Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Importance of Early Detection of Swallowing Disturbances For PD Patients...Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and Fitness Updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

National Early Warning Score 2 (NEWS2)Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

Thank you for listening to this episode of "Health and Fitness" from the Nezpod Studios! Enjoy your night or the start of your day, spiced by our top-notch health and fitness/wellness updates coined from the best sources around the globe: made only for your utmost enjoyment and enlightenment… Click on subscribe to get more spicy episodes for free! See you again soon on the next episode of Health and fitness updates! Learn more about your ad choices. Visit megaphone.fm/adchoices

"...the 80 assessment is a fundamental tool used to provide a quick assessment for a patient who is critically ill it follows an order going through the potentially life-threatening problems giving priority to the most severe issues all right so the stands for Airway and what we're doing here is basically checking that there's no obstruction but also evaluating the likelihood that the patient will be able to maintain the airway if they deteriorate further there are several things you can do to assess the airway you can watch the patient and look for signs of an obstruction such as paradoxical chest or abdomen movements cyanosis which is a blue discoloration of the skin or use of accessory muscles you can also listen for sounds for example if the patient is talking that a fairly conclusive sign that the airway is obstructed however if you hear sounds extruder which is a high pitch sound mostly in inspiration or even a wheeze these sounds are indicative of a partial obstruction so what happens if you hear nothing you're either have to try and hear the breath sounds using a stethoscope or you'll have to try and feel for it the way you do this is by putting your hand or your ear next to the patient's nose or mouth and feeling for the air flow causes of an airway obstruction include the patient's tongue a foreign body swelling and even fluid it's such as vomiting or blood so what do we do about it well if it's obstructed the patient can rapidly deteriorating die or suffer hypoxic damage to organs such as the brain and heart so the first thing you do is you get help depending on the cause the patient may be moved into the recovery position so on this side you may perform movers like back slaps or the abdominal thrusts in order to help dislodge a foreign body it's patient ventilating and normal respiratory rate is between 12 and 20 breaths per minute hide and 25 is a marker that the patient may deteriorate quickly we would also look at the depth and the effort of the breathing are they using the accessory muscles is the chest expansion symmetrical is the trachea displaced or is the hyper resonance investigations include the use of a pulse oximeter so measuring the oxygen saturation generally we aim at for to 95% with a minimum of eighty eight percent however you need to be careful in COPD patients not to overdo the oxygen therapy because you can end up suppressing their breathing life-threatening causes of breathing issues include acute severe asthma pulmonary edema and tension pneumothorax the treatment again depends on the cause oxygen is given in most cases if no obstruction is present then non-invasive ventilation..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...stroke syndromes are collections of signs and symptoms resulting from Strokes in different regions of the brain or central nervous system in this video we will cover the stroke syndrome associated with Strokes in the territory of the and IT Supplies the medial and Superior frontal and parietal lobes as well as some other structures such as parts of the corpus callosum and basal ganglia it is made up of segments first arise connects both the left and right hemispheres this segment also gives off the medial lenticular striae arteries that Supply part of the caudate nucleus and the internal capsule the a to new segment extends from the anterior communicating artery up essentially segment A3 A4 and A5 at the proximal middle and distal segments of the pericoloso artery in and the findings very most commonly there is a contralateral weakness of the leg more so than the arm or the face this is due to the arrangement of the cortical neurons known as the motor homunculus which shows that the anterior cerebral artery supplies neurons involved mostly in the motor control of the contralateral leg sensory deficits are less common but when present are generally contralateral other findings can include abulia which is the absence of willpower or the inability to act decisively speech disturbances may also be present specifically another type is transcortical mixed Aphasia meaning there are severe deficits in speaking and comprehension but repetition is preserved as the anterior cerebral artery supplies the area of the brain associated with voluntary bladder control lesions here can result in urinary incontinence A syndrome of ipsilateral ataxia and contralateral lower limb paresis being described as a result of an anterior cerebral artery in fact if both anterior cerebral arteries are involved then they may be buying and frontal disinhibition symptoms which may include the presence of primitive reflexes such as grasping and sucking reflexes that are normally inhibited by amateur frontal lobe another example is personality changes..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...we will take a look at how Strokes are diagnosed and then how Strokes the treated and managed the diagnosis of a stroke is and with imaging techniques being used to Aid in that diagnosis a big part of stroke diagnosis and management is the early recognition and tools such as and Razia a used Fast involves facial drooping arm weakness and speech disturbances while T is for the time indicating the need for timely action the Razia score which stands for recognition of stroke in the emergency room is similar and involves looking for any loss of consciousness or seizure activity which counts against a stroke diagnosis as well as facial arm or leg weakness speech disturbances or visual disturbances it physical exam should also be done which will cover the NIH SS school including levels of consciousness motor function sensory function language and attention generally suspected stroke patients will undergo a CT of the head without contrast as coagulated blood will appear hyper-dense on these scans however ischemia may not be seen in the early stages there for a CT scan is done more commonly to rule out further investigations may involve an MRI of the head which is more sensitive for chronic hemorrhages and areas of ischemia usually appear hyper-intense on diffusion-weighted a Doppler ultrasound of the Carotid may be done and if the stroke was suspected to be caused by an aneurysm and angiogram may also be done as well as lab investigations including lipids and coagulation screens you may have heard the expression time is brain in the early stages ischemic stroke the aim is to restore cerebral blood flow as fast as possible as this results in fewer brain cells dying according to the nice guidelines patients with non disabling stroke or t.i. a should have early carotid Imaging and Urgent in data Rekha me as well as stenting if they have carotid stenosis in patients who have an acute ischemic stroke 150 to 300 milligrams of aspirin should be given orally or rectally if the patient is dysphasic this 150 to 300 milligram should be continued for two weeks following the stroke until long-term antithrombotic treatment has been prescribed in patients with an allergy to aspirin Clopidogrel may be used and a proton pump inhibitor should be added in patients with a history of dyspepsia in cases of venous sinus thrombosis anticoagulation..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...within the spinal cord, there are several different tracts grossly they are divided into ascending and descending tracts on the cross-section of the spinal cord these tracks make up the white matter named because of the whitish color that the myelin around the axon gives the gray matter is located centrally comprising the ventral and dorsal horns the ascending pathways are responsible for transporting information from the body these are sensory tracts we will color these tracks in blue and starting from the posterior column also known as the dorsal column we have the fasciculus Q8 and fasciculus gracilis these are responsible for fine touch or tactile sensation vibration and proprioception fasciculus gracilis lies medially to fasciculus CUNY waiters and the difference between the pathways is at signals from the lower limb generally below TC next travel in the fasciculus gracilis while signals from the Upper Limb generally T6 and above travel in the fasciculus CUNY aters you can remember this with the l in gracilis reminding you of legs or lower limbs these tracks run ipsilateral e through the spinal cord and decussate in the middle of the brain therefore a spinal cord injury will lead to loss of ipsilateral fine touch vibration and proprioceptive sensation next up we have the anterior spinal Salaam and the lateral spinothalamic Pathways the anterior spinal thalamic tract is responsible for crude touch and pressure while the lateral spinothalamic tract is responsible for pain and temperature in contrast to the dorsal column tracks the anthro a lateral Pathways decussate within the spinal cord and then travel up to the brain this means that a lesion of the spinal cord will generally cause a contralateral loss of crew touch pressure pain and temperature sensation this is not a 100% rule however I just nerves entering the anterolateral pathways typically a send one or two vertebral levels before they cross to the other side both the dorsal column and anthro lateral pathways are..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...the World Health Organization definition of stroke is rapidly developing clinical signs of focal or Global disturbance of cerebral function with symptoms lasting 24 hours or longer or leading to death with no apparent cause other than a vascular origin this means that patients with similar symptoms caused by other causes such as tumors subdural hematomas poisoning or trauma and not considered Strokes so the difference between a stroke and a TI a or a transient ischemic attack is that a TI a is a brief episode of neurological dysfunction typically less than one hour but up to 24 hours with a vascular cause and with no evidence of infarction meaning cell death on Imaging they were previously distinguished by the duration of the neurological symptoms but now a distinguished based on the absence of in fact evidence on it Jing and resolution of symptoms the two main types of stroke ischemic stroke or hemorrhagic stroke with around 80% being ischemic an ischemic stroke is caused by the blockage of blood flow while a hemorrhagic stroke is caused by a rupture and extravasation of blood in the brain or surrounding tissue also note that Strokes with ischemic areas have a risk for breeding there for ischemic stroke can undergo what is known as a hammer dragic transformation there are four main mechanisms for an ischemic stroke the first is thrombosis which is divided into large and small vessel disease large vessel disease involves the common and internal carotid 's the vertebral arteries and The Circle of Willis the main causes of thrombi here include atherosclerosis vasoconstriction dissection and vasculitis small vessel disease involves smaller she's of The Circle of Willis and arteries in the distal vertebral and battler arteries causes here include lightbulb highly gnosis which is a build-up of fatty hyelin matter secondary to hypertension and aging as well as micro after ohms which is small atherosclerosis plaques thrombi can also be caused by Sickle Cell red blood cells clumping together and thrombi may also generate emboli which are the second mechanism for ischemic stroke the emboli are entities that travel in the blood and can be part of a thrombus that has been broken off they can be fat they can be air or even cancer or clumps of bacteria most commonly the source of the embolus is the heart due to atrial fibrillation atrial or ventricular thrombi rheumatic heart disease recent myocardial infarction or even recent coronary artery bypass grafting emboli may also travel from sources..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...hypoalbuminemia is defined as a low level of albumin in the blood and the normal range is around 3.5 to five point five grams per deciliter I'll is the most abundant protein in human blood making up around half of all serum protein it plays a key role in maintaining oncotic pressure in the blood and since its hide therefore soluble in water albumin can transport lipophilic compounds such as hormones fatty acids and unconjugated bilirubin through the blood albumin also has in acting as a pH buffer Scavenging reactive oxygen species as well as binding some drugs and calcium hypoalbuminemia can be caused by an impact this is within the liver increased utilization by tissues problems in distribution or an increase in the loss of albumin this occurs in liver disease such as cirrhosis or chronic hepatitis weather is it decrease in the production of albumin as well as a distribution problem we're more album in leaks from the capillaries into the extracellular space kidney disease is another cause hypoalbuminemia is one of the features of nephrotic syndrome where patients are losing more than 3 grams per day of protein we take this few seconds off to inform you are valued loyal listener about the best from The Nest pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic health problems classic functional medicine Back to Basics health tips and special as doctors in the United States of America check out this health and wellness podcast shows explore Health talk weekly healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly health and fitness Corner also check out nasty boy CC the truest story never told Fiction podcast for that real-life on-the-go experience with the 27 year old Golden Boy Who made our guest invite number one list he tells us about his story it's nasty boy CC the truest story never told go get a load of that happiness because happiness is healthy as we know it join us every week as we continue to provide you the best of health and fitness enjoy the show it can also occur in chronic kidney disease with a protein is not as quick but over a long period of time small consistent losses will lead to hypoalbuminemia malnutrition or malabsorption at other causes severe malnutrition can lead to conditions such as kwashiorkor syndrome but even mild malnutrition as is often seen in the elderly can also cause from anemia conditions affecting the absorption such as ulcerative colitis Crohn's disease and celiacs disease may also end up causing hypoalbuminemia out itself is a negative phase reactant meaning its level decreases with information cytokines like il-6 and tnf cause increased leakage from the capillaries increased and less Gene transcription of the album and Gene meaning less synthesis conditions like sepsis and septic shock particularly favorite the clinical findings are often known Civic and I linked it to the underlying cause the more common findings include weakness peripheral edema and swelling all the way up to a site he's thin hair and if they have an underlying liver disease in terms of the diagnosis when albumin levels are found to be low tests are performed to identify the cause which include liver function tests assessing for liver disease urine Vermin and protein levels to assess for nephrotic syndrome and to assess for a protein losing enteropathy we could look at levels of alpha-1 antitrypsin in the stool which if l suggest a protein leakage or increased permeability of the intestinal mucosa treatment focuses on finding and managing the underlying causes while infusions of a itself a performed in some situations such as major surgery rapidly progressing hepatorenal syndrome and certain cases of nephrotic syndrome..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...the ascending track to the spinal cord carries sensory information from the body up towards the central nervous system they are grossly divided into tracts that carry conscious sensation and unconscious Sensation will start with a conscious sensation the first that we will cover is the anterolateral system which is made up mostly by the anterior and lateral spinothalamic tract but it also features the spinal reticular and spinal technical tracks the anterior spinal thalamic tract is responsible for crude touch and pressure sensation while the lateral spinothalamic tract is responsible for pain and temperature generally the ascending Pathways have three neurons in the path compared to only two neurons in the descending Pathways the first order neuron in the anterolateral system comes from The receptors in the periphery and signups is with the second order neuron that has its cell body in the also Horn of the gray matter note that the first order neuron can Ascend one to two levels before sign up Ting on to the second order new run the second or the neuron then deficits to the other side of the spinal cord and it is at this point that they form the separate tracts the anterior and lateral spinothalamic tract these second-order neurons will carry the information up the spinal cord to the thalamus where they synapse to the third order on really they are located on the ventral posterolateral nucleus of the thalamus and from there the fibers will travel to the somatosensory cortex of the postcentral gyrus passing through the internal capsule note that the third order neurons do not decussate they travel to the ipsilateral cortex we said that the anterolateral system is made up mostly by the spinothalamic tract but there are also two others the spine reticular which is involved in the automatic response to pain and the spine a technical track which is involved in orienting the head and eyes to stimuli the other system involved in conscious sensation is the dorsal column medial lemniscus pathway named due to the fibers traveling in the dorsal column of the spinal cord and passing through the medial lemniscus in the brainstem the dorsal column medial lemniscus pathway is responsible for transmitting sensations of fine touch to touch discrimination vibration and proprioception slightly we take this few seconds our valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic health problems class..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...restless leg syndrome sometimes known as Willis ekblom disease is a common neurological condition characterized by an intense irresistible urge to move the legs on the surface this may tumnus however it can cause significant distress to patients and negatively affect multiple aspects of their lives the condition features unusual unpleasant Sensations described as crawling pitching and stretching of the deeper structures of the leg referred to as dysesthesia but importantly it does not typically feature pain or sensitivity to touch the sensations are usually worse in the evening and are often worst overnight typically when at rest interestingly these feelings are subsided by walking or moving there for patients feel a compulsion to move the legs giving the name restless leg we take this few seconds off to inform you are valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly health and fitness Corner also check out nasty Boise see the truest story never told Fiction podcast for that real life on the go experience with the 27 year old Golden Boy Who made our guests in like number one list he tells us about his story as it happens in real time and in real life it's nasty boy CC the truest story never told go get a load of join us every week as we continue to provide you the best of health and fitness Wellness updates from around the globe enjoy the show in 80% of cases there are periodic leg moments during sleep which maybe twitching of periodic dorsiflexion of the foot this can last up to five seconds occurring approximately every 22 the second although the name States legs it can also affect the arms depending on severity this can mean A reduced quality of life including poor sleep leading to daytime somnolence which can affect concentration as well as performance in work or school restless leg syndrome is divided into primary and secondary where primary is mostly idiopathic meaning there is no apparent cause it is thought to be familial in many cases and tends to be inherited in an autosomal dominant pattern these patients are more likely to be affected earlier in life even as early as childhood it can demonstrate genetic anticipation which is where the age of onset gets younger through each generation secondary restless leg syndrome is the result of another underlying process examples could be pregnant Ian deficiency and end stage renal disease with 25 to 50 percent of patients on hemodialysis experiencing it it can even be due to some..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...jaundice is the yellow discoloration of the skin that is seen when bilirubin levels go above approximately 3 milligrams per deciliter but it can also be seen a particularly well in the sclera so first of all we need to know a little bit about bilirubin bilirubin is a breakdown product of him and is released from red blood cells when they are destroyed now bilirubin needs to get to the liver in order to be and the way it gets there is by initially being bound by albumin and then been transported to the liver via the blood it then gets taken up into the hepatic cells and is by the enzyme glucose urinal transfer is then secreted into the biliary system now this is the distinction between conjugated and unconjugated bilirubin the presence or absence of this glucose Iran sometimes this is referred to as soluble and insoluble bilirubin now direct and indirect bilirubin are often used as equivalence to conjugate it and unconjugated bilirubin but technically correct direct bilirubin includes conjugated bilirubin and Delta bilirubin which is the bilirubin bound to albumin that we mentioned earlier from there the conjugated bilirubin is present in the bayou and is secreted into the duodenum from the duodenum it travels through the small intestine up to the terminal ileum when most of the biological hepatic circulation but conjugated bilirubin is not reabsorbed it instead passes into the colon where the bacteria remove the gluco uronic acid that was added in the liver and forms urobilinogen which is colorless which is then oxidized into Starck or billion which gives feces it's brown color this is why in cases where the common bile duct is blocked you'll end up seeing pale stools right for anyone who's not been bored out of their mind by that bit will get into the causes of jaundice that you've probably heard split up into different categories these are pre hepatic hip-hop all post hypnotic jaundice which is also sometimes known as obstructive jaundice pre hepatic jaundice will have increased levels of unconjugated bilirubin because we are talking problem occurring before the bilirubin gets deliver these are going to be causes featuring excessive hemolysis so red blood cells being destroyed quicker than usual hemolytic anemia blood transfusions and hemolytic drugs hepatic causes are due to either having damaged hepato sites which is the case in hepatitis cirrhosis..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...stroke syndromes are collections of signs and symptoms resulting from Strokes in different regions of the brain or central nervous system in this video we will cover the stroke syndromes associated with Strokes in the territory of the posterior cerebral arteries they Supply the occipital lobe the inferior surface of the temporal lobes as well as some deeper structures such as the thalamus and the midbrain of the brainstem the posterior cerebral arteries arise from the distal end of the basilar artery which itself is formed from the vertebral arteries there is a connection with the anterior circulation via the posterior communicating artery our first syndrome is Alexia without a graph here which means the inability to read without the loss of writing here the affected regions are thus plenum of the corpus callosum and typically left occipital lobe the combination of these two areas being affected results in a pure word blindness meaning that the patient is able to write but is not able to read due to the involvement of the left occipital lobe contralateral homonymous hemianopia may also be present next is a similar syndrome the unilateral occipital stroke syndrome here as the name suggests the occipital lobe on one side side is affected and part of the inferior temporal lobe may also be involved in some instances the primary finding here is a contralateral homonymous hemianopia which may often be the only neurological deficit found we may see macular sparing due to the collateral blood supply to the macular region of the cortex in some instances and no Mia maybe present which is the inability to name in this case it's the inability T2 name colors and objects thirdly we have Anton syndrome also known as cortical blindness this occurs where there is an involvement of both occipital lobes either due to involvement of both posterior cerebral arteries or due to a lesion at the level of the distal basilar artery as a result there is visual loss however an interesting feature is that these patients may not be aware of the vision loss or we take this few our valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic health problems classic functional medicine Back to Basics health tips and special updates..