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Dr. Irwin Goldstein is one of America's leading sexual health physicians, a pioneer in the field, and the director of San Diego Sexual Medicine.In this episode, he breaks down his latest research into what's known as post-SSRI sexual dysfunction (PSSD)—a condition that's not uncommon but rarely discussed publicly.He's found that a class of antidepressants known as SSRIs can cause lasting physiological damage even after patients discontinue the medication—contrary to what many patients are told.“When they stop the medicine, the usual teaching is that everyone returns to their pre-medication sexual function, and that's not what we're seeing in our sexual health clinic here,” Dr. Goldstein says.His recent research showed that SSRIs can cause structural damage to genital tissue as well as many other physiological problems, like genital numbness, erectile dysfunction, and loss of libido. These problems persist long-term after discontinuing SSRI antidepressants.“It's kind of an awful thing, and it doesn't go away,” Dr. Goldstein says. “These individuals in my clinic who have been given the medicines: Our youngest is age 11. They'll never experience what one would otherwise consider a normal sexual life.”Dr. Goldstein holds a degree in engineering from Brown University and a medical degree from McGill University in Montreal. He is credited with advancing the study and treatment of both male and female sexual dysfunctions and has authored more than 360 academic publications in the field.Views expressed in this video are opinions of the host and the guest, and do not necessarily reflect the views of The Epoch Times.
*** Det här är ett smakprov ur ett Patreon-exklusivt avsnitt, för att lyssna på hela avsnittet gå in på http://patreon.com/sinnessjukt ***I det tvåhundrasextionionde avsnittet av podden är det dags för den andra delen av tre av dokumentären om Arvid Carlsson. Efter att ha gjort en av de största upptäckterna i modern medicinhistoria – att dopamin är en signalsubstans i hjärnan – fortsätter Arvid sin bana med en rad banbrytande insatser.Avsnittet skildrar hans komplicerade relation till läkemedelsindustrin, samarbetet med farmaceuten Ivan Östholm och den briljante kemisten Hans Corrodi, samt hur dessa möten lade grunden för storsäljare som Losec och det första SSRI-läkemedlet. Samtidigt får vi en bild av Arvids personlighet: prestigelös, ödmjuk och nyfiken – men också kompromisslös och ibland skoningslös mot forskarkollegor.Vi följer även konflikten med den österrikiske forskaren Oleh Hornykiewicz, Arvids avgörande roll i att bygga upp Astra till en global läkemedelsjätte, och den dramatiska historien bakom Zelmid – världens första selektiva serotoninåterupptagshämmare, som drogs in men banade väg för Prozac.I serien medverkar professor Elias Eriksson, vetenskapsjournalisten och författaren Karin Bojs, professor emeritus Kjell Fuxe och professor Göran Engberg.Extramaterial och alla källor finns på: http://patreon.com/sinnessjuktNight Vigil by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By attribution 4.0 License. Edits were made.Bleeping Demo by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By attribution 4.0 License. Edits were made.Canon in D for Two Renaissance Harps by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By attribution 4.0 License. Edits were made. Hosted on Acast. See acast.com/privacy for more information.
W tym odcinku podcastu Ortopedia – Moja Pasja omawiam jedno z bardziej wymagających i kontrowersyjnych powikłań pooperacyjnych – artrofibrozę. Czym jest, dlaczego powstaje i jak jej zapobiegać? Jakie znaczenie ma termin operacji i psychika pacjenta? Czy leki wpływające na układ współczulny mogą działać ochronnie?Z odcinka dowiesz się: – Co dokładnie dzieje się w stawie objętym artrofibrozą, – Jakie są najczęstsze przyczyny tego stanu, – Dlaczego niektórym pacjentom nie da się pomóc tylko rehabilitacją, – Co możesz zrobić, zanim będzie za późno – zarówno jako lekarz, jak i pacjent, – Jakie znaczenie ma czas i odpowiednia reakcja już w 3. tygodniu po operacji, – Czy beta-blokery, amitryptylina, metformina lub SSRI mogą odegrać rolę w leczeniu, – Kiedy rozważać artrolizę artroskopową, a kiedy jeszcze nie.
Antidepressant use during pregnancy disrupts fetal brain development and increases the risk of long-term mental health problems in children Babies exposed to SSRI antidepressants in the womb often suffer withdrawal symptoms at birth, including weak muscle tone, poor feeding, and breathing difficulties Research shows counseling for depression lowers the risk of preterm birth, while antidepressant use increases it, highlighting the importance of non-drug approaches Major medical organizations and media outlets continue to downplay these risks, leaving many mothers unaware of safer alternatives Natural strategies like proper nutrition, exercise, sunlight, and stress management provide effective ways to support your mental health during pregnancy without harming your baby
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INFINITY Study on the timing of thyroid medication ingestionI have a growth near my eye that is changing in color and becoming crusty. What should I do?I've been suffering from hip pain for the last three years. Any suggestions on what to do?Could toxic exposures like mold cause conditions like low thyroid or autoimmunity?
[NOTE: This is a repost of the most recent Feedback Friday that many of you reported being unable to hear last week. Second time's a charm, we hope!]Your relative killed pets, threatened to stab his mother, displays psychopath traits, and now you're checking cold cases in his area. It's Feedback Friday!And in case you didn't already know it, Jordan Harbinger (@JordanHarbinger) and Gabriel Mizrahi (@GabeMizrahi) banter and take your comments and questions for Feedback Friday right here every week! If you want us to answer your question, register your feedback, or tell your story on one of our upcoming weekly Feedback Friday episodes, drop us a line at friday@jordanharbinger.com. Now let's dive in!Full show notes and resources can be found here: jordanharbinger.com/1224On This Week's Feedback Friday:You've learned disturbing facts about a relative who hurt animals as a child, threatened his mother with a knife, and displays blank emotions at family gatherings. You're checking unsolved murders in his area. What can you do before this becomes a gruesome headline — and are you already too late?You met your wife in a magical whirlwind romance, but an SSRI killed your attraction to her overnight. Now your Schizoid Personality Disorder is back, she's out of patience, and she wants kids. Do you fight for the greatest love of your life — or let her go so she can build the future she deserves?You've climbed from $60K as a nurse to $120K as a director, but the next step means constant stress and burnout. You want $220K so your husband can stay home with your daughter and you can care for aging parents. Can you rise without sacrificing your life — or do you need a completely different path?Recommendation of the Week: The StaircaseAfter Charlie Kirk's assassination, you're grieving someone you never met like you lost a close friend. Why do we hold famous people in such high esteem? And how does a fractured nation come together when our views of America's future couldn't be more different?Have any questions, comments, or stories you'd like to share with us? Drop us a line at friday@jordanharbinger.com!Connect with Jordan on Twitter at @JordanHarbinger and Instagram at @jordanharbinger.Connect with Gabriel on Twitter at @GabeMizrahi and Instagram @gabrielmizrahi.And if you're still game to support us, please leave a review here — even one sentence helps!Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors:CovePure: $200 off: covepure.com/jordanBetterHelp: 10% off first month: betterhelp.com/jordanBoll & Branch: 15% off first set of sheets: bollandbranch.com, code JORDANProgressive: Free online quote: progressive.comSimpliSafe: 50% off + 1st month free: simplisafe.com/jordanSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Comedians Kd and Nathan Parish starts the spooky season right by looking at some of the best and most classic horror movie monsters/killers of all time and figuring out what would happen to them if they were dropped into todays world. Freddy thwarted by SSRI's? Jasons Airbnb woes. Facial recognition? Modern kids being afraid to have a house party in the first place? The Squishy boys put way to much thought into stupid scenarios. Timecodes to followLike follow subscribe to help build the channel.Monsters Ball(s-up) : Horroween begins | Squishy Logic , 1106
Your relative killed pets, threatened to stab his mother, displays psychopath traits, and now you're checking cold cases in his area. It's Feedback Friday!And in case you didn't already know it, Jordan Harbinger (@JordanHarbinger) and Gabriel Mizrahi (@GabeMizrahi) banter and take your comments and questions for Feedback Friday right here every week! If you want us to answer your question, register your feedback, or tell your story on one of our upcoming weekly Feedback Friday episodes, drop us a line at friday@jordanharbinger.com. Now let's dive in!Full show notes and resources can be found here: jordanharbinger.com/1224On This Week's Feedback Friday:You've learned disturbing facts about a relative who hurt animals as a child, threatened his mother with a knife, and displays blank emotions at family gatherings. You're checking unsolved murders in his area. What can you do before this becomes a gruesome headline — and are you already too late?You met your wife in a magical whirlwind romance, but an SSRI killed your attraction to her overnight. Now your Schizoid Personality Disorder is back, she's out of patience, and she wants kids. Do you fight for the greatest love of your life — or let her go so she can build the future she deserves?You've climbed from $60K as a nurse to $120K as a director, but the next step means constant stress and burnout. You want $220K so your husband can stay home with your daughter and you can care for aging parents. Can you rise without sacrificing your life — or do you need a completely different path?Recommendation of the Week: The StaircaseAfter Charlie Kirk's assassination, you're grieving someone you never met like you lost a close friend. Why do we hold famous people in such high esteem? And how does a fractured nation come together when our views of America's future couldn't be more different?Have any questions, comments, or stories you'd like to share with us? Drop us a line at friday@jordanharbinger.com!Connect with Jordan on Twitter at @JordanHarbinger and Instagram at @jordanharbinger.Connect with Gabriel on Twitter at @GabeMizrahi and Instagram @gabrielmizrahi.And if you're still game to support us, please leave a review here — even one sentence helps! Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course!Subscribe to our once-a-week Wee Bit Wiser newsletter today and start filling your Wednesdays with wisdom!Do you even Reddit, bro? Join us at r/JordanHarbinger!This Episode Is Brought To You By Our Fine Sponsors: CovePure: $200 off: covepure.com/jordanBetterHelp: 10% off first month: betterhelp.com/jordanBoll & Branch: 15% off first set of sheets: bollandbranch.com, code JORDANProgressive: Free online quote: progressive.comSimpliSafe: 50% off + 1st month free: simplisafe.com/jordanSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
This week the team answers questions from a person who notices they cannot orgasm on SSRIs, another person reckoning with a drunken night of regrets, and a writer who is polyamory but fears their partners will reject them. Join our patreon!Listen ad-free, get the show a day early and enjoy the pre-show hang out on the same app you're using RIGHT NOW at www.Patreon.com/Therapy where you can also access our vast library of deep dives, interviews, skill shares, reviews and rants as well as our live discord chat!If you are an Apple user please rate us!If you are a Spotify user, please rate us!Submit a question to the show!Help us reach #1 on Goodpods!Interested in Nick's mental health approach to fitness? Check out www.MentalFitPersonalTraining.comCheck out Dr. Jim's book "Dadvice: 50 Fatherly Life Lessons" at www.DadviceBook.comGrab some swag at our store, www.PodTherapyBaitShop.comPlay Jim's Neurotic Bingo at home while you listen to the show, or don't, I'm not your supervisor.Submit questions to:www.PodTherapy.netPodTherapyGuys@gmail.comFollow us on Social Media:FacebookInstagramTwitterResources:Suicide Prevention Lifeline - 1-800-273-8255.Veterans Crisis Line - 1-800-273-8255.Substance Abuse & Mental Health Services Administration (SAMHSA) National Helpline - (1-800-662-HELP (4357)OK2Talk Helpline Teen Helpline - 1 (800) 273-TALKU.S. Mental Health Resources Hotline - 211
