Podcasts about Riehl

Winnie the Pooh saves the Hundred Acre Wood from eczema - with Dr. Ian Myles! -Finasteride not really associated with sexual dysfunction [⁠article⁠]ACD to glucose devices part 2: what to do [⁠article⁠]Isotretinoin for LPP, EDP, and Riehl's melanosis [⁠article⁠]Find Dr. Myles' book ⁠here⁠!Want to expand your dermatology knowledge? Check out Summit Derm here!⁠https://medicine.utah.edu/dermatology/education/cme-opportunities/summit⁠Learn more about the U of U Dermatology ECHO model! ⁠physicians.utah.edu/echo/dermatology-primarycare⁠ Want to donate to the cause? Do so here!Donate to the podcast: ⁠⁠uofuhealth.org/dermasphere⁠⁠Check out our video content on YouTube:⁠⁠www.youtube.com/@dermaspherepodcast⁠⁠and VuMedi!: ⁠⁠www.vumedi.com/channel/dermasphere/⁠⁠The University of Utah's DermatologyECHO: ⁠⁠⁠physicians.utah.edu/echo/dermatology-primarycare⁠⁠ Connect with us!- Web: ⁠⁠⁠dermaspherepodcast.com/⁠⁠⁠ - Twitter: @⁠DermaspherePC⁠- Instagram: dermaspherepodcast- Facebook: ⁠⁠www.facebook.com/DermaspherePodcast/⁠⁠- Check out Luke and Michelle's other podcast,SkinCast! ⁠⁠⁠healthcare.utah.edu/dermatology/skincast/⁠⁠⁠ Luke and Michelle report no significant conflicts of interest… BUT check out our friends at:- ⁠Kikoxp.com ⁠(a social platform for doctors to share knowledge)- ⁠⁠⁠www.levelex.com/games/top-derm⁠⁠⁠ (A free dermatology game to learn more dermatology!

This week, we continued our God Story series and heard from Nathan!

MCAS is one of those diagnoses that can make it feel like your body is telling a dozen stories at once—and no one is listening. If you're experiencing GI symptoms alongside flushing, hives, brain fog, fatigue, palpitations, medication sensitivities, or a persistent "fight-or-flight" feeling, this episode is designed to help connect the dots without oversimplifying your experience.In this episode, we sit down with gastroenterologist Dr. Zachary Spiritos to unpack mast cell activation syndrome (MCAS) and explore the connections between immune activation, the gut-brain axis, and symptoms that can affect nearly every system in the body. We discuss why patients are often dismissed, how stress and hormonal changes can amplify symptoms, and what a realistic, stepwise treatment approach looks like when the evidence base is still evolving.In this episode, we discuss:• What mast cells do and why MCAS can affect multiple organ systems • Why MCAS is often missed in siloed medical care and mislabeled as anxiety • Barrier dysfunction, environmental triggers, and intestinal permeability as a useful framework • Histamine as one mediator among many and why antihistamines are not a perfect treatment for all• Links between MCAS, IBS, visceral hypersensitivity, dysautonomia, and POTS • Hypermobility, pelvic floor dysfunction, and neck tension as common clinical clues • Treatment principles including start low and go slow, informed consent, and layered individualized plans • Dietary approaches patients commonly explore, including low-histamine, low-FODMAP, and gluten-free patterns • Hormonal influences across the menstrual cycle and during perimenopause• The role of sleep, nervous system regulation, and stress reduction in decreasing symptom reactivity If you've ever felt like your symptoms don't fit neatly into a single diagnosis, this episode will help you make sense of the bigger picture and explore what healing can look like when the gut, immune system, and nervous system are all part of the conversation. References:Ford AC, Staudacher HM, Talley NJ. Postprandial symptoms in disorders of gut-brain interaction and their potential as a treatment target. Gut. 2024;73(7):1199-1211. Published 2024 Jun 6. doi:10.1136/gutjnl-2023-331833Walker MM, Warwick A, Ung C, Talley NJ. The role of eosinophils and mast cells in intestinal functional disease. Curr Gastroenterol Rep. 2011;13(4):323-330. doi:10.1007/s11894-011-0197-5Pasricha PJ, Talley NJ. Functional Dyspepsia. N Engl J Med. 2026;394(2):166-176. doi:10.1056/NEJMcp2501860Find Dr. Spiritos on IG @drzacspiritosSo please like and subscribe and share the gut health podcast. Don't forget to subscribe, rate, and leave us a comment. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Riehl, Nela www.deutschlandfunkkultur.de, Fazit

Part 3 of the Women's Health SeriesBloating, gas, urgency, abdominal pain, and that relentless “what if something happens?” loop can turn sex from a close connection into stress fast. Digestive symptoms can quietly impact some of the most vulnerable parts of our lives...including intimacy, relationships, and self-esteem. And often, the shame surrounding those experiences feels heavier than the symptoms themselves. If you've ever pulled away from connection because your gut felt unpredictable, this conversation is for you. In this episode, we're opening up an honest and empowering discussion about gut health, confidence, and reclaiming intimacy without fear or embarrassment.We dive into this topic with our expert guest, Dr. Alyse Bedell, GI psychologist and Certified Sex Therapist, covering: • Why digestive functions feel taboo in sexual relationships • How IBS and IBD symptoms can impact desire, relaxation, and satisfaction • Myth-busting the idea that sex must be spontaneous to be pleasurable • Scripts and “reset” strategies for handling symptoms in the moment • Redefining intimacy so closeness does not always imply intercourse • Flexible planning around meals, energy, triggers, and symptom patterns • Partner support that reassures without becoming patronizing • The circular sexual response cycle and starting from sexual neutrality • Rebuilding sexual self-esteem with stigma work and acting with "as if” confidence This episode has been sponsored by Ardelyx. References: Ballou S, McMahon C, Lee HN, et al. Effects of Irritable Bowel Syndrome on Daily Activities Vary Among Subtypes Based on Results From the IBS in America Survey. Clin Gastroenterol Hepatol. 2019 Nov;17(12):2471-2478.e3. Fretz KM, Hunker KE, Tripp DA. The Impact of Inflammatory Bowel Disease on Intimacy: A Multimethod Examination of Patients' Sexual Lives and Associated Healthcare Experiences. Inflamm Bowel Dis. 2024 Mar 1;30(3):382-394. doi: 10.1093/ibd/izad106. PMID: 38206426; PMCID: PMC10906359.Wang J, Varma MG, Creasman JM, et al. Pelvic floor disorders and quality of life in women with self-reported irritable bowel syndrome. Aliment Pharmacol Ther. 2010;31(3):424-431. doi:10.1111/j.1365-2036.2009.04180.xDubinsky MC, Potts Bleakman A, Schreiber S, et al.. Impact of moderate-to-severe ulcerative colitis and Crohn's disease on sexual activity: United States and European patient perspectives from the communicating needs and features of IBD experiences (CONFIDE) survey. Curr Med Res Opin. 2025 Jun;41(6):1017-1030. doi: 10.1080/03007995.2025.2530736. Epub 2025 Jul 17. PMID: 40635574.Come As You Are: Revised and Updated: The Surprising New Science That Will Transform Your Sex Life by Emily Nagoski Ph.D.  Becoming Cliterate: Why Orgasm Equality Matters--And How to Get It by Laurie MintzThe American Association of Sexuality Educators, Counselors and Therapists (AASECT) (great resources as well as a place to find a certified sex therapist)Give us a follow us on social media @TheGutHealthPodcast, where we'd love for you to share your thoughts, questions, and experiences. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Part 2 of the Women's Health SeriesYour digestion suddenly feels different, your sleep is falling apart, your mood and patience are all over the place — and you start wondering whether it's stress, aging, or something bigger. Joined by two extraordinary Mayo Clinic experts, Drs. Chrisandra Shufelt and Jami Kinnucan, we pull back the curtain on perimenopause and menopause, explaining how shifting estrogen and progesterone can ripple through the entire body — from constipation and bloating to metabolic health, cardiovascular risk, and even the gut microbiome. Most importantly, this episode reminds women that these changes are real, common, and worthy of attention.  • Defining perimenopause versus menopause as a life stage and why symptoms vary so much • Linking estrogen and progesterone changes to motility, constipation, bloating, and visceral sensitivity • Discussing microbiome shifts, dysbiosis, and how gut health may influence estrogen recycling • Outlining cardiometabolic changes including central weight gain, lipid changes, blood pressure, and insulin resistance • Clarifying brain fog, sleep disruption, and increased anxiety and depression risk during perimenopause • Reviewing SSRIs and SNRIs as options that may also reduce hot flashes • Covering bone loss timing, hormone therapy limits, and when DEXA scanning makes sense • Summarizing what is known about IBS symptom severity and what is less clear in IBD • Debunking hormone panels in perimenopause and pointing to menopause-trained clinicians • Breaking down soy, supplements, placebo effects, and lifestyle factors like weight loss and exercise snacks • Detailing vaginal estrogen for dryness, painful sex, and recurrent UTIs, including how to use it correctly This episode has been sponsored by Ardelyx.References for this episode:The 2022 hormone therapy position statement of The North American Menopause SocietyThe association between metabolic dysfunction-associated steatotic liver disease diagnosis and vasomotor symptoms in midlife womenImpact of Menopause and Clinical Considerations in Patients With Inflammatory Bowel DiseaseUnderstanding the sexual concerns of older women presenting for care to women's health clinics: a cross-sectional studyFind a Menopause Practitioner: Menopause.orgLearn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Part 1 of the Women's Health SeriesEndometriosis can show up like a gut disorder, and that confusion keeps many people stuck for years without answers. We map the overlap between endometriosis and IBS, explain what symptoms should raise suspicion, and share practical ways to build a care plan that supports both digestion and quality of life. • Endometriosis prevalence, symptoms and why it is often missed • IBS-like symptoms explained, including inflammation, adhesions, and visceral hypersensitivity • Hallmark signs beyond pelvic pain, including heavy periods, pain with sex, and pain with urination • Why diagnosis can be delayed and how updated guidance supports symptom-based evaluation plus imaging • Fertility considerations, diminished ovarian reserve risk, and why early treatment can matter • Low FODMAP as a short-term tool for GI symptoms, not a cure for endometriosis • Mediterranean-style and anti-inflammatory eating patterns as a less restrictive foundation • Stress, sleep, and gut-directed hypnotherapy as nervous-system support for pain and gut symptoms • Gluten-free and dairy-free myths, plus why celiac screening matters before cutting gluten • Supplement reality check, when to correct deficiencies, and why third-party testing matters • The “dream team” approach, including medical doctor, dietitian, pelvic floor physical therapy and mental health support This episode has been sponsored by Ardelyx.References for this episode:2023 narrative assessment on gluten and endometriosis2025 meta-analysis on endometriosis and supplements2023 UK survey dietitian support for endometriosisExploring the Nutrition‐Related Healthcare Experiences of Individuals With Endometriosis: Qualitative Interviews With Consumers and DietitiansRachelle's delicious spaghetti & meatballs recipe Find Rachelle Mallik on InstagramConsumer LabYou can also follow us on social media at the Gut Health Podcast, where we'd love for you to share your thoughts, questions, and experiences.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

