Podcasts about utis

This episode is a MUST listen. Mel calls it one of the most important conversations she has ever had on The Mel Robbins Podcast.  Most women don't know this, and this information could save the life of a woman you love.  If you are thinking you're “fine,” while quietly suffering through symptoms that are treatable, you probably don't know this life-saving medical fact either.  Today, Mel is joined by Dr. Rachel Rubin, MD, a leading urologist and sexual health expert, to talk about hormones, menopause, libido, pelvic health, UTIs, and what's happening in your body.  In fact, since recording this episode, the majority of women on the team have spoken to their doctors about what Dr. Rubin shared.  You're about to hear what she wishes every woman knew sooner: Almost every issue that you're dealing with “down there” is likely related to changing hormones.  If you've ever dealt with a UTI, leaking, urgency, dryness, painful sex, or that feeling that something is “off” down there, and you've been told it's normal, it's aging, or it's just something you have to live with, this episode could change your life and have you asking, Why have I not heard this before?  Do not learn this too late.  By the time most women get the right information, they have already lost years to pain, discomfort, anxiety, and unnecessary treatments.  No matter how old you are, all women need to understand this information. In this episode, you'll learn:  -Why recurring UTIs, urgency, frequency, and leakage are often hormonal, not “just sex” or “just aging”, and they can be fixed  -What GSM (genitourinary syndrome) is, and how it impacts women in perimenopause, menopause, during breastfeeding, and even while using birth control   -The safe, evidence-backed treatment that can prevent UTIs by more than half, and why almost no one tells women about it   -Why many women need testosterone as a natural way to increase libido, mood, energy, orgasm, and the feeling of “I'm back”  -That 1 in 4 women have a treatable condition that prevents orgasm, and why doctors don't know how to check it, diagnose it, or treat it   This is the conversation that will make you understand your body differently, and realize you have been tolerating things you do not have to tolerate.  If you're a woman in your 20s, 30s, 40s, 50s, 60s and beyond, this is information you deserve to have now.  Your health should not be a mystery. You should not have to suffer.  This conversation will give you the truth about your health and may even save your life or the lives of a woman you love.  For every single study and resource Dr. Rubin mentions, click here for the episode show notes. This episode is one, in particular, where the show-notes are a must-read.  If you liked the episode, check out this one next: The #1 Menopause Doctor: How to Lose Belly Fat, Sleep Better, & Stop Suffering Now Connect with Mel:     Order Mel's new product, Pure Genius Protein Get Mel's newsletter, packed with tools, coaching, and inspiration. Get Mel's #1 bestselling book, The Let Them Theory Watch the episodes on YouTube Follow Mel on Instagram  The Mel Robbins Podcast Instagram Mel's TikTok  Subscribe to SiriusXM Podcasts+ to listen to new episodes ad-free Disclaimer Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Heather Florio from Desert Harvest called in to discuss how her aunt's struggle with interstitial cystitis led to her to a career in women's pelvic and sexual health, the most common issues women come to her for including painful sex, vaginal dryness, menopause symptoms and bladder pain, how stress and trauma can cause pelvic floor dysfunction, how pelvic floor tightness can lead to symptoms like pain during sex and bladder urgency, how her pelvic wand can help release trigger points and relax tight pelvic floor muscles, her own experience dealing with severe period pain, endometriosis and fibroids and why pelvic pain is often misdiagnosed, how she eventually wound up having multiple surgeries and a hysterectomy before being diagnosed with interstitial cystitis, why hysterectomies are often over-prescribed and why women should advocate for themselves and seek other options first, the different pelvic health products her company Desert Harvest offers including lubricants, bladder supplements and period underwear plus a whole lot more. GET A COPY OF THE STRICTLY ANONYMOUS BOOK! Strictly Anonymous Confessions: Secret Sex Lives of Total Strangers. A bunch of short, super sexy, TRUE stories. GET YOUR COPY HERE: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://amzn.to/4i7hBCd⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To see HOT pics of my female guests + hear anonymous confessions + get all the episodes early and AD FREE, join my Patreon! It's only $7 a month and you can cancel at any time. You can sign up here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.patreon.com/StrictlyAnonymousPodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and when you join, I'll throw in a complimentary link to my private Discord! To join SDC and get a FREE Trial! click here: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.sdc.com/?ref=37712⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to SDC.com and use my code 37712   Want to be on the show? Email me at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠strictlyanonymouspodcast@gmail.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ or go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ and click on "Be on the Show." Want to confess while remaining anonymous? Call the CONFESSIONS hotline at 347-420-3579. All voices are changed.   Sponsors: ⁠⁠https://beducate.me/pd2610-anonymous⁠⁠⁠⁠ — Click here to take the quiz and  get your personalized roadmap to sexual happiness ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.quince.com/strictlyanon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — For premium quality Quince clothing plus FREE shipping and 365 day returns! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://bluechew.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — Get 10% OFF your first month of Bluechew GOLD! Use code: STRICTLYANON⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://LoadBoost.com⁠⁠⁠⁠⁠⁠⁠⁠ — To get 10% off LOAD BOOST by VB Health use code: STRICTLY ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PikaVibe.com/Strictly⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ — Click to get $15 OFF your purchase Follow me! Instagram  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/strictanonymous/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ X  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://twitter.com/strictanonymous?lang=en⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Website  ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://www.strictlyanonymouspodcast.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Everything else: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://linktr.ee/Strictlyanonymouspodcast⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Vaginal dryness, recurrent infections, low libido...why are we told this is "just hormones" and something we have to tolerate? In this episode, I sit down with Dr. Betsy Greenleaf, founder of the International Pause Institute, and we unpack what's really happening down there during perimenopause and menopause. Could your symptoms be tied to your gut? Your brain? Your stress levels? We dive deep into the vaginal microbiome and why so many women struggle with yeast infections, UTIs, and painful sex—sometimes for years. Is estrogen the whole answer? Why do probiotics sometimes fail? And how could your libido be connected to bacteria and the vagus nerve? We also explore cutting-edge regenerative therapies—from red light wands to lasers to exosomes—and have an honest conversation about stress, sex, and why self-care isn't optional if you want your hormones to work. If more than half of menopausal women experience urogenital symptoms, why aren't we talking about this sooner? And what can you start doing now to protect your future self? In this episode, we uncover: How the gut and vaginal microbiome influence each other. Why estrogen loss changes vaginal pH and bacterial balance. What really causes recurrent UTIs and yeast infections. How stress can shut down libido and hormone function. What regenerative therapies can rebuild vaginal tissue naturally. Tune in and let's change the way we talk about menopause and vaginal health!     Sponsors Head to cozyearth.com and use my code HORMONES for 20% off sitewide! And if you get a Post-Purchase Survey, make sure to let them know you heard about Cozy Earth right here! Head to getkion.com/hormone and use my link for 20% off your order. No coupon needed just follow the link and the discount is applied automatically!     Are you in perimenopause or postmenopause and struggling with symptoms—but not getting the support you deserve? At Midlife Solutions, we specialize in hormone optimization for women in midlife. Our all-female clinical team offers telehealth care across all 50 U.S. states, with the ability to prescribe bioidentical estrogen, progesterone, testosterone, and thyroid medication.   Book your FREE Hormone Discovery Call Find out what's really driving your symptoms and what your next best steps are.   Visit the website: https://karenmartel.com   Shop the Midlife Solutions Store Over-the-counter bioidentical hormone creams and oils — no prescription needed. Including: • Progesterone • Estrogen Face Cream • Vaginal Moisturizer and more!   Take the Hormone Quiz Discover hidden hormone imbalances that could be driving your symptoms. Get personalized results (and yes, they may surprise you).   Women's Peptide Weight Loss Program Clinically guided, hormone-aware weight loss for midlife women.   Midlife RESET HRT Program A complete, supportive approach to hormone replacement therapy in midlife.   Your host: Karen Martel Certified Hormone Specialist, Transformational Nutrition Coach, & Weight Loss Expert   Karen's Facebook Karen's Instagram

Episode Notes Complicated UTIs just got a whole lot less complicated—or did they? Dr. Dana Bowers and Kyle Molina (@kcmolinaID) join Dr. Whitney Buckel to break down what's new, what's controversial, and what this means for your day‑to‑day antimicrobial decisions. Join us as we dig into the biggest updates, the evidence behind them, and the clinical pearls you won't want to miss. References: Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024 Nov 4;7(11):e2444495. Trautner BW, Cortes-Penfield NW, Gupta K, et al. Complicated Urinary Tract Infections (cUTI): Clinical Guidelines for Treatment and Management. Published July 17, 2025. https://www.idsociety.org/practice-guideline/complicated-urinary-tract-infections/ Kadry N, Natarajan M, Bein E, Kim P, Farley J. Discordant Clinical and Microbiological Outcomes Are Associated With Late Clinical Relapse in Clinical Trials for Complicated Urinary Tract Infections. Clin Infect Dis 2023;76(10:1768-1775. https://academic.oup.com/cid/article/76/10/1768/6980780 USCAST Oral cephalosporin STIC against S. aureus and E. coli meeting recording. https://www.youtube.com/watch?v=HieaVFAC08s MacDougall C. A Cloudy Crystal Ball: Critically Assessing and Rethinking the Antibiogram. Clin Infect Dis. 2023;77(11):1501-1503. doi:10.1093/cid/ciad468 Koehl J, Spolsdoff D, Negaard B, et al. Cephalosporins for Outpatient Pyelonephritis in the Emergency Department: COPY-ED Study. Ann Emerg Med. 2025;85(3):240-248. doi:10.1016/j.annemergmed.2024.10.013 Dunne MW, Aronin SI, Das AF, et al. Sulopenem for the Treatment of Complicated Urinary Tract Infections Including Pyelonephritis: A Phase 3, Randomized Trial. Clin Infect Dis. 2023;76(1):78-88. doi:10.1093/cid/ciac704 Learn more about the Society of Infectious Diseases Pharmacists: https://sidp.org/About Instagram: @SIDPharm (https://www.instagram.com/sidpharm/) or @breakpointspodcast_sidp (https://www.instagram.com/breakpointspodcast_sidp/)https://www.instagram.com/breakpointspodcast_sidp/?hl=en Facebook: https://www.facebook.com/sidprx LinkedIn: https://www.linkedin.com/company/sidp/ SIDP welcomes pharmacists and non-pharmacist members with an interest in infectious diseases, learn how to join here: https://sidp.org/Become-a-Member Listen to Breakpoints on iTunes, Overcast, Spotify, Listen Notes, Player FM, Pocket Casts, Stitcher, Google Play, TuneIn, Blubrry, RadioPublic, or by using our RSS feed: https://sidp.pinecast.co/

Aleece Fosnight is a board-certified physician assistant specializing in sexual medicine, women's health, and urology. She is also a Medical Advisor at Aeroflow Urology, a subsidiary of Aeroflow Health, a leading provider of high-quality incontinence supplies through insurance.In 2019, Fosnight opened up her own private practice, the Fosnight Center for Sexual Health, and implemented the sexual health grand rounds curriculum at her local hospital and residency program.Fosnight is also the founder of the Fosnight Foundation, a non-profit organization dedicated to the education and training of professionals in the sexual health field and providing funding for access to healthcare services in her local community.https://www.seniorcareauthority.com/resources/boomers-today/

Your fave is back for round two! Dr. Charlie Fagenholz is back to break down why so many people are told they're “fine” when they feel anything but. We dive into POTS, autoimmune disease, PANDAS, MCAS, histamine intolerance, anxiety, UTIs, and what glyphosate may be stripping from the body. We also get into frequency medicine—and why thousands of people are on a waitlist to see him.Thank you to our sponsors!GEVITI: Use code ALEX to get 20% off your first purchase.A'DEL NATURAL COSMETICS: Use code ALEX for 25% off first-time orders.CALIFORNIA MOBILE ACUPUNCTURE:Scottsdale location: https://californiamobileacu.com/location-scottsdale-az/JASPR: Use code ALEX to get $400 off your purchase.TECH WELLNESS: Use code ALEX for 15% off EMF-Free Air Tube Headphones.ZEBRA: Use code ALEX for 10% off any order.Our Guest:Dr. Charlie Fagenholz, DC, CPCRA, QNCP, FIAMADr. Charlie's Links:Instagram: DR. CHARLIEWebsite: DR. CHARLIEPodcast: RED PILL YOUR HEALTHCAST

Bom dia, Boa tarde, Boa noite no Mundo do Conhecimento! E se eu te dissesse que aquela sua avaliação clínica, o bom e velho 'olhômetro' na hora de decidir extubar uma criança, não apenas está ultrapassado, mas pode estar colocando o seu paciente pediátrico em sério risco de complicações respiratórias no pós-operatório? Você estaria pronto para mudar a sua conduta hoje mesmo? Bem-vindos ao Medicina do Conhecimento! Por aqui, a conversa vai muito além das 4 paredes do centro cirúrgico. A gente fala de inovação, tendências, dicas práticas e, claro, qualidade de vida — porque cuidar do outro começa por cuidar da gente também. E o melhor: compartilhar conhecimento nunca será dividir, mas multiplicar. Então vem comigo pra mais um assunto sem fronteiras, nesse universo incrível do Medicina do Conhecimento! Antes de mergulharmos fundo na discussão de hoje, eu tenho um recado muito importante: se você é do tipo que gosta de absorver o conteúdo de diferentes formas, saiba que você pode ouvir, ler e assistir a esse resumo completo e estruturado lá no Blog do Anestesiador. O material está incrível, super visual e pronto para facilitar a sua rotina. É só acessar e conferir! www.anestesiador.substack.com Hoje, nós vamos dissecar um verdadeiro divisor de águas na nossa especialidade. Vamos falar sobre as novíssimas Diretrizes Europeias de 2025 da ESAIC e da ESPA sobre o uso, a monitorização e a reversão do bloqueio neuromuscular em crianças anestesiadas. Esse não é só mais um artigo. É uma mudança de paradigma. Neste episódio, eu vou sintetizar para você o que realmente importa para a sua prática clínica. Você vai descobrir: • Por que a monitorização neuromuscular quantitativa deixou de ser um 'luxo' e passou a ser uma exigência absoluta; • Como justificar a necessidade real do bloqueador na intubação pediátrica; • A forma correta e racional de usar os reversores – como o Sugammadex e a Neostigmina – baseada em números, e não em achismos; • E os cuidados críticos na hora de manejar populações de altíssimo risco, como os neonatos e pacientes com miopatias raras ou doenças neurológicas. Se você trabalha em centro cirúrgico, em UTIs pediátricas ou atende emergências, a forma como você avalia a recuperação neuromuscular vai mudar depois dessa conversa. Ajeite o fone de ouvido, fica comigo até o final, e vamos juntos elevar o padrão de segurança dos nossos pequenos pacientes. Vamos lá! O resumo tem a nossa curadoria e foi gerado por IA generativa, publicada em texto, áudio e vídeo no Blog do Anestesiador! Lá você encontra resumos diários sobre os melhores artigos em Medicina Perioperatória. Se você quiser ser um early adopter, vamos juntos! Quer continuar conectado com a gente? É fácil! Acesse www.medicinadoconhecimento.com.br e ouça nossa Rádio Web — ciência e informação onde e quando quiser! E claro, nosso podcast tá em todas as plataformas: Spotify, Deezer, Apple Podcasts, SoundCloud e YouTube e até mesmo na Alexa. Ah, e não esquece: o seu feedback é ouro pra gente! Manda sua pergunta, sugestão ou comentário — quem sabe o próximo tema não nasce da sua ideia? E se curtiu, compartilha, deixa o like e segue a gente no Twitter, Facebook e Instagram @MedicinaDoConhecimento. Porque aqui, compartilhar é multiplicar o saber!

