Podcasts about T4

In the ED, we regularly care for sick patients presenting acutely with abnormal vital signs, altered mental status, and end organ dysfunction. Oftentimes, the culprit ends up being sepsis, or overdose, or organ failure. But it is important that we consider rarer endocrine presentations like decompensated hypothyroidism. In this Part 1 of this two-part podcast with Dr George Willis and Dr Alyssa Louis, we answer questions like: Why is the term myxedema coma a misnomer and should be abandoned? How can we differentiate between sepsis or environmental hypothermia or toxidrome from decompensated hypothyroidism at the bedside? When is it appropriate to order a TSH, a T4 and T3? What are the most important life-threatening triggers that need to be addressed in patients with decompensated hypothyroidism? Why is it important to test for cortisol levels and consider stress-dose steroids in all patients with decompensated hypothyroidism? Why is endotracheal intubation particularly dangerous in decompensated hypothyroidsm? What is the best way to manage hypothermia? Why is the order of medications for treatment of decompensated hypothyroidism so important? and many more... Please consider a donation to EM Cases to ensure continuing Free Open Access Medical Education: https://emergencymedicinecases.com/donation/

V září 2025 se Ondřej Matěj Hrubeš vydal na svou další cestu na Ukrajinu, tentokrát v roli radního pro dopravu Prahy 6. Společně s moderátorem Milošem Kellerem v novém díle Dopravního podcastu probírají nejen stav tamní MHD, ale i syrovou realitu země, která už dvanáctým rokem čelí válce.Cesta vlakem do válkou zmítané země není jen o romantice na kolejích. Ondřej v podcastu popisuje zdlouhavé čekání na hranicích, osazenstvo v ukrajinských vlacích, i smutný pohled na odstavené a poničené vagony a lokomotivy, které lemují tratě.Ondřej detailně mapuje proměnu vozového parku ve Lvově, kde staré české "tatrovky" KT4 doplňují moderní nízkopodlažní vozy Elektron a nově i darované tramvaje ze švýcarského Bernu a Basileje. Dozvíte se také o historické tramvaji T4, vytíženosti jednotlivých linek a také o tom, jak Ondřeje zadržela ukrajinská vojenská hlídka při fotografování tramvají. Druhá část cesty vedla do partnerského města Chmelnický. Tady se podcast zaměřuje na hmatatelnou pomoc z České republiky. Město totiž brázdí pět autobusů SOR NB 12, které darovala Praha a slouží v městské dopravě. Zároveň ve městě probíhá velká obnova trolejbusového parku.Rozhovor se nevyhýbá ani vážným tématům. Ondřej popisuje jednu z nejtěžších nocí, kdy Rusko podniklo masivní dronový a raketový útok. Jak vypadá noc v krytu? Jak fungují nemocnice a školy?V podcastu se dozvíte také postřehy z návštěvy hasičské stanice, nemocnice, školy, školy, nebo z centra, kde se vyrábí a opravují drony.

On this episode of Vitality Radio, Jared welcomes functional medicine dietitian and gut-health expert Lisa Smith for a deep dive into one of the most overlooked systems influencing hormone balance: the estrobolome. If you've never heard that word before, you're not alone — but by the end of this conversation you'll understand why the estrobolome may be the missing link in stubborn hormone symptoms, estrogen dominance, thyroid sluggishness, mood changes, and even men's testosterone challenges. Jared and Lisa break down how gut bacteria influence estrogen detoxification, what beta-glucuronidase is actually doing behind the scenes, why bile flow matters (especially if you don't have a gallbladder), and how fiber, cruciferous vegetables, and targeted nutrients can support healthy hormone metabolism. This is a practical, empowering discussion designed to help you understand root causes rather than chase symptoms. Whether you're navigating perimenopause, PCOS, thyroid issues, mood swings, stubborn weight, or low energy, this episode brings science down to earth with simple, realistic starting points for rebuilding gut balance and restoring hormonal resiliency — naturally and safely.Products:Precision ProbioticLiverVitality EndoCleanseAdditional Information:Pretty Well PodcastInstagramLisa Smith WellnessVisit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.

Hypothyroidism And The New FDA Ruling The thyroid gland plays a vital role in regulating key body functions, but when it's dysregulated, the typical treatment involves synthetic T4 and T3. A small number of patients still use desiccated thyroid extract derived from animals, but the FDA plans to phase it out due to safety and dosing concerns. Our experts explain why patients are still using DTE and why they're being transitioned to other options. Saving A Life: How To Reverse An Overdose Many people know what to do in emergencies like fires or animal encounters, but far fewer understand how to respond to an opioid overdose. A nonprofit is teaching the public to recognize key signs of an overdose and use tools like naloxone and fentanyl test strips to save lives. As education and access expand, the goal is to make harm reduction strategies as familiar as any other life-saving precaution. Medical Notes: Why You Should Spend More Time On Your Phone, The Dangers Of Kids Playing Tackle Football, And How Light Therapy Can Mend Your Heart Are sound waves the next big thing in cancer treatment? Tackle football isn't as kid-friendly as you think. Why you may want to spend more time on your phone. Light therapy could mend your heart. Learn more about your ad choices. Visit megaphone.fm/adchoices

The thyroid gland plays a vital role in regulating key body functions, but when it's dysregulated, the typical treatment involves synthetic T4 and T3. A small number of patients still use desiccated thyroid extract derived from animals, but the FDA plans to phase it out due to safety and dosing concerns. Our experts explain why patients are still using DTE and why they're being transitioned to other options. Learn more about your ad choices. Visit megaphone.fm/adchoices

En el Día Mundial del Sida, 1 de diciembre, conversaremos con Alvaro Ortiz de Zarate y Marco Imbert de la Asociación T4. En su décima edición nos hablan del reconocimiento Trayectorias Positivas de la asociación que tras la junta de gobierno ha decidido por unanimidad otorgar este año el reconocimiento al Área de Salud y Consumo del Ayuntamiento de Bilbao, poniendo en valor más de tres décadas de camino compartido. Osakidetza ha llamado a "acabar con el estigma que rodea aún a las personas que viven con el virus". En este sentido, ha recordado que cada año en Euskadi se detectan cerca de 125 nuevos casos de VIH. La mayor parte de los nuevos diagnósticos se da en hombres, y la edad media del total de personas diagnosticadas es de 37 años. Por territorios, en 2024 el 63,2% de los casos se detectaron en Bizkaia

In this episode, I sit down with Dr. Jeffrey Dach to unpack the most misunderstood aspects of thyroid health - from TSH and Synthroid to T3 conversion, desiccated thyroid, iodine, selenium, cardiovascular risk, and more. If you've ever been told your TSH is “normal” but you still have symptoms (even if you taking Synthroid)… this conversation is going to change how you think about your thyroid therapy. We discuss: • Why TSH is an unreliable marker and why it often reflects inflammation more than thyroid output • How T3 works primarily at the pituitary and T4 at the periphery • Why T4-only therapy (Synthroid/Levothyroxine) can leave patients still feeling rubbish and with symptoms of hypothyroid • The benefits of combination thyroid therapy and why natural desiccated thyroid (NDT) helps so many people • Selenium's role in T4→T3 conversion and thyroid antibody reduction • The importance of around iodine • How low thyroid function increases cardiovascular disease and cancer risk • The best supplements for thyroid support, including berberine and myo-inositol. And lots more! This episode is a deep dive into thyroid physiology, hormones, optimal treatment, and the gaps in conventional endocrinology that leave so many patients ignored. This is a conversation, even if you don't think you have thyroid issues, you don't want to miss! Jeffrey Dach, MD is a board-certified physician and integrative medicine advocate with over four decades of experience in healthcare. In 2005, after retiring from radiology, Dr. Dach founded the clinic TrueMedMD — where he serves as Medical Director. Under his leadership, TrueMedMD has specialized in bioidentical hormone therapy (BHRT), natural thyroid care, and integrative medicine. Dr. Dach is also a prolific author and educator. His works include Bioidentical Hormones 101 and Natural Medicine 101, aimed at making complex medical and hormonal science accessible and practical for both clinicians and patients. Find out more about Dr Dach here; Website - https://jeffreydachmd.com/ Natural Thyroid Toolkit Book - https://a.co/d/2gyUYzn BioIdentical Hormones 101 Book - https://a.co/d/3d5HBSn

Will Best's journey from T4 to Big Brother hasn't been straightforward. It might surprise you to know that in between he's run a tech company, launched an alcohol brand, and ask a lot of questions to Simon Cowell. His start has never been brighter than it is right now - hosting Hits Radio breakfast with James Barr and Fleur East and standing alongside AJ outside the Big Brother house. It's a fascinating story which has seen Will pick himself up after several false-dawns. He's always adding to his knowledge, and learning from every challenge - something we can all learn from. Enjoy the episode! Cheers. Hosted on Acast. See acast.com/privacy for more information.

Drive with Dr. Peter Attia: Read the notes at at podcastnotes.org. Don't forget to subscribe for free to our newsletter, the top 10 ideas of the week, every Monday --------- View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Antonio Bianco is a world-renowned physician-scientist and expert in thyroid physiology and metabolism. In this episode, Antonio explores the complex biology of thyroid hormone production, conversion, and regulation—highlighting how deiodinase enzymes modulate hormone activity at the tissue level and why that matters for interpreting lab results. He discusses the shortcomings of relying solely on TSH as a marker of thyroid function, the ongoing debate around combination therapy with T3 and T4 versus standard T4 treatment, and how genetics, tissue sensitivity, and individual variability influence thyroid hormone metabolism. The conversation also examines how hypothyroidism affects energy, mood, cognition, and longevity; why some patients remain symptomatic despite "normal" labs; and how future research could reshape treatment paradigms. We discuss: How the thyroid produces, stores, and activates hormones like T4 and T3 to finely regulate thyroid activity [2:45]; How fasting alters thyroid hormones to conserve energy [12:45]; Action of the deiodinases: how D1, D2, and D3 enzymes control the activation and inactivation of thyroid hormones [19:15]; The normal function of thyroid hormone and the roles of the hypothalamus, pituitary gland, and deiodinases in maintaining hormonal balance [23:30]; Why understanding thyroid physiology is essential for proper diagnosis and treatment of hypothyroidism [33:45]; Testing for thyroid hormones: understanding free vs. total levels, the limitations of current T3 assays, best practices, and more [36:00]; Genetic and sex-based variability in thyroid hormone regulation and their limited clinical significance [43:45]; Hyperthyroidism: causes, symptoms, diagnosis, and treatment options [46:00]; Hypothyroidism: diagnosis and autoimmune causes of hypothyroidism [56:30]; More on hypothyroidism: diagnostic biomarkers, antibody patterns, and non-autoimmune presentations [1:05:00]; Thyroid hormone replacement therapy [1:15:15]; More on thyroid replacement strategies: exploring the evidence gaps, mortality signals, effects on lipids, and more [1:28:00]; Hypothyroidism basics: causes, antibody implications (including pregnancy), and how to make the diagnosis before choosing therapy [1:35:15]; Thyroid medication: compounded controlled-release T3, brand name versus generic, and what Antonio prescribes to newly diagnosed hypothyroid patients [1:42:45]; Redefining treatment success: why normalizing TSH isn't always enough for patients with hypothyroidism [1:54:45]; Case studies: analysis of two unusual cases of thyroid disease [1:57:00]; Dangers of supplementing with high levels of iodine, and female-specific risk of thyroid disease [2:05:45]; Case study of a patient who presents with elevated TSH but no symptoms [2:09:30]; How future research could reshape treatment, and Antonio's new book called "Rethinking Hypothyroidism" [2:13:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

Did American eugenics really fuel the murderous euthanasia programs of the Nazis? Yes, according to Susanne Paola Antonetta, author of The Devil's Castle, a history of Nazi eugenics and euthanasia. According to Antonetta, pioneering American eugenicists not only influenced Nazi thinking—Hitler himself corresponded with them and praised U.S. sterilization laws in Mein Kampf—but the New York City-based Carnegie Institute proposed gas chambers in 1918 as one solution for dealing with what eugenicists called the ‘hereditarily tainted' population. While Germany's response was uniquely brutal, Antonetta argues that American psychiatric thinking provided the conceptual framework for deciding whose lives had value and whose didn't. Moreover, the notorious Nazi Aktion T4 euthanasia program killed 300,000 people with neuropsychiatric disorders, yet it was never properly prosecuted by the Americans at Nuremberg and remains largely unknown today.1. American Eugenics Provided the Blueprint The U.S. passed sterilization laws in 1907—decades before Germany's 1933 laws. Hitler praised American eugenics in Mein Kampf, American eugenicists taught in Germany, and the Carnegie Institute proposed gas chambers in 1918 for the “hereditarily tainted.” The conceptual architecture was Made in America.2. Action T4 Killed 300,000 and Was Never Prosecuted The Nazi euthanasia program murdered roughly 300,000 people with neuropsychiatric disorders in gas chambers built into asylums. Because Nuremberg only tried international crimes—not crimes against a nation's own citizens—this program escaped proper legal reckoning and remains largely unknown.3. Doctors Could Say No—But Didn't Some asylum doctors, like Carl Kleist, simply refused to participate in T4 and faced no punishment. This makes the complicity of other doctors—many of them idealistic, not monsters—more damning. The system allowed for refusal; most chose collaboration.4. Psychiatry Still Assigns Value to Lives Antonetta argues that psychiatry's troubled legacy persists: rigid diagnostic categories inherited from German psychiatrist Emil Kraepelin, neurotransmitter theories that haven't improved outcomes, and a system that still decides whose consciousness has value. The DSM itself was created by self-described “neo-Kraepelinians.”5. Neurodiversity Is the New Civil Rights Frontier From autism to schizophrenia, our public discourse about neurodiversity remains “relentlessly negative.” As CRISPR and gene editing become reality, Antonetta warns we're facing the same eugenic questions—but now with the tools to act on them. We need more honest and nuanced conversations about different forms of consciousness before we start editing them out.Keen On America is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit keenon.substack.com/subscribe