This week, we heard from Nathan and continued in our God Story series!

Hoy venimos calentitos, filosóficos y, para disgusto de quienes dicen que hacemos contenido hueco, con artillería pesada: “La paradoja de Riehl: todo para todos, pero no todos para todo”. Ala, ya podéis ir cerrando alguna boquita… ¿hoy tampoco tenéis nada que decir? También hablamos de como al D.G.T une a las familias, Domingo con lágrimas en los ojos nos cuenta su experiencia personal. Por si eso fuera poco, Raúl se abre en canal y comparte esas pequeñas grandes cosas que le atribulan. ¿Qué pasa ahora? ¿También os molesta la introspección? Y para rematar, Daniel se mete con el efecto Mandela. Sí, sí… ¿qué pasa?, ¿nos hemos quedado callados ya? Y entre una cosa y otra, más movidas, más desvaríos marca de la casa y un concurso en el que sorteamos un ejemplar de Sombra Z, escrito por el desalmado Domingo Ortega, que nos ha mandado varios libros para los integrantes de este podcast y algunos más para sortear entre vosotros. Las bases del concurso las contamos en el podcast, pero ojo: esperad al final, que es donde quedan bien explicadas y sin lugar a lloriqueos posteriores. Y desde aquí, nuestro agradecimiento a Domingo Ortega por la donación.Gracias Domingo Ortega por tu donación. ♥️♥️♥️♥️♥️♥️ Dedicatoria: ♥️♥️♥️♥️♥️♥️ Este programa va dedicado con mucho cariño a la abuela Caty, abuela de Livia y también, por adopción del corazón, de Jesús & Ali; y a María José, amiga y compañera de Ali. Y, cómo no, también a todos aquellos que vosotros, nuestros queridos Desalmad@s, queráis llevaros hoy al pensamiento. Estas risas son para ellos. ‼️‼️‼️‼️¿quieres tener nuestras camisetas y tazas y mierdas...? ☠️ ‼️‼️‼️ https://www.latostadora.com/shop/habeiscerradoelgas/ Aqui encontraréis nuestras camisetas que son personalizables, y os decimos que están a precio coste, no nos ganas ni un madeverí. ⚠️⚠️⚠️ Ampliamos información y charlamos en : ⚠️⚠️⚠️ Grupo Telgram: https://t.me/habeiscerradoelgas https://www.instagram.com/habeiscerradoelgas?igsh=ODF5cGRkN3U5eGI5 La música corre a cargo de : "I LOVE ROCK ' ROLL" - Joan Jett & The Blackhearts" "SEÑORA" - Stafas "EL ALMA ATADA" - Tako. Si te gusta la pedazo de música que nuestro programa, puedes disfrutar de todo los temas que hemos ido poniendo en nuestra lista de Spotify ✅ https://spotify.link/GBJy7LrEaDb Gracias a nuestros patrocinadores, que gracias a ellos aquí estamos y no nos falta la birrita y el whiskys Lo de pediros pasta para hacer contenido de calidad... es una quimera sin duda. Y si quieres oír mas podcast de gente muy interesante no lo dudéis *¿QUIERES CONOCER OTROS PODCASTS?* Desde Habéis cerrado el gas?, te recomendamos los siguientes podcasts, con contenidos divertidos, originales y muy interesantes, de nuestros amigos ❤️: EL ÁGORA DE LIVIA https://go.ivoox.com/sq/2269497 EL DÁTIL DE E.T https://go.ivoox.com/sq/2070987 CARNE DE BIT https://go.ivoox.com/sq/855359 FRANCISCO JAVIER MILLÁN https://go.ivoox.com/sq/96440 FRIKILOSOFÍA https://go.ivoox.com/sq/584171 LA SILLA PODCAST https://go.ivoox.com/sq/2072133 PARTIENDO EL KOKO https://go.ivoox.com/sq/1640204 DISTRITO 12 https://go.ivoox.com/sq/1459549 Gente nos oímos ..nos leemos o lo que gustéis. Abrazos para tod@s Gracias a tod@s por estar ahí

We don't usually say this, but for today's LawNext, you're going to want to watch the video version, if you can. The audio will be good, but the video will be great. You can find it on YouTube.  Why? Because we're going to be talking today about vibe coding, and you're going to want to see what our guests are showing today, not just hear them tell about it. Those guests are Damien Riehl and Michael Bommarito. By day, Damien works on AI products at Clio and Mike is CEO of 273 Ventures, a company that provides AI strategy and services for law firms and legal professionals. But outside their day jobs, they are also founders of the ALEA Institute, the Institute for the Advancement of Legal and Ethical AI, where a central focus of theirs is the FOLIO Project, which is seeking to develop and maintain open legal standards and a comprehensive ontology to enable different legal systems to communicate with each other. FOLIO is an outgrowth of the SALI Alliance, whose ontology was largely developed by Damien. So what does any of this have to do with vibe coding? Well, in connection with their FOLIO project, Damien and Mike have been building an array of tools for tagging and enriching legal documents (FOLIO Enrich), for mapping law firm taxonomies (FOLIO Mapper), for browsing and editing legal ontologies (FOLIO Ontology Explorer), and much more. (See the full list of FOLIO resources.) And they've built all of it by vibe coding. Not over months, not with a team of developers, but on their own, often in a single weekend day, using AI coding tools. When Damien first showed LawNext host Bob Ambrogi what he and Mike were developing, Bob thought, "It's not enough for me to just write about this. It really has to be seen, in action." So he asked Damien and Mike to come on LawNext, share their screens, walk us through what they've been building, and show us what vibe coding actually looks like in action when it's applied to serious legal technology problems.    Thank You To Our Sponsors This episode of LawNext is generously made possible by our sponsors. We appreciate their support and hope you will check them out.   Paradigm, home to the practice management platforms PracticePanther, Bill4Time, MerusCase and LollyLaw; the e-payments platform Headnote; and the legal accounting software TrustBooks. Briefpoint, eliminating routine discovery response and request drafting tasks so you can focus on drafting what matters (or just make it home for dinner).   If you enjoy listening to LawNext, please leave us a review wherever you listen to podcasts.  

