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In this episode, you'll learn how movement directly influences your metabolism, immune system, brain function, and even the diversity of your gut microbiome. Dr. Kharrazian explains the critical role of messenger proteins released during physical activity, why maintaining muscle mass and bone density is key to longevity, and how inflammation can undermine your body's ability to recover.For patient-oriented functional medicine courses, visit https://drknews.com/online-courses/For practitioner functional medicine certification courses, visit https://kharrazianinstitute.com/For Certified Functional Nutrition education for both practitioners and lay people, visit https://afnlm.com/00:00 Introduction to the Podcast00:30 How Physical Movement Impacts Health01:54 Bone Volume, Osteopenia, and Health Consequences02:56 Toxic Chemicals, Bone Loss, and Aging03:50 Muscle Mass, Sarcopenia, and Mortality04:38 Movement, Depression, and Brain Chemistry05:15 Movement, Myokines, and Immune Function05:59 Microbiome Diversity, Gut Health, and Inactivity06:32 Overtraining Syndrome and its Red Flags07:11 Exercise, Mitochondrial Health, and Chronic Disease07:49 Movement & Brain Health: Repair, Mood, and Cognitive Disorders08:25 Sedentary Lifestyle in Children & Sarcopenia Risks09:45 Medical Management of Osteoporosis and Arthritis10:55 Inflammation, Muscular and Skeletal Degeneration12:16 Body Fat, Skinny Fat, and Inflammation12:46 Insulin Surges and Systemic Inflammation13:31 Microbiome, Leaky Gut, and Chronic Inflammatory Disease16:04 Food, Environmental Toxins, and Inflammation18:09 Protein Intake and Recovery from Chronic Disease19:12 Sleep, Sleep Apnea, and Bone Health19:57 Regenerative Medicine Therapies21:34 Conclusion and Podcast ResourcesSupport this show http://supporter.acast.com/solving-the-puzzle-with-dr-datis-kharrazian. Hosted on Acast. See acast.com/privacy for more information.
Think sleep apnea is just about loud snoring? Think again. This common condition is a serious health issue that affects a staggering number of people with both type 1 and type 2 diabetes. In this eye-opening episode, Dr. Steve Edelman is joined by Dr. Jeremy Pettus, who shares his own recent and unexpected diagnosis of obstructive sleep apnea. From recognizing the subtle symptoms to navigating the diagnosis process and starting treatment, Dr. Pettus offers a firsthand account of what it's like to confront this underdiagnosed condition. This episode is a crucial wake-up call, revealing how untreated sleep apnea can impact everything from your heart health and blood pressure to your energy levels and insulin resistance. Whether you or a loved one has diabetes, this is essential listening.Key Topics:What is Sleep Apnea? An explanation of how the airway collapses during sleep, leading to a drop in oxygen levels and triggering a "fight-or-flight" response throughout the night.Symptoms to Watch For: A breakdown of the classic signs, including loud snoring and gasping for air, as well as less obvious daytime symptoms like excessive fatigue, morning headaches, and low libido.Who Is at Risk?: A look at the surprisingly high prevalence of sleep apnea, especially among people with diabetes, affecting up to 80% of those with type 2 and half of those with type 1.Key Risk Factors: A guide to the factors that increase your chances of developing sleep apnea, such as weight, neck size, age, gender, and lifestyle habits like alcohol consumption.Getting Tested: An overview of the diagnostic process, from the simple STOP-BANG screening questionnaire to the modern convenience of home sleep tests.Effective Treatment Options: A comprehensive look at treatments that can improve your health, including lifestyle changes, CPAP therapy, and the new FDA-approved use of weight-loss medications like Zepbound for sleep apnea. ★ Support this podcast ★
Join Aaron and Bella for another uplifting edition of No Suck Saturday, featuring five stories that objectively don't suck. From the legacy of compassionate judge Frank Caprio to a Jamaican student's innovative self-cleaning door handle, NYPD officers' heroic rescue, a unique sleep apnea solution, and Riley Gaines' heartwarming pregnancy discovery. Plus, a brief study of C.S. Lewis's Mere Christianity on the true meaning of marriage and a highlight of the week focused on family time. A.M. Update, Frank Caprio, self-cleaning door handle, NYPD rescue, sleep apnea, conch blowing, Riley Gaines, C.S. Lewis, Mere Christianity, marriage, family, positivity
Could your child's ADHD symptoms actually be caused by something else entirely—like undiagnosed pediatric sleep apnea? In this compelling episode of The Soaring Child Podcast, host Dana Kay is joined by Kirk Huntsman, CEO and co-founder of Vivos Therapeutics. Together, they unpack the often-overlooked connection between sleep and behavior, revealing how disrupted sleep patterns—especially obstructive sleep apnea—can mimic or even contribute to ADHD symptoms in children. Dana and Kirk explore the biological and developmental reasons behind sleep-related misdiagnoses, warning signs parents should look out for, and new, non-invasive treatment options that go far beyond medication or surgery. If your child still struggles with focus, energy, or meltdowns—this episode is essential listening. You'll walk away with a new lens on your child's behavior and practical tools to uncover and address hidden sleep issues that could be holding them back. Links Mentioned in the Show: Visit vivos.com to learn more about Vivos Therapeutics Key Takeaways: [0:00] Introduction: When ADHD Isn't ADHD [2:06] Meet Kirk Huntsman of Vivos [3:46] What Is Pediatric Sleep Apnea? [4:37] Overlap Between ADHD and Sleep Symptoms [7:20] Warning Signs Parents Should Watch For [16:55] Developmental Clues You Might Be Missing [23:46] Long-Term Risks of Untreated Sleep Apnea [31:31] Non-Invasive Treatment Options [42:29] Final Advice for Parents Memorable Moments: "Your child wakes up tired, loses focus by mid-morning, spirals emotionally by lunch—and everyone's telling you it's ADHD." "They've actually taken kids known to have ADHD and put them in a playground with kids who have sleep disorders—and the experts couldn't tell them apart." "ADHD is actually meant to be a diagnosis of exclusion." "A child that becomes hyperactive shows up at school and becomes that kid that the teacher can't control." "Mouth breathing is one of the early signals that there's a problem.” "Breathing should be silent, consistent, and through the nose—not through the mouth." "Putting a child in braces that already has compromised oral development can make the problem worse." "We were designed to be obligate nasal breathers." "Night terrors are not normal." "The number one action? Get your child tested." How to Connect with Kirk Huntsman Website: www.vivos.com Instagram: https://www.instagram.com/vivos_life/?hl=en LinkedIn: https://www.linkedin.com/in/kirkhuntsman Airway Queen - https://www.instagram.com/theairwayqueen Airway Dentist - https://www.instagram.com/airway_dentist Dana Kay Resources:
Dr. Hoffman continues his conversation with Dr. Marie-Pierre St-Onge, a nutrition scientist, the founding director of the Center for Excellence for Sleep and Circadian Research at Columbia University, and author of “Eat Better, Sleep Better.”
