The Antisocial Doctors Podcast

In part two of our breast cancer screening series, we explore why "alternatives" to mammography—like thermography and QT ultrasound imaging—are suddenly everywhere on social media and why they sound so appealing. We dig into the biggest claims, the emotions and distrust fueling the trend, and the questions we hear from patients about pain, radiation, dense breasts, and “better” high-tech options. We also unpack why ultrasound and MRI come up so often in these conversations, and what gets missed when people frame screening as a simple “which test is best?” debate. If you’ve been tempted by a painless, no-radiation option—or you’re confused by the messaging online—we hope this episode will help you think through it with nuance, evidence, and compassion.

00:00 Podcast Mission Intro
01:13 Part Two Setup
01:53 QT Scan Patient Story
04:05 Claims About Alternatives
06:13 Thermography Hype
09:05 Why This Goes Viral
10:45 Marketing And Conflicts
14:21 Nugget Of Truth
17:31 Ultrasound Versus Mammogram
19:42 When Ultrasound Makes Sense
23:14 MRI Pros And Cons
28:15 Autonomy Versus Harm
29:12 PCP Would You Rather
29:56 Ordering Patient-Requested Tests
31:39 MRI Screening Tradeoffs
31:58 Thermography Explained
33:28 Why Thermography Fell Off
35:23 Revisiting Thermography Claims
42:42 Thermography Harms and Costs
44:51 QT Ultrasound How It Works
46:18 QT Data and FDA Status
50:41 Bigger Picture and Incentives
56:06 Resources Wrap-Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode of The Anti-Social Doctors Podcast, we kick off a two-part, hot topic: mammograms—specifically, the claims circulating online that mammograms may be harmful or ineffective. We explain why this conversation has become so viral, outline the major concerns people raise, and review what the research actually shows.

00:00 Podcast Mission
01:12 Rebrand and Substack
03:35 Why Mammograms Trend
07:39 Common Anti Claims
11:19 Why It Goes Viral
19:54 Nugget of Truth
21:48 Guidelines and Incentives
31:07 Radiation Risk Breakdown
41:10 Radiation Risk Nuance
42:45 Trust And Shared Decisions
45:30 Overdiagnosis And DCIS
48:53 Biases And Better Metrics
50:16 Age 40 To 49 Debate
55:34 All Cause Mortality Myth
01:00:34 Why Guidelines Exist
01:05:44 False Positives And Costs
01:12:29 Sonia's Personal Callback Story
01:15:05 Takeaways And Next Episode
01:18:05 Patient Communication Tools
01:19:18 Wrap Up And Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode of The Anti-Social Doctors Podcast, we dig into why body composition testing is suddenly everywhere—from gyms to clinics—and why it’s sparking big opinions online. We share the real patient moments that prompted this conversation, talk about the promises that get made (and why they’re so appealing), and explore what we think patients and clinicians should keep in mind before treating these reports like gospel. We also tease the differences between common testing methods, why “more data” isn’t always better, and the questions we wish were answered before body comp is treated like a routine vital sign. If you’re curious, skeptical, or feeling overwhelmed by health metrics, this one’s for you.

00:00 Podcast Mission
01:14 Why Body Comp
03:10 Big Claims Online
05:27 Why It Went Viral
08:17 Nugget Of Truth
16:32 DEXA Vs BIA
17:12 How BIA Works
21:26 What The Studies Show
31:25 Does Monitoring Help
35:36 Vital Sign Debate
36:31 Motivation Beyond BMI
38:29 Accuracy Limits and Frustration
41:47 Obsession and Disordered Eating
45:14 Stigma and Mental Health
49:12 Cost Incentives and Wellness Revenue
54:15 Why Use It With GLP-1s
56:35 Practical Takeaways and Best Practices
59:24 How They Use It in Clinic
01:03:45 Future Use in Eating Disorders
01:05:00 Resources CME and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we dig into the viral buzz around NAD+ and its precursors and ask the big question: are supplements or IV “drips” actually worth it? We share a real patient story that captures why these promises feel so tempting—especially when you’re anxious, exhausted, or desperate to feel better. We also discuss the surprising gap between what’s commonly claimed online and what’s actually been studied, including what we found when we looked closely at the available research and the red flags that stood out. If you’ve been curious about NAD+ for energy, longevity, recovery, or “inflammation,” this is the nuanced, evidence-focused conversation you’ve been looking for.

