Podcasts about reduced

What happens if you eat a whole avocado every day for 7 days? Ben Azadi breaks down the day-by-day transformation your body experiences—from fat-burning activation to hormone balance, brain performance, and fat redistribution. Learn how this nutrient-dense fruit can help stabilize blood sugar, flatten your stomach, and improve metabolic flexibility.

Former Commissioner of the New York Police Department Bernie Kerik discusses the recent failure of law enforcement to protect a governor's mansion in Pennsylvania, highlighting systemic issues in security protocols and oversight. Kerik attributes the problem to reduced standards, lack of training, and the influence of political ideologies on law enforcement. He praises some red states for effective policing and criticizes blue states for hindering law enforcement efforts. Additional interview with Ashley Rindsberg discusses the decline of journalism integrity in the Trump era, highlighting the Washington Post's Pulitzer Prize-winning story on Russia collusion that was proven false by new FBI documents. They criticize the media's lack of self-reflection and accountability, citing the New York Times' recent admission of no proof for Russia collusion. Rindsberg notes the rise of independent news organizations and the shift towards evidence-based reporting. Finally, Andy Harris, House Freedom Caucus Chairman, stresses the importance of extending tax cuts and reducing government spending, including potential savings from banning sugary drinks in the SNAP program. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, we dive deep into the pesky world of rumination—the habit of replaying worries, regrets, or anxieties in your mind. Learn the science behind the default mode network (DMN) and understand how it sparks these thought loops. We'll share some personal anecdotes and provide practical strategies to manage rumination, from engaging in focused tasks and reframing your thoughts to simply ignoring those relentless midnight musings.  If you enjoyed this episode, please rate and review us wherever you listen to your favorite podcasts!  Sources and Notes: Joy Lab Program: Take the next leap in your wellbeing journey with step-by-step practices to help you build and maintain the elements of joy in your life. Benning, S. D., & Ait Oumeziane, B. (2017). Reduced positive emotion and underarousal are uniquely associated with subclinical depression symptoms: Evidence from psychophysiology, self-report, and symptom clusters. Psychophysiology, 54(7), 1010–1030. https://doi.org/10.1111/psyp.12853 Full transcript here Please remember that this content is for informational and educational purposes only. It is not intended to provide medical advice and is not a replacement for advice and treatment from a medical professional. Please consult your doctor or other qualified health professional before beginning any diet change, supplement, or lifestyle program. Please see our terms for more information. If you or someone you know is struggling or in crisis, help is available. Call the NAMI HelpLine: 1-800-950-6264 available Monday through Friday, 10 a.m. – 10 p.m., ET. OR text "HelpLine" to 62640 or email NAMI at helpline@nami.org. Visit NAMI for more. You can also call or text SAMHSA at 988 or chat 988lifeline.org.

Subscribe to UnitedHealthcare's Community & State newsletter.Health Affairs' Senior Deputy Editor Rob Lott interviews Kurt Hager of the University of Massachusetts to discuss his recent paper that explores how Medicaid nutrition supports were associated with reductions in hospitalizations and emergency department visits in Massachusetts through 2020–23. Order the April 2025 issue of Health Affairs.Currently, more than 70 percent of our content is freely available - and we'd like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcast Subscribe to UnitedHealthcare's Community & State newsletter.

From Tuesday on the Chris Hand Show | Aired on April 15, 2025See omnystudio.com/listener for privacy information.

Dr. Joel Fuhrman presents potent strategies for achieving permanent weight loss. Discover evidence-based methods to shed pounds and maintain a healthy weight for life. #WeightLoss #HealthyEating #PermanentResults

When a loved one develops dementia, our instinct is often to correct their misperceptions and pull them back to our reality. But what if there's a more compassionate, effective approach hiding in an unlikely place – Improv?In today's episode, we speak with Dr. Candace Kemp and Amanda Lee Williams about their research showing how improv principles can transform Dementia care. At the heart of their approach is the fundamental improv concept of "yes, and" – accepting whatever reality is presented and building upon it rather than contradicting it. When Amanda's father with Parkinson's dementia believed he needed to prepare for a board meeting, instead of correcting him, she asked to hear his speech. The result? Reduced anxiety and a meaningful connection.What makes this work particularly valuable is the scientific validation behind these techniques. Supported by institutions including the NIH and NIA, the research demonstrates that these improv-based approaches lead to more successful interactions across various care settings. The evidence confirms what many family members discover through trial and error – meeting people where they are produces better outcomes than trying to force them back to our reality.Have you struggled with connecting with a loved one who has dementia? How might viewing yourself as a "care partner" rather than a "caregiver" change your approach? Join us as we explore this revolutionary intersection of comedy and care that's changing lives.Visit improvingthroughimprov.com and gerontology.gsu.edu for more information about Dr. Candace and Amanda's work. Host: J Smiles ComedyProducer: Mia HallDP: Annelise UdoyeJoin us on Patreon for behind the scenes and special offers: patreon.com/jsmilesstudiosSupport the show"Alzheimer's is heavy but we ain't gotta be!"IG: https://www.instagram.com/parentingupFB: https://www.facebook.com/parentingupYT: https://www.youtube.com/channel/UCDGFb1t2RC_m1yMnFJ2T4jwPatreon: https://patreon.com/jsmilesstudiosTEXT 'PODCAST" to +1 404 737 1449 - to give J topic ideas, feedback, say hi!Be sure to leave us a review!

Brian Clement explores the latest advancements and strategies in longevity. Learn from a pioneer in the field about how to extend your lifespan and enhance your quality of life through innovative health practices. #Longevity #HealthPioneers #LifeExtension

Today, Jess, Morgan, Amy, and Algene dive into the shifting dynamics of European security as the Trump administration reportedly considers withdrawing up to 10,000 U.S. troops from the continent, while the head of U.S. European Command and several members of Congress urge against a drawdown. At the same time, European allies are boosting their defense investments, Ukraine is accusing China of direct involvement in the conflict, and the broader transatlantic relationship faces a potential realignment.What would a U.S. troop withdrawal signal to Russia and China? Is Europe prepared to fill the gap if the U.S. steps back? Could a force reduction undermine ceasefire efforts in Ukraine—or is this an opportunity for Europe to redefine its role in regional security?Check out the answers to these questions and more in this episode of Fault Lines.Check out these sources which helped shape our Fellows' conversation: https://www.nbcnews.com/politics/national-security/pentagon-considering-proposal-cut-thousands-troops-europe-officials-sa-rcna199603https://www.politico.com/news/2025/04/08/troops-europe-withdraw-cavoli-republicans-00007176https://apnews.com/article/ukraine-russia-force-coalition-britain-france-nato-4c87525361eb3cf1c860075d4519f6d8https://abcnews.go.com/International/wireStory/beijing-rejects-ukraines-claim-significant-numbers-chinese-troops-120627611https://foreignpolicy.com/2025/04/10/trump-defense-europe-eu-arms-sales-rearm-trade-war/?tpcc=recirc_latest062921Follow our experts on Twitter: @NotTVJessJones@amykmitchell@morganlroach@AlgeneSajeryLike what we're doing here? Be sure to rate, review, and subscribe. And don't forget to follow @masonnatsec on Twitter!We are also on YouTube, and watch today's episode here: https://youtu.be/6NnsxR0jd64 Hosted on Acast. See acast.com/privacy for more information.

Henry IV was king; a new start, a new hope, a new world… and quickly, very quickly indeed, everything started to fall apart. London found itself in the front row as the regime was assailed on all sides and an intense few years followed. A fast-paced chapter focusing especially on life in the city, and featuring a couple of riots, many executions, the screams of men being burned alive, urban renewal, the death of poets and visiting foreign dignitaries. Welcome to the 15th century, things are getting wild…

Recorded 4/7/2025 On this edition of Parallax Views, Israeli commentator Ori Goldberg returns to the show to discuss the latest development in Gaza and Israel. This conversation came about due to the horrific stories coming of the southern Gaza city Rafah and touches upon that as well as the political turmoil currently bubbling to a fever pitch in Israel. J.G. specifically reached out to interview Ori in the hopes of trying to make sense of what is happening on the ground. Abstractions are often attendant to discussions of Israel/Palestine, but the human cost cannot be forgotten. That is what led to this discussion, and it proved difficult on some level due to the intense nature of the horrors we've seen in the past year and a half whether it be the events of October 7th or the scenes coming out of Rafah. Ori's approach is highly reflective in nature and as such has a certain unique quality. Whether you agree or disagree with Ori's thinking, this is hopefully going to be a powerful discussion.