To historia niezwykle trudnej miłości do kolarstwa. Skrytych pragnień, marzeń. Co kilkaset kilometrów z rezygnacją przerywana i pisana od nowa. Pełna niepowodzeń, bólu, odrzucenia. Jest identyczna jak Twoja. Dziś Różni nas jedynie etap. Niektórzy są u początku tej trasy. Inni w połowie. Ktoś spotyka mnie będąc ze mną koło w koło lub to ja jestem za Tobą. To nieistotne. Najważniejsze, że jesteś na niej. Jesteśmy. Moja trasa rozpoczęła się w 2016 roku, 99 000 km temu. To pięć beznamiętnych cyfr. Liczby nie mają emocji, choć zawsze kusi, by przez ich pryzmat szafować oceny. Dla mnie były one wówczas kluczowe. Kluczową liczbą było 109. Tyle kilogramów. Z nimi miałem okazję już biegać testując pierwszy swój zegarek sportowy. Wtedy każdy rodzaj aktywności był dla mnie błogosławieństwem. Po 4 latach walki z codziennymi napadami paniki okazało się, że bieganie z nadwagą jest na tyle męczące, że ich nasilenie się zmniejszyło. Częstotliwość także uległa ograniczeniu. Jedynie dokuczał mi ból i frustracja, bowiem utrzymanie 6 minut na kilometr było trudne. Do tego kolana. Plecy. Dwie śruby w stawie skokowym ograniczające ruchomość proszące się o chirurgiczne usunięcie. Nawet to relacjonowałem na swoim zupełnie innym kanale, na ktorym działałem od 2008 roku Pozbycie się srubek pomogło. Pozwoliło biegać pewniej. Jednak nie szybciej. Lubiłem bo, jednak więcej jak 10 km było poza moim zasięgiem. Serce chce, stawy nie. Operowana noga tym bardziej. Z resztą do dziś muszę respektować ograniczenia biegowe wynikające z tej kontuzji. Nie powinienem biegać jednorazowo więcej niż 15 km. To oznacza, że do końca życia nie zrobię maratonu, nie będę mógł biegać po plaży, ani nie wystartuje w runmagedonie. To syndrom zerojedynkowy. Albo mogę wszystko albo to bez sensu. Był piękny lipcowy wieczór po upalnym dniu. W powietrzu. Wjechałem po całym dniu do garażu w którym wśród opon zimowych stał przyprószony kurzem rower. Stał tu kilka lat. Otrzymałem go w prezencie w zamian za pomoc w nakręceniu wideo promocyjnego. Wyciągnąłem z bagażnika kompresor. Napompowałem opony i po prostu wsiadłem. Przejechałem 700 metrów i udało mi się utrzymać na tym dystansie 20 km/h. Poczułem się jakbym miał 12 lat. Tyle, że przez te 18 lat nieco się zmieniło. Stałem się sfrustrowanym, zmęczonym życiem paczkiem czerpiącym radość jedynie z jedzenia oraz każdego poranka gdy nie mam objawów nerwicy somatycznej. Dotarłem do najbliższej stacji na której pochłonąłem litr wody. Następnego dnia zrobiłem to samo. Jednak denerwował mnie fakt ograniczeń moich opon. Co to znaczy 3 atmosfery. Zamówiłem nowe. Dostosowane do wyższego ciśnienia i łyse. One pomogły. Było lżej. Dojechałem na nich z Konstancina do wsi Gassy. To był kolejny z tych ciepłych i pogodnych wieczorów z przenikliwymi promieniami złotej godziny. Minął tydzień i zadzwoniłem do przyjaciela Karola prowadzącego sklep rowerowy w Bydgoszczy. Tak stałem się właścicielem roweru za 4000 zł. Aluminium. Tiagra 2×8. Ale za to opony które mogę napompować do 8 atmosfer. To była moja ówczesna fetysz. Ciśnienie i prędkość. Prędkość, która wzrosła. W jeden dzień. Trasa Piaseczno – Obory ze średnią 30 km/h. Byłem potwornie zmęczony. Moje czarne spodenki biegowe stały się białe. Kryształy soli były na czubku nosa, włosach. Trasa okupiona była dwudniową rekonwalescencja tyłka, ud, pleców, nadgarstków, szyi. Ale w głowie czułem niesamowitą ekscytację, która na wiele godzin zajęła moje myśli i przekierowała je z hipochondrii na rower. Na problemy, które mnie nawiedziły. Największym z nich było siodełko. Kupiłem spodenki kolarskie z wkładką bez szelek, bo uważałem, że szelki to abstrakcja w połączeniu z moją figurą. To nie pomogło. Każdego dnia jeździłem i nasłuchiwałem bólu. Czasem tak silnego, że chciałem wyć. Pojawił się także stan zapalny skóry. To był etap zapisany wersalikami TO BEZ SENSU Wziąłem oddech. Kupiłem siodełko. Poszedłem do jednego z dwóch ówczesnych warszawskich fitterow. To nie pomogło. Jednak każdego jednego dnia jeździłem. Próbowałem sobie udowodnić, że dam radę. Nie poddam się, bo udowodniłbym sobie słabość. Nie jestem dzielny ani uparty, bo jestem bohaterem. Robię to z niskiego poczucia własnej wartości. Musiałbym samemu sobie powiedzieć, że zakup szosy to był zły pomysł. Założyłem nowy kanał na YouTube, o rowerach. To był wrzesień 2016. Zaraz będzie 10 lat. Mijały miesiace, zmieniałem siodełka, byłem w trzech województwach różnych speców od pozycji. Nic to nie dawało. Mimo to jeździłem, choć więcej jak 20 km to było wyzwanie. Polubiłem nawet to cierpienie. Ten stan kompletnego wykończenia za każdym razem gdy chorobliwie próbowałem udowodnić sobie, że ból przejdzie a ja osiągnę 30 km/h średniej. Tak chylił się ku końcowi pierwszy sezon. Zbiegiem okoliczności trafiłem na nową grupę na fb – ZWIFT Polska. Zauważyłem tam dziwne urządzenia do treningu w domu. Wziąłem swoją przepoconą kartę kredytową i poszedłem do Decathlonu. Kupiłem trenażer. Zainstalowałem swifta. Uznałem, że jest beznadziejny i drogi. Przesiadłem się na aplikacje do jeżdżenia po trasach wideo. Po Nicei i Belgii. W belgi trafiłem na jedyny obecny tam podjazd 10%. Skonałem. Trenażer się zablokował i nie byłem w stanie pedałować. Okazało się, że trzeba wymienić oponę. Okazało się, że z garażu w którym leżał mój pierwszy rower jest też zapyziały wiatrak. Przynooslem go. Zorientowałem się, że w profilu aplikacji po uwagę brana jest także waga. Nie była uzupełniona. Zastąpiłem domyślne 75 kg na 103. Znów postanowiłem pojechać na te górę 10%. Znów trenażer się zepsuł. Musiałem rozejrzeć wiele for by się dowiedzieć jak rozwiązać ten problem. Okazało się, że na trenażerze należy zmieniać biegi. Następnego dnia zacząłem używać przerzutek. Mimo to nie udało się dojechać na szczyt ten trasy. Po kolejnym tygodniu dojrzałem na opakowaniu, że mój trenażer sulymuluje maksimum 6 procent. Tak wróciłem na ZWIFT. Na wiosnę znów zadzwoniłem do przyjaciela że sklepu rowerowego w Bydgoszczy. Kupiłem nowy rower. Lżejszy. Karbonowy. By był bardziej karbonowy. To nie pomogło. Ból, walka o każdy kilometr. Znalazłem jednak siodełko z dziurą w środku, które troszkę odciążyło kroczę. Musieliśmy jednak podnieść i odwrócić mostek. Drugi mój sezon na rowerze to także pierwsze ustawki. Pierwsze zdjęcia. O tutaj jestem w majtkach, które założyłem pod spodenki. A tutaj kryształy. Ja tutaj, w 2018 roku nic nie rozumiałem. Nie widziałem dysonansu pomiędzy moim rowerem a wagą. Wiem, to nie jest dramatu. Tutaj nie widać otyłości, bo nie mam klasycznego brzucha. Zawsze byłem równomiernie ulany. Jedni mają chude nogi i ręce i większość rezerw zlokalizowanych wokół pasa. Inni jak ja mają tłuszcz wszędzie. To gubi. Wyglądasz z daleka niby normalnie, a w rzeczywistości wieziesz na każdym kilometrze 10 butelek wody 1.5 litrowej. Najbardziej symboliczne jest to zdjęcie z lipca 2017. Aż trafiło do mojej książki. Zrobił mi je Michał. Za co dziękuję. Pozwoliło mi ono spojrzeć z innej perspektywy. Z perspektywy, która oddaje dysonans pomiędzy mną a rowerem, którego nie widać. Od tego spotkania i wspólnej jazdy do Nowego Dworu Mazowieckiego. To był moment kumulacji. Mijało pół roku od momentu założenia tego kanału. Zaczęło się pojawiać coraz więcej głosów na temat mojego wyglądu. Jednak ignorowałem to. Mówiłem sobie, że w mojej poprzedniej branży złych słów jest zdecydowanie więcej. Jednak podczas jednego z gorszych dni ta gruba skóra stała się cieńsza. Opanował mnie wstyd. Pierwszy raz poczułem go tak dobitnie. To była kumulacja złych emocji. Obraziłem się na YouTube i postanowiłem z dnia na dzień. Musiałem zrobić bolesny rachunek sumienia. Czemu piję po każdym rowerze piwo. Czemu codziennie wieczorem jem słodycze? Dlaczego przeliczam kilometry na kostki czekolady i paczki chipsów. 8 lipca 2017 wziąłem się w garść. Oto zdjęcie pierwszego talerza. Jadłem tylko warzywa, kasze, kefir i jabłka. Do tego wyłącznie woda. Każdego dnia szedłem normalnie na rower. Robiłem 30 kilometrów na czas przez 3 dni w tygodniu. W weekend długi tlen. Szaleństwo, oddające mój charakter. Wszystko albo nic. Przez pierwszy tydzień wyłem na myśl o tym, że po pracy i po treningu nie zjem nic słodkiego. Nie kupię piwa. W tym okresie robiłem najszybsze zakupy w swoim życiu. Wiedziałem, że nie mogę przejść przez alejkę że słodyczami. Wchodzę. Na start pakuję jabłka. Na na warzywach rukolę. Obok zamrażarki i z nich biorę wszystko. Wszystkie możliwe mrożone zupy, marchewkę z groszkiem. Buraki, szpinak, fasolkę. Obok kasza gryczana w woreczkach. Vis a vis są pestki. Słonecznik i Pini i dynia. Dochodzę do lodówek, ale tak, żeby nie patrzeć na sery i serki. Porywam 6 litrów kefiru i od razu do kasy. Tak wyglądał mój posiłek każdego dnia. Nie złamałem się ani razu. Głownie dzięki temu, że miałem dobrze dobrane antydepresanty, było wyjątkowo ciepłe lato i udało mi się przełamać najtrudniejsze 21 dni. Po tych tygodniach wpadłem w nowy rytm. Udało mi się zerwać z uzależnieniem od cukru i soli. Dopiero też w tym momencie zobaczyłem, że waga drgnęła. Zjechałem o 4 kilogramy. Po miesiącu z jeszcze większą satysfakcją w restauracji prosiłem tylko o dwie sałatki bez sosów oraz dwie zupy. Nie wiem ile miałem deficytu energetycznego, bo jeszcze nie było aplikacji na telefon, które tak dokładnie by to oceniały. Jednak z perspektywy oceniam, że nie dojadałem około 1000 kcal każdego dnia. To zdjęcie spodni po 2 miesiącach. Dalej jeździłem. Niesamowicie się wkręciłem. Zrobiłem kolejne korekty ustawienia mojego roweru. Tego dnia okazało się, że straciłem już 6 kilo. Moje ciało proporcjonalnie traciło na obwodach. Okazało się, że mogę mieć już nieco niżej kierownicę. We wrześniu już zacząłem powoli wymieniać swoją garderobę, bo okazało się, że choć ja tego nie widzę, to zaczynam wyglądać jak przyodziany w strój po starszym bracie. Nawet odzież motocyklowa poszła na wymianę. 11 września 2027 moja twarz zaczęła przypominać tę obecną. Niesamowicie schudłem na policzkach. W międzyczasie były też wyjazdy służbowe. Gdy byłem odcięty od roweru brałem buty i czepek. To Barcelona i kolega, który śmieje się z mojej kolacji. Musiałem tak robić. Zapychać się warzywami i owocami. To jest 30 września. Nowy trenażer, nowe FTP, wciąż na diecie. Wciąż unikając chodzenia po sklepie. 3 grudnia już warzyłem 81,7 kilogramy. Jeszcze 2 do celu. Nowa koszula, pierwszy McDonalds – wraz z warzywami bez kury z podwójnymi warzywami. Pierwsze badanie u byłego trenera z siłowni, który po pół roku mnie nie poznał. Po tym czasie badania krwi. Zniknął nadmiar cholesterolu. Leukocyty spadły, rozjechały się czerwone krwinki, bo całkowicie przez przypadek przez pół roku byłem wege. Zgodnie z zaleceniami lekarza, raz w mięsiącu mięso. Wątróbka. Smażonego nie miałem w ustach od czerwca. Od czerwca trzymam się także wewnętrznej rozpiski treningowej. Gdy zimno, leje i wieje odpalam Zwifta. Pierwszy kieliszek alkoholu wypiłem 2 stycznia. Ta szklanka mnie zmiotła z planszy tak bardzo, że uznałem, że chyba lepiej mi bez tego. Tak tkwiłem w fanklubie kefiru. To jest mój test FTP z 8 stycznia 2018 przy 80 kg. Mogłem wrócić do delikatnego zwiększenia limitu kalorycznego, choć okazało się, że teraz spoczynkowo potrzebuję ich dziennie 2200 zamiast wcześniejszych 3000. To znaczy, że mogę więcej jeść i nie tyć, jednak tylko trochę więcej, a nie tyle co wcześniej. 12 lutego 2018 wyjechałem na tydzień by obiecać sobie, że nawet w delegacji umiem się trzymać. 24 lutego były moje pierwsze wirutialne zawody na Zwift. Nigdy się tak nie spociłem. Na tym smutnym zdjęciu, po nieudanym spotkaniu służbowym mam 79 kilo. 10 marca wyszedłem pierwszy raz na zewnątrz po zimowej przerwie. Nie wierzyłem w to jak jestem szybki pod górkę i na segmentach. Pojechałem główną drogą z Konstancina do Kalwarii i z powrotem bez zatrzymywania się. Zrobiłem personal rekord tej trasy. Nie byłem w stanie długo uwierzyć w to jak ogromną różnicę daje te 25 kilo. Okazało się, że nie boli mnie tyłek, ani ręce. Jedynie co mi dokucza bez powłoki tłuszczowej to zimno. Jakbym nie miał jeszcze jednej warstwy odzieży. Bardzo wzrósł mi też vo2 max liczony przez Garmina. Czy to dokładne czy nie, było widać przełom. Umówiłem się na ostatni już w moim życiu Fitting. Usunęliśmy wszystkie podkładki pod mostkiem by być mniej zakompleksionym. Pierwszy raz ogoliłem nogi 2 kwietnia 2018. To był etap na którym oderwałem się na moment od ziemii. Zacząłem trochę w siebie wierzyć. Zachłysnąłem się samym sobą oraz słowami, które wówczas czytałem pod swoimi filmami. Było nieco niedowierzania, bo wizualnie naprawdę byłem ciężki do rozpoznania. Sporo też w sieci jak i w realu słyszałem pytań czy nie jestem chory. Czy wszystko że mną jest w porządku. Każdy YouTuber ma swoim życiu taki okres gdy odlatuje. Ja w tym momencie byłem odleciany. Uważałem, że wiem już wszystko oraz mam wyłączność na wiedzę. Być może uważałem się za lepszego. Do czasu. Do tych zawodów. Dojechałem sam, w dodatku zdyskwalifikowany. Niesamowicie wpłynęło to wówczas na moją pewność siebie. To był taki plask z liścia w twarz. Potrzebne by zejść znów na ziemię. Nabrania pokory. Do siebie, do ludzi. Wytłumaczenia sobie samemu, że liczby i waga to nie wszystko. To czego doświadczasz jest potrzebne. To kara za brak pokory. To był rok w którym zmieniłem narrację na swoim kanale z lepszego na równego. 27 maja pierwszy raz ktoś powiedział, że mnie kojarzy. To ten Pan. Ten okres był niesamowity w moim życiu. Zauważyłem, że czuję się nie tyko fizycznie mocniejszy, ale także psychicznie. Zwróciłem uwagę na to, że nawet gdy jest lepiej to nie mam prawa nawet wewnątrz samego siebie, po cichu wywyższać się względem kogokolwiek. Nie chcę zostać kiedyś bufonem, Panem z YouTube, którego jedynym sukcesem jest to, że oddycha i schudł. Nie bądź nauczycielem. Bądź przyjacielem. Bądź sobą, Człowiekiem. Bez maski. Na tym etapie już regularnie zacząłem brać udział w zawodach. Zapisywałem się na nie, by mieć stałe bodźce i małe cele. By wreszcie dojechać z peletonem, albo dobiec. Na bieganiu też poczułem ogromna różnicę. Inne tempo, inne tętno. Inne czasy. 5 km już nie męczy, a mogę zrobić nawet 10. Zacząłem jeździć w góry. Zaliczyłem pierwsze 100 km po świętokrzyskim. Dostałem pierwsze zaproszenie na event branżowy jako Pan z YouTube. Jednak nikt nie chciał że mną działać w sposób komercyjny. Dobiłem też do momentu w którym mogłem bez przeszkód robić rocznie od 10 do 15 000 kilometrów rocznie, choć nadal dla niektórych to niedużo. Dla mnie wówczas był to absolutny kosmos. Tak jest do dziś, gdy porównuję siebie do wersji Leszka z początku. To jest moja druga w życiu sesja zdjęciowa. A to pierwszy spot, który wyprodukowałem do swojego portfolio, choć nikt go nie zlecał i nikt nie płacił. W listopadzie 2018 znów odezwała się lewa noga. Kontuzja biedowa na skutek przeciążenia, przypominająca mi o moich ograniczeniach. Zakaz biegania na 4 miesiące. Ale ten czas poświęciłem dzięki temu na rozwój formy na trenażerze. Nadal trzymałem nowy model żywieniowy oraz 79 kilo wagi walcząc teraz o lepszą wydolność. Robiłem to jeżdżąc po wirtualnych górach na Zwift. Mieszkając wówczas w Warszawie, jedyną okazją do wspinaczki był trenażer. Pojawił się także pierwszy trener, który rozpisał każdy trening dzień po dniu, sprawiając, że te 7 lat temu byłem w stanie podjechać Alpe Du Zwift w 50 minut. Pobić ten czas udało mi się dopiero w 2023 roku. Tak, bo spektakularnym przyroście formy po redukcji masy i po pierwszych dwóch latach rozwoju przychodzi załamanie. Masz 85% formy, a poprawa o te kolejne 15 procent staje się wykładniczo trudne. Każdy jeden wat czy kilometr na godzinę jest trudniejszy do osiągnięcia. Byłem tym rozczarowany. Ogółem przełom 18 i 19 roku był trudny. Musiałem przyjmować wyższe dawki SSRI, po wcześniejszym zmniejszeniu. Połączyło się to z momentem zwątpienia w dietę. Zaczęły znów pojawiać się słodycze. Najpierw raz w tygodniu, potem trzy. Oczywiście wciąż trenowałem, jednak przeddzień pierwszego w moim życiu duathlonu zorientowałem się, że przekroczyłem moje wcześniej wywalczone 80 kg. Dwa ilo. Smutek i słodycze. Czy to przypadkiem nie koreluje że sobą? Start nowego sezonu był dla mnie momentem walki o powrót do rytmu z którym na moment zerwałem. Podwójna walka, bo z depresją, która siedzi Ci na karku i dociążą, mocno trzymając Cię na poziomie gruntu, próbując wbić w ziemię. Weryfikując Twoje przeświadczenie, że można żyć na linii wiecznie wznoszącej. Rumia płacz Przełomowym dla mnie momentem na YouTube był 5 lipca 2019. Po tym filmie zrozumiałem, że nie liczy się ilość filmów, tylko jakość. Od tego momentu publikuję raz w tygodniu, ale