Show notes at pharmacyjoe.com/episode1110 In this episode, I'll discuss oral beta-lactams for complicated UTIs.

About 10.5 million Americans visit doctors annually for urinary tract infections (UTIs), and global cases rose 66% from 1990 to 2021, totaling 4.49 billion infections worldwide Research found that 18% of UTIs in Southern California came from animal-derived E. coli, with turkey (82%) and chicken (58%) showing the highest contamination rates Contaminated drinking water is an overlooked UTI source, as uropathogenic E. coli strains have been detected in water systems but rarely monitored for urinary infections High-poverty neighborhoods experienced 21.5% zoonotic UTI rates, suggesting limited food access and lower purchasing power increase exposure to contaminated meat products Prevention strategies include choosing grass fed meat from regenerative farms, improving kitchen hygiene, staying hydrated, and using cranberries, D-mannose, or methylene blue for natural bladder protection

Menopause Mastery Show | Starting HRT After 65: Is It Too Late? Transdermal Estrogen and Bone, Sleep & Dementia Risk   Welcome to Menopause Mastery! In this episode, Dr. Betty Murray examines whether starting menopausal hormone therapy after age 65 is always unsafe, arguing that blanket "no" answers stem from an evidence vacuum and fear following the 2002 Women's Health Initiative (WHI), which used oral conjugated equine estrogen and synthetic progestins.    Dr. Murray contrasts oral therapy's first-pass liver metabolism and clotting risk with transdermal bioidentical estradiol, which has observational and retrospective data (including a large Medicare analysis) associated with no increased DVT, stroke, or heart attack risk. She highlights evidence for fracture reduction and maintained vertebral bone density with long-term therapy, discusses sleep benefits (a modifiable dementia risk factor), notes limited cognitive trials in older starters, and emphasizes individualized risk assessment (cardiovascular screening, genetics like APOE4) and monitoring; she also recommends vaginal estrogen to reduce UTIs and urosepsis risk.    This episode is for women who feel they may have missed their window on starting HRT, and why it may not be too late. In fact, women of all ages will benefit from this information, so don't forget to share it with someone you know!    00:00 HRT After 65 02:36 The Evidence Vacuum 04:55 Myth of the Window 06:27 WHI vs Modern Estrogen 08:36 Transdermal Safety Data 10:08 Why Observational Counts 14:51 Risk Math in Your 70s 19:32 Bone Density Benefits 23:08 Sleep and ApoE4 24:30 APOE4 Risk Basics 25:07 Sleep as Brain Protection 25:55 Transdermal Estrogen for Sleep 27:12 Insomnia Raises Dementia Risk 28:22 Personalizing HRT for Sleep 30:03 Cardiovascular Risks and Screening 34:56 Evidence Gaps and WHI Context 38:38 APOE4 Sleep and Estradiol Link 40:09 Decision Framework Over 65 43:08 Monitoring and Follow Up 45:47 Alternatives and Tradeoffs 48:16 Vaginal Estrogen and Wrap Up   Connect with Dr. Betty Murray:  Betty Murray Website: https://www.bettymurray.com/ Instagram: https://www.instagram.com/drbettymurray/   Like, comment, and subscribe on YouTube:  @drbettymurray     Links:  The Fierce Female Method for Longevity (Dr. Betty's book): https://fierce.hormoneshelp.com/  Menrva Telemedicine: https://gethormonesnow.com/  FREE Hormone Quiz: https://bit.ly/3wNJOec  Living Well Dallas: https://www.livingwelldallas.com/  Hormone Reset: https://hormonereset.net/   More from the Podcast:  Subscribe to #MenopauseMastery → https://www.youtube.com/channel/UCwONPdSvb2-YYY74VhD-XBw  Apple Podcasts → https://podcasts.apple.com/us/podcast/menopause-mastery/id1607369247  Spotify → https://open.spotify.com/show/0tNsjm32CZNXSgSFEwS3uH   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.  

You're not past it. You may even be approaching your peak.A psychiatrist just told me that women tend to reach their highest sexual satisfaction at 64. I'm 64. And I cannot tell you how many times I've heard the opposite message, that desire fades, that this is the time to wind down, that the body just stops cooperating.Dr. Shila Patel has been listening to patients talk about sex, relationships, and desire for 25 years. She grew up in Kenya, went to medical school in England, and spent the bulk of her career practicing psychiatry in the American South before retiring at 51. When the pandemic hit and the Me Too movement was at its peak, she started writing. Two books later, she's on a mission to reach people that one-on-one clinical work never could.She's also nearly 70, still sexually active, and completely unapologetic about both.What struck me most in our conversation wasn't just the 64 statistic - which I found astounding (I hadn't ever heard before!), it was the context. Because while women are approaching their sexual peak, men are often stepping back. Erectile dysfunction, reduced interest, withdrawal. Dr. Patel saw this pattern constantly in clinical practice, and she sees it in her own life and I've certainly seen it in my own. Women in her condominium complex, all roughly her age, laugh and joke about it. It's a real thing. And most women, she says, just go quiet and accept it.That acceptance is partly cultural. Dr. Patel grew up in Indian culture, where sex was not discussed. Full stop. Not by parents, not between siblings, not even now. At 70, she and her sister have never once discussed whether either has had an orgasm. She described watching a preview of a Bollywood film where a group of women, talking about an upcoming wedding, couldn't form the word for orgasm. They landed on “intense pleasure.” She said it with affection and exasperation in equal measure.But she's quick to say this isn't an Indian problem, or an Asian problem. It's a human problem. Americans of her generation were raised the same way. Her 91-year-old mother still tenses slightly when hugged. The silence around sex, pleasure, and desire crosses every culture she encountered in 25 years of clinical work.What can be done about it? Quite a lot, actually.Dr. Patel was frank about her own experience with vaginal atrophy and vaginismus after a hysterectomy and the way the body can, as she put it, just close up. Her gynaecologist prescribed estradiol cream, and it changed everything. Lubrication, libido, comfort. It also dramatically reduces UTIs and vaginal infections, something most women are never told. I have my own version of this story: I found out about vaginal estrogen from a friend, not a single healthcare professional. When I complained about painful sex, she asked if I was on vaginal estrogen. I was angry that no doctor had mentioned it.If you're avoiding sex because it hurts, or because desire has gone quiet, it's worth asking about estradiol cream/pessaries or ring. It has certainly changed my life.Dr. Patel's bigger message is about permission. Permission to still want sex at 70. Permission to tell your partner what you need — including that if they've stepped back, you might need to look elsewhere for that connection. Permission to adapt: different positions, more patience, a lot of laughter, and no more hanging off the chandeliers.She said it plainly: we only go through this life once. Are you going to make the most of what you enjoy?Unlock even more pleasure, clarity, and confidence in your intimate life by becoming a paid subscriber.You'll gain full access to every weekly blog, the complete archive of 150+ expert-led podcasts, the private chat room for candid Q&A, and my 32‑page guide Sex Toys and Supplements for Thriving in Later Life.If you're ready to deepen your knowledge, explore new possibilities, and feel fully supported on your journey, upgrade today only £6.99/month or £49.99/year.More than ever, I rely on your financial support to help produce each weekly episode of the podcast and blog post. Do consider becoming a paid subscriber if you are able. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.sexadviceforseniors.com/subscribe

Menopause Mastery Show | Starting HRT After 65: Is It Too Late? Transdermal Estrogen and Bone, Sleep & Dementia Risk   Welcome to Menopause Mastery! In this episode, Dr. Betty Murray examines whether starting menopausal hormone therapy after age 65 is always unsafe, arguing that blanket "no" answers stem from an evidence vacuum and fear following the 2002 Women's Health Initiative (WHI), which used oral conjugated equine estrogen and synthetic progestins.    Dr. Murray contrasts oral therapy's first-pass liver metabolism and clotting risk with transdermal bioidentical estradiol, which has observational and retrospective data (including a large Medicare analysis) associated with no increased DVT, stroke, or heart attack risk. She highlights evidence for fracture reduction and maintained vertebral bone density with long-term therapy, discusses sleep benefits (a modifiable dementia risk factor), notes limited cognitive trials in older starters, and emphasizes individualized risk assessment (cardiovascular screening, genetics like APOE4) and monitoring; she also recommends vaginal estrogen to reduce UTIs and urosepsis risk.    This episode is for women who feel they may have missed their window on starting HRT, and why it may not be too late. In fact, women of all ages will benefit from this information, so don't forget to share it with someone you know!    00:00 HRT After 65 02:36 The Evidence Vacuum 04:55 Myth of the Window 06:27 WHI vs Modern Estrogen 08:36 Transdermal Safety Data 10:08 Why Observational Counts 14:51 Risk Math in Your 70s 19:32 Bone Density Benefits 23:08 Sleep and ApoE4 24:30 APOE4 Risk Basics 25:07 Sleep as Brain Protection 25:55 Transdermal Estrogen for Sleep 27:12 Insomnia Raises Dementia Risk 28:22 Personalizing HRT for Sleep 30:03 Cardiovascular Risks and Screening 34:56 Evidence Gaps and WHI Context 38:38 APOE4 Sleep and Estradiol Link 40:09 Decision Framework Over 65 43:08 Monitoring and Follow Up 45:47 Alternatives and Tradeoffs 48:16 Vaginal Estrogen and Wrap Up   Connect with Dr. Betty Murray:  Betty Murray Website: https://www.bettymurray.com/ Instagram: https://www.instagram.com/drbettymurray/   Like, comment, and subscribe on YouTube:  @drbettymurray     Links:  The Fierce Female Method for Longevity (Dr. Betty's book): https://fierce.hormoneshelp.com/  Menrva Telemedicine: https://gethormonesnow.com/  FREE Hormone Quiz: https://bit.ly/3wNJOec  Living Well Dallas: https://www.livingwelldallas.com/  Hormone Reset: https://hormonereset.net/   More from the Podcast:  Subscribe to #MenopauseMastery → https://www.youtube.com/channel/UCwONPdSvb2-YYY74VhD-XBw  Apple Podcasts → https://podcasts.apple.com/us/podcast/menopause-mastery/id1607369247  Spotify → https://open.spotify.com/show/0tNsjm32CZNXSgSFEwS3uH   Thank you for listening to Menopause Mastery. Empowering your health journey, one episode at a time.  

What if the most expensive healthcare decisions aren't made in the boardroom — but in the exam room, when the wrong infection gets treated with the wrong antibiotic? In this episode of the Your Health University, Podcast, Jamie sits down with Madison Browning, a registered nurse in urology at Your Health, to talk about what proper urological care actually looks like, why it matters far beyond the individual patient, and how a strong, collaborative provider team is the difference between a patient thriving and a patient stuck in a revolving door of emergency room visits. What you'll hear in this episode: Why getting a UTI diagnosis right the first time has massive implications for patient health and system costs The role nurse practitioners play in specialized urology care — and why their expertise is often underestimated How the team-based model at Your Health empowers every provider to collaborate and deliver better outcomes The direct connection between outpatient urology care and reduced hospital stays, ER visits, and downstream Medicare and tax costs Madison's genuine gratitude for the team around her — and what it looks like when a healthcare culture actually works If you've ever wondered whether the healthcare system could do better — this episode is proof that it already is, one patient at a time. www.YourHealth.Org

Send a textA sudden UTI, a towel on the car seat, and a DoorDash order for adult diapers—sometimes the most human stories are the ones we are told to keep quiet. We decided to say them out loud. We dive into perimenopause, urinary incontinence, and the practical ways women reclaim confidence when urgency hits at the worst possible moment. No euphemisms, no shame—just honest talk about the gear that works, the movement we refuse to give up, and the partners who stand beside us when our bodies change.From there, the conversation turns to parenting in a high-information world. Our kids are hitting puberty with TikTok in their pockets, so we keep the talks short, biological, and open-ended. We share how we tailor preparation for girls and boys, why we correct online myths with calm facts, and how we use a “grace pact” at home to name tough moments—hormones, headaches, big feelings—without blaming ourselves or each other. Emotional literacy grows when we model it, and so does trust.We also walk through everyday modeling: letting kids watch us make decisions, choose schools, set appointments, and manage trade-offs. Those micro-skills add up to real independence. Along the way we talk intimacy, stigma, and the relief that comes from calling things what they are. If you've felt alone with leaks, UTIs, or awkward puberty talks, you're not. There is a smarter, kinder way forward that protects your joy and equips your kids.If this conversation resonated, follow the show, share it with a friend who needs the laugh and the relief, and leave a quick review on Apple Podcasts or Spotify. Your support helps keep the show ad free and the dialogue wide open.Please be sure to checkout our website for previous episodes, our psych-approved resource page, and connect with us on social media! All this and more at www.thelylaspodcast.com

Samantha Rux and Kathleen Hendricks joined Wake Up Tri-Counties to talk about how OSF On-Call Urgent Care is making healthcare more accessible for area residents. Samantha Rux and lead advanced practice nurse Kathleen Hendricks explained how the virtual service provides 24/7 urgent care from the comfort of home. Using a phone, tablet, or computer, patients can connect with a medical provider through an online questionnaire or video visit. Common concerns like colds, rashes, mild burns, and UTIs can be treated quickly without leaving the house. Prescriptions are sent directly to your pharmacy if needed. Services are available for a flat fee and provide a convenient alternative to traditional urgent care visits. Visit the OSF HealthCare On-Call website or the OSF MyChart app to begin a visit.