View the Show Notes Page for This Episode Become a Member to Receive Exclusive Content Sign Up to Receive Peter's Weekly Newsletter Antonio Bianco is a world-renowned physician-scientist and expert in thyroid physiology and metabolism. In this episode, Antonio explores the complex biology of thyroid hormone production, conversion, and regulation—highlighting how deiodinase enzymes modulate hormone activity at the tissue level and why that matters for interpreting lab results. He discusses the shortcomings of relying solely on TSH as a marker of thyroid function, the ongoing debate around combination therapy with T3 and T4 versus standard T4 treatment, and how genetics, tissue sensitivity, and individual variability influence thyroid hormone metabolism. The conversation also examines how hypothyroidism affects energy, mood, cognition, and longevity; why some patients remain symptomatic despite "normal" labs; and how future research could reshape treatment paradigms. We discuss: How the thyroid produces, stores, and activates hormones like T4 and T3 to finely regulate thyroid activity [2:45]; How fasting alters thyroid hormones to conserve energy [12:45]; Action of the deiodinases: how D1, D2, and D3 enzymes control the activation and inactivation of thyroid hormones [19:15]; The normal function of thyroid hormone and the roles of the hypothalamus, pituitary gland, and deiodinases in maintaining hormonal balance [23:30]; Why understanding thyroid physiology is essential for proper diagnosis and treatment of hypothyroidism [33:45]; Testing for thyroid hormones: understanding free vs. total levels, the limitations of current T3 assays, best practices, and more [36:00]; Genetic and sex-based variability in thyroid hormone regulation and their limited clinical significance [43:45]; Hyperthyroidism: causes, symptoms, diagnosis, and treatment options [46:00]; Hypothyroidism: diagnosis and autoimmune causes of hypothyroidism [56:30]; More on hypothyroidism: diagnostic biomarkers, antibody patterns, and non-autoimmune presentations [1:05:00]; Thyroid hormone replacement therapy [1:15:15]; More on thyroid replacement strategies: exploring the evidence gaps, mortality signals, effects on lipids, and more [1:28:00]; Hypothyroidism basics: causes, antibody implications (including pregnancy), and how to make the diagnosis before choosing therapy [1:35:15]; Thyroid medication: compounded controlled-release T3, brand name versus generic, and what Antonio prescribes to newly diagnosed hypothyroid patients [1:42:45]; Redefining treatment success: why normalizing TSH isn't always enough for patients with hypothyroidism [1:54:45]; Case studies: analysis of two unusual cases of thyroid disease [1:57:00]; Dangers of supplementing with high levels of iodine, and female-specific risk of thyroid disease [2:05:45]; Case study of a patient who presents with elevated TSH but no symptoms [2:09:30]; How future research could reshape treatment, and Antonio's new book called "Rethinking Hypothyroidism" [2:13:15]; and More. Connect With Peter on Twitter, Instagram, Facebook and YouTube

In this episode, Dr. Andrea Rosen, a first-year endocrinology fellow at UVMMC, opens with a rapid-fire endocrine round, from her favorite organ and go-to hormone excuse to T3 vs. T4, metformin's true identity, and endocrinology in five words. She then shares what inspired her to pursue medicine, the biggest learning curves of her first fellowship year, and the moments that reaffirmed her choice of endocrinology. Dr. Rosen also offers advice for trainees considering the field and reflects on where she hopes to take her career next.   Co-Hosts: Caity Decara: caitlin.decara@med.uvm.edu Haley Bayne: haley.bayne@med.uvm.edu

Alle Informationen zur Carnivoren Ernährung unter www.carnitarier.de. ______________________________________________ Herzlichen Dank an unsere WERBEPARTNER: www.carnivoro.eu: Supplemente rund um die Carnivore Ernährung Mit dem Gutscheincode CARNITARIER erhältst du 10 % Rabatt auf deinen ersten Einkauf! Affiliate Link: www.carnivoro.eu/carnitarierinwww.kaufnekuh.de: Fleisch aus artgerechter Haltung mit fairen Preisen für Landwirte Mit dem Gutscheincode CARNITARIER erhältst du 10 € Ermäßigung auf deinen Einkauf ab 50 €. www.mindful-meat.com: Hochwertiges Hirschfleisch aus den Wäldern Deutschlands. Mit dem Gutscheincode CARNITARIER erhältst du 10 € Ermäßigung auf deinen Einkauf. www.pemmican-shop.de: Europas einzige originale Survival Beef Bar – Made in Germany. Mit dem Gutscheincode CARNITARIER erhältst du 10 % Ermäßigung auf deinen ersten Einkauf.www.theminerals.de: Beste Elektrolyte für die Umstellung auf Keto und für Carnivoren, die viel Sport treiben. Mit dem Gutscheincode CARNITARIER erhältst du 10 % Ermäßigung auf deinen Einkauf. _________________________________________________________________________Folge 207: Epidemie der Schilddrüsenunterfunktion vom Typ 2 – Dr. Dirk LemkeAuf dem Symposium der EMG (Gesellschaft für evolutionäre Medizin und Gesundheit) in Baden-Baden hielt Dr. Dirk Lemke, funktioneller Mediziner, einen Vortrag über die Epidemie der Schilddrüsenunterfunktion vom Typ 2. Es handelt sich dabei um eine Schilddrüsenhormonansprechstörung, die nicht durch ein einfaches Blutbild diagnostiziert werden kann. Auch wenn die Schilddrüsenwerte bei vielen Menschen normal sind, leiden sie unter vielen Symptomen einer Schilddrüsenunterfunktion. Dr. Lemke erklärt, dass ähnlich zu einer Insulinresistenz das Problem auf Zellebene besteht, da die Zellen nicht mehr auf die Schilddrüsenhormone ansprechen. Neben vielen Symptomen gibt eine Temperaturmessung häufig Klarheit über diese Stoffwechselstörung. Er empfiehlt zur Behandlung unter anderem die Einnahme von natürlichen Schilddrüsenextrakten, da diese nicht nur die beiden bekanntesten Schilddrüsenhormone T3 und T4 enthalten, sondern das gesamte Spektrum von bis zu 27 Schilddrüsenhormonen.Ihr könnt Dr. Dirk Lemke erreichen über seine Homepage www.doclemke.de.________________________________________________________________________________Fleischzeit ist der erste deutschsprachige Podcast rund um die carnivore Ernährung. Hier erfahrt ihr Tipps zur Umsetzung des carnivoren Lifestyles, wissenschaftliche Hintergründe zur Heilsamkeit sowie ökologische und ethische Informationen zum Fleischkonsum. Eine Übersicht über alle Folgen findet ihr hier: www.carnitarier.de/fleischzeitpodcastAndrea Siemoneit berichtet nach über sechs Jahren carnivorer Ernährung über ihre Erfahrungen und Erkenntnisse. Außerdem interviewt sie andere Carnivoren und Wissenschaftler.Ihr findet sie auf Instagram unter @carnitarier.deHandbuch der Carnivoren Ernährung: www.carnitarier.eu Haftungsausschluss:Alle Inhalte im Podcast werden von uns mit größter Sorgfalt recherchiert und publiziert. Dennoch übernehmen wir keine Haftung für die Richtigkeit, Vollständigkeit oder Aktualität der Informationen. Sie stellen unsere persönliche subjektive Meinung dar und ersetzen auch keine medizinische Diagnose oder ärztliche Beratung. Dasselbe gilt für unsere Gäste. Konsultieren Sie bei Fragen oder Beschwerden immer Ihren behandelnden Arzt.

Are you struggling with hypothyroid symptoms like fatigue, weight gain, hair loss, or brain fog?  Have you been told the reason is that you have "low T3"? Many patients are told the solution is simple: add T3 thyroid hormone replacement. But is that the truth? Is that the correct strategy? In this Thyroid Answers Shorts episode, Dr. Eric Balcavage, functional medicine thyroid expert and host of the Thyroid Answers Podcast, explains: ✅ Why low T3 doesn't always mean you need medication ✅ How stress, inflammation, and the Cell Danger Response affect T4-to-T3 conversion ✅ Why simply adding T3 or desiccated thyroid may not fix your symptoms ✅ A new way to understand your thyroid labs through the Adaptive Thyroid Model™

Following a fruitful European Society of Medical Oncology (ESMO) Congress 2025 for gastrointestinal malignancies, CancerNetwork® organized an X Spaces discussion hosted by 3 experts. They were Nicholas J. Hornstein, MD, an assistant professor at the Donald and Barbara Zucker School of Medicine of Hofstra University and Northwell Health; Timothy Brown, MD, an assistant professor in the Department of Internal Medicine and the associate program director of the Hematology & Oncology Fellowship at UT Southwestern Medical Center; and Udhayvir S. Grewal, MD, an assistant professor in the Department of Hematology and Medical Oncology at Emory University School of Medicine. Each doctor focused on a specific disease type, highlighting the most important abstracts in colorectal cancer, pancreatic neuroendocrine tumors (NETs), and upper gastrointestinal cancers. The Phase 3 MATTERHORN Trial (NCT04592913) Results from MATTERHORN demonstrated that adding durvalumab (Imfinzi) to 5-fluorouracil, leucovorin (folinic acid), oxaliplatin, and docetaxel (FLOT) improved overall survival (OS) compared with FLOT plus placebo in patients with resectable gastric/gastroesophageal junction (GEJ) adenocarcinoma, regardless of pathological status.1 In the intention-to-treat population, the median OS was not reached in either arm, and the hazard ratio (HR) was 0.78 (95% CI, 0.63-0.96; P = .021). Notably, the improvement was observed regardless of PD-L1 status; in patients with PD-L1–positive disease, the HR was 0.79 (95% CI, 0.63-0.99), and in patients with PD-L1–negative disease, the HR was 0.79 (95% CI, 0.41-1.50). “This, I believe, will seal durvalumab plus FLOT as the standard of care for resectable [gastric/GEJ] cancers,” said Brown. The Observational ASPEN Study (NCT03084770) The ASPEN study showed that active surveillance was a safe approach for patients with low-grade, asymptomatic, nonfunctioning pancreatic neuroendocrine tumors (NETs) fewer than 2 centimeters in size.2 Of the 1000 patients enrolled in the trial, 20 patients died, of whom 18 underwent active surveillance and 2 underwent surgery. Nineteen of the deaths were unrelated to pancreatic NETs; 1 death in the surgery arm was related to a pancreatic NET. After surgery, 5 patients had disease relapse or progression. With a median follow-up of 42 months (IQR, 25-60), the OS analysis showed a P value of 0.530.  “This really settles the debate on whether or not to surgically operate on patients with a [pancreatic NET] size of [fewer] than 2 centimeters and shows that active surveillance is a safe option for these patients with pancreatic NETs [fewer] than 2 centimeters in size and non-functional NETs,” said Grewal.  Data From the Phase 2/3 FOxTROT (NCT00647530) and Phase 2 NICHE-2 (NCT03026140) Trials Neoadjuvant nivolumab (Opdivo) plus ipilimumab (Yervoy) achieved a clinically meaningful and statistically significant improvement in long-term outcomes, including responses and survival, compared with chemotherapy strategies in patients with mismatch repair deficient (dMMR) or microsatellite instability–high (MSI-H) locally advanced colon cancer.3 In NICHE-2, neoadjuvant nivolumab plus ipilimumab achieved a 3-year disease-free survival (DFS) rate of 100% compared with 80% (95% CI, 73%-85%) with all chemotherapy strategies in FOxTROT (P

Canada's tax problem isn't just slow phones at the CRA—it's a century of bolt-on rules that made filing confusing, subjective, and expensive to administer. A new review found CRA contact centres gave accurate answers only 17% of the time during the 2025 tax season window, echoing long-standing issues flagged by earlier audits (including millions of dropped and blocked calls). This complicated tax system creates unnecessary bureaucracy, wasted money, unpaid taxes, and a subjective audit process that means you can pay more (or less) taxes depending on how well your auditor slept the night before.Hiring more agents won't fix a tax law that's impossible to interpret. Simpler rules will. In this episode, I sketch a path to simpler, fairer, faster taxes. First, a quick history lesson on why we have income taxes, and how they became a Frankenstein's monster of laws that no one can understand. This will show us that the problem is getting worse, and will keep getting worse until we have a major system overhaul. Then I'll get into solutions.I explore proven options from abroad:Pre-populated / return-free filing (pioneered by Denmark; now used in most OECD countries) to slash time, phone calls, and errors—already being piloted in Quebec for simple returns. Flatter, broader bases with minimal carve-outs (think Estonia's ultra-simple system) and NZ's broad-base/low-rate GST—models that raise revenue with less friction. Withholding-as-final for straightforward T4 earners, so most people don't file at all unless their situation is complex—borrowing design cues from the Nordics. Look, nobody wants to talk about tax until they have to. But when they do - and they have to every year - they hate everything about our tax system. It creates unnecessary frustration and anger. Nobody wants to deal with the CRA, and nobody wants to work for the CRA either. Why would they?Many people who don't pay taxes do it out of frustration - they just give up. They're not evil; they're just overwhelmed. Tax filings have become a game.I'm not anti-tax; I'm anti-waste. My companies happily pay millions of dollars in corporate taxes annually. Its employees add another 1M in income taxes to our society, and you can add HST on top of all of it. What I want is less money burned collecting taxes and more money spent on services. If Canadians want better healthcare, safer streets, and a clearer deal with citizens, we should push for tax simplification, not just bigger call centres.Sources:CRA call centres: 17% accuracy (Feb–May 2025); prior audits on access/accuracy. Investment Executive+1Canada's income tax history (1917 “temporary” tax). The Canadian EncyclopediaProvincial/territorial corporate tax—CRA administers most; exceptions Quebec & Alberta. Canada.caPre-populated returns (Denmark origin; 28 OECD countries). Tax Policy CenterQuebec simplified / pre-filled return pilot (2025 filing for 2024 year).

