Building Lifelong Athletes: Recent Episodes

Jordan Rennicke, MD

The Building Lifelong Athletes has one simple goal... to help keep you active and healthy for life. Whether you are a competitive athlete, fitness enthusiast, or just a weekend warrior, this podcast will help you be at your best by delivering practical and actionable information. From cholesterol management to exercise programming, this podcast covers every topic any lifelong athlete needs to know about. Jordan Rennicke, MD is a dual board certified physician in Family and Sports Medicine, has worked with thousands of athletes from all walks of life, and has a passion for learning, teaching, and helping people achieve their goals.

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Golfer’s and tennis elbow are by far and away the most common elbow complaints that I see in my clinic. In today’s video we are going to talk all about them, so let’s dive right in.

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Chapters:

00:00 - Intro
00:28 - Terminology
01:19 - Anatomy
03:07 - Pathophysiology
03:43 - Epidemiology
04:07 - Risk Factors
05:24 - Presentation
07:54 - Imaging
09:12 - Differential Diagnosis
10:01 - Treatment
14:26 - Summary
15:00 - Outro

References:
Buchanan, B. K., & Varacallo, M. (2024). Lateral Epicondylitis (Tennis Elbow). In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK431092/
Naik, A. A., Bawa, A., Arya, A., & Gulihar, A. (2021). Nerve entrapment around elbow. Journal of Clinical Orthopaedics and Trauma, 19, 209–215. https://doi.org/10.1016/j.jcot.2021.05.031
Reece, C. L., Li, D. D., & Susmarski, A. J. (2024). Medial Epicondylitis. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK557869/

Disclaimer:
This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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DeQuervain’s tenosynovitis and trigger finger are two of the most common complaints you will see in primary care, so it’s important you know how to recognize, diagnose, and treat them. In this video we are going to cover all of those things, so let’s get started

If you are a clinician and want to improve your musculoskeletal medicine skills: Click here to learn more about my musculoskeletal course for primary care clinicians👇

https://youtu.be/XEzxT0IpE4M

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Chapters:

00:00 - Intro
00:40 - Other Names (DeQuervain’s)
01:02 - Incidence
01:33 - Anatomy
02:48 - Pathophysiology
04:16 - Risk Factors
04:44 - Presentation
05:47 - Physical Exam
06:34 - Imaging
07:31 - Differential Diagnosis
08:06 - Treatment
11:14 - Trigger Finger
11:43 - Anatomy
12:46 - Pathophysiology
14:24 - Risk Factors
14:50 - Presentation
15:48 - Physical Exam
16:27 - Imaging
17:04 - Differential Diagnosis
17:24 - Treatment
19:44 - Trigger Finger Summary
20:08 - Outro

References:

Allbrook, V. (2019). ‘The side of my wrist hurts’: De Quervain’s tenosynovitis. Australian Journal of General Practice, 48(11), 753–756. https://doi.org/10.31128/AJGP-07-19-5018

Currie, K. B., Tadisina, K. K., & Mackinnon, S. E. (2022). Common Hand Conditions: A Review. JAMA, 327(24), 2434. https://doi.org/10.1001/jama.2022.8481

Ferrara, P. E., Codazza, S., Cerulli, S., Maccauro, G., Ferriero, G., & Ronconi, G. (2020). Physical modalities for the conservative treatment of wrist and hand’s tenosynovitis: A systematic review. Seminars in Arthritis and Rheumatism, 50(6), 1280–1290. https://doi.org/10.1016/j.semarthrit.2020.08.006

Goel, R., & Abzug, J. M. (2015). De Quervain’s Tenosynovitis: A Review of the Rehabilitative Options. HAND, 10(1), 1–5. https://doi.org/10.1007/s11552-014-9649-3

Disclaimer: This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Have you ever had pain on the outside of your hip? Or maybe you saw a patient who complained of it, but either way sometimes it can be a real challenge to deal with. In this video we will talk all about it, so let’s dive into it.

If you are a clinician and want to improve your musculoskeletal medicine skills: Click here 👇

https://www.jrennickemd.com/mastermsk

Sign up for my newsletter to never miss a thing:

www.jrennickemd.com

Chapters:

00:00 - Intro

00:36 - Incidence

01:26 - Anatomy

03:23 - Pathophysiology

06:59 - Risk Factors

09:02 - Presentation

10:20 - Physical Exam

14:49 - Imaging/Diagnosis

17:17 - Differential Diagnosis

18:17 - Treatment

22:57 - Summary

23:40 - Outro

References:

Advanced Clinical Education (Director). (2024, April 1). Exploring Greater Trochanteric pain Syndrome (GTPS). https://youtube.com/watch?v=SGrjcMnniF0

Clinical Edge—Physio Edge 009 Lateral Hip Pain With Dr Alison Grimaldi. (n.d.). Clinical Edge. Retrieved June 4, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-009-lateral-hip-pain-with-dr-alison-grimaldi

Complete Physio (Director). (2024, April 1). Lateral Hip Pain: Insights and Solutions. https://youtube.com/watch?v=koyOJrhzdhg

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343. (2018, August 10). https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-on-managing-gluteal-tendinopathy-episode-343

Dr Alison Grimaldi with practical physiotherapy tips on treating lateral hip pain. (2014, October 6). https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateral-hip-pain

Grimaldi, A., Mellor, R., Hodges, P., Bennell, K., Wajswelner, H., & Vicenzino, B. (2015). Gluteal Tendinopathy: A Review of Mechanisms, Assessment and Management. Sports Medicine, 45(8), 1107–1119. https://doi.org/10.1007/s40279-015-0336-5

Mellor, R., Bennell, K., Grimaldi, A., Nicolson, P., Kasza, J., Hodges, P., Wajswelner, H., & Vicenzino, B. (2018). Education plus exercise versus corticosteroid injection use versus a wait and see approach on global outcome and pain from gluteal tendinopathy: Prospective, single blinded, randomised clinical trial. BMJ (Clinical Research Ed.), 361, k1662. https://doi.org/10.1136/bmj.k1662

Mellor, R., Grimaldi, A., Wajswelner, H., Hodges, P., Abbott, J. H., Bennell, K., & Vicenzino, B. (2016). Exercise and load modification versus corticosteroid injection versus ‘wait and see’ for persistent gluteus medius/minimus tendinopathy (the LEAP trial): A protocol for a randomised clinical trial. BMC Musculoskeletal Disorders, 17, 196. https://doi.org/10.1186/s12891-016-1043-6

Menopause therapy and greater trochanteric pain syndrome with Racheal Cowan and Jill Cook. EP #505. (2022, May 6). https://soundcloud.com/bmjpodcasts/menopause-therapy-and-greater-trochanteric-pain-syndrome-with-racheal-cowan-and-jill-cook-ep-505

The E3Rehab Podcast: 22. Lateral Hip Pain w/ Dr. Alison Grimaldi. (n.d.). Retrieved June 3, 2024, from https://e3rehab.libsyn.com/22-lateral-hip-pain-with-dr-alison-grimaldi

Disclaimer: This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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If you are active, or take care of people who are active, then you have probably heard of the term plantar fasciitis. That term is a little out of date as I’ll explain in a little bit here, but it proves the point that it’s a very common problem. Today, we’ll talk all about this so let’s dive in.

CHAPTERS:

00:00 - Intro
00:36 - Incidence/Prevalence
01:11 - Anatomy
03:29 - Terminology
04:40 - Risk Factors
05:48 - Presentation and Exam
09:10 - Imaging
11:39 - Diagnosis
12:09 - Differential diagnosis
13:19 - Treatment
18:50 - Summary
20:01 - Outro

References:

Clinical Edge—Physio Edge 012 Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright. (n.d.). Clinical Edge. Retrieved May 29, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-012-plantar-fascia-achilles-tendinopathy-and-nerve-entrapments-with-russell-wrightClinical Edge—Physio Edge 060 Plantar fasciopathy in runners with Tom Goom. (n.d.). Clinical Edge. Retrieved May 31, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-060-plantar-fasciopathy-in-runners-with-tom-goomClinical Edge—Physio Edge 061 How to assess & diagnose plantar fasciopathy in runners with Tom Goom. (n.d.). Clinical Edge. Retrieved May 31, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-061-how-to-assess-diagnose-plantar-fasciopathy-in-runners-with-tom-goomClinical Edge—Physio Edge 062 How to treat plantar fasciopathy in runners with Tom Goom. (n.d.). Clinical Edge. Retrieved May 31, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/physio-edge-062-how-to-treat-plantar-fasciopathy-in-runners-with-tom-goomClinical Edge—Physio Edge 092 Plantar heel pain—The latest research & how to apply it with Henrik Riel. (n.d.). Clinical Edge. Retrieved May 31, 2024, from http://www.clinicaledge.co/podcast/physio-edge-podcast/092Episode 307: Injections, Exercise, Advice, and Heel Cups for Plantar Fasciopathy—PT Inquest. (n.d.). Retrieved May 29, 2024, from https://ptinquest.com/episode-307-injections-exercise-advice-and-heel-cups-for-plantar-fasciopathy/Leeuwen, K. D. B. van, Rogers, J., Winzenberg, T., & Middelkoop, M. van. (2016). Higher body mass index is associated with plantar fasciopathy/‘plantar fasciitis’: Systematic review and meta-analysis of various clinical and imaging risk factors. British Journal of Sports Medicine, 50(16), 972–981. https://doi.org/10.1136/bjsports-2015-094695Monteagudo, M., de Albornoz, P. M., Gutierrez, B., Tabuenca, J., & Álvarez, I. (2018). Plantar fasciopathy. EFORT Open Reviews, 3(8), 485–493. https://doi.org/10.1302/2058-5241.3.170080Physiotutors (Director). (2023, April 1). Plantar Heel Pain | Henrik Riel | Ep. 051. https://www.youtube.com/watch?v=zxSsaungCTwRathleff, M. S., Mølgaard, C. M., Fredberg, U., Kaalund, S., Andersen, K. B., Jensen, T. T., Aaskov, S., & Olesen, J. L. (2015). High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up. Scandinavian Journal of Medicine & Science in Sports, 25(3), e292-300. https://doi.org/10.1111/sms.12313Rhim, H. C., Kwon, J., Park, J., Borg-Stein, J., & Tenforde, A. S. (2021). A Systematic Review of Systematic Reviews on the Epidemiology, Evaluation, and Treatment of Plantar Fasciitis. Life, 11(12), 1287. https://doi.org/10.3390/life11121287Riel, H., Cotchett, M., Delahunt, E., Rathleff, M. S., Vicenzino, B., Weir, A., & Landorf, K. B. (2017). Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on. British Journal of Sports Medicine, 51(22), 1576–1577. https://doi.org/10.1136/bjsports-2017-097519Sullivan, J., Burns, J., Adams, R., Pappas, E., & Crosbie, J. (2015). Musculoskeletal and Activity-Related Factors Associated With Plantar Heel Pain. Foot & Ankle International, 36(1), 37–45. https://doi.org/10.1177/1071100714551021The E3Rehab Podcast: 05. Plantar Fasciitis w/ Henrik Riel. (n.d.). Retrieved May 29, 2024, from https://e3rehab.libsyn.com/05-plantar-fasciitis-with-henrik-rielTseng, W.-C., Chen, Y.-C., Lee, T.-M., & Chen, W.-S. (2023). Plantar Fasciitis: An Updated Review. Journal of Medical Ultrasound, 31(4), 268–274. https://doi.org/10.4103/jmu.jmu_2_23Disclaimer

