Intelligent Medicine | The Best of High Tech Medicine and Alternative Modalities

WHO Study on lifespan vs. healthspan in 183 countriesIs there a danger in taking a supplement that enhances immunity if you have an autoimmune condition?I've had DCIS twice and feel I've received far too many mammograms. Can you discuss overtreatment?

What does standardization in a supplement mean?Does the decaffeination process reduce beneficial polyphenols in coffees and teas?I've lowered my blood sugar but now my liver function tests are high. What gives?Is there a holistic treatment for hyperparathyroidism or is surgery the only option?What do you think of Gemtesa for overactive bladder?

In this episode of the Intelligent Medicine Podcast, Dr. Ronald Hoffman discusses the importance of hydration with Dr. Dana Cohen Integrative Medical Doctor and co-author of “Fuel Up: Harness the Power of Your Blender and ‘Cheat’ Your Way to Good Health.” They explore the often-overlooked role hydration plays in maintaining health and preventing chronic diseases. Dr. Cohen emphasizes practical strategies to improve hydration through diet and lifestyle changes. They highlight the risks of both dehydration and overhydration, discuss the impact of processed foods, and offer realistic solutions to help listeners incorporate better hydration practices into their lives. Too often doctors are dismissive of pop culture exhortations to pay attention to hydration. Except for those with specific medical conditions, the conventional mantra remains “In ordinary healthy individuals, thirst is a good guide to how much fluid you should consume.” In medicine, we routinely query patients about their diets, their exercise, their sleep, their stress levels, drug, alcohol and tobacco use, their social interactions, their spirituality, even their sexuality. But so seldom do we ask “How’s your hydration?” A recent review found that “Hypohydration is known to reduce mental and physical performance, and more recent evidence suggests hypohydration also impairs vascular function and cardiovascular regulation.” But adequate fluid intake is not merely a matter of optimization; a recent medical study sampling 1200 adults aged 51-70 suggests that it may literally be a matter of life and death: “. . . underhydration was significantly associated with increased prevalence of obesity, high waist circumference, insulin resistance, diabetes, low HDL, hypertension, and metabolic syndrome. Over 3–6 years of follow-up, 33 chronic disease deaths occurred in the sample, representing an estimated 1,084,144 deaths in the U.S. Alongside chronic health conditions, underhydration was a risk factor for an estimated 863,305 deaths. Independent of the chronic health conditions evaluated, underhydration was a risk factor for 128,107 deaths.” How prevalent is underhydration in a sample of American adults? According to the study: “Nationally representative data from the National Health and Nutrition Examination Survey (NHANES) indicate that over 65% of adults aged 51–70 years in the U.S. do not meet hydration criteria.” The episode also touches upon broader health issues, contrasting dietary extremes, and the importance of accessible, enjoyable healthy eating habits.

Dr. Hoffman continues his conversation with Dr. Dana Cohen, Integrative Medical Doctor and co-author of “Fuel Up: Harness the Power of Your Blender and ‘Cheat’ Your Way to Good Health.”

Dr. Michael Karlfeldt offers a deep dive into integrative oncology and the importance of immune support, especially during the winter season. he delves deep into the immune-protective benefits of fermented wheat germ extract and AHCC, which combine in ImmPower PLUS to offer comprehensive immune enhancement, cancer prevention, and treatment support. The discussion highlights the role of natural killer cell activity, the Warburg effect, and the adaptogenic properties of these supplements in addressing both cancer and general immune health. Practical dosing recommendations and Dr. Karlfeldt's insights into the integration of conventional and alternative therapies provide valuable knowledge on how to bolster immune systems effectively.

Dr. Hoffman continues his conversation with Dr. Michael Karlfeldt, ND, Ph.D., an expert in Integrative Oncology, about the immune-protective effects of ImmPower PLUS AHCC + FWGE-SC. Use coupon code HOFFMAN10 at checkout to get a 10% discount and free shipping.

Borrowing from tobacco industry litigation, law firm launches major suit against ultra-processed food conglomerates; Big Food employs same tactics as cigarette makers once did to delegitimize, intimidate critics; Are parasites the hidden culprit in cancer? Beers contain detectable levels of pesticides—as new evidence links glyphosate to neurodegenerative diseases; For some breast cancers, weight loss drugs may interfere with chemo efficacy; How to lower C-reactive protein? Ultra-processed foods contribute to psoriasis severity.

When hemoglobin A1c is inconsistent with fingerstick glucoses; A landmark study demonstrates improved muscle strength with urolithin A; Healthy diet can tamp down chronic pain; A mysterious new toxic compound detected in chlorinated water supplies; Long-term antibiotic use hikes risk for rheumatoid arthritis; Omega-3 scores vs. heart failure; Vegetarians consume more processed foods than those who consume meat; Best diet for prostate cancer.

