Many of us have patients with hypermobility and Ehlers-Danlos syndrome who we work hard to help. As our understanding of these complex multisystem conditions grows, understanding that it doesn't just affect joints but potentially autonomic function, cardiovascular health, digestion, and producing widespread, often debilitating pain, so too does the need for a broader range of therapeutic options.

In this episode, musculoskeletal medicine specialist Dr. Rob Illingworth introduces prolotherapy and PRP as practical, evidence-informed options that could make a real difference to your patients' quality of life and function.

For anyone managing patients with hypermobile Ehlers-Danlos syndrome or hypermobility spectrum disorders, this one's essential. Dr. Illingworth unpacks the "perfect storm" of lax connective tissue, sensitized pain pathways, and complex comorbidities and adds a valuable option to your therapeutic toolkit for people presenting with these complex conditions.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Dr. Sara Whitburn is the Medical Director of Sexual Health Victoria, Chair of the RACGP Sexual and Reproductive Health Special Interest Group, and a Senior Lecturer in Sexual Health at the University of Melbourne. Her clinical and advocacy interests span STIs, unplanned pregnancy, genital health, menopause care, and long-acting reversible contraception (LARC) training. She is passionate about supporting health professionals to deliver great sexual and reproductive healthcare and enabling equitable access to care for patients.

Connect with the RACGP Sexual and Reproductive Health Special Interest Group: Join the community (open to all RACGP members) by emailing [email protected]. The group offers peer case discussion, newsletters, and webinars covering topics including PrEP, sexual pain, heavy menstrual bleeding, and more.

Resources

• MAGIC App — National Cervical Screening Program guidelines (searchable): search "National Cervical Screening Program MAGIC App"

• Australian STI Management Guidelines — sti.guidelines.org.au

• ASHM (Australasian Society for HIV, Viral Hepatitis and Sexual Health Medicine) — PrEP and DoxyPEP decision aids: ashm.org.au

• FSRH Medical Eligibility Criteria (UK Faculty of Sexual and Reproductive Healthcare, updated December 2025): fsrh.org

• RANZCOG Contraception Guidelines: ranzcog.edu.au

• Australasian Menopause Society — clinical resources and find-a-practitioner: menopause.org.au

• Sexual and Reproductive Health Australia (SRHA) / AusLARC scholarship: srha.org.au

Timestamps

00:00 — Introduction & acknowledgement of country

01:00 — Guest introduction: Dr. Sara Whitburn

02:56 — Contraception: Pill Choice, Medical Eligibility Criteria Considerations, PBS Updates

12:18 — The menopausal transition: contraception vs. MHT, managing bleeding on MHT

23:10 — IUD pain management and post operative considerations

30:40 — Progesterone sensitivity and MHT options

33:00 — Monitoring patients on MHT

39:20 — Genitourinary syndrome of menopause and genital skincare

44:57 — Vaginal treatments vs. lubricants — clarifying the difference

45:42 — Libido: a biopsychosocial approach

49:00 — STIs: asymptomatic screening and approaching vaginal discharge

54:39 — Symptomatic STIs and trauma-informed examination

57:18 — Bacterial vaginosis and partner treatment

59:12 — STI prevention: PrEP and DoxyPEP

1:03:21 — Cervical screening: 2025 guideline updates and the MAGIC App

1:06:56 — Trauma-informed care in practice

1:10:51 — Medicare changes: LARC rebates and bulk billing incentives

1:12:58 — Why join the RACGP-SRH special interest group

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Ever found yourself staring at a workers' compensation or insurance form, pen in hand, quietly wondering what on earth you're supposed to write in half these boxes? You're in good company. Most of us learned this stuff the same way, watching someone else do it, nodding along, and then absolutely winging it the moment we were left alone with a patient and a certificate to fill in.

Yes, we know, workers' compensation and insurance sounds about as thrilling as a mandatory compliance training video. But stick with us. Dr Rob Park sits down with Greg Spinda, specialist personal injury lawyer and, as it turns out, not nearly as terrifying as his credentials suggest, to work through real GP scenarios, tackle those form boxes that have been quietly haunting us, and explore how getting the details right from day one can make an enormous difference to your patients' outcomes. You might just walk away feeling like you finally know what you're doing.