materiały lepsze. Lepiej zmontowane. Takie, którym poświęcam 10 roboczogodzin a nie dwie. Naprawdę, wcześniej poświęcałem temu dwie. Prowadząc jednocześnie trzy kanały. Doszedłem do wniosku, że mogę na raz zając się tylko jednym. Tym. Z tego też powodu przestałem zajmować się motocyklami, przekazując Jednoślad.pl w ręce Kogoś kto zrobi to lepiej ode mnie. To z ogromną korzyścią nie tylko dla moich Widzów, ale także dla siebie. Bo mogłem więcej jeździć. Więcej kręcić. Jednak większa liczba kilometrów nie sprawiła, że stałem się szybszy. Nie. Zatrzymałem się na tym samym poziomie. Na długie miesiące. Nie rozumiałem jeszcze, że jazda na rowerze to jak montaż wideo. Więcej nie równa się lepiej. Mniej równa się lepiej. Jeśli chcę się dalej rozwijać to musze zadbać o jakość jazdy. Dlatego też nie raz mówię na głos, że jeśli Twoim priorytetem jest rozwój kondycji to nie zawsze możesz jeździć dużo a lekko. Jednak na tym etapie potrzebowałem więcej odpoczynku, tym bardziej, że zacząłem startować w triathlonie i pokazywać to w formie wideo. To był najtrudniejszy start w życiu, który cudem ukończyłem gdy na Bałtyku sztorm. Tutaj poczułem jak ciężko jest łączyć tyle dyscyplin i, że każda z nich jest poświęceniem tej drugiej. Jednak te zawody poraz kolejny nauczyły mnie pokory do życia, zdrowia, natury, innych ludzi oraz nabrać dystansu do liczb, swoich możliwości. Dowiedziałem się, że najgorsze są autooczekiwania. Planowanie. Bóg się śmieje słysząc o Twoich planach? Tak to było? Nie sądziłem, że jedne zawody mogą tak odwrócić sposób patrzenia na świat. Jednak gdy jesteś naprawde blisko tragedii, wówczas wdrukowujesz sobie w głowie nowy sposób patrzenia na życie oraz ludzi, którzy są obok. Relacja z tych zawodów to był film, który pierwszy raz pozwolił mi spojrzeć inaczej na to co robię. Pokazać tyle emocji. Udowodnić sobie, że to one są dużo ważniejsze niż to co tak naprawdę widać na pierwszy rzut ka. Mówię o filmach, ale tak naprawdę to są znaczniki etapów w moim życiu. To był także moment peaku mojej przeciętnej formy. Wówczas też brałem udział w największej liczbie imprez. Udało mi się podratować takze wieloletnie zaburzenia snu. Trzymanie się przez ostatnie 2 lata stałego rytmu treningowego pomogło mi unormować zegar biologiczny, który wcześniej był strasznie rozregulowany. To pomogło tym bardziej pomogło ograniczyć epizody nerwicy, depresji, lęku uogólnionego. Też w dużej mierze wpłynęło na formę. Wówczas to było stałe 3.5 w/kg FTP. Dla osób stojących z boku to było mało. Dla innych dużo. Dla mnie zawsze średnio, ale musiałem się Tym zadowolić, bo cały czas z tyłu głowy miałem to co działo sie przed 2016 rokiem. Mimo to się nie zniechęcałem. Trzymałem się tych 6 dni treningowych. Jednej zakładki triathlonowej. 10 biegu, 220 na rowerze. Kilometr w wodzie. Bilans energetyczny na zero. Waga na zero. Vo2max 54. 29 października 2019 zrobiłem kolejną serie badań. Był niższy kortyzol, nieco niedoboru ferrytyny przez dietę roślinną. Jednak nieporównywalnie lepsze samopoczucie fizyczne że strony ukłądu pokarmowego. Nigdy nie czułem się tak lekko. Zapomniałem o wszelkich zaburzeniach mojego brzucha. Stale chodziłem też do pychiatry, który niedowierzał. Pozwolił mi na zredukowanie do zera trazodonu. Zostawiając mi jedynie niewielką dawkę inhibitorów zwrotnego wychwytu serotoniny . Po prostu ta higiena życia, odżywiania, snu, światła słonecznego, ruchu pozwoliła mojemu mózgowi funkcjonować w zupełnie innych warunkach. Serotoniny mogło być mniej. Jednak do czasu. Do momentu, gdy zaczęła się sypać moja firma. Problemy finansowe zżerały mnie od środka. Wróciła nerwica, depresja. Jedynie wieczorny wysyłek fizyczny pozwalał mi po kilkunastu godzinach dziennego napięcia zrywać łańcuch z mojej głowy. To codzienne męczenie się na trenażerze pozwalało odlatywać gdzieś obok. Ja logując się do Watopii, wylogowywałem się z problemów. Mimo to, mój lekarz zalecił mi stosowanie okresowo wyższej dawki leków. Jednak o dziwo nie doszło do wznowy bezsenności. Te leki dodają także nieco motywacji do działania na codzień, maskując epizody depresji, która odbiera siły do działania. W pewnej mierze na pewno dzięki terapii miałem więcej sił nie tylko do tego, aby tkwić w rytmie szosowym, ale też miłość do szosy przekuć na ucieczkę z branży do Prawie.PRO uruchamiając swój sklep i swoją odzież. Chwilkę potem pojawiła się ogólnoświatowa choroba wirusowa na literę C. Był zakaz jazdy na zewnątrz. Mnóstwo osób odpuszczało treningi na rzecz izolacji. Ja nie zrobiłem tego, bo wiedziałem jak ciężkie bedzie to miało konsekwencje dla mojej głowy. Wykorzystywałem każdy słoneczny dzień, narażając się na krytykę. Wówczas obowiązywał zakaz wstępu do lasów czy jazdy na rowerze gdzie indziej niż do pracy. Na wypadek mandatu woziłem dowód osobisty i maseczkę. Ale to była równia pochyła. Poziom stresu był tak silny, że wysysał że mnie wszystkie waty. W przeciągu kilku tygodni miałem wrażenie, że cofam się o miesiące. Poznałem co to znaczy. Jak wariują wszystkie wskazania. Co to znaczy wówczas zacisnąć zęby i mimo to próbować jechać dalej i się nie zatrzymywać. 2020 rok był przełomowy także dla osób, które mierzyły się z podobnymi problemami jak ja. Wielu wspaniałych ludzi doświadczyło w tym czasie mnóstwo złych emocji. Wówczas samemu sobie przysiągłem, że rezygnując z pracy w mojej poprzedniej firmie i otwierając nową będę starać się na YouTube być jednym z nas. Być dla Widzów a nie odwrotnie. Pokazywać tę moją drogę, te zbiegi okoliczności i sposoby. Zakreślać na mapie wszystkie ślepe uliczki w które wjechałem. Odkryłem jak mnóstwo dobrych ludzi mnie otacza i jak podobni jesteśmy do siebie. To dało mi jeszcze więcej energii do działania. Do cieszenia się każdym dniem na rowerze i na montażu. Stało sie też coś takiego dziwnego… przestałem sie zamykać. Przestałem się wstydzić swojej przeszłosci, choroby, nadwagi. Tego, że kiedyś uważałem się na lepszego od innych. Za pana z radia. 5 lat temu też pierwszy raz doświadczyłem spotkań na żywo. Pierwszy raz ktoś w twarz opowiedział mi swoją anaogiczną historię i powiedział, że śledzi nie od początku. Kamil, nigdy tego nie zapomnę. Tak samo jak pierwszych wspólnych ustawek bez stresu i napinki. Niejako manifestując, że każdy z nas jest ważny bez względu na wagę i wygląd a nawet liczbę subskrybentów. Wtedy też przestałem o to prosić. Okazało sie nagle, że nie jest ważna forma, tylko to jaki jesteś. Że można być akceptowanym takim jakim byłeś wczoraj, dziś i jutro będziesz. Że kolarstwo to jedynie pretekst do zmian. Bo to może być każda inna, dowolna sportowa odskocznia. W 2022 roku nastąpił jedyny w moim życiu etap podczas którego w pracy siedziałem 4 godziny dziennie. Wychodziłem o 13 lub 14, szedłem na warszawski Pl. Vogla i tam pisałem książkę. To, że ona zaczęła się pisać, było wynikiem przypadku. Po pandemii było ogromne zainteresowanie tematyką sportową. Społeczeństwo nadal było pokaleczone, mnóstwo osób postanowiło zmienić priorytety w swoim życiu. Dwie godziny dziennie spędzałem na pisaniu w cieniu, potem zawsze wsiadałem na rower i jechałem do Góry Kalwarii. Kondycyjnie od siebie wówczas niczego nie oczekiwałem. Na tym etapie jesteś w stanie bez napinki, dla siebie sporadycznie brać udział w zawodach. Pojechać pętle w okół tatr na skutek zimowych treningów na trenażerze. To był mój cel i udało się spełnić wszystkie te marzenia. Postawić grubą kreskę i zamknąć ten etap książką pisaną dla Wydawnictwa Znak z Krakowa. Zaakceptowałem samego siebie jakim jestem, ale zajęło to 5 lat. Z czego pierwszy był najważniejszy. A pozostałe 4 to jedynie retrospekcyjna kontrola samego siebie poprzez niezmienną konsekwencję pomimo zawirowań. Z okazji 60 000 km kupiłem nowy rower i wróciłem na 3 dni tam, gdzie pierwszy raz zobaczyłem na żywo góry. Do Kielc. Każdego jednego poranka konsumując wszystkie wyrzeczenia podczas pierwszych tysięcy, które było bolesną inwestycją. Wraz z wydaniem przez Wydawnictwo mojej książki strzeliło 70 000 km jednak bez spektakulatnych sukcesów. Musiałem sobie przetłumaczyć, że constans, stałość to też sukces. Bo wiele momentów zmęczenia kusiło, by na jakiś czas odpuścić. Przestać kręcić kolejne kilometry. Po co znów walczyć na zawodach czy górach. Zwiftowych i realnych, skoro nie widać poprawy. To był ten moj osobisty sufit, którego przez wiele lat nie mogłem przekroczyć. Niby nie chciałem, ale może nie umiałem? Niekiedy było mi z tego powodu trochę smutno, widząc lepszych, szybszych, lepiej zbudowanych. Kolejny rok męczę te alpy i dalej nie mogę złamać 50 minut? Mt. Ventoux na Zwift w 81 minut? Co to jest? Włączają mi się do dziś takie fazy. Głeboko skryte kompleksy wychodzą na wierz. I są tym silniejsze, im masz więcej stresu i zmęczenia w głosie. Zbiegło się to w tym okresie wraz że spadniem mojej aktywności w Social Mediach. Stale, co tydzień publikowałem wciąż poradniki na YT, jednak z weną było ciężko. By temu przeciwdziałać, w okresie zimowym zacząłem latać do Hiszpanii. Naładować się słońcem. Odkryłem kompletnie nowe tereny. Dowiedziałem się, że także w styczniu 2023 można się spalić. Zarówno na skórze, jak i kondycyjnie. Przez to udało mi się odrobinę wyrwać że stagnacji formy. Jednak to było mimowolne. Ponieważ priorytetem wciaż było i jest zdrowie psychiczne. Ale zauważ – poraz kolejny okazuje się, że to jest bardzo sztywna korelacja. Dokładnie tak samo jest z wagą. Momentami ważyłem 77 kg, by potem wejść na 80. Wystarczy tylko kilka gorszych tygodni, by znów przekonać się, że stan umysłu odpowiada także za stan lodówki. Z kolei słońce, większy poziom aktywności paradoksalnie redukuje apetyt. Jesteś w stanie znowu odmawiać sobie słodyczy. Aktualnie też jestem po roku bez absolutnie ani jednego piwa. Zszedłem z 16 procent tłuszczu na 13. Okazało się, że zaczynam poprawiać wszystkie wcześniejsze personal recordy. Przehyba, Obidza, Rates. A to niby tylko 3% tłuszczu. I znów ten wyrzut serotoniny, bo wyszedłem z błotka i kolejnego rocznego epizodu depresji przebijając 99 000 km. Oczywiście dziś także bywają gorsze momenty, bo perfekcjonizmem jest oczekiwanie wyłącznie dobrych momentów. Wyłącznie wzrostu formy. To nie będzie tak, że zawsze będę lepszy na przestrzeni sezonu, roku, czy dziewięciu. Każdy kilometr jest po coś. Jeden z nich będzie szybszy. Drugi zaliczysz podczas drogi powrotnej że ślepej uliczki. Kolejny by zrozumieć czym jest pokora i jak wyglada zachłyśniecie się swoją zajebistością. Pośrodku tej kariery otrzymujesz z otwartej ręki w twarz czy wbić się w ziemię i zrozumieć, że najważniejsze jest to czego nie widać. By z bliska przekonać się, że te cyfry bez narracji nic nie znaczą. Nie mówią ile każda z nich kosztowała Ciebie wysiłku, łez czy przekleństw. Ile razy uznawałeś(aś), że to kompletnie bez sensu, zawłaszcza gdzy wszyscy wokół Cię krytykują za to co widać. A nie za to co jest skryte w cieniu. Kiedy wiesz, że się z Ciebie śmieją, lub gdy spotykasz kogoś, kto traktuje Cię jak gorszego. Gdy ryczysz w sklepie jak małe dziecko przechodząc obok półki ze słodyczami. Albo gdy poza sportem w Twoim życiu dzieje się wiele złego, co tak niesamowicie podcina skrzydła. Gdy uznajesz, że nie tylko ten rower nie ma sensu, ale całe Twoje istnienie. Albo kiedy poziom stresu jest tak silny, że degraduje Twoją formę do cna. Kiedy zaciskasz zęby z całych sił by móc na nowo ruszyć pod tę cholerną górka słysząc w tle tylko niemy śmiech. To jest ta niewidoczna walka każdego z nas na kazdym kilometrze. Każdy z nich rzuca światłocienie. Ja dziękuję moim Widzom za te niespełna 100 000 km razem. Być normalnym
Idag pratar vi om antidepressiva medel, om medicin men också om strategier och tekniker. Vad kan vi göra för att minska ångest och öka förutsättningarna för ett liv där vi faktiskt mår bra? Vi pratar struktur, flow, dopamin och annat i detta avsnitt. Du hittar oss på visnackar.se Glöm inte att vår kod VISNACKAR på Trendrehab ger dig 20% på nästan hela sortimentet! Kram Jeanette & Anna
Is the mental health crisis fueled by drugs meant to fix it? Despite a 450% surge in antidepressant use, mental health outcomes are worsening especially among young adults. Dr. Josef Witt-Doerring, a psychiatrist and expert on drug-tapering, warns SSRIs may be linked to rising violence. Dr. Witt-Doerring points to FDA corruption and psychiatry's focus on quick-fix prescriptions over root-cause care, like nutrition and trauma support. He critiques lifelong drug reliance and severe withdrawal effects, pushing for reforms including better informed consent and integrating life skills into treatment to address the spiraling crisis. Leland Vittert is host of On Balance with Leland Vittert and NewsNation's chief Washington anchor. When Leland was diagnosed with autism, his father quit his job to coach him full-time in social skills and humor. Later, Leland became a foreign correspondent and anchor at Fox News before getting his own show on NewsNation. He tells his story in the book “Born Lucky: A Dedicated Father, A Grateful Son, and My Journey with Autism“. Learn more at https://bornluckybook.com and https://x.com/lelandvittert Dr. Josef Witt-Doerring is a board-certified psychiatrist and former FDA medical officer. As Medical Director of TaperClinic, he specializes in safe de-prescription of psychiatric medications and recovery from psychiatric drug injury. He previously worked for Janssen Pharmaceuticals (Johnson & Johnson) and the FDA. Follow at https://x.com/drjosefWD NOTE: Suddenly stopping mental health medications may cause dangerous side effects or withdrawals. Only start or stop these medications under the direction of your physician. 「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at https://drdrew.com/sponsors • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices
⚠️ WARNING: This episode will challenge everything you think you know about health. “Obesity kills more people worldwide every year than car crashes, terrorism, Alzheimer's, Parkinson's, and malnutrition combined.” In this eye-opening episode of Start Today, I bring you Dr. Saman Soleymani—a no-BS physician and entrepreneur running over a dozen practices—who exposes how Big Pharma and Big Food profit from disease while ignoring the #1 factor that could save your life: nutrition. From the obesity epidemic to GLP-1 drugs, testosterone, antidepressants, and birth control, Dr. Soleymani rips the lid off the lies that are killing people every single day. We uncover why waist size is the ultimate death predictor, how visceral fat destroys men's hormones, why SSRIs don't cure depression, the promising science of psilocybin, and the dangerous side effects of hormonal birth control that no one talks about. No fluff. No sugarcoating. Just the truth you need if you want to take back control of your body, your health, and your future.