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...portal hypertension refers to a higher than normal blood pressure in the portal system a normal range for this pressure is 5 to 10 millimeters of mercury portal hypertension can also be defined as a portal pressure more than 5 millimeters of mercury higher than the pressure in the inferior vena cava so the portal system refers to the portal vein which drains River and the main vessels that link to the portal vein and Superior mesenteric vein which comes from the small intestines the splenic vein which of course carries blood from the spleen the inferior mesenteric connects onto the splenic vein and carries blood from the large intestine but the gastric veins connect also on to the portal vein another thing to note is the umbilical vein which is normally obliterated and becomes the round ligament of the liver but if the pressure in the portal system gets high enough it can reopen varices are dilated veins that from an increased pressure in the portal system inside the liver you have structures known as sinusoids which are specialized capillaries within the liver the hepatocyte of the a separated from these sinusoids by a space known as the space of dese venous blood from the portal system mixes with arterial blood from the hepatic artery in the sign and then flows through into a central vein these Central veins collect together in the hepatic veins which takes blood into the inferior vena cava you can also see a which collects bile produced by the hepatocyte it's and takes it down towards the gallbladder the cell in red that you see inside the sinusoid is a cup for sale A specialized type of Mac the Scavenging and phagocytic activity the orange star shaped cells are important in Portal hypertension and cirrhosis these are hepatic stellate cells found in the space of these that are involved in fiberglass this and scaf formation in response to liver injury so what causes pressure in the portal system to increase the pathophysiology of portal hypertension ultimately comes down to blood being unable to pass smoothly from the portal circulation through the liver and into the inferior vena cava we typically divide the causes into pre hepatic intrahepatic post about it causes but remember that pre hepatic here means before the blood gets into the liver meaning causes in the portal vein itself well post hypnotic causes referred to causes after that two problems involving the inferior vena cava pre hepatic causes include portal vein thrombosis splenic vein thrombosis and arteriovenous malformation and splenomegaly intrahepatic causes include the most common cause cirrhosis which can come from alcohol abuse chronic viral hepatitis metabolic..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Danish is a mnemonic to help you remember the cerebellar signs these are signs that indicate the presence of cerebellar lesions d stands for dysdiadochokinesia which is the inability to perform a rapid alternating movement such as flipping one hand against the palm of the other in a coordinated and controlled manner Desmet Rhea is a lack of coordination of movement involving the judgment of distance and this can be seen when asking the patient to reach a particular point with a finger a central Ataxia which literally means we take this few our valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic health problems classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk weekly healthy lifestyle matters excellent Health digest healthy and free daily and weekly health and fitness Corner also check out nasty boy CC the truest story never told Fiction podcast for that real-life on-the-go experience with the 27 year old Golden Boy Who made our he tells us about his story as it happens in real time and in real life it's nasty boy CC the truest story never told go get a load of that happiness because happiness is healthy as we know it join us every week continue to provide you the best of health and fitness Wellness updates from around the globe enjoy the show means without coordination and this can affect not only the legs but also the arms trunk and other muscles in the body the most common manifestation we think of in this instance is an unsteady gait it can also be highlighted in the upper limbs by asking the patient to abduct their arms out to the side and then pressing down again and then Letting Go you may then see rebounding with a limb rebounds up Beyond its original position n is for nystagmus which are involuntary uncontrollable I move it can be elicited by asking the patient to move their gaze to the extremities and can have various characteristics including the speed rotation and Direction meaning either 200 vertical beating as well as to the left or to the right I is for intention tremor which is a Tremor that is worsened or exaggerated by movement or when the need for precise movement increases s stands for speech which may be slurred inappropriate or slow while he h stands for hypotonia..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...stroke syndromes are collections of signs and symptoms resulting from Strokes in different regions of the brain or central nervous system in this video we will cover the stroke syndromes associated with Strokes in of the middle cerebral artery IT supplies in most of the temporal lobe the anterolateral frontal lobe and the parietal lobe the middle cerebral artery comes off the internal carotid and is divided into segments the segments are the M1 or the horizontal segment which is the most proximal part and gives off a lenticular striate a tree which are deeper penetrating arteries that Supply the basal ganglia and surrounding region the M2 segment known as the Sylvian segment is next which typically includes a bifurcation into the superior and inferior segments em three segments a cortical supplying the cortex our first syndrome results from a stroke affecting the middle cerebral artery Superior division which normally supplies the lateral frontal lobe I'm the superior parietal lobes in this syndrome findings include contralateral weakness of the upper Limbs and the lower Limbs and a weakness of the contralateral lower face with a greater effect seen on the face and the Upper Limb rather than the lower limb this is because of the motor homunculus where we see that the areas of the cortex responsible for the legs are supplied more so by the anterior and so a less affected in Middle cerebral artery Strokes also remember that it is the lower part of the face that is affected because this only receives unilateral from the facial nerve while the upper two-thirds receives bilateral Innovation there is also often a Hemi sensory loss on the contralateral side that may affect the face or leg if the stroke involves the dominant hemisphere which is usually the left side then an expressive Aphasia it may be seen as Broca's area is found on the dominant side and is responsible for the production of speech if the stroke is on the non-dominant side then we see a contralateral any neglect where the patient may be unaware or unresponsive to stimulate on one side which may include not being able to recognize their own limbs next we have the middle cerebral artery inferior division..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...following a stroke there are several complications to be aware of the patient may have brain edema or increased intracranial pressure which can have a detrimental effect on the outcome of that patient this occurs due to Cellular swelling breakdown of the blood-brain barrier leaking of cerebrospinal fluid from the ependymal lining as well as from cellular debris causing an increased osmolality in that affected region this then causes movement of water into the affected space symptoms include headache dizziness nausea and vomiting and you may have signs such as papilledema and a gradual loss of consciousness because of the increased pressure there is also a risk of obstructive hydrocephalus who Nation Mannitol was previously used to reduce intracranial pressure in these patients however a recent study has shown that this may even increase the in-hospital mortality other potential therapies include hyperventilation and diuretics and some sources also specify steroids although the evidence is contradictory surgery involving a craniotomy with a skull is temporarily lifted can also help to reduce the intracranial pressure ischemic Strokes can give rise to a hemorrhagic transformation especially after thrombolytic treatment in the case of hemorrhagic stroke secondary to a subarachnoid hemorrhage the maybe vasospasm following the initial bleed which can then generate infarction which is essentially a secondary stroke to counter this a calcium channel blocker such as numata peen may be given and in the acute setting the patient may be given a cute volume expansion and vasopressin has in an attempt to increase cerebral blood flow infections are another complication of stroke pneumonia can be due to post stroke paralysis with a patient is not able to move well and can suffer atelectasis which is a collapse of part along this generates an environment that Mike I'm growing leading to pneumonia additionally due to swallowing difficulty the patient may be more prone to aspiration and therefore aspiration pneumonia urinary tract infections are also common especially in patients who have an indwelling catheter placed this is because patients with stroke have an increased risk from suppression bladder dysfunction and of course the use of the catheter itself Additionally the fever and systemic inflammatory response associated with the urinary tract infection May impair stroke recovery..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...seizures are defined as a transient occurrence of signs and symptoms due to abnormally excessive or synchronous neuronal activity in the brain they are classified into several types the first thing to consider is where the seizure originated in the brain generalized seizures begin involving both hemispheres of the brain previously they were known as primary General seizures on the other hand focal seizures originate from an area on one hemisphere if seizures begin on one Hemisphere and then involve both they known as focal to bilateral seizures this was previously called secondarily generalized seizures the next factor is whether or not the patient keeps their awareness the seizure generalized seizures are automatically considered to affect awareness, therefore, this distinction only applies to focal seizures meaning you either have focal away previously known as simple partial or focal impaired awareness previously complex partial then we have motor or non-motor seizures motor implies the involvement of movement during The Siege generalized seizures May feature stiffening and jerking while focal seizures can have movements such as twitching jerking and stiffening too but they may also feature automatic movements like licking lips or rubbing hands in focal seizures initially one group of muscles may be affected but this abnormal movement can later spread or move to other muscle this occurs due to the abnormal neuronal activity in the brain also moving to a different area this is known as the Jacksonian March generalized non-motor seizures and mostly known as absence seizures were primarily individuals will have changes in awareness and stay focal know look to seizures typically have other symptoms that happen first previously known as an aura this could be changes in sensation in Emotion thinking or there are six main types of generalized seizure the most well-known is the tonic clonic seizure previously known as grand mal here the seizures present contraction of the limbs followed by limb extension and arching of the back usually lasting 10 to 30 seconds at this stage you may also hear what is known as the it cry which is a sound produced due to the contraction of the chest muscles following this the limbs May begin shaking and in total a tonic-clonic would last around two to three minutes atonic seizures as the name suggests present with increased tonicity meaning a sustained contraction similar to the start of the tonic-clonic..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...the descending Pathways carry motor signals down the spinal cord and a generally divided into pyramidal or extrapyramidal tracts the pyramidal fibers travel through the medullary pyramids of the medulla oblongata which is why they are termed pyramidal these fibers originate in the cerebral cortex and are responsible for the voluntary control of the muscles of the body and the face there are two different tracks that make up the pyramidal tracts these are the corticospinal and corticobulbar tract the corticospinal tract responsible for the control of the body the cell bodies are found within the cerebral cortex with axons converging and passing through the internal capsule followed by the crus cerebri in the midbrain the pons and subsequently arriving into the medulla oblongata at this level around 75% the fibers will it to the other side of the spinal cord and continue down to sign ups with a lower motor neuron in the ventral horns at each level these fibers are known as the lateral corticospinal the other 25% of the fibers that remain on the ipsilateral side will continue as the anterior corticospinal tract and they will continue down ipsilateral e until the cervical and highest thoracic levels where they will decussate and sign ups with their motor neurons as for the corticobulbar tract this is the tract responsible for the voluntary control of the head the face and the neck similarly to the corticospinal tract they originated from the cerebral cortex and pass through the internal capsule however rather than descend into the spinal cord these neurons have their axons sign up sing to the lower motor neurons in the brain stem specifically on to the cranial nerve nuclei... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...the definition of syncope is a reversible loss of consciousness that occurs due to an inadequate blood flow to the brain usually their fast onset short duration and a spontaneous recovery so first things first what's the difference between a transient loss of consciousness and sinker beep well a syncope is a form of transient loss of consciousness which can be divided into loss of consciousness due to head trauma or non-traumatic causes under which comes along with syncope do other non-traumatic causes of a transient loss of consciousness include epileptic seizures psychogenic causes and rear causes like the problem clinically with syncope is Discerning the really serious and by that I mean potentially lethal causes of syncope so the causes are divided into Exxon knurled mediated syncope orthostatic hypotension and cardiac causes under reflex mediated we have vasovagal syncope which can be due to author's death that happens when the patient experiences fear phobias such as seeing blood or even pain next we have situational underneath reflex mediated syncope which includes losing Consciousness after death coughing finally for reflux syncope we have carotid sinus syndrome which is where the Carotid baroreceptors react too strongly to detecting an increased pressure leading to an excessive drop in blood pressure and therefore syncope an example is when people put their Ties on too tightly we take this few seconds off to inform you are valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly health and fitness Corner also check out nasty Boise see the truest story never told for that real life on the go experience with the 27 year old Golden Boy Who made our guest invite number one list he tells us about his story as it happens in real time and in real life it's nasty boy CC the truest story never told go get a load of that happiness because happiness is healthy as we know it join us every week as..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Parkinson's disease is a neurodegenerative condition affecting dopaminergic neurons in the brain leading to Associated motor symptoms neurodegeneration means a progressive irreversible loss of neurons and in Parkinson's disease it is mostly the dopamine-producing neurons in the substantia nigra that's a lost for us to move signals are generated by the cerebral cortex that then pass through the motor pathways and lead to with our muscles and ultimately movement however this process needs to be regulated which is primarily the job of the basal ganglia the substantia nigra is a part of the basal ganglia which are a group of nuclei in the brain all normally there are two main Pathways the direct and indirect pathway the direct pathway is an excitatory pathway that facilitates movement the motor cortex sends excitatory signals via glutamate to the striatum the striatum sends inhibitory signals to the Globus pallidus internus substantia nigra pars reticulata via Gaba these two both release Gaba which normally inhibits Thalamus so in this path there is inhibition of the inhibition on the thalamus giving an overall increased activity of the thalamus which promotes movement the indirect pathway is instead an inhibitory pathway that's purpose is to terminate movement in this case there is an inhibitory Gaba signal from the striatum to the Globus pallidus external Tunis the Globus pallidus external is normally inhibits the subthalamic nucleus which normally stimulates the Globus pallidus internal this means that the indirect pathway increases the inhibitory effect of the Globus pallidus internus on the thalamus and so there is less signal from the thalamus and so there is less move in Parkinson's there is a gradual degeneration of neurons within the substantia nigra pars compacta these neurons release dopamine to the striatum in the striatum there are direct pathway neurons that have D1 dopamine receptors and are excited by dopamine and indirect pathway neurons that have dopamine D2 receptors and that inhibited by dopamine overall this means dopamine released from the past compactor..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...stroke is characterized by having poor blood flow to part of the brain leading to cell death they are grossly divided into ischemic and hemorrhagic with around 15 to 20 percent of Strokes being hemorrhagic a hemorrhagic stroke results from the rupture of a blood vessel leading to bleeding compared ischemic stroke that have a sudden occlusion of a blood vessel within hemorrhagic Strokes there are two main types intracerebral meaning bleeding within the brain itself which can be intraparenchymal Hemorrhage weather is bleeding within the brain tissue or an intraventricular Hemorrhage where there is bleeding within the ventricular system of the brain around one intracerebral hemorrhage into the ventricles intracerebral Hemorrhage is most commonly caused by hypertension and age-related cerebral amyloid angiopathy which is where deposition of Lloyd Peter peptide in the vessels leads to a weaker vessel structure which is then therefore more likely to bleed the other main type is a subarachnoid with the bleed occurs between the arachnoid Mater and the Pia Mater subarachnoid hemorrhages can be due to trauma or can be spontaneous in 85% of cases in taneous subarachnoid hemorrhage is caused by rupture of a cerebral aneurysm with the most common locations being the anterior communicating artery in 35 percent of cases internal carotid artery in 30% and middle cerebral artery in 22% in 30% of cases there are multiple aneurysms the remaining maybe caused by rupture of an arteriovenous malformation coagulopathy or extension of an intraparenchymal bleed note that both of these types of hemorrhagic I considered intracranial bleeds however other types of intracranial bleeds such as epidural and subdural hemorrhages are not considered hemorrhagic stroke we take this few seconds off to inform you are valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly health and fitness Corner also check out nasty Boise see the truest story never told Fiction podcast for that real life on the go experience with the 27 year old Golden boy..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"Hepatorenal syndrome is a life-threatening condition characterized by rapidly Progressive kidney failure that is seen in people with Advanced liver disease the prognosis is very Bleak and is usually fatal without the transplant there are two types type 1 has a median survival of two weeks and features a rapidly increasing creatinine level type 1 happens commonly in taneous bacterial peritonitis type 2 is a slightly more moderate form with a median survival of 10 weeks and a steadier creatinine here patients typically have a site that is resistant to DirectX approximately 18% of cirrhotic patients who have ascites will develop hepatorenal syndrome within one year so what exactly that makes this condition so bad the Hallmark is a renal basic constriction in the setting of vasodilation in splanchnic breasts those are the intestines spleen liver and pancreas the main branches of the aorta that make it up at the Celiac artery as well as the superior and inferior mesenteric arteries the underfill theory is that as liver disease progresses and portal hypertension follows possibly also generating ascites there is a splash so dilation because of release of vasodilatory mediators like nitric oxide and prostaglandins this vasodilation leads to more blood being directed into the splanchnic vessels which ends up draining into the portal circulation which causes the juxtaglomerular apparatus of the kidney to activate the renin-angiotensin-aldosterone system leading to vasoconstriction and in particular in the kidneys but the splanchnic vasculature is resistant to vasoconstriction due to the production of local vasodilators like nitric oxide and so remains vasodilate it the cycle leading to this vicious cycle of the renal vasoconstriction and splanchnic vasodilation ultimately leading to renal failure the activation of the renin-angiotensin-aldosterone is thought to be an important step in the formation of ascites in patients with cirrhosis to the extent that ascites and hepatorenal syndrome may be considered a splanchnic vasodilation determined the resistance of ascites to diuretics as is seen in type 2 hepatorenal syndrome as well as the onset of kidney vasoconstriction that leads to the initial onset of hepatorenal syndrome it is important to remember that having a cirrhotic patient with an AK I does not mean that the patient has HRS they may have the Aki for other reasons and so hepatorenal..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"diarrhea is defined as having stools that occur more than three times a day and a looser than usual specifically 200 grams 24 hours is considered diagnostic but as you can imagine trying to measure the weight of stools in everyone referring to diarrhea would be a mess literally so first off the call divide them into acute and chronic causes for start acute diarrhea is defined as lasting less than four weeks and is often caused by infections that they usually eat a viral or toxin-mediated typically they will resolve spontaneously I see cases lasting more than four weeks need to be divided into either organic or functional causes and the difference between them is that organic causes can be detected or Quantified through testing while functional causes cannot samples of organic causes include celiacs disease inflammatory bowel disease like ulcerative colitis or Crohn's disease we can also have bacterial and parasitic infections pain and of course intestinal neoplasms on the other hand functional causes of chronic diarrhea include irritable bowel syndrome lactose intolerance food alcohol how then can we begin to narrow down the causes when we encounter a patient with diarrhea let's first tackle how to distinguish functional from organic diarrhea firstly the duration of secondly the volume of organic diarrhea is usually larger than in functional next we look for the presence or absence of blood functional will never have blood while organic often does we can also ask about the naming organic doesn't have any specific pattern but may wake the patient up at night well functional is usually in the morning and will not wake the patient up this is also closely tied to stress where organic diarrhea doesn't have much Association to stress but functional diarrhea often coincides with we take this few seconds our valued loyal listener about the best health and fitness podcast shows from the Nez pod Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic classic functional medicine Back to Basics health tips and special updates from the best doctors in the United States of America check out this health and wellness podcast shows explore Health talk weekly healthy lifestyle matters excellent Health digest healthy and free daily and last but not least weekly Health and Fitness also check out nasty boy CC the truest story never told Fiction podcast for that real-life on-the-go experience with the 27 year old Golden Boy Who made our guest he tells us about his story as it happens in real time and in real life it's nasty boy CC the truest story never told go get a load of that happiness because happiness is healthy as we know it join us every week as we continue to provide you the best of health and fitness Wellness updates from around the globe enjoy the show" Learn more about your ad choices. Visit megaphone.fm/adchoices