Part 2 of the IBS-D SeriesWe sit down with GI dietitian Beth Rosen to talk about her lived experience with IBS-D, and how the absence of a clear diagnosis and effective treatment plan early on led to frustration and unnecessary food restriction. With the right diagnosis and support, she was able to shift toward a clearer path, building a sustainable, flexible approach to eating and symptom management. We share real-world strategies for identifying triggers, eating enough without panic, and using gut-brain tools so symptoms don't run the show. • Beth's IBS-D origin story after C. diff and the missteps that delayed care • Why “everything looks normal” needs context plus a plan • Building an IBS story document to speed up appointments and strengthen self-advocacy • Common IBS-D triggers and why broad food cuts can backfire • Fructans, lactose, gluten, and the value of a targeted approach • Coffee variables to consider including caffeine dose and acidity • Digestive enzymes as practical support when appropriate • Dining out tactics like menu scouting, calling ahead, and simple safe orders • Travel and social scripts that protect privacy and reduce stress • Beth's IBS toolbox picks: adequate + regular meals, targeted fiber, hydration, modified low FODMAP, gut-brain strategies • Diaphragmatic breathing for urgency (Check out Dr. Riehl's video on diaphragmatic breathing, here.)Other resources from our guest, Beth Rosen MS, RDN:Hot off the press: Gut Goals - the book for IBS patients, by Beth Rosen!The EDGI Training Project - the book and resources for practitioners on the intersection of ED and GI Learn more about Beth: Beth Rosen's website  This episode has been sponsored by Salix Pharmaceuticals. Don't forget to subscribe, rate, and leave us a comment. You can also follow us on social media, instagram @theguthealthpodcast, where we'd love for you to share your thoughts, questions, and experiences. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Emily Riehl, one of the world's leading category theorists, shares her vision for making infinity category theory something undergrads can actually learn. In this talk, she breaks down how rethinking the foundations of math could change the way it's taught and understood—and why it might redefine what math even is. I subscribe to The Economist for their science and tech coverage. As a TOE listener, get 35% off! No other podcast has this: https://economist.com/TOE Join My New Substack (Personal Writings): https://curtjaimungal.substack.com Listen on Spotify: https://tinyurl.com/SpotifyTOE Become a YouTube Member (Early Access Videos): https://www.youtube.com/channel/UCdWIQh9DGG6uhJk8eyIFl1w/join Links: •⁠ ⁠Emily's profile: https://emilyriehl.github.io/ •⁠ ⁠Emily's presentation: https://emilyriehl.github.io/files/undergraduates-TOE.pdf •⁠ ⁠A Type Theory For Synthetic ∞-Categories (paper): https://arxiv.org/pdf/1705.07442 •⁠ ⁠Could ∞-Category Theory Be Taught To Undergraduates? (paper): https://arxiv.org/pdf/2302.07855 •⁠ ⁠RZK proof assistant: https://rzk-lang.github.io/rzk/en/latest/ •⁠ ⁠Lean Zulip chat: https://leanprover.zulipchat.com/#recentnews Timestamps: 00:00 A Dream for the Future 01:55 Exploring Infinity Categories 03:54 The Role of Category Theory 10:17 Key Concepts of Category Theory 12:01 The Curry-Howard Correspondence 15:37 Understanding Left Adjoint Functors 24:38 The Innate Lemma Explained 38:29 Proving the Isomorphism 41:50 The Importance of Abstraction 44:04 A Crash Course in Category Theory 44:17 Introduction to Infinity Category Theory 56:27 Fundamental Infinity Groupoids 1:03:34 What Are Infinity Categories? 1:09:12 The Case for Infinity Categories 1:18:12 Transitioning to Homotopy Type Theory 1:22:49 Crash Course in Homotopy Type Theory 1:30:56 Type Constructors Explained 1:34:19 Propositions as Types 1:42:50 Understanding Dependent Types 1:49:01 Identity Types and Their Importance 1:54:03 The Structure of Infinity Groupoids 1:59:33 Hierarchies of Types 2:06:19 The Univalence Axiom 2:08:36 Transitioning to Infinity Category Theory 2:10:04 Simplicial Type Theory Overview 2:14:56 Pre-Infinity Categories Defined 2:24:32 Isomorphisms in Infinity Categories 2:31:48 Computer Formalization in Mathematics 2:40:02 Conclusion and Future Directions Support TOE on Patreon: https://patreon.com/curtjaimungal Twitter: https://twitter.com/TOEwithCurt Discord Invite: https://discord.com/invite/kBcnfNVwqs #science Learn more about your ad choices. Visit megaphone.fm/adchoices

Part 1 of the IBS-D SeriesWe map out a clear, practical way to understand IBS-D, from what it is, to how clinicians rule out the conditions that can look like it. With Dr. Anthony Lembo, we move from science to real-world next steps so you can feel more confident about diagnosis, treatment options, and hope for improvement. • How IBS-D is defined using stool form and pain patterns • When diarrhea needs more workup using alarm features • Common IBS-D mimickers including celiac disease, IBD, bile acid malabsorption, microscopic colitis, sucrase isomaltase deficiency and Giardia • What post-infectious IBS may change in the gut including immune activation, permeability, microbiome, and hypersensitivity • What the L-glutamine permeability study suggests and what remains unknown • How to approach it  a stepwise treatment IBS-D plan using lifestyle, loperamide, antispasmodics, neuromodulators, rifaximin, and other prescriptions • Why brain-gut behavioral therapy helps even without severe anxiety or depression • How we avoid the trap of endless “root cause” chasing with a confident diagnosis Rome V will include an update of the Rome Criteria (publication available around May 2026). This episode has been sponsored by Salix Pharmaceuticals. Follow us on social media, instagram @theguthealthpodcast, where we'd love for you to share your thoughts, questions, and experiences. References: Black CJ, Ford AC. An evidence-based update on the diagnosis and management of irritable bowel syndrome. Expert Rev Gastroenterol Hepatol. Published online January 21, 2025. doi:10.1080/17474124.2025.2455586Marasco G, Cremon C, Barbaro MR, Stanghellini V, Barbara G. Journal of Clinical Gastroenterology Lectureship Dubai 2022 : Management of Irritable Bowel Syndrome With Diarrhea. J Clin Gastroenterol. 2024;58(3):221-231. Published 2024 Mar 1. doi:10.1097/MCGCongenital Sucrase-Isomaltase Deficiency: What, When, and How?Foley A, Halmos EP, Husein DM, et al. Adult sucrase-isomaltase deficiency masquerading as IBS. Gut. 2022;71(6):1237-1238. doi:10.1136/gutjnl-2021-326153Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS.  The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment.  Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

This Sunday, we continued in our God Story series!

Die Barmer im Norden hat eine neue Landesgeschäftsführerin: Dr. Anneke Riehl. Die hat keine klassische Krankenkassen-Karriere absolviert, sondern zuvor u.a. auch in der Versorgung gearbeitet. Welche Ziele sie sich in ihrer neuen Funktion setzt, berichtet sie im Podcast.