In some Native languages the term for plants translates to “those who take care of us.”― Robin Wall Kimmerer, Braiding Sweetgrass: Indigenous Wisdom, Scientific Knowledge, and the Teachings of PlantsToday we are speaking with herbalist Christina Bertelli.  The primary focus of Christina's work is holistic pelvic health - helping people recover from recurrent UTIs, bacterial vaginosis, yeast, HPV, and HSV. She also specializes in PMS, fibroids, cysts, pregnancy loss, abortion, and post pill syndrome. Christina's hope and goal for all of her clients is to help them find their regenerative spark, to heal and regain their wellbeing.Learn more about Christina ⬇️https://www.christinabertelli.com/

Cristina Clark is a Certified Master Health Coach, life coach, and Certified Personal Trainer. She had a very complicated relationship with food, her body, and exercise, and over time developed a long list of escalating health issues, including leaky gut (2010) that left her intolerant to gluten, dairy, soy, peanuts, and corn, severe fibroids that led to a hysterectomy (2018), more than 20 years of recurring UTIs and antibiotics, interstitial cystitis, thyroid and adrenal issues, skin issues, tendon problems after Cipro, leg swelling, metabolic problems, and increasing reactions to many foods. In 2022, after a severe histamine response left her reacting to everything that she ate, she discovered carnivore and committed to the transition. Through extensive trial and error, she found that a very simple carnivore approach was the only way of eating that consistently kept her healthy and free of reactions. Today, she credits carnivore with helping her eliminate UTIs, interstitial cystitis, skin issues, and leg swelling, while greatly improving her metabolic health. She now helps midlife women who are tired of chasing symptoms and being told "it's just menopause" or "your labs look fine" understand what their body has been trying to tell them, simplify nutrition, build strength, and create sustainable change. Cristina also hosts the podcast Carnivore Lifestyle for Women. Instagram: https://www.instagram.com/my.carnivore.lifestyle/ YouTube: https://www.youtube.com/@my.carnivore.lifestyle Facebook: https://www.facebook.com/groups/carnivorelifestyleforwomencommunity Website: https://carnivorelifestyle.com/ Timestamps: 00:00 Trailer 00:32 Introduction 03:09 21-day all-meat diet journey 06:13 Red meat misconceptions 10:40 Finding answers with carnivore 12:45 Cipro, UTIs, and healing with carnivore 18:08 Rejecting statins and rice vinegar 19:28 Perimenopause and lifestyle factors 23:14 Committing to carnivore for healing 27:46 Importance of fatty red meat 29:36 Where to find Cristina Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.

Show Notes HOST Melody Hartzler | | Book Appointment AROUND THE TABLE Kara Siedman | ResBiotic In Today's Episode In this episode of the Tables Talk Podcast, Dr. Melody Hartzler sits down with Kara Siedman, RD, CDCES, Director of Partnerships at ResBiotic, to examine how microbiome-driven physiology intersects with hormonal transitions during perimenopause and menopause. As estrogen and progesterone fluctuate and decline, women experience predictable shifts in metabolic regulation, immune signaling, and inflammatory burden. Increasing evidence suggests these changes are tightly linked to alterations in gut microbial diversity, intestinal barrier integrity, and microbial metabolite production. This conversation explores the gut–hormone axis through a mechanistic lens, highlighting how microbiome dysfunction may amplify symptoms such as blood sugar instability, weight gain, estrogen dominance, gastrointestinal distress, and genitourinary changes. Kara draws on clinical experience and emerging research to clarify why many hormonally driven symptoms occur in the absence of overt disease on conventional testing. The episode emphasizes perimenopause as a critical intervention window—one in which targeted dietary, lifestyle, and microbiome-supportive strategies may meaningfully influence long-term cardiometabolic and immune health. Key Takeaways Hormonal decline during perimenopause is closely linked to reduced microbiome diversity and resilience Estrogen loss impacts intestinal barrier function, inflammation, and metabolic regulation The estrobolome plays a central role in estrogen metabolism and symptom expression Microbiome-targeted interventions may reduce cardiometabolic risk during menopause Diet, fiber diversity, and precision biotics are foundational tools for supporting this transition Episode Highlights Hormonal Transitions & the Gut–Hormone Axis Estrogen and progesterone fluctuations in perimenopause Bidirectional signaling between endocrine function and the microbiome Declining microbial diversity and reduced short-chain fatty acid production Inflammation, Metabolism, and Insulin Resistance Metabolic endotoxemia and LPS-driven inflammation Microbiome contributions to blood sugar dysregulation and weight gain Links between dysbiosis, immune activation, and chronic disease risk The Estrobolome & Estrogen Metabolism Beta-glucuronidase activity and estrogen deconjugation Microbial reactivation of estrogen and clinical implications Estrogen dominance, elimination pathways, and gut health Vaginal Microbiome & Genitourinary Health Estrogen-dependent Lactobacillus depletion Increased risk of UTIs and yeast infections Gut–vaginal microbiome crosstalk and clinical considerations Clinical Interventions to Support Microbiome Resilience Mediterranean-style dietary patterns and plant diversity Fiber intake, resistant starch, prebiotics, probiotics, and postbiotics Stress, sleep disruption, medications, and microbiome vulnerability Precision supplementation during the menopausal transition

February 27, 2026 In this episode, Scott, Mark, and special guest Dr. John Lin tackle real-world evaluation and management (E/M) scenarios submitted by members of the Thriving Urology Practice Facebook Group.  Through practical examples—including BPH follow-ups, elevated PSA management, overactive bladder, recurrent UTIs, and constipation—they break down how to apply medical decision-making rules to determine the correct level of service. The discussion highlights chronic stable conditions, prescription drug management, documentation pitfalls, automatic downcoding, and the ongoing gray areas that make E/M leveling “clear as mud.” The key takeaway: understanding the rules is essential—but precise documentation is what ultimately gets you paid.  PRS Coding and Reimbursement HubAccess the HubFree In-Office Prostate Biopsy Calculator (Suppoted by UC-Care)Download NowPRS Coding CoursesFor UrologistFor APPsFor Coders, Billers, and Admins Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.         https://www.prsnetwork.com/joinuptpClick Here to Start Your Free Trial of AUACodingToday.com   The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ 

Perplexed by patients with normal exams but persistent symptoms like recurrent UTIs or palpitations? It could be menopause. In this insightful episode of Succeed In Medicine podcast, host Dr. Bradley Block interviews Dr. Lauren Streicher. They explore commonly overlooked menopause symptoms beyond hot flashes: recurrent urinary tract infections tied to genitourinary syndrome of menopause (GSM), palpitations as "hot flashes of the heart" (often sinus tachycardia without EKG changes), GI microbiome shifts causing nebulous digestive issues, xerostomia (dry mouth) linked to oral health risks, and skin/hair changes like alopecia. Dr. Streicher emphasizes reassuring patients early, validating symptoms as hormonal, and tailoring treatments, vaginal estrogen, safe even for breast cancer patients, systemic hormones, or new non-hormonal NK3 receptor antagonists like fezolinetant. They discuss the SWAN study's findings on long-term risks from untreated hot flashes (e.g., cardiovascular disease, bone loss), the need to differentiate perimenopausal (temporary) vs. lifelong postmenopausal effects, and avoiding arbitrary hormone therapy stops after 5 years. The conversation also touches on sexual health gaps in medicine, with tips for better history-taking and resources like Dr. Stryker's "Come Again" course. Listeners, clinicians and patients alike, will gain tools to address menopause holistically, improving quality of life and preventing complications. Three Actionable Takeaways: Recognize GSM in Recurrent UTIs: For postmenopausal women with new-onset recurrent UTIs, suspect genitourinary syndrome of menopause, prescribe local vaginal estrogen (cream, suppository, or ring) to restore microbiome and tissue health; it's safe for most, including breast cancer survivors on aromatase inhibitors. Reassure on Palpitations First: When midlife women present with palpitations, lead with "This is common in perimenopause (up to 50% affected) likely autonomic dysfunction like a 'heart hot flash'"; order a Holter monitor, but emphasize it's often benign and tied to vasomotor symptoms, treatable with hormones or NK3 antagonists. Integrate Sexual History Properly: Ditch "Are you sexually active?",  ask "Many women in menopause experience low libido, pain with sex, or orgasm difficulty; are any of these issues for you?"; refer to resources like Dr. Streicher's course for evaluation scripts, screeners, and solutions to address 50% of patients' unspoken concerns. About the Show: Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school! About the Guest: Dr. Lauren Streicher is a clinical professor of OB-GYN at Northwestern University and founding director of its Center for Sexual Medicine and Menopause. A certified menopause practitioner, she serves on the Menopause journal's editorial board, is a Kinsey Institute fellow, and authors bestsellers like "Sex Rx" and "Hot Flash Hell." She hosts "Inside Information" podcast and created "Come Again" audio series on postmenopausal sexuality. Connect with Dr. Lauren Streicher: Website: https://www.drstreicher.com Email: info@drstreicher.com  About the Host: Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physicians Want to be a guest? Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more! Socials: @physiciansguidetodoctoring on Facebook @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of SHE MD, Mary Alice Haney and Dr. Thaïs Aliabadi welcome back Dr. Kelly Casperson to discuss perimenopause, menopause, and hormone therapy with clarity and science instead of fear.Dr. Casperson explains why perimenopause is a clinical diagnosis, not simply a lab result, and why so many women are dismissed as “too young” or “too old” when their symptoms are real. She addresses the biggest myth about hormone replacement therapy and reframes the conversation around individualized, science-backed risk-benefit decisions.The discussion dives into testosterone for women, including its impact on libido, motivation, muscle mass, and mood, along with the risks of high-dose hormone pellets. They explore progesterone for sleep, the hysterectomy myth, and why vaginal estrogen is one of the safest and most effective treatments for dryness, painful sex, bladder urgency, and recurrent UTIs.The episode also tackles the midlife brain, brain fog, and how estrogen influences glucose metabolism. From restoring desire in long-term relationships to navigating alcohol, supplements, and exercise, this conversation reinforces one powerful truth: women are not broken. With the right knowledge and support, midlife can be a season of clarity, strength, and transformation.Subscribe to SHE MD Podcast for expert tips on PCOS, Endometriosis, fertility, and hormonal balance. Share with friends and visit SHE MD website and Ovii for research-backed resources, holistic health strategies, and expert guidance on women's health and well-being.Sponsors: Premier Protein: Find your favorite flavor at PremierProtein.com or at Amazon, Walmart, and other major retailers.Prolon: Ready for your own reset? For a limited time, Prolon is offering SHE MD listeners15% off site wide plus a $40 bonus gift when you subscribe to their 5-Day Program! Just visit ProlonLife.com/SHEMD to claim your 15% discount and your bonus gift.Mill: Try Mill risk-free for 90 days and get $75 off at mill.com/SHEMD and use code SHEMD at checkout.Peloton - Let yourself run, lift, sculpt, push, and go. Explore the new Peloton Cross Training Tread+ at onepeloton.com Talkiatry: Head to Talkiatry.com/shemd and complete the short assessment to get matched with an in‑network psychiatrist in just a few minutes.Warby Parker: Warby Parker gives you quality & better-looking prescription eyewear at a fraction of the going price. Our listeners get 15% + Free Shipping when they buy 2 or more pairs of prescription glasses at WarbyParker.com/SHEMD. What You'll Learn:What perimenopause actually is and why labs are not required for diagnosisThe biggest myth about hormone therapy and how fear shaped menopause careHow testosterone supports libido, motivation, and muscle strength in womenWhy vaginal estrogen is safe and essential for preventing dryness and UTIsWhat happens to the brain in midlife and why brain fog occursKey Timestamps:(01:30) Introduction and why Dr. Casperson wrote The Menopause Moment(04:10) The biggest myth about hormone therapy and why fear still shapes menopause care(09:25) Meet the hormones: testosterone, estrogen, and progesterone in midlife(11:50) Testosterone for women: libido, motivation, muscle, and dosing concerns(14:45) Hormone pellets explained: side effects, hair loss, and why removal is difficult(17:15) Progesterone for sleep and the hysterectomy myth clarified(24:25) Symptoms of too much estrogen(26:00) “Senile Vagina” - the “use it or lose it” myth(33:05) Vaginal atrophy, bladder symptoms, UTIs, and why vaginal estrogen matters(34:00) How to properly apply vaginal estrogen and why cream can be more effective(41:20) Great sex in midlife: lube and honest communication(50:30) Responsive vs spontaneous desire and bringing novelty back to long-term relationships(56:15) The midlife brain: estrogen, glucose metabolism, and brain fog(01:02:50) Alcohol, supplements, exercise, and non-hormonal tools for cognitive health(01:05:00) Final advice for women entering midlife and why you are not brokenKey Takeaways:Hormone therapy decisions should be individualized and based on science, not fearPerimenopause is common, real, and often underdiagnosedTestosterone plays a significant role in women's well-being beyond libidoVaginal estrogen is one of the safest and most effective preventive treatments in menopauseMidlife can be a powerful reset when women prioritize their health and mindsetGuest Bio:Dr. Kelly Casperson is a urologist, educator, and top international podcaster whose mission is empowering women to live their best love lives. In her podcast, You Are Not Broken, she combines science, humor, and candor to dismantle the myths women have learned about sex, intimacy, midlife, and hormones.Dr. Casperson earned her medical degree from the University of Minnesota and completed her surgical training and residency at the University of Colorado. She is a proud member of the American Urological Association, International Society for the Study of Women's Sexual Health, and the Society of Women in Urology.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode of the Smarter Not Harder Podcast, Dr. Linda Kiley joins Dr. Scott Sherr for a groundbreaking conversation on functional urogynecology — exploring the real causes of pelvic and bladder pain that most conventional models miss. Dr. Kiley shares how she uses muscle exams, peptide protocols, and root-cause diagnostics to treat conditions like interstitial cystitis, chronic UTIs, pelvic floor dysfunction, and endometriosis — often without surgery or long-term antibiotics. If you or someone you love has been told "there's nothing wrong" but still struggles with pelvic discomfort, bladder issues, or sexual pain, this episode is a must-listen. Join us as we explore: • The pelvic floor as a dynamic system — not just "tight or weak" • Biofilms, interstitial cystitis, and smart testing for chronic infections • How gut health and systemic inflammation drive pelvic pain • Natural, non-invasive approaches to bladder and pelvic restoration This episode is for you if: • You experience chronic UTIs, bladder discomfort, or pelvic pain • You've been dismissed or misdiagnosed by conventional providers • You're a clinician seeking better diagnostics for pelvic dysfunction • You want to understand how muscle tone, breathing, and biofilms intersect You can also find this episode on… YouTube: https://youtu.be/S0i5vKoLfEk Find more from Dr. Linda Kiley: Website: https://drlindakiley.com/ Instagram: https://www.instagram.com/drkileyurogyn/ YouTube: https://www.youtube.com/@theholisticurogynecologist3891 LinkedIn: https://www.linkedin.com/in/linda-kiley-5999462b/ More from Smarter Not Harder: Website: Smarter Not Harder podcast Instagram: https://instagram.com/troscriptions/ HOMeHOPe Virtual Symposium 2026: https://homehope.org/homehope-virtual-symposium-2026 Get 10% off your purchase of the Clinical Metabolomics module with code PODCAST10 at https://www.homehope.org/ Get 10% off your Troscriptions purchase with code POD10 at https://www.troscriptions.com/ Get daily content from the hosts of Smarter Not Harder by following @troscriptions on Instagram.