Last time we spoke about the invasion of Iwo Jima. In March 1945, as the Pacific War raged, the US Marines began and invasion of Iwo Jima while Allied forces advanced across the Philippines. The Japanese formed the 32nd Army to defend the island, but faced shortages of supplies and equipment. They mobilized Okinawan civilians for support and constructed extensive fortifications. The Americans launched Operation Iceberg, neutralizing enemy air facilities in the Ryukyus, Kyushu, and Formosa. Task Force 58 and other air forces struck Japanese targets, while Spruance's 5th Fleet prepared to land Buckner's 10th Army. Initial landings occurred in the Kerama Islands, followed by the main assault on April 1 on Okinawa's Hagushi beaches. Despite heavy bombardment, Japanese defenses remained concealed. The Americans encountered minimal resistance initially, but the stage was set for a bloody and brutal battle. This episode is Yamato's Last Stand Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more  so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945.  As we last left off, Admirals Turner and Spruance successfully landed over 60,000 troops from General Buckner's 10th Army on the Hagushi beaches of Okinawa with minimal resistance. In response, General Ushijima's main forces remained inactive in their underground positions in the south, having effectively endured the continuous naval and air assaults from the enemy. However, under pressure from higher authorities in Tokyo and Formosa, the 32nd Army began to develop plans for a general counteroffensive aimed at the Yontan and Kadena airfields, utilizing nighttime infiltration and close combat tactics. The primary response, however, was expected to come from the air. As part of Operation Ten-Go, all Army and Navy air forces stationed in the Home Islands were to focus their efforts in the East China Sea to execute a series of coordinated mass air strikes against enemy transport and carrier task forces, collectively referred to as the Kikisui attacks. Japan's wartime terminology exploited the distinctively poetic and euphemistic nature of the Japanese language. The informal term kamikaze actually means “divine wind.” Specifically, kamikaze refers to the typhoons that miraculously wrecked Kublai Khan's Mongol–Koryo invasion fleets in 1274. Like “blitzkrieg”, the unofficial term “kamikaze” was mostly used by Allied journalists. The IJN and IJA officially called suicide attack units tokubetsu kogekitai, meaning “special attack unit.” This was usually shortened to tokkutai, with tokko both noun and adjective meaning “special” i.e. suicide. Kikisui was the codename for the ten mass kamikaze attacks off Okinawa against the Allied fleet. Kikisui means “floating chrysanthemum,” which was the war emblem of legendary 14th-century samurai Masashige Kusinoke, a national exemplar of sacrificial devotion to the Emperor. Ten-Go had been initiated on March 26, following the initial landings on the Kerama Islands; however, by the time of the invasion, Admiral Toyoda's disorganized Combined Fleet was unable to carry out any large-scale kamikaze attacks, as it was still consolidating approximately 3,000 aircraft in Kyushu. Additionally, encouraged by Emperor Hirohito, Toyoda momentarily sanctioned a dramatic, one-way suicide mission involving the superbattleship Yamato and Rear-Admiral Komura Keizo's 2nd Destroyer Squadron, aimed at destroying Spruance's invasion fleet. This surface attack mission, codenamed Ten-Ichi-Go and led by Vice-Admiral Ito Seiichi of the 2nd Fleet, vaguely suggested that if Yamato reached Okinawa, she would ground herself as an artillery platform while her crew disembarked as naval infantry. Nonetheless, the chances of success for this mission were slim; it was primarily intended for the Imperial Japanese Navy to maintain its honor. On April 2, while General Watson's 2nd Marine Division conducted another demonstration off the southeast beaches, American forces prepared to advance eastward. In the south, benefiting from ideal weather and minimal resistance, the 17th Regiment secured the highlands overlooking Nakagusuku Bay and extended its patrols to the bay's shoreline. The 32nd Regiment eliminated a strongpoint south of Koza using tanks and then aligned with the 17th. The 381st Regiment advanced through Shimabuku but faced enemy resistance in and around Momobaru. Meanwhile, the 383rd Regiment captured a hill just south of Momobaru after a fierce battle and also took a ridge northeast of Futema with support from airstrikes, artillery, and tanks. In the north, however, General Geiger's Marines faced challenging terrain and supply issues. The 1st Battalion, 29th Marines moved north to secure the unoccupied Zampa Misaki area, where Turner later established a radar station. The 22nd Marines advanced quickly eastward throughout the day against light opposition, successfully securing the Nagahama beaches alongside the 6th Reconnaissance Company. On the other hand, the 4th Marines met with steadily mounting resistance. At 1100 a platoon of 3/4, entering the mouth of a steep ravine was met by a sharp fusillade of small-arms fire, which revealed a series of mutually supporting caves on both sides of the draw. In the fire fight that ensued, 12 wounded men were isolated and not recovered for four hours. "Every means of painlessly destroying the strongpoint was unsuccessfully tried and it was finally taken by a typical 'Banzai' charge, with one platoon entering the mouth of the draw and one platoon coming down one side of the two noses that formed the pocket."  The 1st Marine Division continued its advance with little resistance to the Ishimmi-Kutoku line, also extending southward to Chatan, while the 1st Marines moved past the 5th Marines toward Chibana. With approximately 6,000 yards separating General Del Valle's main frontline units from the 7th Division, General Arnold decided to send Colonel Roy Greene's 184th Regiment to fill this significant gap. At sea, Admiral Mitscher's Task Force 58 launched a strike against Amami Oshima, sinking three vessels and damaging two others, while also witnessing four warships collide and sustain damage. In retaliation, Admiral Ugaki's Kyushu aircraft force conducted sporadic kamikaze attacks, resulting in damage to five transports. The next day, General Hodge's 24th Corps shifted its focus southward. The 17th Regiment secured the rear areas and captured Awase, while the 32nd Regiment advanced approximately 5,000 yards along Nakagusuku Bay to occupy Kuba and establish its lines in front of Hill 165. The 381st Regiment took control of Kishaba and Atanniya but failed in its assaults on Hill 165 and Unjo. Meanwhile, the 383rd Regiment swiftly occupied Isa, Chiyunna, and the Futema high ground. Looking north, Del Valle dispatched the 1st Reconnaissance Company to scout the area along the corps boundary, sweep the Katchin Peninsula, and patrol back up the east coast to the village of Hizaonna. This maneuver enabled the 1st Marines to advance quickly in formation and reach the sea wall overlooking the northern end of Nakagusuku Bay by nightfall. Concurrently, the 5th Marines moved forward and successfully occupied Agina and Tengan; the 7th Marines gained around 2,700 yards of enemy territory and ultimately reached Hizaonna, although Company K became lost and was ambushed. The 4th Marines navigated the challenging terrain and light enemy resistance to secure the significant hill mass behind Yontan airfield, located 3,000 yards short of the east coast. The 22nd Marines advanced and successfully captured Nakadomari, along with a position 400 yards south of that line. Meanwhile, the 6th Reconnaissance Company, supported by armored units, crossed the Ishikawa Isthmus to the village of Ishikawa, where they faced mortar fire. At sea, Mitscher's aircraft carriers targeted Okinawa, sinking two vessels and damaging two others. In response, Ugaki was finally able to launch a preliminary mass Ten-Go air attack, with 119 aircraft causing damage to the escort carrier Wake Island, the destroyers Bennett, Prichett, and Foreman, the minesweeper Hambelton, and two landing craft. Due to significant advancements, Geiger successfully deployed Colonel Victor Bleasdale's 29th Marines to take control of the Yontan airfield and other rear areas. To the south, Del Valle's units moved toward the eastern shore of Okinawa, with the 1st Marines occupying the Katchin Peninsula without facing any resistance, while the 5th and 7th Marine Regiments secured the coastline in their designated zones. Further south, after splitting the island in two, Hodge began advancing toward Naha, targeting the hill mass stretching from Urasoe-Mura to Hill 178 and Ouki. In response, General Bradley positioned Colonel Macey Dill's 382nd Regiment in front of Nodake, while the 184th Regiment moved through the 381st in the Attaniya-Unjo area. For the initial push toward the Uchitomari-Tsuwa line, the 383rd Regiment advanced quickly from Isa to Mashiki, where they were ultimately halted by heavy fire from the south. The 382nd advanced over two miles south from Nodake along the eastern boundary of the division, while Arnold's forward units lagged about two miles behind due to moderate resistance at a high, wooded ridge parallel to the coastline just west of Kuba. Meanwhile, at sea, Ugaki launched only sporadic kamikaze attacks, which resulted in damage to the destroyer Wilson near the Kerama Islands. Additionally, two American vessels collided while Task Force 58 targeted Okinawa, and later that night, a suicide boat attacked and sank an LCI gunboat. In the Attaniya-Unjo area, the 383rd Regiment made a swift advance from Isa to Mashiki as part of the initial push towards the Uchitomari-Tsuwa line. However, the following day marked the onset of fierce resistance on Okinawa, with the 383rd Regiment struggling to make headway against the formidable Japanese defenses on Cactus Ridge. Meanwhile, the 382nd Regiment continued its advance southward against a series of fortified positions, achieving gains of approximately 400 yards to the east and 900 yards to the west. The 184th Regiment moved through Arakachi but was halted by intense and precise fire from a rocky outcrop located about 1,000 yards southwest. The 32nd Regiment finally managed to capture Castle Hill before pushing more than two miles along the coast to a point east of Ukuma. To the north, while the 1st Marine Division shifted to a primarily defensive posture, the 6th Marine Division conducted active reconnaissance toward the Motobu Peninsula, advancing the front to the Atsutabaru-Chima line. Additionally, a patrol from the 1st Marines on the Katchin Peninsula crossed the reef to seize Yabuchi Island swiftly. At sea, there were no kamikaze attacks that day as Ugaki and Toyoda prepared to launch the main phase of Operation Ten-Go, although an Okinawa shore battery managed to hit the battleship Nevada. Unbeknownst to the Japanese, American intelligence had successfully intercepted Combined Fleet codes, allowing them to anticipate the details of the surface Ten-Ichi-Go attack. Consequently, Spruance's warships were prepared for the imminent departure of Ito's “Surface Special Attack Force,” which was executed a few hours later. Additionally, Ushijima was instructed to initiate a strong counterattack the following day to coincide with Ten-Ichi-Go and the first Kikisui attack, but he firmly rejected this order and called for the cancellation of the unnecessarily suicidal surface attack. During the night, as Admiral Blandy's minesweepers completed the perilous task of clearing the vast areas of Chimu and Nakagusuku Bays, the Fleet Marine Force Amphibious Reconnaissance Battalion landed on the northern coast of Tsugen Island to gather intelligence on enemy positions. Upon their arrival in the early hours of April 6, they encountered machine-gun and mortar fire, which ultimately compelled the battalion to retreat to the beach and reembark. Simultaneously, the 4th and 29th Marine Regiments advanced through the 22nd Marine Regiment, with the 29th Marines moving up the west coast in formation and reaching Chuda by noon, while the 4th Marines progressed along the eastern coastal road, successfully advancing seven miles toward Madaira. Further south, the 383rd Regiment continued its assault on the fortified enemy positions at Cactus Ridge, pushing forward relentlessly until they secured the western half by nightfall. The 2d Battalion, 383d Infantry, made frontal assaults through intense mortar fire to gain the ridge. "We figured," S/Sgt. Francis M. Rall later wrote, "that the way to get out of that knee mortar fire was to get to where it was coming from. So we stood up in waves, firing everything we had and throwing hand grenades by the dozen, and charged the Jap position." By such tactics the 2d Battalion gained the western half of Cactus.  Over the next two days, the 382nd Regiment advanced slowly east of the Ginowan road, facing fierce resistance from the Tombstone and Nishibaru Ridges. After a 10-minute artillery bombardment, two companies of the 1st Battalion, 184th Regiment climbed nearly to the summit of the Pinnacle but were ultimately pushed back by strong resistance from caves and underground strongholds. Undeterred, Company B continued frontal assaults while Company C maneuvered up the western approaches to surprise the determined defenders. This strategy proved effective, with Company C reaching the top without sustaining any casualties and then methodically eliminating the remaining Japanese troops using white phosphorus grenades and flamethrowers. As the Pinnacle was being captured, the 32nd Regiment advanced across the coastal flatlands with minimal resistance to maintain contact with the 184th Regiment. On this day, Task Force 58 returned to sea, launching strikes on Okinawa and the Daito Islands, while Admiral Rawlings' Task Force 57 targeted the Ishigaki and Miyako Islands. Meanwhile, Japanese aerial reconnaissance identified two American carrier groups near Okinawa, prompting Ugaki to initiate his first mass Kikisui attack, sending hundreds of Japanese aircraft to assault Mitscher's carriers. US carriers unleashed a combined 19 USN and four USMC squadrons to blunt the onslaught. Swirling, running dogfights developed around noon and lasted through sunset. April 6 may have started slow, but by evening it had developed into one of the greatest aerial confrontations of all time. American CAPs overwhelmingly massacred the poorly trained Japanese attackers; Mitscher's Task Force 58 fighters claimed 249 Japanese planes for just two lost—a staggering 125-to-1 kill ratio. Yet the kamikaze pilots' grim determination was chillingly apparent. According to VF-82's action report: “Of all the enemy planes encountered, not one returned fire, all remained on course, boring in toward the surface vessels. The only evasive action offered was jinking, and the majority of the aircraft were obsolete models as can be seen by the list [of] destroyed. Primary danger to our pilots was collision or getting in the path of a friendly plane's fire.” Essex's VF-83 (36 Hellcats) and VBF-83 (36 Corsairs) combined for 69 kills, while Belleau Wood's 24 VF-30 Hellcats shot down 47. Belleau Wood's skipper, Captain Red Tomlinson, duly signaled Task Group 58.1's Rear Admiral Joseph J. Jocko Clark: “Does this exceed the bag limit?” Clark responded, “Negative. There is no limit. This is open season. Well done.” The US carrier fighters' 275 kills was thus the war's 4th-highest 1-day total. 13 US pilots achieved ace status (scored their 5th kill) on April 6, with 4 becoming “ace-in-a-day.” 10 pilots claimed 4 kills, while another 17 shot down 3 each. Combined with anti-aircraft fire, the Americans destroyed 355 Japanese planes. However, even significant aerial victories could not prevent the devastating kamikaze assaults, with approximately 182 Japanese aircraft in 22 groups attacking Spruance's 5th Fleet that afternoon. This led to 24 kamikaze planes sinking the destroyers Bush and Colhoun, as well as three transport ships, and inflicting further damage on the light carrier San Jacinto, 12 destroyers, three destroyer minesweepers, and one minesweeper. Friendly anti-aircraft fire also caused damage to battleship North Carolina, light cruiser Pasadena, and destroyer Hutchins. Despite the extensive damage, four new escort carriers arrived off Okinawa that day, bringing the first 222 fighters of Major-General Francis Mulcahy's Tactical Air Force, stationed at Yontan airfield. Meanwhile, the Yamato force set sail at 15:24 towards Okinawa, but within 45 minutes, a B-29 spotted them in transit. Submarine Threadfin then detected Ito's strike force moving through the Bungo Strait at 17:45. As Ito's force rounded Kyushu to the southwest, it was monitored overnight by submarine Hackleback, which sent four additional contact reports and was pursued three times briefly by one of Yamato's escorting destroyers. Concerned about a potential mass Kikisui attack on April 7, Spruance ordered Mitscher's carriers to concentrate on thwarting Japanese air assaults while tasking Admiral Deyo's Task Force 54 with intercepting Ito's strike force. At 06:20, April 7, six Zeros of the 203rd Kokutai arrived over Yamato as CAP. 14 total Zeros would relay in small groups over the Yamato task force, but all would depart as scheduled by 10:00. The Americans already knew the exact CAP schedule of Yamato's fighters, a later US intelligence memo dryly observing, “They left too soon.” At 08:32, an Essex Hellcat reported the Yamato task force southwest of Koshiki Retto at a heading of 300 degrees. The Yamato group was doing 22kts and deployed in a diamond formation, with Yamato in the center and Yahagi astern. Yamato simultaneously reported that she had been sighted. Visibility was highly variable, with patchy overcast. Within minutes, two VPB-21 PBM-3 Mariner flying boats (based at Kerama Retto with seaplane tender Chandeleur) arrived and began shadowing Yamato and radioing situation reports. Meanwhile, Mitscher duly reported the Yamato sighting to Spruance, before dispatching 16 additional fighters at 09:15 to track Yamato. Shortly after Yamato's CAP had departed, at 10:14, the Japanese discovered the two shadowing PBM-3 Mariners, and simultaneously reported a US submarine stalking the task force—this was Hackleback, which had managed to catch back up with the zig-zagging Japanese. Three minutes later, at 10:17, Yamato turned towards the Mariners and opened fire with her awesome 18.1in. Sanshikidan anti-aircraft shells. Yahagi also opened fire, and additionally began jamming the Mariners' transmissions. The Mariners retreated into the clouds unharmed at 10:18, and Yamato and Yahagi ceased fire. To his chief-of-staff, Commodore Arleigh Burke, Mitscher announced: “Inform Admiral Spruance that I propose to strike the Yamato sortie group at 1200hrs unless otherwise directed.” The grizzled aviator desperately wished to sink Yamato, but he likely suspected that Spruance, riding New Mexico, intended his beloved dreadnoughts claim one last moment of glory. “Will you take them or shall I?” Mitscher pressed. Spruance's response: “You take them.” At 10:00, the carriers of Task Groups 58.1 and 58.3 launched the first wave of 282 aircraft, although only 227 managed to locate Ito's strike force as they navigated through challenging, overcast weather. At 11:07, Yamato's radars detected the large formation approaching from 63 nautical miles away, prompting Ito to increase speed to 25 knots. Within eight minutes, the formation closed to 44 nautical miles, leading the Japanese to initiate sharp evasive maneuvers. Bennington's Lieutenant-Commander Hugh Woods' airborne radar detected the Yamato task force some 25nm away from its predicted location, and the US strike altered course. Five minutes later, the Americans made visual contact through a hole in the patchy 3,000ft overcast, a Hornet pilot recalling, “Yamato looked like the Empire State Building plowing through the water.” Yamato cruised in the center, flanked by destroyers Kasumi, Suzutsuki, Hamakaze, and Yukikaze. Light cruiser Yahagi was in the van, followed by destroyers Hatsushimo, Isokaze, and Fuyutsuki. The first American aviators encountered the destroyer Asashimo, which had been experiencing machinery issues for five hours and had fallen 12 nautical miles behind the main task force to the north. San Jacinto's seven Hellcats dove against Asashimo, but the crippled destroyer threw up notably heavy flak. The Hellcats' 1,000lb bombs closely straddled Asashimo, buckling the destroyer's hull plating. The Hellcats then repeatedly strafed the destroyer, causing large fires that quickly silenced Asashimo's guns. San Jacinto's eight Avengers then made a textbook attack run at 300ft, dropping torpedoes from 1,200 to 1,600yds range. Trailing a wide oil slick, the crippled Asashimo attempted to comb the torpedoes, but one struck beneath her bridge and a second hit near her engine room. Successive explosions blew Asashimo partly out of the water and broke her in half. Asashimo sank at 1213hrs, going down with all 330 men. She had lasted three minutes against San Jacinto's attack. Twelve miles ahead, Yamato lookouts spotted the incoming aircraft at 12:32, which then spent the next five minutes circling just outside the range of Japanese anti-aircraft fire to coordinate their strike plan. Around this time, Yamato also raised Togo's iconic Tsushima flag signal: “On this one battle rests the fate of our nation. Let every man do his utmost.”At 12:37, the circling planes launched their coordinated assault on Yamato and her escorts, focusing on the superbattleship's port side in an attempt to capsize her. US fighters repeatedly strafed Yamato with their 5in. rockets and 0.50cal. machine guns, decimating Japanese antiaircraft batteries and slaughtering exposed antiaircraft crews. The intense carnage and chaos that followed suppressed careful targeting and further ravaged Japanese gunners' morale. Yamato was maneuvering hard at her flank speed of 27kts, when at 1240hrs four Bennington Helldivers from VB-82 delivered two 1,000lb bombs near Yamato's mainmast. The first bomb exploded in Yamato's crew quarters. The second detonated near Yamato's aft command station and caused serious damage, destroying one of Yamato's two air search radars, her after secondary gun director, and several 25mm antiaircraft guns. The subsequent fires shortly reached the powder handling area beneath Yamato's after 6.1in. turret and detonated the readyuse propellant. The resulting conflagration virtually exterminated the 6.1in. turret crew, but flash doors prevented the explosion from reaching the rest of the magazine. Nevertheless, the explosion killed the area's entire damage control party, meaning the resulting fire would rage uncontrolled for the rest of the battle. The Americans lost one Helldiver. At 1243hrs, eight Hornet Avengers launched torpedo attacks against Yamato's port side, covered by 14 Bunker Hill Corsairs strafing Yamato with rockets. Antiaircraft fire hit six Avengers, destroying one, but at least three torpedoes hit the water. The first two torpedoes missed, but at 1245hrs the third torpedo slammed into Yamato's port side, opening her hull to 2,235 tons of seawater. Japanese damage control counterflooded with 604 tons of water to correct the list. Attempting to draw US attackers from Yamato, Hara's light cruiser Yahagi had maneuvered away from the Japanese battleship, steaming hard at 35kts. US strafing had already ricocheted machine gun bullets around Yahagi's bridge, killing a lookout. Watching the attack unfold, Hara admitted, “The spectacle was at once thrilling and terrifying.” Meanwhile, Bennington's Lieutenant-Commander Ed De Garmo led three Avengers against Yahagi. At 1246hrs, De Garmo's Avengers delivered Yahagi her first hit and it was a devastating one. A single torpedo struck Yahagi in the engine room, killing the entire engineering crew. Yahagi was left dead in the water nine minutes into the battle. Destroyer Isokaze subsequently sped towards Yahagi to take off Rear Admiral Komura. Meanwhile, around 56 aircraft targeted Yamato's escorting destroyers, leading to multiple torpedo hits that split Hamakaze in two; Isokaze was bombarded with bombs; Fuyutsuki suffered minor damage from two dud rockets; and Suzutsuki was struck by a bomb that severed her bow. The first wave of attacks concluded at 12:50, as Ito sought to reorganize his forces and evaluate Yahagi's status. Shortly after 13:00, a second wave of 50 aircraft appeared, managing to hit Yamato's port bow with a bomb at 13:23 and inflicting several bomb hits near the battleship's bridge. Additionally, two bomb hits and several near misses critically damaged the destroyer Kasumi, leaving her dead in the water and ablaze. At 1333 the third wave of US attackers arrived, comprising 110 new Yorktown, Intrepid, and Langley aircraft from the delayed TG-58.4 strike. The Americans now overwhelmingly focused on the reeling Yamato. Twenty Avengers attacked Yamato's portside. Around 1337, the third wave saw three confirmed torpedo hits on Yamato's portside, plus a fourth probable hit, increasing her portside list to 15–16 degrees. Stationed on Yamato's bridge, Ensign Mitsuru Yoshida recalled, “I could hear the Captain vainly shouting, ‘Hold on men! Hold on men!'”. Aruga had no option but to flood Yamato's starboard machinery spaces, where hundreds of engineers toiled to keep Yamato underway. Water, both from torpedo hits and the flood valves rushed into these compartments and snuffed out the lives of the men at their posts, several hundred in all. Caught between cold sea water and steam and boiling water from the damaged boilers, they simply melted away.” Aruga's drastic measure reduced Yamato's portside list back to five degrees, but exhausted her last starboard counterflooding capacity. Having lost one shaft and gained 3,000 tons more water, Yamato's speed fell to 12kts. At 1342hrs, TG-58.4 Avengers dropped another four torpedoes. Yoshida marveled, “That these pilots repeated their attacks with such accuracy and coolness, was a sheer display of the unfathomable, undreamed-of strength of our foes!” Yamato shot down one Avenger, but two torpedoes plowed into Yamato's portside, making five torpedo hits in five minutes. The Americans had intentionally targeted Yamato's stern to wreck her steering, and the gamble paid off. Yamato's rudders were now disabled, jamming her in a permanent starboard turn. Any chance of reaching Okinawa was gone. Reduced to a speed of 8 knots and unable to maneuver, the stricken Yamato became an easy target. Around 14:02, Mitscher's relentless carrier planes inflicted at least four more bomb hits, disabling most of Yamato's remaining operational anti-aircraft guns as the battleship helplessly circled. As a result, Ito canceled the Ten-Ichi-Go attack and promptly ordered all his warships to rescue survivors and attempt to retreat to Japan. The sinking battleship was then deserted, except for Ito and Captain Aruga Kosaku, who chose to go down with their ship.  Throughout the battle, a stoic Ito had sat silently with arms crossed on Yamato's bridge, unflinching as bullets ricocheted around him, slaughtering his staff. Ensing Yoshida Mitsuru now observed that Ito “struggled to his feet. His chief of staff then arose and saluted. A prolonged silence followed during which they regarded each other solemnly.” Ito then told his staff, “Save yourselves. I shall stay with the ship.” Ito then shook hands deliberately with his officers, retired to his sea cabin one deck below, and locked it behind him. Meanwhile, with Yamato's pumps no longer functioning, alarms began to blare: temperatures in the 18.1-inch magazines were approaching dangerous levels. By 14:20, the capsizing Yamato's main deck was vertical to the ocean. Captain Aruga, eating a biscuit given to him by a rating, tied himself to a binnacle on Yamato's bridge. As Yamato capsized, surviving men clambered across her keel, a crazed, half-naked officer screaming and brandishing his samurai sword at the Americans.  Meanwhile, the Americans continued pummeling the helpless Yahagi, which “quivered and rocked as if made of paper,” recalled Captain Hara. The stricken Yahagi suffered repeated hits. “My proud cruiser,” Hara brooded, “was but a mass of junk, barely afloat.” Around 1400hrs Yahagi took the decisive torpedo hit, triggering a clearly fatal starboard roll. Hara finally ordered, “Abandon ship.” At 1405hrs, one minute after receiving her last bomb, Yahagi capsized and sank, having somehow absorbed at least 12 bombs and seven torpedoes. Captain Hara and Rear Admiral Komura calmly stepped into the water as Yahagi sank from beneath them, only barely surviving the sinking Yahagi's undertow. Now clinging to floating wreckage, the exhausted Hara observed “scores of planes swarming about [Yamato] like gnats.” By 14:20, the capsizing Yamato's main deck was vertical to the ocean, and three minutes later, the sinking dreadnought exploded catastrophically before finally disappearing beneath the East China Sea. Yamato's capsizing motion had likely forced open her 18.1in. powder room doors, allowing fires into the battleship's magazines. An American gunner described the explosion as “the prettiest sight I've ever seen … A red column of fire shot up through the clouds and when it faded Yamato was gone.” The detonation killed most Yamato survivors still struggling in the water and may have destroyed several US aircraft. The Americans' exact score will never be known, but Yamato had certainly absorbed seven bombs and nine to twelve torpedoes out of 150 torpedoes dropped. The US planes departed at 1443, but not before issuing “a few farewell strafing runs across the Yamato survivors.” Destroyers Suzutsuki, Fuyuzuki, Yukikaze, and Hatsushimo rescued 1,620 men, including Hara and Komura, before successfully returning to Japan. Additionally, the disabled destroyers Isokaze and Kasumi were scuttled by Yukikaze and Fuyuzuki, respectively. By the end of the action, the combined losses for Ten-Ichi-Go totaled 4,242 Japanese lives. Meanwhile, Ugaki had launched a second mass kamikaze attack around noon, sending 132 aircraft towards Task Force 58. Although Mitscher's fighters shot down 54 attackers, the kamikazes managed to damage the fast carrier Hancock, the battleship Maryland, the destroyers Bennett and Wesson, and a motor minesweeper. The initial Kikisui operation resulted in the deaths of 485 Americans and left 582 wounded. The significant losses over the two days hindered Ugaki from launching another large-scale Kikisui attack for five days. Meanwhile, back in Okinawa on April 7 and 8, Hodge continued his offensive in the south. In Bradley's sector, the 383rd Regiment persistently executed banzai charges against the remaining enemy strongholds on Cactus Ridge until the entire area was secured by American forces. They then advanced toward Kakazu Ridge, where they faced even stronger resistance. The 382nd Regiment made a slow but steady push forward, ultimately being halted by intense fire across a broad front just north of Kaniku and Tombstone Ridge.  The fighting in the 7th Division's sector on April 7 centered on a low, bare hill 1000 yards west of the town of Minami-Uebaru, called Red Hill because of its color. The enemy had made a fortress of the hill by constructing his usual system of caves and connecting trenches. A frontal assault on Red Hill by troops of the 3rd Battalion failed in the face of machine-gun and mortar fire. In a 2nd attempt, 3 platoons of tanks supported the attack. 10 medium and 5 light tanks advanced through a cut toward Red Hill; 2 tanks were blown up by mines and 1 was satchel-charged as the column moved toward the hill and up the sides. Intense enemy artillery and machine-gun fire drove the infantry back and disabled more tanks. Japanese swarmed in among the armor and tried to destroy the tanks with satchel charges and flaming rags. 2 medium tanks held off the attackers, the defending crews resorting to hand grenades, while the rest of the operative tanks withdrew. The 14th Independent Battalion headquarters proudly described this action as a perfect example of how to separate troops from tanks and thus break up the American infantry-tank team. The enemy dispatch stated: "The above method of isolating the troops from the tanks with surprise fire followed by close combat tactics is an example in the complete destruction of enemy tanks and will be a great factor in deciding the victories of tank warfare." After these 2 reversals the 3rd Battalion made a wide enveloping maneuver to the right. Behind fire from artillery and supporting weapons, the troops drove toward Red Hill from the west and occupied it, suffering only 2 casualties in the move. Once more a Japanese outpost had shown its strength against a frontal attack and its vulnerability to a flanking maneuver. The capture of Red Hill left another sector of enemy territory open for the taking. The troops advanced 100 yards south before digging in. A platoon of tanks conducted a remarkable 4000-yard foray almost to Hill 178 and withdrew safely, despite a bombing attack by two single-engined Japanese planes. The following day, the 184th continued its advance southward under heavy fire, managing to take Triangulation Hill after two fierce assaults. Simultaneously, the 32nd Regiment captured Tsuwa as it extended the front along the coastline. By the night of April 8, the 24th Corps had sustained 1,510 battle casualties while inflicting 4,489 Japanese fatalities and capturing 13; they had finally reached the formidable perimeter of the Shuri fortified zone. Looking north, on April 7, the Fleet Marine Force Amphibious Reconnaissance Battalion landed on Ike Island, encountering no opposition. Subsequently, Company B was dispatched to secure Takabanare Island, while Company A took control of Heanza and Hamahika Islands. During the night, Company B reembarked, maneuvered around Tsugen Island, and landed on Kutaka Island, where they also found no enemy presence. Simultaneously, the 32nd Regiment captured Tsuwa as it expanded the front along the coastline. By the evening of April 8, the 24th Corps had incurred 1,510 battle casualties. On the same day, Shepherd advanced north with minimal resistance, as the 29th Marines successfully reached Nago while the 4th Marines moved through Henoko. Ahead of the division, the 6th Reconnaissance Company traveled up the west coast road to the village of Awa and then crossed the base of the Motobu Peninsula to Nakaoshi, encountering and either destroying or scattering several enemy groups along the way. As the reconnaissance zone was extended westward on April 8, clear signs, confirmed by aerial observations and photographs, indicated that the enemy had chosen the rugged mountains of Motobu as their defensive position. As a result, the 22nd Marines were deployed across the island from Nakaoshi to Ora to protect the right flank and rear of the 29th Marines attacking westward, while the 4th Marines assembled near Ora to support either the 29th on Motobu or the 22nd in the north. The 2nd Battalion, 29th Marines probed westward, moving across the base of Motobu and occupying the village of Gagusuku. Additionally, the reserve 1st Battalion at Yofuke successfully secured Yamadadobaru and Narashido, facing heavy enemy machine-gun and rifle fire at the latter location. The following day, the 29th Marines advanced in three columns to locate the enemy's main force at Motobu; all columns encountered resistance, revealing that a significant enemy force confronted the division in the area stretching from Itomi to Toguchi. On April 10, the 2nd Battalion, 29th Marines captured Unten Ko, where the Japanese had established a submarine and torpedo boat base; the 3rd Battalion took Toguchi and sent patrols into the interior, while the 1st Battalion advanced through Itomi and uncovered well-fortified positions on the high ground north of the village. On April 9, the 184th Regiment successfully captured Tomb Hill in the south following an artillery and air bombardment, while the 32nd Regiment took control of several finger ridges to the east that oversaw the approaches to Ouki. The Japanese-held area in front of the 383rd Regiment offered the enemy an ideal combination of defensive features. A deep moat, a hill studded with natural and man-made positions, a cluster of thick-walled buildings behind the hill; these were the basic elements of Kakazu stronghold. The enemy had exploited each one of them. Moreover, Kakazu, unlike such outposts as the Pinnacle, was an integral element of the Shuri fortified zone and a vital rampart that could expect reinforcements and heavy fire support from within the ring of positions that surrounded the 32nd Army headquarters, only 4000 yards to the south. Between the Americans and Kakazu lay a deep gorge, half hidden by trees and brush, which could be crossed only with difficulty. The Kakazu hill mass itself, which was made up of two hills connected by a saddle, stretched northwest-southeast for 2000 yards, sloping on the west toward the coastal flat and ending on the east at Highway 5. Just below Kakazu Ridge on the southeast was the town of Kakazu, a compact group of tile-roofed structures, each surrounded by hedges and stone walls and somewhat in defilade to the adjoining open fields. In and around the Kakazu hills the Japanese had created one of their strongest positions on Okinawa. Mortars dug in on the reverse slope were zeroed-in on the gorge and on vulnerable areas between the gorge and the crest of Kakazu. Several spigot mortars also protected the hill. In an intricate system of coordinated pillboxes, tunnels, and caves Japanese machine-guns were sited to cover all avenues of approach. The enemy was also supported by many artillery pieces within the Shuri fortified zone. The heavy walls and the hedges of the town of Kakazu-and eventually its rubble-afforded the Japanese countless defensive positions. Concurrently, the 383rd Regiment initiated its first coordinated assault on Kakazu Ridge, with Companies A, C, and L swiftly reaching the summit by dawn without detection. However, the surprised defenders quickly launched a fierce counterattack, ultimately forcing Companies A and C to withdraw. Company L, positioned on Kakazu West, continued to fend off enemy counterattacks alone until late afternoon when the exhausted unit had no choice but to retreat. The next day, Brigadier-General Claudius Easley proposed a "powerhouse attack," where the 381st Regiment would assault Kakazu West from positions south of Uchitomari while the 383rd would press on Kakazu Ridge from positions north of the gorge. Following a heavy artillery bombardment, the assault commenced, with the 2nd Battalion of the 381st Regiment rapidly fighting through strong enemy defenses to secure the crest of Kakazu West. However, the 383rd was struggling to make headway, prompting Colonel May to direct his two battalions to execute flanking maneuvers. Although the eastern encirclement was unsuccessful, May's 3rd Battalion managed to cross the gorge at the northern base of Kakazu West to join Colonel Halloran's 2nd Battalion on the crest. Both units then attempted to advance eastward in heavy rain, but relentless Japanese counterattacks forced them back to Kakazu West. Stalemated, Easley eventually ordered Halloran's 1st Battalion to move through May's 3rd Battalion to attack southeast along Kakazu Ridge, but this assault was also repelled by the determined defenders. At the same time, the 382nd Regiment launched its primary assault on Tombstone Ridge, advancing southwest with three battalions in formation but managing to gain only a few hundred yards to the west as fierce defenders thwarted their main offensives against the hills held by the Japanese. Meanwhile, to the east, the 32nd Regiment attempted to advance into the town of Ouki without success, while the 184th Regiment on the heights defended against minor counterattacks, sealed off caves, and solidified their positions. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. The battle for Okinawa is really heating up, showcasing to the Americans they would be paying dearly for every foot they took off the island. Meanwhile the last stand of the super battleship Yamato would form a legend encompassing the defiant spirit of Japan as well as producing one of the most bizarre science fiction animes of all time.