a sudden deterioration in the function of the kidneys is known as an acute kidney injury sometimes also called acute renal failure to measure this reduction in kidney function glomerular filtration rate or GFR is normally used which is a measurement of how well the kidneys are filtering the blood the functional unit of the kidney that actually does this is the Nephron made up of the glomerulus which is a modified capillary and as blood passes through it the waste is filtered into the Bowman's capsule GFR is the volume filtered through the glomerulus into the Bowman's capsule and through the Nephron in a given unit of time the filtrate passes along through the proximal convoluted tubule Loop of henle distal convoluted tubule and the distal collecting duct undergoing secretion and reabsorptionas it travels ultimately it forms urine and collects into the renal pelvis and passes into the bladder through the ureter to directly measure this process is difficult we instead use creatinine clearance to estimate the GFR creatinine is a normal breakdown product of creatine released from muscle tissue and this is freely filtered by the glomerulus and is not reabsorbed so fits the kind of substance we need however creatinine is secreted into the filtrate by the peritubular capillaries so it does tend to overestimate the GFR slightly the cockcroft and Gault formula is a famous formula used to estimate the creatinine clearance and therefore GF are taking into account age Mass gender and the serum creatinine as it travels ultimately it forms urine and collects into the renal pelvis and passes into the bladder through the ureter to directly measure this process is difficult we instead use creatinine clearance to estimate the GFR creatinine is a normal breakdown product of creatine released from muscle tissue and this is freely filtered by the glomerulus and is not reabsorbed so fits the kind of substance we need however creatinine is secreted into the filtrate by the peritubular capillaries so it does tend to overestimate the GFR slightly the cockcroft and Gault formula is a famous formula used to estimate the creatinine clearance and therefore GF are taking into account age Mass gender and the serum creatinine Learn more about your ad choices. Visit megaphone.fm/adchoices

polycystic kidney disease is a condition characterized by the development of multiple cysts within the renal tubules of the kidney and is the most common hereditary renal disease the normal functional unit of the kidney is the nephron made up of a glomerulus and Bowman's capsule proximal convoluted tubule Loop of henle distal convoluted tubule and the collecting duct blood filters through the glomerulus forming filtrate which then passes through the tubules undergoing see and reabsorption eventually forming urine and passing into the ureter and bladder overall there are around 1 million of these nephrons in each kid in polycystic kidney disease these tubules develop into cysts which become filled with fluid and can range in size from being microscopic to several centimeters in size the process can start even in utero meaning in the womb as the tubules become cysts they cannot carry the normal filtering function therefore the number of functioning nephrons begins to decrease this is worsened by the fact that as the cysts grow they compress nearby nephrons also making them dysfunctional initially this may not be seen to have any clinical impact as the remaining number of nephrons may increase there to maintain the glomerular filtration rate but as the disease progresses and more nephrons are affected the remaining ones cannot make up the difference overall renal function then deteriorates eventually reaching end-stage renal disease by definition the presence of structural injury makes polycystic kidney disease a form of chronic kidney disease with end-stage renal disease being defined as needing renal replacement therapy like dialysis or transplant or a GF far below 15 ml per minute there are two main types of polycystic kidney disease both caused by genetics the first is autosomal dominant with two main types one coming from mutations in P KD 1 on a chromosome 16 which codes for the protein polycystic in this is affected in around 85% of cases and is involved in cell to cell or cell Matrix interaction cell cycle regulation and calcium transport the second coming from mutations in PKD to on chromosome for coding for Polly system to which codes for Learn more about your ad choices. Visit megaphone.fm/adchoices