New study suggests taking thyroid medication WITH food may be just as good as taking it on an empty stomach; Natural support for Parkinson's Disease; Reviving the lost art of handwriting may be key to kid's learning; Dr. Jeffrey Bland does a deep dive on why not all fish oils are alike.

With a calcium score of zero, is there any fat in your diet?  Are there any recommended supplements for IBS?What is the safest and most appropriate dose of vitamin D3 for most seniors?

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?

In this episode, we explore the connections between Autism and Parkinson's, focusing particularly on the basal ganglia and its substructures, notably the substantia nigra within the midbrain. We discuss how the substantia nigra, known for its high concentration of neuromelanin, plays a critical role in these disorders. The episode examines how neuromelanin, a dark pigment, not only absorbs all frequencies of light but also has antioxidant properties, binds metals, and acts as a neuroprotector. This discussion leads into the broader implications of environmental signals, particularly light, on human biology, touching on how modern changes in light exposure might affect these conditions.We examine the role of tyrosine in the synthesis of neuromelanin and its derivatives like dopamine, which are crucial for neural function. We look at how deficiencies or imbalances in these pathways could lead to the symptoms observed in Autism and Parkinson's, including motor function issues. The conversation also covers the direct and indirect pathways in the basal ganglia, explaining how these pathways facilitate or inhibit movement, respectively, and how their dysfunction can manifest in the characteristic motor symptoms of both disorders. We also touch on the significance of thyroid function, particularly the roles of T3 and T4 hormones, in brain development and neuron health, tying these elements back to the overarching theme of energy loss and transduction in both Autism and Parkinson's.Autism and Parkinson's are a lack of, or a loss of, energy.Biological Energy: Quantum Mechanisms, Water, DHA, and NF-kB: https://youtu.be/2-IA_gunXbwDaylight Computer Company, use "autism" for $50 off athttps://buy.daylightcomputer.com/autismChroma Light Devices, use "autism" for 10% discount athttps://getchroma.co/?ref=autismCognity AI for Autistic Social Skills, use "autism" for 10% discount athttps://thecognity.com0:00 Autism and Parkinson's; Basal Ganglia; Substantia Nigra; Neuromelanin; Internal Calculators2:15 Tyrosine; Chromophores; Aromatic Amino Acids3:50 Biological Energy; Mitochondria; Environmental Signals; Cytochrome C Oxidase; Autism Research Miss6:20 Deep Brain Stimulation6:48 Neuromelanin9:02 Reverse Engineer ATPase10:48 Tree Examples11:45 Hypoxia and loss of energy & dopamine12:26 Eyes, hair, & skin; RPE; efficiency & power; What is Light?13:58 Light; Information & Energy; electromagnetic; wave-particle duality; sunlight versus artificial light17:08 Thyroid; T3 & T4; Iodine18:31 Roles of T323:00 Loss of energy in the womb & Autism research25:00 Melanin + Water = Electrons26:40 Basal Ganglia; "Motivations" & Movements; Direct Pathway30:55 Indirect Pathway32:52 Go, No-Go; Action selection, learning & habits; fine motor skills34:18 Parkinson's and loss of timing & energy; modulating the two pathways & dopamine37:07 Reviews/Ratings & contact infoX: https://x.com/rps47586YT: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuAemail: info.fromthespectrum@gmail.com

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog You will learn: What holds up new treatments for diseases and conditions How long the FDA sits on a known safe medical medication before it is released to the public. Why safe and effective drugs are NOT approved by the FDA Why doctors are forced to use medications off label How you can help During my 44 years of medical practice, I have encountered conditions for which there is no approved medication or surgical treatment available as recognized by the American College of OBGYN or the FDA. This situation can present challenges both for physicians managing these patients and for individuals seeking relief from their symptoms. This issue is not often addressed on Dr Oz, in the news, or at medical conferences. For many conditions, physicians wait for the development of approved medications or treatments, and in the meantime may inform patients that there is currently no treatment or cure available. Some doctors may attribute a patient's concerns to aging, stating that it is a universal experience. While this may be accurate, such explanations may not provide comfort to patients seeking solutions to their symptoms. This lack of helpful guidance can discourage individuals from seeking medical care when they feel their concerns are not acknowledged. This seems to result from insurance companies prioritizing cost savings by minimizing patient care.  Every year insurance companies decrease what they pay doctors for their services, while their expenses go up, and the Government requires more and more work behind the scenes like HIPPA, OSHA, and Clia requirements that costs more to deliver the same service.  If you have a problem with the time your doctor spends with you then blame the insurance companies whose profits rise every year…Soon doctors will do what I do and only take cash.  The practice of medicine is not working in a free market. While insurance limits the prescriptions of medication to those meds that are FDA Approved, the FDA and medical specialty colleges often delay approval of new, low-risk treatments for up to 20 years after their effectiveness is demonstrated. This lengthy process should be reconsidered to treat people who are ill and suffering, now. There is plenty of research in the medical journals that explain the safety of new and effective treatments that can save peoples' lives that are not FDA approved yet. The FDA is not interested in expediting the release of medication/ devices quickly to those people who need help now. They drag out the testing of a medicine that has been effective for years and may or may not approve it. On the flip side they have approved many drugs that later are found to have severe side effects, and they just change the warnings on the medication inserts. They don't take them off the market except in severe cases. Drugs that have worked treating patients successfully are being used but are not FDA approved. These “grandfathered drugs” don't need to go through the testing that new drugs go through because they work with few well-known risks. I use many if these medications because they are inexpensive for my patients and are often more effective than new meds for the same problem. One of the drugs that the FDA has not had to approve is Armour Thyroid, a natural thyroid replacement. My experience with treatments not approved by the FDA Armour Thyroid: Armour Thyroid (AT) has been prescribed by doctors to replace thyroid hormones for about 100 years. It is natural, made from Pig thyroid. It only comes from “medical Pigs” that are raised for medical purposes.  We use medical pigs for skin grafts, and other parts of the pig to treat human diseases like heart valve replacements.  Armour Thyroid is composed of the four thyroid hormones that humans make: T4, T3, T2, T1. The synthetic thyroid replacement, Synthroid/levothyroxine is only T4.  The active form of thyroid is T3, and it requires an enzyme to convert T4 into T3. If a person can't convert T4 into active T3 then nothing improves except the blood levels of T4, and TSH. The majority of women cannot convert T4 into T3. Therefore, if they take Synthroid or levothyroxine and their doctor only checks their TSH level and not the level of free T3 and free T4 to see if the Thyroid is working, then women are told that they are healed, yet they know they are not because none of their low thyroid symptoms are resolved. When this happens, doctors tell female patients that it is all in their heads and dismiss us when we tell them we are not cured with this synthetic T4 medication. Yet Synthroid is a chemical, and AT is natural from medical pigs, so the FDA is trying to Bann the only drug that has successfully treated millions of women. PS. Synthroid was not tested on women like many other drugs that were passed through the FDA before 2014! If you think this is a small problem, think again. Thyroid hormones are vital to human life, and the thyroid gland requires Iodine in the diet. The Midwest US has no Iodine in the soil or water. Therefore, this area is overburdened with hypothyroidism. I have been on AT for 50 years without complication and I have prescribed it thousands of times ever since I went into private practice.  AT works to relieve the symptoms of hypothyroidism for women and men, and it works better for women that the “new” drug Synthroid/levothyroxine, which is FDA approved. You ask how could the FDA approve a drug that doesn't successfully treat women? It is because Synthroid was not tested on women!  Until 2014 the FDA did not test women in the required drug trials.  AT works for us (women), Levothyroxine does not. Now the FDA wants to ban AT. It is not approved because it was around for decades before they started testing medications like they do now, and the history of successful treatment should stand on its own merit! Example 2: Bio-Identical Hormones BIH:  BIHs had not been approved by the FDA until recently and there was no announcement that they are now approved for women who have hormone deficiency symptoms or postmenopausal symptoms. Most doctors and women who have been afraid of the only hormones that can help them, bioidentical hormones, haven't yet been told that NOW, FINALLY the medical colleges and the FDA finally have quietly approved BI hormones.  There are no pure estradiol and pure testosterone pellets that are made by a drug company for women. My patients get their estradiol and testosterone pellets from a compounding pharmacy.  I have been prescribing BIH since 1985 without FDA approval because the oral estrogen formulations that were available at pharmacies caused weight gain and put women at high risk for blood clots. Non-oral BI hormones have fewer risks than FDA approved estrogens.  I waited more than 45 years for the FDA to approve BI hormones for treatment of women.  All those women in the last 45 years who were taking FDA approved estradiol and those who couldn't tolerate them have been harmed by FDA goals of never approving compounded or bio-identical hormones.  The delay has harmed 50% of American women. Example #3 Devices for Weight Loss I was involved in the discovery and testing of a unique device that stimulated acupuncture points with a TENS-unit-type patch connected to your cell phone for easy adjustment of your hunger or “fullness”. The FDA requires testing to approve any new device so the group of investors I was part of had to invest thousands of dollars for a device we already knew worked. The FDA told the investigators of all new devices who they should test, who they can't have in the study, and how long the testing should take. I found their parameters for the study of this device to be unrealistic. The women in our test group could not be taking hormones of any kind (birth control, ERT, HRT), and could not be on antidepressants, could not have diabetes or insulin resistance or be on any drug that assisted in weight loss. These women subjects had to be a certain BMI (level of obesity) and had to be tested repeatedly with weight and body composition measurements None of my patients who needed weight loss could participate.  Most GYN patients are on some medication or supplement, so the FDA made this study of our device so narrow that REAL WOMEN weren't tested! Sadly, we lost many women in the control group from the study because they were NOT losing weight while the ones on the device were obviously dropping pounds, so we had trouble maintaining test subjects. The testing phase of this simple device took 7 years! Our device works and no one will ever know about it or be able to use this non-medicinal weight loss device because when the FDA rejects your device you will be breaking the law if you produce and sell it directly to the public. It has no side effects or dangers..it just controls the amount you eat with stimulation of an acupuncture point. There are many ways to change this situation, and it takes years and billions of dollars to change the whole system of bringing treatments to patients quickly.  I'm afraid I won't see a revolution of the way we bring medicines and devices to market during my lifetime. Currently there is a 17-year delay between proving a drug or device works for a particular illness or condition and when it becomes available to doctors and patients. So what do we do in the meantime?  I seek treatments for patients who are unresponsive to traditional medicine by reading journals like Life Extension, that inform doctors and patients alike about new effective solutions for common medical complaints and diseases that the FDA has ignored or stymied with endless drug trials.  Life Extension Magazine highlights studies on new medications for diseases without an FDA approved solution and publicizes diagnostic tests often overlooked by mainstream publications because they are not yet FDA approved. The medical journals I read (New England Journal of Medicine, JAMA, Menopause, Metabolism and Endocrinology, Journal of Age management, to name a few) offer treatments for orphan diseases or even common problems that haven't been blessed by the FDA. It takes an average of 17 years from the culmination of research on a new drug, test or device until it is approved for use by the public! At the end of this Blog, I will give you a link to make your voice heard by signing a petition to shorten the approval of new treatments and medications from the average of 17 years to 3 years! My patients don't have time to wait for relief, and that may be the case for you as well. If you want to do something to help, please click this link and let the FDA know how you feel. Please sign a Petition to enact an amendment to the FOOD, DRUG and COSMETIC ACT, by going to: https://age-reversal.net/fda/