Today on Beating Cancer Daily, Saranne reflects on her experience during her two and a half years of cancer treatment, sharing how the concept of stillness played a crucial part in her healing process. Through a personal narrative, Saranne discusses juggling family responsibilities, intense medical treatments, and the holistic practices she embraced, illustrating the profound impact that periods of intentional stillness had on her physical and emotional well-being. "There's something about stillness that I think is really important in the healing process." ~Saranne Today on Beating Cancer Daily:·     Stillness can play a significant role in the healing process for cancer patients and survivors ·     Intentional stillness offers unique benefits like improved decision-making and emotional stability ·     Practicing stillness can help manage the emotional roller coaster experienced during the cancer journey ·     Incorporating regular moments of stillness can enhance self-awareness and relationship quality ·     Stillness aids in gaining clarity, especially for making critical medical decisions ·     Reduced stress and improved sleep are potential benefits of practicing stillness ·     Cultivating stillness can also aid in developing a deeper connection with one's higher power ·     Starting a stillness practice can be as simple as dedicating a few moments daily to silence Ranked the Top 5 Best Cancer Podcasts by CancerCare News in 2024 & 2025, Beating Cancer Daily and rated #1 Rated Cancer Survivor Podcast by FeedSpot in 2024 is listened to in more than 100+ countries on 7 continents and has over 365 original daily episodes hosted by Stage IV survivor Saranne Rothberg!   To learn more about Host Saranne Rothberg and The ComedyCures Foundation:https://www.comedycures.org/ To write to Saranne or a guest:https://www.comedycures.org/contact-8 To record a message to Saranne or a guest:https://www.speakpipe.com/BCD_Comments_Suggestions To sign up for the free Health Builder Series live on Zoom with Saranne and Jacqui, go to The ComedyCures Foundation's homepage:https://www.comedycures.org/ Please support the creation of more original episodes of Beating Cancer Daily and other free ComedyCures Foundation programs with a tax-deductible contribution:http://bit.ly/ComedyCuresDonate THANK YOU! Please tell a friend whom we may help, and please support us with a beautiful review. Have a blessed day! Saranne