Von wegen strahlend weißer Sand und türkisblaues Wasser: So sehen unzählige Strände in der Karibik seit einigen Jahren nicht mehr aus. Der Grund dafür ist die Braunalge Sargassum, die die früheren Traumstrände mit einem riesigen braunen Teppich bedeckt und noch dazu ordentlich stinkt. Dieses Phänomen beleuchten wir in der neuen Folge von „Erdfrequenz“ aus zwei Perspektiven. Torben Riehl, Meeresforscher bei Senckenberg, erklärt die biologischen Hintergründe: Wie lebt so eine Alge überhaupt, und wieso breitet sie sich auf einmal so schnell aus? Die Kulturwissenschaftlerin Laura Otto von der Universität Würzburg berichtet von den Auswirkungen auf das Leben der Menschen vor Ort: Wie gehen sie damit um, wenn kaum noch gefischt werden kann und die Touristen ausbleiben? Und kann man aus dem Problem eine Ressource machen? Mehr zur faszinierenden Braunalge gibt es in unserer neuen Sonderausstellung "Sargassum – Fluch und Segen", ab 27. März im Museum Frankfurt. Folgt uns auch aufFacebookInstagramTikTokYouTube

As our friend Dan Rodricks opens his latest sold-out Baltimore-themed theatre project, we welcomed Vanessa Eskridge and Chris Riehl from the cast of "No Mean City: Baltimore 1966" for a Maryland Crab Cake Tour stop to discuss the theme and background of the project at Gertrude's at The Baltimore Museum of Art where the show plays this week. The post Vanessa Eskridge and Chris Riehl give Nestor a 1966 Baltimore No Mean City primer on history first appeared on Baltimore Positive WNST.

Tony Riehl is the Executive Director of the Catholic Foundation

Tired of hearing “it's just stress”?  IBS experts Drs. Laurie Keefer and Darren Brenner join Kate Scarlata and Dr. Megan Riehl to set the record straight on irritable bowel syndrome.IBS is a real, biologically based disorder involving the gut–brain axis, the microbiome, immune function, and nervous system signaling. Understanding how these systems interact reshapes how we diagnose, personalize treatment, and support long-term symptom relief.If you've felt dismissed, confused, or stuck in trial-and-error care, this episode will help you feel validated, informed, and empowered with a clearer, science-backed path forward.Together we break down:The value of a positive diagnosis (not endless testing)The impact of trauma and adverse childhood experiences (ACEs) on gut sensitivity Using diet to support symptom relief without unnecessary food restrictionHow to comprehensively match treatment to your triggersSupport & Professional ResourcesIf you've experienced ACEs or trauma and want support from a GI psychologist or trauma-informed provider, these directories can help: GI Psychology (virtual services available)Rome Foundation GastroPsych Provider DirectoryTrauma-Informed Mental Health Provider DirectoryPartnering with a clinician trained in gut–brain disorders and trauma-informed care can safely address both physical symptoms and nervous system patterns. Aggeletopoulou et al. Unraveling the Pathophysiology of Irritable Bowel Syndrome: Mechanisms and Insights. Int J Mol Sci, 2025.Keefer L et al. The Role of Resilience in IBS and Other Chronic GI Conditions. Clin Gastroenterol Hepatol, 2021.Chang L et al. Sex, Anxiety, and Resilience in the Association Between Adverse Childhood Experiences and IBS. Clin Gastroenterol Hepatol, 2025.Dong et al (UCLA Church Lab). Experiences of discrimination are associated with microbiome and transcriptome alterations in the gut. Front Microbiol, 2024.Scarlata K et al. Utilization of Dietitians in the Management of Irritable Bowel Syndrome by Members of the American College of Gastroenterology. Am J Gastroenterol, 2022. How Kate Does It: Low-FODMAP Diet (AJG)This episode is sponsored by Ardelyx. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

This week's episode Kenzie sits down with friend Samantha Riehl to talk all things Farmer Wants a Wife, her childhood, curating your aesthetic, style, routine and life that you actually want. Hope you enjoy!!

What does it mean to be a valuable lawyer in the age of AI? In this episode, Zach sits down with litigator, technologist, and AI evangelist Damien Riehl to explore how legal expertise evolves, not disappears, in a world of generative models and automation. From his unique path as both a practicing attorney and self-taught coder to his widely discussed “All the Music” project, Damien argues that the future belongs to lawyers who understand systems, leverage technology, and rethink what clients actually pay for. This is a conversation about professional reinvention, leverage, and why AI may amplify - rather than replace - the best lawyers.   In this episode: Why AI changes how lawyers deliver value, but not why they matter The advantage of lawyers who can code (or at least think like engineers) Damien's “All the Music” project and what it reveals about IP systems The difference between automation and augmentation in legal work How litigators should think about AI tools today Why understanding technology is becoming table stakes for legal credibility What the next generation of high-value lawyers will look like Learn More: Damien - https://www.ted.com/speakers/damien_riehl Zach - https://www.legallydisrupted.com/   Follow Along: Damien -  https://www.linkedin.com/in/damienriehl Zach - linkedin.com/in/zachabramowitz  

This week, we continued in our God Story series and heard from Nathan Riehl!

Lawyers have always relied on tools—but AI is different. It doesn't just assist with tasks; it makes decisions, applies judgment, and shapes outcomes. In episode #602 of the Lawyerist Podcast, Stephanie Everett talks with Damien Riehl about what ethical responsibility looks like when AI starts doing legal work on its own.  Their conversation examines how AI systems embed values, why verification matters more than transparency, and how lawyers can responsibly use tools they don't fully understand. They also explore what legal expertise looks like in an AI-powered future—and why intuition, trust, and integrity may matter more than ever as machines take over the “widgets” of legal work.  Listen to our other episodes on Ethics and Responsibility in AI.  EP. 582 Deepfakes, Data, and Duty: Navigating AI Ethics in Law, with Merisa Bowers Apple | Spotify | LTN  EP. 543 What Lawyers Need to Know About the Ethics of Using AI, with Hilary Gerzhoy Apple | Spotify | LTN    Have thoughts about today's episode? Join the conversation on LinkedIn, Facebook, Instagram, and X!    If today's podcast resonates with you and you haven't read The Small Firm Roadmap Revisited yet, get the first chapter right now for free! Looking for help beyond the book? See if our coaching community is right for you.    Access more resources from Lawyerist at lawyerist.com.    Chapters / Timestamps:   00:00 – Introduction  05:55 – Meet Damien Riehl  08:10 – Why AI Is a Different Kind of Legal Tool  11:05 – When AI Starts Doing Legal Work  14:30 – Ethics, Values, and AI Judgment  18:45 – Foundation Models vs. Legal-Specific AI  21:15 – The “Duck Test” and Trusting AI Output  24:45 – Trust but Verify: Reviewing AI Work  28:40 – What Lawyers Are Underestimating About AI  31:10 – What Still Requires Human Judgment  34:30 – Intuition, Trust, and Integrity in Law  37:40 – What This Means for Billing and the Future  40:40 – Closing Thoughts   