Dr. Marie-Pierre St-Onge, a nutrition scientist and the founding director of the Center for Excellence for Sleep and Circadian Research at Columbia University, details the intriguing relationship between diet and sleep quality, exploring how various foods and nutrients affect sleep patterns. Dr. St-Onge shares insights from her research on the Mediterranean diet, functional foods, and the impact of macronutrients like fiber, carbohydrates, and polyphenols on sleep. They also touch on the effects of caffeine and alcohol, as well as the role of psychological interventions like Cognitive Behavioral Therapy for insomnia. Practical advice and delicious recipes from her new book, “Eat Better, Sleep Better,” are highlighted to help listeners enhance their sleep through dietary changes.
This week we share the second in an ongoing series of Doc Talk Live! episodes recorded in front of an audience at the Matthews Opera House and Art Center in Spearfish. Loren Jones, M.D., Ear, Nose and Throat surgeon at Spearfish Clinic, North Avenue, discusses sleep apnea and answers questions from the crowd. Dr. Jones shares his expertise on treatments for sleep apnea, focusing on Inspire Therapy, an exciting alternative to C-PAP machines. Hosted on Acast. See acast.com/privacy for more information.
Report shows rapid declines in health of children and adolescents since 2007; N-acetylcysteine (NAC) for Parkinson's; Statins increase likelihood of hearing loss, tinnitus; Lithium orotate for Alzheimer's; Is tinnitus reversible? Novel implantable electrical vagus nerve stimulator approved for treatment of rheumatoid arthritis.
In this episode, Dr. Jones is joined by Christina Finnerty, FNP-C—a functional medicine expert specializing in sleep disorders, hormonal health, and regenerative therapies.Together, they uncover the far-reaching effects of untreated sleep apnea on your brain, heart, metabolism, and even your biological age. Christina shares how obstructive sleep apnea (OSA) accelerates aging, increases the risk of cardiovascular disease, and contributes to cognitive decline and chronic illness.The conversation also covers practical diagnostics, alternative therapies beyond the CPAP machine, and integrative approaches—including peptides, supplements, and lifestyle interventions—supporting recovery and nervous system regulation.If you or someone you love struggles with sleep, fatigue, or unexplained symptoms, this episode may provide the missing link.
Nerve stimulation device cleared for sleep apnea; Skysona safety update; new non-cystic fibrosis bronchiectasis treatment; FDA cracks down on animal-derived thyroid meds; RSV therapy to be discontinued.
One thing throws off your morning, it's the debut of our MN State Fair merch, conch shells could help with sleep apnea, details on Brandon Blackstock, and Broadway's "Purple Rain" casts its PrinceSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
On today's episode, Dr. Mark Costes reconnects with longtime friend and dental sleep medicine expert Dr. Erin Elliott. Broadcasting from Thrive Live in Las Vegas, the two dive into a lively and powerful discussion about the lesser-known signs of sleep apnea, particularly in young, fit women. Dr. Elliott shares how anatomical and physiological factors—like a scalloped tongue or early morning wake-ups—often point to overlooked sleep disorders that dentists are uniquely positioned to detect. They also discuss the emotional impact of restoring quality sleep to patients and families, how dental professionals can start screening today, and why “mild” sleep apnea isn't mild at all. Plus, you'll hear about Erin's passion for pickleball, her love for clinical practice, and why she's not planning to slow down anytime soon. Be sure to check out the full episode from the Dentalpreneur Podcast! EPISODE RESOURCES https://3d-dentists.com https://www.truedentalsuccess.com Dental Success Network Subscribe to The Dentalpreneur Podcast
What are some of the most common sleep disorders? We go to Med School to find out whether owning a dog can reduce your risk of dementia. And in our Quick Consult, should you be scared if you’ve put off your health checks for far too long? In this episode, Dr Kathleen Maddison discusses the most common causes of insomnia in women and whether our hormones play a role. We also talk about sleepwalking, narcolepsy and sleep apnoea and find out how much sleep we really need, And, what is the “3P model” when it comes to insomnia and do non-drug treatments actually work? Plus, why do we wake up at 3:00am and how can we make it stop? THE END BITS All your health information is in the Well Hub. For more information on sleep including a list of providers of CBTi, Dr Kathleen Maddison recommends: Sleep Health Foundation Sleep Central GET IN TOUCH Sign up to the Well Newsletter to receive your weekly dose of trusted health expertise without the medical jargon. Ask a question of our experts or share your story, feedback, or dilemma - you can send it anonymously here, email here or leave us a voice note here. Ask The Doc: Ask us a question in The Waiting Room. Follow us on Instagram and Tiktok. Support independent women’s media by becoming a Mamamia subscriber Want $10 + a free month of Mamamia? We've got you! We're cooking up something exciting and need your brilliant opinions to help us make even better content. It's just 20 minutes of your time, and you'll get a $10 e-gift card + a 1 month Mamamia subscription (or gift it to someone if you're already a subscriber). Do the survey HERE. T&Cs here CREDITS Hosts: Claire Murphy and Dr Mariam Guests: Dr Kathleen Maddison Senior Producers: Claire Murphy and Sasha Tannock Audio Producer: Scott Stronach Video Producer: Julian Rosario Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures.Information discussed in Well. is for education purposes only and is not intended to provide professional medical advice. Listeners should seek their own medical advice, specific to their circumstances, from their treating doctor or health care professional.Support the show: https://www.mamamia.com.au/mplus/See omnystudio.com/listener for privacy information.