Today, we're going to discuss some of the causes of low testosterone and the most common low testosterone symptoms. Check out these 6 common low testosterone signs:1. Breast tissue “Man boobs” can be caused by an increase in estrogen and a decrease in testosterone.2. Shrinking testiclesThis is also known as hypogonadism. Testosterone is involved with muscle formation, so if your testosterone is low, you may also notice your muscles shrinking.3. Reduced semen production 4. Decreased body hair This may be most evident in the beard, chest, legs, and the top of the head. 5. AndropauseThis can cause hot flashes and night sweats in men. 6. Excess belly fat This is often caused by insulin resistance. The most common causes of low testosterone include:•High-carb diets•Endocrine disruptors•Microplastics and forever chemicals•Poor sleep •Chronic stress•Wifi•EMFs •Phytoestrogens (soy products)•Low zinc •Statins•Iron overloadYou can help increase testosterone naturally with the following:1. Zinc 2. Magnesium3. Vitamin D 4. Exercise5. Water filters 6. L. reuteri Dr. Eric Berg DC Bio:Dr. Berg, age 59, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the author of the best-selling book The Healthy Keto Plan, and is the Director of Dr. Berg Nutritionals. He no longer practices, but focuses on health education through social media.

Have you ever wondered why your partner's mood swings, energy levels, or intimacy patterns seem completely different—and how you can help without stepping on eggshells?For many, the physical and emotional changes of perimenopause can seem mysterious or overwhelming, especially when trying to support a partner going through it. This episode dives into the heart of the matter, offering insight into what's really happening and how understanding these changes can strengthen your relationship and family dynamic.In this episode, you will:1) Learn to identify the signs of perimenopause and how they differ from menopause.2) Discover actionable ways to support your partner during this significant life stage—physically, emotionally, and mentally.3) Gain strategies to initiate sensitive conversations about intimacy, stress, and shared responsibilities without fear of confrontation.Tune in to uncover practical tools and compassionate advice to better support your partner and deepen your connection during perimenopause—listen now and take the first step toward a stronger partnership!CAN YOU HELP THE PODCAST?If you have a story you'd like to tell about living with a mental illness or about how you escaped the rat race that you'd like to share with my podcast listeners, please book a chat.Alternatively if you think I might be able to help you with a goal you have and want a free 15 minute 1-1 please also book in via this link.this link. Dear Podcast Listener, Thank you for your support. This podcast aims to support dads all over the world, especially those struggling with their mental health.This podcast is my hobby, but I'd like it to become much more than that one day. For that to happen, I need the support of either one very wealthy angel investor or a few thousand, possibly slightly less wealthy (but no less generous) angel investors.To develop the podcast and hopefully support more dads, I need some help. With that in mind, if you enjoyed this episode and want to help me with what I'm trying to do, here is the link where you can leave a tip. ALL tips, regardless of size, are hugely appreciated, and as a thank you, anyone who leaves a tip will be entitled to a voice note message from me on their next birthday. Just contact me via the websiteThanks again for your support, and take care of yourselfJamesTo sign up for my FREE monthly newsletter - CLICK HEREABOUT MEHello, I'm James & not long ago, I was a very anxious and somewhat overwhelmed husband & dad. After about a decade of setbacks & enough coffee to sink a ship, I'm a much happier dad. As previously mentioned, I want to try & help other dads be the best they can without losing their mental health. Mental health battles are something I am all too familiar with. In 2010, my GP suggested I do a 12-week CBT course with the NHS. During this course, I was diagnosed as having Pure OCD, which explained a lot.To Buy My Audiobook, First Time Dad, Click this link USEFUL RESOURCESFor your free digital copy of my book One Dad & His Dog