Fiber isn't one-size-fits-all and for some people, more isn't better. In this episode, we explore why most people under-eat fiber, why certain fibers can worsen symptoms, and how to personalize intake in a way your body can actually tolerate. Dr. Heather Armstrong shares emerging insights on fiber function, microbiome capacity, and practical strategies for going low and slow. We also unpack new science explaining why fiber supports gut health in some individuals, while triggering issues in others with reduced fermentative activity. In this episode, we discuss: • The fiber gap, health risks, and minimum intake targets • How solubility, viscosity, and fermentability guide fiber choice • Matching fiber types to IBS, diarrhea, and constipation • Why whole foods matter more than isolates • Citrus peel pectin and simple kitchen hacks • Why “low and slow” dosing reduces gas and pain • How long microbiome changes and symptom relief actually take • When fiber supplements help (and when they don't) • Individualized fiber needs in IBD (and implications for IBS, MS, and liver disease) • Why dietitians are essential for precision nutritionThis episode is especially relevant if you've been told to “just eat more fiber”—and it didn't go well.Learn more about Dr. Heather Armstrong's novel research:Gut feeling: new test and precision diet could boost health for people with IBD. U of A research team in clinical trials for their innovative AI-powered tool that could reduce inflammation by “rewiring” the gut microbiome.References:Ramezani F, Pourghazi F, Eslami M, et al. Dietary fiber intake and all-cause and cause-specific mortality: An updated systematic review and meta-analysis of prospective cohort studies. Clin Nutr. 2024Chang SC, Cassidy A, Willett WC, Rimm EB, O'Reilly EJ, Okereke OI. Dietary flavonoid intake and risk of incident depression in midlife and older women. Am J Clin Nutr. 2016 Armstrong HK, Bording-Jorgensen M, Santer DM, et al. Unfermented β-fructan Fibers Fuel Inflammation in Select Inflammatory Bowel Disease Patients. Gastroenterology. 2023Armstrong H, Mander I, Zhang Z, Armstrong D, Wine E. Not All Fibers Are Born Equal; Variable Response to Dietary Fiber Subtypes in IBD. Front Pediatr. 2021Gao J, Lee AA, Abtahi S, et al. Low Fermentable Oligosaccharides, Disaccharides, Monosaccharides, and Polyols Diet Improves Colonic Barrier Function and Mast Cell Activation in Patients With Diarrhea-Predominant Irritable Bowel Syndrome: A Mechanistic Trial. Gastroenterology. This episode is sponsored by Activia.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Summary Nicole elaborates on the current trends affecting the workforce, including the aging population, low birth rates, and the need for human capital in a rapidly changing job market. She emphasizes the importance of supporting employees with caregiving responsibilities, whether for children or aging parents, and how businesses can benefit from investing in childcare solutions. The conversation also touches on the intersection of faith and work, with Nicole sharing how her Christian values inform her approach to caregiving and employee support, ultimately advocating for a workplace culture that prioritizes the well-being of employees and their families. Wherever you're listening—Spotify, Apple, or YouTube—subscribing, rating, and reviewing the show helps others discover what we're doing here. It's a small way to support the mission—and it means a lot to us. Resources Download the episode transcript here Attend Business for the Common Good 2026 in Denver, CO Learn more about Nicoles work at EPIC Employer Childcare Navigator Tool Women, Work, & Calling by Joanna Meyer

Friebe, Matthias www.deutschlandfunk.de, Sport am Samstag

Friebe, Matthias www.deutschlandfunk.de, Sport am Samstag

Learn more at TheCityLife.org

In which I remember one last thing from 2025 and get on the Zoom with my ol pal, Baltimore's own ambassador du Poe, Chris Riehl and we talk eats, drinks and what's comin up for Big Ed's Birthday! GET TO BALTIMORE! GET TO CLASS! GET TO CLASS IN SAN FRANCISCO! BUY SOME STUFF Recorded LIVE at Paper Machete at the Green Mill Cocktail Lounge 12/20/25 in Chicago courtesy of WKQX (Q101.1 FM) and Jeppson’s Malört: The Official Drink of the Apocalypse Come find me in all your favorite places including my Discord Featuring “Promises” by the Barrerracudas, "Baltimore!" by Chris Riehl © 2019 and a snippy of “The Wasteland” courtesy of Ross Bugden Twitter: Instagram For commissions/scores: bugdenross@gmail.com See omnystudio.com/listener for privacy information.

Glucagon-like peptide-1 (GLP-1) can transform metabolic health, but only with smart dosing, adequate dietary protein, regular strength training, and mental health support. In this episode, we explore how GLP-1 medications work in the brain and gut, why metabolic health is more than BMI or a weight on the scale, and how to use these drugs safely. Our expert guest, gastroenterologist, Dr Supriya Rao shares practical dosing, side effect strategies, and what makes results stick.• Defining metabolic health beyond BMI and weight• How GLP-1s reduce appetite and slow gastric emptying• Healthy weight loss pace and preserving lean muscle• Practical + science-backed dosing and individualized titration• The unknown risks of compounding and microdosing• Managing nausea, reflux, and constipation• Diet shifts: smaller meals, more fiber, adequate protein• Mental health, body image, and stigma in care• Durability of results and maintenance dosing• New indications: MASH (metabolic dysfunction-associated steatohepatitis), sleep apnea, cardiovascular protection• Building an educated care teamReferences/Resources:Tzang CC, Wu PH, Luo CA, Chen ZT, Lee YT, Huang ES, Kang YF, Lin WC, Tzang BS, Hsu TC. Metabolic rebound after GLP-1 receptor agonist discontinuation: a systematic review and meta-analysis. EClinicalMedicine. 2025 Nov 28;90:103680. Ghusn W, Hurtado MD. Glucagon-like Receptor-1 agonists for obesity: Weight loss outcomes, tolerability, side effects, and risks. Obes Pillars. 2024;12:100127. Published 2024 Aug 31. Moiz A, Filion KB, Tsoukas MA, Yu OHY, Peters TM, Eisenberg MJ. The expanding role of GLP-1 receptor agonists: a narrative review of current evidence and future directions. EClinicalMedicine. 2025 Jul 17;86:103363. Integrated Gastroenterology Consultants (Dr. Supriya Rao's practice site)Book: The GLP-1 Kitchen: A Cookbook for Living Well on Weight Loss Medications Escobar S-N et al. (contains affiliate marketing link)Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

On today's Legally Speaking Podcast, I'm delighted to be joined by Damien Riehl. Damien is a lawyer with experience in litigation, counselling businesses, handling cybersecurity crises and managing intellectual property matters. He has represented Fortune 500 companies, startups and nonprofits. He is also the Solutions Champion at Clio. As a technologist, Damien has spent more than a decade designing and developing AI tools in the legal practice. His goal is to build technology connecting law to the people it serves. So why should you be listening in? You can hear Rob and Damien discussing:- AI Transforming Legal Services- Data Quality and Access- Ethical and Practical Impacts of Legal Tech- Intellectual Property in the Age of AI- Alignment of Tech with Human and Legal ValuesConnect with Damien Riehl here - https://www.linkedin.com/in/damienriehl

This year on The Gut Health Podcast, we dug deeper than ever into the science that shapes our bodies, the myths that confuse us, and the everyday habits that actually move the needle. We challenged probiotic controversies, rethought alcohol culture, explored resilience from gravity to mindset, and turned stress management into practical, usable skills. We broached the topic of vagus nerve stimulation and the potential role of psychedelics and the gut-brain connection!The theme in 2025 was connection: the conversation between food and microbes, the way those microbes steer our mood and gut motility, the posture-driven shifts in biology, and the everyday choices that ignite changes across the whole body.It's not just gut health—it's a map of how we think, feel, move, and live. And we're just getting started.Key topics in this episode include:• the evolving research with gut science and why personalization matters• facts vs fads on probiotics, ferments, and “leaky gut syndrome”• lifestyle foundations that beat quick fixes• alcohol reduction strategies and social swaps• food–mood links, excess fructose, and serotonin• stress prescriptions such as adding diaphragmatic breathing into your daily routine• how to build gravity resilience • what's happening in the psilocybin research landscape and safety considerations• practical habit stacking for hydration, movement, and sleep• communicating with providers when evidence conflicts to help you navigate your personal gut health needs.Looking to boost overall wellbeing with meditation, breathing exercises or better sleep? Calm has you covered with 40% off a premium subscription. Visit http://calm.com/guthealthpod. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Megan Riehl, PsyD, on Mental Health and IBD by Gastroenterology Learning Network