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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If you are active, or take care of people who are active, then you have probably heard of the term tendinitis. That term is a little out of date as I’ll explain in a little bit here, but it proves the point that tendon problems are very common. Today, we’ll talk all about them so let’s dive in.

CHAPTERS:

00:00 - Introduction

00:36 - Anatomy and Biomechanics

03:35 - Pathophysiology of Tendinopathy

05:24 - Concept of Load

06:01 - Tendon Pathology Model

10:08 - Donut Hole Model

11:08 - Locations of Tendinopathies

11:42 - Clinical Categories

12:26 - Clinical Presentation

14:25 - Imaging

16:33 - Pain Doesn’t Correlate With Imaging

17:35 - Treatment

20:10 - Exercise Therapy

21:40 - Summary

22:06 - Outro

References:

Abramoff, B., & Caldera, F. E. (2020). Osteoarthritis: Pathology, Diagnosis, and Treatment Options. The Medical Clinics of North America, 104(2), 293–311. https://doi.org/10.1016/j.mcna.2019.10.007

Ahmad, Z., Parkar, A., Shepherd, J., & Rushton, N. (2020). Revolving doors of tendinopathy: Definition, pathogenesis and treatment. Postgraduate Medical Journal, 96(1132), 94–101. https://doi.org/10.1136/postgradmedj-2019-136786

Cook, J. L., & Purdam, C. R. (2009). Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. British Journal of Sports Medicine, 43(6), 409–416. https://doi.org/10.1136/bjsm.2008.051193

Cook, J. L., Rio, E., Purdam, C. R., & Docking, S. I. (2016). Revisiting the continuum model of tendon pathology: What is its merit in clinical practice and research? British Journal of Sports Medicine, 50(19), 1187–1191. https://doi.org/10.1136/bjsports-2015-095422

Docking, S. I., & Cook, J. (2016). Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC). Scandinavian Journal of Medicine & Science in Sports, 26(6), 675–683. https://doi.org/10.1111/sms.12491

Docking, S. I., & Cook, J. (2019). How do tendons adapt? Going beyond tissue responses to understand positive adaptation and pathology development: A narrative review. Journal of Musculoskeletal & Neuronal Interactions, 19(3), 300–310.

Maffulli, N., Nilsson Helander, K., & Migliorini, F. (2023). Tendon appearance at imaging may be altered, but it may not indicate pathology. Knee Surgery, Sports Traumatology, Arthroscopy. https://doi.org/10.1007/s00167-023-07339-6

Mead, M. P., Gumucio, J. P., Awan, T. M., Mendias, C. L., & Sugg, K. B. (2018). Pathogenesis and Management of Tendinopathies in Sports Medicine. Translational Sports Medicine, 1(1), 5–13. https://doi.org/10.1002/tsm2.6

Millar, N. L., Silbernagel, K. G., Thorborg, K., Kirwan, P. D., Galatz, L. M., Abrams, G. D., Murrell, G. A. C., McInnes, I. B., & Rodeo, S. A. (2021). Tendinopathy | Nature Reviews Disease Primers. Nature Reviews Disease Primers, 7(1), 1. https://doi.org/10.1038/s41572-020-00234-1

Scott, A., Squier, K., Alfredson, H., Bahr, R., Cook, J. L., Coombes, B., de Vos, R.-J., Fu, S. N., Grimaldi, A., Lewis, J. S., Maffulli, N., Magnusson, S. P., Malliaras, P., Mc Auliffe, S., Oei, E. H. G., Purdam, C. R., Rees, J. D., Rio, E. K., Gravare Silbernagel, K., … Zwerver, J. (2020). ICON 2019: International Scientific Tendinopathy Symposium Consensus: Clinical Terminology. British Journal of Sports Medicine, 54(5), 260–262. https://doi.org/10.1136/bjsports-2019-100885

Disclaimer

This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Osteoarthritis is one of the most common musculoskeletal conditions that primary care physicians see. It is costly to our medical system, and debilitating for patient, so it is a very important topic that needs to be talked about. Today we are talking all about osteoarthritis, so let’s get started!

CHAPTERS:
00:00 - Intro
00:32 - Incidence
01:42 - Pathology
03:47 - Risk Factors
07:12 - Symptoms
09:32 - Physical Exam
11:22 - Imaging
16:43 - Labs
17:08 - Treatment
25:47 - Summary
26:40 - Outro

References:

Abramoff, B., & Caldera, F. E. (2020). Osteoarthritis: Pathology, Diagnosis, and Treatment Options. The Medical Clinics of North America, 104(2), 293–311. https://doi.org/10.1016/j.mcna.2019.10.007

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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If you have had shoulder pain in the past, or currently have it, there is a good chance that it is rotator cuff related shoulder pain. Or, if you are a clinician who sees patients then you have definitely seen rotator cuff related shoulder pain in your clinic, maybe without even knowing it. Today we are talking all about shoulder pain, specifically rotator cuff related shoulder pain, so let’s get started!

CHAPTERS:
00:00 - Intro
00:29 - Epidemiology
01:30 - Anatomy
04:47 - Definition
06:19 - Other names for this diagnosis
08:11 - Cause of RCRSP
10:54 - Diagnosis
14:38 - Treatment
16:55 - Summary
17:29 - Outro

References:

https://doi.org/10.1016/j.math.2016.03.009

https://doi.org/10.1136/bmjopen-2020-039976

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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There is a lot of advice on the internet about how to manage low back pain....and most of it is completely made up. The truth is that low back pain is a very tricky topic, but there are some overall principles that are evidence based that can help clinicians and patients alike help manage acute back pain flares. In this video I go through the Low Back Pain Clinical Care Standards from Australia, which is a fantastic, evidence based tool that clinicians can use to help treat back pain better.

CHAPTERS:
00:00 - Introduction
00:28 - Acute LBP Introduction
00:54 - Australian Guidelines Overview
01:52 - Initial Clinical Assessment
03:43 - Psychosocial Assessment
05:07 - Imaging
08:07 - Patient Education and Advice
10:07 - Self Management and Physical Activity
12:01 - Interventions
12:59 - Pain Medication
14:19 - Review and Referral
15:12 - Timeline
18:55 - Outro

References:
https://www.safetyandquality.gov.au/standards/clinical-care-standards/low-back-pain-clinical-care-standard

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Patellofemoral Pain Syndrome (PFPS) is by far and away one of the most common musculoskeletal complaints I see in my clinic, and not a week goes by where I don't see someone with it. In this podcast I talk all about what it is, how to diagnose it, and how to manage it as a primary care clinician.

CHAPTERS:
00:00 - Intro
00:49 - PFPS Overview
02:07 - How Is PFPS Defined?
03:03 - Anatomy
04:56 - Biomechanics
07:18 - Underlying Causes
08:45 - Risk Factors
10:33 - Who Gets PFPS?
11:13 - How To Diagnose PFPS
11:52 - PFPS Presentation
13:21 - Physical Exam
14:50 - Do You Need Imaging?
15:49 - Treatment
18:50 - Outro

References:
https://www.aafp.org/pubs/afp/issues/2019/0115/p88.html

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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A recent video came out talking about a subset of people who are lean and have very high LDL on low carbohydrate diets called "Lean Mass Hyper Responders (LMHR)." Today I walk you through that video, and want we can actually glean from this interesting study.

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CHAPTERS:
00:00 - Intro
00:31 - Background
01:30 - Study Overview
04:18 - Results
05:20 - Limitations
07:18 - True Takeaways
08:24 - Scrutiny Is Needed
10:30 - Take Home Points
13:29 - Outro

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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The biohacker community is quite polarizing. There are lots of controversial opinions, and little hard facts. Although there is plenty of good that comes from this community, it isn't without its problems. In this podcast I discuss a recent video from Peter Attia, MD and add my thoughts to the discussion.

Click Here: https://www.jrennickemd.com/#/portal/signup

CHAPTERS:
00:00 - Intro
01:37 - Feeling Frustrated With Biohackers
05:52 - How To Deal With Frauds
08:01 - Focus On What Actually Matters
09:48 - Protocols
11:06 - Supplements
14:01 - Focus On The Big Rocks
18:12 - Conclusion

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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A recent study came out that found microplastics in carotid plaques of patients, and the internet went bananas. Today, we are going to go through that article and talk about what the article does, and doesn’t show when it comes to plastics and heart disease. Let’s go!