Each week, I ask my guest five questions designed to nourish their mind, body, and soul pre interview. These questions help us explore what makes each guest tick as an imperfect, evolving human, taking them out of their heads and into their bodies.While our discussions often go deep into the intellect, these questions invite my guests to step out of their comfort zones, gain a fresh perspective, and perhaps hold a bit more compassion for themselves. I believe this shift from headspace to heart space is something we can all relate to – it's the universal journey of being human.And as a listener, I hope you'll come away feeling a little more connected, not only to these stories but to the shared truths and vulnerabilities we uncover here. Each conversation is an opportunity to peek behind the scenes and share in the humanity of those on the other side of the microphone.Fourth -  Harvard psychiatrist and researcher, Dr. Chris Palmer.Listen to the full episode ⁠here⁠.Watch the full episode on YouTube ⁠here⁠.***Thank you to my wonderful sponsors! VivoBarefoot | 'If you can't be barefoot, be Vivobarefoot'For 20% off, use code LWBW20www.vivobarefoot.comOneSkin | Topical Products for Healthy Aginghttp://oneskin.co/LWBWUse code LWBW for 15% off your first order ***If you enjoyed this episode you might also like:How to Reset Your Vagus Nerve & Unlock Better Mental Health | Radhika Dashttps://www.youtube.com/watch?v=8rUi49Iiq0U&t=2sYung Pueblo's ONE Habit That CHANGED His Life Foreverhttps://www.youtube.com/watch?v=a5_16t0gIlk&t=115sDr. William Li: Can Diet DAMAGE Your Blood Brain Barrier?https://www.youtube.com/watch?v=UrCxdniSLiU&t=115s***Sign up to Sarah's Compassionate Cure newsletter: Science Simplified, Health Humanised. Join thousands in exploring actionable insights that prioritise compassion, clarity, and real-life impact. ⁠https://sarahmacklin.substack.com/⁠***Let's be friends!

Reduced state and federal funding impacts local institutions.

7 Ages Theatricals is producing the world premiere of Fool, Austin Tichenor's adaptation of Christopher Moore's New York Times bestselling comic novel. Tom Berger, 7AT's executive artistic director, talks about how this theatrical collaboration came to be, and reveals how the combination of Tichenor and Moore creates "a match made in Shakespeare comedy heaven" (Broadway World). Berger discusses the pleasure of being a theatre slut; the importance of staying in one's artistic lane; the stress of not wanting to disappoint each other (or Fool's creator); the paradox of having written "Schrödinger's Play;" the trick of making sure the audience catches what we're throwing; and the fateful coincidence of being a Christopher Moore superfan and a Reduced – as well as a real – Shakespeare guy. (Length 22:46) The post Fool's World Premiere appeared first on Reduced Shakespeare Company.

Jason, Sam, and Emanuel talk about Miyazaki being turned into a meme, the guys suing OnlyFans after being surprised to learn they were not actually talking to models, and the depravity of "brainrot" AI. Articles discussed: Hayao Miyazaki, Who Said AI Is ‘Insult to Life Itself,” Reduced to AI-Generated Meme by OpenAI: https://www.404media.co/hayao-miyazaki-who-said-ai-is-insult-to-life-itself-reduced-to-ai-generated-meme-by-openai/ OnlyFans Sued After Two Guys Realized They Might Not Actually Be Talking to Models: https://www.404media.co/onlyfans-sued-after-two-guys-realized-they-might-not-actually-be-talking-to-models/ Subscribers Only: 'Brainrot' AI on Instagram Is Monetizing the Most Fucked Up Things You Can Imagine (and Lots You Can't): https://www.404media.co/brainrot-ai-on-instagram-is-monetizing-the-most-fucked-up-things-you-can-imagine-and-lots-you-cant/ Become a paid subscriber for access to bonus content: https://404media.co/membership Learn more about your ad choices. Visit megaphone.fm/adchoices

Reduced estrogen impacts midlife injuries, but could your thoughts be keeping you fat, tired, or injured in menopause? Discover how 75% of recycled, negative thoughts shape your patterns and beliefs. My Guest: Riana Malia is a transformation coach trained in Evolved Neurolinguistic Programming (ENLP), Quantum Time Release (QTR), and Advanced Trauma-Aware Coaching. With over 20 years of experience, she helps ambitious women live confidently, heal trauma, and overcome emotional blocks. Through her Quantum Pattern Protocol, Riana guides women to achieve personal and professional goals with a balanced, step-by-step approach. As co-founder of the Collective Co. Institute, she creates transformative learning experiences through holistic healing and spiritual growth. Featured in The Mamahood blog, Brilliant Magazine: Women of Influence, and podcasts like Is Manifesting Bullshit? and InspiHER'd, Riana has empowered hundreds to find love, create pivots, and live their best lives.   The Power of ForgivenessLetting go not for others, but for your own peace—no more dragging around that emotional ball and chain!   Understanding NLP (Neurolinguistic Programming): What is NLP? It's a method that examines the link between our thoughts (neuro), our words (linguistic), and our behaviors (programming). It helps reframe negative thoughts, improve communication, and shift behaviors. Evolved NLP: Takes traditional NLP further by adding energy work and intuitive practices. It's not just about changing thought patterns but also about transforming deep-seated emotions and traumas. Quantum Healing Techniques: Riana used these advanced methods to rewire her brain, releasing old pain and building new, positive thought patterns.This approach helped her turn trauma into personal growth.   Key Takeaways for in Being Injured in Menopause: Emotional Baggage: How unresolved childhood beliefs can keep you stuck in old patterns—like feeling you always have to work harder to prove yourself. The “Away vs. Toward” Exercise: A practical tool to shift focus from what you don't want (belly fat, exhaustion, negativity) to what you do want (vitality, joy, and self-love). Self-Compassion: Why forgiving yourself is just as important as forgiving others.   Questions We Answer in This Episode: [00:24:18] What common patterns do clients struggle to break, and what's the first step to identifying them? [00:27:36] Why do 75% of repetitive thoughts tend to be negative, and how can we start shifting that? [00:28:32] How do our beliefs about ourselves shape how we navigate relationships and situations? [00:29:53] What simple, actionable steps can listeners take today to create more positive beliefs? Connect with Riana: Riana's Website Instagram - @rianamalia.official Facebook - Riana Malia   Other Episodes You Might Like: Previous Episode - 4 Exercise Mistakes Hijacking Your Menopause Fitness Next Episode - 3 Short Strength Training Session Strategies for Women in Menopause More Like This - Why I Meditate and My Recent (2nd) Weeklong Meditation Experience   Resources: Join the Flipping50 Membership for evidence-based workout programs. Short & Easy Exercise videos in this 5 Day Flip Challenge.  

PJ chats to Kamal and Lar from new taxi app holataxi.ie Hosted on Acast. See acast.com/privacy for more information.

After reaching historic levels, fatal overdoses from opioids are dropping rapidly. Today we bring you a reporter's notebook from NPR's national addiction correspondent Brian Mann. He tells host Scott Detrow what it's been like to cover America's addiction crisis and explains the significance of the recent decline in opioid deaths. For sponsor-free episodes of Consider This, sign up for Consider This+ via Apple Podcasts or at plus.npr.org.Email us at considerthis@npr.org.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

Were a young writer to ask me for advice, and only had one minute to listen, here is what I'd say.  Plus: how Louisa May Alcott worked.  And, avoiding the blahs and self-doubts when writing.Support the show

Julia shares the trends she is seeing in the mental health profession and her own group practice and shares the following reasons clinicians still want to join a group practice:1. Collaborative learning environment2. Reduced administrative tasks3. Support network4. Financial stability5. Stable income and benefits6. Continuing education opportunitiesLearn more about her practice Compassionate Counseling Company.Schedule a free consult with Julia.Learn about the Master Your CEO Mindset e-course.

Alison Tierney dispels common cancer nutrition myths using scientific evidence. Learn the facts about cancer prevention and treatment through diet, and make informed decisions for your health. #CancerNutrition #MythBusting #ScientificEvidence

