Intelligent Medicine with Dr. Ronald Hoffman | The Best of High Tech Medicine and Alternative Modalities

• After a long run, my knees hurt upon standing up from my chair. Is this arthritis?
• My new gynecologist says I don't need progesterone while taking estriol. What say you?
• I lost 100 pounds after gastric bypass but now I have incapacitating blood sugar spikes after meals.
• I have a positive ANA but all other tests are negative. Should I be concerned?
• Should I be concerned about the side effects of minoxidil compounded with dutasteride for hair loss?

The exorbitant cost of new drugs touted for psoriasis in direct-to-consumer ads highlights everything wrong with our medical system; When gastric bypass surgery sends blood sugar out of control; A campaign to ban ultra-processed foods from school meals may help alleviate nutritional threats to kids—but healthy eating begins at home; With winter viruses making the rounds, a remarkable supplement offers potent immune system support. 

What are the downsides of pacemakers? Rethinking low-protein diets for chronic kidney disease; Bright light therapy and creatine alleviate depression; Withdrawal from World Health Organization assailed—but the U.S. can’t afford to abdicate to its flawed dietary recommendations; Does a positive ANA blood test necessarily mean you’re destined to develop an autoimmune disease? Unprecedented levels of sedative drug abuse among young people calls attention to “Anxious Generation."

In this episode of Intelligent Medicine, Nutritionist Leyla Muedin discusses the rising importance of integrating culinary medicine in modern healthcare. Leyla emphasizes the need for blending ancient dietary wisdom with contemporary scientific practices to improve overall health and prevent disease. She highlights how convenience foods laden with preservatives and additives are detrimental to our gut health and advocates for a more thoughtful approach to nutrition. Traditional practices from Chinese and Ayurvedic medicine are revisited, stressing the importance of addressing root causes rather than relying purely on pharmacological solutions. Leyla calls for a healthcare approach that includes nutrition professionals to provide personalized dietary advice, ultimately leading to a proactive, holistic, and sustainable health management system.

• Upcoming congressional hearings for RFK, Jr to head HHS
• I sleep four hours a night and feel fine, but is there a sleep supplement you recommend?
• Is agave a better sugar substitute than stevia? Any cautions about using agave?

• Do you take all of your supplements when you go on vacation?
• I give blood at least once a year and now my ferritin level is 28. What should it be?
• Long-term use of statins can cause insulin resistance and associated elevations in fasting insulin
• Can anybody recover from primary progressive aphasia?

In this episode of the Intelligent Medicine Podcast, Dr. Ronald Hoffman interviews Dr. Carol Johnston, a professor of nutrition and associate dean at Arizona State University, dubbed 'The Vinegar Lady' for her extensive research on vinegar's health benefits. Dr. Johnston discusses the scientific basis for using apple cider vinegar to manage blood sugar levels, particularly in pre-diabetics, and its potential impacts on other conditions like depression. She explains how vinegar (acetic acid) affects metabolism and digestion. Additionally, Dr. Johnston highlights her research on high protein, low-fat diets, ketogenic diets, and the importance of maintaining a balanced intake of vitamins, especially B6 and C, due to common deficiencies in the American diet. The conversation includes practical dietary tips and addresses concerns like how to incorporate vinegar safely into daily consumption.

Dr. Hoffman continues his conversation with Dr. Carol Johnston, PhD, RD, Professor of Nutrition, in the College of Health Solutions, Arizona State University.

Integrative dermatology with Dr. Diana Hurwitz, co-author of "Strategies to Treat Psoriasis and Psoriatic Arthritis." We hear about how her personal journey toward embracing diet and supplements for her patients with skin problems was motivated by the discovery—after many missed diagnoses—that she was suffering from celiac disease. She finds that many skin conditions are ameliorated by elimination of culprit foods, and the overall adoption of an anti-inflammatory diet. Dr. Hurwitz discusses treatment for acne, in light of the fact that while dermatologists are 1% of medical specialists, they dispense 20% of the antibiotics prescribed overall. She updates us on the latest “biologic” medicines for eczema and psoriasis, but claims they work better when complemented with lifestyle changes. Dr. Hurwitz discusses the role of vitamin D, Omega 3s, and probiotics for many skin conditions, as well as niacinamide which reduces recurrence of skin cancer; she also addresses sunscreens and scar treatments. 

Dr. Hoffman continues his conversation with Dr. Diana Hurwitz, co-author of "Strategies to Treat Psoriasis and Psoriatic Arthritis: Everything You Wish Your Doctor Had Told You."