Nephrotic syndrome is a collection of signs and symptoms that result from damage to the kidneys and is often confused with nephritic syndrome in fatigue syndrome there is a substantial amount of protein being lost through the kidneys in the urine defined as more than 3.5 grams per day this leads to hypoalbuminemia a low level of albumin in the blood as albumin is the most abundant protein normally in the blood these two are defining features in nephrotic syndrome nephritic syndrome is different in that there is less proteinuria but also the presence of hematuria and red blood cell or white blood cell casts in the urine hypertension and oliguria which is a reduced urine output typically between 80 and 400 ml per day the unit of the kidney is the nephron and normally in the glomerulus of the Nephron there is a specialized membrane that forms the filter made up of a fenestrated endothelium the Maryland basement membrane and the foot processes of podocytes which are cells that wrap around the capillary giving this additional filtration layer all together these structures normally act as a filter and prevent large molecules from passing through into the Bowman's capsule and renal tubules they have a net negative charge which may mean that they can repel other negatively charged molecules albumin is negatively charged in the fatigue syndrome there is sufficient injury to these structures to change the permeability and allow albumin and other molecules to pass into the urine leading to hypoalbuminemia the signs and symptoms linked to hypoalbuminemia which includes peripheral edema and fluid overload particularly in children this can be evident as facial swelling but can also occur in adults particularly around the eyes fluid overload can mean weight gain peripheral edema and even the development of ascites or pleural effusion which can manifest as shortness of breath known as this near the reduction in the blood levels of albumin causes the oncotic pressure of the blood 24 meaning fluid will more readily leak into the surrounding tissues causing edema this is sensed as hypovolemia because less fluid is in the vessels which then triggers the renin-angiotensin-aldosterone system causing retention of salt and water this is known as the underfill hypothesis while another is the Learn more about your ad choices. Visit megaphone.fm/adchoices