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Chapter Markers

00:00 - Introduction

00:53 - Background

03:28 - Methods

05:58 - Results

08:27 - Discussion/Limitations

11:16 - Take Home Points

15:03 - Outro

References

Marfella Raffaele, Prattichizzo Francesco, Sardu Celestino, Fulgenzi Gianluca, Graciotti Laura, Spadoni Tatiana, D’Onofrio Nunzia, Scisciola Lucia, La Grotta Rosalba, Frigé Chiara, Pellegrini Valeria, Municinò Maurizio, Siniscalchi Mario, Spinetti Fabio, Vigliotti Gennaro, Vecchione Carmine, Carrizzo Albino, Accarino Giulio, Squillante Antonio, … Paolisso Giuseppe. (2024). Microplastics and Nanoplastics in Atheromas and Cardiovascular Events. New England Journal of Medicine, 390(10), 900–910. https://doi.org/10.1056/NEJMoa2309822

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Did you see the headline that said intermittent fasting increases your risk of death from cardiovascular disease by 91%!?! Do you wonder where in the world that number came from? Well today in the podcast we will go through the research that lead to this sensationalist headline and I’ll let you know if you should really be worried or not.

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Click Here: https://www.jrennickemd.com/#/portal/signup

Chapter Markers

00:00 - Intro

01:10 - Paper Overview

02:50 - Methods

04:33 - Baseline Characteristics Of The Study Participants

05:57 - Eating Duration and Mortality

07:46 - Cardiovascular Mortality

09:22 - Cancer Mortality

09:51 - Paper Conclusions

10:34 - Caveats

13:07 - Takeaways

15:38 - Outro

References

https://newsroom.heart.org/news/8-hour-time-restricted-eating-linked-to-a-91-higher-risk-of-cardiovascular-death

https://www.abstractsonline.com/pp8/#!/20343/presentation/379

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Death is coming. I'm not here to try and scare you, but so far death is undefeated. So, our goal should be to live as healthy of a life as possible, for as long as possible. But how do we do that? Well, exercise can play a huge role in that. In this week’s podcast we will talk about how both strength and resistance training are critically important for mortality benefits, and explain how exercising might be the most important thing you do.

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Chapter Markers

00:00 - Intro
01:58 - What Is The Best Type Of Exercise To Improve Mortality?
02:47 - What Are The Benefits Of Strength Training On Mortality?
05:23 - What Are The Benefits Of Cardiovascular Training On Mortality?
06:43 - How Much Do You Need To Exercise To Get Mortality Benefits?
12:18 - V02 Max and METs
14:31 - How Do I Improve My Fitness?
18:16 - Take Home Points
19:20 - Outro

References

https://doi.org/10.1016/j.apmr.2018.01.008

https://doi.org/10.1016/j.jacc.2022.05.031

https://doi.org/10.1161/CIRCULATIONAHA.121.058162

https://doi.org/10.1001/jamanetworkopen.2018.3605

https://doi.org/10.2741/4657

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Cancer. I bet even hearing that it strikes a feeling of uneasiness in you and I don’t blame you. However, we all know some one, or maybe you have been affected yourself by cancer, so there is unfortunately no hiding from it. As we learn more and more about cancer, we are learning that exercise can have big impacts on the prevention and prevention of cancer. Let’s dive into the details.

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Chapter Markers

00:00 - Intro
01:01 - Cancer Basics
02:05 - Can We Prevent Cancer With Exercise?
05:13 - How Does Cancer Affect Your Fitness?
06:57 - What Are The Benefits of Exercise During Cancer Treatments?
08:11 - Is It Safe To Exercise During Cancer Treatments?
09:36 - How Does Exercise Impact Cancer Relapse and Survival?
11:40 - How Does Exercise Help With Treating Cancer?
13:19 - Advise For Health Care Professionals
15:10 - Summary
15:43 - Outro

References

https://doi.org/10.1093/epirev/mxx007

https://doi.org/10.1007/s00262-017-1985-z

https://doi.org/10.1016/j.semcancer.2023.02.008

https://doi.org/10.4103/jrcr.jrcr_57_22

https://doi.org/10.1093/bmb/ldab019

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Nobody wants to have weak bones as they age. It can lead to an increased risk of fractures, and overall makes you more fragile. But what if we could either prevent or slow down osteoporosis with exercise? Well that’s what we are going to dive into today.

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Chapter Markers

00:00 - Intro
00:31 - Osteoporosis Overview
03:57 - How Do We Diagnose Osteoporosis?
07:31 - Can We Prevent Osteoporosis With Exercise?
08:29 - Can We Treat Osteoporosis With Exercise?
12:35 - What Is The Best Exercise For Osteoporosis?
13:35 - How Does Exercise Compare To Medications For Osteoporosis?
17:05 - Outro

References

https://doi.org/10.1155/2018/4840531https://doi.org/10.1016/j.nurpra.2011.07.029https://doi.org/10.1186/s12966-020-01040-4https://doi.org/10.3389/fimmu.2022.1005665 Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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You may have heard someone say that you shouldn't run because it will give you arthritis. Or that you shouldn't workout with arthritis because it might make it worse. Well, today I'm going to share with you the data on all things exercise and osteoarathritis.

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Chapter Markers

00:00 - Intro
00:44 - Why is this important?
02:01 - What causes osteoarthritis?
02:46 - Does exercise cause arthritis?
06:31 - Is exercise beneficial for arthritis?
08:56 - What is the best exercise for arthritis?
11:08 - How to manage arthritis pain with exercise
14:38 - Outro

References

https://doi.org/10.1136/bjsports-2017-098661

https://doi.org/10.1016/j.rehab.2016.02.010

https://doi.org/10.1002/msc.1538

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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One of the most important things you can do for your health is to control your blood sugars, and one of the most powerful tools that we have to do just that is exercise. In this episode we are going to dive a little deeper on how you can use exercise as a way to manage your blood sugars for the better. Let's go!

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Chapter Markers

00:00 - Intro
00:50 - Why Do We Care?
04:13 - Can You Prevent Weight Gain With Exercise?
06:55 - What Is The Best Exercise For Weight Loss?
10:15 - Does Exercise Have Benefits Without Weight Loss?
12:36 - Can Exercise Help Keep Weight Off?
17:35 - Outro

References

https://doi.org/10.1016/j.heliyon.2022.e12267

https://doi.org/10.1186/s12889-020-08715-4

https://doi.org/10.1590/s0102-67202013000600015

https://doi.org/10.1016/j.physbeh.2018.01.025

https://doi.org/10.1249/MSS.0000000000001938

https://doi.org/10.3389/fnut.2022.944028

https://doi.org/10.1016/j.dsx.2023.102759

https://doi.org/10.1007/s40200-023-01219-z

https://doi.org/10.1111/obr.13239

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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With depression symptoms at an all time high, is there something better that we can offer our patients than just anti-depressants? Today we talk about how we can use exercise as medicine to help treat depression. Let's get into it!

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Chapter Markers

00:00 - Intro
00:41 - How Common Is Depression?
03:29 - Why Are We Talking About This?
04:12 - How Does Exercise Improve Depression?
06:44 - What Is The Best Type Of Exercise For Depression?
09:29 - Is Exercise Better Than Anti-Depressants?
14:08 - How Do Physicians Start Prescribing Exercising For Depression?
18:37 - How Should Physicians Treat Depression?
22:06 - Outro

References

https://doi.org/10.1136/bmj.q320https://doi.org/10.1192/bjp.bp.114.160101https://doi.org/10.1136/bjsports-2022-106282https://doi.org/10.1016/j.jad.2016.03.063https://www.nimh.nih.gov/health/statistics/major-depressionhttps://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2021.705559https://doi.org/10.1136/bmj-2023-075847https://eparmedx.com/ Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Sleep. It seems like in our modern society we can never get enough sleep, and we know it is good for our health. However, most people tend to prioritize things like exercise instead of sleep, but is it possible that exercise can also help you sleep better? In this episode we are going to dive a little deeper on how you can use exercise as a way to improve your sleep. Let’s go!

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Chapter Markers

00:00 - Intro
00:33 - Importance
01:41 - How Does Exercise Help Sleep?
03:01 - Sleep Quality Definition
04:48 - How Is The Literature Quality?
06:07 - Intensity and Exercise
09:34 - Exercise Duration and Sleep
11:04 - Exercise Frequency and Sleep
12:19 - Exercise and Sleep Disorders
13:07 - Summary
13:52 - Takeaways
16:40 - My Take
19:19 - Outro

References

https://doi.org/10.7759/cureus.43595https://doi.org/10.1016/j.psychres.2022.115019https://doi.org/10.1177/1559827614544437https://doi.org/10.1080/21679169.2019.1623314https://doi.org/10.2147/NSS.S132078 Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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One of the most important things you can do for your health is to control your blood sugars, and one of the most powerful tools that we have to do just that is exercise. In this episode we are going to dive a little deeper on how you can use exercise as a way to manage your blood sugars for the better.

Sign up for my free newsletter to receive my newest content. No spam...I hate spam.
Click Here: https://www.jrennickemd.com/#/portal/signup

Chapter Markers

00:00 - Intro
00:39 - Importance
03:14 - Exercise and Insulin Resistance
05:32 - Preventing Diabetes with Exercise
07:03 - Resistance Training or Cardio?
11:04 - Exercise For Diabetics
12:04 - Exercise Timing
14:55 - Exercise Vs. Medications
16:59 - My take
18:10 - Outro

References

https://doi.org/10.2147/DMSO.S29222

https://doi.org/10.2337/dc16-1728

https://doi.org/10.1177/1932296820905904

https://www.frontiersin.org/articles/10.3389/fendo.2020.00495

https://doi.org/10.1210/jc.2018-02763

https://doi.org/10.1007/s40279-013-0128-8

https://doi.org/10.1155/2020/6408724

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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There's a really good chance that either you or somebody you know has been told that they have high cholesterol. Now the specific saying "high cholesterol" is a whole podcast in and of itself, but most people in my clinic want to know if there is anything they can do short of medications that might help lower their cholesterol. So today we are going to look at the evidence for using exercise to lower your cholesterol

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Chapter Markers

00:00 - Intro
00:58 - Cholesterol Overview
03:34 - How Does Exercise Affect Cholesterol?
07:07 - Types Of Exercise
09:32 - Who Benefits The Most?
10:30 - How Should I Exercise To Improve My Lipids?
12:27 - How Does Exercise Compare To Medication?
15:10 - My Recommendations
16:54 - Outro

References

https://doi.org/10.1016/j.cpcardiol.2022.101108https://doi.org/10.7759/cureus.42616https://doi.org/10.14336/AD.2019.0516https://doi.org/10.7570/jomes.2019.28.4.278https://doi.org/10.1371/journal.pone.0210292https://doi.org/10.1161/JAHA.121.023386https://doi.org/10.1186/s12944-017-0515-5https://doi.org/10.1136/bmjsem-2019-000647 Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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What if I told you that exercise could be just as effective at lowering your blood pressure than medicine can be? Does that seem a little far fetched? Well in today's podcast we are going to talk all about how effective exercise really can be for lowering your blood pressure!