*** Det här ett smakprov ur ett Patreon-exklusivt avsnitt, för att lyssna på hela avsnittet gå in på http://patreon.com/sinnessjukt ***I det tvåhundrasextioåttonde avsnittet av podden är det återigen dags för Sinnessjukt Dokument. Den här gången första delen av tre av en dokumentärserie om Nobelpristagaren Arvid Carlsson. Neuropsykofarmakologins främsta pionjär upptäckte att dopamin är en signalsubstans i hjärnan, och lanserade hypotesen om att substansen dopa kan lindra Parkinsons sjukdom – vilket ledde till det läkemedel som lindrat tiotals miljoner människors lidande och än idag är förstahandsbehandling. Han skapade även det första SSRI-läkemedlet, var avgörande för upptäckten av nya antipsykotiska läkemedel och hade en central roll i att göra Astra till ett av världens största läkemedelsbolag.I den första delen av dokumentären får ni följa Arvid Carlssons tidiga karriär och hur hans banbrytande upptäckt att dopamin är en signalsubstans förändrade förståelsen av hjärnans funktion. Avsnittet skildrar hans väg från Lund till Bernard Brodies laboratorium i Bethesda i USA, samarbetet med Nils-Åke Hillarp och de insikter som ledde till dagens behandling av Parkinsons sjukdom, trots motstånd från den tidens främsta vetenskapliga auktoriteter.I serien medverkar fyra av Arvids närmaste kollegor och vänner – professor Elias Eriksson, vetenskapsjournalisten och författaren Karin Bojs, professor emeritus Kjell Fuxe och professor Göran Engberg.Extramaterial och alla källor finns på: http://patreon.com/sinnessjuktI Know I'm Nothing – a dark and deeply melancholic piano piece with fragile string textures by Biiansu is licensed under the Zapsplat Standard License. Edits were made. Hosted on Acast. See acast.com/privacy for more information.
Today, I want to walk you through what SSRI's are, how they work, what the science says and how functional nutrition looks at it.
Roughly 1 in 10 Americans take antidepressants. The most common type is SSRIs, or selective serotonin re-uptake inhibitors, like Prozac, Lexapro, and Zoloft. But what happens when you stop taking them? Studies don't point to a single conclusion, and there's ongoing debate among physicians and patients about the severity and significance of SSRI withdrawal symptoms. The discourse reached a fever pitch when Health Secretary Robert F. Kennedy Jr. compared SSRI withdrawal to heroin withdrawal in January.Host Flora Lichtman digs into the data on SSRI withdrawal with psychiatrists Awais Aftab and Mark Horowitz.Guests: Dr. Awais Aftab is a clinical associate professor of psychiatry at Case Western Reserve University.Dr. Mark Horowitz is a clinical research fellow in the UK's National Health Service and scientific co-founder of Outro Health.Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.
⚠️ WARNING: This episode will challenge everything you think you know about health. “Obesity kills more people worldwide every year than car crashes, terrorism, Alzheimer's, Parkinson's, and malnutrition combined.” In this eye-opening episode of Start Today, I bring you Dr. Saman Soleymani—a no-BS physician and entrepreneur running over a dozen practices—who exposes how Big Pharma and Big Food profit from disease while ignoring the #1 factor that could save your life: nutrition. From the obesity epidemic to GLP-1 drugs, testosterone, antidepressants, and birth control, Dr. Soleymani rips the lid off the lies that are killing people every single day. We uncover why waist size is the ultimate death predictor, how visceral fat destroys men's hormones, why SSRIs don't cure depression, the promising science of psilocybin, and the dangerous side effects of hormonal birth control that no one talks about. No fluff. No sugarcoating. Just the truth you need if you want to take back control of your body, your health, and your future.
Today at 3:15pm ET on The Jeff Dornik Show, I go live with Dr. Josef Witt‑Doerring, a board-certified psychiatrist and former FDA medical officer who's blowing the whistle on SSRIs. He's seen the inside of Big Pharma's psychiatric racket and is exposing how these so-called “antidepressants” are causing withdrawal, neurological damage, and long-term dependency—while tech censors silence the truth. What if the biggest mental health crisis isn't depression… but the drugs meant to “treat” it?Traditional healthcare is a government-backed scam to keep you broke and controlled. ShareRight is a healthshare built on freedom, transparency, and biblical values—no mandates, no woke coverage, just real people helping real people. Get your FREE quote and see how much you can save: https://jeffdornik.com/healthCatch The Jeff Dornik Show live every weekday at 1pm ET only on Rumble and Pickax, where free speech still reigns. https://rumble.com/c/jeffdornikSubscribe to my Pickax account today and get my hard-hitting, uncensored email newsletter delivered straight to your inbox.https://pickax.com/jeffdornikBig Tech is silencing truth while farming your data to feed the machine. That's why I built Pickax… a free speech platform that puts power back in your hands and your voice beyond their reach. Sign up today:https://pickax.com/?referralCode=y7wxvwq&refSource=copy
Dopamine. Serotonin. Endorphins. We have all heard these terms. And they shape our lives in many ways. From wine and coffee to opioids and party drugs, almost all of us use some chemicals to manipulate our lived experience. Brain chemistry shapes our self-image, too: few are those who have never wondered if their brain chemicals are "just off balance". So how accurate are the popular theories about these mythic molecules? To guide us through the topic, I'm joined by Judy Grisel—an ex-addict and a world-leading neuroscientist of addiction. We will discuss all the main elements of brain chemistry by using drugs and addictions as a window into the chemicals that flavour all of our lives. Towards the end, we also search for ways to better help those who struggle with addiction. As always, we finish with my guest's reflection on humanity.
He was taking Paxil, an SSRI, which made him psychotic, and he killed his son. The Canadian court judged him temporarily insane. After years locked up, he was released, and his guilt is unimaginable.Support the show
People ask me all the time, “Does Botox work for vestibular migraine?” Another common question people ask is, “Is it going to get rid of my dizziness?” That question is missing the point. When you're treating vestibular migraine, you're not treating the dizziness. Does Botox work for VM? Yes, but not because you're treating the dizziness. In this episode, you'll hear me synthesize a study that dove into the impact of Botox on vestibular migraine—how it works, who it works for, and some important things to know if you'd like to explore this treatment for yourself. In this episode, we'll dig into: What is Botox for and not to be used for How Botox treats vestibular migraine Where the Botox injections happen for vestibular migraine If insurance covers Botox for vestibular migraine How many Botox treatments it takes to see any change Important note if you have EDS and VM and are interested in Botox If you think Botox is just freezing the muscles and therefore vestibular migraine goes away—no. As you heard in the episode, there are way deeper things going on. Resources referenced in this episode are linked below, so you can review them on your own and share them with your doctor. Related Episodes: Guide to CGRP Medications for VM Links/Resources Mentioned: Vestibular Group Fit (code GROUNDED at checkout!) https://pmc.ncbi.nlm.nih.gov/articles/PMC10751376/ https://pmc.ncbi.nlm.nih.gov/articles/PMC9358216/#abstract1 Blog: Vestibular Migraine: Popular Symptoms and Treatment Blog: Best 5 Tips for Managing Vestibular Migraine More Links/Resources: The 4 Steps to Managing Vestibular Migraine The PPPD Management Masterclass What your Partner Should Know About Living with Dizziness The FREE Mini VGFit Workout The FREE POTS - safe Workouts Vestibular Group Fit (code GROUNDED at checkout for 15% off your first subscription cycle!) Connect with Dr. Madison: @TheVertigoDoctor @TheOakMethod @VestibularGroupFit Connect with Dr. Jenna @dizzy.rehab.therapist Work with Dr. Madison 1:1, Vestibular Rehabilitation Therapy Vestibular Group Fit Small Group Coaching (offered throughout the year, sign up for our email list to learn when!) Why The Oak Method? Learn about it here! Love what you heard? Reviews really help us out! Please consider leaving one for us. This podcast is for informational purposes only and may not be the best fit for you and your personal situation. It shall not be construed as medical advice. The information and education provided here is not intended or implied to supplement or replace professional medical treatment, advice, and/or diagnosis. Always check with your own physician or medical professional before trying or implementing any information read here. ————————————— botox for vestibular migraine, BPPV, PPPD, Vestibular migraine, VM, constant vestibular migraine, how to treat vestibular migraine, vestibular migraine symptoms, SSRI, will insurance cover Botox for vestibular migraine, is Botox covered by insurance, Botox foundation, vertigo attacks, episodic migraine, CGRP levels, EDS, neck strength protocol, deep cervical neck flexors
About this episode: The FDA has long convened scientifically rigorous advisory committees to review data and offer recommendations for regulating a range of food and drug products. However, it has recently pulled back and leaned heavily into ad-hoc “expert panels” that are not held to the same standards. In this episode: Caleb Alexander, an epidemiologist and drug safety expert who has served on over a dozen FDA advisory committees, raises concerns about the lack of transparency and accountability in these new panels and suggests that their lax standards might undermine the agency's credibility. Guest: Dr. G. Caleb Alexander, MS, is a practicing internist and drug safety expert at the Johns Hopkins Bloomberg School of Public Health. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: The FDA's pivot from ad comms to ‘expert' panels is bad medicine—STAT An FDA panel spread misinformation about SSRI use in pregnancy, alarming doctors—NPR Learn About FDA Advisory Committees—FDA Transcript Information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @JohnsHopkinsSPH on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
In This Episode Erin and Weer'd discuss: Maine families suing the US Army for not stopping the Lewiston Shooter; New York being ordered to pay $800K for the house of worship gun ban; the DOJ asking to speak against Assault Weapon Bans in the Illinois court challenge. Rather then Weer'd or Erin, Lara Smith of the Liberal Gun Club discusses the problems with the proposed trans gun ban; and Sean Sorrentino and Robb Allen talk about SSRI medication, the stigma against it, and why not everyone who takes SSRIs is dangerous. Did you know that we have a Patreon? Join now for the low, low cost of $4/month (that's $1/podcast) and you'll get to listen to our podcast on Friday instead of Mondays, as well as patron-only content like mag dump episodes, our hilarious blooper reels and film tracks. Show Notes Main Topic Lewiston shooting survivors, victims' families file lawsuit against US Army New York Ordered to Pay $800K After Church Challenges Ban on Firearms in Houses of Worship Following its amicus brief in support of us, the federal government has asked the Seventh Circuit for approval to participate in oral arguments in our lawsuit challenging Illinois' "assault weapon" and magazine bans Lara Smith Trump DOJ Weighs Ban on Trans People Owning Guns EXCLUSIVE: Full Transcript: Daily Caller Interviews President Donald Trump Canaries in the Gun Rights Coal Mine Liberal Gun Club Sean and Robb Robb Allen Twitter Moth, Rust, and Thieves on Spotify
(0:00) Introducing Mark Cuban, sadness over Luka Doncic (2:38) America's broken healthcare system (15:16) State of the two-party system (19:24) Introducing Tucker Carlson (20:01) The fine line between listening and pandering, is Mamdani the Trump of the Left? (24:27) How to make Americans believe in America again (34:12) AI job displacement (39:29) Lightning round with Tucker: Epstein, Putin, why the West is killing itself, the SSRI epidemic, Iryna Zarutska murder (52:54) Antisemitism and Israel Thanks to our partners for making this happen! Solana: https://solana.com/ OKX: https://www.okx.com/ Google Cloud: https://cloud.google.com/ IREN: https://iren.com/ Oracle: https://www.oracle.com/ Circle: https://www.circle.com/ BVNK: https://www.bvnk.com/ Follow Mark Cuban: https://x.com/mcuban Follow Tucker Carlson: https://x.com/TuckerCarlson Follow the besties: https://x.com/chamath https://x.com/Jason https://x.com/DavidSacks https://x.com/friedberg Follow on X: https://x.com/theallinpod Follow on Instagram: https://www.instagram.com/theallinpod Follow on TikTok: https://www.tiktok.com/@theallinpod Follow on LinkedIn: https://www.linkedin.com/company/allinpod Intro Music Credit: https://rb.gy/tppkzl https://x.com/yung_spielburg Intro Video Credit: https://x.com/TheZachEffect