A growing number of patients with stubborn IBS symptoms are asking: if the gut and brain are wired together, could changing one transform the other? In this episode, we sit down with Dr. Emeran Mayer and Dr. Erin Mauney to explore what the emerging field of psychedelic-assisted therapy could mean for gut-brain health, beyond the headlines and hype. In this episode we cover:Why traditional IBS treatments often fall short.How psilocybin opens a neuroplastic “window” for processing pain, stress, and interoception.The therapeutic process: preparation, guided dosing, and integration.Early study results: symptom relief, reduced visceral sensitivity, and improved self-illness separation.Safety, variability, and practical questions about access and candidacy.If you're curious about neuroplasticity, the brain-gut axis, psilocybin, and the future of IBS care, this episode offers a grounded, hopeful, and responsible guide to what's known, and what's next. This episode is sponsored by GI Psychology. References: Psychedelic-assisted therapy: An overview for the internistBarnett BS, Mauney EE, King F 4th. Psychedelic-assisted therapy: An overview for the internist. Cleve Clin J Med. 2025;92(3):171-180. Published 2025 Mar 3. doi:10.3949/ccjm.92a.24032Psychedelic-assisted Therapy as a Promising Treatment for Irritable Bowel SyndromeMauney, Erin MD*; King, Franklin IV MD†; Burton-Murray, Helen PhD‡; Kuo, Braden MD‡. Psychedelic-assisted Therapy as a Promising Treatment for Irritable Bowel Syndrome. Journal of Clinical Gastroenterology 59(5):p 385-392, May/June 2025. | DOI: 10.1097/MCG.0000000000002149 Psilocybin and IBS treatment: First psychedelic study in gastroenterologyLearn more about the MGH study with Dr. Erin Mauney and colleagues here.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Dr. Brennan Spiegel, author of Pull: How Gravity Shapes Your Body, Steadies the Mind, and Guides Our Health, reveals how gravity shapes everything from our digestive health to our emotional wellbeing in this fascinating exploration of "biogravitational medicine." He presents the revolutionary concept that conditions like IBS and depression may be tied to how well our body resists gravity.• Gravity resilience refers to how well your body manages Earth's gravitational force• People with hypermobility conditions like Ehlers-Danlos syndrome often experience gut issues when their internal suspension systems are compromised•  The gut hangs from a suspension system like ‘ornaments on a Christmas tree,' and if it weakens, the intestines can sag, leading to digestive issues • Our language around emotions reflects our relationship with gravity – we feel "down" when sad and "up" when happy• Most serotonin (90–95%) is made in the gut with help from our microbiome, where it helps regulate muscles and systems that manage our body's relationship with gravity • Strategies to strengthen gravity resilience • Hypopressive exercises that draw the belly upward can improve internal organ support• The STACK TEN diet focuses on tryptophan-rich foods to support serotonin production• Mental and physical resilience share similar concepts - the ability to "bend without breaking"Check out Dr. Spiegel's new book "Pull" releasing October 7th, which explores how gravity affects human health and how building gravity resilience can help us find balance, stand stronger, and live longer.References and Resources:The Gravity Doctors Podcast LinkBrennan Spiegel MD's book, Pull (This is an affiliate link. We may earn a small commission at no extra cost to you and only recommend products we trust.)Effect of diet on serotonergic neurotransmission in depression. Neurochem Int. 2013;62(3):324-329.Tryptophan-rich diet is negatively associated with depression and positively linked to social cognition. Nutr Res. 2021;85:14-20.J. Wurtman: Brain serotonin, carbohydrate-craving, obesity and depression. Obes Res. 1995;3 Suppl 4:477S-480S.Research on sleep & tryptophan Sleep and Diet: Mounting Evidence of a Cyclical Relationship. Annu Rev Nutr. 2021 Oct 11;41:309-332.Amy Cuddy's paper on "The Power Pose" highlights how adopting confident postures can boost mood, increase self-assurance, and positively influence how others perceive you!Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Dr. Mary Ellen Sanders, an expert in probiotic microbiology, helps us decode the often confusing world of probiotics, prebiotics, and postbiotics by explaining their scientific definitions, evidence-based benefits, and practical applications for gut health (and beyond). This episode has been sponsored by Activia.• Probiotics are live microorganisms that confer health benefits when consumed in adequate amounts• For something to be called a probiotic, it must be alive, defined to the strain level, and tested in the research setting for health benefits• When selecting probiotics, look for products with strain designations and doses guaranteed through end of shelf life, not just "at time of manufacture"• The US Probiotic Guide (usprobioticguide.com) offers independent assessments of probiotic products and their evidence levels, including specific conditions or symptoms• Specific probiotic benefits include supporting gut function during antibiotic use, reducing respiratory infections, and decreasing crying in colicky babies• Prebiotics are substrates (often fibers, but also polyphenols) that feed beneficial gut bacteria• Research suggests about 5 grams of prebiotics daily may be beneficial• Postbiotics are beneficial preparations of dead microorganisms or their components, challenging the notion that microbes must be alive to benefit health• When trying probiotics, consult with your health care provider first, as there are some conditions in which they are contraindicated. • Multi-strain probiotics and synbiotics are commonly available but rarely tested in their exact formulationsReferences and resources: Clinical Guide to Probiotic Products Available in USA http://www.usprobioticguide.comResearch review: Is There Evidence to Support Probiotic Use for Healthy People? https://www.sciencedirect.com/science/article/pii/S2161831324000991?via%3DihubInternational Scientific Association for Probiotics and Prebiotics www.ISAPPscience.org Perspectives on products combining functional ingredients without testing the product as formulated:Cunningham M, et al.. The influence of product formulation on the activity and clinical outcomes of probiotic and prebiotic products. Trends Food Sci Technol: 112, June 2021, Pages 495-506.Sanders ME, et al. 2014. Effects of genetic, processing, or product formulation changes on efficacy and safety of probiotics. Ann N Y Acad Sci. 1309(1):1-18.Probiotic product survey: Merenstein DJ, Guzzi J, Sanders ME. 2019. More Information Needed on Probiotic Supplement Product Labels. J Gen Intern Med. 34(12):27Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Why recognising different shades of brown, grey or blue can guide diagnosis Common culprits behind pigmentation changes, from UV damage to melasma and rare entities like Riehl’s melanosis Key history questions and when a biopsy should be on your radar The multimodal treatment approach, including topical compounds, tranexamic acid, chemical peels and laser therapy Practical tips for patient communication, managing triggers and setting realistic expectations Host: Dr David Lim, GP and Medical Educator Expert: Dr Philip Tong, Dermatologist Total time: 28 mins Register for our fortnightly FREE WEBCASTS Every second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

Listen as Nathan continues our series on the book of Ephesians!

Trauma isn't just in your mind—it can live in your body, shaping how your gut feels and functions.   On this episode of The Gut Show I talk to @drriehl from @theguthealthpodcast and we explore what trauma is, how it connects to IBS, feelings of hopelessness and options for treatment.    Mentioned in this episode:  Tailored to the Core: Breathing, Bloating and Precision Medicine: https://www.buzzsprout.com/2293918/episodes/17382514 Poop Personality Quiz: https://quiz.tryinteract.com/#/657789ba420624001409ca1a   MASTER Method Membership: https://www.ibsmastermethod.com/master-method     About our guest:  Dr. Megan Riehl, PsyD, AGAF is an Associate Professor of Medicine at the University of Michigan and a leading expert in psychogastroenterology. With a full-time clinical practice, she specializes in GI behavioral health, providing patient care, peer consultation, and professional training. Dr. Riehl also holds key leadership roles within Michigan Medicine focused on the area of wellbeing. A recognized thought leader, she serves on the national Board of Trustees for the Crohn's and Colitis Foundation. She is also the co-author of Mind Your Gut: The Science-Based, Whole-Body Guide to Living Well with IBS and co-host of The Gut Health Podcast alongside Kate Scarlata.   Mind Your Gut: https://amzn.to/3Ji96HB GI Psychology: www.gipsychology.com Psychology Today: www.psychologytoday.com  The Gut Health Podcast: https://theguthealthpodcast.buzzsprout.com     Thank you to our partners: This episode is made possible with support from Ardelyx. @gemellibiotech offers trusted, science-backed at-home tests for conditions like SIBO, IMO, ISO, and post-infectious IBS.  Their Trio-Smart breath test measures all three key gases: hydrogen, methane, and hydrogen sulfide to detect different forms of microbial overgrowth. And for those with IBS symptoms, IBS-Smart is a simple blood test that can confirm post-infectious IBS with clinical accuracy. You simply order the test, complete it at home, send it back, and get clinically backed results in about a week that you can take to your provider!  Find out which tests are right for you at getgutanswers.com and use code ERINJUDGE25 to save $35 on your order! @fodzyme is the world's first enzyme supplement specialized to target FODMAPs. When sprinkled on or mixed with high-FODMAP meals, FODZYME's novel patent-pending enzyme blend breaks down fructan, GOS and lactose before they can trigger bloating, gas and other digestive issues. With FODZYME, enjoy garlic, onion, wheat, Brussels sprouts, beans, dairy and more — worry free! Discover the power of FODZYME's digestive enzyme blend and eat the foods you love and miss. Visit fodzyme.com and save 20% off your first order with code THEGUTSHOW. One use per customer.    