Dr. Mindy talks about the flu going around. And then she answers your questions about carpal tunnel, computer shoulder, diabetes causing low T, losing your sense of smell, sleep apnea in kids, ringworm, flu A, mystery bug going around, dyslexia testing, cedar fever, drooping eyelids, low iron, multi-vitamins, pregnancy rage and UTIs in the elderly. https://www.youtube.com/@TheDrMindyExperiment/videosSee omnystudio.com/listener for privacy information.

Vaginal infections like UTIs, yeast infections, and BV are incredibly common, yet rarely talked about openly. In this episode, I sit down with Rachel (Ray) Latham to break down what actually causes vaginal imbalances, why pregnancy and postpartum can increase risk, and how gut health, hormones, water exposure, and sex all play a role. You'll learn how to tell the difference between common vaginal infections, what prevention really looks like, and evidence-based tools to support vaginal health naturally and proactively. Click HERE to access the show notes for this episode and learn more about Rachel, her industry-breaking product line (The V Seal) and get 30% off as a first-time purchaser. 

If you're waking up at night to pee, dealing with frequent UTIs, bladder leakage, painful sex, or chronic constipation during perimenopause or menopause — this episode is for you.In Episode 92 of Functional Moms Podcast, we talk with pelvic health physical therapist Elizabeth Stryker about how hormonal changes impact your pelvic floor — and what you can do to fix it naturally.Many women are told these symptoms are “just part of aging.” They are not.You'll learn how pelvic floor physical therapy can dramatically improve urinary health, reduce recurrent UTIs, relieve constipation, improve sexual health, and even help with jaw/TMJ symptoms.Elizabeth Stryker is a pelvic health physical therapist and founder of Pelvic Stability PT in New Jersey. She earned her Doctorate of Physical Therapy from Thomas Jefferson University and completed advanced training at the Cleveland Clinic Foundation specializing in pelvic floor dysfunction and neurological impairments.In this episode, we discuss:✔ Why pelvic floor dysfunction increases during perimenopause and menopause✔ Why you keep waking up at night to pee (nocturia explained)✔ How pelvic floor PT helps prevent recurrent urinary tract infections (UTIs)✔ The surprising connection between TMJ and the pelvic floor✔ Pelvic floor therapy for chronic constipation✔ What to expect during a pelvic floor physical therapy session✔ How to reduce bladder leakage naturallyIf you're searching for answers about:pelvic floor therapy, menopause, how to stop waking up at night to pee, frequent UTIs in menopause, bladder leaks after 40, pelvic pain menopause, constipation, pelvic floor, painful sex menopauseThis episode will give you actionable education and hope.Connect with Elizabeth StrykerWebsite: https://www.pelvicstabilitypt.com/Instagram: https://www.instagram.com/pelvicstabilitypt/

In this episode of HAYVN Hubcast, host Nancy Sheed speaks with Christine Jurzenski and Erica Schultz, co-founders of Cranel, about their journey building a women-centered health company rooted in prevention, education, and product efficacy. Normalizing taboo conversations in women's healthChristine Jurzenski and Erica Schultz are on a mission to remove stigma around UTIs, gut health, and vaginal health—areas many women experience but rarely discuss openly. A company born from personal pain pointsCranel started as a solution to recurrent UTIs after the founders experienced the frustrating cycle of antibiotics, side effects, and limited preventative options. Non-traditional founders who learned fastWith backgrounds in finance and law, they built Cranel by taking “micro steps”—researching clinical evidence, cold-calling experts, and learning manufacturing and e-commerce from scratch. COVID pushed them into DTC—and it workedThe pandemic forced Cranel to launch as a direct-to-consumer brand, allowing them to maintain margins, educate customers, and build strong relationships with their community. Lean scaling with smart delegationCranel is still run by the two founders full-time with a network of contractors. They believe in mastering processes before outsourcing and leveraging modern tools and AI to scale efficiently. Expanding from a hero product to a platformThe brand has grown beyond cranberry juice with the launch of a probiotic/prebiotic product to support gut and vaginal microbiome health, signaling a broader women's health platform strategy. Navigating the supplement and regulatory gray zoneThey discussed the challenges of operating in the supplement space, balancing science-backed messaging with regulatory constraints, and advocating for better education around antibiotic overuse and resistance. The power of community and pitchingWinning the HAYVN Hatch pitch competition reinforced the value of female founder communities, mentorship, and the strength of a co-founder partnership. Christine and Erica's journey with Cranel illustrates how personal frustration can spark meaningful innovation. By combining evidence-based product development, direct-to-consumer education, and a mission to destigmatize women's health, they're building more than a brand—they're building a movement.  Their story highlights the power of curiosity, persistence, and community in turning a side hustle into a growing health platform designed by women, for women. Connect with Nancy LinkedIn  Instagram Website Connect with Christine and Erica Website Facebook Learn more about your ad choices. Visit megaphone.fm/adchoices

FDA Removes Black Box Warning on Estrogen: HRT Game-Changer for Women's Health After 23 years, the FDA removed the black box warning on estrogen products—a landmark decision transforming hormone replacement therapy (HRT) for women. In this episode of the Mortar and Pestle podcast, hosts Mike De Lisio and Sebastian Dennison discuss this breakthrough with Sara Hover, Senior Director of Clinical Services at PCCA.   What You'll Learn: Why the 2002 Women's Health Initiative study was flawed and created decades of HRT concerns The timing hypothesis: why age matters when starting hormone replacement therapy Synthetic vs. bioidentical hormones and their clinical differences Oral estrogen delivery systems and safety implications Shared decision-making between patients, prescribers, and pharmacists Why compounded HRT solutions matter for patients who don't fit commercial products Hormone testing modalities and why multiple testing methods are essential Vaginal estrogen's role in preventing UTIs and hip fractures How pharmacists can educate providers and patients on HRT safety   Topics Covered: Black box warning removal, hormone replacement therapy, bioidentical hormones, menopause management, compounding pharmacy, women's health, estrogen, patient monitoring, HRT dosing strategies   Perfect for: Compounding pharmacists, healthcare providers, and anyone seeking evidence-based information on hormone replacement therapy.   Links: Why VersaBase Cream Is Your Best Choice for Women's HRT The Vaginal Microbiome, Menopause & HRT A Personalized Approach to HRT for Perimenopausal Women Backed by Science: Anhydrous VersaBase® HRT Optimizing the Patient Experience with the Right HRT Base: Insights from the Webinar

Urinary tract infections are one of the most common reasons people with dementia end up in the emergency room. In this video, I talk with Dr. Krieger, an emergency room physician, about why UTIs often look different in dementia and why sudden changes should not automatically be blamed on dementia progression. Dr. Krieger is also the creator of Uraguard, a product designed to help reduce bacterial exposure around the urethra for women with incontinence. We talk about where tools like this may fit into UTI prevention, along with other practical strategies caregivers can use. Learn more about Uraguard here: https://tinyurl.com/uraguard-careblazers-yt

In this episode of the Dementia Researcher podcast, host Adam Smith chats with with Professor Paul Freemont and researcher Tom Adam from the UK Dementia Research Institute at Imperial College London to discuss the critical issue of urinary tract infections (UTIs) in individuals living with dementia. The conversation highlights the complexities of diagnosing UTIs in people living with dementia, where communication barriers and atypical presentations often lead to misdiagnosis and unnecessary hospitalisations. The guests emphasise the urgent need for improved detection methods, as UTIs can exacerbate cognitive decline and lead to severe health complications. They talk about their work to develop and introduce an innovative novel point-of-care diagnostic device designed specifically for dementia patients, which aims to facilitate early detection of UTIs in a home and care home setting, thereby reducing the reliance on traditional symptom reporting and hospital visits. Key takeaways:

In this episode of Your Natural Dog, Angela Ardolino is joined by attorney Kirk Pope, who is overseeing multi-plaintiff lawsuits against Zoetis over the veterinary drug Librela. Kirk shares his personal story of losing his own dog after a Librela injection and explains why he believes pet parents were not given the information needed to make an informed decision. Together, Angela and Kirk unpack how veterinary pharmaceuticals are approved, marketed, and incentivized, why animals are treated as property under the law, and what limited legal recourse pet parents actually have when a drug harms or kills their dog.Episode Recap:Angela introduces the episode and explains why Librela has become a major concern, citing FDA warning letters, reported adverse events, and the lack of meaningful repercussions when animal drugs cause harm to our pets, because they are seen as merely property. (00:00)Kirk Pope introduces himself as an attorney now overseeing litigation against Zoetis, after losing his dog to Librela, discussing the problem with financial incentives being attached to vets prescribing pharmaceuticals. (02:16)Angela asks what led Kirk to take legal action, he shares how at the time of his dog's injection, U.S. warnings for Librela listed only UTIs and injection-site reactions, with no mention of neurological or fatal risks (05:06)Kirk shares how Zoetis know that adverse event data had emerged internationally before U.S. disclosure, Librela had more extensive warnings in other countries, and why failing to warn pet parents in the U.S. constitutes a fraudulent omission by Zoetis. (10:35)Kirk explains why recalls are almost always voluntary and why the FDA cannot easily force a drug like Librela off the market, and the aim of his multi-plaintiff lawsuits against Zoetis, when damages are so limited because of pets being considered property. (14:39)Angela and Kirk examine the ethical conflict between profit, prescribing behavior, and the veterinary oath to do no harm. (22:16)The conversation shifts to pain management, emphasizing that Librela is a pain-blocking drug, not a treatment for arthritis or inflammation. Angela explains the five pain signaling pathways and contrasts single-target pharmaceuticals with whole-plant therapies that interact with multiple systems. (29:04)Kirk explains that once the FDA approves a prescription drug, pet parents can't legally claim the drug itself is defective; the only legal accountability lies in whether manufacturers failed to properly warn veterinarians and pet owners about known risks and adverse effects. (34:03)Angela emphasizes the importance of education, advocacy, and refusing blind trust when it comes to pet health, and Kirk explains how affected pet parents can contact him and share their own adverse experiences with Librela. (41:07)Episode Resources:Download Angela's Resources including her Safe, Natural Options for Arthritis Pain Relief in Pets and more at AngelaArdolino.com/podcast-downloads Join Donna Pope's Librela group on FacebookPope McGlamry Attorneys at LawHave a question about your pet that you want answered on the podcast? Email us at Carter@yournaturaldog.com Sign up for episode reminders and updates from Your Natural Dog with Angela ArdolinoVisit Angela Ardolino's website for more holistic pet health education: www.AngelaArdolino.comFollow Your Natural Dog on Facebook and Instagram and if you want to see what Angela is up to, follow her on Facebook or join our CBD & Holistic Pet Advice Facebook Group.

This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI)  Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI)  This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria:  (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. ****Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.  

In this episode, urology expert Aleece Fosnight discusses the connection between gut health, the vaginal microbiome and bladder function. We explore the root causes of recurrent UTIs, interstitial cystitis and how hormonal changes during menopause affect urinary health. Learn practical strategies for pelvic floor recovery, bladder training and advanced testing for chronic infections for both men and women. Lindsey Parsons, your host, helps clients solve gut issues and reverse autoimmune disease naturally. Take her quiz to see which stool or functional medicine test will help you find out what's wrong. She's a Certified Health Coach at High Desert Health in Tucson, Arizona. She coaches clients locally and nationwide. You can also follow Lindsey on Facebook, Tiktok, Instagram, Pinterest, Mastodon or X, or reach her via email at lindsey@highdeserthealthcoaching.com to set up your free 30-minute Gut Healing Breakthrough Session.  Show Notes

A JAMA Network Open consensus guide standardizes adult UTI triage for telehealth and in-person care. Nonpregnant women with classic cystitis symptoms and no resistance risks may receive empiric antibiotics without testing; men and higher-risk women require urinalysis with culture before treatment. Urine color or odor alone does not justify testing, and urgent evaluation is advised for suspected complicated infection or sepsis. A Danish registry study in JAMA Internal Medicine found SGLT2 inhibitors offer greater kidney protection than GLP-1 receptor agonists in type 2 diabetes. Long-term ASPREE follow-up in JAMA Oncology showed low-dose aspirin did not lower cancer incidence and increased cancer-related mortality in older adults.