Unveiling the Truth: Psychiatric Drug Withdrawal and Its Hidden Side EffectsIn this compelling episode of The Kelsi Sheren Perspective, we delve into the intricate relationship between the pharmaceutical industry and mental health with Dr. Josef Witt-Doerring, a leading expert in psychiatric drug side effects and withdrawal. Dr. Josef shares his journey from working within the pharmaceutical industry to advocating for safer psychiatric practices. We explore the challenges of psychiatric drug withdrawal, the ethics of pharmaceutical practices, and the importance of informed decision-making in mental health treatment. Join us for an eye-opening discussion that challenges the status quo and offers hope for those seeking alternative paths to mental wellness.https://taperclinic.com/dr-josef-witt-doerring/Substack: https://substack.com/@kelsisheren - - - - - - - - - - - -SUPPORT OUR SPONSORS - - - - - - - - - - - -Ketone IQ- 30% off with code KELSI - https://ketone.com/KELSIGood Livin- 20% off with code KELSI - https://www.itsgoodlivin.com/?ref=KELSIBrass & Unity - 20% off with code UNITY - http://brassandunity.com - - - - - - - - - - - - -SHOPB&U Jewelry & Eyewear: https://brassandunity.com - - - - - - - - - - - - -Follow #thekelsisherenperspective- - - - - - - - - - - - -CHARITYHeroic Hearts Project - https://www.heroicheartsproject.orgAll Secure Foundation - http://allsecurefoundation.orgDefenders of Freedom -https://www.defendersoffreedom.usBoot Campaign - https://bootcampaign.org
Origin story from entertainment to podcasting, theosophical influences (Blavatsky, Bailey), Hegel's dialectic/technocracy, propaganda/cybernetic loops, psychedelics, sexual revolution, and staying grounded amid information overload. During our podcast break, enjoy this replay of Courtenay's appearance on The Will Spencer Podcast from May 2025. Key topics: Courtenay's origin story: Awakening in 2020 from entertainment/fitness world to podcasting, spurred by isolation, masking, and research into medical freedom and Tavistock/Frankfurt School influences. Occult theosophical roots: Helena Blavatsky, Alice Bailey, Theosophical Society, and their impact on New Age, education (e.g., social emotional learning), transhumanism, and global governance. Philosophical threads: Hegel's dialectic as a gnostic Jacob's Ladder, accelerationism (Nick Land, Curtis Yarvin), and the technological immanentization of the eschaton/singularity. Societal shifts: Sexual revolution's depopulation agenda, identity politics, psychedelics (e.g., SSRI alternatives, Elon Musk/Peter Thiel's synthetic therapies), and the compassion trap. Media and cognition: Cybernetic feedback loops, algorithmic silos, voyeuristic intellectualism, and the decline of reading/inner monologue, with AI's role in education. Hope and grounding: Exercising free will, planting seeds of truth, and resisting wizard circles through discernment and relationships. Read Courtenay's Article: https://courtenayturner.substack.com/p/hegels-dialectic-a-gnostic-jacobs Follow and Connect with Will Spencer:
Victor Davis Hanson explains why this was not simply a tragedy, but an act of evil, and why the media and political leaders refuse to have an honest discussion about the factors behind it on today's episode of “Victor Davis Hanson: In His Own Words.” “They won't have any discussion over transgenderism. This falls in the broader category of exempt DEI woke topics, but I think we should talk about this. This is the fourth or fifth incident—I don't even like the word "incident"—occurrence of transgendered shooters who are protected by authorities. “We were told, "Be careful about Big Pharma. Be careful about Big Med." All of those worries and prohibitions and cautions were thrown out the window, as were SSRI antidepressants. These were selective serotonin prohibitors. In other words, they altered the chemistry of the brain, supposedly, to correct mental disturbances, depression, bipolarity. But they're very dangerous drugs. But when it came to the exempt topic of transgenderism, suddenly the society was supposed to accept that this was not a mental disorder. It was not a rare occurrence. It was a national crisis where large percentages of the population were transgendering.”
Todays show is sponsored by: Beam Are you tossing and turning at night and running on fumes during the day? If so, then you are missing out on the most important part of your wellness, sleep. If you want to wake up refreshed, inspired and ready to take on the day then you have to try Beam's Dream powder. This best-selling blend of Reishi, Magnesium, L-Theanine, Apigenin and Melatonin will help you fall asleep, stay asleep, and wake up refreshed. So if you're ready for the best night of sleep you ever had just head to https://shopbeam.com/SPICER to receive 40% off your order. Firecracker Farms Everything's better with HOT SALT. Firecracker Farms hot salt is hand crafted on their family farm with Carolina Reaper, Ghost and Trinidad Scorpion peppers. This is a balanced, deep flavor pairs perfect with your favorite foods. Whether it's eggs, steaks, veggies or even your favorite beverage, Firecracker Farms hot salt is what you've been missing. Just head to https://firecracker.farm/ use code word: SEAN for a discount. Unlock the flavor in your food now! President Trump squashed the propagandist media once and for all about him being dead or unhealthy with an epic press conference on the oval office. Jessica Millan Patterson is taking the fight to Gavin Newsom and his gerrymandering effort in California. The California Citizens Redistricting Commission set the Congressional districts in 2021. Redistricting in California is nothing more than a power grab and as the Chair of Stop Prop 50, Jessica is ready to stop Newsom in his tracks. As Virginia schools struggles with transgenders and bathrooms, Ian Prior is here to fill us in on all the legal matters, including cases taken to the Supreme Court. Will we finally get a definitive answer on Title IX? RFK Jr. is tackling SSRIs as another trans-identifiying shooter tragically shot and injured 21 people at Annunciation Catholic school in Minnesota. Two children, Fletcher Merkel and Harper Myoski lost their lives. Penny Nance and Concerned Women for America are calling for the experts to identify how SSRI's and gender-affirming drugs may play a role in these tragic incidents. Featuring: Jessica Millan Patterson Chairwomen | Stop Prop 50 https://stop50.org/ Ian Prior Senior Advisor | America First Legal https://aflegal.org/ Penny Nance CEO | CWA https://concernedwomen.org/ ------------------------------------------------------------- 1️⃣ Subscribe and ring the bell for new videos: https://youtube.com/seanmspicer?sub_confirmation=1 2️⃣ Become a part of The Sean Spicer Show community: https://www.seanspicer.com/ 3️⃣ Listen to the full audio show on all platforms: Apple Podcasts: https://podcasts.apple.com/us/podcast/the-sean-spicer-show/id1701280578 Spotify: https://open.spotify.com/show/32od2cKHBAjhMBd9XntcUd iHeart: https://www.iheart.com/podcast/269-the-sean-spicer-show-120471641/ 4️⃣ Stay in touch with Sean on social media: Facebook: https://facebook.com/seanmspicer Twitter: https://twitter.com/seanspicer Instagram: https://instagram.com/seanmspicer/ 5️⃣ Follow The Sean Spicer Show on social media: Facebook: https://facebook.com/seanspicershow Twitter: https://twitter.com/seanspicershow Instagram: https://instagram.com/seanspicershow Learn more about your ad choices. Visit megaphone.fm/adchoices
Thank you Sabrina 'The Unyielding' Tran, OMS IV, for developing this podcast topic! Thank you Cynthia Sharma, OMS IV, for being a great sidekick!This podcast starts with high yield information about SSRI discontinuation syndrome and Lithium toxicity. The discussion then dives into the nuances of how either a Roux-and-Y or Sleeve Gastrectomy may affect blood levels of various medications. This is a technical discussion that has great information! We enjoyed our discussion and hope you do too!Thank you to the physicians that have blazed the podcast pathway over the last half decade. Thank you to the new students that carry the torch! Thank you to the immortal Jordan Turner for creating the perfect bumper music! Most of all, thank you to everybody that listens in and learns with us.
Hello good human, and welcome to the first episode of The Sunshine Project recorded under the influence (of a Selective Serotonin Reintake Inhibitor). I’ve trotted off to the pharmacy to pick up something that will hopefully help me feel less like I’m being chased by a wild tiger all of the time - fight or flight has really been fight or flighting lately - and so today, I want to talk about what’s been going on, and why I’m giving medication a go. Happy listening xxxSee omnystudio.com/listener for privacy information.
01:02:09 – Shooter's Demonic Diary The Minneapolis church shooter's writings reveal regret over being trans, self-brainwashing, and violent fantasies. Media figures like Jake Tapper tie themselves in knots over pronouns while ignoring the manifesto's satanic themes. 01:10:15 – Stephen King Defends Trans Shooter King dismisses transgender ideology as a factor, blaming guns instead. Hosts argue the real problem is cultural rot, demonic influence, and a clear pattern of trans-linked shootings disproportionately targeting Christians. 01:16:07 – Psaki Mocks Prayer After Massacre Former White House press secretary Jen Psaki derides “thoughts and prayers” after Christian children are gunned down, sparking backlash. The commentary argues school shootings increased precisely because prayer was removed from schools. 01:27:29 – SSRIs and Mass Killings RFK Jr. calls for a probe into antidepressants. Studies and 7,000+ case reports show SSRIs linked to homicidal ideation, murder-suicides, and violent psychosis, especially among trans-identified youth already under institutional grooming pressures. 01:58:23 – Church Security and Great Replacement Closing segment pivots from the massacre to broader concerns: failures of Catholic school security, migrant violence, and reckless foreign truck drivers in Tennessee. Framed as part of the “great replacement” and systemic government negligence. 02:01:50 – Red Flags vs. Black Labels Commentary slams gun control hypocrisy, arguing the real threat isn't lawful gun owners but SSRI drugs causing homicidal ideation. Instead of “red flag” laws, America needs warning “black labels” on dangerous pharmaceuticals. 02:13:00 – Foreign Trucking Crisis An Indian driver, drunk and barreling the wrong way across Memphis in an 18-wheeler, highlights a growing crisis: poorly vetted foreign truckers with California licenses endangering Americans nationwide. The DOT is accused of negligence. 02:21:17 – Illegal Alien Maserati Crash In Nashville, an illegal Honduran with a revoked status and prior convictions drove a Maserati drunk, killing and injuring Americans. Framed as part of the “Great Replacement,” where foreign criminals are protected while citizens suffer. 02:25:12 – Walmart's H-1B Visa Scam Scandal erupts as Walmart fires 1,200 tech contractors amid allegations of a $30,000-per-day kickback scheme tied to H-1B visas. Critics say corporate elites use foreign labor to gut the American middle class. 02:48:20 – Python Wars & Brain Chips Florida deploys $4,000 “robot rabbits” to lure invasive Burmese pythons destroying wildlife, while China advances brain-computer interface programs for totalitarian control. Both framed as government-backed “solutions” that could spiral into bigger dangers. 03:05:33 – India's War on Christianity India passes radical anti-conversion laws allowing life in prison for sharing the Gospel, framed as “freedom of religion” amendments. Critics say Tulsi Gabbard's ties to Modi's party expose the hypocrisy and danger for Christians worldwide. 03:08:00 – Same-Sex Marriage Reconsidered Discussion of Obergefell resurfaces, with Clarence Thomas signaling it rests on the same shaky legal ground as Roe v. Wade. Marriage redefinition is framed as a state power grab that undermines children's rights to their biological parents. 03:16:38 – GOP Support for Gay Marriage Collapses Republican support for same-sex marriage drops sharply since 2021. Panelists call for conservatives to finally “conserve something,” noting Trump and Melania openly celebrated LGBT policies despite presenting themselves as cultural defenders. 03:21:43 – Law Without Moral Foundation Debate over “substantive due process” shows how courts manufactured rights like abortion and gay marriage. The commentary insists law requires a moral foundation, warning against turning children into state-owned commodities. 03:53:18 – Peter Thiel's Tech Bilderberg Peter Thiel launches “Dialogue,” a secretive DC-based club for tech elites, Treasury officials, and politicians (including Tulsi Gabbard & Ted Cruz). Framed as a “Bilderberg 2.0,” critics say it's a transhumanist push to eliminate AI regulation. Follow the show on Kick and watch live every weekday 9:00am EST – 12:00pm EST https://kick.com/davidknightshow Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-david-knight-show--2653468/support.
Imagine the huevos on the criminal illegal alien wife beating human trafficking gang banger Kilmar Garcia for him to ask a judge to slap a gag order on Pam Bondi and Kristi Noem. Wait until you hear why. RFK announces an investigation into SSRI's - "something's changed" in the US that's caused a spike in gun violence. A brilliant supercut of media clips shows how the left walks in lock step when covering trans killings. Good News takes us to upstate New York when a woman watching a livestream becomes an unusual first responder.