Dr. Mark Pimentel, Executive Director of the MAST program at Cedars-Sinai in Los Angeles, shares groundbreaking insights into the small intestinal microbiome that challenge long-held beliefs about gut bacteria. Findings from his team's REIMAGINE study reveal that the small intestine is far from sterile, as previously thought—instead, it harbors substantial bacterial communities that play a critical role in health and disease, especially in conditions such as IBS and SIBO.• E. coli and Klebsiella act as aggressive "Ferrari" bacteria that outcompete other microbes and destroy microbial diversity when overgrown inducing a "apocalyptic" disruption of the small bowel microbiome.• Lactobacillus, commonly found in many probiotics, may act as a disruptor in the small intestine and new research correlates higher small intestinal levels with obesity and unhealthy aging (more research needed)• The PLACIDE trial found probiotics didn't reduce C. diff or antibiotic-associated diarrhea but did increase bloating• Food poisoning is the only proven cause-and-effect trigger for IBS, with stress acting as a modifier rather than initiator• Combining rifaximin with NAC works 10x better for SIBO by targeting bacteria in both intestinal fluid and mucus• A new compound (CS06) shows promise for reducing methane production and relieving constipation• Three distinct gas patterns (hydrogen, methane, hydrogen sulfide) correlate with different symptom patterns and respond to targeted treatmentsThis episode was sponsored by Salix Pharmaceuticals. Resources: DDW 2025 Abstracts by the Mast Program and Dr. PimentelA Novel Microbiome Therapy, CS-06 (MTD Blocker), Reduces Methane Production in Stool CultureReal World Study of Three-Gas Breath Testing Nationwide and The Association with SymptomsLearn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

This week, we're revisiting one of our most compelling conversations—with Damien Riehl, a technology lawyer, coder, and thought leader at the intersection of law and innovation. At the time of our conversation, Damien was vice president and Solutions Champion at vLex. vLex recently made headlines with its acquisition by Clio, which is a move that signals a new chapter in the evolution of legal technology. So, we thought now is an apt time to replay this conversation with Damien. His career has spanned roles at Thomson, Reuters, Fastcase, and the SALI Alliance. Our discussion touched on a wide range of topics: his early experience as a tech attorney, the complexities of confidentiality and legal AI, music copyright, and the enduring value of a liberal arts education. We hope you enjoy this encore episode as much as we did. Our guest today is Damien Riehl, vice president and Solutions Champion at vLex, a platform using artificial intelligence solutions to streamline workflows and provide lawyers with greater access to knowledge and resources. Damien was a tech attorney for more than 10 years when he made the leap to Thomson Reuters as Senior Product Strategist, where he developed innovative legal technology involving artificial intelligence, machine learning, and natural language processing. Inspired by Ed Walters' efforts to democratize the law, Damien later joined Fastcase, where he served various roles building out legal tools and systems. In his current position at vLex, Damien helps lead the design, development, and expansion of products. Additionally, Damien is part of the leadership team at the Standards Advancement for the Legal Industry (SALI) Alliance. He is also co-founder of All the Music LLC, a project that involved copyrighting 471 billion melodies and placing them in the public domain. In 2019, Damien delivered a TED Talk in which he describes this process and offers a new way to handle copyright infringement lawsuits in music. In today's conversation, Damien discusses vLex's newest product—Vincent AI, his decision to leave practice and join Thomson Reuters, the genesis of All the Music, and the future of teaching legal research. Read the full transcript of the episode here: https://www.seyfarth.com/dir_docs/podcast_transcripts/Pioneers_Bestof_DamienRiehl.pdf

Dr. Iris Wang of the Mayo Clinic shares cutting-edge insights on gut health across the lifespan, including advancements in pharmacogenomics for personalized medication selection and innovative breathing techniques to relieve abdominal distension. She busts common myths about bloating, revealing how diaphragmatic dysfunction rather than excess gas may be the culprit. Dr. Wang also emphasizes the importance of starting gut health education early, helping kids and parents alike understand that pooping shouldn't be painful or forced. • How pharmacogenomics helps identify why some patients metabolize medications differently, leading to better medication choices with exploration on the hope and/or hype of precision medicine in the GI world (Wang et al 2019)• Explanation of abdomino-phrenic dyssynergia (APD) – when the diaphragm moves downward instead of upward, causing visible abdominal distention• Specialized breathing technique developed in Barcelona that retrain the diaphragm for bloating relief (Barba E et al 2024) - see video link below• The importance of normalizing healthy pooping habits from childhood through education & tools like toileting stools (e.g. Squatty Potty)• Warning signs for parents about childhood constipation – including stool leakage, straining, & urinary problems (Tran DL et al 2023)• How yoga can support gut health through mindful movement, core engagement, & stress reductionYoga videos:Yoga For Digestion Flow| Yoga With Adriene (26 mins)Yoga for Bloating, Digestion, Ulcerative Colitis, IBD & IBS (12 mins)Check out Dr. Wang's children's book Boo Can't Poo, which helps normalize healthy pooping habits for kids while educating parents too.References:Wang XJ, Camilleri M. Personalized medicine in functional gastrointestinal disorders: Understanding pathogenesis to increase diagnostic and treatment efficacy. World J Gastroenterol. 2019 Mar 14;25(10):1185-1196.Barba E, Livovsky DM, Accarino A, Azpiroz F. Thoracoabdominal Wall Motion-Guided Biofeedback Treatment of Abdominal Distention: A Randomized Placebo-Controlled Trial. Gastroenterology. 2024;167(3):538-546.e1.Specialized breathing technique for abdominal distention: Video DemonstrationTran DL, Sintusek P. Functional constipation in children: What physicians should know. World J Gastroenterol. 2023 Feb 28;29(8):1261-1288.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Fermented foods offer surprising health benefits with science showing they can increase gut microbial diversity in ways other dietary interventions cannot.• Expert Elisa Caffrey clarifies what qualifies as fermented food: substrate + microbes + time• While touted as a source of probiotics, most fermented foods don't technically contain probiotics, which require specific strain characterization and known health benefits•Different types of fermentation are used in food production: lactic acid bacteria ferment carbohydrates in sauerkraut and yogurt; acetic acid bacteria oxidize ethanol into acetic acid in kombucha; and filamentous fungi such as Aspergillus oryzae and Rhizopus species are involved in the fermentation of miso and tempeh, respectively.• Fermented foods may benefit gut health through microbial derived metabolites rather than just the microbes in the food or beverage.• Consider starting with yogurt if you are a newcomer and have fun exploring kimchi, sauerkraut and other options for fermented food variety.• Most fermented foods are safe, though some considerations exist for those with histamine intolerance or sodium restrictions• Variety is key – consuming diverse fermented foods appears to help maximize potential benefits• The fermentation process may have mental health benefits beyond nutrition though more research is neededTry incorporating fermented foods gradually into your diet and experiment with different types to find what works for your body and taste preferences. Let us know what makes your taste buds (and gut) happy! This episode has been sponsored by Activia. Check out their Gut Health Tool Kit here and A Gut Friendly Meal plan here.References:Caffrey EB et al. Unpacking food fermentation: Clinically relevant tools for fermented food identification and consumptionGaudiest G et al. Microbial and metabolic characterization of organic artisanal sauerkraut fermentation and study of gut health-promoting properties of sauerkraut brineWastyk HC et al. Gut microbiota-targeted diets modulate human immune status (high fiber vs fermented food study)Nielson ES et al. Lacto-fermented sauerkraut improves symptoms in IBS patients independent of product pasteurisation - A pilot study  Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