"...chronic kidney disease or chronic renal failure is a progressive irreversible condition characterized by either a reduction in kidney function or kidney damage as a result of any cause that a present for more than 3 months it is divided into stages based on the glomerular filtration rate which is a measure of how well the kidneys are functioning it shows the flow rate of filtrate through the glomerulus of the Nephron into the Bowman's capsule and ultimately through the renal tubules the stages are labeled 1 to 5 with 2 groups in stage 3 the definition of a reduced GFR is below 60 milliliters per minute but in groups 1 and 2 the GFR may actually be above 60 but there is evidence of kidney damage end-stage renal disease is classed as a GF are below 15 or the need for renal replacement therapy like dialysis or renal transplant kidney damage can be defined as signs of damage seen on Imaging or on testing such as a high albumin to creatinine ratio which is a measurement of the amount of protein lost in the urine in fact in combination with GFR these patients are divided into three food groups based on the albumin creatinine ratio with higher values indicating more damage and an increased likelihood of progression initially chronic kidney disease may not cause many problems and it is often asymptomatic however as it progresses it brings with it several significant complications these can include an elevated cardiovascular risk with patients are 5 to 10 times more likely to die from cardiovascular disease than end-stage renal disease the risk of stroke has been found to increase as the GFR lowers around seven percent for every 10 ml per minute lost this may also be the result of CKD contributing to hypertension as well as being caused by it this can be due to activation of the renin-angiotensin-aldosterone system and can also be because as the disease progresses the kidney is less able to excrete leading to retention and subsequent fluid overload signs of fluid overload could be dismissed near due to pulmonary edema or a fusion and peripheral edema or ascites anemia is also common which contributes to disappear and can come from a reduction in erythropoietin from the..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...nephritic syndrome is a collection of signs and symptoms that result from glomerulonephritis which is inflammation of the kidney specifically the glomerulus this could be remembered because it means inflammation rather than being a disease itself nephritic syndrome is the manifestation of an underlying disease that causes the inflammation and there are many of these causes it is easily confused with nephrotic syndrome which instead is a collection of signs and symptoms resulting from a high amount of protein being lost through the kidneys in the urine this leads to hypoalbuminemia meaning low levels of albumin in the blood these are the two defining features in nephrotic syndrome there is some overlap but nephritic syndrome is different in that the degree of proteinuria is lower and there is the dozens of hematuria meaning blood in the urine which could be microscopic or macroscopic red blood cell casts in the urine sterile / urea which is the presence of white blood cells without evidence of bacteria hypertension and oliguria which is a reduced urine output typically between 80 and 400 ml per day the functional unit of the kidney is the Nephron which includes the glomerulus and modified capillary surrounding this there are multiple layers which together form a filter these include a fenestrated endothelium the glomerular basement membrane and the foot processes of podocytes which are cells that wrap around the capillary in most cases of nephritic syndrome there is a trigger causing inflammation in this area overall featuring cellular proliferation complement activation recruitment of leukocytes and production of proteases and free radicals that ultimately lead to injury of the kidney this then leads to the characteristic features for example injury to the glomerular filtration membrane allows protein to leak into the urine though not as much as is seen in nephrotic syndrome red blood cells can also pass through causing hematuria and they can be dysmorphic with a camping sites in particular suggesting glomerular injury red blood cells can also Clump together within the tubules forming cylindrical structures called castes in fact this is considered suggestive of glomerulonephritis the injury and inflammation means white blood cells are recruited and can pass into the urine and as we said it's termed sterile pyuria because there..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...tricky to remember but this pneumonic will help you remember not only the names but also their positions the rest is made up of eight bones roughly in two rows of four the pneumonic starts as some lovers try positions s is for the scaphoid L flew name T4 triquetrum and P Pi is a form to remember the position you can use the letter P because the Paisa form is on the same side as the pinky the scaphoid and the lunate articulate with the and the radius is always on the same side as the thumb the second half of the pneumonic is that they can't handle which is for the trapezium trapezoid capitate and hamate the scaphoid is the most commonly injured bone of the wrist usually from a fall onto an outstretched hand and it is associated with pain in the anatomical snuffbox and with axial pressure applied on the thumb it is also famous for having a risk of a vast necrosis because it has a retrograde blood supply meaning blood flow from its distal end towards its proximal end this is mostly from the dorsal branch of the radial artery if the scaphoid is fractured blood might not be able to reach the proximal end giving avascular necrosis of the proximal part of the scaphoid at the metacarpals numbered 1 to 5 from the thumb which is easy to remember because each hand only has one thumb a famous fracture of the metacarpal is the boxer's fracture which is on the fifth metacarpal after striking with a closed fist this can lead to misalignment of the knuckle as the metacarpal makes up the now you then have the phalanges there are three in each finger called the proximal middle and distal phalange but only two in the thumb the proximal and distal phalanges we take this few seconds off to inform you are valued loyal listener about the best health and fitness podcast shows from the nest Studios join us as we give you the best of the best health and wellness updates you can rely on for the treatment of chronic health problems classic functional medicine Back to Basics health tips and special best doctors in the United States of America check out this health and wellness podcast shows explore Health talk weekly healthy lifestyle matters excellent Health digest healthy and free and last but not least weekly health and fitness Corner also check out nasty Boise see the truest story never told Fiction podcast for that real-life on the..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...tennis elbow and golfer's elbow a to similar conditions causing pain in the elbow and a medically know is lateral and medial epicondylitis respectively this means inflammation of the epicondyles which are bony protuberance has on the distal of the humerus the elbow is made up of the humerus articulated with the radius and ulna and allows for flexion and extension of the forearm however there are muscles that attach to the epicondyles that allow for wrist hand and finger movements like grasping and twisting and repetitive use of these muscles is thought to lead to micro attendance generating pain for this reason the conditions are known as enter Sapa these-- which means attachment point disease in act more recently it has been recommended that the conditions be referred to as tendinosis or epicondyle Alger rather than epicondylitis as histologically there is usually granulation tissue and a lack of traditional inflammatory cells suggesting that degeneration of the tendon maybe more an inflammation in the pathogenesis Motions like using handheld tools or even drawing are associated with the conditions and the names are slight misnomers is playing tennis can give you golfer's elbow and vice versa over all the movements causing the conditions do not necessarily need to be sports-related in some cases they can be triggered by a sudden contraction possibly from trauma elbow pain is the primary symptom in each lateral like this is 7 to 10 times more common and the pain is on the lateral or outer part of the elbow usually on the dominant hand it is generally worsened by extension of the wrist or fingers as the muscles responsible for these movements attached to the lateral epicondyle collectively known as the extensor tendons in particular the extensor carpi radialis brevis is commonly affected in lateral epicondylitis there is typically worsening of the pain with wrist extension against resistance when the is extended known as cozens test medial epicondylitis is less common but features pain on the medial or inner of the elbow it comes from tendinosis of the flexor and pronate attendance which originate from the medial epicondyle in particular the carpi radialis and the pronator teres and most commonly affected the pain is usually reproduced when the wrist is flexed and pronated against resistance well the is flexed called the reverse cozens test overall it is usually a gradual onset of pain that progressively get worse and can persist at night it also tends to be worsened by use of the forearm such as grasping and the pain may also be elicited by palpating several millimeters distal to the air condyles which corresponds with the location of the tendons people may also experience weaker grip strength the diagnosis is largely meaning no specific test or Imaging is required to make a diagnosis however Imaging like x-ray may be done to rule out arthritis of the elbow..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Osgood-Schlatters disease also known as tibial tubercle apophysitis is a condition characterized by the anterior knee due to inflammation of the apophysis and apophysis is a normal developmental protuberance from a bone that provides an insertion site for tendons in this case the patellar tendon on to the tibial tubercle it primarily affects children and adolescents because by adulthood the apophysis will fuse with the rest of the tibia it is weaker than 10 and so is prone to injury Osgood-Schlatters disease is a stress or traction injury that occurs due to repetitive Force being applied through the strong patellar tendon on to the tibial tubercle typically from movements involving leg extension such as running or jumping but also during growth spurts the force can lead to small avulsion fractures of the tibial tubercle apophysis generating and pain and in rare cases a complete avulsion of the tibial tubercle knee pain is the most common symptom which is on the anterior portion of the knee just below the patella in most cases it is unilateral but both sides are affected in around 30 percent of cases in general it has an Insidious gradual onset with no trauma and may initially be episodic but go on to become continuous the tibial tubercle itself can be tender to touch and may have some Associated enlargement which can be felt as a prominent lump males in particular are up to seven times more likely to be affected..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...a shoulder dislocation is when the humerus separates from the shoulder joint and is the most common of the large joint dislocation normally the shoulder joint is made up of the head of the humerus articulated with the glenoid fossa of the scapula which is why it is known as the glenohumeral or joint it is a synovial ball and socket joint with a large range of motion but at the cost of being more unstable the head of the humerus is around four times larger in the shallow surface area of the glenoid fossa which contributes to the large range of motion but also to the instability the joint is stabilized by surrounding the glenoid labrum is a bring of fibrocartilage around the glenoid fossa that better anchors the humerus and glenoid and there are also a number...arm in an anterior dislocation due to the posterolateral portion of the humeral head being compressed against the anterior part of the glenoid labrum they can be compression fractures on the humerus known as Hill Sachs lesions they are closely linked with bankart lesions which is a rupture in the glenoid labrum these can also be accompanied by avulsion fractures which are then termed bony bankart lesions the arm is typically held in external rotation with some abduction and all movements are painful there is a loss of the normal Contour of the deltoid and the acromion can be particularly prominent posterior dislocation 's make up only two to four percent of all shoulder dislocations and occur due to the head of the humerus being forced posteriorly while..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...ankle fractures a common injuries involving a break in one or more of the bones that make up the ankle joint there are three bones that make up the ankle the tibia fibula and tailless specifically the medial and posterior malleolus by the and the lateral malleolus of the fibula there is an additional joint between the tibia and fibula called the tibiofibular syndesmosis this is a fibrous structure made up of the anterior and posterior inferior tibiofibular ligament and the interosseous membrane the ankle is a hinge primarily allowing supplanter and dorsiflexion and is at its least stable in plantarflexion it is described as a mortise and Tenon joint which are essentially a hole and the that fits that hole in this case the space formed by the tibia and fibula and the projection which is the Dome of the talus bone ligaments helped provide more stabilization there is the medial or deltoid ligament coming from the medial malleolus which branches into four ligaments and is mostly involved in preventing / e-version while the lateral ligament comes from the lateral malleolus and is made up of three ligaments with the main function of preventing over inversion of the foot in 70% of cases there is an isolated fracture of either the medial or lateral malleolus if both the fractured this is termed a bye the fracture seen in twenty percent of cases and if the posterior malleolus is also fractured this is called a try malleolus fracture but this is only the case in fewer than ten percent of patients in roughly 10% of cases the syndesmosis is also injured there are multiple classifications of ankle weather is used in the lateral malleolus fractures based on the location of the fracture relative to the syndesmosis generally with more proximal fractures indicating a higher risk of instability a is below the syndesmosis B is at its level and see is proximal to it the log handsome classification is more detailed considering also the position of the anchor during injury and the forces sustained during it other types of fractures include Amazon nerve injury where there is a proximal fibula fracture with syndesmosis and deltoid ligament injury this is an unstable injury that will need surgical intervention this is..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...for those of you who have not tuned in to us we run essentially a chronic pain practice board Gates is board certified functional neurologist I'm a board-certified functional medicine practitioner we melded those two disciplines into a model of care to address a substantial portion of chronic conditions chronic Jesus and and although we cure few we're able to help most get under some some control quite considerable control and be able to manage their case and the properly selected and the properly cite the patient the reason we cure for you is because pretty much everybody walks in here ends up having an autoimmune problem and they also usually walk in here under a chronic stress with a chronic stress response usually we caught a sympathetic dominance or fight-flight system is engaged and it doesn't tend to let go these things can lead to anxiety Sia T panic attacks depression things of that nature and I lead off with that to say one of my one of my one of my points with people when they come in and I address this with them is my observation based on watching what happens with the brain rehab exercises that we do in certain other types of supplementation is that these are not necessarily personality disorders their poor frontal lobe this sort of and there's a lot of things that add to causing your frontal lobe to not work properly poor poor lack of blood supply to your Bruno lobe from anemias be your frontal lobe needs oxygen inflammation which are probably going to talk about a little bit blood sugar stress hormones and and so but lately we've been seeing last couple of years maybe we've been even seeing little kids come in we're stressed out of their minds and like two or three years old and say what's going on with that and then other people who've had just this kind of stress responses that seemed to be like even a little bit over a top for what we see and and dr. Gates is going to share with you some of the things that he's come across in that in the literature that we've been implementing and what are our Protocols are and kind of giving you the understanding that I know stress hormones now can cross the placenta from the stressed mother into the young person but there's even more to it than that our genetic components that need to be considered if they're there and that oftentimes respond well to the types of things that can be done wow without drugs frankly so yeah we treat a lot of patients with fibromyalgia in our clinic at least we have and that's actually started off with yeah that's kind of how we got into depression because a lot of patients were coming in with their fibromyalgia and they didn't want to take medications for the depression so they said well can you handle what could you do so that started us on this quest in this journey of..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...so we're going to talk about Hashimoto and Plastics today Hashimoto's is a subject that we've been long associated with frankly probably for most people are associated with and we're taking quite a bit of use for even diagnosing people at and so and getting heat on it and the point from that is that Hashimoto is the understanding of what's going on with Hashimoto's is the number of things it's related to the things that can create a Hashimoto's isn't it is an immune attack on your thyroid primarily and so you're always looking for the things that are creating the immune attack and and and it can be a multitude of things and I was just mentioning to dr. Gates we're talking about Plastics that I remember reading about that at like 10 years ago but wondering is actually something that has something to do with it because back then it was I was everything was Metals was right it was it was is there anything you could think of the alternative groups were putting out as yet avoid all of this which is basically everything in life it seemed like but it turns out that Plastics do create a negative effect on the condition of Hashimoto's and so we're going to discuss that this probably fairly briefly it's not a long topic I would assume and so and if it's not brief then that's fine too so so Plastics as the famous gentleman in the Dustin Hoffman movie from many years ago The Graduate said to Dustin Hoffman when he had him in his graduate courses okay so I'm 65 days going to be people more my age The Graduate it was the famous line for the decade when people would say what are you going to do with your life and people Go Plastics because the gentleman at his college graduation party pulled him over and he was wondering what he was going to do for a because back in 1965 r68 Plastics were just coming into that was the whole point of plastics were done where Evolution just coming in and nobody knew anything about them they were going to save the world now we've got some mass of plastics I guess twice the size of Texas under the Pacific Ocean from what I read in the the other day and the National Geographic so could be a problem that was the whole point of that that aside that I was warned not to do yesterday but I did so good so the whole question is why is Hashimoto's so much more common and..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and today we're going to talk about a concept that has time so I think been controversial I think at times been considered theoretical when I first got into functional medicine years ago is actually a prominent Conrad of the immune system and because what we started to realize was in chronic pain we have a chronic pain practice for those of you who haven't watched us before and we treat just about anything that won't go away and we've combined two disciplines functional neurology and functional medicine to address fibromyalgia and periphery often chronic fatigue and chronic got problems chronic thyroid problems and dizziness vertigo balance things that won't go away people get things they go away B they don't go away you need to know why and the immune system was an obvious first place to start I think for those in the field at that time that there must be something with the immune that's causing the problem there's a concept called th1 th2 shifts th1 th2 balance I've drawn the little seesaw picture of it and I think a thousand times and try and explain to people and and and I think it's I don't I think dr. Gates is going to explain to me today whether it's getting more credibility or just something that you're using more because you see it's a valuable tool because it is affecting people frequently will talk about that Gates does all the treatment now and he's always researching and frequently will tell talk to me about how this was a that this was a shift during pregnancy this is the mystical why do I get pregnant and then I feel good and then all sudden I don't after I deliver the child it's this is the if you have allergies you have a shift more towards one side than the other so and certain autoimmune problems have a certain quality..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Serotonin syndrome also known as serotonin toxicity is a potentially life-threatening condition due to excessive serotonin levels in the body this can come from using the medication as a therapy due to drug interactions recreational drug use or even intentional overdoses the end result is an increased in the amount of serotonin in the synaptic cleft able to bind serotonin receptors, for example, selective serotonin reuptake Inhibitors like Citalopram inhibit the reuptake of Serotonin into the presynaptic neuron meaning more is available to bind the postsynaptic receptors monoamine oxidase Inhibitors likes alleged lean prevent the breakdown of Serotonin so more is available SSRIs tend to be the most common cause was because of their widespread use while monoamine oxidase Inhibitors tend to produce the more severe cases other medications include serotonin noradrenaline reuptake it is tricyclic antidepressants serotonin modulators and tryptophan supplementation as it is converted and leads to serotonin formation opioids amphetamines and cocaine also increase serotonin release serotonin is found mostly in the gastrointestinal system it is carried by platelets and also exerts a acts on the central nervous system within the CNS it has rules in attention mood sleep cognition and thermoregulation in the other systems it is involved in vasoconstriction gastrointestinal motility uterine contraction and..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...schizophrenia is a mental disorder characterized by impairments in the way reality is perceived with Associated changes in schizo means split and free Nia means mind in Greek but it's important to remember it is not meant to mean split personality which is a condition schizophrenia affect how people think to feel and behave and the symptoms are divided into three main types Karthik or positive symptoms negative symptoms and cognitive symptoms psychotic symptoms include hallucinations meaning sensing something that there and auditory hallucinations are particularly common thought to occur in 80% of patients at some point delusions are fixed belief that something is true despite having evidence that it is not in schizophrenia paranoid delusion is a common for believing the FBI is following them or that they're being poisoned delusions of reference are also common in schizophrenia where a person believes messages and meant for them for example believing a newsreader on TV is talking directly to them they can be delusions of control where a person believes that someone else is controlling their thoughts such as the FBI placing thoughts in their minds they can be delusions of grandeur meaning being a figure of great importance and delusions of erotomania meaning believing a person typically of higher status is in love with them another positive symptom is disorganized..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...today we're going to talk about pots and why it is becoming more common prevalent rights becoming more prevalent so we are seeing more pots aren't we're seeing more pots and I had noticed that we were seeing more pots we were giving more pots diagnosis pots postural orthostatic tachycardia syndrome we get a zillion people okay exaggeration we so many people that come in here with heart palpitations and I bend over and I get lightheaded and by the time people most people get here with those symptoms they've usually been evaluated for like trans ischemic attacks and and and pretty much give it a clean bill of and we see it a lot because we see we see a lot of thyroid problems that can heart palpitations we see a lot of stress responses that can cause tachycardia like issues like like more than that walks in the door but pots rear its ugly head in here every now and then and it's got a lot more unique to get some more unique features to it that it's diagnosis and dr. Gates is going to talk with you about that because spoiler alert the reason they were seeing it in a number of patients is that it's getting diagnosed more Amy's reason you're seeing it be diagnosed now you're seeing people will have it and so on and so forth it's being diagnosed more and I can totally understand that from the from what's actually causing pots and and and the fact that even though people have been..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...today we're going to talk about pots and why it is becoming more common prevalent rights becoming more prevalent so we are seeing more pots aren't we're seeing more pots and I had noticed that we were seeing more pots we were giving more pots diagnosis pots postural orthostatic tachycardia syndrome we get a zillion people okay exaggeration we so many people that come in here with heart palpitations and I bend over and I get lightheaded and by the time people most people get here with those symptoms they've usually been evaluated for like trans ischemic attacks and and and pretty much give it a clean bill of and we see it a lot ..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"All right so say keycap is a mnemonic to remember the DSM-5 criteria for depression or depressive disorder remember the patient needs to have five of the following symptoms within the same two-week period and these must include either a depressed mood or a loss of interest or pleasure is anhedonia the possible features RS4 sleep disturbances I for interest diminished also known as anhedonia G4 guilt and or for energy decreased so fatigue C stands for concentration problems and stands for appetite or weight changes which includes significant weight loss without dieting or weight gain P is for psychomotor agitation or retardation Foundation which is the slowing down of thoughts and movement and that's not just a subjective slowing down but it also something that's noticed by other people finally Suicidal Thoughts to reach a diagnosis of depression these symptoms must have a significant effect on everyday functioning and must not be the result of substance abuse or..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...Bulls could be often overlooking details or making careless mistakes difficulty maintaining focus on tasks or during a conversation even when there's no obvious others are failing to follow instructions complete tasks organize tasks losing items and forgetfulness females tend to display more symptoms of inattention and distractibility then hyperactivity and impulsivity the hyperactive-impulsive features include trouble sitting still fidgeting talking constantly including others or even being unable to wait turns such as Inner Line as patients get older the symptoms become less evident poor handwriting and dyslexia have also been found to be more prevalent in patients with ADHD additionally emotional dysregulation..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...obstructive sleep apnea is a breathing disorder characterized by recurrent episodes of Airway obstruction during sleep leading to periods with breathing stops known as apnea moving from wakefulness to sleep causes relaxation of muscle tone including the muscles of the upper Airway this allows the soft palate and the tongue to relax and to create an obstruction that reduces the patency of the respiratory tract rapid eye movement or REM sleep, in particular, is known to feature this reduction in muscle tone but it can happen throughout the Sleep Cycle there is snoring when some still enter but as the obstruction progresses the airflow can be severely reduced causing apnea the reduction in the ventilation of the lungs causes a reduction in blood oxygen levels and as a result there is an interruption in sleep known as neurological arousal with a partially awakens in order to restore muscle tone and therefore oxygenation but this isn't necessarily perceived by the person partial collapses with reduced oxygen or arousals a termed hypo apneas while apnea is defined as over a 90% airflow obstruction lasting 10 longer a cycle is there for generated alternating between periods of deeper sleep and higher wakefulness with a typical sleep cycle is which ultimately disrupts the quality of sleep and can cause sleep deprivation risk factors are thought to be obesity as it increases the amount of soft tissue around the airway..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...we spent a long time looking at these at these varying aspects that you've all probably been exposed to at this point in time and managed to get a what we feel is a pretty good understanding of how to go about these autoimmune problems because it turns out to pretty much every walks in here with just about anything they walk in with Aniston autoimmune problem and and if you have something that comes and won't go away and it came out of nowhere and won't go away for example people get migraines and then they go away and they never get them again okay the people walk in here the people get migraines they come in here you never go away and it's the same way with certain pains and it's the same way with certain gut problem and it's the same way with many of the conditions dizziness vertigo Bells fibromyalgia chronic fatigue those types of things so whatever reasons they don't go away maybe the maybe the biggest reason we last week we argued for the chronic stress response may be the biggest reason is autoimmunity and we got to see a lot of autoimmunity through trial and error we got to see that in a lot of these people that we had already kind of established in our minds that they had autoimmune problems do very well after we address their gut and we spent a lot of time they're gay spend a lot of time researching the gut and and at some point we decided you know what we got to do the gut first and some point we decided we had to do got and stress response but at some point we decided we had to get got first we started seeing significant jumps in Improvement quicker as being one of the moving parts and pretty much all the Autumn Unity that we were that we were treating and so so that became a center of focus and you're in your world as far as the research that you were doing and so we're going to bring you some of that today so and I will often tell people I have a feeling that sometime in the near..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"depression is a mental state of low mood there are several subtypes of depression but the major depressive disorder is the one that is usually intended it is expected to be the number one cause of disease burden worldwide by 2030 the term major depressive disorder was first used in the 1970s and the disorder was added to the diagnostic and statistical Manual of mental disorders known as the DSM in the in 80s today we have the DSM-5 which lays out nine criteria on which the diagnosis is based they include a low mood most of the day on most days and anhedonia which means a loss of pleasure or interest in previously enjoyable activities these two are considered core symptoms and one of them must be present for a diagnosis of major depressive disorder the other criteria include significant weight loss or weight gain insomnia or hypersomnia meaning not sleeping enough or sleeping too much fatigue or a loss of energy nearly every day psychomotor retardation which means ass going down of thoughts and physical movements that is noticed by others then there is inappropriate guilt or feeling worthless a reduction in the ability tea to concentrate and it recurrent thoughts of death a total of five or more over a period of at least two weeks leading to significant clinical distress or impaired functioning need to be present for the diagnosis and the symptoms cannot be the result of substance abuse or another condition major depressive disorder is thought..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...welcome back to me chiropractor and functional medicine practitioner primarily is dr. Gates I am a board-certified chiropractic neurologist and so we have practice in which we have morphed into a practice of chronic pain and chronic conditions in the title of today's topic is hot flash going Beyond hormone replacement therapy and Little did I know when I started getting into treating fibromyalgia many years ago and that it would morph into the practice that we have and even less that I know that it would more into me having to understand something about hot flashes and or hormone therapy and hormone replacement therapy seems to be pretty popular in this country I know those of you who may be watching in Southern California there seems to be hormone replacement therapy doctor on every other corner and and it's it seems to be like so many of the other treatments that have evolved current medical model or this current Healthcare model even relative to we have a symptom we try to alleviate the symptoms we find we don't have enough f let's take more estrogen that's we'll talk about a few minutes that is rarely a good long-term response and that's not even a saying that that's like the endocrine Society I agree with that so harm or replacement therapy has become really popular for a lot of different things but three things can happen when you use hormone replacement therapy for and and hot flashes are certainly one of the most common options that doctors will use hormone replacement therapy for..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"I never heard a group okay and so the bottom line is that he was talking about that a long time ago it's been around a while when I started to see the Improvement in my page consistently I thought wow this is what I want to do for a living and I had no clue 0 no clue at all that I was going to become conversant in gut problems I did that was going to become in thyroid problems there's going to have to become conversant and hormonal issues but the biggest thing is I had no clue art practice with developed into a man it's almost virtually 100% so this immune issue the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a like confused you on this matter if we have confused on this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is is there is such a thing as non-celiac gluten sensitivity we see it everyday it is hugely important for you to understand that if you are eating eating glue is creating incentives and you amount of what the tests say you get off of it and you need to stay off of it the tests are convoluted I am certain that what we are telling you is going to be proven not only is it's been proven in the but in future testing the testing I think is in evolution I think they will be better like the test that you just got talking about the dma believe Mom feels that is a better test is pretty cost-effective it's not real expensive so I think we're going to see this thing calm down as time goes on I don't think the gluten free market is going to go away that'll that'll sink" Learn more about your ad choices. Visit megaphone.fm/adchoices