See all the Healthcasts at https://www.biobalancehealth.com/healthcast-blog If you ever doubted your doctor because she wrote a script that you later “Googled” and found was not FDA approved, I hope you trusted your doctor enough to realize that she wouldn't recommend any medication that would hurt you…. What is an unapproved use of a drug, also called “off-label”? Unapproved use of an approved drug is often called “off-label” use. This term can mean that the drug is: Used for a disease or medical condition that it is not approved to treat, such as when a chemotherapy is approved to treat one type of cancer, but healthcare providers use it to treat a different type of cancer. The drugs that are not approved by the FDA, yet are commonly used, have been used for decades before the 1964 law that required new drugs to go through extensive and very expensive testing before their release to the public. The operative word is NEW DRUGS AFTER 1964. Today I will talk about the safety of non-FDA approved drugs because they are: Older cheaper drugs used for many diseases and conditions before 1964 and are still used Drugs that are approved for one use, or one condition, but not for other conditions that it is effective and safe for. Drugs made by compounding pharmacies for diseases that the FDA has not approved a drug for, but there is research backing the drug and years of safe use. First, before we discuss the non-FDA approved drugs, I will discuss the safety/risks of FDA approved drugs, and why FDA approval doesn't mean a drug will do no harm or even that it is effective for the use it is approved for. A little background will help you understand the problem and the reason an FDA approval does not necessarily mean a drug is safe.  Since 1964, a law was passed that established testing prior to a drug being approved by the FDA became mandatory.   Since that time several drugs that survive FDA approval and are released but are later removed or banned after their FDA release when the public finds side effects that the FDA didn't discover in their trials. One such drug is Fen-Phen, Fenfluramine/Phentermine. This drug was released during my time practicing medicine and was withdrawn after one study claimed it caused heart valve disease…In the end the “one post approval study” that claimed that heart valves were affected by this drug that caused its bann was found to be false. The withdrawal of the drug followed one study by a single cardiologist from Kansas City had reviewed all of the cardiac valve echo tests and falsified the results to make Fen-Phen appear dangerous to heart valves, when in reality it wasn't.  She lost her license, but the FDA never put Fen-Phen back on the market!  The FDA hates to be wrong twice, so they never allowed this drug back on the market after its removal. Other mistakes made by the FDA include not allowing women in the studies to approve a drug before 2014 which ignores or misses all of the side effects or lack of effectiveness for a drug when taken by women.  Despite all the expensive testing before the release of a drug by the FDA, many drugs not tested on women were later often found to have severe side effects only on women. A few examples follow: You might have heard of the FDA approved drug Ambien that causes many women to experience “night eating”, sleepwalking, and night terrors, while their male counterparts were not affected, so because they only tested men the drug was approved. In retrospect it should have been tested on women as well, and then either not passed through the FDA or should have had a black box warning for women. It takes years get action from the FDA, notifying doctors of these side effects. Women were not included in testing for any drugs except female hormones until 11 years ago, but no other drugs.   Before 2014 all (non-hormonal) drugs that passed the FDA were not tested on women so the effect on women was unknown until it was tested on the public. The FDA left women out of drug-trials because it viewed women as “mini men”, or they didn't consider us important enough to test new drugs on…OR worse, they believed we were too complicated to easily test us because of pregnancy, menopause and other hormonal swings that normal healthy women have.  In any case, we are now suffering their decisions, when a medication works one way for men and another way for women! Finally, we are tested when drugs are being evaluated for approval by the FDA. Professional women have achieved a level of authority in medicine and pharmacology (2025) and are weighing in on the inequity. Women in the medical profession and the public are pulling back the curtain on the side effects of FDA approved drugs that are experienced by women only! Slowly, study by study investigators are now publishing the side effects and problems for women with FDA approved drugs….yet these findings are not included in the warnings on most of these drugs, even now over 15 year after they became obvious to the doctors who treat women! Drugs that either don't work for women, or that have severe side effects include that were approved before 2014. All statin drugs for high cholesterol (Crestor, rosuvastatin, atorvastatin, etc.) cause women to have muscle breakdown and muscle pain. Synthroid (levothyroxine), doesn't cure the symptoms of hypothyroidism in 80% of women, but just makes the TSH lower, so it appears as if it is working! This leads doctors to tell women that their symptoms are all in their heads!! Wrong.  It is the wrong medicine. Women have enzymes that differ from men that make it difficult for them to convert the inactive form (T4) into the active form (T3), so we can't convert Synthroid (all T4) into the active form. Synthroid, the FDA approved drug for hypothyroidism, shouldn't be given to most women. Women should be given the non-FDA approved drug Armour Thyroid or NP thyroid that have both T3 and T4 in them! Ambien Prednisone and other oral steroids We have reviewed the lack of testing on women before 2014, now we will discuss safe drugs that have been used for decades even before 1964 when the FDA required testing for FDA approval? Older, yet effective and inexpensive drugs have been tested by the public, some for almost 100 years that have saved thousands of lives, yet they are not given the FDA stamp of approval!  In fact, the FDA tries to put these drugs out of circulation, replacing them with very expensive drugs that are new! Or they just shut them down, because they are not FDA approved.  Young doctors are told not to use them by their medical schoolteachers who rarely have experienced these medications in private practice…. These doctors in training don't know the history of older safer, cheaper drugs, or even why the FDA tells them avoid them. They comply not knowing why, so you are left with no drug that works for you, or you pay 3-10 times the amount for a newer FDA version of the older drug which may even have more side effects. Some of these older very effective and cheap drugs are Penicillin, Nitroglycerine for chest pain, Morphine (pain), Phenobarbital (seizures), Codeine, Armour Thyroid, hormone injections including estradiol injections and testosterone, Thorazine for psychiatric use, (Pitocin) oxytocin for labor, lactation support and Autism Colchicine:Used to treat and prevent gout. Progesterone in oil (IM) Estradiol in oil (IM) B12 for injection Testosterone Cypionate for injection Compounded Estradiol in any form Compounded Testosterone for women These drugs have been used for so long that any safety risks or side effects have been found through the use of these drugs in the population. Yet the FDA won't grandfather them in and approve them based on their history! What do doctors do when the drug the FDA has approved a drug that doesn't work for a group of their patients (gender, race, blood type, etc.)?  What happens when a doctor can't find a drug that is FDA approved needed to treat a condition she is faced with? Why do we as citizens, allow the government to have power over doctors who are already controlled by their state licensing boards as to what medications they?  Lastly Why do taxpayers allow a government agency that they fund with tax dollars control their health by banning, or not approving drugs, or banning one drug so an outrageously expensive drug is put in its place? Compounded Medications/ Compounding Pharmacies: These drugs are made by mixing ingredients to meet individual patient needs and are not subject to premarket review for safety, effectiveness, or quality. However, they ARE subject to the success or failure for which they were prescribed. If a doctor prescribes a compounded drug that doesn't work, she is apt to be confronted by her patient who is not getting the expected results.  Compounding pharmacies usually don't get paid by insurance, so patients are more invested in getting a drug that works and that is one of the big reasons that Compounded medicines are at least as good or better than big pharma or generic drugs. I absolutely could not successfully treat the thousands of women and men that I have without compounding pharmacies.  They compound hormones/drugs that are safe and effective, mostly hormones that can't be patented because they occur in nature and won't ever be made by big pharma. More than that, big producers of drugs can't produce in mass quantities many doses of a certain hormone like compounding pharmacies do.  Compounding pharmacies provide what people need and they continue to do so because patients prefer their dosing and quality.  FDA approved Generic Drugs can be legally 25 % lower dose than what they say they are.  That would be a big problem if my compounded pellets had that kind of variability. People might need pellets every 2months or every 5 months instead of every 4 months..it would be like guessing what you need ahead of time…..I believe dedicated compounding pharmacists are more accurate than any generic on the market. Compounding pharmacies: Unsung Heros Compounding pharmacies serve the public when big pharma fails and hasn't developed a safety net for production if they have a problem and the FDA shuts them down. That situation leaves patients who take their medications, without an alternative. Compounding pharmacies step into the breech when big pharma has a problem with a particular drug and stop making a drug (e.g. Lidocaine, B12 injectable, IV Fluids, to name a few shortages and no production that have occurred in the recent past). What if patients couldn't get the meds they need, and if there were no compounding pharmacies—Chaos and suffering and dying patients would closely follow! The FDA is Fickle and is not on your side! For years the FDA did not approve of Bioidentical estrogen and testosterone in any form, and just a few months ago all of a sudden, long after they scared women from taking the hormones they needed to improve their length of life and quality of life, they decided bioidentical hormones are better than the FDA approved hormones!!!  That is a little too late.  Some of us will never forget the stress lack of approval of compounded hormones caused for doctors and patients alike.  Other doctors criticized us and now most of them aren't even in practice anymore.  Maybe the FDA read my blog!!! Compounded hormones have been approved by the masses of women who have taken them under my signature! Compounded BI hormones are medications with a long track record and should not have to be tested with the bloated expense required of testing for the FDA. For Gynecological Disorders that don't have an FDA approved hormone drug because testosterone and estradiol have been used for so long that they don't need testing. If there was a significant problem with them their history of use of over 5-7 decades has proven the efficacy and safety of the female hormones for treatment and hormone replacement. For Psychiatric Disorders: Some patients need compounded ketamine products for conditions like severe depression, despite lacking FDA approval for these uses and potential risks, yet it has been used for this purpose for decades and was used for childbirth for almost a century, until epidurals and saddle blocks took their place. Testosterone for women still is not recognized as a female hormone even though women produce over twice as much Testosterone as Estradiol when they are in their fertile years.   Replacement of T with bioidentical T pellets offers a treatment for dozens of symptoms women face after age 40, and it prevents the diseases of aging: osteoporosis, heart disease, sarcopenia, frailty, diabetes and more that have not been addressed by mainstream medicine and the FDA. Over a decade ago, the FDA turned down the approval of testosterone patch after over 3 years of positive research studies, the FDA said they didn't approve T for women is because the side effect of T for women, facial hair, was dangerous for women.…I cry B—–S—-!  That is really men not wanting to share testosterone replacement with women. I say leave us alone and let women and their doctors determine what they need.  It is proven that only 5% of all professionals in any profession are not trustworthy, so give doctors their due and trust that we are looking for answers to our patients' problems that you don't even know about! The FDA is paid for by us…everyone in this country. I say hands off! Speed up the approval process or forget it for older drugs and BI hormones! ~

This podcast is sponsored by YARAL Pharma.  In this episode, we are focusing on the management of hypothyroidism -- a treatable, but not curable condition – and will explore unique challenges for patients with hypothyroidism in long-term care – from tolerability and formulation considerations to consistent dosing and patient needs. Dr. Tamara Ruggles is not affiliated with YARAL Pharma. All views and opinions regarding hypothyroidism are solely her own and are not attributable to YARAL or the Pharmacy Podcast Network. IMPORTANT SAFETY INFORMATION for levothyroxine sodium capsules INDICATION AND USAGE Levothyroxine sodium capsules are L-thyroxine (T4) indicated for adults and pediatric patients 6 years and older with: Hypothyroidism - As replacement therapy in primary (thyroidal), secondary (pituitary), and tertiary (hypothalamic) congenital or acquired hypothyroidism Pituitary Thyrotropin (Thyroid-Stimulating Hormone, TSH) Suppression - As an adjunct to surgery and radioiodine therapy in the management of thyrotropin-dependent well differentiated thyroid cancer Limitations of Use: Levothyroxine sodium capsules are not indicated for suppression of benign thyroid nodules and nontoxic diffuse goiter in iodine-sufficient patients as there are no clinical benefits and overtreatment with Levothyroxine sodium capsules may induce hyperthyroidism. Levothyroxine sodium capsules are not indicated for treatment of transient hypothyroidism during the recovery phase of subacute thyroiditis WARNING: NOT FOR THE TREATMENT OF OBESITY OR FOR WEIGHT LOSS Thyroid hormones, including levothyroxine sodium capsules, either alone or with other therapeutic agents, should not be used for the treatment of obesity or for weight loss. In euthyroid patients, doses within the range of daily hormonal requirements are ineffective for weight reduction. Larger doses may produce serious or even life-threatening manifestations of toxicity, particularly when given in association with sympathomimetic amines such as those used for their anorectic effects. Contraindications Uncorrected adrenal insufficiency Warnings and Precautions Cardiac adverse reactions in the elderly and in patients with underlying cardiovascular disease: Initiate Levothyroxine sodium capsules at less than the full replacement dose because of the increased risk of cardiac adverse reactions, including atrial fibrillation Myxedema coma: Do not use oral thyroid hormone drug products to treat myxedema coma Acute adrenal crisis in patients with concomitant adrenal insufficiency: Treat with replacement glucocorticoids prior to initiation of levothyroxine sodium capsules treatment Prevention of hyperthyroidism or incomplete treatment of hypothyroidism: Proper dose titration and careful monitoring is critical to prevent the persistence of hypothyroidism or the development of hyperthyroidism Worsening of diabetic control: Therapy in patients with diabetes mellitus may worsen glycemic control and result in increased antidiabetic agent or insulin requirements. Carefully monitor glycemic control after starting, changing, or discontinuing thyroid hormone therapy Decreased bone mineral density associated with thyroid hormone over-replacement: Over-replacement can increase bone reabsorption and decrease bone mineral density. Give the lowest effective dose Adverse Reactions Common adverse reactions with levothyroxine therapy are primarily those of hyperthyroidism due to therapeutic overdosage. They include the following: General: fatigue, increased appetite, weight loss, heat intolerance, fever, excessive sweating Central Nervous System: headache, hyperactivity, nervousness, anxiety, irritability, emotional ability, insomnia Musculoskeletal: tremors, muscle weakness Cardiovascular: palpitations, tachycardia, arrythmias, increased pulse and blood pressure, heart failure, angina, myocardial infarction, cardiac arrest Respiratory: dyspnea Gastrointestinal (GI): diarrhea, vomiting, abdominal cramps, elevations in liver function tests Dermatologic: hair loss, flushing Endocrine: decreased bone mineral density Reproductive: menstrual irregularities, impaired fertility Adverse Reactions in Children Pseudotumor cerebri and slipped capital femoral epiphysis have been reported in children receiving levothyroxine therapy. Overtreatment may result in craniosynostosis in infants and premature closure of the epiphyses in children with resultant compromised adult height. Seizures have been reported rarely with the institution of levothyroxine therapy. Hypersensitivity Reactions Hypersensitivity reactions to inactive ingredients (in this product or other levothyroxine products) have occurred in patients treated with thyroid hormone products. These include urticaria, pruritis, skin rash, flushing, angioedema, various GI symptoms (abdominal pain, nausea, vomiting and diarrhea), fever, arthralgia, serum sickness and wheezing. Hypersensitivity to levothyroxine itself is not known to occur. Drug Interactions: Many drugs and some foods can exert effects on thyroid hormone pharmacokinetics (e.g., absorption, synthesis, secretion, catabolism, protein binding, and target tissue response) and may alter the therapeutic response to Levothyroxine sodium capsules. Administer at least 4 hours before or after drugs that are known to interfere with absorption. See full prescribing information for drugs that affect thyroid hormone pharmacokinetics and metabolism. To report SUSPECTED ADVERSE REACTIONS, contact Yaral Pharma Inc. at 1-866-218-9009, or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. For Full Prescribing Information, including Boxed Warning, go to www.yaralpharma.com/levothyroxine-pi.

