to your body and brain, why it hits so much harder than natural menopause, and every strategy she uses to get through it. What we cover: Why medical menopause is so different from natural menopause — and why the symptoms are more intense The full symptom picture: hot flashes, night sweats, vaginal dryness and atrophy, joint pain, brain fog, sleep disruption, bone loss, hair changes, and the mood shifts nobody warns you about Why your mood changes are not a character flaw — and what's actually happening in your brain chemistry Diet as medicine — what to add (phytoestrogens, anti-inflammatory foods, fiber, protein) and what to reduce (sugar, alcohol, processed foods) Exercise — the specific types that protect bone density, support mood, and reduce cardiovascular risk Vaginal estrogen — the research most women have never seen, including the 2023 JAMA Oncology study (49,237 patients) and the 2025 PubMed meta-analysis (24,060 patients), and how to bring this conversation to your doctor Supplements that actually help: magnesium, Vitamin D3+K2, Omega-3s, ashwagandha Sleep — how to set your bedroom up for success and protect the one thing that affects everything Mindset, emotional support, journaling, and when it might be time to talk to your doctor about more support Research mentioned: 72% of breast cancer survivors experience hot flashes and night sweats more severe than women without cancer — Endocrinology Advisor Over 70% of postmenopausal breast cancer survivors face genitourinary syndrome of menopause — AUA News 2024 JAMA Oncology 2023 (49,237 patients): vaginal estrogen users showed 23% LOWER breast cancer mortality risk PubMed meta-analysis 2025 (24,060 patients, 8 studies): vaginal estrogen not associated with increased recurrence — odds ratio 0.48 Abrupt surgical menopause associated with more significant mood symptoms — MGH Center for Women's Mental Health Resources + links mentioned: Not Today Cancer Inner Circle (weekly Thursday calls — all virtual): [JOIN HERE] Magnesium Breakthrough by Bioptimizers Protein powder (third-party tested with Icelandic Spirulina): [Use HELLO10 for $10 off] Hair toppers — DM Jen on Instagram @jendelvaux for info Jen's Blueprint: jendelvaux.com/blueprint Disclaimer: Nothing in this episode is medical advice. Jen is sharing her personal experience and research. Always consult your physician or oncology team before making any changes to your treatment or supplement protocol.

The skin truly is the window of the gut with eczema, psoriasis, acne, rosacea, hives, and even rashes connected to gut infection, inflammation, and leaky gut. This is acknowledged but not addressed well in the world of dermatology where patients will often be put on an antibiotic, antifungal, steroid or other prescription to bandaid the problem often leaving the microbiome more at risk for future infection and the gut barrier more damaged. In this episode, we unpack how the key formulas in the Naturally Nourished Beat the Bloat protocol can serve to support rebalancing the microbiome and repairing gut barrier for better skin health.    Ali shares the particular probiotic strains to consider in restoration and recovery post-cleanse as well as how to troubleshoot your gut cleanse for best outcomes. In this episode we discuss key nutrients for skin health with supplement and food-as-medicine solutions. Ali discusses the connection of detox and liver health to gut health and why this needs to be supported along with gut health. Learn about topical considerations for skin health to support barrier and microbial balance.    Links discussed in this episode: Join my Beat the Bloat Program launching 4/21/26 Naturally Nourished Beat the Bloat Supplement Bundle Best probiotic for skin health Rebuild Spectrum Probiotic GI Lining Support for Gut Barrier Health Naturally Nourished Detox Packs to aid in liver health   Research studies referenced:  Gut-skin axis: Emerging insights for gastroenterologists-a narrative review - PMC Very low-calorie ketogenic diet (VLCKD): a therapeutic nutritional tool for acne? - PubMed  

Yale epidemiologist Dr. Harvey Risch digs into PubMed's controversial retraction of a 2025 study of Fenbendazole (FenBen) for cancer treatment by Dr. William Makis. Naomi Wolf Ph.D. is concerned about bizarre cloud formations and the real threat of government geoengineering programs – and the exclusion of women from public prayer spaces. Evolutionary biologist and pseudoscience expert Massimo Pigliucci breaks down the ancient practices of Stoicism and Epicureanism, explaining the biological and societal forces that lock human beings into predictable routines. Naomi Wolf, Ph.D. is an independent journalist, co-founder, and CEO of DailyClout.io. She edits The Pfizer Papers and authored Facing the Beast and War Room / DailyClout Pfizer Documents Analysis Volunteers' Reports eBook. More at https://x.com/naomirwolf and https://naomiwolf.substack.com⠀Massimo Pigliucci, PhD, is the K.D. Irani Professor of Philosophy at the City College of New York. His academic work is in evolutionary