e the autoimmune issue and the Celiac and the non-celiac gluten sensitivity all really go together I know mites I hope we haven't thrown out too much I hope we have a confused you on this matter if we have confused this matter because it's a complex matter and if just get that to you then relative to these chronic problems than that's good but we go back to the beginning of this and the bottom line is there is such a thing as non-celiac gluten sensitivity we see it every day it is hugely important for you to understand that if you are eating glue is creating incentives and your amount of what the tests say you get off of it and you need to stay off of it... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...training Expedition where they're basically deprived of food and deprived of sleep and then they also looked at patients who had PTSD suicidal ideation so those are your severe depression patients and bipolar disorder and they looked at all of their stress hormones they looked at cortisol they looked at aldosterone aldosterone is a hormone that goes up when you're trying to save sodium into your circulation like if you cut off an arm and you're bleeding out that's why we have aldosterone but it is a stress hormone look to DHEA DHS a sex hormone that comes from your adrenal glands they also looked at estrogen and testosterone levels and what they found is that in the marathon runners their cortisol levels and they're all dosterone just went up a little bit but it was only temporary whereas they saw in these soldiers who are out there for two weeks and you know bad conditions their aldosterone went up three times normal what it should be but otherwise their sex hormones their testosterone their estrogen levels were not significantly affect it was just mainly their quarters all in there they're all documents the stress hormones went up but their sex hormones were not sacrificed however in the patients who had PTSD severe depression bipolar disorder they had a significant compromise of their testosterone and their estrogen levels also their stress hormones were much elevated and this has been seen throughout the literature but it's a nice expose relative to a lot of people in their concept of stress we're trying to get all this information out to you because a lot of people think well yeah you know I'm stressed for a little bit and then it goes away and you're right if you are stressed out just for a short period of time your body is going to recover but the problem is is that when you get into these chronic states of fight or flight if you have severe depression or bipolar you can go back and look at our broadcast some what that does to the relationship between your fear Center which drives is a stress response and your memory area in your frontal lobes because your frontal lobes in your memory area are always trying to shut off the sphere Center and so once the sphere..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and depending on how this goes we may end up doing in the first two weeks I don't know but we'll definitely do it today so I'm just going to get cut right to the chase here this seems to be a stress-related group of questions so is there a link between long-term stress of about five years and hyperthyroidism / Graves disease tell you what I'll just read this and and I'll keep my stuff out of this now I think we should turn back and forth but with Graves disease the literature does state that stress can precipitate the condition some people dispute that in the literature but overall it's pretty well accepted this stress does cause Graves disease stress is not as much identified as a trigger for Hashimoto's yet but we're anticipating that that's going to change because we hear it all the time or person goes through major stressor and then they develop Hashimoto's so just realize this is an evolving situation we don't have all the answers even here in...things are changing all the time but I just read an article this morning...and they were talking about stress as it pertains to hyperthyroidism so yes without a doubt without a doubt so next couple next to I can kind of put together how is this chronic stress response turned off and the next question is how does one stop the fight flight those are 21 in the same question so and and and if there were a simple answer to that we probably wouldn't be sitting here doing these Podcasts every tuesday and and half of America probably be taking anti-anxiety medications and antidepressants and benzodiazepines and and on and on the number one two and three drugs in America but go ahead so and this we're doing this because I think a lot of you want to know what that could solution is because you've been conditioned and today's internet marketing world that there is a quick solution for everything there's a leaky gut solution there's a stress solution and frankly that to work with the complexity of cases coming into us so certainly you could go and try to meditate you can try to do stress relaxation techniques we're not knocking any of those but the patients that come to us chronic states of fighter flight history of childhood trauma chronic stress where there's a hyperactivation component to the amygdala the amygdala is the fear Center in the brain the problem is that the fear Center can actually grow and take over other neurological real estate in the brain it's like me growing and saying well this is mine now well that's talked about birds but that's what the amygdala does and it grows into the memory area..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...a chiropractic physician and a board-certified functional neurologist this is Dr. Randul okay you know he's the fourth certified functional neurology we're certified Chiropractic neurologist technical way to had I ever immigrants your certified functional medicine practice can you tell I was just talking about 23 different things before we just started I was just told I don't think that disgusting fish oil the truth about fish oil this is dr. Gates this topic today he chose and why are we picking on fish oil because we're kind of sort of going to pick on fish oil not really like badly if you're taking fish oil doesn't mean I've stopped taking it but we spent a lot of time developing protocols to help people within with chronic pain issues chronic syndromes...we're going to be like emptying the oceans for fish oil and we're not going to make the point that it's not because obviously it has been proven to be useful for a variety of functions of the brain function and anti-inflammatory Sarah however in our clinical World we're responsible results and we have to use certain methods to change symptomatology to get conditions to calm down and or disappear and we haven't had maybe the greatest experience with fish oils versus saying even turmeric we've used turmeric which we don't use that often anymore but we've used to work and when we used it in high dose..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...a chiropractic physician and a board-certified functional neurologist this is Dr. Randul okay you know he's the fourth certified functional neurology we're certified Chiropractic neurologist technical way to had I ever immigrants your certified functional medicine practice can you tell I was just talking about 23 different things before we just started I was just told I don't think that disgusting fish oil the truth about fish oil this is dr. Gates this topic today he chose and why are we picking on fish oil because we're kind of sort of going to pick on fish oil not really like badly if you're taking fish oil doesn't mean I've stopped taking it but we spent a lot of time developing protocols to help people within with chronic pain issues chronic syndromes..."  Learn more about your ad choices. Visit megaphone.fm/adchoices

"...first question is do you ever see patients who experience inner Tremors can you address what this might be all about and I would say yes we can address what this is all about we see a lot of patients with a variety of some Tremors and inner tremors are something that have a specific medical understanding for us yeah and the internal Tremors can be a number of things you could be anxiety it could be an autoimmune response your thyroid it could be hyperthyroidism it could be something like a pheochromocytoma which is where your adrenal gland has a tumor on it and makes to me adrenal hormones so all of those are possibilities for the internal Tremors we frequently see it with autoimmune thyroid disease but we see a lot of so that so that's kind of our take on anxiety a lot of anxiety those are two things I would go to those two things first I don't know yeah okay but yes can you have fibromyalgia this is a great question because it's kind of fiber understanding of fibromyalgia can you have fibromyalgia not have irritable bowel syndrome and not hurt when someone hugs you or touches you great question the understanding of what it fibromyalgia is evolve and and we've stayed on top of that Gates has done continued to stay on top of the research so I think this is an interesting question to answer for people who are confused yeah like me right so if I were myalgia we had the 1990 criteria by the American College of Rheumatology and that criteria set forth that if you have tenderness at a certain number of the trigger points 11 out of the 18 I know they team basically then you had fibromyalgia to produce 11 out of 18 and then you had other Associated symptoms of brain fog and fatigue whereas the new criteria the 2010 American College of Rheumatology criteria that came out and it's predicated on not having the trigger points you don't have to be able to termed a low zdenek allodynia constitutes pain with a normally non painful stimulus so like somebody giving you a hug so you don't have to have that pain response when somebody gives you a hug and you don't necessarily have to have IBS either in order to be diagnosed with fibromyalgia now it can't be another condition that's causing the pain it can be associate with other pain but you have widespread pain so pain and many areas of your body there's a way to document that you have other disabling symptoms of fatigue and brain fog and the fatigue and brain fog half of these severe enough to be above a certain score level for you to be diagnosed with fibromyalgia so it's really more predicated on widespread pain fatigue and brain fog and then it also factors in other Associated symptoms like IBS but you don't have to have IBS you don't have to have trigger points to have fun that you can have other gut problems like I have Celiac can write or you could just have non-celiac gluten sensitivity.." Learn more about your ad choices. Visit megaphone.fm/adchoices