01:02:09 – Shooter's Demonic Diary The Minneapolis church shooter's writings reveal regret over being trans, self-brainwashing, and violent fantasies. Media figures like Jake Tapper tie themselves in knots over pronouns while ignoring the manifesto's satanic themes. 01:10:15 – Stephen King Defends Trans Shooter King dismisses transgender ideology as a factor, blaming guns instead. Hosts argue the real problem is cultural rot, demonic influence, and a clear pattern of trans-linked shootings disproportionately targeting Christians. 01:16:07 – Psaki Mocks Prayer After Massacre Former White House press secretary Jen Psaki derides “thoughts and prayers” after Christian children are gunned down, sparking backlash. The commentary argues school shootings increased precisely because prayer was removed from schools. 01:27:29 – SSRIs and Mass Killings RFK Jr. calls for a probe into antidepressants. Studies and 7,000+ case reports show SSRIs linked to homicidal ideation, murder-suicides, and violent psychosis, especially among trans-identified youth already under institutional grooming pressures. 01:58:23 – Church Security and Great Replacement Closing segment pivots from the massacre to broader concerns: failures of Catholic school security, migrant violence, and reckless foreign truck drivers in Tennessee. Framed as part of the “great replacement” and systemic government negligence. 02:01:50 – Red Flags vs. Black Labels Commentary slams gun control hypocrisy, arguing the real threat isn't lawful gun owners but SSRI drugs causing homicidal ideation. Instead of “red flag” laws, America needs warning “black labels” on dangerous pharmaceuticals. 02:13:00 – Foreign Trucking Crisis An Indian driver, drunk and barreling the wrong way across Memphis in an 18-wheeler, highlights a growing crisis: poorly vetted foreign truckers with California licenses endangering Americans nationwide. The DOT is accused of negligence. 02:21:17 – Illegal Alien Maserati Crash In Nashville, an illegal Honduran with a revoked status and prior convictions drove a Maserati drunk, killing and injuring Americans. Framed as part of the “Great Replacement,” where foreign criminals are protected while citizens suffer. 02:25:12 – Walmart's H-1B Visa Scam Scandal erupts as Walmart fires 1,200 tech contractors amid allegations of a $30,000-per-day kickback scheme tied to H-1B visas. Critics say corporate elites use foreign labor to gut the American middle class. 02:48:20 – Python Wars & Brain Chips Florida deploys $4,000 “robot rabbits” to lure invasive Burmese pythons destroying wildlife, while China advances brain-computer interface programs for totalitarian control. Both framed as government-backed “solutions” that could spiral into bigger dangers. 03:05:33 – India's War on Christianity India passes radical anti-conversion laws allowing life in prison for sharing the Gospel, framed as “freedom of religion” amendments. Critics say Tulsi Gabbard's ties to Modi's party expose the hypocrisy and danger for Christians worldwide. 03:08:00 – Same-Sex Marriage Reconsidered Discussion of Obergefell resurfaces, with Clarence Thomas signaling it rests on the same shaky legal ground as Roe v. Wade. Marriage redefinition is framed as a state power grab that undermines children's rights to their biological parents. 03:16:38 – GOP Support for Gay Marriage Collapses Republican support for same-sex marriage drops sharply since 2021. Panelists call for conservatives to finally “conserve something,” noting Trump and Melania openly celebrated LGBT policies despite presenting themselves as cultural defenders. 03:21:43 – Law Without Moral Foundation Debate over “substantive due process” shows how courts manufactured rights like abortion and gay marriage. The commentary insists law requires a moral foundation, warning against turning children into state-owned commodities. 03:53:18 – Peter Thiel's Tech Bilderberg Peter Thiel launches “Dialogue,” a secretive DC-based club for tech elites, Treasury officials, and politicians (including Tulsi Gabbard & Ted Cruz). Framed as a “Bilderberg 2.0,” critics say it's a transhumanist push to eliminate AI regulation. Follow the show on Kick and watch live every weekday 9:00am EST – 12:00pm EST https://kick.com/davidknightshow Money should have intrinsic value AND transactional privacy: Go to https://davidknight.gold/ for great deals on physical gold/silverFor 10% off Gerald Celente's prescient Trends Journal, go to https://trendsjournal.com/ and enter the code KNIGHTFind out more about the show and where you can watch it at TheDavidKnightShow.com If you would like to support the show and our family please consider subscribing monthly here: SubscribeStar https://www.subscribestar.com/the-david-knight-showOr you can send a donation throughMail: David Knight POB 994 Kodak, TN 37764Zelle: @DavidKnightShow@protonmail.comCash App at: $davidknightshowBTC to: bc1qkuec29hkuye4xse9unh7nptvu3y9qmv24vanh7Become a supporter of this podcast: https://www.spreaker.com/podcast/the-real-david-knight-show--5282736/support.
table {mso-displayed-decimal-separator:"."; mso-displayed-thousand-separator:",";} tr {mso-height-source:auto;} col {mso-width-source:auto;} td {padding-top:1px; padding-right:1px; padding-left:1px; mso-ignore:padding; color:black; font-size:11.0pt; font-weight:400; font-style:normal; text-decoration:none; font-family:"Aptos Narrow", sans-serif; mso-font-charset:0; text-align:general; vertical-align:bottom; border:none; white-space:nowrap; mso-rotate:0;} .xl38 {color:#131313; font-family:Roboto; mso-generic-font-family:auto; mso-font-charset:0; white-space:normal;} On RISING today, RFK Jr. confirms investigation into potential SSRI link to violence after MN mass shooting. Trump floats 2026 midterm convention; Dems mull over the same. Trump yanks Secret Service protection for Harris after Biden extended it. Trump admin. to limit foreign student visa duration in crackdown on abuse. Judge orders Alligator Alcatraz to close; Homan slams 'radical decision.' Trump signs executive order mandating classical architecture style as DC default. Adam Friedland confronts Ritchie Torres over Israel support. Newsom: World leaders 'laughing' at Trump, warns of Trump staying in power beyond 2028. All this, and more. #Rising Learn more about your ad choices. Visit megaphone.fm/adchoices
Are Guns or SSRI drugs responsible for mass shootings? The mentality of Gun Control people, More evidence the media sucks, Trump is loved for the same reasons he's hated, Larry Elder, Gavin Newsome and why extremists suck.
RFK Jr. is now researching the effects of SSRI drugs and harm it can potentially cause psychologically. See omnystudio.com/listener for privacy information.
Here's your Daily dose of Human Events with @JackPosobiecThe only thing worse than getting hacked is knowing you could have stopped it and didn't take action when you could have. So go to https://www.PATRIOT-PROTECT.COM/POSO and use promo code Poso for 15% off a yearly subscription.Support the show
Today we cover more of John Coleman's forgotten predictive text from the 90s as well as films that accidentally predicted where we are in culture, and more secrets of Klaus and the popes. https://www.eventbrite.com/e/athens-jerusalem-orthodox-art-philosophy-life-tickets-1598008298839?aff=oddtdtcreator Send Superchats at any time here: https://streamlabs.com/jaydyer/tip Join this channel to get access to perks: https://www.youtube.com/channel/UCnt7Iy8GlmdPwy_Tzyx93bA/join PRE-Order New Book Available in Sept here: https://jaysanalysis.com/product/esoteric-hollywood-3-sex-cults-apocalypse-in-films/ Get started with Bitcoin here: https://www.swanbitcoin.com/jaydyer/ The New Philosophy Course is here: https://marketplace.autonomyagora.com/philosophy101 Set up recurring Choq subscription with the discount code JAY44LIFE for 44% off now https://choq.com Lore coffee is here: https://www.patristicfaith.com/coffee/ Subscribe to my site here: https://jaysanalysis.com/membership-account/membership-levels/ Follow me on R0kfin here: https://rokfin.com/jaydyer Music by Amid the Ruins 1453 https://www.youtube.com/@amidtheruinsOVERHAUL Join this channel to get access to perks: https://www.youtube.com/channel/UCnt7Iy8GlmdPwy_Tzyx93bA/join Join this channel to get access to perks: https://www.youtube.com/channel/UCnt7Iy8GlmdPwy_Tzyx93bA/join #comedy #religion #podacstBecome a supporter of this podcast: https://www.spreaker.com/podcast/jay-sanalysis--1423846/support.
Dr. Chris Masterjohn is the host of the Mastering Nutrition Podcast and founder of Mitome, where he helps people optimize their mitochondrial health through advanced analysis. He received his PhD in Nutritional Sciences from the University of Connecticut, completed his postdoctoral research at the University of Illinois, and served as Assistant Professor at Brooklyn College before choosing to work independently - free from institutional constraints - in science research and education. His groundbreaking SSRI series on his substack hasn't just exposed the truth about these drugs. It's revealed that we've been looking at them completely wrong. Dr. McFillin and Dr. Masterjohn expose how these drugs act as mitochondrial toxins, disrupt cellular energy, and deplete serotonin. They also explore the consequences no one talks about: from prenatal exposure to why so many patients say they feel “dead inside.”Chris Masterjohn, PhD Website Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here
Mark and Melynda discuss Former President Obama's criticisms of President Trump deploying the National Guard domestically, a Woodlands hospital worker hiding cameras, and RFK Jr. looking into SSRI's as a possible cause of violence in young people.See omnystudio.com/listener for privacy information.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
Vilazodone (brand name Viibryd) is an antidepressant with a unique pharmacologic profile compared to most other agents in the SSRI class. While not a first-line choice for every patient, understanding its mechanism, adverse effects, and interaction profile is essential for optimizing therapy and preventing downstream prescribing problems. Mechanism of ActionVilazodone is classified as a selective serotonin reuptake inhibitor (SSRI) and a partial agonist at the 5-HT1A receptor. The SSRI activity increases synaptic serotonin by blocking the serotonin transporter, while partial agonism at 5-HT1A receptors may contribute to antidepressant effects and potentially reduce certain SSRI-associated adverse effects (though clinical evidence for this benefit is mixed). Adverse Effects GI effects – diarrhea, nausea, and vomiting are frequent early in therapy. Taking the medication with food can help minimize these. Insomnia – often dose-related; morning dosing may help. Sexual dysfunction – may be slightly lower than with some SSRIs but still present. Serotonin syndrome – rare but serious, particularly if combined with other serotonergic drugs. Discontinuation syndrome – abrupt cessation can lead to dizziness, irritability, and flu-like symptoms. Drug InteractionsVilazodone is primarily metabolized by CYP3A4. This means: CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir) can increase vilazodone concentrations, potentially worsening side effects—dose reductions may be required. CYP3A4 inducers (e.g., carbamazepine, rifampin, St. John's Wort) can lower drug levels, reducing effectiveness. Other serotonergic agents (e.g., triptans, SNRIs, MAOIs, tramadol, linezolid) increase the risk of serotonin syndrome. Antiplatelets and anticoagulants – SSRIs can impair platelet aggregation, increasing bleeding risk when combined with aspirin, NSAIDs, or warfarin. Prescribing Cascade ExamplesVilazodone's adverse effects can easily lead to unnecessary prescriptions if side effects aren't recognized: GI upset → Acid suppression therapy – Diarrhea or nausea prompts the addition of proton pump inhibitors or antiemetics, instead of adjusting vilazodone dose or timing. Insomnia → Hypnotic initiation – Trouble sleeping results in adding zolpidem or trazodone, without reassessing morning dosing or vilazodone's role. Sexual dysfunction → PDE5 inhibitor prescription – Erectile dysfunction leads to sildenafil use, when the root cause is vilazodone's serotonergic activity. Vilazodone's combination of SSRI and 5-HT1A partial agonist activity makes it somewhat distinct, but its side effect profile and interactions require the same careful monitoring as other antidepressants. Healthcare professionals can play a key role in catching early signs of adverse effects, preventing prescribing cascades, and ensuring drug–drug interactions are managed appropriately.
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Parkinson disease is a neurodegenerative movement disorder that is increasing in prevalence as the population ages. The symptoms and rate of progression are clinically heterogenous, and medical management is focused on the individual needs of the patient. In this episode, Kait Nevel MD, speaks with Ashley Rawls, MD, MS, author of the article “Parkinson Disease” in the Continuum® August 2025 Movement Disorders issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Rawls is an assistant professor at the University of Florida Health, Department of Neurology at the Norman Fixel Institute for Neurological Diseases in Gainesville, Florida Additional Resources Read the article: Parkinson Disease Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @DrRawlsMoveMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Nevel: Hello, this is Dr Kait Nevel. Today I'm interviewing Dr Ashley Rawls about her article on Parkinson disease, which appears in the August 2025 Continuum issue on movement disorders. Ashley, welcome to the podcast, and please introduce yourself to the audience. Dr Rawls: Thank you, Kait. Hello everyone, my name is Dr Ashley Rawls. I am a movement disorder specialist at the University of Florida Fixel Institute for Neurologic Diseases in Gainesville, Florida. It's a pleasure to be here. Dr Nevel: Awesome. To start us off talking about your article, can you share what you think is the most important takeaway for the practicing neurologist? Dr Rawls: Yes. I would say that my most important takeaway for this article is that Parkinson disease remains a clinical diagnosis. I think the field has really been advancing and trying to find a biomarker to help with diagnosis through ancillary testing. For example, with the dopamine transporter, the DAT scan, an alpha-synuclein skin biopsy, an alpha-synuclein amplification assay that can happen in blood and CSF. However, I think it's so critical to make sure that you have a very strong history and a very thorough physical exam and use those biomarkers or other testing to help with, kind of, bolstering your thoughts on what's going on with the patient. Dr Nevel: Great. And I can't wait to talk a little bit more about the ancillary testing and how you use that. Before we get to that, can you review with us some of the components of the clinical diagnosis of Parkinson disease? Dr Rawls: Yes. So, when I think about a person that comes in that might have a neurodegenerative disease, I think about two different features, mainly: both motor and Manon motor. So, for my motor features, I'm thinking about resting tremor, bradykinesia---which is fullness of movement with decrement over time---rigidity, and then a specific gait disturbance, a Parkinsonian gait, involving stooped posture, decreased arm swing. They can also have reemergent tremor while walking if they do have tremor as part of their disease process, and also in-block turning as they are walking down the hallway. So, those are my motor features that I look for. So now, when we're talking about a specific diagnosis of Parkinson disease, the one motor feature that you need to have is bradykinesia. The reason why I make sure to speak about bradykinesia, which is slowness of movement with decrement over time, is because people can still have Parkinson disease without having tremor, a resting tremor. So even though that's one of the core cardinal features that most of us will be able to notice very readily, you don't have to necessarily have a resting tremor to be diagnosed with Parkinson' disease. When I talk about nonmotor features, those are going to be the three, particularly the prodromal features that can occur even ten years before people have motor features, can be very prominent early on in the disease process. For example, hyposmia or anosmia for decrease or lack of sense of smell. Another one that we really look for is going to be RBD, or rapid eye movement behavior disorder; or REM behavior disorder, the person acting out their dreams, calling out, flailing their limbs, hitting their bed partner. And then the other one is going to be severe constipation. So those three prodromal nonmotor symptoms of hyposmia/anosmia, RBD or REM behavior disorder, and severe constipation can also make me concerned as a red flag that there is a sort of neurodegenerative issue like a Parkinson disease that may be going on with the patient. Dr Nevel: Great, thank you so much for that overview. While we're talking about the diagnosis, do you mind kind of going back to what you mentioned in the beginning and talking about the ancillary tests that sometimes are used to kind of help, again, bolster that diagnosis of Parkinson disease? You know, like the DAT or the alpha-synuclein skin biopsy. When should we be using those? Should we be getting these on everyone? And what scenarios should we really consider doing one of those tests? Dr Rawls: The scenario in which I would order one of the ancillary testing, particularly like a DAT scan or a skin biopsy, looking for alpha-synuclein is going to be when there are potential red flags or a little bit of confusion in regard to the history and physical that I need to have a little bit more clarification on. For example, if I have a patient that has a history of using dopamine blocking agents, for example, for severe depression; or they have