Discover the shocking connection between your oral health and sleep quality that 90% of people don't know about. Dr. Jay Khorsandi reveals how teeth grinding, gum disease, tongue position, and even your bite alignment could be sabotaging your sleep every single night. Learn the hidden signs your mouth is destroying your rest and the simple dental interventions that could transform your sleep forever.Support the show
DON'T MISS the dental event of the year, November 7-8. Nowak Dental Supplies (https://www.nowakdental.com/) is hosing NOLA Lab Fest (https://www.nolalabfest.com/) in New Orleans, Louisiana. Head over to nolalabfest.com to see the line up and to register. A HUGE thanks to Aidite North America (https://www.aidite.com/) for hosting the podcast at their booth. Come find us and be on the podcast! Yet even more conversations that Elvis and Barb got while in the exocad (https://exocad.com/) booth at IDS 2025..... back in MARCH!! First up is a visit from on one our favorite companies that make bars, Panthera (https://pantheradental.com/). Instead of our usual guest we get to meet Pierre-Luc Duchesne and Dereck Donnelly. PL is their Director of Marketing and Derek is head of Global Customer Experience. Together the talk about being at their second IDS show, how they make their product an experience for the customer, the Fusion Bar (https://pantheradental.com/products-solutions/panthera-fusion-bar/) that only needs 5mm of clearance, their partnership with VITA (https://pantheradental.com/vita-and-panthera-distribution-partnership/), and the second coming of The Master Cup (https://pantheradental.com/three_finalists_of_the_2023_masters_cup/). Then we got to talk to an Irish dentist that practices in Scotland, Dr. Eimear O'Connell. She was plastered on the walls of the exocad booth 20 feet tall because she was one of the "Heroes of Digital Dentistry" and her journey is astounding. Dr. O'Connell talks about learning that Cerec was harder than it looks back in 2007, learning to work with amazing labs, using exocad to help her sell treatment by using the ART function (https://exocad.com/our-products/exocad-art), and a very concerning trend in the UK that makes it harder to be a dentist. Let's be honest. There are a LOT of zirconia on the market these days. How do you know which is which? Is one better than another? Is there one that can handle every situation? Check out a FREE webinar from Ivoclar (https://www.ivoclar.com/en_us) called Zirconia Unboxed with Jeff Smith, CDT. (https://www.ivoclar.com/en_us/course/zirconia-unboxed/246115?utm_source=External+-+Voice+from+the+Bench&utm_medium=QR+code&utm_campaign=Academy&utm_term=August) "This introductory webinar is the first in a five-part series designed to address the most frequently asked questions by dental labs when selecting zirconia for their restorations. With a focus on practical guidance, this session explores the key considerations in choosing the right zirconia, including material properties, esthetics, and processing techniques. This introductory webinar is the first in a five-part series designed to address the most frequently asked questions by dental labs when selecting zirconia for their restorations. With a focus on practical guidance, this session explores the key considerations in choosing the right zirconia, including material properties, esthetics, and processing techniques." Check it out at: https://www.ivoclar.com/enus/course/zirconia-unboxed/246115?utmsource=External+-+Voice+from+the+Bench&utmmedium=QR+code&utmcampaign=Academy&utm_term=August Special Guests: Dereck Donnelly, Dr. Eimear O'Connell, and Pierre-Luc Duchesne.