Dr. Surell Levine graduated from Brown University with a Bachelor of Arts in 2001 and earned her Doctor of Veterinary Medicine from the University of Pennsylvania School of Veterinary Medicine in 2009. Following graduation, she completed a fellowship in Emergency and Critical Care and worked in the Emergency Room and Intensive Care Unit at Massachusetts Veterinary Referral Hospital. She is a certified veterinary medical acupuncturist and an active volunteer with the MSPCA animal shelter. She is also the inventor of the widely used Calm & Cozy Cat Wrap, a patented swaddle designed to make veterinary visits less stressful for cats. Topics covered in this episode: Preview of Dr. Surell's conference lecture on urinary sample collection and case management in house call practice Different styles of house call medicine, showing there's no single "right" way to practice Common urinary issues seen in home visits, including UTIs, cystitis Practical urine collection strategies in the home Using ultrasound as a quick in-home screening tool for urinary red flags Real-world urinalysis interpretation Balancing gold-standard preventive care with client budgets and real-life practice challenges Links & Resources: Calm & Cozy Cat Wrap: https://calmcozycat.com/  Hopkinton Home Vet https://www.hopkintonhomevet.com/  The House Call Vet Academy Resources:  Download Dr. Eve's FREE House Call & Mobile Vet Biz Plan Find out about the House Call Vet Academy online CE course Learn more about the Concierge Vet Mastermind Get your FREE Concierge Vet Starter Kit mini course Learn more about Dr. Eve Harrison Learn more about 1-to-1 coaching for current & prospective house call & mobile vets Learn more about the House Call & Mobile Vet Virtual Conference → Register TODAY for the House Call & Mobile Vet Virtual Conference, February 7th-8th, 2026!!!!!! Music:  In loving memory of Dr. Steve Weinberg.  Intro and outro guitar music was written, performed, and recorded by house call veterinarian Dr. Steve Weinberg.  This podcast is also available in video on our House Call Vet Cafe YouTube channel  P.S. Here's a special gift from me as a huge thank you for being a part of our wonderful House Call Vet Cafe podcast community! ☕️ GET 20% OFF your Four Sigmatic Mushroom Coffee when you order through this link! 4Sig truly is my favorite!!! Enjoy it in good health, my friends!

We speak with Dr. Alyssa Dweck, an OB/GYN, about Urinary Tract Infections in women and what one can do to reduce the likelihood of contracting a UTI.

In this week's episode of The Outspoken, I'm talking about UTIs and why we need to stop dismissing them as just another thing that women have to put up and shut up about.Last week I learnt so much about how serious cystitis can be and why we should listen to our bodies and never be scared to seek medical advice. I'll be sharing some of the ways can take control of UTIs, particularly if they are ongoing.Women's Health has been dismissed for too long and knowledge is power. I really hope this episode helps some of you and starts an important conversation.