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Chapter Markers

00:00 - Intro
00:31 - Why do we care?
03:12 - What happens to BP when we exercise?
04:40 - How does exercise compare to medications?
06:46 - How much change with each type of exercise
11:09 - Is there an optimal dose?
11:56 - Practical Takeaways
15:15 - Outro

References

Boutcher, Y. N., & Boutcher, S. H. (2017). Exercise intensity and hypertension: What’s new? Journal of Human Hypertension, 31(3), 157–164. https://doi.org/10.1038/jhh.2016.62Cornelissen, V. A., Verheyden, B., Aubert, A. E., & Fagard, R. H. (2010). Effects of aerobic training intensity on resting, exercise and post-exercise blood pressure, heart rate and heart-rate variability. Journal of Human Hypertension, 24(3), 175–182. https://doi.org/10.1038/jhh.2009.51di Cagno, A., Fiorilli, G., Buonsenso, A., Di Martino, G., Centorbi, M., Angiolillo, A., Calcagno, G., Komici, K., & Di Costanzo, A. (2023). Long-Term Physical Activity Effectively Reduces the Consumption of Antihypertensive Drugs: A Randomized Controlled Trial. Journal of Cardiovascular Development and Disease, 10(7), 285. https://doi.org/10.3390/jcdd10070285Edwards, J., De Caux, A., Donaldson, J., Wiles, J., & O’Driscoll, J. (2022). Isometric exercise versus high-intensity interval training for the management of blood pressure: A systematic review and meta-analysis. British Journal of Sports Medicine, 56(9), 506–514. https://doi.org/10.1136/bjsports-2021-104642López-Ruiz, I., Lozano, F., Masia, M. D., & González-Gálvez, N. (2023). Multicomponent Training and Optimal Dosing Strategies for Adults with Hypertension: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Sports (Basel, Switzerland), 11(6), 115. https://doi.org/10.3390/sports11060115Ml, P., Ra, M., Dp, K., Sg, N., B, E., H, T., & Am, L. (2020). Different exercise training modalities produce similar endothelial function improvements in individuals with prehypertension or hypertension: A randomized clinical trial Exercise, endothelium and blood pressure. Scientific Reports, 10(1). https://doi.org/10.1038/s41598-020-64365-xMm, H., D, A., Rm, S., & Ra, W. (2023). The mediation role of physical fitness in association between muscle-strengthening physical activities and its component with blood pressure among young adults: Considering gender and abnormal blood pressure as moderators, moderate-vigorous physical activity, sleep behavior, sedentary behavior, mental wellbeing and BMI as covariates. Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1158893Va, C., & Na, S. (2013). Exercise training for blood pressure: A systematic review and meta-analysis. Journal of the American Heart Association, 2(1). https://doi.org/10.1161/JAHA.112.004473W, G., M, L., & T, H. (2023). Effects of different types of exercise on hypertension in middle-aged and older adults: A network meta-analysis. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1194124Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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What if I told you that exercise could be as potent as some medications? Would you believe me? Well in today's podcast we are going to talk all about the concept of exercise as medicine, and how we can think about using exercise as means to a healthier life.

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CHAPTERS:
00:00 - Introduction
00:35 - Exercise as medicine overview
02:01 - Exercise prescription for patients
04:59 - Physical Activity Guidelines
06:26 - Medical disclaimer- when to not workout
06:57 - Exercise for prevention
07:48 - Exercise as a first line treatment
09:21 - Exercise as augmentation
11:36 - When exercise isn’t enough
13:22 - Summary
13:41 - Outro

References

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7444006/

https://eparmedx.com/

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Most people, including myself, don't want to be on any medications. It's definitely not ideal, and can be fear inducing, but when should you seriously start considering taking a medication for a medical condition that you have? Well in this podcast I'll give you three scenarios where I think it's reasonable to consider taking a medication.

I hope you find this helpful!

CHAPTERS:
00:00 - Intro
00:48 - Scenario 1: Time Urgent Condition
04:38 - Scenario 2: Tried lifestyle already
11:21 - Scenario 3: Because you want to
17:19 - Conclusion

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Today I answer a few questions from the internet including:
1. Whether it is better to work out 6x per week or 3x per week

  1. What's the deal with stretching?

  2. Discuss a nuanced lipid clinical scenario

I hope you enjoy!

CHAPTERS:
00:00 - Intro
01:08 - Working out 6 vs 3x/week?
06:13 - What’s The Deal With Stretching?
14:11 - Lipid scenario
19:25 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Do you want to know the one secret that everybody is keeping from you about how to live your most healthy life? You won't find this on youtube or instagram, and they won't tell you this because it will cost lots of people a ton of money. You ready for it? Well the secret is.... don't ever listen to someone who says there is one thing that will change your life. Let me explain how I approach looking for reliable information online, and how to spot a fraud!

CHAPTERS:
00:00 - Intro
00:51 - Disclaimer
01:20 - 1. One Trick Pony + anecdotes
06:11 - 2. Fear/Shame/Anxiety
14:04 - 3. They Know Something “Special”
17:35 - How to manage information on the internet
21:15 - Conclusion

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life.
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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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What were the biggest trends for exercise in 2023? Was it home gyms like during the COVID lock down days? Or have we moved on from that? Well in this episode we are going to talk about the biggest trends in exercise for 2023, and I'll add in my thoughts on where we are heading next.

CHAPTERS:
00:00 - Introduction
00:35 - Exercise as medicine overview
000:00 - Intro
00:48 - The Survey
01:48 - The List
02:33 - Wearable Technology
05:57 - Strength and Bodyweight Training
07:34 - Fitness programs for older adults
09:09 - Exercise for weight loss
10:43 - Home gyms
12:16 - Exercise Is Medicine and Lifestyle Medicine
13:23 - What I want to see in 2024
15:17 - Outro

References:

https://journals.lww.com/acsm-healthfitness/fulltext/2023/01000/worldwide_survey_of_fitness_trends_for_2023.6.aspx#

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life.
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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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With the holidays in full swing, it's easy to get off track with your goals and habits. In fact, I think it's safe to say that we all have done it before, so the million dollar question how do we manage the holidays and not feel bad about it? In today's bonus podcast I'll talk about my approach to the holidays.

CHAPTERS:
00:00 - Introduction
00:43 - Option 1: All Gas, No Brakes
02:57 - Live life as you normally do
04:48 - Planned Hedonic Deviations
07:29 - How to decide what works for you
09:08 - Conclusion

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Testosterone is one of the most hotly talked about topics in health and fitness, so it's hard to know what to make of all the noise. In this video I break down some of the most popular YouTube Shorts that discuss Testosterone. I hope you find this helpful!

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CHAPTERS:
00:00 - Intro
01:34 - Chris Williamson/ More Plates, More Dates
03:27 - T-Nation
09:50 - AlphaM
13:21 - Kinobody
17:37 - Rena Malik, MD
19:52 - Hybrid Calesthenics
25:02 - Conclusions
26:44 - Outro

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Maybe you don't have time to listen to all 13 previous episodes of this season's podcast but still want to learn about testosterone... well then you are in luck! In this episode I give you an overview of all the highlights that I covered during this season on testosterone. It's not comprehensive by any means, but if you listen to this then you will understand the basic principles of testosterone physiology, testing, diagnosis,and treatment. I hope this helps you on your journey to better health.

Chapters:

00:00 - Intro
00:15 - Testosterone Physiology
04:05 - Endocrine Society Recommendations
13:21 - Testosterone Testing Considerations
16:40 - Obesity and Testosterone
19:36 - Testosterone and Cardiovascular Disease
22:11 - Soy and Testosterone
23:59 - Exercise and Testosterone
26:09 - Diet and Testosterone
28:12 - Is Testosterone Declining In Men?
30:53 - Testosterone and Depression
33:06 - Testosterone and Sleep
35:51 - Conclusion

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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How bad can it really be for your testosterone if you don't get enough sleep each night? Is it really that big of a deal? Does sleep even effect testosterone at all? Well that is the exact question in this week's podcast!

Chapters

00:00 - Intro
00:40 - Where did this idea start?
03:20 - What is the mechanism behind the relationship of sleep and testosterone?
06:30 - Sleep… miracle drug or worst nightmare
07:58 - Sleep quality
09:51 - Sleep Timing
11:43 - Sleep apnea
14:04 - Can I reverse this?
15:01 - How to sleep better
17:49 - Recap
18:28 - My take
23:48 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

References:

https://doi.org/10.1016/j.brainres.2011.07.060 https://doi.org/10.2147/NSS.S235136 https://doi.org/10.3389/frph.2023.1219239 https://doi.org/10.1111/andr.13496. https://doi.org/10.1016/j.cpnec.2022.100158 https://doi.org/10.1098/rstb.2015.0110 https://doi.org/10.1007/s00345-018-2485-2 https://doi.org/10.1530/EC-18-0548 https://doi.org/10.1111/j.1365-2265.2012.04419.xhttps://pubmed.ncbi.nlm.nih.gov/18853931/

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Depression is a global pandemic, and the WHO has actually predicted it will be the leading cause of disability worldwide by 2030. We have some good options, but are always looking for additional treatment modalities, so some people have come up with the idea that testosterone might be good for depressive symptoms. Some people claim that testosterone is basically a magic treatment for everything, but what does the data say about testosterone and depression? Let's dive in and talk about it!