Despite advances in epilepsy management, disparities and lack of inclusion of many people with epilepsy are associated with increased morbidity and mortality. Improving awareness and promoting diversity in research participation can advance treatment for underserved populations and improve trust. In this episode, Teshamae Monteith, MD, PhD, FAAN speaks Dave F. Clarke, MBBS, FAES, author of the article “Diversity and Underserved Patient Populations in Epilepsy,” in the Continuum® February 2025 Epilepsy issue. Dr. Monteith is a Continuum® Audio interviewer and an associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. Clarke is the Kozmetsky Family Foundation Endowed Chair of Pediatric Epilepsy and Chief or Comprehensive Pediatric Epilepsy Center, Dell Medical School at the University of Texas at Austin in Austin, Texas. Additional Resources Read the article: Diversity and Underserved Patient Populations in Epilepsy Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @HeadacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum Journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Monteith: This is Dr Teshamae Monteith. Today I'm interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the February 2025 Continuum issue on epilepsy. So why don't you introduce yourself to our audience? Dr Clarke: Sure. My name is Dr Dave Clarke, as alluded to. I'm presently at the University of Texas in Austin, originating from much farther south. I'm from Antigua, but have been here for quite a while working within the field in epilepsy surgery, but more and more getting involved in outreach, access to care, and equity of healthcare in epilepsy. Dr Monteith: And how did you get involved in this kind of work? Dr Clarke: That's an amazing question. You know, I did it in a bit of a inside out fashion. I initially started working in the field and trying to get access to persons in the Caribbean that didn't have any neurological care or investigative studies, but very quickly realized that persons around the corner here in Texas and wherever I've worked have had the exact same problems, getting access via fiscal or otherwise epilepsy care, or geographically getting access, with so few having neurologists close at hand. Therefore, I started working both on a regional, national, and it transcended to a global scale. Dr Monteith: Wow, so you're just everywhere. Dr Clarke: Well, building bridges. I've found building bridges and helping with knowledge and garnering knowledge, you can expand your reach without actually moving, which is quite helpful. Dr Monteith: Yeah. So why don't you tell us why you think this work is so important in issues of diversity, underserved populations, and of course, access to epilepsy care? Dr Clarke: Sure, not a problem. And I think every vested person in this can give you a different spiel as to why they think it's important. So, I'll add in a few facts pertaining to access, but also tell you about why I think personally that it's not only important, but it will improve care for all and improve what you believe you could do for a patient. Because the sad thing is to have a good outcome in the United States presently, we have over three hundred epilepsy centers, but they have about eight or nine states that don't have any epilepsy centers at all. And even within states themselves, people have to travel up to eight hours, i.e., in Texas, to get adequate epilepsy care. So that's one layer. Even if you have a epilepsy center around the corner, independent of just long wait times, if you have a particular race or ethnicity, we've found out that wait may be even longer or you may be referred to a general practitioner moreso than being referred to an epilepsy center. Then you add in layers of insurance or lack thereof, which is a big concern regardless of who you are; poverty, which is a big concern; and the layers just keep adding more. Culture, etcetera, etcetera. If you could just break down some of those barriers, it has been shown quite a few years ago that once you get to an epilepsy center, you can negate some of those factors. You can actually reduce time to access and you can improve care. So, that's why I'm so passionate about this, because something could potentially be done about it. Dr Monteith: That's cool. So, it sounds like you have some strategies, some strategies for us. Dr Clarke: Indeed. And you know, this is a growth and this is a learning curve for me and will be for others. But I think on a very local, one-to-one scale, the initial strategy I would suggest is you have to be a good listener. Because we don't know how, when, where or why people are coming to us for their concerns. And in order to judge someone, if they may not have had a follow-up visit or they may not have gotten to us after five medications, the onus may not have been on that person. In other words, as we learned when we were in medical school, history is extremely important, but social history, cultural history, that's also just as important when we're trying to create bridges. The second major thing that we have to learn is we can't do this alone. So, without others collaborating with us outside of even our fields, the social worker who will engage, the community worker who will discuss the translator for language; unless you treat those persons with respect and engage with those persons to help you to mitigate problems, you'll not get very far. And then we'll talk about more, but the last thing I'll say now is they have so many organizations out there, the Institute of Medicine or the International League Against Epilepsy or members of the American Epilepsy Society, that have ways, ideas, papers, and articles that can help guide you as to how better mitigate many of these problems. Dr Monteith: Great. So, you already mentioned a lot of things. What are some things that you feel absolutely the reader should take away in reading your article? You mentioned already listening skills, the importance of interdisciplinary work, including social work, and that there are strategies that we can use to help reduce some of this access issues. But give me some of the essential points and then we'll dive in. Dr Clarke: OK. I think first and foremost we have to lay the foundation in my mind and realize what exactly is happening. If you are Native American, of African descent, Hispanic, Latinx, geographically not in a region where care can be delivered, choosing one time to epilepsy surgery may be delayed twice, three, four times that of someone of white descent. If you are within certain regions in the US where they may have eight, nine, ten, fourteen epilepsy centers, you may get to that center within two to three years. But if you're in an area where they have no centers at all, or you live in the Dakotas, it may be very difficult to get to an individual that could provide that care for you. That's very, very basic. But a few things have happened a few years ago and even more recently that can help. COVID created this groundswell of ambulatory engagement and ambulatory care. I think that can help to mitigate time to get into that person and improving access. In saying that, there are many obstacles to that, but that's what we have to work towards: that virtual engagement and virtual care. That would suggest in some instances to some persons that it will take away the one-to-one care that you may get with persons coming to you. But I guarantee that you will not lose patients because of this, because there's too big a vacuum. Only 22% of persons that should actually get to epilepsy centers actually get to epilepsy centers. So, I think we can start with that foundation, and you can go to the article and learn a lot more about what the problems are. Because if you don't know what the problems are, you can't come up with solutions. Dr Monteith: Just give us a few of the most persistent inequities and epilepsy care? Dr Clarke: Time to seeing a patient, very persistent. And that's both a disparity, a deficiency, and an inequity. And if you allow me, I'll just explain the slight but subtle difference. So, we know that time to surgery in epilepsy in persons that need epilepsy surgery can be as long as seventeen years. That's for everyone, so that's a deficiency in care. I just mentioned that some sociodemographic populations may not get the same care as someone else, and that's a disparity between one versus the other. Health equity, whether it be from NIH or any other definition, suggests that you should get equitable care between one person and the other. And that brings in not only medical, medicolegal or potential bias, that we may have one person versus the other. So, there's a breakdown as to those different layers that may occur. And in that I'm telling you what some of the potential differences are. Dr Monteith: And so, you mentioned, it comes up, race and ethnicity being a major issue as well as some of the geographic factors. How does that impact diagnosis and really trying to care for our patients? Dr Clarke: So again, I'm going to this article or going to, even. prior articles. It has been shown by many, and most recently in New Jersey, that if you're black, Hispanic, Latin- Latinx, it takes you greater than two times the time to surgery. Reduced time to surgery significantly increases morbidity. It potentially increases mortality, as has been shown by a colleague of mine presently in Calgary. And independent of that, we don't look at the other things, the other socially related things. Driving, inability to work, inability to be adequately educated, the stigma related to that in various cultures, various countries. So, that deficit not only increased the probability of having seizures, but we have to look at the umbrella as to what it does. It significantly impacts quality of life of that individual and, actually, the individuals around them. Dr Monteith: So, what are some of these drivers, and how can we address them, or at least identify them, in our clinic? Dr Clarke: That's a question that's rather difficult to answer. And not because there aren't ideas about it, but there's actually mitigating those ideas or changing those ideas we're just presently trying to do. Although outlines have been given. So, in about 2013, the federal government suggested outlines to improve access and to reduce these inequities. And I'll just give you a few of them. One of those suggestions was related to language and having more improved and readily available translators. Something simple, and that could actually foster discussions and time to better management. Another suggestion was try to train more persons from underserved populations, persons of color. Reason being, it has been shown in the social sciences and it is known in the medical sciences that, if you speak to a person of similar culture, you tend to have a better rapport, you tend to be more compliant, and that track would move forward, and it reduces bias. Now we don't have that presently, and I'm not sure if we'll have that in the near future, although we're trying. So then, within your centers, if you have trainings on cultural sensitivity, or if you have engagements and lectures about how you can engage persons from different populations, those are just some very simple pearls that can improve care. This has been updated several times with the then-Institute of Medicine in 2012, 2013, they came out with, in my mind, a pretty amazing article---but I'm very biased---in which they outline a number of strategic initiatives that could be taken to improve research, improve clinical care, improve health equity through health services research, to move the field forward, and to improve overall care. They updated this in 2020, and it's a part of the 2030 federal initiative not only for epilepsy, but to improve overarching care. All of this is written in bits and pieces and referenced in the article. To add icing on top, the World Health Organization, through advocacy of neurological groups as well as the International League Against Epilepsy and the AES, came out with the Intersectoral Action Plan on Epilepsy and Other Neurological Diseases, which advocates for parallel improvement in overall global care. And the United States have signed on to it, and that have lit a fire to our member organizations like the American Epilepsy Society, American Academy of Neurology, and others, trying to create initiatives to address this here. I started off by saying this was difficult because, you know, we have debated epilepsy care through 1909 when the International League against Epilepsy was founded, and we have continually come up with ways to try and advance care. But this have been the most difficult and critical because there's social dynamics and social history and societal concerns that have negated us moving forward in this direction. But fortunately, I think we're moving in that direction presently. That's my hope. And the main thing we have to do is try to sustain that. Dr Monteith: So, you talked about the importance of these global initiatives, which is huge, and other sectors outside of neurology. Like for example, technology, you spoke about telemedicine. I think you were referring to telemedicine with COVID. What other technologies that are more specific to the field of epilepsy, some of these monitorings that maybe can be done? Dr Clarke: I was just going to just going to jump on that. Thank you so much for asking. Dr Monteith: I have no disclosures in this field. I think it's important and exciting to think how can we increase access and even access to monitoring some of these technologies. That might be expensive, which is another issue, but…. Dr Clarke: So, the main things in epilepsy diagnosis and management: you want to hear from the patient history, you want to see what the seizures look like, and then you want to find ways in which to monitor those seizures. Hearing from the patient, they have these questionnaires that have been out there, and this is local, regional, global, many of them standardized in English and Spanish. Our colleagues in Boston actually created quite a neat one in English and Spanish that some people are using. Ecuador has one. We have created someone- something analogous. And those questionnaires can be sent out virtually and you can retrieve them. But sometimes seeing is believing. So, video uploads of seizures, especially the cell phone, I think has been management-changing for the field of epilepsy. The thing you have to do however, is do that in a HIPAA-compliant way. And several studies are ongoing. In my mind, one of the better studies here was done on the East Coast, but another similar study, to be unnamed, but again, written out in the articles. When you go into these apps, you can actually type in a history and upload a video, but the feed is not only going to you, it may be going to the primary care physician. So, it not only helps in one way in you educating the patient, but you educate that primary care physician and they become extenders and providers. I must add here my colleagues, because we can't do without them. Arguably in some instances, some of the most important persons to refer patients, that's the APPs, the PAs and the nurse practitioners out there, that help to refer patients and share patients with us. So, that's the video uploads they're seeing. But then the other really cool part that we're doing now is the ambulatory world of EEGs. Ceribell, Zeto, to name of few, in which you could potentially put the EEG leads on persons with or without the EEG technologist wirelessly and utilize the clouds to review the EEGs. It's not perfect just yet, but that person that has to travel eight hours away from me, if I could do that and negate that travel when they don't have money to pay for travel or they have some potential legal issues or insurance-related issues and I could read the EEG, discuss with them via telemedicine their care, it actually improves access significantly. I'm going to throw in one small twist that, again, it's not perfect. We're now trying to monitor via autonomic features, heart rate movement and others, for seizures and alert family members, parents, because although about 100,000 people may be affected with epilepsy, we're talking about 500,000 people who are also affected that are caregivers, affiliates, husbands, wives, etcetera. Just picture it: you have a child, let's say three, four years old and every time they have a seizure- or not every time, but 80% of times when they have a seizure, it alerts you via your watch or it alerts you in your room. It actually gives that child a sense of a bit more freedom. It empowers you to do something about it because you can understand here. It potentially negates significant morbidity. I won't stretch it to say SUDEP, but hopefully the time will come when actually it can prevent not only morbidity, but may prevent death. And I think that's the direction we are going in, to use technology to our benefit, but in a HIPAA-compliant way and in a judicious way in order to make sure that we not only don't overtreat, but at the end of the day, we have the patient as number one, meaning everything is vested towards that patient and do no harm. Dr Monteith: Great. One thing you had mentioned earlier was that there are even some simple approaches, efficiency approaches that we can use to try and optimize care for all in our clinics. Give me what I need to know, or do. Give me what I need to do. Dr Clarke: Yeah, I'll get personal as to what we're trying to do here, if you don't mind. The initial thing we did, we actually audited care and time to care delivery. And then we tried to figure out what we could do to improve that access and time to care, triaging, etcetera. A very, very simple thing that can be done, but you have to look at costs, is to have somebody that actually coordinates getting persons in and out of your center. If you are a neurologist that works in private practice, that could potentially be a nurse being associated directly one-and-one with one of the major centers, a third- or fourth-level center. That coordination is key. Educate your nurses about epilepsy care and what the urgent situations are because it will take away a lot of your headache and your midnight calls because they'll be able to know what to do during the day. Video uploads, as I suggested, regardless of the EMR that you have, figure out a way that a family could potentially send a video to you, because that has significantly helped in reducing investigative studies. Triaging appropriately for us to know what patients we can and cannot see. Extenders has helped me significantly, and that's where I'll end. So, as stated, they had many neurologists and epileptologists, and utilizing appropriately trained nurse practitioners or residents, engaging with them equally, and/or social workers and coordinators, are very helpful. So hopefully that's just some low-hanging fruit that can be done to improve that care. Dr Monteith: So why don't you give us some of your major takeaways to how we can improve epilepsy care for all people? Dr Clarke: I've alluded to some already, but I like counts of threes and fives. So, I think one major thing, which in my mind is a major takeaway, is cultural sensitivity. I don't think that can go too far in improving care of persons with epilepsy. The second thing is, if you see a patient that have tried to adequately use medications and they're still having seizures, please triage them. Please send them to a third- or fourth-level epilepsy center and demand that that third- or fourth-level epilepsy center communicate with you, because that patient will eventually come back and see you. The third thing---I said three---: listen to your patients. Because those patients will actually help and tell you what is needed. And I'm not only talking about listening to them medication-wise. I know we have time constraints, but if you can somehow address some of those social needs of the patients, that will also not only improve care, but negate the multiple calls that you may get from a patient. Dr Monteith: You mentioned a lot already. This is really wonderful. But what I really want to know is what you're most hopeful about. Dr Clarke: I have grandiose hopes, I'll tell you. I'll tell you that from the beginning. My hope is when we look at this in ten years and studies are done to look at equitable care, at least when it comes to race, ethnicity, insurance, we'll be able to minimize, if not end, inequitable care. Very similar to the intersectoral action plan in epilepsy by 2030. I'll tell you something that suggests, and I think it's global and definitely regional, the plan suggests that 90% of persons with epilepsy should know about their epilepsy, 80% of persons with epilepsy should be able to receive appropriate care, and 70% of persons with epilepsy should have adequately controlled epilepsy. 90, 80, 70. If we can get close to that, that would be a significant achievement in my mind. So, when I'm chilling out in my home country on a fishing boat, reading EEGs in ten years, if I can read that, that would have been an achievement that not necessarily I would have achieved, but at least hopefully I would have played a very small part in helping to achieve. That's what I think. Dr Monteith: Awesome. Dr Clarke: I appreciate you asking me that, because I've never said it like that before. In my own mind, it actually helped with clarity. Dr Monteith: I ask great questions. Dr Clarke: There you go. Dr Monteith: Thank you so much. I really- I really appreciate your passion for this area. And the work that you do it's really important, as you mentioned, on a regional, national, and certainly on a global level, important to our patients and even some very simple concepts that we may not always think about on a day-to-day basis. Dr Clarke: Oh, I appreciate it. And you know, I'm always open to ideas. So, if others, including listeners, have ideas, please don't hesitate in reaching out. Dr Monteith: I'm sure you're going to get some messages now. Dr Clarke: Awesome. Thank you so much. Dr Monteith: Thank you. I've been interviewing Dr Dave Clarke about his article on diversity and underserved patient populations in epilepsy, which appears in the most recent issue of Continuum on epilepsy. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Automated Detection of Reduced Ejection Fraction Using an ECG-Enabled Digital Stethoscope: A Large Cohort Validation

In this conversation Conservative pundit Sabrina Maddeaux and economist Mike Moffatt delve into the recent changes in Canada's immigration policies and their implications for the housing market and population growth. Sabrina and Mike discuss the significant reduction in immigration targets, the impact on housing prices and rents, and the skepticism surrounding the government's ability to meet these new targets. They also explore the methodologies used by various levels of government to determine housing needs and the political ramifications of adjusting housing targets in response to changing population dynamics.Chapters00:00 Introduction01:18 Changes to Canada's immigration policy03:30 Impact on the housing market and rents05:16 Skepticism towards immigration targets07:15 What if some migrants refuse to leave?09:25 Is Ontario giving up on its housing targets?12:00 How does Mike Moffatt's forecasting work?13:13 Should housing targets go down?15:50 Revising the housing targets 17:37 Political risks to backing of home building targetsLinks:Canada Needs to Build 3 Million Homes in 10 Years to Solve the Housing Crisis'Highly unlikely': Trudeau's immigration plan hinges on millions of people leavingBaby Needs a New Home: Projecting Ontario's Growing Number of Families and their Housing NeedsHosted by Mike Moffatt & Cara Stern & Sabrina Maddeaux Produced by Meredith Martin This podcast is funded by the Neptis Foundation and brought to you by the Smart Prosperity Institute.