The mouth is often an early indicator of disease, inflammation, and toxins in the body. Research has revealed strong links between oral health and systemic diseases, including heart disease, diabetes, and cognitive decline. Drs. Shawn and Ben Javid are participating in today's discussion. Key Takeaways To Tune In For: (04:06) - The Dangers of Mercury Fillings (11:01) - Fluoride: A Controversial Topic (15:36) - The Role of Micronutrients in Oral Health (17:43) - The Connection Between Oral Health and Systemic Disease (23:30) - Airway Health and Sleep Apnea (27:38) - Integrative Medicine: A Collaborative Approach Resources talked about in this episode: Website: https://mysmilebody.com/ Social media handles: FB IG TikTok
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
Sarah Banks, Ph.D. explores why Alzheimer's disease affects women differently than men, emphasizing distinct patterns in tau pathology, cognitive testing bias, and treatment response. She explains how women tend to show a rapid buildup of tau during early cognitive decline, which may contribute to their higher prevalence of Alzheimer's. Banks also highlights how common diagnostic tools may overlook symptoms in women and how approved treatments may offer less benefit for them. Her research at UC San Diego investigates key sex-based differences in risk factors, including sleep apnea, diabetes, and exercise. One study reveals that over 70% of participating women had undiagnosed sleep apnea. Another focuses on Black women, using blood biomarkers to identify overlooked risks and improve care. Series: "Motherhood Channel" [Health and Medicine] [Show ID: 40768]
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Get the book, “Sleep Apnea: The 21st Century Epidemic,” for FREE here: https://www.alluremedical.com/books/Only 1 in 5 people know they have sleep apnea, and just 1 in 3 are getting treated for it.In this episode, Dr. Charles Mok explores the hidden epidemic of sleep apnea as outlined in his book, “Sleep Apnea: The 21st Century Epidemic,” and offers a detailed overview of the innovative treatments available in his clinic.Dr. Mok defines sleep apnea, explains how it is measured, and shares compelling studies linking untreated sleep apnea to reduced longevity and increased risk for Alzheimer's disease.He describes sleep apnea as a “hidden disease” affecting millions unknowingly and introduces non-surgical treatment options, including NightLase and ApneaLase.He also emphasizes the importance of early screening, reminding listeners that detection and treatment now are far more cost-effective than managing long-term health consequences later.Tune in to Inside The Cure Podcast — Sleep Apnea: The 21st Century EpidemicSubscribe to the podcast and leave a 5-star review!You can also catch this show on our YouTube channel and on all your favorite podcast platforms.Book your first NightLase session with Allure Medical.https://www.alluremedical.com/services/nightlase-snoring-treatment/ Dr. Charles Mok received his medical degree from Chicago College of Osteopathic Medicine, Chicago, Illinois in 1989. He completed his medical residency at Mount Clemens General Hospital, Mt. Clemens, Michigan. He has worked with laser manufacturing companies to improve their technologies; he has performed clinical research studies and has taught physicians from numerous other states. His professionalism and personal attention to detail have contributed to the success of one of the first medical spas in Michigan.LinkedIn: https://www.linkedin.com/in/charles-mok-4a0432114/ Instagram: https://www.instagram.com/alluremedicals/ Website: https://www.alluremedical.com/ YouTube: https://www.youtube.com/@AllureMedical TikTok: https://www.tiktok.com/@alluremedical Amazon Store: https://www.amazon.com/stores/Dr.-Charles-Mok/author/B0791M9FZQ?ref=ap_rdr&store_ref=ap_rdr&isDramIntegrated=true&shoppingPortalEnabled=true Join the Allure Medical Inner Circle Membership:https://www.alluremedical.com/inner-circle-membership/
This week Bobbi Conner talks with MUSC's Dr. Andrea Rinn about new treatment for sleep apnea.
30 million Americans suffer from sleep apnea, a condition that makes it hard for patients to breathe when they sleep.
In this episode, we review the high-yield topic of Sleep Apnea from the Respiratory section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
Elevidys shipments paused following third death; FDA committee votes against brexpiprazole combo for PTSD; Rapiblyk now available for SVT; sleep apnea pill looks promising; JUUL e-cigarettes gain marketing authorization.
Kirk Huntsman, Chairman, CEO, and Co-Founder of Vivos Therapeutics, is focused on the connection between obstructive sleep apnea and Alzheimer's disease, the challenges of diagnosing sleep apnea, and the importance of sleep testing in treating the root causes of sleep disorders. The Vivos oral appliance is a non-invasive way to address the breathing disorder OSA and resulting sleep issues. Proper nasal breathing and airway development from a young age can help prevent the onset of sleep apnea and help preserve brain health. Kirk explains, "Sleep apnea is an interesting condition that has only been actively researched for the last 60 years. It was really only identified and started showing up in the medical literature in the mid-1960s. And so we really have about a 60-year run at trying to figure out what this condition is, what it affects, what's comorbid with it, etc. We're now pushing 40 plus conditions, which are comorbid with sleep apnea, and every time we find another condition that is coexistent with sleep apnea or that is found in connection with sleep apnea, we just expand the horizon for that and we learn more about the sort of the biomechanical and the biological processes that are at work that drive the connection between these two. And you mentioned one of the main ones now that we've known about for a while, but the connection between obstructive sleep apnea in particular and Alzheimer's." "What we know is that there's a drainage system on the brain. Our brains need to get into a deep state of rest, and it's called REM sleep. And there are other parts to this. I'll keep it really high level, but the bottom line is that our brains flush. There's a sewage system that basically flushes the toxins out of our brains. It's called the glymphatic system. And the glymphatic system needs to be able to function, and in order to function, the patient has to be in a state of deep sleep. And so if sleep apnea has interrupted that sleep and caused various arousals or various interruptions to avoid a patient arriving at that, what happens is that the brain is not able to flush the toxins out of the brain, and those toxins build up." #VivosTherapeutics #SleepApnea #ObstructiveSleepApnea #OSA #SleepDisorders #CognitiveDecline #Alzheimers #OSATreatment #MedicalDevice vivos.com Download the transcript here