CHAPTERS:
00:00 - Intro
01:01 - The origin of this idea
03:37 - The link between depression and testosterone
05:38 - 2019 Meta Analysis
10:15 - Why not just start someone on therapy?
11:36 - Where does testosterone fit in the treatment plan for depression?
13:43 - My personal take
15:33 - The case for testosterone
16:58 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

References

http://archpsyc.jamanetwork.com/article.aspx?doi=10.1001/jamapsychiatry.2018.2661

http://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2020.19080848

https://www.frontiersin.org/articles/10.3389/fendo.2023.1198437/full

https://linkinghub.elsevier.com/retrieve/pii/S0033318213001333

https://linkinghub.elsevier.com/retrieve/pii/S2666497621000187

https://pubmed.ncbi.nlm.nih.gov/30427999/

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Testosterone is a hot topic on social media these days, and you won't have a hard time finding lots so called experts telling you how to quickly fix your testosterone. However, one specific claim I've seen quite a few times is that testosterone values are declining for males in general, but is that actually the case? In this podcast episode we cover that exact question.

CHAPTERS:
00:00 - Intro
00:28 - The Claims
01:51 - Is this actually real?
03:42 - Proposed mechanisms
07:06 - Fertility
07:50 - How can we explain away the findings?
09:13 - What if this is true?
11:54 - Does this matter?
13:42 - Conclusion

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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If you search the word testosterone into youtube you will get thousands of videos telling you how you can increase your testosterone through diet alone. There are a lot of people making some pretty insane claims, but which of these claims actually have any evidence? Today I'm going to walk you through the two main concepts for eating a diet that promotes a healthy level of testosterone, and how to figure out which advice is misguided.

CHAPTERS

00:00 - Intro
00:35 - Sensational Claims
02:45 - Body Composition
06:15 - Eat a health promoting dietary pattern
06:55 - Inflammatory diets
09:58 - Rapid calorie reduction
10:54 - Do macronutrients matter?
13:04 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

References

Allen, N. E., & Key, T. J. (2000). https://doi.org/10.1079/095442200108729052Anderson, K. E., et al (1987). https://doi.org/10.1016/0024-3205(87)90086-5Hämäläinen, E. K., et al (1983). https://doi.org/10.1016/0022-4731(83)90117-6Hu, T.-Y., et al (2018). https://doi.org/10.3390/nu10111786Kuchakulla, M., et al (2021). https://doi.org/10.1007/s00345-020-03276-yLangfort, J. L., et al (2001). https://doi.org/10.1123/ijsnem.11.2.248Lo, E. M., et al (2018). https://doi.org/10.1016/j.sxmr.2017.09.004Lopez, D. S., et al (2022). https://doi.org/10.1007/s42000-021-00345-8Pilz, S., et al (2011). https://doi.org/10.1055/s-0030-1269854Santos, A. M. de S., et al. (2004). https://doi.org/10.1055/s-2004-814198Sjaarda, L. A., et al (2015). https://doi.org/10.1210/jc.2015-1957Whittaker, J., & Harris, M. (2022). https://doi.org/10.1177/02601060221083079Whittaker, J., & Wu, K. (2021). https://doi.org/10.1016/j.jsbmb.2021.105878Zhang, C., et al (2021). https://doi.org/10.1097/JU.0000000000001703

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If you search the word testosterone into Youtube you will get thousands of videos telling you how you can increase your testosterone with various exercises. There are a lot of people making some pretty insane claims, but which of these claims actually have any evidence? Today I'm going to walk you through the evidence on which type of exercise actually helps increase testosterone.

CHAPTERS

01:22 - Resistance Training and Testosterone
05:20 - Increased testosterone doesn’t always mean increased hypertrophy
06:12 - Who benefits most from exercise?
07:07 - Mechanism of testosterone and hypertrophy
08:02 - Endurance Exercise
09:26 - Overtraining
10:52 - How long do these testoerone changes last?
14:37 - How does obesity and age affect response to exercise?
15:25 - Does exercise increase long term testosterone?
17:54 - My takeaways
19:46 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

References

Fry, A. C., & Lohnes, C. A. (2010) http://www.ncbi.nlm.nih.gov/pubmed/20803956Hackney, A. C. (2020) https://doi.org/10.3389/fendo.2020.00011Hayes, L. et al, (2015). https://doi.org/10.3109/13685538.2014.977246Hooper, et al (2017). https://doi.org/10.1007/s40279-017-0698-yHoumard et al (1994). https://doi.org/10.1055/s-2007-1001687Nindl, B. C., et al (2001). https://doi.org/10.1123/ijsnem.11.4.451Potter, N. J., et al (2021). https://doi.org/10.1519/JSC.0000000000004146Riachy, R., et al (2020). https://doi.org/10.3390/jfmk5040081Vingren, J. L., et al (2010). https://doi.org/10.2165/11536910-000000000-00000West, D. W. D., & Phillips, S. M. (2010). https://doi.org/10.3810/psm.2010.10.1814

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If you follow nutrition influencers on social media then you may have heard someone say that eating soy products can tank you testosterone levels. But is that actually true? in this episode we are going to dive into where this idea came from and if soy actually is bad for your testosterone levels.

Chapters:

00:00 - Introduction
00:27 - The Origins of the “soy tanks testosterone” idea
02:27 - Soy Overview
05:47 - Mechanism for soy decreasing testosterone
06:30 - Gynecomastia
07:24 - Erectile Dysfunction
08:29 - How quick can hormone levels change with soy?
09:09 - Does soy raise estrogen?
10:27 - Soy and fertility
12:04 - Dosing
12:27 - Meta-Analysis of Soy on hormone levels
13:41 - How do we explain the case studies then?
15:14 - My take
18:06 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

References

Braunstein 2008: https://doi.org/10.4158/EP.14.4.409Hamilton-Reeves 2010: https://doi.org/10.1016/j.fertnstert.2009.04.038Martinez 2008: https://doi.org/10.4158/EP.14.4.415Messina 2010:. https://doi.org/10.1016/j.fertnstert.2010.03.002Reed 2021: https://doi.org/10.1016/j.reprotox.2020.12.019Sathyapalan 2017: https://doi.org/10.1210/jc.2016-2875

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One of the biggest concerns people have with testosterone replacement therapy is that they have heard it can be bad for their heart. Well is that true? In this episode we look to answer the question whether or not testosterone increases your risk for cardiovascular disease?

Chapters:

00:00 - Introduction
00:11 - Origins of the idea of T and CVD risk
03:10 - Study Populations for CVD and Testosterone
04:31 - Mechanisms for Testosterone causing heart problems
08:35 - Non Randomized Data Findings
09:47 - Randomized Trial Findings
10:50 - TRAVERSE Study
14:17 - Does Low T cause heart disease?
15:27 - My Take
19:44 - Conclusion

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Bhasin et al 2020: https://doi.org/10.1016/j.ahj.2021.11.016Gencer et al 2021: https://doi.org/10.1007/s11154-021-09628-2Lincoff et al 2023: https://doi.org/10.1056/NEJMoa2215025

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If you have gained some weight and don't feel like your normal self, it is very common for some people to blame your testosterone levels... and you may be right... kind of. See, your testosterone levels may be low, but that actually may be coming from gaining extra weight. In this episode of the podcast we talk all about how obesity and testosterone are linked, and what we can do about it.

Chapters:

00:00 - Intro
00:25 - Obesity as a cause of low testosterone
02:49 - Does low T disrupt the HPT axis?
04:29 - The role of age with obesity and low T
05:43 - Does obesity cause low T, or is it vice versa?
06:38 - How does obesity cause low T?
12:22 - Does weight loss improve testosterone?
13:04 - How does testosterone affect body composition?
14:44 - How do we treat obesity derived hypogonadism?
18:57 - My take on this
22:05 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Whether you realized it or not, getting and interpreting a testosterone test is not as easy as you think it would be. There are lots of nuances that you have to consider before you can even make a diagnosis, and simply put, one test is not enough. In this podcast I go through a bunch of the reasons why testosterone tests are so variable, and what my recommendations are if you are thinking about getting this test done.

In this episode we cover:

00:00 - Introduction
00:36 - The overall struggle with testosterone tests
01:06 - “Normal” Testosterone Levels
03:51 - Age considerations
07:31 - Time, sleep, and illness and their effect on testosterone
10:00 - General Variability of Testosterone
11:26 - The actual tests we use to measure testosterone
14:56 - The use of screeners for low testosterone
15:52 - Value and symptom correlation
17:55 - Why do we care/ take home points
21:30 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this three part series I will be going through the Endocrine Society Guidelines for managing patients with testosterone for hypogonadism. This is a pretty dense document, so this paper will be broken up into three different podcasts covering various aspects of the paper.

Podcast 1: Basic physiology of testosterone and the types of hypogonadism

Podcast 2: How to diagnose hypogonadism

Podcast 3: Treatment and monitoring

In this episode (episode 3/3) we cover:

00:00 - Intro
00:22 - Who shouldn’t be prescribed testosterone
03:06 - What improves on testosterone
05:31 - Side effects
08:54 - Treatment Formulations
14:59 - Specific considerations
19:52 - Monitoring

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this three part series I will be going through the Endocrine Society Guidelines for managing patients with testosterone for hypogonadism. This is a pretty dense document, so this paper will be broken up into three different podcasts covering various aspects of the paper.

Podcast 1: Basic physiology of testosterone and the types of hypogonadism

Podcast 2: How to diagnose hypogonadism

Podcast 3: Treatment and monitoring

In this episode (episode 2/3) we cover:

00:24 - How to diagnose hypogonadism
05:47 - How testosterone values can change day to day
09:13 - What is included in testosterone lab work
11:13 - When to check free testosterone
13:07 - What normal testosterone levels are
14:51 - When we screen for low testosterone

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this three part series I will be going through the Endocrine Society Guidelines for managing patients with testosterone for hypogonadism. This is a pretty dense document, so this paper will be broken up into three different podcasts covering various aspects of the paper.