...we're just going to answer some of the questions that we haven't had a chance to answer over a long period of time and really now and then we will answer select questions that seem to be that we think a lot of people out there might be asking based on what we hear in the histories that come in based on what we hear from people who have the types of conditions that we address so the first question we're going to address today is pernicious anemia autoimmune seem to me that that one could be pretty well easily fact figured out on the internet Canada cause severe pain and tummy issues you described I think pernicious anemia is autoimmune but I think it's a very interesting thing to maybe expand on a little bit I just things that might be connected to and so is it autoimmune and it caused severe pain and tummy issues through describe the tummy guy will answer that now so relative to pernicious anemia technically it's autoimmune gastritis where the immune system is attacking your stomach with pernicious anemia specifically we have immune cells that attack intrinsic factor intrinsic factor is the product made in your stomach cells that binds the V12 so you can absorb your B12 but in that process a lot of patients have autoimmune gastritis may also have their immune system killing the parietal cells of the stomach as well and in the course of that means basically your immune system is killing your stomach just like if your immune system is killing your joints it would probably hurt a lot of patients who have autoimmune gastritis do have gastritis and stomach pain and we pick up this entity pretty frequently it's not very commonly tested for in the medical world unless you are egregious lie low and b12 that's been our experience and you also have to have a serum gastrin done as well because gastrin is a hormone made in your stomach and when your stomach is breaking down gastrin goes up that's one way to detect pernicious anemia or ottoman gastritis the answer the... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...do you want me to just go down let's go down the so we haven't we have a long list we're not going to get through all of them we're going to spend about 15 or 20 minutes going over over these questions and we'll see how far along we get so the first one and these are quotes right off of the right off of the websites and from you so first one is a question about multiple sclerosis what is your thought on stress and multiple sclerosis so what I would say is that with most odd immune diseases what we find is that stress can be an exacerbating Factor when you look at the literature that holds true for many different conditions when it comes to Ms lots of times you'll read will stress may not be a major factor or Diet isn't a major factor but we would say in our clinical experience we disagree substantially any time an individual is under chronic stress just looking at the basic physiology of it you're going to decrease blood flow to the gas...hustle track is putting your body into a state of fight-or-flight ready to fight the line or run from it so to speak and in doing so we know the literature on Ms is robust on the gastrointestinal related to the illness meaning it has been shown that the gastrointestinal tract breaks down and patients who have MS and that leads to immune activation which is also seemingly associated with the immune activation in the brain so we would say stress can be a major component of Ms we've seen viral infections cause patients to go from you know basically secondary Progressive to primary Progressive we've seen the same thing with stress responses so stress is a major factor and if it is present not only in Ms or any other autoimmune illness it's one of the main factors that we have to address some yeah more in general if you're any type of a chronic pain patient the cliff notes on stresses when your chronic stress it can affect your brain it can cause short-term memory loss..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...in the end you have indicated through your research and response to care that you've been treating it as an autoimmune problem for quite a while now I've been three or four or five have I for at least four I'm thinking the one specific case back to back then so at least for so so share with us the data the new data on further on the fact that it's probably an autoimmune attack against the with certain aspects of your adrenal gland yeah exactly so the original studies came out the Mayo Clinic where they attacking the adrenal receptor basically there were these adrenal receptor antibodies sometimes there were immune cells to your autonomic nervous and so that's your the system that creates your fight and flight response in your rest and digest if you go to San dot you need a fight response to get blood up to your brain because otherwise all the blood... Learn more about your ad choices. Visit megaphone.fm/adchoices

...yeah I'm a presentation every week on different topics that we treat and we share with you research we share with you our results occasionally our failures and whatever we can do to help you get a better grip on your situation and sometimes even things that will help you this is our first of the month answering questions session and the questions this month we went over them last night are pretty good they show a lot of thought so we're going to start into these I'm just going to read the questions and then we'll answer them as it hits us as to who should answer them or so the first one what can we do to calm our fight or flight in our brains I grew up with horrific childhood abuse as well as a multitude...dude abusive relationships so yes my brain has a broken brake pedal so somebody's been listening that's what that's for sure I have done meditation sound therapies and doing things that truly excite me like anything pertaining to water I assume that's like water sports and swimming I have to enjoy I also enjoy ASMR I'm not sure if maybe it maybe EMDR that's kind of what I was thinking but I wasn't sure okay maybe okay we have ASMR neither one of us know what that is EMDR might make sense mgrs the type of relaxation technique that is used and do you have any suggestions I'm going to go right to you at that we had this conversation briefly the other day when we talked about the stress responses key you know you do get the stress response on the control it's hard to get anybody... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...you start out with the largest has a lot of people don't realize that the dysbiosis all these things that they're hearing about are a lot of them are are in the and I made a mistake when I said microbiome that's more your that's more to the small intestines but but large intestines the symptoms would be feeling that balance do not empty completely so and within the framework of this entire category there are specifics a lower abdominal pain relief by gas passing store gas means we have a bacterial problem gas is a bacterial problem okay it's the breakdown of bad bacteria you can get a couple gases but if you get if you get a methane gas that's sibo and small that's a small intestinal bacterial overgrowth that can be gas that can be bloating that can be passing large amounts of foul smell you have sir has in large amounts of foul-smelling gas and you get distension after you eat there's a good chance that you might have something called small intestinal bacterial overgrowth that alternating constipation diarrhea and I first and we're treating a case we're looking at the gut and we're like okay 75% of the immune system is in the gut this person has Hashimoto's whatever it is if you have an autoimmune problem which seventy-five percent of the immune system is in they got most of you have mystery diseases you're struggling you can't figure out what's going on in and everything's normal and your doctor's time you have an autoimmune component to your condition okay so so another symptom alternating constipation and diarrhea this is called irritable bowel syndrome okay here will bowel syndrome is our alerts us to the fact that person is probably in a chronic stress response..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...So today we're going to talk about an unavoidably controversial subject and that is does heavy metals cause autoimmune disease and it's it's and the reason I say that is I do all the intakes here and so I hear the patient's histories and hear what they've been through and Europe told we had a lot of patients that come in here who've been through a ton of heavy metal stuff I had time to get here and nothing happened I have heard the stories of the person's got Mercury out of their mouth and they got better and I've also seen it way more people coming in here with your logical reactions from heavy metals and and and everything in between so so it's its primary tool for some Physicians there's just been a lot of research over along a road I think of at least five or six or eight or nine years please I know like Jesus but he even was already exciting research on the...that it wasn't good for everybody dr. Crosby and who wrote a book on the brain and so so it's when I say it's kind of controversial the people who hang onto it still seemed to cling to it me as a primary factor now there are also collations that you can get online Galatians in the mail and I'm not sure that you know that's a good thing to do without some sort of background information as to what you're getting into maybe even an understanding of what can happen if you have certain abnormalities that a lot of autoimmune patients have like a bad blood-brain barrier bad got very bad lung barrier any way that I can get something to study art study he's going to talk about some of the new studies and so I think that we've seen here we don't see a lot of heavy metal problems here and we do primarily chronic pain we do line disease we do fibromyalgia propriety we do all kinds of... Learn more about your ad choices. Visit megaphone.fm/adchoices

... So today we're going to talk about the microbiome and thyroid and so this is a subject that has been dear to our hearts for at least eight years you've been here and before then you know that was a part of where it started to go back in my mentors days dr. cross and who I believe was the first person that really got how much thyroid affected everything so anyway the point is that when we first started doing these videos years ago a lot of people complain that we talk too much about the gut so we're going to talk about the God again today and new data on the guy and the microbiome and how it's so interesting now from why do you talk about the gut and how stupid are you how could the gut affect anything and how could diet affect autoimmunity and how could it be how could eating a right diet ever helped me and we were we were doing this in...most days and it was kind of interesting now it's kind of like people come in and educate me on the diet and it's kind of fun so diet and thyroid thyroid is like the canary in the coal mine the thyroid is connected to everything and everything seems to be connected to the the diet and and the microbiome and when people come in here for their thyroid which people still do we get a lot of people coming here for their thyroid the first thing I have to try to help them to understand it's not about your thyroid it's about everything else and one of the big everything else is is the microbiome that we were been talking about forever so so now we're going to talk a little bit more about the microbiome more nuances over the past couple of years it's come out that that microbiome is a lot to do with autoimmunity different types of autoimmunity rheumatoid arthritis for sure probably did other different types of autoimmune diseases... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...So today we're going to talk about Alzheimer's and sleep and more or less the basic concept of what we're going to talk about is Alzheimer's cause sleep problems or do sleep problems cause Alzheimer's kind of we're going to have kind of a chicken or the egg type of a discussion here today and we just saying that dr. Gates depending on someone asked this yesterday and asked me to retrieve a lot of Alzheimer's and according to that one classification system that has like seven stages so probably 90% of our patients be classified as having some stage of Alzheimer's we treat a lot of stress and stress hormones tend to hit something called your hippocampus and you're going to find out a little bit about the hippocampus that I and stress hits that hippocampus and the hippocampus...cause of sleep problems and so there are so there are the cycles that hit the hippocampus of different things and the hippocampus is where your short-term memory is and it's where I think it's pretty upon the Alzheimer's begins so so we see a lot of people with early I forget walking in the rooms I I can't I can't find my so remember where I put my lost my train of thought and I'm starting to get short-term memory loss my working marriage something like that which may not be called full-blown Alzheimers at that point I would buy that classification system here on so we see a lot of people with this and it doesn't mean that you're going to go there either and so when we say Norris every patient they we're not saying 90% have Alzheimers caressing doctor suffer the same fate as far as the classification act so you have to look at it it's like if you have is act exactly as you said if you walk into a room you don't know you're there you're like stage one yeah..." Learn more about your ad choices. Visit megaphone.fm/adchoices

...so Alzheimer's is kind of an interesting topic I still keep hearing nobody's found the cause of it yet I'm not sure there is a the cause relative to that and and and then our observation we do a lot of chronic pain that's what we do for those of you haven't seen us we combine functional medicine and functional neurology to create a paradigm to address kind of the cornerstones of physiology that seemed to be the core of what causes chronic conditions chronic pain in general and so if a person comes in here let's say with fibromyalgia it's pretty common that they're going to have brain fog and short term memory loss and and people come in here and there in PTSD there they're going to have short-term memory loss they're going to have they're going to have difficulty sleeping and things of that natur...going to bed but a substantial portion of our patients come in here with short-term memory loss and brain fog and and other things that you know have that Nuance of is this house hi so the Alzheimer's type of thing we have seen Alzheimer's patients but more often we see people who would seem to me to be in the process of going in that direction so it's of Interest to us to know what's going on and and so this is something that isn't that is it's enveloped in that core of conditions and and of problems chemical problems chemical Pathways neuronal pathways systemic problems that cause chronic problems chronic pain fibromyalgia preferably chronic fatigue dizziness vertigo balance a lot of these things it's interesting how they kind of overlap... Learn more about your ad choices. Visit megaphone.fm/adchoices