The following is an AI-generated rough transcript of the Equipping Hour. It may contain inaccuracies.  Opening and Introduction Smedly Yates: Well, good morning. Happy Sunday. Welcome to Grace Bible Church this morning and to Equipping Hour. This morning, we’re going to be doing a follow-up from an equipping hour that Jake taught on January 11th on dementia. And that was, Jake, that was riveting and encouraging. And I thought you taught us everything we needed to know, but apparently you didn’t. Because the numbers of follow-up questions from that equipping hour broke all records. So we’ve sort of accumulated those questions. And let me just encourage you, if you didn’t get a chance to listen to that equipping hour from January 11th, pull it up on the website, go back and listen to that. And this morning, what we’re going to do is just put the questions that many of you asked in person and submitted. Or just get to ask those of Jake in front of all of us. And so Jake really is going to give most of the answers here. I don’t know if I have a whole lot to say. Other than these are the questions we got, Jake, help us. So with that, let me open us in a word of prayer and we’ll get started. Heavenly Father, thank you so much for your kindness to us. We don’t deserve to have physical ability endure in this life. We don’t deserve to have mental capacity sustained in this life. We truly only deserve condemnation under your wrath for our sins. And so anything that you give to us, we pray to use as a gift, as a stewardship, to use well and for your glory, and to be content and to trust you as things diminish. And we thank you for the preparation, for mental decline. You’ve already given us from principles from your word. We pray even now as we discuss caring for one another and seeking to glorify you in personal worship in our physical existence that you would be honored as we listen and apply and are strengthened and sharpened to help others. We ask all this in Jesus’ name. Amen. I’m going to start with kind of a personal question that came in, Jake, and it goes like this. If I try not to get dementia, you gave us a lot of helps, dietary exercise, sleep, some of those things that were really helpful, practical things. So if I’m doing those things, if I’m trying not to get dementia, am I expressing distrust and dissatisfaction in God and his sovereignty? Stewardship, Planning, and God’s Sovereignty Jacob Hantla: Maybe. So, yeah, we spend a lot of time talking about the practical ways that you might want to steward this life and this body that God’s given you. The big hitters were exercise, right? We said if there’s one that you can do, it’s that. But there’s a lot more. There’s a, but if you’re doing those things, is that sinful? It might be. There’s a way to do the right thing for the wrong reasons. Planning, though, is not unbelief. Planning like God doesn’t exist is unbelief. or planning like God’s way isn’t best in your selfishly, arrogantly grabbing after your own desires. That’s unbelief. That’s sin. So the issue isn’t whether you should steward, but it’s whether an action that you’re saying is stewardship is actually a mask for control, pride, and fear. Proverbs 27:12 says the prudent sees danger and hides himself. There’s a way to see that. Where you see danger, you hide yourself from it. You take planned steps in order to avoid it that actually roots itself from fear of the Lord. And that would be right. And in contrast, it says the simple go on as if that danger isn’t there and they suffer for it. So there’s nothing inherently righteous or right and just saying, I’m going to trust the Lord and use that as a mask for just lazy thoughtlessness. Similarly, there’s nothing righteous at all in saying, I don’t want what I fear is coming and I’m going to grasp after what I want. But James 4, you guys might want to open there. This is, a really, really helpful section of scripture for planning. And it reveals why we actually have to, at the heart of all of this, guard our hearts, not merely do the right thing. James Chapter 4. And this is in the context of the warning, or the command to humble yourself from verse 10, humble yourselves before the Lord because God resists the proud and gives grace to the humble. And now, he says, come now, verse 13, you who say today or tomorrow, we’re going to go into such and such a town, spend a year there trade, and make a profit. Yet you do not know what tomorrow will bring. What is your life? You’re a mist that appears for a little time and then vanishes. Instead, you ought to say, if the Lord wills, we will do this or that. So the take home from that is not don’t plan, don’t run a business, but rather as you run it, run it as one who actually embraces and recognizes your temporalness, your weakness, your dependence, and God’s sovereignty. Smedly Yates: If we zoom out from the topic of dementia, and we just think about the principle underlying that, we’re dealing with the realities of God using human means in his sovereign plans. If we rephrase the question, we might say, is it sin and distrust of the Lord to study for your chemistry exam? No, of course not. Can you sin by studying for your chemistry exam without thought toward God and exalt your own pride and intellect and your hard work? Yeah, that’d be wrong. A godless, practical, atheistic approach to effort would be sin. But a laziness that says, well, I’m just trusting in the Lord, but I’m not going to go apply for a job, study from my exam, practice for the athletic endeavor, or whatever is sin the other way. And I love the example of evangelism. We know that God will save people, but we know that God uses means to do it. So is it a failure to trust God when I go out and share the gospel with people? No, it’s actually the obedience that God uses as a means to accomplish his ends. Now, I can’t control the results. So you can be faithful, worshiping the Lord, telling others how great Jesus is all day long and nobody gets saved and God is honored and we trust him. Jacob Hantla: Yeah. There’s two biblical, I love the illustration. It’s throughout the Bible of horses and chariots. You can write down Proverbs 21:31 and Psalm 20:7. In Proverbs 21:31, it says, the horse is made ready for the day of battle. Who does that? We do that. The people do that, and they go, battle, but it says, but victory belongs to Yahweh. And similarly, in Psalm 20:7, this, this was actually one of my favorite passages in fighting cancer. I stole it from Piper in his book, Don’t Waste Your Cancer. He says, some trust in chariots, and some in horses, but we trust in the name of Yahweh our God, which doesn’t mean go to battle with slow horses and broken down chariots, it’s wise to get the best you can. If you know that you might be facing a future with dementia or anything else you might face, chemistry test or other health problem, be diligent to plan, but do it in a way that when you don’t get dementia, it wasn’t your effort that gets the glory. It was Yahweh’s. And if you get dementia anyway, you say, it was the Lord’s will. It’s best, I trust. Reverse Sanctification and Dementia Smedly Yates: A question came through, and really there were several facets that sort of get at the same kind of question. But people wondered, and this comes obviously from people who have worked hard to care for people with various forms of dementia. But it seems like Christians at times can experience what looks like reverse sanctification. Is that what’s going on there? Have people been abandoned by the Holy Spirit when behaviors change in mental decline. Jacob Hantla: Yeah, I think probably about five, six of you asked that question with very particular circumstances in mind. And the question doesn’t overstate the reality of what occurs. So reverse sanctification. Sanctification is the process of progressively being conformed to the image of Christ from the point of salvation, usually, and normally for a Christian, until the point when they finish well, die, and are taken home, and then glory. But that doesn’t always happen for Christians. The reality is sometimes in dementia, some Christians become more childlike in their faith. It’s not inevitable that your sanctification will reverse. And I don’t think that’s the right term. It’s the observed reality that we see. But sometimes their faith becomes more simple, but not less godly. They might tell the same stories over and over again. Or if you imagine sometimes what happens in dementia, your existence in the moment is separated from what’s gone before it. So you’re always disoriented. That’s terrifying. And so you see the Christian in those moments having a childlike trust questions that you feel bad for them, but they are trusting the Lord in a real way. But sometimes, and this is the words of Dr. John Dunlop, wrote a book on the Christian and dementia. He goes, dementia can indeed change personalities. It has transformed wonderful, loving, godly people into tyrants. And that happens. I’ve seen, you see somebody who was self-controlled loving. and as they progress into dementia, they curse. They use language that’s not befitting a Christian at all. There’s inappropriateness in all kinds of ways. And so what’s going on there? I think it’s helpful. I’m going to do another physiology lesson. Bear with me, I promise it’s worth it. It helps me. So there’s some types of dementia, especially that there’s one we talked about called frontotemporal. What does that mean? It’s the area of the brain in which it happens. And it changes the way that your brain physically works. So there’s an, I’m going to oversimplify a little bit. So, but this is, this is helpful. If you think of your prefrontal cortex, you might have heard that word because we joke. Teenagers, their prefrontal cortex isn’t fully developed. And that’s true. It’s why you don’t trust your kids to make life-altering decisions. But the prefrontal cortex is, you could think of it as the executive control center of your brain. It houses the part of your brain for abstract thought, concentration, working memory, and most critically, inhibition of inappropriate thoughts and actions. You and I do it all the time you think it’s like the breaks. There’s a filter on, thank God there’s a filter, right? Something comes to your mind and it doesn’t come out your mouth. Because of the prefrontal cortex, it overrides automatic impulsive thoughts. It helps you consider the consequences in the future before acting. It connects your current behaviors to the past experiences and your goals. And when that area is damaged, somebody has a really hard time choosing the appropriate behavior for the situation. The damage, it sort of removes the filter. There’s another thing, orbital frontal cortex. It’s just another area of your brain. You don’t need to know the big word. But what that is is that’s particularly critical for regulating social behavior. When that area of the brain gets damaged, like if you get a cancer to that area or a surgery that affects, that area instantly, that person can explain what appropriate social behavior is, but they don’t recognize when their behavior violates that. So it’s manifested by like just a list from a textbook that I looked up on this. It’s greeting strangers in an overly familiar manner, standing too close to others, inappropriate touching, being aware of social norms, like I said, but unaware that your behavior violates that, and that can go to extremes, sexual inappropriateness, language inappropriateness, and they’re just unaware. You and I, if we were to be saying that, it would be sin. In this case, it actually may represent a physical inability. So what’s going on there? I want to think about the brain and the believer. When the Holy Spirit expresses self-control in a believer. So, right, the fruit of the spirit is self-control. And I just said, well, self-control comes from the prefrontal cortex. So are we just our brains? No. When the Holy Spirit makes a believer new. And when the Holy Spirit controls that believer, he does it in a way through the working of our physiologic brain that enables us to submit to him, which means that he’s actually using our prefrontal cortex in a renewed way. I think it’s helpful. Open your Bible’s to Ephesians 5:18. I think this is really helpful. And there is an inner working between the way our brains and our most inner us, your soul, your mind, you’re who you are. There’s a working there that we, don’t truly understand, but that we can get glimpses into here. And I think that that, if we think of the way our brains in the working of the Holy Spirit to accomplish things like self-control, I think this is a helpful verse. Ephesians 5:18, do not get drunk with wine, for that is debauchery. And what’s that contrasted with? But be filled with the Holy Spirit, with the Spirit. So what does alcohol physically do? Alcohol in a person, it actually, you’re going to now see why I did this physiology lesson, it actually dramatically reduces prefrontal cortex activity. It takes the break off. It takes the filter off. You may still have the Holy Spirit, but the physiologic means that he uses to exercise control of, you would use to minimize your expressions of sin while in this body that’s falling apart, you’ve now chemically altered that. And so you have a lack of self-control, an impaired moral reasoning, increased risk-taking. Similarly, your orbital frontal cortex goes dysfunctional. That’s why I mentioned those two things. That happens with alcohol and anything that stimulates GABA receptors. That would be like benzodiazepines, some sleeping pills, some anti-enactylase, some anti-enactylase. anxiety meds, it can lead to social inappropriateness for those same reasons. Opioids. Research shows that chronic amphetamine and opioid use alters decision-making by ways that are very similar to focal damage to that orbital frontal cortex. You can see now chemicals interacting with your brain in a way that we’re used to seeing those people don’t act right. THC from marijuana, same thing, decreased brain volumes in chronic use, especially in the orbital frontal cortex. Sleep deprivation. Tons of breakdown, temporary, and the connection between amygdala, which is like your fighter flight, your stress area, and your prefrontal cortex connectivity. So sleep deprivation triggers this. You basically don’t have a brain. on your emotional regulation. So why am I going through all that? If we have the ability, it’s right for us to keep ourselves from breaking our brain intentionally. Don’t be drunk. Avoid chemicals that would alter those areas and make the expression of self-control more difficult or less likely. and you can actually, you see it in your kids when they’re unslept, more prone to sin. You see it in yourself. So imagine yourself with 48 hours without sleep, then drink a little bit of alcohol. You will become disinhibited, irritable, and be much more prone to sin. Don’t do that to yourself. But now what happens if that’s actually happening physically because areas of your brain are dying, they’re tangled up with proteins, or they’re otherwise that they can’t access the energy stores to function? That’s effectively what they’re, but they can’t sleep it off or sober up. It helps you be probably a little more understanding and maybe see that it’s not actually a reversing of sanctification, but rather, I think it’s a, well, let’s just turn to 2 Corinthians 4, and I think we’ll see what it is. You see that dementia can change behavior by damaging the brain’s physiologic instruments of restraint and judgment, but it’s not the same thing as the Holy Spirit moving out. sanctification isn’t stored in a lobe of the brain. You are more than your brain. It’s actually our brain is that part of us that’s wasting away. It’s not our inner man. So 2nd Corinthians 4:16, we do not lose heart. Though our outer self is wasting away, our inner self is being renewed day by day. day. This is helpful to remember in somebody whose outer self is falling apart, not just physically their body doesn’t work anymore, but their brain’s not working. This light momentary affliction is preparing for us an eternal weight of glory beyond all comparison. As we look not to the things that are seen, but the things that are unseen, the things that are seen are transient, but the things that are unseen are eternal. It’s really helpful. when we look at somebody with dementia and it looks like they’re becoming less and less Christian. I love the way John Piper says it. He has a helpful ask Pastor John on dementia. And he says, Paul’s telling us that weak, in glorious, demented shadow of a once strong Christian in front of us is on the brink of glory and power. You need to go into nursing homes and think that way. These people are on the brink of glory and power. We must keep this continuity in mind between diminished powers of human beings here and the spectacular powers that they’re going to have in the resurrection. It’s so important if we lose a sense of that continuity for the Christian, will assume that we are becoming less human rather than being on the brink of gloriously superhuman. So it’s helpful to see that your brain is the outer person that’s wasting away. And that isn’t necessarily connected to the what God has done in the most inner you. Confrontation, Rebuke, and Care for the Weak Smedly Yates: Given that reality, Jake, we think about somebody whose inhibitions are broken down. The manifest ability for self-control allows things in the heart to make their way out. Is there ever a place for confrontation, rebuke, encouragement, help for somebody who’s still living the Christian life, still susceptible to sin? At what level is it appropriate? How should we think about, you know, helping behavior and rotten speech and things like that? Jacob Hantla: Yeah, absolutely. There is. You have to recognize that the purpose of rebuke would be repentance, right? And just like with children and with all Christians, it’s really wise and necessary to discern when possible between sin and inability. The reality is that we can’t always do that. But before I go there, I want to get back to this question. Let’s think about ourselves and what we’re going to be prone to do with what I just said. I’m going to be prone, you might be prone, to say, well, I didn’t sin. It’s just my physiology that made me do it. You don’t get off the hook ever in the Bible because your physiology had a weakness. God uses our weakness and our physiology as the platform in which he demonstrates his power, and particularly his power over sin. Our brains, actually a significant part of why they’re weak and why they break like this, is because it’s a part of God’s judgment for us. Romans 1, right? We became futile in our thinking, and our minds were darkened as a result of our unwillingness to acknowledge God as God. We are not merely our brains, and yet the dysfunction of our brains is actually a significant part of the fall. God renews that. He changes that in the believer. And if you as a Christian say, I know where I am particularly vulnerable, maybe I’m heading down a path towards dementia, or maybe I have some particular weaknesses where I haven’t slept much this week. I just had back surgery. I know I’m going to be on an opioid for pain, and I know that I’m going to have a particular—even if you can’t say the area of your brain that’s going to not function right—you're going to say, all right, Jake taught me that I’m going to tend to act inappropriately towards people. I’m not going to view myself rightly. I’m going to have a lack of self-control. I better ask for help. I’m not going to justify sin, but I’m actually going to be more vigilant for it. Fight it more diligently and get people around me to help me fight it. So now let’s go to the question of, is it ever appropriate to rebuke a dementia patient? Let’s assume that person is a Christian. Go to 1 Thessalonians 5:14. If that person is a Christian and they are sinning, even if they’re not even aware of it, they’re going to say, will you please come to me and help me? I’m going to need help. We need to, as best we can, use the right tool for the situation. Discern weakness, faint-heartedness, and still don’t hesitate to admonish unruliness or idleness. So 1 Thessalonians 5:14: “We urge you, brothers, admonish the idle or the unruly, encourage the fainthearted, help the weak.” Do you see those three different instructions? Somebody might be expressing sin. All three of these might be evidences of—in all of these three cases—there might be somebody evidencing unbelief or something that needs turning, changing. And in one case, the tool is admonishment. In another, it’s actually help. And in the other, it’s encouragement. Now consider the person with dementia. Their brain is not functioning the way that yours is. They can’t connect their actions to what’s socially appropriate. They can’t connect their actions with the goals they’re aiming at. They might be unclear as to even the situation that they find themselves in, the context of their life. That’s a pitiable—in all the right ways—pitiable circumstance. That would tend to make that person fainthearted, very weak. What they probably need more than admonishment is help and encouragement. I love Poithress. This is from Piper and Grudem’s book, Recovering Biblical Manhood and Womanhood. He says, “Our privilege as Christ’s children altogether should stimulate rather than destroy our concern to treat each person in the church with the sensitivity and respect due to that person by reason of his age, gift, sex, leadership status, personality,” and I would add mental status. So how should you do this? With mild impairment, let’s just go down a category. If you had somebody with mild impairment—not all dementias, it’s not this catch-all where everybody’s all the same—you can have a mild impairment. Probably normal accountability. They’re going to tend to need more admonishment and help and encouragement, but be slower, be gentle, be more concrete. You’re probably not going to be able to string together three or four if-then statements to logically get them there. Make it simple. Sort of like when you’re admonishing your three-year-old, maybe your five-year-old, your seven-year-old. You still do it, but not in the same way that you would a 25-year-old or a 35-year-old. But then with moderate impairment, your correction probably becomes more redirection. Just simple statements of, “That’s not okay. Let’s go over here.” Change the environment. And then severe impairment, probably treat it more as symptom management, prioritizing safety, comfort. Simple statements still: “That’s not okay.” Like you would use for your one-year-old: “Use your hands for gentleness. We don’t speak like that. That doesn’t honor the Lord.” Normal Aging, Forgetfulness, and Dementia Smedly Yates: Statements like that. This is so helpful, Jake. I think partly because we don’t want to be in a position where we’re shocked and our black-and-white categories of sanctification, justification, get in the way of compassionate care and love for someone who is in a weakened state that needs help. It’s not dismissing sin, but just really helpful, compassionate care. I have a more personal question for you. Last evening, we had a number of friends in our home, and I got confused and thought that a dear sweet friend was somebody else altogether. And it occurred to me later, I asked a really strange question that didn’t make any sense to her at all. Do I have dementia? Jacob Hantla: I don’t think so. But you are getting older. There’s a forgetfulness that’s just a part of being human. And there is a forgetfulness that’s increasingly normal with age. Smedly Yates: You’re right behind me. You’re catching up. No, you’re not catching up, but you’re behind me. Jacob Hantla: Percentage-wise, I’m catching up, and I will never in an absolute, absolute way. So there’s normal aging, and some normal cognitive decline with aging is very different than actual dementia. So if you do have questions about that, it’s helpful. Regardless, if you just say, hey, I’m getting old. I’m not sleeping as well. Just as a result of not sleeping as well, as a result of just being weaker, maybe having more history behind you, some more stuff to forget, or whatever, you realize, hey, I don’t have dementia, but I’m not who I once was. That’s not a bad place to be. There’s a weakness there that’s helpful to get people around you to augment your weaknesses. How much more, if you were heading toward dementia. I promise I’ll tell you if I see it. You do the same for me. But regardless, you might or you might not. I don’t think you do. But let’s say that you’re saying, I forget stuff, do I have dementia? The second that you start thinking that, you’re probably not the right person to be making that call. It’s wise to get family members, elders, even medical professionals, doctors to assess: is this dementia? Is it a reversible cause? What’s the probability it’s going to accelerate? And then as you start seeing more and more likelihood that, yeah, this is progressing, start getting people around you to start relinquishing intentionally controls that you might have on your life. Can you double-check me on any purchases greater than X amount of money? Let’s go update the will. Let’s get you on a power of attorney. Invite them to take away the keys at the appropriate time. Even if you say that’s a long way from now, that’s a really humble way to invite, in a godly way, people who love you to be enabled to help you. Forgetting the Gospel and Childlike Faith Smedly Yates: Jake, can a believer forget the gospel in a mentally diminished state or not have the ability to articulate the gospel? Jacob Hantla: Yeah. They can. Memories are stored in our brain. And you might not have access to those memories even while you are saved. Right? That unbreakable chain of salvation will end in glorification from Romans chapter 8: all those whom he foreknew, and it gets all the way to glorification. And in the midst of that may be a trial like your memories are disconnected from you in a way that you can’t explain concepts like substitutionary atonement, you might not even remember that Jesus is your Savior, though he is. And so if somebody has forgotten those things, don’t tire of reminding them of those things. Because even if that memory can only stay with them for that one moment, it’s real. And it might help them endure that moment. It’s a really complex, I can’t say that we understand it at all. But God does. There’s a complex relationship between our thoughts, our memories, how those connect to our actions, and what our ultimate status before God that’s normally expressed through faith. And you can’t have faith without trusting in Jesus. So how can somebody who doesn’t even know who Jesus is trust in him? I’m just going to say I’m not God. God knows. And when you are in your right mind, if you do, that’s evidence of God’s work in you. Because nobody can say Jesus is Lord apart from, in me, and being it, apart from God changing them, saving them, making them new. And so if their brain breaks, and they no longer are able to say that in the same way, I don’t think that’s going to be devastating because they weren’t saved on the merit of faith, but they were saved by grace through the exercise of faith. That faith may look different now. But it’s helpful to think of what kind of people go into the kingdom. Like the disciples, when the children were coming, and they said, no, don’t let them near. And Jesus says, no, it’s, it’s that kind of person who gets into the kingdom. Don’t think that those, faith doesn’t have to be complex. Faith doesn’t have to be well reasoned out. That doesn’t mean that you have an excuse not to think. Peter says, add to your faith knowledge, right? We are expected to grow in faith. I’d love to hear you expound on this, Smed. But there’s a childlikeness of faith that actually in your dementia, you might be able to express that. In your arrogance, maybe in your self-trusting when your faculties are working, it may actually be God’s means of separating you from your strength, because when we’re weak, we’re strong in him, that we don’t get to see all the interplay of that, but we may be a means moment by moment of reminding the Christian who forgot who Jesus was of who he is. Smedly Yates: I think that’s so helpful. The weakest place you will ever be in life are at your last moments on the earth. No matter how it is you go out of this life. Just last night I was working through the details of the resurrection in 1 Corinthians 15. And listen to this, Paul is comparing the resurrection to a seed sown into the ground and then what comes out afterwards. And there are different levels of glory from sun, moon to stars, different kinds of bodies, fish, and other things. But not everybody’s the same. But every human being who faces physical mortality ends life here and then experiences resurrection, every one of us will experience the most profound weaknesses in the last moments. And here’s how Paul describes it. The body is sown, placed into the ground like a seed, corruptible. Subject to absolute humiliating corruption, raised incorruptible. No longer ever subject to corruption. And when we think about brain deterioration, that word corruption is weighty. Sown in dishonor. The last moments of anyone’s physicality are the most dishonorable. Stripped of power, stripped of strength, stripped of dignity, but raised in glory. And Jake, what you shared earlier about somebody being on the brink of the kind of glory that C.S. Lewis described—if we were to see a resurrected saint now we’d be tempted to fall down and worship them or run away in abject terror. We just have no idea what this glory is like on this side of it. But we go from the lowest, most undignified, most powerless spot in our earthly existence in those last moments. And he goes on and says, put in the ground in weakness, raised in power, put in the ground natural, raised supernatural. And so the earthy is first and then the spiritual. And so it’s just helpful to think about not being surprised when someone is at their most profoundly weak, not just physically but mentally, end-of-life scenarios. Jacob Hantla: Yeah, it’s profoundly humbling. And it makes us want to say, I don’t want to be there. Can I avoid that? Okay. I mean, do your best. And ultimately God may bring us there in a way that all of us, sometimes our last moments are momentary, sometimes our last moments of that corruptible humiliation last a really long time. In this tent we groan, longing to put on our heavenly dwelling, if indeed by putting it on, we may not be found naked. For while we are still in this tent, this physical body that’s falling apart, we groan, being burdened. Not that we would be unclothed. It’s not merely saying, hey, let’s take this thing off, but that we would be further clothed so that what is mortal may be swallowed up by life. It’s not even worth comparing. And so if that’s the way that God has to be glorified in us—to go back to that first question—okay, I’ll do that. It’s light and momentary, even if it lasts a long time. And even if I’m not even able in the moment to contemplate what time is, it’s humiliating. And you know what? I’m going to ask the Lord to take that from me. I’m going to say, God, please don’t. That’s an okay prayer. That’s similar to what Paul prayed and said in 2 Corinthians 12. And Jesus says, no, my grace is sufficient for you, for my power is made perfect in weakness. And if Jesus says that to you, Christian, you can say, okay, I’m going to be content with weaknesses. And man, if you get to care for somebody in their weak moments there, it’s helpful to have these things in mind to know they’re on the brink of glory. Marriage, Roles, and Dementia Smedly Yates: I want to move to a practical and theological question related to roles, thinking particularly about husbands and wives honoring biblical roles in marriage, particularly when a husband is experiencing mental decline and dementia. How does a wife caring for a husband honor those roles with a diminished ability? Jacob Hantla: Yeah, that’s a really helpful question. I loved thinking through this. Smedly Yates: I came up with it myself. No. Several people asked. I just wrote it down. Jacob Hantla: You did. I think we want to avoid two opposite errors. One is a view of submission and leadership as a rigid subservience. If a husband can’t lead, the wife can’t act. Or on the other side, a role evaporation. That illness or inability cancels biblical patterns. Both of those would be absolutely wrong. Did you get that? One would be if the husband can’t lead, then the wife shouldn’t be able to act. And if the husband can’t lead because of inability, role distinction, that God set out that is grounded in creation order, not in ability, right? Men aren’t pastors because we’re better at it or smarter at all or better teachers. That’s not where God grounds it. But in his purposes. And so it’s helpful. If we think about what femininity is, so we’re helping a wife whose husband is just incapable of leading in the ways that she wishes he could, a heart that longs to follow. You think of 1 Peter 3:4. The adorning for the woman is in the imperishable beauty of a gentle and quiet spirit, which in God’s sight is very precious. Normally, that’s going to be expressed through submitting to husbands, to their leadership, even in ways, as long as their leadership—for unbelievers, as long as their leadership doesn’t lead them to go against the Lord—even submitting to that with a gentle and quiet spirit. That’s going to play itself out differently for a husband who can’t lead through inability or poor decision-making due to brain decline. You go to Proverbs 31. This breaks the category of a submissive wife as one who’s subservient and just says, “Tell me exactly what to do, so I only do that thing.” No, an excellent wife who can find, she’s far more precious than jewels. The heart of her husband trusts in her. He will have no lack of gain. She does him good and not harm all the days of her life. You see right there a husband who can trust his wife, whose wife is working for his good and not harm, that’s a wife who’s embraced godly roles. It’s not a wife, it’s not neediness that she expresses, but productivity and care. Jump forward to verse 15 of Proverbs 31. She rises while it is yet night, provides food for her household, portions for her maidens, she considers a field and buys it, the fruit of her hand, she plants a vineyard, she dresses herself with strength and makes her arms strong. She perceives that her merchandise is profitable, her lamp does not go out at night. This is a woman who can work, who can work hard, but very different from that which feminists would say, hey, a woman who doesn’t need a man, a woman who functions for her own good, depart from him, but this is a woman who’s functioning strong for the good of her husband. And her husband trusts, she, verse 27, looks to the ways of her household. She doesn’t eat the bread of idleness. Children and her husband call her blessed and praise her. Charm is deceitful, beauty is vain, but a woman who fears the Lord is to be praised. This biblical femininity is rooted in fear of the Lord, love of her husband, not a desire to dominate over the husband, but to come alongside as a God-given helper to build him up, that can be demonstrated in very unique, very God-glorifying ways with a husband whose mind is increasingly not working. It’s fundamentally a disposition to honor and support the husband voluntarily and gladly. Leadership often involves delegation. So, husbands: if you’re heading that way, plan in advance for the kinds of ways so that your wife, even when you can no longer give your preferences, she knows, and it seems like in the moment, she’s actually working against it when you no longer understand what’s going on. She’s actually able to follow. So it’s good and right for the wife to be productive, capable, in a way that might look independent, but with a hard attitude that supports. So anticipate that. I want to give a personal example. This is actually hard and a little bit embarrassing. So dementia is different than delirium. Delirium is something that’s short-term, usually from a cause. You see it in elderly when they get like UTIs. You can see it from medications. Post-surgery, I see it all the time with anesthesia. As many of you guys know, I spent a long time in the hospital with Burkitt lymphoma. I was getting a lot of chemo. They stick a needle in my spine, give me chemo directly into my cerebral spinal fluid around my brain. I was on tons of pain medication and all kinds of other medications that did weird things to my brain. I don’t remember this time, but there was apparently a few days—I remember bits and pieces of it—where I was out of my mind. I at one point apparently tried to hit Kiki. I took all my clothes off and tried to go in the hall at the hospital. Kiki was a loving, submissive, supportive wife by helping me not do that. I am very grateful for her tearfully persevering, guarding me from myself as my brain was failing me. At that point, thankfully, in a reversible way. But she was not stepping out of her God-ordained role by saying, “No, Jake, you cannot go in the hall naked. No, Jake, you cannot hit me. Jake, get in bed,” and even physically and chemically restraining me for a time. That was a gracious expression of role differentiation that I think honored the Lord and honored me. I remember also, just husbands to wives, me at the—I was reading my vows this morning from almost 25 years ago. I wrote in those vows. And I’d encourage you guys to think through that now. And singles, as you’re thinking through marriage, think through what it might mean in all the different stages. I said, “I pray that as we grow old together, our love will grow stronger because we are together growing as one closer to Christ. I commit myself to loving you, even when your beautiful body is gone, even when your mind is not sharp, even when you do not recognize who I am. No matter what the cost to me, I will be married to you until God takes you.” And that’s what it means. That love isn’t in it for what the other one can give. It’s not self-seeking. It actually seeks the good of the other. So have this mind in you, which is yours in Christ Jesus, who though he was in the form of God, did not count equality with God a thing to be grasped after, but he emptied himself, taking the form of a slave, being found in human form. He did that all the way to the point of death, death on the cross. That’s what husbands are called to. That’s what all of us are called to. So thinking, I am above changing this diaper or correcting my spouse for the thousand and seventy-second time this week. Stooping that low is nothing compared to our Savior’s humble condescension to us. And so you actually are embracing God-given roles as a Christian when we help and endure and love our spouse to the very end. Honoring Parents and End-of-Life Care Smedly Yates: And that’s a great segue, Jake. When I think about what you just described, our parents did those very things for us when we were helpless. There may come a time where those roles are reversed and we’re helping our parents in their end-of-life situations. I’m going to ask you a series of questions that came in and you can answer whichever ones you want. I’ll try to go faster so we get through them. Maybe. Maybe we do a part 17 of this series, whatever. But I’m thinking about the command, the prohibition, do not sharply rebuke an older man. And the positive commands honor your father and mother. Those commands don’t expire. And when I think about don’t sharply rebuke an older man, there ought to be an elevated view of those who have walked this life longer than we have. We’ve lost that in an American culture, right? Tribal cultures have kept that in some ways. Other places, other cultures have kept that. We just sort of disregard the elderly as a new cultural phenomenon. And, you know, the word euthanasia, the beginning of the word is, is eu or good and thanasia, thanos, death. Good death. It’s not good. And we don’t discard people when they’re no longer of utilitarian purpose. But that is where our culture is going. And Christians must look very different. So when we think about how do we gently, compassionately, lovingly honor God, honor our parents, loving them through end-of-life scenarios. Here’s a series of questions. How do I honor those relationships when compassionate care, sometimes correction, help the 1,077th time. Dad, use your words. Don’t use your hand. You know, whatever it is. Give me the keys. How do we do that and honor them in our disposition? Number two, is it sin to employ the resources of home health care or a live-in situation, a retirement community, etc.? And then what do we need to think about with end-of-life scenarios? Yeah. That’s a lot of questions. Let’s go. Jacob Hantla: Let’s go. So I think honoring your parents means, first off, it’s a disposition of the heart, but it’s a disposition of the heart that is connected to meeting their physical needs. You went to 1 Timothy 5. Do not sharply rebuke an older man, but encourage him as you would a father. And then dot that dot, second, verse 2, older women as mothers. And then it rolls into, let’s think of widows who are truly widows. Open to 1 Timothy 5. This is maybe a section that you’re like, you might not read this honor widows who are truly widows section, thinking it applies to you. It does. And I think in it is the answer to this question, or at least a significant part of it. Verse four, the thought here is the church needs to take care of widows, but don’t do so in a way that robs a family of the responsibility and need to take care of their own parents. So look at verse four. If a widow has children or even grandchildren, let them first learn to show godliness to their own household. And now look at this three part: make some return to their parents. So rooted in just a mom, dad, thank you for however many years of my life. You changed my diapers and fed me and looked after every need. It’s okay if my career is messed up because I have to have you in my home and I have to go take care of you. That is, do you see what it says? That is actual showing of godliness. I love what you just said. It’s so different than the culture. The culture might do this in a way that Christians have to be sharply different than. It is godliness to make return for the way that your parents cared for you. Number two, this is pleasing in the sight of God. You don’t do it out of social obligation—well, who else is going to do it? They don’t have enough insurance. Or even if they do have insurance and you do get the privilege of having live-in help. No, you are seeking to please the Lord as you make return to them. This is pleasing. Yeah, and then the third was, yeah, so godliness, make return to their parents. It’s please the Lord. Take care of your parents. Meet the needs. And if you don’t, verse 8, do you see what it says? If anyone does not provide for relatives, especially members of his household, do you see what you’re saying? You have denied the faith and you are worse than an unbeliever. This is what James is referring to in chapter 2. That’s a faith that’s dead being by itself. The religion, end of James 1, the true religion, takes care of orphans and widows in their distress. How much more are your parents? So, yes, take care of your parents. You have to. It’s a great privilege. It’s actually God’s ordained means of living out godliness. So can you send your parents to a care home? Does that mean you have to maximally sacrifice? Not necessarily. It doesn’t mean that you have to perform every task. Neglect is sin, but using help may be wisdom. The reality is dementia needs are often 24-7. They involve skilled needs at times. They may wander, fall, be incontinent, unsafe swallowing. Care at home at all costs—that may be rooted in love. It may also be rooted in pride or even foolishness. Honor can actually look like choosing a good facility, visiting often, advocating, overseeing care. Encourage the church to be involved, but don’t demand the church do the work at you avoiding it. I don’t remember what the other questions were. Smedly Yates: That’s all right. We got one minute left, Jake. Would you close our time in prayer? Closing Prayer Jacob Hantla: God, thank you for your word and just how replete it is with wisdom and principles and instruction and most of all revelation of who you are and what pleases you. God, I pray from this and just from this lesson and all the trials that you bring us through related to dementia and so many others that you would increasingly form us each individually and then corporately as your body. Form us into your image. Increase our godliness and then, God, bring us safely home. We love you. Be glorified in our lives and in our church. In Jesus’ name we pray. Amen. The post Equipping Hour: Dementia and the Christian Q&A appeared first on Grace Bible Church.

