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

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CHAPTERS:

00:00 - Intro to chondrotoxicity

00:51 - Why do we care about this?

01:41 - What type of experiments do we have in this field?

03:54 - Steroids

05:07 - NSAIDs

06:58 - Viscosupplementation

07:45 - Dextrose Prolotherapy

08:58 - PRP

09:42 - Local Anesthetics

11:11 - Challenging the status quo

*Disclaimer*

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

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

 CHAPTERS:

00:00 - Introduction

00:58 - 4 Main categories of injections

03:30 - Steroids mechanism of action

05:43 - NSAIDs mechanism of action

08:28 - Viscosupplementation mechanism

11:12 - Dextrose Prolotherapy Mechanism

14:02 - PRP Mechanism

15:34 - Stem Cell Mechanism

17:44 - Hydrodissection Mechanism

19:18 - Recap

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

*Disclaimer*

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

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

In this episode we cover:

Who is a good candidate for an injection? (00:39)

Injection options (06:50)

Who should I see for an injection? (07:41)

Do I need an ultrasound guided injection? (09:49)

Price considerations (11:05)

Risks, benefits, and alternatives (12:14)

The ideal candidate for an injection (16:04)

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

*Disclaimer*

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

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

CHAPTERS:  

00:00 - Introduction

00:28 - Do people with higher cholesterol live longer?

04:33 - Does LDL particle size matter?

07:39 - Why don’t we see a huge improvement with statins in the elderly?

08:33 - Why do people who have heart attacks sometimes have “normal” cholesterol?

11:16 - I have a CAC score of 0, that means I’m fine…. right?

13:24 - Will statins steal my gains in the gym?

14:36 - Outro

*Disclaimer*

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

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

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

CHAPTERS:

00:00 - Intro

00:42 - Claim: Don’t We Need A High Cholesterol Level To Make Hormones?

04:57 - Claim: LDL is natural so it can’t be harmful

07:00 - Claim: LDL Doesn’t Matter… It’s the Inflammation!

*Disclaimer*

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

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

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

*Disclaimer*

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

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

*Disclaimer*

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

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

Chapters:

00:00 - Intro

00:20 - Standard Lipid Panel

02:23 - Total Cholesterol

03:53 - How Fasting Changes Total Cholesterol

05:35 - LDL-C vs LDL-P

06:52 - ApoB

08:05 - Which Lipoproteins Can Get Into The Endothelium?

09:29 - The Insulin Resistant Patient Profile

10:59 - How To Intrepret Your Lipid Panel

14:37 - My Take On How To Look At A Lipid Panel

16:23 - Lipid Panels are just a tool

18:00 - Outro

*Disclaimer*

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

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

Chapters:

00:00 Introduction

00:36 Nutritional Changes to lower LDL

01:13 Saturated Fat Intake

02:34 Phytosterols

04:28 Fiber intake

05:28 Dietary Cholesterol

06:52 Weight Loss

07:33 Referral to Dietician

08:42 Nutrition for elevated triglycerides

10:16 Refined grains/added sugar consumption

11:29 Omega 3 Fatty Acids

12:22 Exercise

13:06 Weight Loss

13:35 Referral to Dietician

13:57 Dietary Changes for mixed dyslipidemia

14:44 Weight Management and ASCVD risk

17:18 Prevention of cardiovascular disease

18:18 Medical Nutrition Summary

18:48 Nutraceuticals/functional foods definitions

19:41 What patients are good candidates for these things?

20:25 What are the risks?

24:06 Red Yeast Rice

25:18 Omega 3 Fatty Acids

26:16 Berberine

26:58 Soy

27:22 Vitamin D

27:48 Antioxidants

28:43 Turmeric

29:34 Green Tea

30:21 Resveratrol

31:02 Other compounds

31:51 Non-pharmacologic therapy summary

*Disclaimer*

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

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

Timestamps:

00:00 - Intro

00:41 - Why We Care About Imaging

01:14 - CAC vs CT Angiogram

02:58 - CAC Testing

04:29 - Physiology behind calcium deposits

05:23 - CAC vs risk calculators

07:59 - Cost Effectiveness of CACs

09:30 - The power of CAC=0 1

2:39 - CAC in symptomatic patients

14:21 - CAC recommendations per various guidelines

16:22 - CAC Radiation

17:14 - CAC Scoring

19:44 - Coronary CT Angiography (CCTA)

21:07 - When is a CCTA useful?

21:56 - Intravascular Ultrasound (IVUS)

22:50 - Summary

References

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

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

https://doi.org/10.1007/978-3-030-56514-5   

*Disclaimer*

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