biology, philosophy of science, the nature of pseudoscience, and practical philosophy. He has a PhD in Evolutionary Biology from the University of Connecticut and a PhD in Philosophy from the University of Tennessee. He has published over 190 technical papers in science and philosophy and is the author or editor of 23 books. Learn more at https://massimopigliucci.net/⠀Dr. Harvey Risch is Professor Emeritus of Epidemiology at Yale. He provided testimony to the US Senate regarding the COVID-19 pandemic and has spoken widely about his opposition to masking, vaccine mandates, and the reliability of PCR tests – along with his research on COVID prevention and treatment with existing drugs. In 2025, President Trump appointed him to chair the President's Cancer Panel. Follow at https://x.com/DrHarveyRisch 「 SUPPORT OUR SPONSORS 」 • STRONG CELL – If you want to feel more like your younger self, go to https://strongcell.com/ and use code DREW for 20% off. • AUGUSTA PRECIOUS METALS – Thousands of Americans are moving portions of their retirement into physical gold & silver. Learn more in this 3-minute report from our friends at Augusta Precious Metals: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/gold⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or text DREW to 35052 ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠• FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/fatty15⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drdrew.com/paleovalley⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twc.health/drew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ 「 ABOUT THE SHOW 」 This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://kalebnation.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ • Susan Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/firstladyoflove⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Content Producer • Emily Barsh - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/emilytvproducer⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Hosted By • Dr. Drew Pinsky - ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://x.com/drdrew⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Adam D. Wolfe, MD, PhD, joins the Faculty Factory Podcast this week to discuss peer mentoring for faculty and the power of building a culture of mutual support in academic medicine. It is his third time on our show, and we could not be happier to have him back for an important chat on peer mentoring. He also shares the findings from his work co-authoring, "Outcomes of a Peer Mentoring Circle: An Innovation to Improve Academic Physician Career Advancement in a Community Hospital Setting," published in the peer-reviewed journal Academic Medicine. You can read more about that article by visiting PubMed. Dr. Wolfe is Associate Professor of Pediatrics and Program Director of the Pediatric Residency Program. He also serves as Assistant Dean of Medical Education and holds the Jann L. Harrison Endowed Chair in Pediatric Graduate Medical Education at Baylor College of Medicine in San Antonio at CHRISTUS Children's. "I think creating a peer mentoring circle requires a group of people who have some shared goals and a little bit of willingness to work together, and you can go through the steps I outlined. I think these steps would be germane for any group that wants to accomplish, or help each other accomplish their goals," Dr. Wolfe said. As mentioned, this is Dr. Wolfe's third time appearing on the Faculty Factory Podcast, please be sure to visit his previous appearances here: Visit episode 320 – Self-Promotion and Other Challenges to Embrace in Academic Medicine Check out episode 326 – Key Communication Tips for Better Relationships in Academic Medicine

Protecting nurses and healthcare workers physically and mentally is not just one component of the Safer Together National Action Plan; it may be the one that holds all the others together.   In this third episode of our Safer Together series, Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety talks with Christine Pabico, Senior Director of the American Nurses Credentialing Center's Pathway to Excellence and Well-Being Excellence Programs.  Patricia and Christine trace the development of ANCC's Well-Being Excellence Credential, the first of its kind to encompass the entire workforce across every type of care setting. We also hear from two of its pilot organizations, Children's National Hospital in Washington, D.C., and BayCare Health System in Tampa Bay, to hear how they became certified through the ANCC Wellbeing Certification and what that means for their organizations.   