Harnessing Yoga's Potential in Neuro Rehabilitation and the Gut-Brain Connection: Nutritionist Leyla Muedin discusses a pilot study from Germany highlighting the benefits of integrating yoga into inpatient neuro rehabilitation for conditions like multiple sclerosis and stroke. The study shows significant improvements in pain, spasticity, anxiety, and overall quality of life. Additionally, Leyla explores the expanding research on the gut-brain axis, revealing how a healthy gut microbiome influences mental resilience and stress response. She emphasizes the importance of addressing both physiological and psychological factors to manage anxiety and improve mental health.

WSJ: Trump nominees 'hawking' supplements?Correction on Surgeon General Nominee Dr. Janette Nesheiwat's husbandI have chronic fatigue. Do you think I would benefit from taking a copper supplement?Can I take garlic pills to help my eosinophilic esophagitis?

I've been taking Nexium for the last 20 years. Is this contributing to lower bone mineral density?Should my 83-year-old wife take more calcium for her osteopenia?What is your knowledge of Prolia? What are the side effects?I have mitral annular disjunction (MAD). Can you advise me?What can I take for my post nasal drip?Are there other blood thinners I can take where I don't need to check my INR?

Lex Pelger, a biochemist and educator in cannabinoid science, details unique non-CBD supplements from CV Sciences that have similar beneficial effects on the endocannabinoid system as CBD. The discussion includes the benefits of CBD and cannabinoids, the new +PlusHLTH line (including Peace Gummies, Clarity Gummies, and Reshape Capsules), and their ingredients like berberine, cinnamon, and OEA for metabolic health. They also touch on regulatory challenges and the potential future of cannabis, CBD, and psychedelic research under varying political climates.

Dr. Hoffman continues his conversation with Lex Pelger, Scientist at CV Sciences, makers of the new +PlusHLTH line of non-CBD supplements that have similar effects on the endocannabinoid system.

The Impact of Refrigeration on Food, Health, and the Planet: Nicola Twilley, author of “Frostbite: How Refrigeration Changed Our Food, Our Planet, and Ourselves,” details the historical development of refrigeration, its profound impact on food preservation, diets, and urbanization. The conversation also covers the technological and environmental challenges posed by refrigeration, alternative food preservation methods, and the consequences for small farmers and the global food system. Nicola also shares insights into the health implications of refrigeration and the innovative solutions being explored to reduce its environmental footprint.

Dr. Hoffman continues his conversation with Nicola Twilley, author of author of “Frostbite: How Refrigeration Changed Our Food, Our Planet, and Ourselves.”

A healthcare company COO is gunned down—and there could be millions of suspects with a grievance; A simple maneuver can alleviate vertigo; Olive polyphenol found to aid mitochondrial respiration; Gen Z is tiredest generation; Did sickle trait contribute to the death of subway of Jordan Neely? Is screening for sickle trait in athletes a form of discrimination? Daily chores can help women avert cardiovascular events.

How appropriate are cholesterol-lowering guidelines? Are Americans really ready for bans on colorful synthetic food dyes? New powerful drugs promise to slash LDL cholesterol—but are they overused? How to stay fit when arthritis limits exercise; The genetics of acute myeloid leukemia; Cattle feed Bovaer promises to curb methane emissions—but critics claim it’s toxic; Carrageenan may prompt insulin resistance, systemic inflammation; Should you really toss that black plastic spatula?

The Importance of Posture and Core Strength for Health: Nutritionist Leyla Muedin discusses the critical role of posture and core strength in overall health and well-being. She provides practical advice on improving posture, from standing and sitting techniques to exercises like planks and balance-focused activities such as yoga and Tai Chi. Leyla emphasizes the impact of good posture on physical comfort, mobility, and even mental well-being. Additionally, she offers tips for setting up an ergonomic workspace and highlights the importance of taking breaks to minimize strain and promote better circulation. The episode underscores the significant benefits of incorporating intentional posture improvements and core-strengthening exercises into daily routines.

Imprecision Nutrition? Intraindividual variability of glucose responsesA comment on RFK Jr's proposed plansMy lower vitamin D level requires a higher dose of insulin. What gives?

I have bronchiectasis. Should I take the pneumonia and RSV vaccinations?A friend has hypersomnia and low sodium causing confusion and whole-body tiredness. Your thoughts?My husband has been getting a lot of bruising lately since starting Xarelto. Should he reduce his fish oil dose?I'm doing everything right and I still can't bring my blood pressure down. What more can I do at 84?What are your thoughts on light therapy patches? Do they work? Are they safe to use?