Podcast 1: Basic physiology of testosterone and the types of hypogonadism

Podcast 2: How to diagnose hypogonadism

Podcast 3: Treatment and monitoring

In this episode (episode 1/3) we cover:

00:48 - How the guideline was made
04:36 - The Types of Hypogonadism
07:02 - Primary vs Secondary Hypogonadism
11:50 - Organic vs Functional Hypogonadism
14:44 - The workup for determining tye type of hypogonadism
17:12 - Why does this matter?

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Welcome to episode 1 of the fourth season of the podcast! This season we will be talking about a super hot topic and that is...testosterone! In this first episode we will start by talking about the physiology of testosterone so we can lay the groundwork for the upcoming podcasts that will build on these concepts. I hope you enjoy!

Chapters: 00:52 - What is testosterone? 02:24 - How testosterone is regulated 07:00 - Where and when are testosterone made 07:56 - What does testosterone do? 09:41 - Sex differences 10:27 - How testosterone works in the body 14:49 - Free vs bound testosterone 17:33 - The role of estrogen and DHT 19:57 - The formulations of testosterone 21:29 - Outro

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Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Most people are probably familiar with botulinum toxin injections for cosmetic purposes, but did you know that it can also be used for sports medicine injuries as well? Join me for this podcast as I discuss how this injection is thought to work, and what conditions these injections are actually used for.

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CHAPTERS:
00:00 - Intro
00:22 - Botulinum toxin overview
01:59 - How it works
05:02 - What does off label mean?
06:54 - Side effects
09:35 - General strength of evidence
10:25 - Chronic Exertional Compartment Syndrome
14:23 - Plantar Fasciopathy
16:05 - Osteoarthritis
17:06 - Lateral Epicondylopathy
18:32 - Myofascial Pain Syndrome
19:15 - Piriformis Syndrome
19:37 - Less well studied use cases
19:49 - Summary
21:22 - Outro

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we cover a lesser known injection type called hydrodissection, which involves the separation of a tissue layer by using an injectable solution. In this podcast we cover an overview, the mechanism, and when to consider this type of injection.

Time Stamps:

00:00 - Introduction 00:16 - Hydrodissection Overview 01:49 - Nerve Physiology/Pathology 06:03 - Proposed Mechanism 07:05 - Identifying Pathologic Nerves 08:31 - The Procedure 11:07 - Different Injectates 14:10 - Alternatives to Hydrodissection 15:11 - Use cases for hydrodissection 16:59 - Outcomes 18:39 - Safety 19:33 - My Take

References

https://doi.org/10.3389/fphar.2020.621150 https://doi.org/10.1249/JSR.0000000000000226 https://doi.org/10.2147/JPR.S247208 Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life. Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we cover a very popular topic is super controversial in the Sports Medicine community, and that is stem cell injections. The potential for these injections sounds amazing, but what do we really know about them?

Time Stamps:

00:00 - Introduction 00:29 - Stem Cell definition and mechanism 05:32 - Bone Marrow Concentrate (BMC) 08:47 - Adipose Derived Stem Cells 11:27 - Bone Marrow vs Adipose Tissue 12:04 - When do we use stem cells? 14:06 - Considerations 14:49 - My take

References

https://doi.org/10.1016/j.pmrj.2013.05.007 https://doi.org/10.1016/j.pmr.2022.08.004 https://doi.org/10.5312/wjo.v8.i6.491 https://doi.org/10.1080/14712598.2019.1563069 https://doi.org/10.3390/ijms20123105 https://doi.org/10.1016/j.bbadis.2019.165624 Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life. Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we cover a very popular topic that builds upon our two previous podcasts, and that is the concept of needle tenotomy, and the post injection protocol that comes with it. There is a lot of questions on what we should do after performing a tenotomy, so in this episode we take a look at a fantastic article that tries to synthesize the existing data on what other clinicians are doing after they use PRP for tendon injuries.

00:00 - Introduction 01:14 - Paper intro 03:28 - Methods 04:39 - Immobility 06:15 - Weight Bearing Restrictions 07:31 - Activity Limitation 08:24 - Rehab 10:12 - NSAID use 11:16 - Discussion 12:20 - NSAIDs… again 14:00 - Overall Rehab Strategy 16:32 - Limitations 17:28 - My Takeaways/Prolo thoughts

Reference:

Townsend, C., Von Rickenbach, K. J., Bailowitz, Z., & Gellhorn, A. C. (2020). Post-Procedure Protocols Following Platelet-Rich Plasma Injections for Tendinopathy: A Systematic Review. PM&R, 12(9), 904–915. https://doi.org/10.1002/pmrj.12347 Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life. Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we cover a very popular topic in the sports medicine community, and that is Platelet Rich Plasma (PRP) injections. PRP injections have a lot of hype surrounding them, so in this episode I wanted to dive a little deeper to talk all about the nuances and considerations if you are thinking about getting one of these injections.

00:15 - Definition 01:00 - Blood Layers 02:27 - Preparations 08:47 - Mechanism 12:57 - Applications 16:59 - The issues with PRP 20:08 - My take on PRP

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode I talk about a less popular injection called a prolotherapy injection. I explain what it actually is, how it works, and when we use it in the Sports Medicine world. I hope you enjoy!

00:00 - Intro 00:21 - Definition 00:59 - Mechanism 06:04 - Techniques used for injections 08:43 - Patient Considerations 09:09 - What the literature says 11:02 - Comparisons 13:20 - My Thoughts 16:13 - Outro

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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NSAIDs are one of the most common over the counter medications, but what is their role when it comes to injections. In this podcast I talk about the basic science and use cases for NSAID injections.

00:00 - Intro 00:24 - Pharmacokinetics 01:26 - COX 1/2 Selectivity 03:51 - Absorption of NSAIDs 08:06 - Chondrotoxicity 10:04 - NSAIDs vs Steroids 14:11 - My Approach

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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This week we will be talking all about steroid injections and when I think you should actually consider getting a steroid injection. Despite steroid injections being super popular, my take may be a bit contrarian to traditional thinking. I hope you enjoy!

00:00 - Intro 00:17 - Mechanism 01:20 - Side Effects 03:56 - Indications 05:35 - Tendons 07:24 - Adhesive capsulitis/ frozen shoulder 07:42 - Trigger finger/ DeQuervain’s Tenosynovitis 09:19 - Carpal Tunnel 10:27 - Dosing 11:33 - My personal practice

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Hyaluronic acid injections are one of the various types of injections that can be given in a sports medicine clinic, but are much less commonly talked about when compared to things like steroid injections. In today's podcast, I'll talk all about what Hyaluronic Acid (HA) injections are, how they work, and when I would consider using this for one of my patients.

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CHAPTERS: 00:00 - Intro 00:18 - How HA works 03:04 - Types of HA 04:33 - Injection technique considerations 06:01 - Location, amount, timing of injections 08:53 - Can I mix them with steroids? 10:18 - Indications for HA injections 12:57 - HA Effectiveness 15:38 - Who responds best to HA injections?

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Are injections bad for your cartilage? Are you possibly doing more harm than good? These are a few of the topics I will be covering today in this week's episode of the podcast.

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CHAPTERS: 00:00 - Intro to chondrotoxicity 00:51 - Why do we care about this? 01:41 - What type of experiments do we have in this field? 03:54 - Steroids 05:07 - NSAIDs 06:58 - Viscosupplementation 07:45 - Dextrose Prolotherapy 08:58 - PRP 09:42 - Local Anesthetics 11:11 - Challenging the status quo

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode I will walk you through the various proposed mechanisms for why injections work the way they do, and with that I hope you will have a better understanding of why we choose each specific injection.

00:00 - Introduction 00:58 - 4 Main categories of injections 03:30 - Steroids mechanism of action 05:43 - NSAIDs mechanism of action 08:28 - Viscosupplementation mechanism 11:12 - Dextrose Prolotherapy Mechanism 14:02 - PRP Mechanism 15:34 - Stem Cell Mechanism 17:44 - Hydrodissection Mechanism 19:18 - Recap

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life.   Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Have you ever wondered if you should get an injection for your pain? Have you ever worried about the risk and benefits of injections? If you answered "yes" to any of these questions, then this is the episode for you. In this new season of the Building Lifelong Athletes podcast, we will be talking all about various types of injections so you will have the knowledge to know when an injection may be right for you.

In this episode we cover:

Who is a good candidate for an injection? (00:39) Injection options (06:50) Who should I see for an injection? (07:41) Do I need an ultrasound guided injection? (09:49) Price considerations (11:05) Risks, benefits, and alternatives (12:14) The ideal candidate for an injection (16:04)

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life. Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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This week I have another bonus episode for you that goes along with the previous season where we talked all about cholesterol. Today I answer a few of the most common objections on the internet about cholesterol which include...

CHAPTERS:
00:00 - Introduction
00:28 - Do people with higher cholesterol live longer?
04:33 - Does LDL particle size matter?
07:39 - Why don’t we see a huge improvement with statins in the elderly?
08:33 - Why do people who have heart attacks sometimes have “normal” cholesterol?
11:16 - I have a CAC score of 0, that means I’m fine…. right?
13:24 - Will statins steal my gains in the gym?
14:36 - Outro

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life.
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Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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This week I have a bonus episode for you that goes along with the previous season where we talked all about cholesterol. Today I answer a few of the most common objections on the internet about cholesterol which include...

  1. Don't we need high cholesterol to make enough hormones?
  2. Cholesterol is natural, so it can't be bad for me
  3. LDL doesn't matter... it's really the inflammation that causes heart disease

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CHAPTERS:
00:00 - Intro
00:42 - Claim: Don’t We Need A High Cholesterol Level To Make Hormones?
04:57 - Claim: LDL is natural so it can’t be harmful
07:00 - Claim: LDL Doesn’t Matter… It’s the Inflammation!