Patricia McGaffigan, MS, RN, CPPS  ·  Senior Advisor for Safety, Institute for Healthcare Improvement (IHI); President, Certification Board for Professionals in Patient Safety; Co-chair, National Steering Committee for Patient Safety  Christine Pabico, PhD, RN, NE-BC, FAAN  ·  Senior Director, Pathway to Excellence and Well-Being Excellence, American Nurses Credentialing Center (ANCC)  Nikki Daily  ·  Chief Team Resources Officer, BayCare Health System   Rocky Hauch, DNP, RN, PCCN  ·  Advanced Professional Development Practitioner and Nurse Well-Being Lead, BayCare Health System  Trish Shucoski, DNP, MSN, RN, NEA-BC  ·  Chief Nurse Executive, BayCare Health System  Simmy King, DNP, MS, MBA, NI-BC, NE-BC, CHSE, FAAN  ·  Chief Nursing Informatics and Education Officer; Associate Professor of Pediatrics, The George Washington University School of Medicine    Safer Together Series In the first episode of our Safer Together Series, Donald Berwick, MD, co-founder and President Emeritus of the Institute for Healthcare Improvement, and Patricia McGaffigan, RN, MS, Vice President of Safety at IHI, President of the Certification Board for Professionals in Patient Safety, and co-chair of the National Steering Committee for Patient Safety, issued a call to action: safety is not a matter of individual effort; it is a total system responsibility, built on four interlocking pillars, one of which is workforce safety and well-being.   In the second episode, Kelly Randall, PhD, Vice President for Patient Safety and Regulatory Services at Ascension, where she leads the health system's comprehensive patient safety program, high reliability strategy, and system-wide deployment of the Safer Together National Action Plan, showed us what it looks like to answer that call, shifting culture across nearly 100 hospitals, one huddle, one conversation, one near-miss at a time.    Resources   1. The Foundational Workforce-Safety Lucian Leape Institute. (2013). Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care. Boston: National Patient Safety Foundation. https://www.ihi.org/library/publications/through-eyes-workforce-creating-joy-meaning-and-safer-health-care  Gandhi, T. K., Kaplan, G. S., Leape, L., et al. (2018). Transforming concepts in patient safety: A progress report. BMJ Quality & Safety, 27(12), 1019–1026. https://doi.org/10.1136/bmjqs-2018-008768 https://pmc.ncbi.nlm.nih.gov/articles/PMC6288701/    2. The Safer Together National Action Plan  National Steering Committee for Patient Safety. (2020). Safer Together: A National Action Plan to Advance Patient Safety. Boston, MA: Institute for Healthcare Improvement. https://www.ihi.org/partner/initiatives/national-steering-committee-patient-safety/national-action-plan-advance-patient-safety  Integrating the Safer Together National Action Plan to Improve Nurse-Led Models Focused on Patient Safety. PubMed. https://pubmed.ncbi.nlm.nih.gov/40876046/    3. Nurse Burnout and Patient Safety  Li, L. Z., Yang, P., Singer, S. J., Pfeffer, J., Mathur, M. B., & Shanafelt, T. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: A systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059  Getie, A., Ayenew, T., Amlak, B. T., Gedfew, M., Edmealem, A., & Kebede, W. M. (2025). Global prevalence and contributing factors of nurse burnout: An umbrella review of systematic reviews and meta-analyses. BMC Nursing, 24(1), 596. https://doi.org/10.1186/s12912-025-03266-8  Smiley, R. A., Kaminski-Ozturk, N., Reid, M., et al. (2025). The 2024 National Nursing Workforce Survey. Journal of Nursing Regulation, 16(1), S1–S88. https://doi.org/10.1016/S2155-8256(25)00047-X    4. Workplace Violence Against Nurses  Pascale, A., George, N., Potter, C., & Warshawsky, N. E. (2025). Alarming rise in nurse assaults: Urgent call for legislation. Nurse Leader, 23(3), 321–327. https://doi.org/10.1016/j.mnl.2024.12.012  Wolf, L. A., Delao, A. M., & Perhats, C. (2014). Nothing changes, nobody cares: Understanding the experience of emergency nurses physically or verbally assaulted while providing care. Journal of Emergency Nursing, 40(4), 305–310. https://doi.org/10.1016/j.jen.2013.11.006    5. ANCC Well-Being Excellence Credential  Carson, W., & Bates, M. (2024). Elevating professional well-being in healthcare: A crosswalk of the NIOSH Impact Wellbeing campaign and the ANCC Pathway to Excellence Framework. Nursing Administration Quarterly. https://pmc.ncbi.nlm.nih.gov/articles/PMC11373476/  American Nurses Credentialing Center. (2025). ANCC Well-Being Excellence Credential. NursingWorld.org. https://www.nursingworld.org/organizational-programs/well-being-excellence    6. Nurse Well-Being: Building Peer and Leadership Support Program  American Nurses Foundation. (n.d.). Nurse well-being: Building peer and leadership support program. NursingWorld.org. https://www.nursingworld.org/foundation/programs/nurse-wellbeing/    7. Healthy Nurse, Healthy Nation  American Nurses Association. (n.d.). Healthy Nurse, Healthy Nation. https://www.healthynursehealthynation.org/     

Nandaka by Pique - the Rolls-Royce of coffee alternative, and Nurse Doza personally drinks it every morning. This functional mushroom blend combines lion's mane for cognitive support, reishi for stress resilience and immune strength, fermented green and black tea extract for calm, focused energy, and cacao for gut health — delivering everything coffee promises without the downsides. It's the kind of morning ritual upgrade discussed in depth in this episode.