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Dr Sama Balasubramanian is a General Practitioner and Sexual Health Physician, Fellow of the Australasian Chapter of Sexual Health Medicine and Fellow of the European Committee of Sexual Medicine. He holds an Advanced Masters in Psychosexual Health and is Chair of the Training Committee in Sexual Health Medicine for the Royal Australasian College of Physicians. He is also a Senior Lecturer and Rural Academic Coordinator at the Rural Clinical School, Australian National University School of Medicine and Psychology.

In this episode we discuss men's sexual health and dysfunction – erectile dysfunction, low libido, and premature orgasm.

Resources:

Healthy Male website: https://healthymale.org.au/

The Penis Project podcast

Deprescribing psychotropics podcast with Dr Mark Horowitz

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

In this episode of The GP Show, Dr Ashlea Broomfield and Dr Kate Wylie explore why climate change is a pressing human health issue and what it means for general practice. Throughout the discussion, Dr Wylie explains how changing environments affect our patients and the way we practice medicine, as well as how clinics can operate more sustainably.

Dr Kate Wylie is an Adelaide based GP and the executive director of Doctors for the Environment Australia (DEA), a not-for-profit advocacy organisation that recognises that human health depends upon a healthy environment. Dr Wylie is the immediate past chair of the RACGP's Climate and Environmental Medicine Specific Interest Group, elevating the need for climate action with GPs across Australia. She is a previous chair of DEA and is the founder of Climate Medicine, an advocacy project whereby she presents to community groups on the health effects of climate change.

This episode offers insights and strategies for GPs and healthcare teams seeking to navigate the growing intersection of climate and health in their daily practice.

Resources & Links:

Doctors for the Environment Australia

RACGP Special Interest Group – Environmental Medicine

MJA Insight Plus: Let's get practical: how we can heal the planet and our patients

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Dr Terri-Lynne South is a dual-qualified GP and Accredited Practising Dietitian and Chair of RACGP Specific Interests Obesity Management Group, with over 25 years of clinical experience in metabolic health, diabetes, cardiovascular risk, menopause and weight management. As founder and medical director of Lifestyle Metabolic, she champions a holistic care model grounded in multidisciplinary collaboration and personalised clinical decision-making.

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

The 3 week online microcredential in Lifestyle Medicine and Mental Health: Life and Mind available here.

Medicine is serious work — but that doesn't mean doctors can't have fun. In this special episode of The GP Show, Drs Rob Park, Ash Broomfield, and Sam Manger get together to put the guidelines down, pick the dice up, and step into the wonderful world of Doctors and Dragons. Joined by GP and Game Master Dr Chris Timms, they swap consult rooms for a fantasy adventure filled with goblins, laughter, and questionable decision-making. They clearly have no idea what they are doing - so have a listen if you've ever been curious what dungeons and dragons is as expert Dr Chris Timms adds a guiding orb of light.

What unfolds is more than just a game — it's a reminder that shared fun, creativity, and connection among friends can be a powerful antidote to professional loneliness. If you've ever felt isolated in medicine, or just want to remember what fun feels like, this episode is for you.

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

In this episode of The GP Show, Dr Ashlea Broomfield speaks with accredited practising dietitian Shane Jeffries about the RAVES Eating Model - a structured, adaptable framework for understanding and supporting eating patterns in general practice.

Originally developed for eating disorders, RAVES has been applied more broadly in primary care settings to support patients with body image concerns, disordered eating, chronic disease, metabolic health, and sports nutrition.

RAVES stands for:

• Regularity – consistent eating patterns
• Adequacy – meeting energy and nutrient needs
• Variety – flexible, balanced food choices
• Eating socially – navigating real-world meals
• Spontaneity – adapting to unexpected situations

In this episode, Ashlea and Shane discuss: • How diet culture and moralising food shape people's relationships with eating • The difference between calories and nutritional adequacy • How RAVES complements CBT-E, FBT, and plate-based approaches to disordered eating • The role of hunger, fullness, and interoception in clinical practice • Considerations for restrictive eating, neurodivergence, and GLP-1 medications • Using RAVES as a structured thinking tool for GPs, even without providing detailed nutrition plans

Key takeaway: RAVES is not a diet - it's a practical, person-centred framework that balances structure, flexibility, and clinical nuance to support sustainable change across diverse contexts.