CORRECTIONS:  In this episode we discussed the 2022 FDA ban on NMN being sold as a dietary supplement because it had been authorized for investigation as a drug. However, in September 2025, after industry petitions and a lawsuit, the FDA reversed this decision and concluded NMN can be marketed as a supplement after all. 

In our discussion regarding the IV NAD+ and IV NR observational study, we stated that there were 6 participants in each group. However, there were actually 8 participants in the IV NR group with 5 out of the 8 reporting adverse effects during infusion.

00:00 Podcast Mission
01:18 NAD Episode Setup
01:44 Patient Brochure Story
05:35 Natural Versus Safe
07:37 Why NAD Is Trending
11:59 NAD Science Basics
13:54 Where NAD Comes From
15:49 Why NAD Matters
17:43 Human Evidence NR
20:28 Clinical Outcomes Matter
23:15 NR Trial Results
25:15 Long COVID Study
26:05 Switching To NMN
26:08 NMN vs NR Absorption
26:41 NMN Studies Overview
27:24 FDA Pulls NMN
28:12 NMN Results Reality Check
29:39 IV NAD No Evidence
30:16 Wellness Clinic Pilot Study
32:12 Infusion Side Effects
34:48 Flow Rate Red Flags
36:04 Labs Outcomes And Cost
38:47 Why IV Bars Are Risky
41:41 Clinical Takeaways
43:26 Patient Story Lupus Diagnosis
46:26 Wrap Up And Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we dig into the hype around continuous glucose monitors (CGMs) and why they’ve suddenly become a wellness must-have. We share real patient stories that span the spectrum—from genuinely helpful use to unintended harm—and use them to explore what’s driving the trend, what people hope these devices will reveal, and where things can get confusing or stressful. We also unpack what “more data” really means in real life, why interpretation matters, and how personalization can be both empowering and risky. 

00:00 Podcast Mission
01:18 CGM Patient Stories
03:38 Social Media Claims
06:24 Why CGMs Are Trending
09:59 Real Benefits And Limits
12:43 How CGMs Actually Work
16:51 Who Benefits Most
23:06 Prediabetes And Healthy Users
27:29 Normal Range Anxiety
33:19 CGMs In Eating Disorders
37:17 Silent Hypoglycemia Risk
38:19 CGM Study Extremes BMI
40:37 Biofeedback Versus Harm
43:06 CGM Harms And Overuse
44:18 Whipples Triad Proof
45:34 Normal Spikes Aren’t Disease
49:18 Psychological Burden Study
54:44 Carb Reintroduction Crashes
01:00:19 Practical CGM Use Guidance
01:07:21 Work With A Dietitian
01:08:43 Final Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we dig into the question of whether social media can be addictive—and why this conversation is accelerating now. We start with a recent landmark legal case that put platform design features under the microscope, then zoom out to explore what “addiction” means in medicine and why behavioral addictions matter. We also share a candid moment where we put ourselves through a validated questionnaire and reflect on what it brings up for us as doctors and humans. From brain research to real-life “why can’t I stop?” experiences, we review what the evidence suggests, where it’s still messy, and why abstinence isn’t always the realistic answer. We end with practical, research-informed strategies and ways we can talk about this with patients and families.

00:00 Podcast mission intro
01:14 Social media trial sparks
06:19 Why this moment now
12:05 Defining addiction criteria
15:12 Social media addiction quiz
17:53 Behavioral addiction debate
23:57 Brain changes evidence
34:16 Harms and health impacts
38:07 Benefits and U Curve
40:05 Moderate Use and Connection
41:05 Platform Differences Matter
43:07 Withdrawal Abstinence Evidence
44:54 Tolerance and Slippery Slope
47:11 What Doctors Should Conclude
51:36 Talking With Patients
52:30 Interventions That Work
56:16 Digital Literacy and Regulation
01:00:00 Digital Detox Day Dream
01:05:53 Opt In Design and Nextdoor
01:07:02 Wrap Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we discuss the viral push to “de-prescribe” SSRIs. We outline common claims (overprescribing, lifelong use, “addiction,” inadequate withdrawal counseling, chemical-imbalance myths, and political/media narratives) and why these resonate given stigma, distrust of medicine and pharma, and negative personal stories. We review evidence-based SSRI use and typical treatment durations, note common side effects and limited long-term data, and fact check a frequently cited stat suggesting many long-term users don't need to be on meds at all. We review real “root causes” of anxiety and depression, compare effectiveness of SSRIs and psychotherapy, review lifestyle interventions and evidence for supplements, and highlight that most people with depression or anxiety receive no treatment. Sonia also shares a personal story from residency that highlights the role of bias, stigma, fear and importance of narrative in medicine as well as nuanced, compassionate counseling.

