(TW: Sensitive topic). 

In this episode I look at the juxtaposition of the human and clinical side of this topic which is not talked about enough.

Links: 

Babies drama on BBC: https://www.bbc.co.uk/programmes/m002qkqt

Tommy's Research and support: https://www.tommys.org/our-research/our-research-centres/tommys-national-centre-miscarriage-research

SANDS: https://www.sands.org.uk/

Early Pregnancy Units: https://aepu.org.uk/units/

Hughes Syndrome: https://www.nhs.uk/conditions/antiphospholipid-syndrome/

NHS miscarriage information: https://www.nhs.uk/conditions/miscarriage/

Folic acid in pregnancy and MTHFR genes: https://pmc.ncbi.nlm.nih.gov/articles/PMC7776832/

Short and basic explanation of methylation: https://www.nutritionist-resource.org.uk/articles/what-is-methylation-and-why-does-it-matter

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I thought in this episode I would acknowledge people living with rare diseases as they can be hard to diagnose and live with.

Links:

Batten Disease: https://my.clevelandclinic.org/health/diseases/6018-batten-disease

Lorenzo's Oil: https://www.healthline.com/health/neurological-health/lorenzos-oil-does-it-work

Moya Moya Syndrome: https://www.mayoclinic.org/diseases-conditions/moyamoya-disease/symptoms-causes/syc-20355586

CRISPR gene technology: https://www.broadinstitute.org/what-broad/areas-focus/project-spotlight/questions-and-answers-about-crispr

Huntington’s Disease therapy: https://www.bbc.co.uk/news/articles/cevz13xkxpro

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It’s the future of medicine but how does it work, what are its origins and how can we benefit from it? In this episode I look at the way medicine can be tailored to our health.

The work of Leroy Hood and P4 Medicine paper: https://pmc.ncbi.nlm.nih.gov/articles/PMC4204402/

The Human Genome Project: https://wellcome.org/insights/articles/human-genome-project-new-era-scientific-progress

NHS personalised medicine page: https://www.england.nhs.uk/healthcare-science/personalisedmedicine/

ApoB as a biomarker: https://www.nature.com/articles/s42003-024-05887-2

Gut-skin links (systems biology): https://www.frontiersin.org/journals/microbiology/articles/10.3389/fmicb.2018.01459/full

Leukaemia mutations: https://pmc.ncbi.nlm.nih.gov/articles/PMC6142505/

AI for healthcare: https://www.imperial.ac.uk/stories/healthcare-ai/

Methylation (MTHFR gene): https://www.healthline.com/health/mthfr-gene

ApoE genes and Alzheimer’s risk: https://www.alzheimersresearchuk.org/news/apoe4-and-apoe3-gene-variants-linked-to-at-least-7-in-10-alzheimers-cases-study-suggests/

Statins and their effect on inflammation: https://www.ahajournals.org/doi/10.1161/circresaha.116.308537

My book THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0

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Most people will have come across arrogance in the workplace but medicine is not an arena that it should have a place, or should it?

In this episode I look at the impact on patients, the public and the workforce.

Links: 

Diagnostic errors and overconfidence: https://www.amjmed.com/article/S0002-9343(08)00040-5/pdf

Curiosity as a cure for arrogance: https://bjgplife.com/clinical-curiosity-an-antidote-to-medical-arrogance/

Women and sexual assault in surgery: https://www.bbc.co.uk/news/health-66775015

Missed heart attacks: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/heart-attacks-in-women

Medical errors: https://pmc.ncbi.nlm.nih.gov/articles/PMC10896093/

Models for feedback: https://www.ausmed.co.uk/learn/articles/giving-feedback

Data on NHS complaints: https://digital.nhs.uk/data-and-information/publications/statistical/data-on-written-complaints-in-the-nhs

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Nostalgia is not strictly medical although it was coined a term of a condition of melancholy but in more recent years studies show that it may be a more important part of wellbeing than we thought.

Links:

Nostalgia as a disease: https://www.sciencedirect.com/science/article/abs/pii/S2352250X22002573

Clay Routledge: https://www.clayroutledge.com/

Nostalgia and wellbeing: https://pubmed.ncbi.nlm.nih.gov/36669249/

Man’s Search For Meaning: https://www.goodreads.com/book/show/4069.Man_s_Search_for_Meaning

The past makes the present meaningful: https://pubmed.ncbi.nlm.nih.gov/21787094/

Music and nostalgia: https://www.southampton.ac.uk/~crsi/Sedikides,

My own nostalgia tips: music, photos, places, journalling and rituals.

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Work is such a large part of most of our lives. Most of us spend more time at work than at home if you don’t count sleep at night. And many of us work from home. But how do we know if our work might be affecting our health and what can we do about it? 

In this episode I look at some examples and give you a check list of what you can do.