Churn is something that affects us all (like it or not) but there are a few powerful ways to reduce churn by creating 'Pain To Disconnect"  with your products. Want to work directly with me to help you get unlimited traffic on YouTube? Join the Gold Mastermind for only $99 per month here - https://www.iServeFirst.com/ (cancel anytime with one click) Listen to this Podcast on all available players - https://www.TrafficTubeSecrets.com/

TWICE BEFORE, we have covered Pitocin use intrapartum: 1. On Oct 24, 2022 we covered, “Save the Pitcoin! Safe to Stop Pit Once in Active Phase?”, and 2. On Sept 24, 2024 we covered, “Labor Hacks: Pit Breaks”. Nonetheless, today's episode yet again focuses on pitocin in labor. On March 18, 2025, a new systematic review and meta-analysis was released ahead of print in the AJOG. This looks at cesarean delivery rates with discontinuation of pitocin in the active phase. Although the title of this new publication states, “Reduced risk of cesarean delivery with oxytocin discontinuation in active labor”, the devil is in the details! There's lots to review here, so listen in for details.

Text: 1 Kings 10:1-7, 24-27; 11:4-13

This episode goes over the compounds of N-acetylcysteine (NAC) and Glycine, and how they are used to make Glutathione. Also, we go over a couple of use cases for Glutathione. This is strictly for educational purposes. The information in this video is not meant as a substitute for professional medical advice.Please like, comment and share if you find value in this video. Also, please ask any questions you have about supplements. I'll do a video reply as soon as possible.Resources: https://pmc.ncbi.nlm.nih.gov/articles/PMC4684116/https://cen.acs.org/articles/82/i3/METHYLMERCURY-TOXICOLOGY-PROBED.html#:~:text=%22Glutathione%20can%20be%20pumped%20out,brain%20as%20methylmercury%2Dglutathione.%22https://pmc.ncbi.nlm.nih.gov/articles/PMC4540061/https://www.sciencedirect.com/science/article/pii/S0163725821001182https://www.sciencedirect.com/science/article/pii/S0163725821001182 Image Resource:https://pmc.ncbi.nlm.nih.gov/articles/PMC6635095/ https://www.researchgate.net/figure/Overview-of-de-novo-glutathione-synthesis-Reduced-glutathione-or-GSH-is-a-tripeptide_fig2_5690064 https://lpi.oregonstate.edu/book/export/html/71 https://www.nature.com/articles/hr2011133 https://en.wikipedia.org/wiki/Serine_hydroxymethyltransferase - https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/methylenetetrahydrofolate-reductasehttps://chemtymology.co.uk/2020/11/27/cysteine-and-cystine/ https://fda.report/DailyMed/972f09a7-2aa1-4b1b-a6dc-2c4578a07803 https://www.thoughtco.com/definition-of-precipitate-604612 https://pubchem.ncbi.nlm.nih.gov/compound/Acetyl-p-benzoquinone-imine#section=3D-Conformer https://www.semanticscholar.org/paper/DRUG-METABOLISM-IN-THE-LIVER-Nguyen/4a29c6c4d433685a94b94602c012b8731cba5493https://pubchem.ncbi.nlm.nih.gov/compound/S-_Methylmercury_-L-Cysteine#section=2D-Structurehttps://keymerhealth.com/articles/seafood-mercury/https://onlinelibrary.wiley.com/doi/10.1155/2021/6564585 https://www.sciencedirect.com/science/article/abs/pii/S0304416519300133

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n the latest edition of Omni Talk's Retail Fast Five sponsored by the A&M Consumer and Retail Group, Alvarez & Marsal, Mirakl, Simbe, Infios, and Ocampo Capital Chris Walton, Anne Mezzenga, along with guest hosts from the Alvarez & Marsal Consumer and Retail Group Chris Creyts and David Schneidman break down the week's retail news. In this short, they cover: Buying or Selling: Reckitt's Claim AI Has Reduced Product Development Lead Times By 60% For the full episode head here: https://youtu.be/zoe5hsCC9jU

The mother of a victim from Tennessee is expressing her outrage over a convicted child molester, who is now facing new allegations of similar offenses against another young girl, seeking to have his bond reduced.See omnystudio.com/listener for privacy information.

⚖️ Can Child Support Be Reduced If I Lose My Job? | Los Angeles Divorce

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How do you succeed in this global culturally-diverse business environment?Meet Latifa Aarab!Latifa is a Leadership Coach & Intercultural Expert who helps senior executives in global companies manage multicultural teams and lead across cultures. She is also an Award-winning Speaker.As the founder of Compatible, I offer a truly international perspective. Born in France to Moroccan parents, I am fluent in French, English, Spanish, and Arabic.With over 17 years as a financial professional, she has worked for the European markets, North America, the Middle East, and Asia.Latifa leverages advanced coaching techniques and customized solutions, making her a trusted advisor for businesses striving to excel in the global marketplace.In today's world where global connectivity is the norm, cultural intelligence isn't just an advantage—it's a necessity. Multicultural expertise matters now more than ever and Latifa has experienced this first-hand. Without proper training and knowledge in cultural intelligence, organisations risk:- Reduced efficiencies- missed business opportunities- lack of team cohesion- damaged relationships. Latifa believes that Cultural Intelligence (#CQ) is the key to overcoming these obstacles and achieving success. Her mission is to help organisations and leaders build effective multicultural teams and create successful intercultural business relationships through: Key Points:- Cross-cultural communication in the workplace- Enhancing understanding and collaboration- Leading and building effective multicultural teams- Building trust when working with different cultures- Leadership in culturally diverse environments- Cultivating skills for leading in a global context- Succeeding in cross-cultural business- Communication skills for working with different cultures ...and so much more!Listen to the Podcast, subscribe, leave a rating and a review:Apple: https://podcasts.apple.com/us/podcast/global-cultural-intelligence-how-to-work-with/id1614151066?i=1000698930553Spotify:  https://open.spotify.com/episode/2DyWgy3X8jKI7xcB3bbsE8?si=cBRSvuWPRvyafJ97x9qXXghttps://open.spotify.com/episode/2DyWgy3X8jKI7xcB3bbsE8YouTube: https://youtu.be/enr3XVqENnk

Episode 569: Games with Card Play Conflict Resolution  Episode release date is March 12, 2025   Show Notes    This week we are doing a single episode discussing games with card play conflict resolution. Card play conflict resolution is a versatile mechanic that can add depth, strategy, and thematic flavor to board games. It allows for player agency and decision-making in situations that might otherwise be left to chance. Card play conflict resolution in board games means that instead of using dice rolls or other randomizers to determine the outcome of a conflict, players use cards from their hand or a shared deck to influence or directly decide the result. Conflict arises:  Card selection:  Reveal and resolve Why use card play for conflict resolution? Reduced randomness Strategic depth Thematic connection Variety and replayability Come join us at the game table.   Sponsorship Game Toppers  SaltCON   Intro of Meeple Nation Web Page Links to Episodes SaltPOD: A SaltCON Podcast Bios Email us at MeepleNation@gmail.com Patreon Instagram @meeplenation Facebook Meeple Nation Facebook Group Meeple Nation Off Air X Meeple Nation Discord Meeple Nation   Meeple Nation Gaming Highlights  Andy Inventors of the South Tigris Nathan Loco Momo Fromage   Top games with modular boards Gloomhaven Dune: Imperium Star Wars Rebellion Marvel Champions Mage Knight: Ultimate Edition Mage Knight: The Board Game Oathsworn: Into the Deepwood Kemet Ankh: Gods of Egypt Dune Western Legends Lords of Hellas Mythic Battles Pantheon Cooper Island Mythic Battles Ragnarok Mythic Battles Isfet The Witcher: Old World Battlestar Galactica A Game of Thrones: The Board Game (Second Edition) StarCraft: The Board Game Earthborne Rangers Star Wars: The Card Game Star Wars: Customizable Card Game Fury of Dracula (Third/Fourth Edition) SeaFall Jaws Halloween   Games on the list that we did not get too. Forbidden Stars Cosmic Encounter Unmatched: Battle of Legends, Volume One Battle Line Summoner Wars (Second Edition) Air, Land, & Sea Schottne Totten Lord of the Rings: The Confrontation (2005) A Few Acres of Snow Regicide War of the Ring: The Card Game Lord of the Rings: The Confrontation (2002) Bloodborne: The Board Game My Little Scythe Heroes of Land, Air, and Sea Brazil: Imperial Fridrich: Anniversary Edition Resist!  Super Fantasy Brawl Sylvion Sun Tzu War of the Ring: Second Edition Scythe Blood Rage

⚖️ Can Child Support Be Reduced If I Lose My Job? | Los Angeles Divorce

Dr. Tesha Monteith discusses the Headache Journal article, “Association of Migraine Treatments with Reduced Ischemic Stroke Risk: Evidence from Two Large-Scale Real-World Data Analyses.” Show reference:  https://headachejournal.onlinelibrary.wiley.com/doi/10.1111/head.14918

Andrea transformed her life from owning an insurance agency for 14 years to becoming a holistic health and mindset coach following a significant health crisis. Approximately eight years into running her agency, she developed multiple health conditions including mold toxicity, lyme disease, EBV, leaky gut, candida, breast implant illness, and lupus, accompanied by severe anxiety and panic attacks. This health crisis, while initially devastating, became a turning point in her life. It forced her to look inward and begin listening to her body's true needs for healing. After years of putting herself last and pushing through, she had to prioritize her mental and physical wellbeing. Following extensive consultations with various doctors, she took control of her healing journey by studying nutrition and learning to interpret her body's needs. Her dietary journey evolved from being Vegan for 5 years to Vegetarian, then Keto, and finally to a Carnivore diet, which she has maintained for 9 months. The switch to a Carnivore diet has brought her more healing than she experienced in the previous decade. Her health improvements include: - Normalization of her menstrual cycle after years of irregularity - Complete elimination of sugar cravings after 20+ years of severe cravings - Increased energy levels - Healthy weight gain - Enhanced mental focus - Increased libido - Reduced inflammation - First-time experience of true satiation - Reduced anxiety levels Drawing from her personal decade-long healing journey and education, she now helps others develop their own healing strategies. She believes in the power of small daily changes to build strength, clarity, and joy. Andrea finds her greatest fulfillment in walking alongside others on their health journeys, providing education, support, and guidance. Instagram: https://www.instagram.com/holisticjoy/ YouTube: https://www.youtube.com/@andreajoyhealthcoaching2445 Other social media: https://www.facebook.com/andreajoy.healthcoach Website: https://andreajoyhealthcoaching.com/ Timestamps: 00:00 Trailer 01:14 Introduction 03:19 Healing through nutrition 08:38 Health essentials 12:08 Chiropractor's experience with carnivore diet 13:03 Discovering strength and healing 18:28 Carnivore diet's health impact 19:36 Lamb: low-histamine success 23:44 Quality of life 28:02 Mindfulness 32:20 Holistic wellness and nutrition program 36:02 Carnivore diet reverses chronic illness 38:43 Reactions to lifestyle 40:21 Europeans eating more red meat 44:01 Finding satiety  46:52 Rediscovering strength and vitality 50:21 Where to find Andrea Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.