Kirk Huntsman, Chairman, CEO, and Co-Founder of Vivos Therapeutics, is focused on the connection between obstructive sleep apnea and Alzheimer's disease, the challenges of diagnosing sleep apnea, and the importance of sleep testing in treating the root causes of sleep disorders. The Vivos oral appliance is a non-invasive way to address the breathing disorder OSA and resulting sleep issues. Proper nasal breathing and airway development from a young age can help prevent the onset of sleep apnea and help preserve brain health. Kirk explains, "Sleep apnea is an interesting condition that has only been actively researched for the last 60 years. It was really only identified and started showing up in the medical literature in the mid-1960s. And so we really have about a 60-year run at trying to figure out what this condition is, what it affects, what's comorbid with it, etc. We're now pushing 40 plus conditions, which are comorbid with sleep apnea, and every time we find another condition that is coexistent with sleep apnea or that is found in connection with sleep apnea, we just expand the horizon for that and we learn more about the sort of the biomechanical and the biological processes that are at work that drive the connection between these two. And you mentioned one of the main ones now that we've known about for a while, but the connection between obstructive sleep apnea in particular and Alzheimer's." "What we know is that there's a drainage system on the brain. Our brains need to get into a deep state of rest, and it's called REM sleep. And there are other parts to this. I'll keep it really high level, but the bottom line is that our brains flush. There's a sewage system that basically flushes the toxins out of our brains. It's called the glymphatic system. And the glymphatic system needs to be able to function, and in order to function, the patient has to be in a state of deep sleep. And so if sleep apnea has interrupted that sleep and caused various arousals or various interruptions to avoid a patient arriving at that, what happens is that the brain is not able to flush the toxins out of the brain, and those toxins build up." #VivosTherapeutics #SleepApnea #ObstructiveSleepApnea #OSA #SleepDisorders #CognitiveDecline #Alzheimers #OSATreatment #MedicalDevice vivos.com Listen to the podcast here
Snoring, sleep apnea, jaw tension, teeth grinding—these aren't just annoying habits. Dr. Kimberly Baer explains how they're actually red flags for deeper health issues in tied to airway dysfunction, oral ties, and stress overload. And yes, this is true for adults and kids! If you wake up tired or your partner sounds like a freight train at night, this one's for you. Timestamps:[1:43] Intro[4:42] conversation with Dr. Baer[6:30] What role does oral health really play in the longevity and aging process?[11:26] What is a CBCT scan, and what does it mean when you have a restricted airway?[14:12] What is sleep apnea? [19:00] How do you approach prevention in your practice when it comes to aging and preserving dental care? [22:24] What's the connection between your mouth being open and cavities? [25:11] What is airway dentistry and why is it being talked about it more? [30:55] where can oral ties happen and how they impact kids and adults? [37:02] Is it ever too late to get airway help?[38:11] Can you talk about palate expansion for adults? Is it possible?[46:33] What happens then when the teeth have all these spaces? [48:12] For kids, should you start with palate expanders or growth appliances before the adult teeth come in?[50:12] Thoughts on the tooth pillow? [51:30] How do you resolve sleep apnea and what does it look like?[59:41] If you need adult braces to correct your bite, and the dentist needs to pull a tooth, would you do it? [1:00:38] What are the best retainer options. Should we be concerned about plastic retainers? [1:03:17] I want to know about wisdom teeth - is this a right of passage. What options do we have for our teens when it's time to get the wisdom teeth removed? [1:06:01] We have insurance that will only pay for silver fillings and sealant for kids - is it low risk since it's on baby teeth? [1:08:07] Is there a problem with occasional snoring in adults and kids and if a kid intermittently sleeps with their mouth open? Episode Links:Natural Dentist Associates WebsiteGlobal Network of Biological DentistsFollow Natural Dentist Associates on Instagram Books:How to Train Your TongueMy Tongue is Stuck! Let's Get Your Tongue Unstuck!Sponsors:Go to drinklmnt.com/wellfed and use code WELLFED to get a free 8-pack with any drink mix purchase!Go to mdlogichealth.com/defend and use coupon code WELLFED for 10% off.Go to wellminerals.us/chill and use code WELLFED to get 10% off your order.
In this episode, Kevin and Zach return from a hiatus and catch up on their summer adventures before introducing a special guest: Kevin's hygienist, Maryann McFarland. Maryann shares her journey through a 32-year career in hygiene, from a frustrating first job in a "prophy mill" to finding her work home in Kevin's practice. She discusses how embracing new challenges like sleep apnea treatment, clear aligner therapy, and administering local anesthesia has reinvigorated her passion for dentistry and transformed her job satisfaction. Key Takeaways Find Your "Work Home": A positive and supportive work environment is crucial for long-term career satisfaction. Maryanne's story shows the stark contrast between a high-turnover practice and one that invests in its team. Trust Empowers Your Team: Practice owners who trust their team members with new responsibilities and encourage them to develop their skills can unlock a higher level of engagement and satisfaction. As Maryanne says, Kevin "finds what we're good at and he lets us run with it." Hygiene is More Than Cleaning Teeth: Expanding a hygienist's role beyond traditional prophies to include comprehensive care like sleep apnea, orthodontics, and implants can combat burnout and foster significant professional growth, even for a 30+ year veteran. Embrace Lifelong Learning: Being open to learning new skills, like when Maryanne took on local anesthesia after 30 years without it, can be challenging but ultimately become one of the most rewarding parts of the job. Join the Very Dental Facebook group using the password "Timmerman," Hornbrook" or "McWethy," "Papa Randy," "Lipscomb" or "Gary!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!
Kirk Huntsman joins host Ron Aaron and co-host Carol Zernial to talk about uncovering the link between Alzheimer's and sleep apnea on this edition of Caregiver SOS. Special guest-cohost Tina Smith fills in for Carol Zernial on this episode of Caregiver SOS!