In this video, Dr. Rena Malik answers multiple real-world questions in one AMA episode, covering which supplements actually have evidence for improving erections and libido (and why placebo effects matter), why most semen-volume supplements don't work, and what lifestyle factors truly support testosterone and sexual function. She also explains what to expect with urine leakage after prostatectomy and the real recovery options, then breaks down how to prevent recurrent UTIs—covering hydration, constipation, vaginal estrogen, cranberry supplements, and proper bladder emptying—using practical, evidence-based guidance throughout. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Introduction 00:36 Supplements for Stronger Erections 07:29 Leakage after prostate surgery 10:57 Recurrent UTIs 15:45 Bottomline Videos mentioned in AMA: https://www.youtube.com/watch?v=0Tks6bBoZW0 https://youtu.be/fUkIMksUyss?si=criz5ky2SRb0eaxl Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices

This week on Page 7, Jackie and MJ are joined by Mike Lawrence to goss' 'bout those Oscar noms, including "Hamnet" "Sentimental Value", plus somehow "F1" and a rundown of past Oscar moments, as well as some talk about how they are changing the ceremonies (for the worse). Kirsten Dunst shared a video saying her husband, Jesse Plemons, should gotten a nom since Tim Tim did, and then we got THE LIST full of extremely TMI admissions from famous people that will make you question if they are oookkkaaayyyy!!! Followed by blindz that let Mike know he WOULD like a cuckin', and a throwback to those childhood UTIs with a soapy Jackie's Snackie's from 1:07:27.553 til 1:18:22.489, with ANOTHER chip that's not a chip in a never-ending quest AND A BRANDSPANKIN'NEW THEME SONG during MJ's Minute Munchies at 1:14:39.306!Want even more Page 7? Support us on Patreon! Patreon.com/Page7Podcast Subscribe to SiriusXM Podcasts+ to listen to new episodes of Page 7 ad-free.Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Have you been diagnosed with candida overgrowth — but you're frustrated that your treatments haven't work? Have you not been diagnosed, but all your symptoms — bloating, brain fog, sugar cravings, skin flares, even recurring yeast infections or UTIs — keep pointing you back to candida?Or have you treated candida before… felt better during the protocol… and then watched everything slowly creep back in and thought, “Why is this happening again?” If you said "yes" to any of these questions - this episode is for you. Today we're continuing the Real Root Cause Series, where I'm taking conditions that are commonly labeled as root causes — and breaking down to you what their REAL root causes are. This is super powerful because understanding a fake vs. real root cause is the difference between healing from your symptoms permanently... or not. Today's topic is: candida. My hope is that this episode blows your mind and helps you to completely rewire how you think about candida. If you get today's episode, you will understand everything you need to to In this episode, I'm breaking down:Why treating candida directly - with diet changes, cleanses, or supplements - so often doesn't work (and ends up with you doing it again and again)The real root causes that drive candida to overgrow in the first placeWhy different people have totally different sets of candida causes underneath the surfaceWhat testing can actually help you map the problem correctlyAnd what you need to do so candida doesn't just disappear for a month… and then take over again And one more thing — I'm doing something new for this entire Real Root Cause Series: visuals. If you're a visual learner, or you want the big picture laid out clearly, go to betterbellytherapies.com/root to download the graphics that go with this episode. Because when you stop fighting candida like it's your primary enemy... and start addressing what's actually feeding it — that's when it stops coming back. TIMESTAMPS:00:00 - Introduction: Struggling with Candida? 00:33 - Understanding Real Root Causes 01:07 - Why Treating Candida Directly Fails 01:40 - Visual Learning Resources 02:00 - Welcome to the Better Belly Podcast 03:06 - The Real Root Causes Series 04:41 - Candida: Not the Root Cause 12:48 - Low Stomach Acid and Its Impact 15:54 - Slow Motility Explained 20:07 - Mold and Candida Connection 25:16 - Other Pathogens and Candida 28:32 - Food Sensitivities and Candida 31:29 - Poor Detox and Liver Health 34:21 - Testing and Protocols 37:22 - Conclusion and Next Steps EPISODES MENTIONED:105// Clear Your UTI's and Interstitial Cystitis [Detox Pathway #2]148// The Oxalate Episode

Episode Summary In this episode of Please Me Podcast, Eve Hall delivers an in-depth, sex-positive, medically informed conversation on sexual health, pleasure, and prevention for all genders. This episode covers how blood flow, hormones, nutrition, and self-knowledge directly impact arousal, erections, lubrication, orgasm, and long-term sexual wellness. Eve breaks down why erectile dysfunction and vaginal dryness are often early warning signs of vascular health issues, why masturbation is an essential solo practice, and how understanding your own body is key to closing the orgasm gap. She also emphasizes the importance of STI testing, informed consent, and being prepared for safer sex — especially during the holidays and periods of increased sexual activity. Listeners will gain practical tools, education, and prevention strategies to support confident, pleasurable, and safer sex at every stage of life. Sexual health as a reflection of overall cardiovascular and vascular health Erectile dysfunction, endothelial dysfunction, and blood flow Acoustic wave therapy for erectile and vaginal health Penis pumps, traction devices, and penile tissue health Masturbation, ejaculation frequency, and prostate health Female arousal anatomy, clitoral blood flow, and vaginal lubrication The importance of foreplay and arousal time Hormones and sexual function (testosterone, estrogen, progesterone, DHEA) Vaginal dryness, tissue thinning, and pain with sex Nutrition, micronutrients, hydration, sleep, and movement for sexual wellness Masturbation as self-care and pleasure literacy The orgasm gap in heterosexual relationships Communicating sexual needs with partners STI prevention, testing, and informed consent Oral and anal STI testing and why it matters Doxy-PEP and post-exposure STI prevention Sexual health “bug-out bags” and safer sex preparedness Yeast infections and UTIs related to sexual activity Herpes education and antiviral treatment HPV education, transmission, cancer risk, and vaccination Prevention-focused sexual healthcare and long-term intimacy Website: https://pleaseme.onlineSocial Media & Contact: https://pleaseme.online/contactsSubstack Newsletter: https://pleaseme.substack.comPatreon: https://patreon.com/PleaseMePodcastBe a Guest on Please Me (PodMatch):https://www.podmatch.com/hostdetailpreview/beaguestonpleasemepodcast Topics Discussed in This EpisodeConnect with Eve & Please Me Learn more about your ad choices. Visit megaphone.fm/adchoices