Episode 146: Becoming More Present in a World That Praises Busy & Overwhelmed Becoming more present: Saving my favorite for last so listen all the way through! According to AI the Benefits of being are: Reduced anxiety: Grounding yourself in the present can help you stay calm and avoid worrying Better relationships: Being present in conversations can help you be more empathetic and understanding More authentic: Being present can help you be more genuine and responsive to others Today we're discussing 5 categories to become even more present in a world that shows us to live distracted, living a life of constantly consuming over creating, and society that is immersed in a lack of presence. Let's actively decide to be against this. Be weird. Be awkward. Be present. Listen for HOW. Resources Mentioned: Christian Sleep Affirmations on Amazon Music: https://music.amazon.com/artists/B0D1ZGD1S9?ref=dm_sh_koryOtwdZ95ssuWeOmZJ9g25Q Breath as Prayer by Jennifer Tucker https://a.co/d/2e1lGlT "Therefore encourage one another and build each other up, just as in fact you are doing." - 1 Thessalonians 5:11

Is the key to healing really as simple as breathing pure oxygen?? For years, Brad Pitzele battled fatigue, chronic pain, and even multiple bouts of cancer, while searching for a way to reclaim his health. Traditional treatments weren't working so he broadened his search and discovered Exercise with Oxygen Therapy (EWOT), a game-changing approach that supercharges oxygen intake through movement. The results? Reduced inflammation, better sleep, clearer thinking, renewed vitality, and healing.    In this powerful episode of the HEAL with Kelly Podcast, I welcome Brad, founder of One Thousand Roads, to explore how exercise with oxygen therapy (EWOT) is revolutionizing recovery from Lyme disease, autoimmune conditions, and even cancer. We dive into the key differences between EWOT and Hyperbaric Oxygen Therapy, the science behind oxygen and cellular repair, detoxification, and anti-aging, and why oxygen is essential for athletic performance and optimal health. Brad also shares eye-opening insights on the hidden truths about Lyme and co-infections, as well as his passion and commitment to make EWOT more accessible to millions.    Whether you're battling a chronic illness, looking to enhance your performance, or are simply seeking optimal health and longevity, this episode is packed with powerful insights that can change your life. Tune in now and discover how oxygen can help you heal, recover, and thrive! LINKS One Thousand Roads Website: https://www.onethousandroads.com/ One Thousand Roads on Instagram: https://www.instagram.com/onethousandroadshq Go to https://www.onethousandroads.com/ and use CODE: HEAL10 for 10% off on the EWOT System, valid from March 6, 2025 till March 13, 2025. Connect with Kelly: ·     Watch all episodes on YouTube ·     Sign up for HEAL with Kelly newsletter ·     Follow Kelly on Instagram ·     Follow HEAL with Kelly on Instagram ·     HEAL with Kelly on TikTok ·     Follow HEAL with Kelly on Facebook ·     Visit HEAL with Kelly Website ·     Watch the HEAL Documentary ·     Get the HEAL Book Learn more about your ad choices. Visit megaphone.fm/adchoices

CNN and CBS/YouGov polls both show tremendous support for President Trump's address to Congress. The numbers don't lie and both of the woke media outlets reported that 76% of Americans approved of the president's speech Tuesday night. President Trump is expected to sign an executive order today to abolish the department of education. For the past 40 years or so the department's cost seem to steadily rise while math, reading and science scores either stay the same or drop. It is ineffective and should be sent back to the state level. Amy Coney Barrett couldn't help but show her disdain for President Trump as he was greeting people for his speech to Congress. the Supreme Court Justice has already dealt a blow with USAID funding, will she be a thorn in the side of Trump's presidency? President Trump made bold proclamations to Hamas, in fact, so bold that if Hamas does not respond to the demands, the president will be forced to take action. Volodymyr Zelenskyy is back to acting like an entitled brat, after President Trump announced he received a letter from Zelenskyy, a new video surfaces of Zelenskyy apparently changing his mind. Hunter Biden is broke and can't sell his paintings... PLUS this week's winners and losers Featuring: Steve Cortes Founder | League of American Workers https://www.amworkers.com/ Jenn Pellegrino Senior Director of Media Affairs & Chief Spokesperson | AFPI https://americafirstpolicy.com/ Natalie Winters Co Host | Bannon's War Room White House Correspondent | Bannon' War Room https://warroom.org/ Today's show is sponsored by: Wired 2 Fish Do you want to drink coffee from the finest coffee beans in the world? Wired 2 Fish sources directly from Mexico and Guatemala to bring you the freshest arabica coffee beans in the world. Wired 2 Fish cares so much about the earth that they give back 25% of their net profits to faith-based organizations and clean water initiatives. If you're a coffee lover and want to support a great company doing great work head to https://www.wired2fishcoffee.com/ use code: WECARE for 15% off your first order.  Ramp Want $250?? Is your finance team bogged down with tedious work like tracking down receipts or dealing with invoices? Guess what... Ramp handles everything—receipt matching, categorization, approvals, the works. Ramp has easy-to-use cards, spend limits, approval flows, vendor payments, and more. Ramp makes all your spending smarter with seamless integration! Join Ramp now and get $250 upon sign-up. Just go to https://ramp.com/SPICER The Reagan Foundation The Great American Leadership program is a one of a kind summer summit held by The Reagan Foundation and Institute. Middle schoolers, high schoolers, and families will dive into core American values, sharpen real leadership skills, and walk in President Reagan's footsteps at his library in sunny Southern California. From now until March 15th you can use CODE: SPICER25 to save 25% off enrollment. Just goto https://www.reaganfoundation.org/summer. Freedom isn't guaranteed—it's passed on when we lead, teach, and inspire. Let's get the next generation ready. ------------------------------------------------------------- 1️⃣ Subscribe and ring the bell for new videos: https://youtube.com/seanmspicer?sub_confirmation=1 2️⃣ Become a part of The Sean Spicer Show community: https://www.seanspicer.com/ 3️⃣ Listen to the full audio show on all platforms: Apple Podcasts: https://podcasts.apple.com/us/podcast/the-sean-spicer-show/id1701280578 Spotify: https://open.spotify.com/show/32od2cKHBAjhMBd9XntcUd iHeart: https://www.iheart.com/podcast/269-the-sean-spicer-show-120471641/ 4️⃣ Stay in touch with Sean on social media: Facebook: https://facebook.com/seanmspicer Twitter: https://twitter.com/seanspicer Instagram: https://instagram.com/seanmspicer/ Learn more about your ad choices. Visit megaphone.fm/adchoices

3.3.2025 #RolandMartinUnfiltered: Black Texas woman reduced to tears over DEI; Trump’s tariffs destroys economy; Angie Stone salute #BlackStarNetwork partner: Fanbasehttps://www.startengine.com/offering/fanbase This Reg A+ offering is made available through StartEngine Primary, LLC, member FINRA/SIPC. This investment is speculative, illiquid, and involves a high degree of risk, including the possible loss of your entire investment. You should read the Offering Circular (https://bit.ly/3VDPKjD) and Risks (https://bit.ly/3ZQzHl0) related to this offering before investing. Download the #BlackStarNetwork app on iOS, AppleTV, Android, Android TV, Roku, FireTV, SamsungTV and XBox http://www.blackstarnetwork.com The #BlackStarNetwork is a news reporting platform covered under Copyright Disclaimer Under Section 107 of the Copyright Act 1976, allowance is made for "fair use" for purposes such as criticism, comment, news reporting, teaching, scholarship, and research.See omnystudio.com/listener for privacy information.

Joe's Premium Subscription: www.standardgrain.comGrain Markets and Other Stuff Links-Apple PodcastsSpotifyTikTokYouTubeFutures and options trading involves risk of loss and is not suitable for everyone.0:00 Trump Confirms Tariffs1:28 China Tariffs US Soybean Imports4:51 US Ag Import Tariffs?8:31 Brazil / Argentina Update9:47 India Wheat Problems11:07 Grain Shipments12:11 Flash SaleTariffs Take Effect Today: Canada, Mexico, and China Impacted

This Real Science Exchange podcast episode was recorded during a webinar from Balchem's Real Science Lecture Series. You can find it at balchem.com/realscience.Dr. Baumgard begins with an overview of the structure and function of the gastrointestinal tract. More than 75% of an animal's immune system resides in the gut. The focus of this webinar is how heat stress initiates leaky gut, how that leaky gut then influences the immune and hormonal systems, and ultimately, how that reduces productivity. (0:22)Dr. Baumgard compares the metabolism of a cow 200 days in milk to a cow 10 days in milk. The 200-day cow is experiencing ad libitum intake and gaining weight. Her insulin levels would be high, and NEFAs would be low. On the other hand, the 10-day cow is experiencing suboptimal intake, and her insulin levels are the lowest they'll ever be during the production cycle. Body tissue is mobilized, and NEFAs will increase. Research shows it takes 72 grams of glucose to make one kilogram of milk. Any disruption to the gluconeogenic pathway has the potential to decrease milk yield. (6:38)Heat stress is estimated to cost the US dairy industry $1.7 billion each year. Regardless of climate change, heat stress will continue to be an issue because all economically important phenotypes in animal agriculture are heat-producing processes. Dr. Baumgard's lab has been investigating the biology of heat stress to implement more effective mitigation strategies. (9:09)How much of the reduction in feed intake during heat stress explains the reduction in milk yield? A pair-feeding experiment comparing thermoneutral to heat-stressed cows showed that about 50% of the reduction in milk yield during a heat wave is due to a reduction in feed intake. The thermoneutral cows lost weight in response to decreased intake, and their NEFAs increased. Heat-stressed cows did not have an increase in NEFA. Heat-stressed animals fail to mobilize adipose tissue despite their endocrine profile predicting that they should. However, insulin is high when we would expect it to be low, and that response to heat stress is highly conserved in all species. (10:43)Heat-stressed cows produced about 400 grams less lactose per day than their pair-fed thermoneutral controls. This is nearly a pound! Is the liver producing 400 fewer grams of glucose each day? Or is some other extramammary tissue using more glucose per day? Dr. Baumgard's work suggests that the immune system is where the 400 grams of glucose go in heat-stressed animals. During heat stress, vasodilation at the body surface occurs, with concomitant vasoconstriction in the gut. The gut epithelium is very sensitive to reduced oxygen delivery that would result from the vasoconstriction, and tight junction proteins do not function properly, resulting in a leaky gut. This results in an infiltration of antigens into the body, which causes an immune response.  (15:36)Dr. Baumgard details how insulin fits into these immune responses via the Warburg effect. An activated immune cell prefers glucose and needs it in high quantities. The activated cell switches from the Kreb's cycle to generate ATP to aerobic glycolysis. This requires high insulin. The immune system requires approximately one gram of glucose per kilogram of metabolic body weight per hour. (25:03)By far, the biggest impact a dairy producer can make to alleviate heat stress is to modify the environment physically: shade, fans, soakers, misters, etc. Investing in cooling cows improves production efficiency and profitability, summer fertility, animal welfare and health, and sustainability. Other important heat abatement considerations include adequate water availability, reducing walking distance to the parlor and time in the holding pen, and improving ventilation. Dry cows should also be part of any heat abatement strategy, as the benefits of cooling dry cows extends far into lactation. Dr. Baumgard also discusses different dietary management strategies for heat stress situations. (32:43)In summary, heat stress decreases almost every metric of productivity and costs everyone in the industry. Reduced feed intake is only part of the problem. Heat-induced leaky gut results in biological consequences incredibly similar to any other immune activation, such as mastitis or metritis. For dairy producers, heat stress abatement should by far be their biggest priority. Once those infrastructure improvements are in place, dietary interventions are another good strategy to minimize the negative consequences of heat stress. (47:43)Dr. Baumgard takes questions from the webinar audience. (49:22)Please subscribe and share with your industry friends to invite more people to join us at the Real Science Exchange virtual pub table.  If you want one of our Real Science Exchange t-shirts, screenshot your rating, review, or subscription, and email a picture to anh.marketing@balchem.com. Include your size and mailing address, and we'll mail you a shirt.

The second Trump administration has made spending cuts a priority  — already, the president has enacted a funding freeze and laid off thousands of federal workers. Reduced government spending will have major ripple effects, though, like shrinking the nation’s GDP. Also in this episode: Trump’s move toward Russia threatens longstanding relationships with European allies and Instacart forecasts a growth slowdown.

The second Trump administration has made spending cuts a priority  — already, the president has enacted a funding freeze and laid off thousands of federal workers. Reduced government spending will have major ripple effects, though, like shrinking the nation’s GDP. Also in this episode: Trump’s move toward Russia threatens longstanding relationships with European allies and Instacart forecasts a growth slowdown.