a history of cancer diagnosis and they've been on a dopamine agent like metoclopramide; those I want to be mindful because if they're coming in to see me and they're having the symptoms of Parkinsonism---which is going to be resting tremor, bradykinesia rigidity, or gait disturbance---I need to try to figure out is it potentially due to a medication effect, particularly if they're still on the dopamine blockade medication, or is it something where they're actually having a neurodegenerative illness underneath it, like a Parkinson disease? The other situation that would make me order a DAT skin or a skin biopsy is going to be someone who is coming in that maybe has elements of essential tremor, they have more of a postural or an intention tremor that's very flapping and larger amplitude, and maybe have some mild symptoms and Parkinsonism that might be difficult to distinguish between other musculoskeletal things like arthritis, other imbalance issues from, you know, hip problems or knee problems and what have you. Then I might say, okay, let's see if there is some sort of neurodegeneration underneath this; that may be- that there could be, you know, potentially two elements like a central tremor and Parkinson disease going on. Or is this someone who actually really has Parkinson disease, but there's other factors that are kind of playing into that. Dr Nevel: Great, thank you for that. Gosh, things have really changed over the past fifteen years or so where we have this ancillary testing that we're able to use more, because what you read in the textbook isn't always what you see in clinic. And as you described, there are patients who… it's not as clear cut, and these tests can be helpful. Could you tell us more about the levodopa challenge test? How is this useful in clinical practice? And what are some key points that we should know about when utilizing this strategy for patients who we think have Parkinson disease? Dr Rawls: So, before we had all this ancillary testing with the DAT scan, the skin biopsy, the alpha-synuclein amplification assay, many times if you had a suspicion that a person that had Parkinson disease, but you weren't entirely sure, you would say, hey, listen, let us give you back the dopamine that your body may be missing and see if you have an improvement, in particular in your motor symptom. So, when I talk with my patients, I say, listen, I might have a strong suspicion that you have Parkinson disease. Doing a levodopa trial can not only be diagnostic, but also can be therapeutic as well. So, with this levodopa trial, what I end up doing is saying, okay, we're going to start the medication at a low dose because we are looking to see if you have improvement in three of the main cardinal motor symptoms. Obviously, tremor is much easier for us to see if it gets better. It's very obvious on exam, and the patients are more readily able to see it. Whereas stiffness and slowness is much harder to quantify and try to figure out. Am I stiff and slow because of potential muscle tightness from Parkinson disease, or is it something that's more of a musculoskeletal issue? So, I will tell persons, okay, we're looking for improvement in these three cardinal motor symptoms, and things that we're looking for is getting into and out of a car, into and out of a chair, turning over in bed, seeing how do we navigate ourselves in our daily lives? I give people the example of going through the grocery store, going through a busy airport. Are we able to move better and respond better to different changes in our environment which can give us a better clue of if our stiffness and slowness in particular are being improved with the medication? The other part of this is talking about potential side effects of the carbidopa- of the levodopa in particular. One big thing that I think limits people initially is going to be the nausea, vomiting, potential GI upset when starting this medication initially. So, oftentimes I will find people coming in, oh, you know, my outside doctor started me immediately on one tab of carbidopa/levodopa three times per day. I got nauseous, I threw up, and I never took the medication again. So often times I will start low and go slow because once someone throws up my medication, they are not going to want to take it again---with good reason. So, often times I will ask the patient, hey listen, are you very sensitive to medications? If you are very sensitive, we might start one tablet per day for a week, one tablet twice a day, and then go up until we get to two tablets three times a day if we're talking about carbidopa/levodopa. If someone is not as sensitive then I might go up a little bit quicker. What do we mean when we talk about 600 milligrams per day? So usually, the amount that I use is carbidopa/levodopa, 25/100; so, 100 milligrams being the levodopa portion. Many people just start off at 1 tab 3 times a day, which gives you 300 milligrams of levodopa, and they say, oh, it didn't work, I must not have Parkinson or something else. Well, it just may have been that we did not give an adequate trial and adequate dose to the person. Now if they're not able to tolerate the medication because of the side effects, that's something different. But if they don't have side effects and don't notice a difference, there is room to increase the carbidopa/levodopa or the levodopa replacement that you are using so that you can give it, you know, a very good try to see, is it actually improving resting tremor, bradykinesia and rigidity? Dr Nevel: Yeah, great. Thanks for that. When you diagnose a patient with Parkinson disease, how do you counsel that patient? How do you break that difficult news? And how do you counsel them on what to expect in the future and goals of treatment? I know that's a lot in that question, but it also is a lot that you do in one visit, oftentimes, or at least introduce these kind of concepts to patients in a single visit. Dr Rawls: One thing that I think is helpful for me is trying to understand where the patients and their families are when they come in. Because some of the patients come in and have no prior inkling that they may have a neurodegenerative illness like Parkinson disease. Some of my patients come in and say, I'm here for a second opinion for Parkinson disease. So, then I have an idea of where we are in regard to potential understanding of how to start the conversation going forward. If it is someone who is coming in and has not heard about Parkinson disease, or their family has not been made aware that that's the one reason why they're coming to see a movement disorder specialist, then I will start at the beginning After we finish our history, do a very thorough physical exam, I will talk about things that I heard in the history and that I see on the physical exam that make me concerned for a disease like Parkinson disease. I make sure to tell them where I'm getting my criteria from and not just start off, I think you have Parkinson, here's your medication. I think that's very jarring when you're talking with patients and their families, particularly if they had no idea that this could be a potential diagnosis on the table. Like I said, I will start off with recounting, this is what I've heard in your history that makes me concerned. This is what I've seen on your physical exam that makes me concerned. And I think you have Parkinson disease and here is why. And I'll tell them about the tenants like we discussed about Parkinson disease, both the motor and nonmotor symptoms that we see. So that's kind of the first part is, I make sure to lay it out and then open the room up for some questions and clarification. The other portion of this is that, when I'm talking about counseling the patient, I say, we do not expect Parkinson disease to decrease your lifespan. However, over time, our persons, because it is a neurodegenerative illnesses will accumulate deficits over time. So, more stiffness, more slowness, more walking problems. They may, if they have tremor, the tremor may become worse. If they don't have tremor, they might develop tremor in the future. If we're talking about the nonmotor symptoms that we talk about, the main ones are going to be issues with urinary problems, issues with bowels, and then the other thing is going to be neuropsychiatric issues like anxiety and depression. And those things become more prominent, usually, the nonmotor symptoms later on in the disease process, and then also cognitive impairment as well. I really want to make sure that they have the information that I'm seeing, and if there's anything that they want to correct on their end, as in they're saying, oh wait, well, actually I noticed something else, then that's usually when that comes out around kind of the wrapping-up portion of the visit. So, I think that's really important to, one, be very clear in what I am seeing and if there's red flags, and then tell them, okay this is not going to shorten your lifespan. However, over time, we do have other issues and problems that will arise and we can support you as best as we can through that. The one thing I also been very open with people about is- because our patients will say, is there anything I can do? What can be done? Is there any medication to slow down or stop things? And I let people know that unfortunately, right now there's not an intervention that slows down, stops, or reverses disease progression, with the exception of exercise. Consistent exercise has been found to help to slow down disease progression, okay? And also, it can help to release the dopamine already being made innately in the brain. And also, it can help with our cardiovascular health in the big thing: being balanced. Core strength, quadricep strength. So that's also something that people can work on that they should. And I let people know that exercise is as important as the medications themselves. Dr Nevel: Absolutely. And it's incredible how much they incorporate exercise into their daily lives and get active, people who weren't active before their diagnosis, and how much that can help. One question that I think patients sometimes ask is, when they understand how carbidopa/levodopa works and what the expectations are for that medication, that it's not a disease-modifying medication, but that it can help with their symptoms. And then they kind of hear, well as time goes on, they need higher doses or, you know, it doesn't control their motor symptoms as well. They'll say, okay well, is it better to wait then? Should I wait to start carbidopa/levodopa? Like in my mind, I'm only maybe going to get X amount of time from carbidopa/levodopa. So, I'd rather wait to start it than start it now. What do you say to them and how do you counsel them through that? Dr Rawls: So that is a common question that I do get with my patients. So, I tell people, I'm here for you. And it really depends on how you feel at this time. Because you have to weigh the risks and benefits of the medication itself. If someone who's very, very mild decides to take the medication, they feel nauseous, they're just going to say, hey, listen, it's not for me right now. I don't feel like I need it, and then stop, which is with definitely within their right. But what I always counsel patients as well is to say, the dopamine-producing neurons in the substantia nigra are starting to die over time. That is why we are getting the signs and symptoms of Parkinson disease. At some point, your brain is not going to produce enough dopamine that is needed for you to move when you want to move and not move when you don't want to move. Okay? Giving you at least the motor symptoms of Parkinson disease. With this, it's not that the medication stops working, it's just that you need more dopamine to help replace the dopamine that's being lost. However, the dopamine that you are taking or levodopa that you're taking orally is not going to be released as consistently as it is in your brain on demand and shut off when you don't need it. Hence the reason we get more motor fluctuations. Also, potential side effects in the medication like orthostatic hypertension, hallucinations, impulse control disorders. Because you're having to take more escalating doses, those side effects can become more prominent and also lead us to have to balance between the side effects and the medication itself. So, it's not that the medication does not work, your body needs more of it. Some people will say, oh, well, I want to wait, and I say, that's completely fine. However, my cutoff is basically saying, if you are finding that you, as the person who's afflicted is not able to get up in the morning like you want to, you're avoiding going to walk your dog or working in your garden, you know, because you feel stiff and feel slow; you're avoiding, you know, going out to the community, having lunch with your friends or your family because you're embarrassed by your tremor; this is something that is keeping you from living your life. And that's the time that we need to strongly consider starting the medications. So, a person afflicted will accumulate deficits. However, it's how much the deficits are going to affect you. So, if it's really affecting your life, we have tools and ways to help mitigate that. Dr Nevel: Yeah, absolutely. Are there any aspects of Parkinson disease management that you feel are maybe underrecognized or perhaps underutilized? In other words, you know, are there things that we the listeners should be maybe more aware of or think about offering or recommending to our patients that you think maybe aren't as much as they could be? Dr Rawls: I will say the nonmotor symptoms---in particular the neuropsychiatric symptoms with the anxiety and depression, usually later on disease process but also can be earlier as well---I think that is going to be something that is recognized but maybe undertreated in a lot of our patient population. I think part of that is also the fluctuations in dopamine that are occurring naturally in the person, but also, our patients, oftentimes with their medication regimen, really have to be on the ball taking the medication. If they're even 15 minutes late, 10 minutes late, 5 minutes late, we're now off, and now we're waiting for it to kick in. And so that can cause a lot of anxiousness even throughout the day. And then knowing that slowly over time that they're going to accumulate these motor and nonmotor deficits can definitely be problematic as well. There is obvious reason for this underlying potential anxiety and depression. And while we do talk about that and bring that up, sometimes patients will say, oh well, I don't think it's a problem right now. I don't have to mess with this. But usually at some point it does become an issue that usually the family members will bring up and saying, hey, you know, my loved one is very anxious. Or I've noticed that they're just really disengaged from what's going on in their lives and they are not talking as much, they're not going out as much. Again, that could be a combination of depression/anxiety, but it also can be a physical- a combination of, I'm not physically able to do these things, or, they're much more difficult for me to initiate doing these activities. I always want to be mindful. If my patients come in and they already have a diagnosis of depression or anxiety and they're already being treated by a mental health counselor, provider, or a psychiatrist, then I will work with providers so that we can try to optimize their medication regimen. The other thing is, well, if this is the first time that they're really being seen by someone and talking about their anxiety and depression, then oftentimes I will have them go back to their primary care and see if maybe an SSRI or SNRI will be helpful to try to help with the neuropsychiatric symptoms they may be experiencing. So that's one big one. Another one that I think that might be a little bit underappreciated is going to be drooling. Sometimes I'll come in and see my patients and notice some drooling that's happening with the mouth being open, not being able to initiate the swallowing reflex consistently throughout the day. Or they may be patting their face a lot with a napkin or a towel and then bringing that up and bringing it to light. Oh yeah. I have a lot of drooling while I'm awake. It's on my shirt. It's embarrassing. I feel like it's a little bit too much for me or my family. We have to put a bib on because I'm just drooling all throughout the day. That can really be uncomfortable and cause skin breakdown. It can also be socially embarrassing. So, there are some tools that I talk to people about with drooling. One thing I start with is going to be using sugar-free gum or candy while the person is awake to help initiate the swallow reflex, and sometimes that's all that's needed. There are other agents that can be used---like glycopyrrolate, sublingual atropine drops, and scopolamine patches---that can help with decreasing saliva production. But there can be side effects of making the entire body feel dry, and then also potential cardiac arrhythmias. If those are not helpful or they're contraindicated with the patient, another thing is going to be botulinum toxin injections. So those can be done on the parotid and salivary glands to decrease the amount of saliva that's being produced. So oftentimes people will come to me, because I'm also a botulinum toxin injector. I've been sent by some of my colleagues to inject our persons that have significant sialorrhea. Dr Nevel: Wonderful. Well, thank you so much for chatting with me today about your article. Again, today I've been interviewing Dr Ashley Rawls about her article on Parkinson disease, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues. And thank you to our listeners for joining today. And thank you, Ashley, for sharing all your knowledge with us today. Dr Rawls: Thank you, Kate, I appreciate your time. And have a great day, everyone. Dr Monteith: This is Dr Teshmae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.