Story at-a-glance Sleep apnea, especially during rapid eye movement (REM) sleep, causes oxygen drops that damage small brain vessels and raise dementia risk, often before cognitive symptoms become noticeable New research links REM-specific oxygen loss to white matter lesions and entorhinal cortex thinning, two key markers of early neurodegeneration in aging and Alzheimer's disease Standard apnea scores like apnea-hypopnea index (AHI) often miss these deeper risks because they don't measure oxygen depth or track when during sleep the damage occurs Long-term studies confirm that even mild, untreated apnea accelerates brain aging and disproportionately increases dementia risk in women compared to men Treatments like breathing machines, oral devices, and lifestyle changes reduce apnea severity and help preserve brain health by ensuring proper oxygen delivery during sleep
Emma Cooksey is a writer, speaker, and patient advocate. She was diagnosed with obstructive sleep apnea at the age of 30, after more than a decade of unexplained health issues. In 2020, Emma launched a weekly podcast, “Sleep Apnea Stories” to break down stereotypes of sleep apnea while also raising awareness of symptoms and treatment options.In her current role as Sleep Apnea Program Manager, Emma runs Project Sleep's Sleep Apnea Education and Awareness Program. Through this program, she develops and implements new awareness and educational initiatives, events, and activities to empower people with sleep apnea to seek diagnosis, support, and care. SHOWNOTES:
In this special episode on Obstructive Sleep Apnea our host, Dr. Neil Skolnik will discuss diagnosis of OSA. In Part 1 we discussed and overview of OSA, Part 3 will discuss treatment options, and Part 4 will look at cases. This special episode is supported by an independent educational grant from Lilly. Presented by: Neil Skolnik, M.D., Professor of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University; Associate Director, Family Medicine Residency Program, Abington Jefferson Health Dr. Sanjay Patel, M.D, Professor of Medicine, Epidemiology, & Clinical and Translational Science, and Director of the Center for Sleep and Cardiovascular Outcomes Research; Medical Director of the Comprehensive Sleep Disorders Program, University of Pittsburgh Medical Center Selected references: Diagnosis and Management of Obstructive Sleep Apnea - A Review. JAMA. 2020;323(14):1389-1400
In this episode, Dr. Bhattacharya sheds light on the often-overlooked condition of sleep apnea—its warning signs, health risks, and the life-changing impact of early detection. Joined by a sleep specialist, the conversation dives into how to recognize potential symptoms in yourself or loved ones and explores the latest in diagnostic tools and treatment options. From simple lifestyle adjustments to advanced therapies like CPAP and the Inspire device, discover how innovation is reshaping the future of sleep health.
BIO:Julie Flygare, JD, serves as President & CEO of Project Sleep. Flygare is an internationally recognized patient-perspective leader, an accomplished advocate, and the award-winning author of Wide Awake and Dreaming: A Memoir of Narcolepsy. In March 2022, she delivered the TEDx Talk, “What Can You Learn from a Professional Dreamer?” In 2024, Flygare was awarded the Sleep Research Society's Public Service Award for significantly advancing the mission of the SRS through advocacy and public policy efforts. SHOWNOTES:
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-441 Overview: Explore the evidence behind inspiratory and expiratory strength training to improve sleep quality, reduce daytime fatigue, ease COPD symptoms, and lower blood pressure. This episode offers practical guidance on how you can integrate this simple, affordable intervention to support better breathing and overall health in your patients. Episode resource links: OSA: Journal of Sleep Research. 2024;33(3):e13941. doi:10.1111/jsr.13941. Sleep & Breathing = Schlaf & Atmung. 2022;26(4):1527-1537. doi:10.1007/s11325-021-02536-4. HTN: Journal of Applied Physiology (Bethesda, Md. : 1985). 2020;129(3):449-458. doi:10.1152/japplphysiol.00024.2020. COPD: Chest. 2003;124(4):1357-64. doi:10.1378/chest.124.4.1357. Sleep: Sleep. 2016;39(6):1179-85. doi:10.5665/sleep.5826. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-441 Overview: Explore the evidence behind inspiratory and expiratory strength training to improve sleep quality, reduce daytime fatigue, ease COPD symptoms, and lower blood pressure. This episode offers practical guidance on how you can integrate this simple, affordable intervention to support better breathing and overall health in your patients. Episode resource links: OSA: Journal of Sleep Research. 2024;33(3):e13941. doi:10.1111/jsr.13941. Sleep & Breathing = Schlaf & Atmung. 2022;26(4):1527-1537. doi:10.1007/s11325-021-02536-4. HTN: Journal of Applied Physiology (Bethesda, Md. : 1985). 2020;129(3):449-458. doi:10.1152/japplphysiol.00024.2020. COPD: Chest. 2003;124(4):1357-64. doi:10.1378/chest.124.4.1357. Sleep: Sleep. 2016;39(6):1179-85. doi:10.5665/sleep.5826. Guest: Robert A. Baldor MD, FAAFP Music Credit: Matthew Bugos Thoughts? Suggestions? Email us at FranklySpeaking@pri-med.com
Emma's giving a shorty summer update to let all her podcast listeners know about a YouTube Live session she is hosting on "New Medications for Sleep Apnea" on Tuesday, July 15, 2025 at 2 p.m. ET on Project Sleep's YouTube channel. Tune in live, set a reminder, or watch the replay here:https://www.youtube.com/live/s8oEXL30taEFind the Sleep Apnea Squad program here:https://project-sleep.com/sleep-apnea-squad/Find the YouTube lives, podcasts, and PDF toolkits by clicking "learn more" under each topic graphic.Learn about "Sleep Apnea: Let's Face It!" here:https://project-sleep.com/sleep-apnea-lets-face-it/Order a t-shirt to support the campaign here:https://www.bonfire.com/sleep-apnea-lets-face-it/Contact Emma: Email: sleepapneastories@gmail.comInstagram: https://www.instagram.com/sleepapneastories/and https://www.instagram.com/project_sleep/LinkedIn: linkedin.com/in/emma-cooksey-sleep-apnea