Your skin is not just a cosmetic surface. It's a living organ that responds to signals, and the right light signal can flip your biology into repair mode. -Watch this episode on YouTube for the full video experience: https://www.youtube.com/@DaveAspreyBPR -Get a discount from LYMA by using code ‘DAVE10' at: https://lyma.life/ In this episode, Host Dave Asprey goes to London to meet Lucy Goff, founder of LYMA, at the LYMA headquarters. Lucy and her scientific team engineered a rare kind of at-home cold laser that delivers precise 808nm light with deep penetration, without burning, cutting, or “damaging to rebuild.” Their work is backed by published research in the Aesthetic Surgery Journal, and they've tested gene expression in human dermis, including a reported sixfold increase in SIRT1, a major longevity pathway. This is why you can trust this conversation. It's not vibes, it's engineering, biology, and data. Most “red light” products are basically glorified LEDs. They can be fine for the surface, but they do not deliver the kind of coherent, polarized, monochromatic light that your cells actually respond to in deep tissue. That matters because your mitochondria run the whole show. When mitochondria get a clean signal and more usable energy, your body suddenly has budget for repair, collagen, circulation, and recovery. That is the real mechanism behind anti-aging that does not rely on controlled injury. We get into how this kind of light hacking can change skin quality, muscle support under the skin, and even scars and fascia. We talk cartilage, knees, jowls, pigmentation, and the weird reality that you might not feel anything while it's working. Dave also shares his early biohacking experiments using light for brain optimization, including the time he overdid it and temporarily scrambled his speech. That story will make you respect the power of light as a biological tool. We also talk human performance and travel. Dave breaks down how he uses light management for sleep optimization and jet lag, and why controlling light is as important as controlling food, fasting, ketosis, and metabolism. There's also a practical angle here that most people miss: with AI, you can now take dense PubMed research and translate it into usable decisions without needing a PhD, which changes how fast you can learn, test, and personalize. If you care about longevity, neuroplasticity, recovery, and looking younger without trashing your tissue, this episode gives you a smarter way to think about lasers, supplements, nootropics, and the whole functional medicine stack. This is Smarter Not Harder biohacking, with a laser. You'll Learn: • Why LED “red light therapy” is not the same as laser-based mitochondrial activation • How coherent light influences mitochondria, collagen quality, and anti-aging repair • What gene expression changes like SIRT1 suggest about longevity signaling • How light may support brain optimization, circulation, and neuroplasticity • Why scars and fascia can disrupt performance, and how light can support remodeling • How Dave uses light and lifestyle hacking for sleep optimization, travel, and metabolism • How AI makes research-driven biohacking more accessible and more personal Thank you to our sponsors! • • • • Dave Asprey is a four-time New York Times bestselling author, founder of Bulletproof Coffee, and the father of biohacking. With over 1,000 interviews and 1 million monthly listeners, The Human Upgrade brings you the knowledge to take control of your biology, extend your longevity, and optimize every system in your body and mind. Each episode delivers cutting-edge insights in health, performance, neuroscience, supplements, nutrition, biohacking, emotional intelligence, and conscious living. New episodes are released every Tuesday, Thursday, Friday, and Sunday (BONUS). Dave asks the questions no one else will and gives you real tools to become stronger, smarter, and more resilient. Keywords: cold laser therapy, 808nm laser, LYMA laser, infrared light therapy, red light vs laser, mitochondrial activation, SIRT1 gene expression, longevity biohacking, anti aging skin tech, collagen regeneration, fascia repair, scar