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Today we are wrapping up this season of the podcast with a summary of the previous 9 episodes. In this episode I give a summary of the most important points and I try to leave you with some practical take home points that you can implement today. I hope you find this helpful!

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Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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This week I wanted to talk about statins a little bit more in depth. From types of statins, dosing, side effects, and ways to manage those side effects, I think you will find this episode helpful.

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Have you ever wondered what the tests on your lipid/cholesterol test actually mean? Well in this week's episode I will dive into what all those tests, what we look for as physicians, and how you can feel confident in better understanding what those tests mean.

Chapters:

00:00 - Intro
00:20 - Standard Lipid Panel
02:23 - Total Cholesterol
03:53 - How Fasting Changes Total Cholesterol
05:35 - LDL-C vs LDL-P
06:52 - ApoB
08:05 - Which Lipoproteins Can Get Into The Endothelium?
09:29 - The Insulin Resistant Patient Profile
10:59 - How To Intrepret Your Lipid Panel
14:37 - My Take On How To Look At A Lipid Panel
16:23 - Lipid Panels are just a tool
18:00 - Outro

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this week's episode we talk about cardiac imaging to help gauge cardiovascular risk. If you have ever heard about a CAC score, and when it might be useful, then you may find this episode particularly useful.

Timestamps:

00:00 - Intro
00:41 - Why We Care About Imaging
01:14 - CAC vs CT Angiogram
02:58 - CAC Testing
04:29 - Physiology behind calcium deposits
05:23 - CAC vs risk calculators
07:59 - Cost Effectiveness of CACs
09:30 - The power of CAC=0
12:39 - CAC in symptomatic patients
14:21 - CAC recommendations per various guidelines
16:22 - CAC Radiation
17:14 - CAC Scoring
19:44 - Coronary CT Angiography (CCTA)
21:07 - When is a CCTA useful?
21:56 - Intravascular Ultrasound (IVUS)
22:50 - Summary

References

https://doi.org/10.1016/j.jacc.2018.05.027

https://doi.org/10.1016/j.jacc.2018.05.027Davidson, M. H., Toth, P. P., & Maki, K. C. (Eds.). (2021). Therapeutic Lipidology. Springer International Publishing. https://doi.org/10.1007/978-3-030-56514-5 Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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One of the biggest questions I get from patients is how to lower their cholesterol without taking medications. Well, today I talk all about that including foods and nutraceutical therapies to help you manage your lipids. I hope you find this helpful!

Chapters:

00:00 Introduction
00:36 Nutritional Changes to lower LDL
01:13 Saturated Fat Intake
02:34 Phytosterols
04:28 Fiber intake
05:28 Dietary Cholesterol
06:52 Weight Loss
07:33 Referral to Dietician
08:42 Nutrition for elevated triglycerides
10:16 Refined grains/added sugar consumption
11:29 Omega 3 Fatty Acids
12:22 Exercise
13:06 Weight Loss
13:35 Referral to Dietician
13:57 Dietary Changes for mixed dyslipidemia
14:44 Weight Management and ASCVD risk
17:18 Prevention of cardiovascular disease
18:18 Medical Nutrition Summary
18:48 Nutraceuticals/functional foods definitions
19:41 What patients are good candidates for these things?
20:25 What are the risks?
24:06 Red Yeast Rice
25:18 Omega 3 Fatty Acids
26:16 Berberine
26:58 Soy
27:22 Vitamin D
27:48 Antioxidants
28:43 Turmeric
29:34 Green Tea
30:21 Resveratrol
31:02 Other compounds
31:51 Non-pharmacologic therapy summary

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this week's episode I dive deep into the 2018 ACC/AHA guidelines for cholesterol management. Many people will tell you that their doctor automatically prescribes them a medication if they have high cholesterol, but in this video I will explain what actually should be happening if you have high cholesterol.

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CHAPTERS:
00:00 - Introduction
00:58 - Disclosures
01:40 - Methods
02:27 - Strength of Evidence
03:34 - Lipid Numbers and overview
05:46 - Biomarkers (LDL, Non-HDL, apoB, Lp(a))
08:43 - Monitoring Response to Therapy
09:36 - Lifestyle Factors
10:40 - Metabolic Syndrome
11:20 - LDL Lowering Medications
12:51 - Patient Management Groups
13:06 - Secondary ASCVD Prevention
17:31 - Patients with Severe Hypercholesterolemia
18:53 - Patients with diabetes
20:23 - Primary Prevention
23:22 - Pooled Cohort Equation
25:02 - Risk Calculator Percentages/Groups
26:09 - Coronary Artery Calcium (CAC) Tests
27:56 - Primary Prevention Ages 40-75
28:30 - Monitoring Response to Treatment
29:07 - Primary Prevention Age 75+
29:40 - Primary Prevention age 20-39
30:12 - Primary Prevention in Children
31:48 - Ethnicity Considerations
32:59 - Hypertriglyceridemia
35:01 - Women Specific Issues
35:56 - Adults with CKD
36:25 - Adults with Chronic Inflammatory Conditions
37:24 - Statin Safety and Side Effects
40:16 - Guideline Implementation
41:16 - Takeaways

References:

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000625

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Do you ever wonder why we think that LDL plays such a big role in atherosclerosis, and why we try to lower it? Well in this episode we dive deep into the landmark studies that paved the way for the LDL hypothesis.

00:00 - Start

00:23 - Introduction

01:02 - Importance

02:02 - LDL review

04:09 - Atherosclerosis Review

06:14 - History of LDL/lipid Research

09:14 - 3 types of supporting data

12:14 - Framingham Studies

13:31 - 4S Trial

14:34 - West of Scotland Study

15:24 - CARE Trial

16:37 - Heart Protection Study

17:03 - PROSPER Study

17:53 - PROVE IT - TIMI 22 Trial

19:03 - IDEAL Trial

20:12 - REVERSAL Trial

21:15 - ASTEROID Trial

22:18 - IMPROVE-IT

23:52 - DESCARTES Study

25:17 - OSLER 1/2 Trials

26:12 - ODYSSEY LONG-TERM Study

27:03 - GLAGOV Study

27:43 - LDL lowering and risk reduction meta analysis

28:41 - FOURIER Trial

29:12 - ODYSSEY OUTCOMES

29:52 - Further lowering LDL meta analysis

31:11 - CLEAR HARMONY Trial

32:23 - What is optimal LDL study

33:58 - Mendelian Randomization

36:22 - Putting it all together

38:43 - Summary

REFERENCESSee www.jrennickemd.com for list of references

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we cover the basics of epidemiology, bias, and the types of studies that are used in the cardiology world. 

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CHAPTERS:
00:00 - Introduction
01:22 - Incidence vs Prevalence
03:33 - Observational Studies
05:45 - Case Control vs Cohort Studies
09:16 - Bias and Confounding
12:55 - Randomized Controlled Trials
15:37 - Mendelian Randomization
18:24 - Association vs Causation
22:08 - Framingham Heart Study
23:38 - Summary
25:08 - Outro

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we talk about the physiology and pathology of atherosclerosis, and what actually causes heart disease.

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CHAPTERS:
00:00 - Introduction
01:05 - Atherosclerosis Overview
02:16 - Statistics
04:14 - Atherosclerosis Early Risk Factors
06:06 - Reverese progression and apoB size
08:28 - Arterial Structure
11:30 - Endothelial Dysfunction
15:03 - Adhesion Initiation
17:49 - Angiotensin II
19:45 - The Role of blood sugar and atherosclerosis
21:12 - The role of monocytes/lymphocytes
23:39 - The role of neutrophils
24:29 - The role of platelets
25:35 - Plaque Formation
27:40 - Stable vs unstable plaque
28:18 - Plaque Progression
29:35 - Summary/Review

Disclaimer This video is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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This podcast is the foundation for this entire season and everything we talk about will be based off of this. We dive deep into cholesterol metabolism, lipid transport, lipoproteins, and all things physiology.

CHAPTERS:00:00 - Introduction00:47 - Lipid Metabolism Overview02:12 - Cholesterol Synthesis08:48 - Cholesterol Absorption12:03 - Lipoproteins Overview14:29 - Chylomicrons17:37 - Very Low Density Lipoproteins (VLDL)21:41 - Low Density Lipoproteins (LDL)24:35 - High Density Lipoprotein (HDL)28:53 - Triglylerides31:47 - Conclusion

Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay and active for life.Click Here: https://www.jrennickemd.com/#/portal/signup

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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The recent AAP pediatric and adolescent obesity clinical practice guideline came out about a month ago and it caused quite a fuss online. This week I wanted to go through it and give you my take on what it really says.

Time Stamps:00:00 - Introduction00:53 - What is a clinical practice guideline?01:48 - Goals of this talk02:44 - Framework of obesity06:33 - Diagnosis of obesity08:18 - Risk factors for obesity11:44 - Genetics and obesity14:20 - Screening for obesity and obesity related complications16:15 - Treatment22:20 - Take Home Points23:05 - Conclusion

AAP Clinical Practice Guidelinehttps://publications.aap.org/pediatrics/article/151/2/e2022060640/190443/Clinical-Practice-Guideline-for-the-Evaluation-and?autologincheck=redirected

Disclaimer This video is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode we are changing things up a bit and answering some common questions I see. Today we will discuss the topics of Rating of Perceived Exertion (RPE), one rep maxing, and what to do if you have an injury. I hope you find this helpful!

References:

https://www.cdc.gov/physicalactivity/basics/measuring/exertion.htm

https://bjsm.bmj.com/content/54/2/72.long

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

Disclaimer:

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There are often claims that eating a Whole Food Plant Based Diet can reverse heart disease... but is that true? Today I review a few of the most commonly cited articles people use to support this claim, and try to bring some clarity to this big claim.