Feeling drained or stuck with stubborn weight that just won't budge? Or maybe you're endlessly exhausted, breaking out in rashes, or other seemingly unexplainable symptoms? A sluggish liver or thyroid can leave you feeling tired, bloated, or in a fog. Don't worry, this episode is all about how your liver and thyroid team up to help your body ditch toxins, and what you can do to support them, boosting overall wellness. This week, Jenn Trepeck is joined by Sara Banta, renowned Certified Dietary Supplement Professional and a member of the National Association of Nutritional Professionals. Sara Banta shares her personal journey and practical tips on detox support, thyroid and liver health, estrogen balance, and using nutrition and lifestyle to support your health whether your goal is more energy, weight loss, and simple detoxification. Get ready for actionable advice, real talk, and holistic strategies to help you feel lighter, brighter, and more energized. What You Will Learn in This Episode:✅ How liver health impacts detoxification and weight loss ✅ The role of thyroid function in energy, metabolism, and overall wellness ✅ Practical strategies to reduce toxins and support estrogen balance ✅ Supplements that help optimize liver and thyroid function The Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight loss, debunking myths, misinformation, and flawed science surrounding our understanding of nutrition and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store.TIMESTAMPS: 00:00 Detox support links toxins to stalled weight loss and why liver health is vital for detoxification05:32 Sara Banta's journey with thyroid function and toxins, and her son's leukemia scare, tied to poor detox support12:20 Sara's son struggles with his heart stopping, and the value of natural supplements19:22 Signs of sluggish thyroid function can include unexplained weight gain, loss of hair, eyebrows, thinning, dry skin, bloating and more23:49 The liver controls the detoxification, hormones, thyroid, estrogen, and cortisol, removing environmental chemicals and more27:50 Fatty liver epidemic linked to toxins, not just alcohol31:16 Detox support starts with lifestyle, not just supplements36:23 Iodine deficiency can block thyroid function and detox support38:22 Supplements for liver health without toxins or fillers42:09 Discussion of iodine supplements and how to choose quality supplements for adequate detox support 44:16 Hope for holistic health through detox support strategiesKEY TAKEAWAYS:

In this episode, Dr. Jockers sits down with guest Dr. Justin Marchegiani to dive into how thyroid hormones control your metabolism, energy, and overall health. Discover why symptoms like fatigue, hair thinning, or cold hands could signal underlying thyroid issues. We break down TSH, T4, and T3, and explain why conventional testing often misses the full story.   In this episode, learn the key drivers of thyroid dysfunction, including insulin resistance, chronic stress, and inflammation. Explore how your gut and liver influence hormone activation and why common nutrient deficiencies can silently impair thyroid function.   In this episode, get actionable strategies to support your thyroid naturally. From optimizing nutrient intake and stabilizing blood sugar to reducing environmental toxins, sleep and stress management are highlighted as essential components for better thyroid health. In This Episode: 00:00 Introduction to Thyroid Hormone Activation 00:13 Impact of Stress and Inflammation on Thyroid Function 02:38 Interview with Dr. Justin Marchegiani 03:16 Understanding Thyroid Hormones and Metabolism 04:22 Common Symptoms of Thyroid Issues 07:18 Conventional vs. Functional Medicine Approaches 12:20 Role of Nutrients in Thyroid Function 16:16 Gut Health and Thyroid Function 17:12 Holistic Approach to Thyroid Health 18:42 Understanding the Role of Gut Health in Diet and Exercise 19:48 Main Root Causes of Hypothyroidism 21:15 Impact of Toxins and Nutrient Deficiencies on Thyroid Health 21:50 Interpreting Thyroid Lab Results 25:58 Foundational Steps for Thyroid Health Without a Practitioner 30:36 The Thyroid Reboot Book and Final Thoughts If you want a nutrient-packed boost, check out Paleo Valley's Grass-Fed Organ Complex—a supercharged multivitamin containing liver, heart, and kidney from healthy pasture-raised cows. It delivers a full spectrum of B vitamins, minerals, amino acids, and peptides without the strong taste of organ meat. For a 15% discount, visit paleovalley.com/jockers and stock up on this powerful supplement to support energy, mental clarity, and overall health. Think heartburn comes from too much stomach acid? Think again. Most digestive issues actually stem from too little stomach acid. That's why I recommend Just Thrive Digestive Bitters—they naturally stimulate stomach acid, bile, and enzymes to improve digestion, reduce bloating, and boost nutrient absorption. Save 20% off your order with code JOCKERS at justthrivehealth.com.   "Chronic stress and inflammation can disrupt thyroid hormone activation and impact your metabolism."   Subscribe to the podcast on: Apple Podcast Stitcher Spotify PodBean  TuneIn Radio   Resources: Get 15% off Paleovalley: paleovalley.com/jockers – Use code JOCKERS Save 20% on Just Thrive: justthrivehealth.com – Use code JOCKERS   Connect with Dr. Justin Marchegianni Book:  https://amzn.to/41FtiJX Website:  justinhealth.com Connect with Dr. Jockers: Instagram – https://www.instagram.com/drjockers/ Facebook – https:/www.facebook.com/DrDavidJockers YouTube – https://www.youtube.com/user/djockers Website – https://drjockers.com/ If you are interested in being a guest on the show, we would love to hear from you! Please contact us here! - https://drjockers.com/join-us-dr-jockers-functional-nutrition-podcast/

What's the best thyroid medication to be on — NDT, T4, T3, or a combination? And how do you actually know what's right for your body? In this episode, I'm breaking down the nuanced art of thyroid optimization — from natural desiccated thyroid (like Armour or NP) to biosynthetic options such as Synthroid, Tirosint, and Cytomel. I explain why there's no one-size-fits-all treatment, what to consider if you have Hashimoto's, and how fillers, conversion issues, and reverse T3 can all impact how you feel. You'll learn how to spot when your thyroid meds need tweaking, why “natural” doesn't always mean better, and how to use your labs and symptoms together to guide your treatment. If you've ever felt confused about which thyroid medication is best or frustrated that your current dose isn't working, this episode will give you the clarity, confidence, and questions to bring to your next appointment — so you can finally get the right combination, in the right dose, for you. Shop ALL of Dr. Amie's Fixxr® Supplements: ⁠⁠betterlifedoctor.com⁠⁠ LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free application call:⁠ ⁠https://dramiehornaman.com/pages/book-a-call⁠⁠ FREE DOWNLOADS… ⁠⁠What Are the Optimal Lab Ranges? What Steps Can I Take?⁠⁠ Don't know where to start...don't know which labs are useful? And what to do when you get your results? ⁠⁠“How To” Guide For Supplements⁠⁠ Here's your Fixxr® supplement timeline and guide. ⁠⁠Fix Your Thyroid and Adrenals To Fix Your Life⁠⁠ Check your symptoms of hypothyroidism and know OPTIMAL thyroid lab values. Learn why you are being told you're “NORMAL” by your doctor. ⁠⁠Can Supplements Help with Hypothyroidism?⁠⁠ Grab this thorough guide to help you select the most advantageous supplements that will best suit your health circumstances. RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click⁠ ⁠HERE⁠⁠, scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow⁠ ⁠HERE⁠⁠ and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group, Dr. Amie…The Thyroid Fixer®...Love Your Mirror, for a Community of HOPE and Support in your thyroid journey. ⁠⁠https://www.facebook.com/groups/dramie/⁠⁠ Like me on Facebook:⁠ ⁠Amie Hornaman Nutrition and Functional Medicine⁠⁠ Subscribe on Youtube:⁠ ⁠Dr. Amie Hornaman⁠⁠ Follow me on Instagram:⁠ ⁠@dramiehornaman

Episode 15 – Myth: Low fT3 Means You Just Need More T3 Many people struggling with chronic hypothyroid symptoms are told the answer is simple: “Your free T3 is low, so you just need more T3 medication.” But is that really the solution? In this episode of Thyroid Shorts, Dr. Eric Balcavage explains why low T3 is often an adaptive response to stress, not a sign that your body is broken. He explores how gut health, diet, inflammation, and immune activity drive thyroid conversion, and why simply adding T3 may provide temporary relief but can worsen long-term issues. Key insights include: Why the majority of T3 is produced outside the thyroid gland How dysbiosis, leaky gut, and inflammation reduce conversion The risks of overmedicating with T3 (immune suppression, anxiety, palpitations, and more thyroiditis) Practical strategies to restore healthy T4-to-T3 conversion through gut and lifestyle support If you've been chasing “optimal labs” with more medication but still feel unwell, this episode will give you a new perspective, and tools you can start using right away.

Ready to take a deep dive and learn how to generate personal tax-free cash flow from your corporation? Enroll in our FREE masterclass here and book a call hereShould you really set up a holding company for tax savings—or could it actually cost you more in the long run?Many Canadians hear that incorporating is the golden ticket to tax efficiency and wealth building. But the truth is more nuanced. If you're a T4 employee or just starting your real estate journey, rushing into a corporate structure might create unnecessary fees, added complexity, and even higher taxes. The real challenge is knowing when incorporation makes sense and when it's better to stay personal with your investments. This episode unpacks the myths and realities so you don't fall into an expensive trap.By tuning in, you'll discover:Why transferring personal investments into a holding company can backfire tax-wise.The clear line between when to keep assets personal versus when a corporation truly adds value.How to build a strategy that creates a tax problem worth solving—rather than a structure that solves nothing.Press play now to learn how to spot the right time—and the wrong time—to incorporate on your path to financial freedom.Discover which phase of wealth creation you are in. Take our quick assessment and you'll receive a custom wealth-building pathway that matches your phase and learn our CRA compliant tax optimized strategies. Take that assessment here.Canadian Wealth Secrets Show Notes Page:Consider reaching out to Kyle…taking a salary with a goal of stuffing RRSPs;…investing inside your corporation without a passive income tax minimization strategy;…letting a large sum of liquid assets sit in low interest earning savings accounts;…investing corporate dollars into GICs, dividend stocks/funds, or other investments attracting corporate passive income taxes at greater than 50%; or,…wondering whether your current corporate wealth management strategy is optimal for your specific situation.Building long-term wealth in Canada requires more than just saving—it's about investment optimization, tax-efficient investing, and making the right choices between personal vs corporate tax planning. Whether you're exploring holding companies, corporate structures, or real estate investing in Canada, a smart Canadian wealth plan aligns your financial vision setting with proven wealth building strategies. From RRSP optimization and navigating salary vs dividends in Canada to using retirement planning tools for an early retirement strategy, the key is balancing financial buckets for growth, proReady to connect? Text us your comment including your phone number for a response!Canadian Wealth Secrets is an informative podcast that digs into the intricacies of building a robust portfolio, maximizing dividend returns, the nuances of real estate investment, and the complexities of business finance, while offering expert advice on wealth management, navigating capital gains tax, and understanding the role of financial institutions in personal finance.

fWotD Episode 3071: Yugoslav torpedo boat T4 Welcome to featured Wiki of the Day, your daily dose of knowledge from Wikipedia's finest articles.The featured article for Wednesday, 1 October 2025, is Yugoslav torpedo boat T4.T4 was a seagoing torpedo boat operated by the Royal Yugoslav Navy between 1921 and 1932. Originally 79 T, a 250t-class torpedo boat of the Austro-Hungarian Navy built in 1914, she was armed with two 66 mm (2.6 in) guns and four 450 mm (17.7 in) torpedo tubes, and could carry 10–12 naval mines. She saw active service during World War I, performing convoy, patrol, escort and minesweeping tasks, anti-submarine operations and shore bombardment missions. In 1917 the suffixes of all Austro-Hungarian torpedo boats were removed, and thereafter she was referred to as 79. Underway during the short-lived mutiny by Austro-Hungarian sailors in early February 1918, her captain realised the danger and put her crew ashore. She was part of the escort force for the Austro-Hungarian dreadnought Szent István during the action that resulted in the sinking of that ship by Italian torpedo boats in June 1918.Following Austria-Hungary's defeat in 1918, 79 was allocated to the Navy of the Kingdom of Serbs, Croats and Slovenes, which later became the Royal Yugoslav Navy, and was renamed T4. At the time, she and the seven other 250t-class boats were the only modern sea-going vessels of the fledgling maritime force. During the interwar period, T4 and the rest of the navy were involved in training exercises and cruises to friendly ports, but activity was limited by reduced naval budgets. In 1932, she ran aground on the island of Drvenik Mali off the central Dalmatian coast and the hull broke in half. The bow remained on the island, and the stern was towed to the Tivat Arsenal in the Bay of Kotor. As a result, it became a standing joke among Yugoslav sailors that this made T4 the "world's longest torpedo boat". Eventually both sections were scrapped where they were.This recording reflects the Wikipedia text as of 00:30 UTC on Wednesday, 1 October 2025.For the full current version of the article, see Yugoslav torpedo boat T4 on Wikipedia.This podcast uses content from Wikipedia under the Creative Commons Attribution-ShareAlike License.Visit our archives at wikioftheday.com and subscribe to stay updated on new episodes.Follow us on Mastodon at @wikioftheday@masto.ai.Also check out Curmudgeon's Corner, a current events podcast.Until next time, I'm neural Ivy.

In this Thyroid Answers Shorts episode, Dr. Eric Balcavage explores the critical role your mitochondria—the true powerhouses of your cells—play in thyroid health and recovery. Too often, thyroid care focuses solely on optimizing lab values like TSH, Free T4, or Free T3. But true recovery isn't about chasing numbers. It's about understanding what happens inside your cells. Dr. Balcavage explains how cellular stress impacts mitochondrial function, how this stress disrupts thyroid hormone conversion, and why patients can still feel hypothyroid even when their labs look “normal.” In this episode, you'll learn: Why mitochondria are the missing link in thyroid recovery. How cellular stress shifts thyroid physiology away from homeostasis. Why simply adding more T4 or T3 may provide temporary relief but rarely leads to lasting recovery. Practical ways to support mitochondrial health and improve thyroid function. Whether you're on thyroid medication, exploring functional medicine, or still searching for answers, this episode will help you understand why addressing mitochondrial health is essential for lasting thyroid recovery.