🔗 Learn more at raveseatingmodel.com

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine

Dr Ashlea Broomfield is joined by Dr Mihal Goodman-Jones and Dr Holly Inglis to discuss the release of the Australian Standards of Care for Informed Consent Gender-Affirming Hormone Therapy (2025).

In this episode, the panel unpacks what's included in the new AusPATH Standards and why they matter for GPs and other primary care clinicians. The discussion focuses on the informed-consent model for gender-affirming hormone therapy, how it works in practice, and how the Standards provide clear, practical guidance to support safe and evidence-based care for transgender and gender diverse adults in Australian primary care settings.

This episode offers an overview of the guidelines and highlights how they can be used by clinicians to support confident, consistent, and accessible gender-affirming care.

In this episode, we cover:

• An overview of the AusPATH Australian Standards of Care (2025)
• The informed-consent model for gender-affirming hormone therapy
• How the Standards support GPs and primary care clinicians
• Practical guidance for delivering evidence-based gender-affirming hormone therapy

Resources mentioned:

• AusPATH – Australian Standards of Care: https://auspath.org.au/standards-of-care/
• TransHub: https://www.transhub.org.au/
• ASHM: https://ashm.org.au/

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If you're a GP or frontline clinician who wants a calm, practical update on palliative care without wading through a textbook, this episode is a high-yield listen. Through four realistic cases (breathlessness and panic, malignant bowel obstruction in aged care, cancer pain and nausea in a younger patient, and comfort care with renal/liver failure), Dr Susie Muir breaks down what to do first, what to avoid, when to switch routes (subcut matters), and how to titrate core symptom meds safely—while keeping goals of care at the centre. You'll come away with a clearer mental checklist, confidence to start sensible first-line measures, and a better sense of when to pick up the phone to palliative care early rather than late.

Past episode #47 End of Life and Palliative Care with Dr Louise Welch and Dr Sam Manger available on all podcast apps and here.

Clinical & palliative care resources

• PallConsult (Queensland Health) Statewide specialist palliative care advice service with practical clinical resources for health professionals https://www.health.qld.gov.au/clinical-practice/referrals/statewide-specialist-services/pallconsult
• PallConsult resources page Includes practical guides such as caring@home medication packs and end-of-life care resources https://www.health.qld.gov.au/clinical-practice/referrals/statewide-specialist-services/pallconsult/pallconsult-resources
• Faculty of Pain Medicine (ANZCA) – Opioid Calculator Useful for opioid conversions and dose checking (always double-check calculations) https://www.anzca.edu.au/safety-and-advocacy/opioid-calculator
• Pocketbook of Palliative Medicine (app) A concise, clinician-friendly reference for symptom management in palliative care https://apps.apple.com/au/app/palliative-medicine-pocketbook/id1204749954

Practical patient & family support

• Gather My Crew A free app that helps patients and families coordinate practical support (school runs, meals, errands) without having to repeatedly ask for help https://www.gathermycrew.org.au/ End-of-life support page: https://www.gathermycrew.org.au/are-you-caring-for-someone-at-the-end-of-life/

High performance & wellbeing for healthcare professionals

• Dr Susie Muir – website Information about upcoming workshops and the "High Performance Reset" for healthcare professionals https://drsusiemuir.com/
• Follow Dr Susie Muir

• Instagram: https://www.instagram.com/drsusiemuir/
• LinkedIn: https://au.linkedin.com/in/dr-susie-muir-709916133

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If you would like to request a topic, please contact us via [email protected]

Thank you for listening and your support.

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Study and learn lifestyle medicine: Interested in whole of person clinical practice, research and careers that address the lifestyle and social determinants of illness and wellbeing, using lifestyle approaches, behaviour change, health coaching and implementation science? Check out the JCU College of Medicine postgraduate degrees: Graduate Certificate, Graduate Diploma, and Master in lifestyle medicine.

Dr Sam Manger on YouTube: Using lifestyle as medicine: A new era in chronic disease remission and YouTube: Careers in lifestyle medicine