healing laser, pigmentation removal light, brain optimization light therapy, neuroplasticity support, circulation enhancement, human performance recovery, functional medicine tools, Dave Asprey biohacking Resources: • LYMA Website (Use Code ‘DAVE10' For A Discount: https://lyma.life/ • Get My 2026 Biohacking Trends Report: https://daveasprey.com/2026-biohacking-trends-report/ • Dave Asprey's Latest News | Go to https://daveasprey.com/ to join Inside Track today. • Danger Coffee: https://dangercoffee.com/discount/dave15 • My Daily Supplements: SuppGrade Labs (15% Off) • Favorite Blue Light Blocking Glasses: TrueDark (15% Off) • Dave Asprey's BEYOND Conference: https://beyondconference.com • Dave Asprey's New Book – Heavily Meditated: https://daveasprey.com/heavily-meditated • Join My Substack (Live Access To Podcast Recordings): https://substack.daveasprey.com/ • Upgrade Labs: https://upgradelabs.com Timestamps: • 0:00 — LYMA Laser Origin • 1:20 — Dave's Early Light Experiments • 5:15 — Laser vs LED • 10:54 — Safety and Diffusion Lens • 16:37 — 808nm and the Brain • 19:36 — Intimate Performance Effects • 26:03 — Knee Before and After • 29:25 — Vampire Bat and Veins • 37:36 — 6x SIRT1 Activation • 42:42 — Mitochondrial Signaling • 45:04 — Veins and Pigmentation • 52:14 — Scar Recovery See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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…   Pati: how do you lower and keep cholesterol low during early menopause and when you have Familial Hypercholesterolemia. I have 315 total /240 LDL/70HDL/50 Trig. I am 5.4 height, 120lb and gluten free and dairy free for 13yrs and eat very low carbs and sugar. Never taken statins because they make my joints hurt but had high cholesterol for years but 300 was my highest. What can I take that can help and what should i eat. Thank you Pati      Anonymous: Hi Dr. Cabral. Just wanted to confirm. Podcast 3576 reviewed a PubMed study that gave a minimum daily dosage of 10,800 FU to obtain desired results. The podcast gave me the impression that your supplement exceeded the 10,800 FU/day since only the 20,000 FU number was given. However, 3 plus does per day would be needed? Please can you clarify? Proteolytic Enzyme supplement. Natto Serving dosage on label is - (20,000 FU/g) 150mg My understanding is Natto amount is 3,000 FU 20,000 FU/g x .150g =3,000 Is this correct?      Ashley: Hi Dr. Cabral, I have a detox meal timing question for you. When I did my last set of the big 5 labs, my health coach told me that it would be OK for me to eat at 8 and 3 instead of 11:30 and 6:30 as I feel much better when I fuel my body in the morning. When I don't, I feel ravenous in the evening. However, the admin in the FB group disagreed and said I shouldn't do that. Can you please clarify and let me know how big of a difference it makes to eat later instead of earlier? I feel like if eating earlier in the day helps me actually stick to the foods I'm supposed to eat and I'm still fasting for the same lengths of time that  it would be OK. If it's a bigger deal than I realize, will you please explain the reasoning? Thanks so much!      Tommy: Hi Dr. C, I'm an IHP who's come a long way with healing, but I feel stuck for the remainder. I've attempted a detox only once in my life. After the 4th day I was so wiped out that I couldn't really even work. I've also got high heavy metals but the protocol causes me such histamine reactions (even at a lower dose) that I just can't see it through. I feel stuck, I play for a soccer team but even training is too hard on my nervous system and leaves me wired. Maybe I should just try gentler detox like sauna and castor oil packs but I'm not sure it will be enough, and the sauna may just deplete me further. I've suffered so much with health and I'm in a better place, but still much work left to do.      Lou: Hi Dr. Cabral, I am 15 and listen to your podcast every morning on the way to school with my mom. I was wondering, what would you say are your 5 favorite books? They dont have to be health books. thanks, Lou    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/3670 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!