Ron is confused about TV drug commercials, as well as thousands of other things that make no sense.... Guests: Dr. Alyssa Dweck about UTIs... Gigi Gonzales about financial wellness

I sat down with Dr. Kelly Casperson, urologist, women's health advocate, and a leading voice fighting for equality in healthcare, to explore what's really happening to women's bodies and brains during perimenopause and menopause. We discuss why UTIs spike after menopause, how vaginal estrogen actually works (and why the FDA finally removed the black box warning), the truth about HRT and dementia prevention, and why estrogen receptors in your brain matter more than you think. We also unpack why blood work interpretation matters more than ever, how compounding pharmacies work, the shingles vaccine and dementia connection, and why women need to stop waiting for permission to take control of their health. Reduce your risk of Alzheimer's with my science-backed protocol for women 30+: https://go.neuroathletics.com.au/youtube-sales-page Subscribe to The Neuro Experience for evidence-based conversations at the intersection of brain science, longevity, and performance. _______ TOPICS DISCUSSED 00:00 Intro: Why women's hormone health is misunderstood 02:10 Who Dr. Kelly Casperson is and why women's sexual health became her focus 05:10 Hormone Replacement Therapy explained (estrogen, progesterone, testosterone) 08:30 Vaginal estrogen, UTIs, and restoring tissue health 12:40 Vaginal estrogen vs systemic estrogen and the FDA warning myth 15:20 Estrogen receptors, skin aging, and visible signs of hormonal decline 18:30 Estrogen, the brain, and Alzheimer's risk in women 22:10 Why hormone research is conflicting and often fails women 26:00 Sleep, hot flashes, inflammation, and brain health 30:00 Testosterone in women: beyond libido and muscle 33:40 Compounding pharmacies and personalized medicine 38:00 Inflammation, viruses, vaccines, and dementia risk 43:00 The breakdown of modern healthcare and why women feel dismissed 47:30 Blood testing, data ownership, and the future of women's health _______ A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Timeline Mitopure Gummies: Don't let another year go by feeling less than your best. Grab 35% off your one month subscription of Mitopure Gummies at Timeline.com/neuro35. That's Timeline.com/neuro35 while the offer lasts. Function Health: Own your health for $365 a year. Learn more and join using my link. Visit www.functionhealth.com/louisa and use gift code LOUISA for a $25 credit toward your membership. Ka'Chava: Rewild your nutrition at kachava.com and use code NEURO. New customers get twenty dollars off an order of two bags or more! Wayfair: Get organized, refreshed, and back on track this new year for WAY less. Head to Wayfair.com right now to shop all things home. Every style. Every home. _______ I'm Louisa Nicola - clinical neurophysiologist - Alzheimer's prevention specialist - founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain - reducing Alzheimer's risk - and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_ Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, we review the clinical presentation, diagnosis, and treatment of uncomplicated urinary tract infections. Key Concepts Uncomplicated urinary tract infections (UTI) are defined as an infection localized to the bladder without any systemic signs or symptoms of infection in someone who is not immunocompromised, pregnant, catheterized, and has normal urologic anatomy. UTIs are most commonly seen in younger women. E. coli is by far the most common urinary pathogen. Symptoms alone drive most of the diagnosis of UTI; however, urinalysis and urine culture can be helpful in some circumstances. Nitrofurantoin (Macrobid) is recommended for men and women for first-line therapy in most patients. Fosfomycin, Bactrim, pivmecillinam, and certain B-lactams can be considered in certain circumstances. Women are usually treated for 3-5 days and men 5-7 days. Some evidence suggests inferior clinical outcomes for B-lactam; however, the amount of data in general is lacking for B-lactams. Recommended B-lactams (aside from pivmecillinam) include amoxicillin/clavulanate, cephalexin, cefadroxil, cefpodoxime, and cefdinir. References Nelson Z, Aslan AT, Beahm NP, et al. Guidelines for the Prevention, Diagnosis, and Management of Urinary Tract Infections in Pediatrics and Adults: A WikiGuidelines Group Consensus Statement. JAMA Netw Open. 2024;7(11):e2444495. Published 2024 Nov 4. doi:10.1001/jamanetworkopen.2024.44495 Gupta K, Hooton TM, Naber KG, et al. International clinical practice guidelines for the treatment of acute uncomplicated cystitis and pyelonephritis in women: A 2010 update by the Infectious Diseases Society of America and the European Society for Microbiology and Infectious Diseases. Clin Infect Dis. 2011;52(5):e103-e120. doi:10.1093/cid/ciq257 Kurotschka PK, Gágyor I, Ebell MH. Acute Uncomplicated UTIs in Adults: Rapid Evidence Review. Am Fam Physician. 2024;109(2):167-174. https://www.wikiguidelines.org/

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Amira: Hi Dr. Cabral! I've been doing functional medicine detoxes quarterly, but sometimes my body reacts more strongly than usual. Is this normal, and how should I adjust?     Casey: I experience very painful menstrual cramps every other cycle and was wondering why this happens every other months and what are some ways I can reduce the pain.     Joy: During my previous pregnancies I struggled with frequent UTIs and vaginal infections. We're planning to conceive again and I'd love to know your thoughts on how I can stop this from happening again.  Do you have any recommendations?     Ryan: Hi Doc, I have been a long time listener but this is my first time writing in. I recently had an endoscopy, and it showed a small hiatal hernia without obstruction,and H. pylori.  Do you have any suggestions on how to work on naturally?     Kevin: Thank you again for taking all of our questions - love the show and listen everyday! A friend of mine was recently diagnosed with Graves' disease. Are there any resources you recommend for beginning the healing process and supporting thyroid and immune health? Whats the best place to start?     Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!      - - - Show Notes and Resources: StephenCabral.com/3627 - - - 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!  

Broadcast from KSQD, Santa Cruz on 1-08-2026: Dr. Dawn concludes her 2025 medical advances recap, noting that while GLP-1 weight loss drugs showed unexpected benefits for addiction, schizophrenia, and dementia risk, Novo Nordisk recently reported semaglutide had no effect on cognition in people with existing dementia or mild cognitive impairment. She describes the first successful human bladder transplant performed on May 4th. The 41-year-old recipient received both kidney and bladder due to the bladder's complex blood vessel network. Surgeons practiced on cadavers with active circulation before achieving success, opening pathways for future bladder-only transplants for the 84,000 Americans diagnosed with bladder cancer annually. An emailer follows up about purslane for cognitive health. Dr. Dawn reviewed the referenced studies and found neither actually supported claims about purslane and cognition—one discussed the Lyon Heart Study's Mediterranean diet, the other described antioxidant properties. She cautions listeners that websites citing "scientifically proven" claims often reference articles that don't support their assertions. An emailer asks about statin alternatives after developing severe muscle pain on both atorvastatin and rosuvastatin. Dr. Dawn suggests he shouldn't be on statins given his classic adverse reaction. She recommends ezetimibe plus oat bran for cholesterol, metformin for his elevated triglycerides indicating insulin resistance, and checking LDL particle size and inflammation markers. She emphasizes that cholesterol is a risk factor, not a disease, and treating 50 low-risk people for 10 years prevents only one heart attack. A caller discusses plaque formation theory, comparing it to calluses. Dr. Dawn explains Linus Pauling's similar hypothesis that plaque forms at vessel bifurcations to protect against turbulent blood flow damage. She warns against driving total cholesterol below 130, as it disrupts steroid hormone production. The caller shares his mother's near-fatal rhabdomyolysis from statins—muscle breakdown releasing myoglobin that clogs kidneys—and criticizes data transfer failures between hospital systems. An emailer reports four UTIs in two months at age 79. Dr. Dawn questions whether all were true infections, since vaginal contamination causes false positives on dipstick tests. For confirmed UTIs, she recommends D-mannose and cranberry to prevent bacterial adhesion, post-void residual ultrasound to check for incomplete emptying, lactobacillus probiotics, and vaginal DHEA (Intrarosa) to restore mucosal thickness and disease resistance. Dr. Dawn describes Stanford's Phase III trial for dystrophic epidermolysis bullosa, where defective collagen-7 causes skin layers to separate at the slightest touch. Researchers take patient skin biopsies, use retroviruses to insert corrected genes, grow credit-card-sized skin grafts over 25 days, then suture them onto wounds. At 48 weeks, 65% of treated wounds fully healed versus 7% of controls. She reports a Stanford study showing premature babies who heard recordings of their mothers reading for 2 hours 40 minutes daily developed more mature white matter in language pathways. The left arcuate fasciculus showed greater development than controls, demonstrating how early auditory stimulation shapes brain circuitry even in NICU settings. Dr. Dawn concludes with tattoo safety concerns. Modern vivid inks contain compounds developed for car paint and printer toner, including azo dyes that break down into carcinogenic aromatic amines—especially during laser removal. Pigment particles migrate to lymph nodes and persist in macrophages, causing prolonged inflammation. She advises those with tattoos to avoid laser removal, wear sunscreen, practice lymphatic hygiene, and reconsider extensive new tattoos.

EPISODE SUMMARY Dr. Emily visits the office of urogynecologist Dr. Patricia Wallace to explore the hidden world of pelvic health—and why it matters so much for sexual pleasure. From the muscles that control your orgasms to the hormones that fuel desire, Dr. Wallace breaks down what's actually happening in your body and what you can do about it at every age. In this episode, you'll learn: • What your pelvic floor actually is and why 80% of women can't properly contract it • The connection between pelvic floor strength and orgasm intensity • How to do a kegel correctly using yogic breathing techniques • Why recurrent UTIs happen and the supplement hack that prevents them • The truth about hormone therapy and why that 20-year-old study shouldn't scare you • What "optimal" hormone levels mean versus just "normal" lab ranges • How testosterone affects women's sex drive—and when supplementation helps • The real timeline for postpartum sexual recovery (hint: it's not 6 weeks) • Why the Emsella chair delivers 12,000 pelvic floor contractions in one session • How core strength affects everything from incontinence to back pain to sexual confidence More Dr. Emily:  • Shop With Emily! Explore Emily's favorite toys, pleasure accessories, bedroom essentials, and more — designed to support your pleasure and confidence. Free shipping on orders $99+ (some exclusions apply). • Join the SmartSX Membership: Access exclusive sex coaching, live expert sessions, community building, and tools to enhance your pleasure and relationships with Dr. Emily Morse. • Sex With Emily Guides: Explore pleasure, deepen connections, and enhance intimacy using these Sex With Emily downloadable guides. • The only sex book you'll ever need: Smart Sex: How to Boost Your Sex IQ and Own Your Pleasure • Want more? Visit the Sex With Emily Website • Let's get social: Instagram | X | Facebook | TikTok | Threads | YouTube • Let's text: Sign up here • Want me to slide into your email inbox? Sign Up Here for sex tips on the regular. This episode is sponsored by…  Bellesa  "EVERYONE who signs up wins a FREE toy or gift card! https://www.bboutique.co/vibe/emilymorse-podcast" Je Joue ⁠https://www.jejoue.com/products/hera-flex-rabbit-vibrator?utm_source=SWE-HeraFLEXPODCAST&utm_medium=SWE-HeraFLEXPODCAST⁠ Timestamps: 0:00 - Intro 1:53 - What Is Your Pelvic Floor & Why Should You Care 4:41 - The UTI Hack Most Women Don't Know About 6:52 - First Steps When You Suspect Perimenopause 9:01 - The 80% Orgasm Problem (And How to Fix It) 10:20 - How to Do a Kegel Correctly (Live Tutorial) 14:04 - What the Emsella Chair Actually Does to Your Body 17:06 - How Hormone Replacement Changes Sexual Function 20:05 - Pregnant Sex & Postpartum Recovery Truth 24:00 - Protecting Your Pelvic Floor Before Problems Start 29:01 - Why Core Strength Makes You Sexy From the Inside Out

Nearly 1 in 5 urinary tract infections (UTIs) are caused by E. coli strains that originated in contaminated meat, confirming what earlier research has shown Poultry is the main source of these dangerous bacteria, with chicken and turkey accounting for more than 74% of meat-linked UTI cases, while all retail meats showed high contamination levels These bacteria, known as extraintestinal pathogenic E. coli (ExPEC), survive processing and cooking to enter your body, where they colonize your urinary tract and can spread to your bloodstream Overuse of antibiotics in concentrated animal feeding operations (CAFOs) fuels the growth of drug-resistant E. coli, creating infections that are harder to treat and more likely to require hospitalization You can protect yourself by avoiding CAFO meats, choosing grass fed and regeneratively raised options, improving food and personal hygiene, and supporting urinary health with methylene blue, cranberries, and D-mannose

On this week's episode, the Coven is clocked in. Bunnie XO and the girls are back in full group-chat mode, diving headfirst into everything from health and hygiene to the unhinged conspiracy theories the internet cannot let go of. They kick things off complaining about the freezing studio, then spiral into laughter over body hair confessions, beauty routines, and the products they swear by — or absolutely refuse to use.Bunnie breaks down her husband's dramatic weight-loss journey and the wild rumors that followed, including theories that he's been replaced by a clone. From there, the convo shifts from funny to genuinely helpful as the Coven shares real-world self-care advice: shaving hacks, clean makeup tools, hair and hygiene routines, and why baby oil might be an underrated beauty secret.They also get unfiltered about women's health, covering UTIs, BV, period products, and why teaching kids proper self-care early actually matters. Plus, the girls unpack skincare myths, skin cancer awareness, collagen, and why doing too much to your face might be aging you faster.It's chaotic, honest, unexpectedly informative, and very Coven-coded — the kind of episode that feels like a late-night group chat with your smartest, funniest friends.Watch Full Episodes & More:YouTubeSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.