00:00 Podcast Mission
01:25 Patient Deprescribing Story
03:38 Viral Claims Breakdown
06:36 Why This Went Viral
12:27 Ideal SSRI Use
15:23 Long Term Use Data
20:22 Root Causes Explained
30:13 Evidence Based Treatments
33:35 Lifestyle Is Bidirectional
34:09 Exercise Sleep Diet Evidence
36:36 Why Just Exercise Fails
39:03 Omega-3 Supplement Reality
41:30 SAMe And Other Supplements
42:46 Nuanced Supplement Counseling
46:23 Treatment Gap And Barriers
48:51 Deprescribing Stigma Debate
51:24 Clinical Takeaways And Tools
56:07 Personal Story
01:00:45 Doctors Sharing Humanity
01:03:29 Wrap Up And Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we dive into why fiber is having a viral moment on social media and what can get lost when “maxing” any nutrient becomes the goal. Using real patient stories, we review the potential downsides of going from low to high fiber too fast, the confusion created by trendy products and marketing, and why “more” isn’t always better. We also preview how we think about fiber in real life—food-first, context-aware, and focused on what’s actually practical.

00:00 Podcast mission
01:15 Why fiber maxing
01:36 Patient stories
02:58 Trend claims
04:11 Why it went viral
08:02 Nugget of truth
09:49 How much fiber
11:50 Types of fiber
16:59 Prebiotic products
21:54 Supplements that work
27:58 Too much fiber
31:32 Practical takeaways
32:45 How to counsel patients
34:03 Resources and wrap
34:21 Medical disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we talk about why creatine is suddenly everywhere on social media and why patients are asking about it for everything from brain fog and mood to menopause and dementia prevention. We tease what the evidence actually says (and doesn’t say), why context matters, and how to think about “for whom” and “for what” before adding any supplement. We also touch on common misconceptions, practical considerations that come up in real clinic visits and lab work, and why nuanced, shame-free conversations beat hot takes and miracle-claim marketing. If you’re curious about whether creatine belongs in your routine—or just tired of confusing wellness messaging—come listen.

00:00 Podcast Intro
01:24 Why Creatine Now
03:48 Viral Claims Breakdown
05:46 Why It Went Viral
09:07 Creatine Basics Explained
10:43 How To Take Creatine
12:34 Muscle Benefits Evidence
15:33 Menopause And Bone Health
18:13 Cognition And Dementia Data
21:33 Sleep Deprivation Studies
25:56 Creatine for Depression
28:30 Why Evidence Stays Weak
31:04 Side Effects and Labs
34:15 Supplement Quality Risks
35:09 Hype and Hidden Harms
38:10 Personal Takeaways
41:01 Clinical Bottom Line
43:40 Talking to Patients
45:52 Practice Changes and Trust
49:26 Wrap Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com

In this episode, we talk about the viral name change from PCOS to PMOS and why it’s sparking so much conversation online. We share why this shift feels validating for so many people who’ve struggled for years to get clear answers, and we unpack the kinds of confusing, oversimplified claims that flood social media around this condition. We also explore why the name change matters beyond semantics, what concerns some patients have about it, and what we wish more people understood before falling into the “cure” and “root cause” rabbit holes.

00:00 Podcast intro
01:20 Episode topic reveal
02:02 Patient diagnosis delays
03:38 Sonia personal story
07:16 Social media claims
09:36 Why it went viral
15:28 Nugget of truth
17:51 Backlash and concerns
22:11 Defining and diagnosing
22:33 Rotterdam criteria
30:09 Ruling out other causes
32:54 PCOS subtypes explained
41:34 Biomarkers and testing
46:19 CRP Inflammation Confusion
48:13 Metabolic Biomarkers Breakdown
49:21 Vitamin D Iron Testing Debate
52:38 Guidelines and Sleep Apnea Risk
54:49 Birth Control Not a Band Aid
01:01:15 Fertility Timing and REI Referral
01:03:38 Lifestyle Basics Fiber Exercise Sleep
01:08:50 Medications Metformin to GLP1s
01:16:18 Weight Stigma Habits Over Pounds
01:20:34 Who Should Manage PCOS Care
01:24:32 How to Talk to Patients
01:27:35 Resources Wrap Up Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
 👉www.theantisocialdoctors.com