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Pelvic floor physical therapy (PFPT) is a crucial yet often overlooked component of gut health that can dramatically improve quality of life for people suffering from bowel issues, bladder problems, or pelvic pain. Dr. Alicia Jeffrey-Thomas joins us to demystify and normalize this specialized therapy and explain how proper pelvic floor function impacts everything from constipation to sexual health.• Understand that daily bowel movements don't necessarily mean you're not constipated• What happens during a PFPT session and how therapists create a safe + comfortable environment• The importance of proper pooping position• Why breathing techniques and sounds (like mooing!) can help relax your pelvic floor during bowel movements• Demystifying tools like pelvic wands and dilators for at-home maintenance • How dyssynergic defecation affects approximately 50% of people with constipation and how pelvic floor PT can help• Why all women can benefit from pelvic floor PT after childbirth (and even during pregnancy)•  Men face pelvic health issues too, like post-prostate surgery incontinence • The downside of "peeing just in case" and how it trains your bladder to signal fullness prematurelyIf you've experienced pelvic floor issues, don't accept them as normal - seek help from a pelvic floor physical therapist who can address these problems and improve your overall quality of life.References and Resources:Rao SS, Patcharatrakul T. Diagnosis and Treatment of Dyssynergic Defecation. J Neurogastroenterol Motil. 2016 Jul 30;22(3):423-35. doi: 10.5056/jnm16060. PMID: 27270989; PMCID: PMC4930297.Ye AL, Johnston E, Hwang S. Pelvic Floor Therapy and Initial Interventions for Pelvic Floor Dysfunction in Gynecologic Malignancies. Curr Oncol Rep. 2024;26(3):212-220. doi:10.1007/s11912-024-01498-6Where to find a pelvic floor PT:https://pelvicrehab.com/https://pelvicglobal.com/directory/Alicia Jeffrey-Thomas' book, Power to the Pelvis.Got constipation? Check out Kate's constipation guide. Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Join us as we discuss effective non-diet focused methods for IBS relief. In this episode, Kate and Dr. Riehl review key factors on how gender can influence common symptoms of IBS.Hormones significantly influence IBS symptoms, with women being diagnosed 2.5 times more often than men, in part due to differences in gut function and pain perception. This episode features the following key discussion areas:• Women's fluctuating estrogen and progesterone levels affect gut motility and pain sensitivity throughout the menstrual cycle• Visceral hypersensitivity causes normal digestive sensations to be interpreted as pain - like a car alarm going off unnecessarily• The "microgenderome" refers to gender differences in gut microbiome that may contribute to women's higher rates of IBS and autoimmune conditions• Gut-directed hypnotherapy helps reprogram the subconscious mind to interpret gut sensations more accurately, with 70-80% improvement rates• Pelvic floor physical therapy can help address muscle tension that contributes to both constipation and diarrhea symptoms• Non-diet approaches including medications, supplements like enteric-coated peppermint, and lifestyle factors are effective IBS management tools• Regular exercise (especially in nature), adequate sleep, and stress management techniques complement other treatmentsFor more information on IBS-C treatments, check out our dedicated three-part series in episodes 14, 15, and 16.This podcast has been sponsored by Ardelyx and Nerva by Mindset Health.References:Mulak A, Taché Y, Larauche M. Sex hormones in the modulation of irritable bowel syndrome. World J Gastroenterol. 2014;20(10):2433-2448. doi:10.3748/wjg.v20.i10.2433Chang L, Heitkemper MM. Gender differences in irritable bowel syndrome. Gastroenterology. 2002;123(5):1686-1701. doi:10.1053/gast.2002.36603Houghton LA, Jackson NA, Whorwell PJ, Morris J. Do male sex hormones protect from irritable bowel syndrome?. Am J Gastroenterol. 2000;95(9):2296-2300. doi:10.1111/j.1572-0241.2000.02314.xPeters SL, Yao CK, Philpott H, Yelland GW, Muir JG, Gibson PR. Randomised clinical trial: the efficacy of gut-directed hypnotherapy is similar to that of the low FODMAP diet for the treatment of irritable bowel syndrome. Aliment Pharmacol Ther. 2016;44(5):447-459. doi:10.1111/apt.13706Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

Tony Riehl, executive director of The Catholic Foundation

Have you been wondering how AI can help your law practice today?In this episode, I talk with Damien Riehl, a lawyer and legal technologist who has been at the forefront of AI in law for years. We skip past the usual AI ethics debates to focus on the most important question: how can small and mid-sized firms use AI right now to improve client service and profitability?Damien breaks down the core functions of lawyering - assessing risk, navigating complexity, and providing wise counsel - and explains how today's AI tools can enhance each one. Whether you're an AI skeptic or an enthusiastic early adopter, you won't want to miss Damien's practical, actionable insights on the tools that are already transforming law practice.Get full show notes, transcript, and more information here: https://www.agileattorney.com/60

Is "leaky gut" real or just another wellness buzzword? In this episode of The Gut Health Podcast, we cut through the controversy with Dr. Alessio Fasano, a renowned gastroenterologist and microbiome expert from Mass General Brigham. Dr. Fasano explains what happens when the gut's protective barrier is compromised, resulting in increased intestinal permeability, and how this can affect not only gut health but also overall well-being. While some level of intestinal permeability is essential for health, in the presence of an altered gut microbiome, it can allow harmful molecules such as bacterial endotoxins and undigested food particles to pass through the intestinal lining. This can lead to inflammation, immune system activation, and may contribute to a variety of health issues, including autoimmune diseases, gastrointestinal disorders, heart disease, and more. We explore the molecular mechanisms that control intestinal permeability, examining how factors like epigenetic changes, diet, stress, and environmental factors can all impact the integrity of the gut barrier. Dr. Fasano breaks down the latest research on how intestinal permeability interacts with the immune system and other organ systems, highlighting the complex bidirectional relationship between gut health and overall wellness. Join us as we explore cutting-edge research on gut health, from breakthrough treatments to personalized diets and biomarkers for gut permeability. Tune in for expert insights and practical strategies—like a plant-forward diet and stress management—to strengthen your gut and overall well-being. References:Effects of dietary components on intestinal permeability in health and disease. Unfermented B-fructans Fibers Fuel Inflammation in Select Inflammatory Bowel Disease Patients. High FODMAP diet causes barrier loss via lipopolysaccharide-mediate mast cell activationA Randomized Placebo-Controlled Trial of Dietary Glutamine Supplements for Post-Infectious Irritable Bowel Syndrome.Bovine Colostrum in Increased Intestinal Permeability in Healthy Athletes and Patients: A Meta-Analysis of Randomized Clinical Trials. What to do about the leaky gut?Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.

What if you could navigate the complexities of IBS without falling into restrictive habits or feeling overwhelmed? Join us for an insightful conversation with Erin Judge, a registered dietitian nutritionist as she shares her compelling journey from childhood challenges with IBS-C to becoming an advocate for patient-centered care. Erin opens up about her early experiences with gastrointestinal issues, exacerbated by a Giardia infection painting a vivid picture of the emotional and physical hurdles she faced living with the complexities of IBS, in a time in which, IBS research and treatment modalities were limited. Erin's story is a testament to resilience and the important ways resources for IBS management have evolved over the last decade. She reflects on how understanding balanced nutrition, avoiding restrictive habits and adopting an enriched lifestyle have been key to her management strategies. Listeners will gain valuable insights into practical strategies for constipation relief, emphasizing the gut-brain connection's role in managing symptoms. Erin discusses the significance of lifestyle adjustments, such as movement, adequate hydration, supportive dietary changes, and stress regulation, offering a toolkit to empower individuals facing similar challenges. By sharing her knowledge and experiences, Erin aims to foster hope and confidence, encouraging a guilt-free approach to health and wellness for those living with IBS.Learn more about Kate and Dr. Riehl:Website: www.katescarlata.com and www.drriehl.comInstagram: @katescarlata @drriehl and @theguthealthpodcastOrder Kate and Dr. Riehl's book, Mind Your Gut: The Science-Based, Whole-body Guide to Living Well with IBS. The information included in this podcast is not a substitute for professional medical advice, examination, diagnosis or treatment. Always seek the advice of your physician or other qualified health care provider before starting any new treatment or making changes to existing treatment.