Episode SummaryIn this episode, Georgie Kovacs, founder of Fempower Health, unpacks the recent FDA hearing on SSRI use during pregnancy—an emotionally charged and complex conversation that brought together OB-GYNs, psychiatrists, pharmacologists, and advocates.Drawing on over 25 years in healthcare consulting and six years interviewing global women's health leaders, Georgie offers a balanced, deeply informed analysis of the real conversation that took place—beyond the headlines and controversy.This wasn't just a debate about antidepressants in pregnancy. It was a wider reckoning with how we define mental health, how we treat it, and the pressures facing clinicians and patients in a fragmented system. From risk-benefit tradeoffs and informed consent to how “depression” is diagnosed and operationalized, this episode explores what was said, what was missing, and what we need next.Whether you're a woman seeking clarity or a clinician striving to provide the best care, this episode breaks it all down.Discussion Points What actually happened at the FDA panel on SSRIs and pregnancy?Are SSRIs overprescribed—or unfairly stigmatized—during pregnancy?Is "depression" too broad of a diagnosis?How do mental health diagnoses affect treatment decisions for pregnant women?Why is informed consent inconsistent in SSRI prescribing?What are the long-term risks of untreated maternal depression?Are OB-GYNs expected to manage too much—including mental health?How does limited access to psychiatrists shape treatment options?What does better mental healthcare look like during pregnancy?Should we rethink how we integrate psychotherapy, medication, and lifestyle care?Expert Backgrounds MentionedOB-GYNs treating pregnant patients on SSRIsPsychiatrists both prescribing and deprescribing antidepressantsAcademic researchers investigating serotonin's effects on fetal developmentAdvocacy leaders spotlighting systemic barriers to mental health careResourcesFDA Hearing: https://www.fda.gov/patients/fda-expert-panels/fda-expert-panel-selective-serotonin-reuptake-inhibitors-ssris-and-pregnancy-07212025ACOG Response to FDA Hearing: https://www.acog.org/news/news-releases/2025/07/statement-on-benefit-of-access-to-ssris-during-pregnancySociety for Maternal-Fetal Medicine (SMFM) Statement https://www.smfm.org/news/smfm-statement-on-ssris-and-pregnancyRegulatory Focus Responds: https://www.raps.org/news-and-articles/news-articles/2025/7/fda-panel-debates-label-change-on-ssri-use-duringSTAT News Responds: https://www.statnews.com/2025/07/25/ssri-drugs-fda-review-panel-antidepressants-pregnancy/National Curriculum in Reproductive Psychiatry (NCRP) Responds: https://ncrptraining.org/press-release-ncrp-responds-to-fda-panel-on-ssri-use-in-pregnancy/
SSRI's Strike Again: 4 Dead in New York City After Lone Gunman Storms Blackstone BuildingLive Show Monday-Thursday, 3pm est.SOCIALS: https://linktr.ee/drewberquistNEWS: https://DrewBerquist.comMERCH: https://RedBeachNation.com#DrewBerquist #ThisIsMyShow #TIMSTop 100 Political News Podcast with https://www.millionpodcasts.com/political-news-podcasts/#1 Counterterrorism Podcast on Feedspot: https://podcast.feedspot.com/counter_terrorism_podcasts/Show Notes/Links:Trump signs EO to curb NIL and money in college sportshttps://x.com/premefootball/status/1948479059153092936NY Post headline day after shootinghttps://x.com/nypost/status/1950139161744117811Media described the shooter as white, or light skinnedhttps://x.com/autismcapital/status/1949991013138977120?s=46&t=uaL12_jzouHgBP9nzey-rghttps://x.com/ericldaugh/status/1949990259191697897?s=46&t=uaL12_jzouHgBP9nzey-rgNYC shooting timelinehttps://x.com/nicksortor/status/1950028665867137211Dems call for gun ban after NYC shootinghttps://x.com/westernlensman/status/1950022078091944324?s=46&t=uaL12_jzouHgBP9nzey-rgCincinnati Police Chief whines about social media in press conferencehttps://x.com/Babygravy9/status/19501250987923090815 charged in horrifying viral Cincinnati brawl that left woman knocked out cold https://x.com/Lukewearechange/status/1949949568067461446Pete Buttigieg: Trump is appointing "incompetent people" to serve in the governmenthttps://x.com/WesternLensman/status/1949935354011930830See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Jefferey Jaxen returns with breaking coverage of a major shift at the FDA: for the first time, the agency is holding a public panel to investigate the dangers of SSRI drugs during pregnancy. Could this lead to a long-overdue black box warning?Meanwhile, FDA Commissioner Dr. Marty Makary makes a stunning admission—he personally knows people who have been injured or killed by the COVID-19 vaccine. As the U.S. barrels toward net zero policies and rapid AI expansion, America's energy grid faces unprecedented strain.Plus, don't miss our powerful and emotional interview with the Hammond family, who share their heartbreaking story of losing their daughter Malaya in the devastating Texas flood. Her final act of heroism saved her family. Their journey through grief, faith, and resilience will move and inspire you.Guests: Matthew & Liz HammondBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.
Following our recent conversation with Dr. Robin Carhart-Harris on the neuroscience of SSRIs and psychedelics, this bonus episode takes the next step—focusing on clinical realities, tapering strategies, and patient safety. Find full show notes and links here: https://thethirdwave.co/podcast/episode-313b/?ref=278 Dr. Dave Rabin—a board-certified psychiatrist, neuroscientist, and co-founder of Apollo Neuro—joins Paul F. Austin for a candid, protocol-driven conversation. Together, they unpack why combining SSRIs with psychedelics can be dangerous, how to safely taper with support tools like ketamine and CBDA, and how to prepare clients for deeper psychedelic work. If you're a facilitator, therapist, or simply someone navigating antidepressants and interested in microdosing, this episode offers practical, medically-grounded insights. Highlights: How SSRIs blunt emotional range and alter awareness The neuroscience of serotonin and psychedelic receptors Serious risks of serotonin syndrome when mixing with SSRIs Ketamine's role in tapering and unlocking neuroplasticity Practical tools to regulate the nervous system during SSRI withdrawal Recommended psilocybin strains for sensitive or anxious clients How long-term SSRI use may (or may not) affect psychedelic response Safety-first protocols for psychedelic integration The future of microdosing as a sustainable antidepressant approach Episode Links: Dr. Dave Rabin's Website Dr. Dave on Instagram Dr. Dave on LinkedIn Apollo Neuro Last week's bonus episode with Dr. Robin Carhart-Harris: SSRIs vs. Psychedelics: From Blunting to Rebooting Episode 218 with Dr. Dave Rabin Episode 74 with Dr. Dave Rabin Curious about becoming a certified psychedelic coach? Join Paul F. Austin Thursday, July 31 2025, 10:00 AM PT for a free info session exploring the Psychedelic Coaching Institute's Practitioner Certification Program—an immersive training that blends science, ceremony, and real-world coaching to help you lead others through lasting transformation. Learn More. Episode Sponsor: Golden Rule Mushrooms - Get a lifetime discount of 10% with code THIRDWAVE at checkout
A life marked by pain, addiction, and spiritual warfare can feel like a dead end. Substance abuse, anxiety, and demonic oppression often isolate people in cycles of shame and confusion. Many find themselves desperate for freedom, yet unsure how to break the chains that hold them back. The battle is not only physical and emotional, it's spiritual. And it often takes something greater than willpower to escape it: a divine encounter.In this episode of Revelations Podcast, host Reagan Kramer sits down with Tommy Doyle. He is the International Director of Uncharted Ministries and son of renowned missionary leaders Tom and Joanne Doyle. Tommy takes us on a riveting journey from being a pastor's kid entangled in alcoholism, panic attacks, and spiritual torment, to becoming a frontline missionary reaching war zones in the Middle East with the love of Christ. His battles with demonic forces and deliverance through a divine encounter of Jesus offer a powerful message of hope for anyone navigating the wilderness of addiction or doubt.Be equipped with spiritual tools to confront addiction, anxiety, and spiritual warfare with the authority of Jesus. This episode is for hurting hearts, wandering believers, and anyone ready to trade despair for lasting freedom in Christ.Here are three reasons why you should listen to this episode:Discover the spiritual component of addiction and how it can be broken through a divine encounter with Jesus.Explore the reality of spiritual warfare in regions like Egypt and how prayer activates victory over darkness.Learn how Tommy's story shows hope for those battling both anxiety and faith deconstruction.Become Part of Our Mission! Support The Revelations Podcast:Your support fuels our mission to share transformative messages of hope and faith. Click here to learn how you can contribute and be part of this growing community!ResourcesMore from the Revelations Podcast hosted by Reagan Kramer: Website | Instagram | Apple Podcast | YoutubeUncharted Ministries: WebsiteUncharted Adventures: Website“Dreams and Visions: Is Jesus Awakening the Muslim World?” by Tom Doyle“Women Who Risk” by Tom and Joanne Doyle“Spiritual Warfare: Christians, Demonization, and Deliverance” by Dr. Karl Payne Bible Verses2 Timothy 1:7This Episode is brought to you by Advanced Medicine AlternativesGet back to the active life you love through natural & regenerative musculoskeletal healing: https://www.georgekramermd.com/Episode Highlights[00:36] Freedom from Addiction and the Fight for the SoulAddiction, anxiety, and spiritual warfare can make people feel trapped and unseen.Many silently battle overwhelming darkness, believing healing is out of reach.Tommy Doyle, International Director of Uncharted Ministries, knows this struggle firsthand.[03:21] Tommy: “We have so many good friends and so many ministry partners over there, that that's just really where our heart was, and we were part of another ministry before that that we loved dearly, so many great people and everything.”Once bound by addiction and anxiety, Tommy now leads missions that bring healing and hope across the Middle East.[05:26] Ministry Work in the Middle EastTommy describes Uncharted Ministries' work across war-torn regions of the Middle East.He recalls visiting the Gaza Strip a month after a major attack, wearing flak jackets and traveling with armed EMTs.Despite the chaos, they shared comfort and reminded hurting communities that they are not forgotten.Through every mission, Tommy emphasizes the power of showing up and bringing the love of Christ.[12:19] Personal Testimony and Early LifeTommy grew up in a large Christian family, deeply involved in church life as a pastor's kid.Despite strong early faith, he experienced rejection and betrayal from peers in church leadership.That emotional wound led him to pull away and seek belonging in sports and party culture.This shift laid the groundwork for his eventual descent into substance use and spiritual drift.[24:23] Struggles with Addiction and Turning PointTommy began justifying casual partying, which escalated into drug dealing and daily alcohol use.A raid by federal agents became a wake-up call, but the pull of addiction remained strong.Panic attacks worsened his condition, and alcohol became his go-to form of self-medication.Despite several attempts to quit, nothing brought lasting freedom—until he cried out to God.[26:42] Egypt Mission Trip and Spiritual AwakeningTommy joined a mission trip to Egypt to support his mother's outreach to Muslim women.While caring for children there, he was struck by a deep conviction to return to a life of purpose.That moment reignited his faith, shifted his focus, and set him on a path of full sobriety.He returned home and committed to healing through a Christ-centered Celebrate Recovery program.[36:11] Supernatural Encounter in EgyptDuring a foot-washing ceremony, Tommy witnessed a woman visibly possessed and delivered through the name of Jesus.[39:47] Tommy: “Every time that something dark and scary would happen, witnessed by other people too, the power of the name of Jesus was enough to eradicate it and, and that's just so life-giving.”Later that night, he and his brother encountered a terrifying demonic presence outside their desert compound.Prayer in Jesus' name broke the oppression, revealing that when the demonic and divine encounter each other, the authority of Christ prevails over darkness.These spiritual battles confirmed the reality of unseen warfare—and the power believers carry.[47:49] Territorial Spirits and the Battle Over RegionsTommy and Reagan reflect on how demonic strongholds operate not just personally, but over entire regions.In spiritually charged areas like the Middle East, the Enemy fiercely resists gospel work.Tommy shares how even Bible translation efforts in unreached areas face constant spiritual interference.Yet through it all, God's power continues to break ground where darkness has long ruled.[52:45] The Link Between Medication and AddictionTommy discusses the role anti-anxiety medication played in intensifying his alcohol cravings.He noticed his dependence on alcohol spiked after starting an SSRI prescribed for panic attacks.This connection led him to research and ultimately discontinue the medication after his spiritual breakthrough.He encourages others to evaluate their health journeys prayerfully and seek Spirit-led guidance.[58:39] Advice for Overcoming Addiction and AnxietyTommy urges listeners to admit powerlessness and seek a divine encounter with Jesus as the first step to healing.By trusting Him, we take a faithful path to healing.He shares practical advice for managing anxiety, including diet, outdoor activity, and community support.Accountability and honesty are key—especially with trusted friends and family.Above all, he emphasizes that true freedom from addiction and fear comes through Christ alone.[1:03:43] Tommy: “I did not need a foreign substance to be happy and enjoy life. And that's such a lie if, if that's holding you back, reconnect with the Lord.”[1:05:52] Living Free From Darkness to Purpose in ChristTommy reminds listeners that surrender is not weakness but the beginning of real strength.He shares how 2 Timothy 1:7 has anchored him through fear and addiction.God's healing is available to anyone ready to leave darkness and walk into His light.Learn more about Tommy's work through Uncharted Ministries and Uncharted Adventures at unchartedministries.com.About Tommy DoyleTommy Doyle is a missionary leader, speaker, and redeemed overcomer called to bring light into the darkest places. As the International Director of Uncharted Ministries, he continues the legacy of his parents, Tom and Joanne Doyle, by leading gospel-centered outreach in the Middle East and beyond. From war zones to remote villages, Tommy helps bring humanitarian aid, spiritual support, and the message of Jesus to those living in fear, trauma, or persecution. His work bridges cultures and faiths, demonstrating the power of God's love across some of the most spiritually resistant regions in the world.Once bound by addiction, anxiety, and demonic oppression, Tommy experienced radical deliverance during a divine encounter. On his mission trip to Egypt, he reignited his faith and reshaped his purpose. Now over a decade sober, he uses his testimony to reach those walking through their own wilderness. With firsthand experience in spiritual warfare and recovery, Tommy equips others to confront addiction, overcome fear, and live with bold, Christ-centered purpose. His story is a powerful reminder that no one is too far gone for the grace of God.Connect with Tommy through the Uncharted Ministries website.Enjoyed this Episode?If you did, subscribe and share it with your friends!Post a review and share it! If you enjoyed tuning in about generational curses and how to break them, leave us a review. You can also share this with your friends and family. Freedom from addiction, anxiety, and spiritual oppression begins with surrender. When you experience a divine encounter with Jesus, darkness loses its grip. Let this be a reminder that no matter how far you've gone, healing and purpose are still possible.Have any questions? You can connect with me on Instagram.Thank you for tuning in! For more updates, tune in on Apple Podcasts
In this episode of The Psychedelic Podcast, Paul F. Austin is joined by renowned neuroscientist Dr. Robin Carhart-Harris and microdosing policy advocate John Downs for a replay of a live event originally held on June 10th, Microdosing vs. SSRIs: What's Happening in the Brain and Why It Matters. Find full show notes and links here: https://thethirdwave.co/podcast/episode-312b/?ref=278 Together, they explore the scientific distinctions between SSRIs and psychedelics, focusing on neuroimaging, brain entropy, emotional processing, and the REBUS model. Dr. Carhart-Harris shares key insights from landmark studies on psilocybin therapy and discusses the evidence (and limitations) around microdosing. John Downs closes the conversation with an update on the Microdosing Collective's efforts to shift policy and expand access. Robin Carhart-Harris, PhD is a neuropharmacologist, psychologist, and Ralph Metzner Distinguished Professor in Neurology and Psychiatry at the University of California, San Francisco. He leads the Psychedelics Division at UCSF's Neuroscape and formerly founded and led the Centre for Psychedelic Research at Imperial College London. John Downs is Executive Director of the Microdosing Collective, advocating for responsible policy reform and legal access to microdosing. With 25 years' experience in sales, business development, and emerging markets, John helps individuals optimize mindset, performance, and purpose. Episode Highlights: Why SSRIs blunt, while psychedelics reset emotional processing How psilocybin compares to antidepressants in clinical trials Brain entropy, plasticity, and the REBUS model explained The role of the default mode network in mental health Why microdosing research is still so limited Ketamine vs. psilocybin: differences in brain mechanisms Is serotonin syndrome a real microdosing risk? Can psychedelics reverse long-term SSRI effects? The Microdosing Collective's mission for policy reform What Robin Carhart-Harris' upcoming book will explore Episode Links: Robin's lab & upcoming book Microdosing Collective Join Dr. Robin Carhart-Harris at our Practitioner Intensive (November 5–10, Costa Rica) Episode Sponsors: Golden Rule Mushrooms - Get a lifetime discount of 10% with code THIRDWAVE at checkout Psychedelic Coacing Isntitute's Intensive for Psychedelic Professionals in Costa Rica - a transformative retreat for personal and professional growth.