Dr. Dylan Petkus is on a mission to help educate and empower those with sleep apnea and other sleep issues to live fuller, healthier lives. Dr. Petkus knows firsthand the frustration of CPAPs and the daily struggles of brain fog, exhaustion, and the range of issues related to sleep apnea. Motivated by his struggles with sleep apnea, Dr. Petkus embarked on a multi-year-long research journey to uncover a different way to address sleep apnea.Dr. Petkus' innovative approach to sleep apnea is simple and effective. He discovered that snoring and sleep apnea can be addressed by simply restoring the body's natural breathing pattern. Now, he is eager to share this approach with the millions struggling with sleep apnea, snoring, and poor sleep. This way, people can wake up refreshed without relying on a CPAP, mouthguards, or invasive surgical proceduresbDr. Petkus earned his Master of Science in Physiology at Pennsylvania State University, where he was awarded a research fellowship and was a peer-reviewed and published author. He earned his Master's in Public Health and Medical Degree from the University of Miami Miller School of Medicine. Thereafter, he attended a residency in Family Medicine to help patients on the front line of chronic disease. Now, he helps people worldwide through education and coaching to overcome sleep apnea. Additionally, he hosts his own YouTube channel on everything related to sleep apnea and sleep. He currently lives in Tallahassee, Florida. For more information, please visit https://optimalcircadianhealth.com SHOWNOTES:
Dr. Rachel Whelan and Dr. Ryan Soose joined the podcast today to discuss sleep apnea in both children and adults with Down syndrome. The podcast discusses how and when to screen for sleep apnea and management options that currently are in use. For more information on the pediatric hypoglossal nerve stimulator trial discussed on the podcast, go to: https://clinicaltrials.gov/study/NCT04801771?cond=Down%20syndrome,%20sleep%20apnea&rank=10 If you would like to suggest a topic for us to cover on the podcast, please send an e-mail to DownSyndromeCenter@chp.edu. If you would like to partner with the Down Syndrome Center, including this podcast, please visit https://givetochildrens.org/downsyndromecenter. We are thankful for the generous donation from Caring for Kids – The Carrie Martin Fund that provides the funding for the podcast recording equipment and hosting costs for this podcast.
258: My conversation with Dr. Hilary Fritsch changed the way I think about my oral health. She's an airway dentist, which means she specializes in the link between breathing and dentistry. She explains that there is a wrong way to breathe, and it can totally ruin your facial structure. Hilary is also a pro at helping babies and small children develop a healthy, beautiful jaw, and is calling out the things that interfere with that. You'll get practical tips to help yourself and your kids build a healthy jawline and get better sleep - it's literally a win-win. Topics Discussed: → Why sleep apnea is a jaw disease → How mouth breathing is ruining your face → Tips for improving your jawline → How kids can develop healthy jaws → The benefits of a strong tongue → The difference between an airway dentist and a traditional dentist Sponsored By: → Pacha | Go to https://station.page/pacha/contest/realfoodology and enter to win the ultimate self-care goody basket, curated especially for Realfoodology listeners! → MASA Chips | Go to https://MASAChips.com/Realfoodology and use code Realfoodology for 25% off your first order. → CURED Nutrition | Right now, CURED Nutrition is offering my listeners an exclusive 20% off Serenity Gummies with a monthly subscription. Just head to https://www.curednutrition.com/REALFOODOLOGY and use the code REALFOODOLOGY at checkout. → JASPR | Get $400 off with code REALFOODOLOGY and link is https://www.jaspr.co/realfoodology. Timestamps: → 00:00 - Introduction → 00:37 - Sleep Apnea → 02:39 - Diagnosing Sleep Apnea in Women → 04:10 - Palatial Widening → 06:40 - Breastfeeding + Jaw Development → 09:45 - Mouth Breathing and Jaw Line → 13:40 - Breathing Through Your Nose → 15:39 - Fixing Your Jawline as an Adult → 17:13 - Vivos Appliance → 18:31 - Treating TMJ, Clenching and Grinding → 20:44 - Airway Dentistry: An Emerging Field → 25:47 - Link Between Jaw and Teeth → 29:29 - Myofunctional Therapy: Tools + Benefits → 31:27 - Mouth Tape + Nasal Dilators → 33:53 - Understanding Tongue Tie → 36:58 - Tools and Tips for Kids' Jaw Development → 44:39 - Mouth Breathing + Cavities → 45:47 - Can Kids Mouth Tape? → 47:45 - Signs Your Kids Are Mouth Breathing → 49:28 - When To Start Treatment for Kids → 52:37 - Starting Your Own Jaw Journey → 54:05 - Sleep Apnea is a Jaw Disease → 55:56 - How to Find the Right Dentist → 57:30 - Where to Find Hilary Check Out Dr. Hilary Fritsch: → Instagram → Saddle Peak Dental Check Out Courtney: → LEAVE US A VOICE MESSAGE → Check Out My new FREE Grocery Guide! → @realfoodology → www.realfoodology.com → My Immune Supplement by 2x4 → Air Dr Air Purifier → AquaTru Water Filter → EWG Tap Water Database Produced By: Drake Peterson