What happens when too much T4 builds up in the body—and could it actually raise your risk of cancer? I'm digging into the latest studies that suggest a connection between high free T4 levels and cancer progression, and breaking down what this really means for anyone on thyroid medication. You'll hear why the issue isn't the pill itself, but the dosing, the conversion to T3, and how reverse T3 plays a hidden role in slowing down your entire system. I'll explain how T4 can mimic estrogen in certain cancers, why reverse T3 puts your body into “hibernation mode,” and the essential nutrients that can protect your thyroid and keep conversion running smoothly. If you've ever wondered whether your thyroid meds could be hurting you instead of helping—or if you want clarity on how to lower risk and finally feel better—this conversation will give you the answers you've been searching for. Shop ALL of Dr. Amie's Fixxr® Supplements: ⁠⁠betterlifedoctor.com⁠⁠ LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free application call:⁠ ⁠https://dramiehornaman.com/pages/book-a-call⁠⁠ FREE DOWNLOADS… ⁠⁠What Are the Optimal Lab Ranges? What Steps Can I Take?⁠⁠ Don't know where to start...don't know which labs are useful? And what to do when you get your results? ⁠⁠“How To” Guide For Supplements⁠⁠ Here's your Fixxr® supplement timeline and guide. ⁠⁠Fix Your Thyroid and Adrenals To Fix Your Life⁠⁠ Check your symptoms of hypothyroidism and know OPTIMAL thyroid lab values. Learn why you are being told you're “NORMAL” by your doctor. ⁠⁠Can Supplements Help with Hypothyroidism?⁠⁠ Grab this thorough guide to help you select the most advantageous supplements that will best suit your health circumstances. RATE, REVIEW AND FOLLOW ON APPLE PODCASTS Show your love for Amie and The Thyroid Fixer Podcast! If you're enjoying our journey together, I'd be thrilled if you could take a moment to rate and review the show on Apple Podcasts. Your support helps me reach and help more people just like you, guiding them towards their optimal selves! Just click⁠ ⁠HERE⁠⁠, scroll all the way down, give us those 5 stars, and share what you enjoy about my episodes in a review. Haven't subscribed yet? Make sure to follow The Thyroid Fixer Podcast to catch all the new episodes that come out every week. Follow⁠ ⁠HERE⁠⁠ and never miss out on a moment of the journey! CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group, Dr. Amie…The Thyroid Fixer®...Love Your Mirror, for a Community of HOPE and Support in your thyroid journey. ⁠⁠https://www.facebook.com/groups/dramie/⁠⁠ Like me on Facebook:⁠ ⁠Amie Hornaman Nutrition and Functional Medicine⁠⁠ Subscribe on Youtube:⁠ ⁠Dr. Amie Hornaman⁠⁠ Follow me on Instagram:⁠ ⁠@dramiehornaman

Cortisol Episode: https://youtu.be/3b1hmZQsSEkInflammation Episode: https://youtu.be/WHQVnXcqHiEDetox Episode: https://youtu.be/b7Vt3Anj_WkLiver Episode: https://youtu.be/TX55v-lOZyYUndereating Episode (Reverse Dieting): https://youtu.be/PCOhgg-PXSU‣ Book Your COMPLEMENTARY CONSULATION and CALORIE CALCULATION call:- how much & what to eat, exercise & lifestyle recommendations, and specific resources to support you on your journey

Send us a textIn this episode, I sit down with Dr. Heather Stone, a functional medicine practitioner with 20+ years of experience helping women navigate hypothyroidism and Hashimoto's. We unpack why so many women have “normal” thyroid labs but still feel exhausted, foggy, or stuck with weight—and what to actually do about it.We cover:Thyroid 101: Hashimoto's vs. hypothyroidism, and why TSH alone can miss the full pictureSmart testing: The useful panel (TSH, free T4, free T3, antibodies) and when to consider reverse T3, ferritin, Vitamin D, B12, and blood sugar markersIf it's not Hashimoto's… common “mimics” of thyroid symptoms (perimenopause, stress, poor sleep, low iron, unstable blood sugar)Nutrition that helps: Protein targets, simple blood-sugar wins, and how to experiment without going extremeTraining without crashing: How to strength train 2–3x/week and dose cardio when energy is lowSelf-advocacy: How to talk to your doctor if you feel dismissed, and practical next stepsThis is educational only—not medical advice. If you've felt unheard or confused by mixed messages, this conversation will help you build a plan you can actually follow.Links mentioned: Free Facebook Group Happy,Healthy & Lean: Women Overcoming Low Thyroid (126k members)Instagram: @drheatherstone & @personaltrainer_turoBook: Thyroid Transformation BlueprintIf this episode helps, share it with a friend—and if you're ready for coaching support, you can explore options at personaltrainerturo.com

Today, we have the first episode of a series of AMAs with McCall McPherson. McCall McPherson is the visionary behind Modern Thyroid Clinic, a thyroid-centered functional medicine practice in Austin, Texas. McCall is a physician assistant and thyroid expert. She is a recent TEDx speaker, a frequent guest on podcasts and summits, and the owner, host, and Chief Thyroid Hope Giver of the Thyroid Nations podcast.  Today, McCall joins me to dive into a range of listener questions, covering whether intermittent fasting damages the thyroid, the role of GLP-1s, constipation, split-dosing medication, adrenal health, ADHD, phentermine versus Glucophage versus GLP-1s, and how HRT affects thyroid medication. We also explore the impact of lipids on thyroid health and the role of nutrition, and we share our opinions on the Dutch test.  This invaluable AMA was made even more special by the flood of questions submitted by listeners. IN THIS EPISODE, YOU WILL LEARN: The benefits of adopting a nuanced approach to intermittent fasting  How Graves' disease and Hashimoto's differ in terms of fasting Why fasting is not advisable when taking GLP-1s Do thyroid medications cause constipation? Strategies for overcoming constipation and improving gut health McCall shares her rationale for splitting thyroid medication doses Will progesterone increase free T4 levels? The importance of rechecking thyroid labs after starting or adjusting HRT Foods to avoid and include in your diet for thyroid health Is the Dutch test worth using? Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with McCall McPherson Modern Thyroid Clinic  Modern Weight Loss On Instagram and TikTok Modern Thyroid and Wellness Podcast

Dr. Kathleen Horst, Dr. Rachel Jimenez, and Dr. Yara Abdou discuss the updated guideline from ASTRO, ASCO, and SSO on postmastectomy radiation therapy. They share new and updated recommendations on topics including PMRT after upfront surgery, PMRT after neoadjuvant systemic therapy, dose and fractionation schedules, and delivery techniques. They comment on the importance of a multidisciplinary approach and providing personalized care based on individual patient characteristics. Finally, they review ongoing research that may impact these evidence-based guidelines in the future. Read the full guideline, “Postmastectomy Radiation Therapy: An ASTRO-ASCO-SSO Clinical Practice Guideline” at www.asco.org/breast-cancer-guidelines" TRANSCRIPT This guideline, clinical tools, and resources are available at www.asco.org/breast-cancer-guidelines. Read the full text of the guideline and review authors' disclosures of potential conflicts of interest in the Journal of Clinical Oncology, https://ascopubs.org/doi/10.1200/JCO-25-01747  Brittany Harvey: Hello and welcome to the ASCO Guidelines podcast, one of ASCO's podcasts delivering timely information to keep you up to date on the latest changes, challenges, and advances in oncology. You can find all the shows, including this one, at asco.org/podcasts. My name is Brittany Harvey, and today I am interviewing Dr. Kathleen Horst, expert panel chair from Stanford University; Dr. Rachel Jimenez, expert panel vice chair from Massachusetts General Hospital; and Dr. Yara Abdou, ASCO representative from the University of North Carolina, authors on "Postmastectomy Radiation Therapy: An American Society for Radiation Oncology, American Society of Clinical Oncology, and Society of Surgical Oncology Clinical Practice Guideline." Thank you for being here today, Dr. Horst, Dr. Jimenez, and Dr. Abdou. Dr. Kathleen Horst: Thank you for having us. Brittany Harvey: And then just before we discuss this guideline, I would like to note that ASCO takes great care in the development of its guidelines and ensuring that the ASCO conflict of interest policy is followed for each guideline. The disclosures of potential conflicts of interest for the guideline panel, including Dr. Horst, Dr. Jimenez, and Dr. Abdou who have joined us here today, are available online with the publication of the guideline in the Journal of Clinical Oncology, which is linked in the show notes. Then to dive into the content that we are here today to talk about, Dr. Horst, could you start us off by describing what prompted the update for this joint guideline between ASTRO, ASCO, and SSO, and what is the scope of this 2025 guideline on postmastectomy radiation therapy? Dr. Kathleen Horst: Thank you. This joint guideline was last updated in 2016. Over the past decade, the treatment of breast cancer has evolved substantially. Newer systemic therapy regimens have increasingly personalized treatment based on tumor biology, and local therapy management has explored both the de-escalation of axillary surgery and more abbreviated courses of radiation therapy. Given these advances, it was important to revisit the role of postmastectomy radiotherapy in this modern era of breast cancer therapy. This updated guideline addresses four key questions, including postmastectomy radiation therapy after upfront surgery as well as after neoadjuvant systemic therapy. It also reviews the evolving role of various dose and fractionation schedules and optimal treatment techniques and dose constraints. Brittany Harvey: Excellent. I appreciate that background, Dr. Horst. So then, next, Dr. Jimenez, I would like to review the recommendations of this guideline across those four key questions that Dr. Horst just mentioned. So first, what does the panel recommend for PMRT for patients who received initial treatment with mastectomy? Dr. Rachel Jimenez: The panel provided pretty strong consensus that patients with positive lymph nodes or patients with large tumors involving the skin or the chest wall should receive postmastectomy radiation. However, the panel also recognized that the omission of postmastectomy radiation may be appropriate for select patients who have positive lymph nodes and have an axillary lymph node dissection if they have a low nodal burden and other favorable clinical or pathologic features. For patients without lymph node involvement at the time of surgery and no involvement of the skin or chest wall, postmastectomy radiation was not advised by the panel. Brittany Harvey: Understood. It is helpful to understand those recommendations for that patient population. Following that, Dr. Abdou, what are the key recommendations for PMRT for patients who received neoadjuvant systemic therapy before mastectomy? Dr. Yara Abdou: When we think about PMRT after neoadjuvant treatment, the key point is that the initial stage of presentation still matters a lot. So for example, if a patient comes in with more advanced disease, say a large primary tumor, like a clinical T4, or more extensive nodal disease, like an N2 or N3 disease, those patients should get PMRT, no matter how well they respond to neoadjuvant therapy, because we know it reduces the risk of recurrence and that has been shown pretty consistently. On the other hand, if there are still positive lymph nodes after neoadjuvant treatment, basically residual nodal disease, PMRT is also strongly recommended because the risk of local-regional recurrence is much higher in that setting. The gray area is the group of patients who start with a lower burden of nodal disease, such as N1 disease, but then become node negative at surgery. For those patients, we tend to individualize the decision. So if the patient is young or has triple-negative disease, or if there is a lot of residual disease in the breast even though the nodes are cleared, then radiation is probably helpful. But if everything has melted away with pCR in both the breast and the nodes, then it may be safe to omit PMRT in those patients. For patients with smaller tumors and no nodal involvement to begin with, like a clinical T1-T2 N0, if they are still node negative after neoadjuvant treatment, then PMRT is generally not recommended because their baseline recurrence risk is low. And finally, if the margins are positive and cannot be re-excised, then PMRT is recommended after neoadjuvant therapy. Brittany Harvey: Yes, those distinctions are important for appropriate patient selection. So then, Dr. Horst, we have just reviewed the indications for PMRT, but for those patients who receive PMRT, what are the appropriate treatment volumes and dose fractionation regimens? Dr. Kathleen Horst: The guideline addresses coverage of the chest wall and regional nodes with a specific discussion of the data regarding internal mammary nodal irradiation, which has been an area of controversy over many years. The guideline also reviews the data exploring moderate hypofractionation, or shorter courses of radiation therapy. The task force recommends utilizing moderate hypofractionation for the majority of women requiring postmastectomy radiation, which is likely to have a large impact on clinical practice. This recommendation is based on the evolving data demonstrating that a 3-week course of radiotherapy after mastectomy provides similar oncologic outcomes and minimal toxicity for most patients compared to the standard 5-week treatment course. Brittany Harvey: Thank you for reviewing that set of recommendations as well. So then, Dr. Jimenez, to wrap us up on the key questions here, what delivery techniques are recommended for treating patients who receive PMRT? Dr. Rachel Jimenez: So this portion of the guideline is likely to be most helpful for radiation oncologists because it represents the most technical part of the guideline, but we do believe that it offers some important guidance that has, to this point, been lacking in the postmastectomy radiation setting. So first, the panel recommends that all patients should undergo 3-dimensional radiation planning using CAT scan based imaging, and this includes contouring. So contouring refers to the explicit identification, using a drawing interface on the CAT scan imaging, by the radiation oncologist to identify the areas that are targeted to receive radiation, as well as all of the nearby normal tissues that could receive unintended radiation exposure. And we also provide radiation oncologists in the guideline with suggestions about how much dose each target tissue should receive and what the dose limits should be for normal tissues. Additionally, we make some recommendations regarding the manner in which radiation is delivered. So for example, we advise that when conventional radiation methods are not sufficient for covering the areas of the body that are still at risk for cancer, or where too high of a dose of radiation would be anticipated to a normal part of the body, that providers employ a technique called intensity modulated radiation therapy, or IMRT. And if IMRT is going to be used, we also advise regular 3-dimensional imaging assessments of the patient's body relative to the treatment machine to ensure treatment fidelity. When the treatments are delivered, we further advise using a deep inspiration breath-hold technique, which lowers the exposure to the heart and to the lungs when there is concern for cardiopulmonary radiation exposure, and again, that image guidance be used along with real-time monitoring of the patient's anatomy when those techniques are employed. And then finally, we advise that patients receiving postmastectomy radiation utilize a bolus, or a synthetic substance placed on the patient's skin to enhance radiation dose to the superficial tissue, only when there is involvement of the skin with cancer or other high-risk features of the cancer, but not for every patient who receives postmastectomy radiation. Brittany Harvey: Understood. And then, yes, you just mentioned that section of the guideline is probably most helpful for radiation oncologists, but I think you can all comment on this next question. What should all clinicians, including radiation oncologists, surgical oncologists, medical oncologists, and other oncologic professionals, know as they implement all of these updated recommendations? Dr. Rachel Jimenez: So I think one of the things that is most important when we consider postmastectomy radiation and making recommendations is that this is a multidisciplinary panel and that we would expect and encourage our colleagues, as they interpret the guidelines, to employ a multidisciplinary approach when they are discussing each individual patient with their surgical and medical oncology colleagues, that there is no one size fits all. So these guidelines are intended to provide some general guidance around the most appropriate techniques and approaches and recommendations for the utilization of postmastectomy radiation, but that we recognize that all of these recommendations should be individualized for patients and also represent somewhat of a moving target as additional studies, both in the surgical and radiation oncology realm as well as in the systemic therapy realm, enter our milieu, we have to adjust those recommendations accordingly. Dr. Kathleen Horst: Yeah, I would agree, and I wanted to comment as a radiation oncologist, we recognize that local-regional considerations are intertwined with systemic therapy considerations. So as the data evolve, it is critical to have these ongoing updates in a cross-disciplinary manner to ensure optimal care for our patients. And as Dr. Jimenez mentioned, these multidisciplinary discussions are critical for all of us to continue to learn and understand the evolving recommendations across disciplines but also to individualize them according to individual patients. Dr. Yara Abdou: I could not agree more. I think from a medical oncology perspective, systemic therapy has gotten much better with adjuvant CDK4/6 inhibitors, T-DM1, capecitabine, and immune therapy. So these are all newer adjuvant therapies, so the baseline recurrence risks are lower than what they were in the trials that established PMRT. So the absolute benefit of radiation varies more now, so smaller for favorable biology but still relevant in aggressive subtypes or with residual disease. So it is definitely not a one-size-fits-all. Brittany Harvey: Yes, I think it is important that you have all highlighted that multidisciplinary approach and having individualized, patient-centric care. So then, expanding on that just a little bit, Dr. Abdou, how will these guideline recommendations affect patients with breast cancer? Dr. Yara Abdou: So basically, reiterating what we just talked about, these guidelines really move us towards personalized care. So for patients at higher risk, so those with larger tumors, multiple positive nodes, or residual nodal disease after neoadjuvant therapy, PMRT remains essential, consistently lowering local-regional recurrence and improving survival. But for patients at intermediate or lower risk, the recommendations support a more selective approach. So instead of a blanket rule, we now integrate tumor biology, response to systemic therapy, and individual patient factors to decide when PMRT adds meaningful benefit. So the impact for patients is really important because those at high risk continue to get the survival advantage of radiation while others can be spared the unnecessary treatment and side effects. So in short, we are aligning PMRT with modern systemic therapy and biology, making sure each patient receives the right treatment for their situation. Brittany Harvey: Absolutely. Individualizing treatment to every patient will make sure that everyone can achieve the best outcomes as possible. So then, Dr. Jimenez, to wrap us up, I believe Dr. Horst mentioned earlier that data continues to evolve in this field. So in your opinion, what are the outstanding questions regarding the use of PMRT and what are you looking to for the future of research in this space? Dr. Rachel Jimenez: So there are a number of randomized phase III clinical trials that are either in active accrual or that have reported but not yet published that are exploring further de-escalation of postmastectomy radiation and of axillary surgery. And so we do not yet have sufficient data to understand how those two pieces of information integrate with each other. So for example, if you have a patient who has a positive lymph node at the time of diagnosis and forgoes axillary surgery aside from a sentinel lymph node biopsy, we do not yet know that we can also safely forgo radiation entirely in that setting. So we expect that future studies are going to address these questions and understand when it is appropriate to simultaneously de-escalate surgery and radiation. Additionally, there is a number of trials that are looking at ways in which radiation could be omitted or shortened. So there is the RT CHARM trial, which has reported but not yet published, looking at a shorter course of radiation. And so we do make recommendations around that shorter course of radiation in this guideline, but we anticipate that the additional data from the RT CHARM study will provide further evidence in support of that. Additionally, there is a study called the TAILOR RT trial, which looks at forgoing postmastectomy radiation in patients who, to Dr. Abdou's point, have a favorable tumor biology and a low 21-gene recurrence score. And so we are going to anticipate the results from that study to help guide who can selectively forgo postmastectomy radiation when they fall into that favorable risk category. So there are a number of questions that I think will help flesh out this guideline. And as they publish, we will likely publish a focused update on that information to help provide context for our colleagues in the field and clarify some of these recommendations to suit the latest data. Brittany Harvey: Absolutely. We will look forward to those de-escalation trials and ongoing research in the field to build on the evidence and look for future updates to this guideline. So I want to thank you for your work to update these guidelines, and thank you for your time today, Dr. Horst, Dr. Jimenez, and Dr. Abdou. Dr. Rachel Jimenez: Thank you. Dr. Yara Abdou: Thank you. Dr. Kathleen Horst: Thank you. Brittany Harvey: And then finally, thank you to all of our listeners for tuning in to the ASCO Guidelines podcast. To read the full guideline, go to www.asco.org/breast-cancer-guidelines. You can also find many of our guidelines and interactive resources in the free ASCO Guidelines app, which is available in the Apple App Store or the Google Play Store. If you have enjoyed what you have heard today, please rate and review the podcast and be sure to subscribe so you never miss an episode. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.  