Links:

Aviation and health: https://www.cdc.gov/niosh/aviation/prevention/aircrew-cancer.html

Coal miners and lung disease: https://www.cdc.gov/niosh/bulletin/2023/mining-lung-disease.html

CTE from head injuries in rugby: https://www.bbc.co.uk/sport/rugby-league/articles/cg5d9546zzeo

Jobs and personalities: https://www.ed.ac.uk/news/2024/personality-traits-that-typify-job-roles-revealed

Job satisfaction: https://www.forbes.com/sites/barnabylashbrooke/2023/07/13/job-satisfaction-is-key-to-workplace-productivity-but-how-do-you-get-it/

Shift work: https://www.uclahealth.org/news/article/5-long-term-health-effects-shift-work

Setting boundaries at work: https://www.indeed.com/career-advice/career-development/boundaries-at-work

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Increasingly we see different presentations to a doctors surgery and our access to knowledge and understanding of health and medicine means there are many ports of call for information and seeking help. In this episode I look at the gap between health and medicine and what we can about it.

Links: 

Medicine powered by plants: https://www.nhm.ac.uk/discover/essential-medicines-powered-by-plants.html

The evolution of ‘medicine'- https://pmc.ncbi.nlm.nih.gov/articles/PMC11245246/

Holism in medicine: https://www.webmd.com/balance/what-is-holistic-medicine

Self care: https://www.selfcareforum.org/about-us/what-do-we-mean-by-self-care-and-why-is-good-for-people/

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Most of us drink caffeine and it is in many foods too such as chocolate.

What are its impact on health? In this episode I look at the pros and cons of this ubiquitous every day legal drug.

Links:

Genetics of caffeine metabolism: https://www.sleepmattersperth.com.au/how-genetics-influence-caffeines-impact-on-sleep/

Cognitive and physical performance: https://pmc.ncbi.nlm.nih.gov/articles/PMC4462044/

Caffeine and Parkinson’s Disease: https://pmc.ncbi.nlm.nih.gov/articles/PMC7773776/

Coffee and dementia risk: https://www.nature.com/articles/d41586-026-00409-y

Coffee and Liver Disease: https://www.news-medical.net/news/20250921/Coffee-protects-the-liver-by-blocking-inflammation-and-scarring-review-finds.aspx

Caffeine as pain relief: https://www.bbc.co.uk/news/articles/cgr44j201rzo

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We live in a data driven world and increasingly this applies to health. In this episode I look at some examples of how they can help or hinder.

Body composition scales: https://www.healthline.com/health/body-fat-scale-accuracy

HRV: https://my.clevelandclinic.org/health/symptoms/21773-heart-rate-variability-hrv

Continuous glucose monitoring: https://www.ucl.ac.uk/news/2024/jun/use-glucose-monitors-people-not-living-diabetes-needs-more-regulation

Blood glucose spikes: https://www.bbc.co.uk/food/articles/avoid_blood_sugar_spikes

Sleep trackers: https://www.euronews.com/health/2026/01/27/sleep-tracking-using-smart-watches-and-rings-has-limits-do-they-really-work

Atrial fibrillation: https://www.nhs.uk/conditions/atrial-fibrillation/

EMF: https://www.sciencedirect.com/science/article/pii/S2772671124000901

THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0

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This episode is about alcohol, an ever popular topic when it comes to health and harm. In this episode I look at its history and some of the ways in which it affects us and our health as well as why we drink alcohol in the first place.

Links:

Oldest brewery: https://www.bbc.co.uk/news/world-middle-east-45534133

Distillation: https://www.britannica.com/video/how-is-liquor-made/-340178

UK alcohol limits: https://www.nhs.uk/live-well/alcohol-advice/calculating-alcohol-units/

Hangovers: https://www.mcgill.ca/oss/article/health/curing-hangover

Alcohol and mental health: https://www.mentalhealth.org.uk/explore-mental-health/a-z-topics/alcohol-and-mental-health

Sleep: https://www.sleepfoundation.org/nutrition/alcohol-and-sleep

Red wine and gut microbes: https://www.kcl.ac.uk/news/red-wine-benefits-linked-to-better-gut-health-study-finds

Relaxing without drinking alcohol: https://www.drinkaware.co.uk/news/how-to-relax-at-home-without-drinking

Alcohol free drinks: https://www.theguardian.com/thefilter/2025/feb/04/best-low-alcohol-non-alcoholic-drinks

Alcoholic liver disease: https://britishlivertrust.org.uk/information-and-support/liver-conditions/alcohol-related-liver-disease/#causes

Alcohol and cancer risk: https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/alcohol-and-cancer/how-does-alcohol-cause-cancer

Alcohol consumption data: https://ourworldindata.org/alcohol-consumption

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