"...on polycystic ovarian syndrome PCOS and depression today much to my surprise doctor uh Justin for me we've never done one which is because we've done a lot of talk on PCOS and we see it a lot pretty common clinical picture that comes in here we see a lot of thyroid to correlate coordinate with a lot of Hashimoto's types problems so I'm not exactly sure where dr. Gates is going with this because we just talked about it but this is a subject that I happen to know that we're extremely conversant with and so I'll be anxious to hear if he comes up with anything new today it's good I'm not aware of and if not I may or may not chime in what's that so PCOS and depression well what's menopause but that's what people come in...of times guys am I going into menopause yeah yeah and actually some of the lead Endocrinology researchers will say that most women and menopause are actually kind of in a state of PCOS because at that point chemically yeah chemically so for those of you have PCOS you know how what a burden this condition really can be especially emotionally and not only affects you know your menstrual cycles and whether they're happening every month or every six months but also hair growth can be a big big factor for PCOS patients unwanted hair growth as well as those cysts on your ovaries for all intensive purposes explode at times and that can be exquisitely painful as well but PCOS is incredibly common it's one out of five females and Essence when diagnosed via the Rotterdam criteria the Rotterdam criteria was established to say that if you have two out of the three that I just mentioned if you have..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...apparently, we already have enough questions for the next several months but one of the questions was related to stress and hypertension and blood and it was kind of a question that seemed to require a little bit more of coverage than just answering it in that format so to my stress and hypertension there's some we see every day all day long it's a big part of what we see I think it's kind of took like okay stress and hypertension yeah but when you're in something all day it seems so obvious and so normal and everything and then you when you get a question like that you realize that that that there's a lot of folks out there wondering about the connections and what the mechanisms are and so on and so forth so I think the question was more specifically about the renin-angiotensin-aldosterone...row and renin-angiotensin system or something along those nature so I know how stress affects and how stress affects it so they must have been trolling through the internet or something like that about stress right and how to get rid of it right when it's a troll guys throwing has a different country I'm not an error that guy did we do this right every week every week we sit here I don't know Facebook I don't know I don't know Twitter I don't know internet and I don't know what trolling means so now I know it's something I probably have to learn what it means okay all right so relative to stress and the renin-angiotensin system so basically we have systems in our kidney that help to know if you're bleeding out and those systems and Essence will raise blood pressure in the event that like you severed an artery and that's kind of the way renal physiology works and control blood pressure that's how everybody learns..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...more with one of them and that and in and I think as we were going along we realized our patients were stressed but we would actually when we first got together we would actually say okay on this patient it's there really stress so we should do like just the brain and not do the functional chemistry and and not worry about the gut and and these people will just do the gut and not worry about it because they don't seem to be quiet and one of our big breakthroughs was to realize that most of our people were not just stressed that they were actually kind of a chronic fight flight or post-traumatic stress syndrome and it's amazing when I bring this to people in the consult it's amazing how many people acknowledged and literally stopped me in the middle of my explanation go that's me and and they had at that hadn't really given a thought to the fact that they weren't a chronic stress response and these people are of course are here because they're trying to figure out what's causing their their chronic pain..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...so we dug Gates is a board-certified functional neurologist I'm a functional medicine practitioner we've probably been in functional medicine since the Inception of its explosion if you will well way before its explosion and dr. Gates is affiliated with I would say the group of doctors that almost could say that they help to originate or maybe they did help originate bring rehab exercises and we've developed a pretty much a chronic pain practice okay I got a migraine that goes away I don't need you guys well I get migraines and they never go away I need and I could be fibromyalgia peripheral neuropathy or chronic fatigue or just a number of things so we've we are going to be answering questions from our listeners and the podcast from our viewers on we try to put together a representative compendium of questions that we think will be interesting to those of you who apparently view our products here if you want to call them that over over quite some time because it looks like a lot of these questions are from people who have given a lot of thought to their health the questions that we are seeing here some are very general some are very specific we don't see patients who particularly one particular question or one particular dietary 13 question relative to a supplement is going to make that much of a difference in their in their health that it doesn't that they don't show up here but certainly there are people who don't show up here dietary change has helped them or supplement changes help them and so we're going to address those those issues and we're going to dress those folks also so do you want me to just go down let's go down the so we have a we have a long list we're not going to get through all of them we're going to spend about 15 or 20 minutes going over over these..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...we're going to continue on now with thyroid I was thinking about this earlier I'm going to talk about how I process a thyroid in my mind again when you look in a book thyroid or maybe even some stuff you see online about functional medicine is here's the thyroid here's how you do this you give them that supplement and it's not like that for the patients who come in here anyway because the vast majority have already been everywhere and they've been there doctor they've driven them crazy their thyroid symptoms are normal or okay but their numbers are off so the education is screwed some up or vice versa the numbers are okay but they have 25 out of 25 symptoms of Hashimoto's thyroiditis and the doctor was doesn't know what to do for him and because and then gives them medication and that's actual hypothyroid case and those are the first challenge is to figure out that right there okay but really now again but really when a person comes in here and they have hypothyroid that's usually going to be they have hypothyroid they're taking that's usually beginning to be there are their several Pathways there's like twenty-one different Pathways between your thyroid making thyroid hormone and I'll go into a little your thyroid makes thyroid hormone it is made mostly like 93 to 97 percent of what it makes is enacted Department doesn't do anything it's inactive so I can be flying around your system attached these little proteins and fly around your system all..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...we're going to continue on now with thyroid I was thinking about this earlier I'm going to talk about how I process a thyroid in my mind again when you look in a book thyroid or maybe even some stuff you see online about functional medicine is here's the thyroid here's how you do this you give them that supplement and it's not like that for the patients who come in here anyway because the vast majority have already been everywhere and they've been there doctor they've driven them crazy their thyroid symptoms are normal or okay but their numbers are off so the education is screwed some up or vice versa the numbers are okay but they have 25 out of 25 symptoms of Hashimoto's thyroiditis and the doctor was doesn't know what to do for him and because and then gives them medication and that's actual hypothyroid case and those are the first challenge is to figure out that right there okay but really now again but really when a person comes in here and they have hypothyroid that's usually going to be they have hypothyroid they're taking that's usually beginning to be there are their several Pathways there's like twenty-one different Pathways between your thyroid making thyroid hormone and I'll go into a little your thyroid makes thyroid hormone it is made mostly like 93 to 97 percent of what it makes is enacted Department doesn't do anything it's inactive so I can be flying around your system attached these little proteins and fly around your system all..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...in chronic conditions and chronic diseases which is just my practice is the great mystery disease practice of like I got pain everywhere all my tests are normal you know if so some of my colleagues call it the mystery disease practice so gluten is a big part of that gluten has is potentially a big part of that I want to clear up a few things on gluten Okay so without getting into it too heavily gluten is a protein that's found in Wheat naturally occurring there's a lot of different theories as to why it's becoming a big problem in and you can find them online I'll just hit a few of them one of the theories is that we're modifying or genetically modifying it so that we can make more wheat and feed the world okay and that's a nice thing to do and it's very odd..." "...rustic the way that we can feed the world is because now we can use more of the toxins that we put on there to kill the bugs and then we're able to make more was crop your crops and thus make more weak okay problem is the genetically modified wheat gluten is what's called a very sticky protein okay we're going to talk about the sticky protein is why it's used in everything that's why it's used in soy sauce has its why Susan cake mixes it's why it's used in pizzas and every day it sticks things together okay and also because and as many of you understand that the inside of our intestines is where 70% of our immune system it has a significantly profound effect on our immune system a lot of the time gluten..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...today we're going to get to back to we're going to get oxygen okay we're going to talk about following the fuel so the first thing of the basics of getting better is to follow the fuel now what is the fuel that makes our physiology work the two main fuels that make our you work our oxygen and glucose okay and don't again don't under estimate the supposed Simplicity of where I'm going with this because we're going to talk about glucose and our next presentation okay today is going to be strictly about oxygen and people say well you know I get oxygen and if the person's like can't breathe and they've had a stroke or they've had COPD or they something like that they need auction but the reality is most of the people running around on planet Earth or at least in this country well and we're finding out several other countries from people who come here they don't have enough oxygen going to their extremities they don't have enough oxygen going to their brain and a lot of us would argue that means they do have a lot of oxygen or enough oxygen going to their enteric nervous system meaning the nervous system that controls your intestines so oxygen is is kind of vital realize that if you stop breathing for a short period of time that probably would be a good representation of how important oxygen is okay but on a subtle level we need oxygen to make okay if functional medicine is about anything it's probably about looking at all of the organ in the body all of the feedback mechanisms in the body all the biochemical systems in the body that contribute to Chronic conditions that are not working..." Learn more about your ad choices. Visit megaphone.fm/adchoices

"...and I'll say are they helping you and astonishingly they'll say no I don't know if they're helping me no or I don't know if they're helping with their afraid not they've read that they need them because this one is for oxidation and this one brings down inflammation and I was texting just like drugs you should know whether your supplements are helping you or not like when you're using a farm you're not going to come into me and go I had AA car you gave me this and I don't know if it helped me around if a person comes in and they're taking a high-grade supplement that I've given them the effect is because it hasn't been dosed up enough and then you would know to do sit up if a person comes in and I give them a supplement most of the time but the next time or two I see him they're going to say I feel better I feel worse either I'm good either way because it tells me something about their physiology okay that's what you should be experienced if you're taking like..." Learn more about your ad choices. Visit megaphone.fm/adchoices

with all these Foods you go you're all the ones that says you're not sensitive to in the next thing you're getting sick or just happened to me about five times blew up the whole program and and food sensitivities are as big a part of what is the diet for me what diet should I eat for fibromyalgia what do I shave for irritable bowel syndrome as anything but they're not the only thing so let me walk you through what we've come up I Now understand we've traded we've had over 40,000 patients come through this Clinic over the period of time I've been around and although we haven't treated all of them we've treated most or a lot of them are probably well over half of them but we've interviewed all of them and we evaluated all of them so we have a pretty good idea kind of coming ongoing clinical trial of like what works and what doesn't work the everybody who comes into us well not everybody today today my patient population knows about diet more than ever before I'm usually shocked when I have a patient the other day I came in it was kind of surprised that diet could possibly be a part of their of their way to help if you will so most people today are coming in they're already on paleo diet or they're already on the vegan diet or they're already eating better than 90% of the human race and are whatever diet they're on they're on the ketogenic diet and her and and animated feel better for a while but then it didn't or didn't work and they're wondering why are they still sick so we'll start out that okay we'll start out with the clinical pearls now this is real hardcore brass tacks get down to you got a sick person sitting in front of you and you got to start understanding what's going on and and and and that person's already telling me basically they're telling me look dude I know more about diet than you do I'm already eating better than you you know Learn more about your ad choices. Visit megaphone.fm/adchoices

Join us Monday for a fresh new episode made to answer all your questions about diet and nutrition "...with all these Foods you go, you're all the ones that say you're not sensitive to in the next thing you're getting sick or just happened to me about five times blew up the whole program and food sensitivities are as big a part of what is the diet for me what diet should I eat for fibromyalgia what do I shave for irritable bowel syndrome as anything but they're not the only thing so let me walk you through what we've come up with..." Learn more about your ad choices. Visit megaphone.fm/adchoices

or acting because I have a lot of autoimmunities a tooth extraction can set off autoimmunity I didn't feel like setting things off because I'm in pretty good shape at that time once I got the infection under control my pain to go away so so knowing about dental issues we're going to talk about the mental aspect of dental issues in a future segment heavy metal not all Heavy not all people have to have the Mercury by Dental infection can be a real Bugaboo so we have everybody fill out you know part of our history what's going on with your dental stuff if those people have that we are going to insist that they go to their dentist either why we're doing this or before we start if it looks like they have dental infections another huge one this is so big I can't even tell you it's called Sleep Apnea so for those of you who just rolled your eyes stop Learn more about your ad choices. Visit megaphone.fm/adchoices

just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done the and now we're going to start moving into a little bit more into treatment and this this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of a its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety it results in panic attacks or results in the Prussian it results in inflammation it results the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and and I'm going to we're going to understand why things Learn more about your ad choices. Visit megaphone.fm/adchoices

just a number of things now I can't put them all on order and review them that we've gone through the history we've gone through the exam we've gone through so many of the basics of what needs to be done and now we're going to start moving into a little bit more into treatment and this topic today which is stress and how chronic stress creates and or perpetuates chronic conditions is kind of it's kind of a borderline foundational issue and it's kind of a its kind of also a huge functional issue as far as relative to the Future talks are going to be for example about the large intestines small intestines the stomach how they all play into each other the order in which to attack them and so when a person comes into our office we once we decided that they're probably a good candidate we have them fill out an...I have one section of about maybe 12 questions on the intestines and then we have another test area on maybe five questions on intestinal permeability we have five pages of questions on the brain and brain chemistry and brain chemistry when it goes abnormal results in anxiety it results in panic attacks or results in the Prussian it results in inflammation it results from the bottom line is all of these different physiological neurological abnormalities create a lot of problems I would make the argument that it's at least a ginormous contributor to this expanding group of patients who are The Chronic pain patients the autoimmune patients and I'm going to we're going to understand why things Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to "Multiple Chemical Sensitivities". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the (causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that makes you lose sleep and denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Leaky Guts". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Leaky Guts" (causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that makes you lose sleep and denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Explore health Talk Weekly. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time for the treatment of chronic health problems. Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the untold secret to achieving a 100% healthy lifestyle (causes/symptoms/treatment). Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time for the treatment of chronic health problems. Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the untold secret to achieving a 100% healthy lifestyle (causes/symptoms/treatment). Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Adrenals". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Adrenals"(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that makes you lose sleep and denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Liver". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Liver pt 2"(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that worries you and makes you lose sleep. Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

"...liver and for those of you again who are just tuning in I I walked through this it from the eyes of a daily practitioner and what they actually see in practice so for example on liver I'm not going to be going through cirrhosis and all the herpes viruses and all that we might touch on the virus a little bit because that's not what we see we don't generally see people coming in here yeah and phased you know liver cirrhosis and alcoholic you know cirrhosis or hepatitis or a no well I just I rarely see those things that that person is already gone and to the medical field and gotten all the tests and then they come here or they are they get fixed that way so so the liver is kind of interesting in our world the..." Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Male Hormones". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Male Hormones"(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that worries you and makes you lose sleep. Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Female Hormones". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Female Hormones pt 2"(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that worries you and makes you lose sleep. Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Female Hormones 1". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Female Hormones pt 1" (causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss "Focus" on "Symptoms Or Corrections". Join us as we tell all the truth untold about that health condition that denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Gallbladder". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Gallbladder pt 2" (causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that denies you 100% "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

...going to talk about one of my favorite subjects today so and then some people are going to like you're really weird or whatever it is but we're going to talk about the gallbladder today then you're not getting better is the gallbladder is like ginormously important to us you wouldn't think so with a gazillion gallbladders coming out I think it's God how much is it I actually have notes in front of me today I don't usually use notes okay but the gallbladder to me is so huge it's so important that I really I'm not good at statistics and stuff like that I'm not great at numbers so I but I really wanted you to get the whole idea of what's going on I most of you so I'm going to be looking down and reading off my notes so if that looks unprofessional than too bad that's this is what we're going to do it so so with his... Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to "The Stomach". Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "chronic health conditions involving the stomach"(causes/symptoms/treatment). Join us as we tell all the truth untold about that health condition that worries you and makes you lose sleep. Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of the Green Psych Minds Valid Health And Wellness Podcast Show. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Classic functional medicine you can rely on at any time when dealing with health issues related to the "Pancreas. Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss the "Pancreas"(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that is preventing you from achieving that 100% "Health and Fitness You Deserve". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss "Obsessive Compulsive Disorder OCD "(causes/symptoms/treatment)... Join us as we tell all the truth untold about that health condition that troubles your "Health And Fitness". Get a breakdown of over 500+ sicknesses and health conditions and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. Join us again soon on the next episode of Health Explorer With Dr. Anonymous. Enjoy Learn more about your ad choices. Visit megaphone.fm/adchoices

Treating the Individual first and then the Diagnosis is always the first step toward finding a lasting solution to every health problem... Today we start to discuss "Chronic health Conditions And Functional Medicine" that works. Join us as we tell all the truth untold about that health condition that prevents you from achieving That 100% "Health And Fitness" you deserve. Get a breakdown of "over 500+ sicknesses and health conditions" and the best ways of managing and preventing these diseases and health conditions. For more episodes just click on the subscribe button and you won't miss new episodes published weekly. It's 100% free. Thanks for listening. See you again soon on the next episode of Explore Health Talk Weekly Podcast Show. Enjoy. Learn more about your ad choices. Visit megaphone.fm/adchoices