Pilar Cisneros actualiza la situación que se vive en Barajas en este tercer día de huelga de vigilantes en los controles de seguridad. "Se roza casi la normalidad. No hay prácticamente cola ante estos controles que dan acceso a la zona de seguridad donde me encuentro", relata en 'Herrera en COPE'.Así, da más detalles, explicando que hay "bastante gente, pero va muy ligera esta cola. Ahora, aproximadamente, en 20 minutos se pasa el control de seguridad. Los viajeros no se fían". Es el caso de Lucía y Rosa. Dos jóvenes que han acudido con tres horas de antelación. Van a Dublín y no quieren perder el vuelo, "sino sí que empieza la aventura de verdad", cuenta una de ellas a Pilar Cisneros.Según los datos facilitados desde Aena, las colas están fluyendo mejor hoy que en días anteriores y el punto con más tiempo de espera es el control de la T4, con "alrededor de 20 minutos". La situación está mejor en el resto de las terminales, añaden.Los tiempos de espera llegaron ...

Un debate bilateral entre China y Estados Unidos tiene lugar en Madrid, con la asistencia de dos ministros del Gobierno español. Se acuerda que TikTok, con 1.800 millones de usuarios, pase a ser propiedad de una empresa estadounidense, con una llamada telefónica entre Trump y el líder chino prevista para el viernes. Se comenta que EE.UU. no quiere que China use España como "patio trasero". Pedro Sánchez anuncia nuevas ayudas de alquiler con opción a compra para jóvenes, un seguro de impago de rentas y subvenciones para la compra de vivienda en el medio rural. Sin embargo, los expertos señalan que las condiciones solo son aplicables a menos del 4% de los alquileres actuales. Se critica que el problema de la vivienda es de oferta y ninguna de las 158.000 viviendas públicas anunciadas se ha construido. Se revoca 8.000 pisos turísticos en Málaga, señalándolos como "enemigo". Se vive una jornada de caos en el aeropuerto de Barajas con colas en la T4 debido a una huelga indefinida del ...

El debate en torno a la cancelación de la última etapa de la Vuelta a España en Madrid domina la mañana, tras las protestas propalestinas que dejaron 22 policías heridos y 2 detenidos. Javier Guillén, director de la Vuelta, lamenta los incidentes atribuidos a manifestantes radicales, que impidieron al ganador disfrutar del podio. Se destaca la injusticia de las protestas, dado que el equipo israelí participa por invitación obligatoria de la UCI, y la organización de la Vuelta no pudo desinvitarlo. La imagen de España se ve afectada internacionalmente, con condenas en medios internacionales y perplejidad en la prensa francesa. La dirección de la Vuelta subraya que solo buscaban competir. Mientras, Pedro Sánchez se reúne con la dirección de su grupo parlamentario tras animar a los manifestantes, generando críticas. En el aeropuerto de Barajas, una huelga indefinida del personal de seguridad provoca largas colas y retrasos, aunque la situación se normaliza en la T4 con esperas mínimas. ...

La gala de entrega de los Premios Emmy es la excusa perfecta para que Eva Soriano y Nacho García profundicen en una Actualidad en que la también comentan el caos en la T4 del aeropuerto de Barajas por la huelga del personal de seguridad o la instalación de nuevos radares en las carreteras por parte de la DGT.

Today we dive back into pensions for incorporated professionals. On this ride, we compare and contrast 2 good pension options: the individual pension plan (IPP) and the Healthcare of Ontario Pension Plan (HOOPP).For today's chat I'm happy to welcome Sean Wilson (CFP, CIM), founder of Moraine Wealth Advisory, and Navaz Cassam, president & chief actuary of GBL Inc.HOOPP vs IPP White Paper:https://morainewealth.com/blog/hoopp-vs-ipp/Discussion points:- overview of pensions (1:45)- introduction (2:42)- what is a defined benefit (DB) pension plan? (4:38)- the DB pension formula (5:20)- establishing earnings for a pension plan (8:03)- pension eligibility (9:43)- pension plan contributions (11:43)- why are extra contributions helpful? (14:40)- IPP special contributions (19:10)- impact of disability (21:23)- IPP investing - DIY & control (21:50)- IPP costs (26:32)- flexibility & control in a pension plan (28:03)- withdrawing from a pension (32:46)- terminal funding (33:54)- considerations for a retirement compensation arrangement (36:36)- indexing the defined benefit to inflation (38:40)- IPP projections - starting age 40 with $200K of T4 income (40:18)- who shouldn't consider a pension? (45:37)- closing thoughts (47:38)Yatin ChadhaNYGH Fundraiser: https://donate.nyghfoundation.ca/site/TR/Events/Rally_in_the_Ravine?px=1561359&pg=personal&fr_id=1310LinkedIn: Yatin Chadhabeyond Radiology:https://beyondradiology.thinkific.com/products/courses/ct-head-interpretation-coursehttps://beyondradiology.thinkific.com/courses/master-ct-head-interpretation-courseSean Wilsonhttps://morainewealth.com/https://www.linkedin.com/in/sean-m-wilson/Navaz Cassamhttps://www.linkedin.com/in/navaz-cassam-0b025716/

Ready to take a deep dive and learn how to generate personal tax-free cash flow from your corporation? Enroll in our FREE masterclass here and book a call hereAre you overlooking a tax-saving tool worth thousands that's sitting right in front of you?Many high-income professionals and real estate investors get caught up in complex strategies like the Smith Maneuver or cash damming—powerful, yes, but painfully slow to pay off. The truth is, these long-game approaches can distract you from simpler, more immediate wins. In this episode, we break down how one investor, focused on advanced tactics, was missing an obvious opportunity that could put thousands of dollars back in his pocket this year. If you've ever wondered whether you're working too hard for too little tax relief, this conversation will hit home.You'll discover:How cash damming works—and why clean record-keeping is non-negotiable.When it makes sense to hire an investor-savvy accountant and how the costs compare to the actual tax savings.Why RRSP contributions, often ignored by real estate investors, can create instant tax refunds worth thousands while still supporting your long-term wealth strategy.Press play now to learn how to stop missing the forest for the trees and unlock immediate tax savings while still building for the future.Discover which phase of wealth creation you are in. Take our quick assessment and you'll receive a custom wealth-building pathway that matches your phase and learn our CRA compliant tax optimized strategies. Take that assessment here.Canadian Wealth Secrets Show Notes Page:Consider reaching out to Kyle…taking a salary with a goal of stuffing RRSPs;…investing inside your corporation without a passive income tax minimization strategy;…letting a large sum of liquid assets sit in low interest earning savings accounts;…investing corporate dollars into GICs, dividend stocks/funds, or other investments attracting corporate passive income taxes at greater than 50%; or,…wondering whether your current corporate wealth management strategy is optimal for your specific situation.Building long-term wealth in Canada requires more than just working hard—it's about mastering tax strategies and aligning them with a clear Canadian wealth plan. From cash damming and RRSP optimization to investment loans and corporate wealth planning, T4 earners and Canadian entrepreneurs alike can unlock powerful tax savings. With the right accountant and smart financial planning tools, you can balance salary vs dividends in Canada, create effective financial buckets, and design a financial visiReady to connect? Text us your comment including your phone number for a response! Canadian Wealth Secrets is an informative podcast that digs into the intricacies of building a robust portfolio, maximizing dividend returns, the nuances of real estate investment, and the complexities of business finance, while offering expert advice on wealth management, navigating capital gains tax, and understanding the role of financial institutions in personal finance.