In this dynamic and wide-ranging conversation, Jamie Belz welcomes Kevin Rutherford—third-generation trucker, radio host, financial strategist, and Functional Nutritional Therapy Practitioner—for a deep dive into the intersection of health, freedom, business, and bio-individuality. Kevin went from a fleet owner and business consultant to one of America's leading independent voices in wellness. This episode unpacks critical truths, touching on: Truck drivers face some of the worst health outcomes in America—how Kevin is helping them reclaim their vitality How Kevin transitioned from trucker and tax advisor to functional nutrition educator and SiriusXM host What got Kevin's top-rated show canceled—and the truth about censorship and speaking out about vaccines Small changes that create massive results How cutting out seed oils changed Kevin's skin so much he no longer burns in the sun—even without sunscreen How pressure-canning meat, fermenting vegetables, and gardening helped Kevin build a portable, resilient health routine Diet, ancestry, and geography—and how your DNA might help guide your food choices Why raw milk is illegal in many places while cannabis and fentanyl are not—and what that says about our public health priorities The importance of “doing the hard work” versus just staying busy—and how The War of Art explains the spiritual resistance that often arises when you're on the right path How the NTA and MAHA movement are reclaiming truth in wellness Carnivore to vegan to keto—why no single diet works for everyone, and how bio-individuality is the missing piece in modern healthcare Real Food vs the Standard American Diet: Why ingredient labels should be avoided Homesteading & Gardening: How this lifestyle heals body and soul Nutritional Therapy Advocacy: The impact of the NTP program, empowering families, and why doctors, nurses, and health professionals need to get out of the system and into truth-based education This Episode Is For You If You're Curious About: Nutritional therapy and metabolic health Health freedom and self-sufficiency Functional medicine and root cause healing Sustainable business, purpose, and mindset How to apply health principles to your unique lifestyle Whether you're a truck driver, health coach, wellness practitioner, entrepreneur, homesteader, mom, doctor, freedom fighter, or just someone trying to feel better again, this episode delivers raw truth, practical tools, and hope for a healthier, freer future. Books & Resources Mentioned: Connect with Kevin: Website: www.letstruck.com Social Website: www.letstrucktribe.com Facebook: https://www.facebook.com/LetsTruck X: https://x.com/lets_truck Episode 49 - Sunburn and Seed Oils The War of Art by Steven Pressfield Eat the Yolks by Liz Wolfe Wheat Belly by Dr. William Davis Nutrition and Physical Degeneration by Weston A. Price Pottenger's Cats Episode Weston A. Price Foundation – Advocacy for traditional diets and nutrient-dense foods Farm-to-Consumer Legal Defense Fund – Legal protection for food freedom and local farmers - Also listen to Podcast Episode 47 with Alexia Kulweick National Health Federation – Fighting for natural health freedom on a global scale MAHA Movement (Make America Healthy Again) – Robert F. Kennedy Jr.'s national wellness initiative Go Deeper: Explore the Foundations of Health If you're ready to build your health from the inside out, join the 6-Week Foundations of Healing Course through the Nutritional Therapy Association. Get Started! Find a Certified Practitioner Looking for personalized support? Search the Nutritional Therapy Association Practitioner Directory to find a virtual or in-person Nutritional Therapy Practitioner, Functional Nutritional Therapy Practitioner (FNTP), or Professional Health and Wellness Coach (PHWC): NTA Practitioner Directory Connect with Jamie! Record a question or comment HERE! Leave a five-star review, subscribe, and chat with us on Spotify!
DON'T MISS the dental event of the year, November 7-8. Nowak Dental Supplies (https://www.nowakdental.com/) is hosing NOLA Lab Fest (https://www.nolalabfest.com/) in New Orleans, Louisiana. Head over to nolalabfest.com to see the line up and to register. A HUGE thanks to Aidite North America (https://www.aidite.com/) for hosting the podcast at their booth. Come find us and be on the podcast! We are once again showcasing some wonderful conversation that we got while in the exocad (https://exocad.com/) booth at IDS 2025. It's funny to travel all the way to Germany to talk to two Americans, one of them even works with Barb! First up is the CEO of the Leixir Dental Group (https://www.leixir.com/), John Krier. John talks about coming to dental from orthopedics and the differences he is noticing. Only 18 months into his new role, John has already visited every lab in the Leixir group and has started to change the culture of over 1000 employees to empower them to take ownership of the work they do. Then we meet fellow podcaster, Dr. Jeff Horowitz. Dr. Horowitz has two practices in South Carolina, GP and Sleep and airway. He talks about the importance of creating the space in the arches for better sleep and how they are even expanding the palate on adults. Dr. Horowitz is also 1/3 of the podcast Dentist IN the Know (https://www.dentistsintheknow.com/) and tells us all about how a couple of dentists got together during the pandemic to chat about what they all love so much. Take it from Jennifer Ferguson from Ivoclar. If you have a PM7 (https://www.ivoclar.com/en_us/products/digital-equipment/programill-pm7) or are thinking about getting a PM7 (Take it from Barb, you should), Ivoclar had launched the "Ivoclar Block Module" that can speed up milling emax (https://www.ivoclar.com/en_us/products/digital-processes/ips-e.max-cad) by 45%!! The best part is that you can try it for FREE for 90 days. All you have to do is send them a message on Instagram at Ivoclar.na (https://www.instagram.com/ivoclar.na/) or send a email to jennifer.ferguson@ivoclar.com. Now go mill emax faster! Special Guests: Dr. Jeff Horowitz and John Krier.
In Dr. Bob's latest book, he shares how healing your body from the inside with a pure diet and exercise can go a long way in preventing unnecessary operations and procedures and helps with heart and sleep apnea issues.