REFERENCES

https://www.acpjournals.org/doi/10.7326/0003-4819-121-5-199409010-00007https://www.acpjournals.org/doi/10.7326/0003-4819-121-5-199409010-00007https://cdn.mdedge.com/files/s3fs-public/Document/September-2017/JFP_06307_Article1.pdfhttps://www.ahajournals.org/doi/full/10.1161/STROKEAHA.120.033214

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode I talk all about what you should know about acute low back pain. I talk about the time frame for recovery, your mindset, the normal course for a low back tweak, and more!  I hope this is helpful for you on your journey to becoming a Lifelong Athlete!

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode I talk all about scientific research and what it is, why it is important, and how it can be used to manipulate audiences and get clicks.  I hope this is helpful for you on your journey to becoming a Lifelong Athlete!

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this episode I talk all about resistance training and whether or not it is safe. We talk about bodybuilding, olympic weightlifting, powerlifting, and functional fitness and whether or not you should worry about participating in these activities (spoiler: you shouldn't). I hope this is helpful for you on your journey to becoming a Lifelong Athlete!

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Now that we have officially finished our "necessary nine" in the last podcast, it's time to discuss something similar which is preventative medicine. Preventative medicine is crucially important because it helps us stay healthy and active for life. Learn about what type of screening you should be getting, and why it's so important to do them.

References:

Kisling, L. A., & M Das, J. (2022). Prevention Strategies. In _StatPearls_. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK537222/Siegel, R. L., Miller, K. D., Fuchs, H. E., & Jemal, A. (2022). Cancer statistics, 2022. _CA: A Cancer Journal for Clinicians_, _72_(1), 7–33. https://doi.org/10.3322/caac.21708 https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=Phttps://www.uspreventiveservicestaskforce.org/apps/

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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All too often we only focus on the physical things of health like diet and exercise, however there is a whole separate component that is just as critical... mental health. In this episode we talk about our approach to mental health and why it's so important to everybody who is looking to be healthy.

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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It seems like every day there is a new news story about cholesterol, and it's super confusing. Should we care? Should we not care? In this episode we will talk all about cholesterol and why you should absolutely care about it.

References

https://www.differencebetween.com/difference-between-cholesterol-and-vs-cholesteryl-ester/https://www.differencebetween.com/difference-between-lipoprotein-and-vs-apolipoprotein/https://www.ncbi.nlm.nih.gov/books/NBK305896/https://www.endotext.org/

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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If you aren't personally affected, odds are you know someone in your life who has problems with their blood sugars. In Episode 8 of the podcast we talk all about blood sugar, how to test for problems in your body, and why we care about it so much.

References

Chatterjee, S., Khunti, K., & Davies, M. J. (2017). Type 2 diabetes. _Lancet (London, England)_, _389_(10085), 2239–2251. https://doi.org/10.1016/S0140-6736(17)30058-2Kaur, G., Lakshmi, P. V. M., Rastogi, A., Bhansali, A., Jain, S., Teerawattananon, Y., Bano, H., & Prinja, S. (2020). Diagnostic accuracy of tests for type 2 diabetes and prediabetes: A systematic review and meta-analysis. _PloS One_, _15_(11), e0242415. https://doi.org/10.1371/journal.pone.0242415Stumvoll, M., Mitrakou, A., Pimenta, W., Jenssen, T., Yki-Järvinen, H., Van Haeften, T., Renn, W., & Gerich, J. (2000). Use of the oral glucose tolerance test to assess insulin release and insulin sensitivity. _Diabetes Care_, _23_(3), 295–301. https://doi.org/10.2337/diacare.23.3.295

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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Every body has heard of the term blood pressure, but what does it actually measure? In Episode 7 we are going to talk about all things blood pressure, and how this topic is often not talked about but is crucial for lifelong health.

References

ACCORD Study Group, Cushman, W. C., Evans, G. W., Byington, R. P., Goff, D. C., Grimm, R. H., Cutler, J. A., Simons-Morton, D. G., Basile, J. N., Corson, M. A., Probstfield, J. L., Katz, L., Peterson, K. A., Friedewald, W. T., Buse, J. B., Bigger, J. T., Gerstein, H. C., & Ismail-Beigi, F. (2010). Effects of intensive blood-pressure control in type 2 diabetes mellitus. _The New England Journal of Medicine_, _362_(17), 1575–1585. https://doi.org/10.1056/NEJMoa1001286

Cushman, W. C., Whelton, P. K., Fine, L. J., Wright, J. T., Reboussin, D. M., Johnson, K. C., Oparil, S., & SPRINT Study Research Group. (2016). SPRINT Trial Results: Latest News in Hypertension Management. _Hypertension (Dallas, Tex.: 1979)_, _67_(2), 263–265. https://doi.org/10.1161/HYPERTENSIONAHA.115.06722

SPRINT Research Group, Wright, J. T., Williamson, J. D., Whelton, P. K., Snyder, J. K., Sink, K. M., Rocco, M. V., Reboussin, D. M., Rahman, M., Oparil, S., Lewis, C. E., Kimmel, P. L., Johnson, K. C., Goff, D. C., Fine, L. J., Cutler, J. A., Cushman, W. C., Cheung, A. K., & Ambrosius, W. T. (2015). A Randomized Trial of Intensive versus Standard Blood-Pressure Control. _The New England Journal of Medicine_, _373_(22), 2103–2116. https://doi.org/10.1056/NEJMoa1511939

Cohen, J. B., Lotito, M. J., Trivedi, U. K., Denker, M. G., Cohen, D. L., & Townsend, R. R. (2019). Cardiovascular Events and Mortality in White Coat Hypertension: A Systematic Review and Meta-analysis. _Annals of Internal Medicine_, _170_(12), 853–862. https://doi.org/10.7326/M19-0223

Siu, A. L. & U.S. Preventive Services Task Force. (2015). Screening for high blood pressure in adults: U.S. Preventive Services Task Force recommendation statement. _Annals of Internal Medicine_, _163_(10), 778–786. https://doi.org/10.7326/M15-2223

Ozemek, C., Tiwari, S., Sabbahi, A., Carbone, S., & Lavie, C. J. (2020). Impact of therapeutic lifestyle changes in resistant hypertension. _Progress in Cardiovascular Diseases_, _63_(1), 4–9. https://doi.org/10.1016/j.pcad.2019.11.012

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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You might be past the days of being peer-pressured into smoking cigarettes, but today we are going to talk all about tobacco and how it affects your health.

https://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/effects_cig_smoking/

https://www.cdc.gov/tobacco/data_statistics/fact_sheets/secondhand_smoke/health_effects/index.htm

Besaratinia, A., & Tommasi, S. (2020). Vaping epidemic: Challenges and opportunities. _Cancer Causes & Control: CCC_, _31_(7), 663–667. https://doi.org/10.1007/s10552-020-01307-y

Wang, R. J., Bhadriraju, S., & Glantz, S. A. (2021). E-Cigarette Use and Adult Cigarette Smoking Cessation: A Meta-Analysis. _American Journal of Public Health_, _111_(2), 230–246. https://doi.org/10.2105/AJPH.2020.305999

Wu, P., Wilson, K., Dimoulas, P., & Mills, E. J. (2006). Effectiveness of smoking cessation therapies: A systematic review and meta-analysis. _BMC Public Health_, _6_(1), 300. https://doi.org/10.1186/1471-2458-6-300

Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In Episode 5 of this podcast we talk about body composition and why it matters. Although this topic can be a bit touchy, this is a very important concept that needs to be talked about. In this episode we cover topics like BMI, measuring body composition, and the metabolic effects of adipose tissue.

References:

Borga, M., West, J., Bell, J. D., Harvey, N. C., Romu, T., Heymsfield, S. B., & Dahlqvist Leinhard, O. (2018). Advanced body composition assessment: From body mass index to body composition profiling. _Journal of Investigative Medicine: The Official Publication of the American Federation for Clinical Research_, _66_(5), 1–9. https://doi.org/10.1136/jim-2018-000722

Goossens, G. H. (2017). The Metabolic Phenotype in Obesity: Fat Mass, Body Fat Distribution, and Adipose Tissue Function. _Obesity Facts_, _10_(3), 207–215. https://doi.org/10.1159/000471488Disclaimer:This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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You can sleep when you're dead, right? WRONG! In this podcast we give an overview on all things related to sleep. After listening to this you will understand why sleep is important, and also how to set yourself up for a successful night sleep!

References

https://www.sleepfoundation.org/

https://www.cdc.gov/sleep/index.html

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition. Additionally, the opinions expressed are solely my own and do not represent any formal stance taken by my employer.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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In this podcast we cover all things exercise, and how we think about incorporating exercise into our daily lives. Learn about the benefits of exercise, how much you should be working out, how to pick a workout program that's right for you, and our approach to modifying workouts.

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics  discussed should not solely be used to diagnose, treat , or prevent any condition.  The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition

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Confused about what to believe about nutrition? We don't blame you. In Episode Two we talk about our approach to building a healthy dietary pattern, and how there are multiple ways to achieve this goal.

References in this podcast:

Johnston, B. C., Kanters, S., Bandayrel, K., Wu, P., Naji, F., Siemieniuk, R. A., Ball, G. D. C., Busse, J. W., Thorlund, K., Guyatt, G., Jansen, J. P., & Mills, E. J. (2014). Comparison of weight loss among named diet programs in overweight and obese adults: A meta-analysis. _JAMA_, _312_(9), 923–933. https://doi.org/10.1001/jama.2014.10397

Katz DL, Meller S. Can we say what diet is best for health? Annu Rev Public Health. 2014;35:83-103. doi: 10.1146/annurev-publhealth-032013-182351. PMID: 24641555.

Mozaffarian, D. (2016). Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity: A Comprehensive Review. _Circulation_, _133_(2), 187–225. https://doi.org/10.1161/CIRCULATIONAHA.115.018585

Disclaimer:

This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition

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Are you looking to improve your health and be a lifelong athlete? If so, you've come to the right place! In this podcast, we'll share the nine things you need to live a healthy life.

From nutrition to exercise to sleep habits to managing your blood sugar and cholesterol levels, these are the 9 things you need to live a healthy life. If you're looking to improve your health and longevity, start with these essential basics.