The humble mineral iodine might be the most overlooked yet critical component of your health puzzle. Dr. Lodi takes us on a deep dive into why this forgotten element deserves our attention, explaining how iodine deficiency undermines thyroid function and consequently weakens our immune system.Most of us are walking around with suboptimal iodine levels due to depleted soils and diets lacking in sea vegetables. The consequences? Our thyroid glands substitute other halogens like fluoride and bromide when creating hormones, resulting in molecules that measure as T3 and T4 but lack the biological activity necessary for health. "If you don't have a healthy thyroid, you won't have a healthy immune system. It's impossible," Dr. Lodi emphasizes, highlighting the fundamental connection between these systems.Restoring proper iodine levels requires a thoughtful approach - typically 25mg daily for at least a year. This restoration process creates a paradox where supplementing with iodine can temporarily suppress thyroid function, requiring simultaneous support with natural thyroid hormones. The medical establishment's puzzling "iodophobia" has created unnecessary fear around therapeutic iodine use, despite its historical safety record when properly administered.Beyond iodine, Dr. Lodi addresses practical questions about parasite protocols, vertigo treatment, and the mechanics of ketogenic diets. He explains the difference between dizziness caused by dehydration versus inner ear disturbances, offering specific solutions for each. His discussion of chronically fermenting cells (CFCs) provides a refreshing perspective on cancer, emphasizing the body's innate healing capabilities when properly supported.Throughout the conversation, Dr. Lodi reinforces the value of community support for healing journeys. The various groups withSend us a text Join Dr. Lodi's Inner Circle membership and unlock exclusive access to webinars, healthy recipes, e-books, educational videos, live Zoom Q&A sessions with Dr. Lodi, plus fresh content every month. Elevate your healing journey today by visiting drlodi.com and use the coupon code podcast (all lowercase: P-O-D-C-A-S-T) for 30% off your first month on any membership option. Support the showThis episode features answers to health and cancer-related questions from Dr. Lodi's social media livestream on Jan. 19th, 2025Join Dr. Lodi's FREE Q&A livestreams every Sunday on Facebook, Instagram, and Tiktok (@drthomaslodi) and listen to the replays here.Submit your question for next Sunday's Q&A Livestream here:https://drlodi.com/live/Facebookhttps://www.facebook.com/DrThomasLodi/Instagramhttps://www.instagram.com/drthomaslodi/ Join Dr. Lodi's Inner Circle membership and unlock exclusive access to webinars, healthy recipes, e-books, educational videos, live Zoom Q&A sessions with Dr. Lodi, plus fresh content every month. Elevate your healing journey today by visiting drlodi.com and use the coupon code podcast (all lowercase: P-O-D-C-A-S-T) for 30% off your first month on any membership option. Learn to Thrive with ADHD Podcast Welcome to the Learn to Thrive with ADHD Podcast. This is the show for you if you're... Listen on: Apple Podcasts Spotify Join Dr. Lodi's informative FREE Livestreams...

Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks…   Anonymous: Hi Dr. Cabral, My OATs test came back with normal markers for bacteria and fungus. I was on an extremely low carb diet when I took the test and was wondering if that could cause a false negative. I have taken herbal Antimicrobials and garlic in the past which sometimes eliminates the bloating and brain fog and does so within a few days but only at double doses and only working temporarily. I have a few mild chronic fungal infections, IBS, cognitive symptoms, and MCAS. Do you think the issue is more likely related to an overgrowth or intestinal permeability caused by MCAS? How should I begin treatment since I am sensitive to many supplements? My food sensitivity test unfortunately showed a false negative to all foods.                                                                                                                                                                Zonia: Hello Dr. Cabral, Thank you for all your insightful information! My husband has lipoma's all over his body ranging from dime size to 1/2 tennis ball. His mom has them too, but very few. He started getting them removed by the dozen and I understand they can regrow. How can we help prevent the regrowth? Also, we have twins (B/G)and are there any labs that can determine if either have the genes or how to minimize the chances they will have any? Thank you in advance!      Chris: Hi Dr Cabral, regarding magnesium intake and supplemental H2: The tablets we have include 80 mg of magnesium for 8ppm H2. If you were going to rely on H2 tablets for your exclusive molecular hydrogen source, how many tablets would you take per day to maximize H2 benefits while maintaining advisable magnesium levels and not too much? Assuming 2 scoops of DNS at breakfast (50mg magnesium) + 2 Full Spectrum Magnesium caps at dinner (250mg). I've been varying from 1-3 H2 tablets/daily throughout the week. I stopped taking a scoop of your very delicious & effective Calming Magnesium before bed (300mg) in order to prioritize the benefits of Molecular Hydrogen, however, would love to add this back in if its not too much Magnesium with everything else. Thank you always.           Anonymous: Hi! I have a couple questions. Might have to submit two for the length. First is about thyroid. My thyroid labs are showing normal TSH .56, low free T4 1.33, low total T3 114, high reverse T3 17.20 & TPO high at 25. Does this indicate Hashimoto hypothyroidism? Is this fixable or will I be on supplements or meds for ever? Is TPO specific to the thyroid or is this indicative of autoimmune issues in general? Im curious what even causes these issues to begin with Thank you so much!                                                                                                                                                                    Anonymous: Hi again, 2nd question. I have a hard time gaining muscle & showing tone. I'm a petite person, and have never really shown muscle tone even in high school despite being in sports.After my third baby I lost muscle. I can tell by my body composition changes.I weigh less but look and feel like it's no muscle & more fat. A PT once was shocked at my glute weakness comparing it to the elder. If I ever take a break in exercising, for about two weeks or more I feel much weaker than before I even started, seems like my strength is decreasing rapidly if I get sedentary for even 2 weeks. Could this have an underlying cause or is this just how some of us are? Should I accept the fact that maybe I won't ever build or show much muscle tone? For reference, 33 y/o female, possible hashimotos and lipedema.       Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3488 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

An update on natural thyroid availability and the FDAA correction on disseminated sarcoidosis and stressI'm a former smoker. Should I be concerned about beta carotene in the Alpha Base multivitamin?A comment from a user of lithium orotate for the last eleven yearsDoes long-term use of Horse Chestnut cause a thiamin deficiency?

This episode is a thyroid deep dive — a jam-packed conversation with Dr. Gary E. Foresman, MD of MiddlePathMedicine.com. We tackle the biggest myths, mistakes, and misunderstandings in thyroid treatment today. Here's what we cover: The FDA Ban on Natural Desiccated Thyroid (NDT): What it really means for patients. Medication Before Labs: Why you should never take T4/T3 or T3-only meds before a thyroid test. Dosing Myths Debunked: Why no practitioner should put an arbitrary limit on T4 or T3 dosing. Beyond T4 & T3: Do T1, T2, and calcitonin in NDT actually matter? Are T2 supplements worthwhile? Failed Research: How flawed medical studies have left thyroid patients in the dust. The TSH Suppression Myth: Why suppressed TSH on T4/T3 combos or T3-only therapy is NOT dangerous, doesn't cause arrhythmias or osteoporosis, and why outdated T4-only protocols from 30 years ago created decades of false fear. Reverse T3: Why this is a critical — and often ignored — test. Blood Sugar & Thyroid Hormones: How food satiety and glucose fluctuations can masquerade as thyroid issues (like tachycardia), and why it's not always your thyroid to blame. If you've ever been confused, dismissed, or gaslit about your thyroid health, this episode will give you the clarity (and firepower) you need! Visit MiddlePathMedicine.com to learn more about Dr. Foresman.   FREEBIES: Free Thyroid Guide + Video Series: https://www.elleruss.com/thyroid-guide Free Confidence eBook & Workbook: https://www.elleruss.com/7secrets Elle's newsletter: https://www.elleruss.com/newletter   #theellerussshow

Send me a text! I'd LOVE to hear your feedback on this episode!This is a 2-part podcast all about the thyroid.  Part 1, I interview Dr. Amie.  Part 2 begins around 1 hr 10 mins, where Dr. Amie interviews me.Important links!  Find & get in touch with Dr. Amie Hornaman here: https://betterlifedoctor.com/ Follow The Thyroid Fixer Podcast here (Apple link but you can find it anywhere you listen to podcasts: https://podcasts.apple.com/ca/podcast/the-thyroid-fixer/id1529800263 I am a writer as well as a holistic nutritionist and podcast host.  Join my Substack to read unique perspectives on our wellness - body, mind, spirit and soul: https://sandykruse.substack.com/publish/home?utm_source=substack Grab my Essential Thyroid Guide (this is a simplified guide and not a clinical book): US:  https://www.amazon.com/dp/B0CW4X3WJD Canada:  https://www.amazon.ca/dp/B0CW4X3WJDThyroid health is crucially important yet often misunderstood and poorly treated in conventional medicine, leaving millions suffering with symptoms while being told they're "normal."  • The thyroid is the "master gland" controlling metabolism, energy, brain function, heart rate, digestion, and emotional well-being • Conventional medicine considers TSH up to 4.5 "normal" while functional medicine seeks levels below 2.0 for optimal function • Only about 2% of thyroid patients do well on T4-only medications like Synthroid; 98% need combination therapy with T3 • Thyroidectomy patients especially need T3 supplementation since the thyroid gland is a primary site for T4 to T3 conversion • Key nutrients for thyroid health include selenium, magnesium, and iodine (which helps protect against environmental toxins) • Thyroid health closely connects with hormonal balance, particularly estrogen during perimenopause and menopause • T2, an often-overlooked thyroid hormone, can benefit metabolism and fat burning without suppressing natural thyroid function • Personalized treatment must address medication, nutrition, supplements, lifestyle factors, and mindset • "Progress is not linear" - even optimized patients need adjustments as their bodies change • Daily practices like time in nature, journaling, and energetic clearing can support thyroid healing alongside medicalSupport the showPlease rate & review my podcast with a few kind words on Apple or Spotify. Subscribe wherever you listen, share this episode with a friend, and follow me below. This truly gives back & helps me keep bringing amazing guests & topics every week.Instagram: https://www.instagram.com/sandyknutrition/Facebook Page: https://www.facebook.com/sandyknutritionTikTok: https://www.tiktok.com/@sandyknutritionYouTube: https://www.youtube.com/channel/UCIh48ov-SgbSUXsVeLL2qAgRumble: https://rumble.com/c/c-5461001Linkedin: https://www.linkedin.com/in/sandyknutrition/Substack: https://sandykruse.substack.com/Podcast Website: https://sandykruse.ca

Is Your Thyroid Lab Test Lying to You? Hidden Signs of Cellular Hypothyroidism with Dr. Eric Balcavage | Podcast #461 Dr. Balcavage Website: https://drericbalcavage.com/

The FDA's Ban on NDT Medications: What You Need to Know Now The FDA has announced a ban will go in effect in one year on Natural Desiccated Thyroid (NDT) medications, including Armour, NP, and compounded thyroid meds. This isn't just about NDT, it could be the first move toward restricting all bioidentical hormone options. In this episode, I break down the FDA letter line-by-line, follow the money trail, and explain why NDT has been the gold standard for decades. I share what's at stake if this ban goes through, why T4-only medications fail most patients, and the critical differences between bioidentical and synthetic options. You'll hear clinical insights from my practice, where thousands have thrived on the right thyroid med combination, and you'll get clear steps for taking action, emailing the FDA, signing petitions, and protecting your right to choose the treatments that work for you. This is your health freedom alert. The decisions made now will affect your weight, energy, hormones, and quality of life for years to come. Sign this Petition: https://chng.it/RwB8mF72tY Subscribe to my Newsletter: https://health.dramie.com/newsletter Contact the FDA: Email: druginfo@fda.hhs.gov - The Division of Drug Information in the Center for Drug Evaluation and Research, specifically for questions about drugs.

Is the FDA phasing out natural thyroid?Study:  Lithium for Alzheimer's diseaseMore on water filtration issuesMy mother-in-law has hallucinations when she has a UTI.  Why is that?Are dental mouth guards toxic?  Is there a better alternative for clenching and bruxism?

What if the architects of Nazi atrocities weren't just politicians or soldiers, but psychiatrists who twisted science into a deadly ideology? In this insightful episode of The Jeremy Ryan Slate Show, we take a critical examination of how leading psychiatrists shaped the eugenics movement, enabling the horrors of the Holocaust and forever staining the field of medicine. With research grounded in the book *Psychiatrists: The Men Behind Hitler* by Thomas Röder, Volker Kubillus, and Anthony Burwell, we explore the troubling ties between psychiatry, Nazi policies, and the lingering influence on modern society.From Germany's rise as a scientific powerhouse to the brutal T4 program and its leaders, this deep dive uncovers how respected professionals became the architects of genocide. Was this driven by ideology, opportunism, or something more sinister? And how do these historical events resonate with modern ethical debates in science and medicine? Through this unique perspective, we unravel chilling details, from the origins of eugenics to postwar cover-ups and the shocking reintegration of Nazi-affiliated psychiatrists into society.Join the conversation—comment with your thoughts on whether these atrocities were a result of unchecked authority or an intentional agenda. Don't forget to like, subscribe, and hit the notification bell for more must-watch deep dives into hidden history. Follow me, Jeremy Ryan Slate, CEO and co-founder of Command Your Brand, on X @JeremyRyanSlate for updates and discussions. Together, let's keep questioning, keep digging, and stay vigilant. See you in the next episode!#physicianliability #history #medicine #ethicalinquiry #passiveeuthanasia___________________________________________________________________________⇩ SUPPORT OUR SPONSORS ⇩BRAVE TV HEALTH: Parasites are one of the main reasons that so many of our health problems happen! Guess what? They're more active around the full moon. That's why friend of the Show, Dr. Jason Dean, developed the Full Moon Parasite Protocol. Get 15% off now by using our link: https://bravetv.store/JRSCOMMAND YOUR BRAND: Legacy Media is dying, we fight for the free speech of our clients by placing them on top-rated podcasts as guests. We also have the go-to podcast production team. We are your premier podcast agency. Book a call with our team https://www.commandyourbrand.com/book-a-call MY PILLOW: By FAR one of my favorite products I own for the best night's sleep in the world, unless my four year old jumps on my, the My Pillow. Get up to 66% off select products, including the My Pillow Classic or the new My Pillow 2.0, go to https://www.mypillow.com/cyol or use PROMO CODE: CYOL________________________________________________________________⇩ GET MY BEST SELLING BOOK ⇩Unremarkable to Extraordinary: Ignite Your Passion to Go From Passive Observer to Creator of Your Own Lifehttps://getextraordinarybook.com/________________________________________________________________DOWNLOAD AUDIO PODCAST & GIVE A 5 STAR RATING!:APPLE: https://podcasts.apple.com/us/podcast/the-create-your-own-life-show/id1059619918SPOTIFY: https://open.spotify.com/show/5UFFtmJqBUJHTU6iFch3QU(also available Google Podcasts & wherever else podcasts are streamed_________________________________________________________________⇩ SOCIAL MEDIA ⇩➤ X: https://twitter.com/jeremyryanslate➤ INSTAGRAM https://www.instagram.com/jeremyryanslate➤ FACEBOOK: https://www.facebook.com/jeremyryanslate_________________________________________________________________➤ CONTACT: JEREMY@COMMANDYOURBRAND.COM