This episode of the Intelligent Medicine Podcast is an enlightening conversation with Dr. Anurag Singh, Chief Medical Officer of <u><a href="https://www.timeline.com/partners/dr-hoffman" target="_blank">Timeline Nutrition</a></u>. They delve into the scientific foundations and benefits of Urolithin A, a unique compound derived from pomegranates and other polyphenol-rich foods, known for its potential to enhance mitochondrial function and promote longevity. Dr. Singh explains the discovery process, the biological mechanisms involved, and the promising results from numerous studies on muscle strength, endurance, immune health, and recovery. They also discuss the compound's applications for those on weight loss drugs, athletes, and individuals suffering from chronic fatigue syndromes. Dr. Hoffman's personal experience with the supplement highlights its significant impact on energy levels and recovery. Lastly, they explore ongoing and future research avenues, emphasizing Urolithin A’s broad-spectrum potential in improving quality of life as we age.

Dr. Hoffman continues his conversation with Dr. Anurag Singh Chief Medical Officer at <u><a href="https://www.timeline.com/partners/dr-hoffman" target="_blank">Timeline Nutrition</a></u>.

Natural Health Advocacy and the impact of the recent political changes in the U.S.: Dr. Rob Verkerk, Executive & Scientific Director Alliance for Natural Health International & Alliance for Natural Health USA, shares insights into the significance of RFK Jr.'s potential appointment and its implications for natural health advocacy. They explore RFK Jr.'s unique trajectory, from environmental activism to becoming a controversial political figure, and discuss the challenges and opportunities his nomination presents. The conversation also touches on the FDA's regulatory overreach, the limitations placed on the natural health industry, and ongoing efforts to promote health freedom and natural health practices. Dr. Verkerk emphasizes the importance of scientific discourse, the role of social and environmental determinants of health, and the need for a balanced approach in integrating technology and natural health solutions.

Dr. Hoffman continues his conversation with Dr. Rob Verkerk, Executive & Scientific Director Alliance for Natural Health International & Alliance for <u><a href="https://drhoffman.com/anh/" target="_blank">Natural Health USA</a></u>.

The War Against Keto: Maryland health czar scuttles trial of keto diet for schizophrenia—as keto scores vs. Alzheimer’s; Should we be worried about high-oxalate foods? What are alternatives to whey protein for muscle support? The crucial roles of phospholipids in aging and lifespan regulation—plasma membrane damage triggers senescence; Autoimmune B12 deficiency—why aren’t doctors more attuned to it? Holding off on treatment for early prostate cancer yields outcomes comparable to radiation, surgery, hormone blockers; Internet addiction changes teens’ brains; Can’t walk away from low back pain? Eye exercises found useless for reversing near-sightedness.

High-sulforaphane broccoli soup vs. osteoarthritis; How much water/liquids should one consume in a day? What’s the meaning of a low blood sodium? The latest food craze—colostrum tarts; Under revised guidelines, 20 million fewer Americans might not need statins; Researchers pinpoint olive oil component that slashes appetite, reverses obesity, improves blood sugar; The brouhaha about xylitol.

Staying Healthy and Balanced During the Holidays. Nutritionist Leyla Muedin provides insights on maintaining health during the holiday season. She addresses strategies for enjoying holiday meals without derailing dietary plans, emphasizing the importance of avoiding guilt and focusing on the quality time spent with loved ones. Leyla touches on the significance of gut health, proper handwashing, and quality sleep for immune function. She highlights the impact of antibiotics, poor diet, and stress on the gut, and suggests probiotics and immune-enhancing supplements for support. Additionally, she discusses the vital role of B vitamins for overall health and energy, advocating for a varied diet to obtain these essential nutrients.

A discussion on statins vs. PCSK9 inhibitors; My doctor said I should take a multivitamin instead of the long list of supplements I currently take. What do you think?

I'm 79-years-old and I bruise easily. Is it due to the supplements I'm taking?; What are your thoughts on surgery for a labral tear in the hip?; Can my 93-year-old mother safely take a PlusCBD Calm gummy?; Should my mother continue taking Ostinol after so many years?; Is it possible to "exercise off" the sweet food I eat?; I'm 60 years old. Should I ask my doctor for a Hemoglobin A1c test on my next physical?; Can one become dependent on sleep gummies?

The Impact of Aged Garlic Extract on Cardiovascular Health, Cholesterol, and Athletic Performance with Jim LaValle, a clinical pharmacist, author, and board certified clinical nutritionist. Jim details a new study highlighting aged garlic extract’s positive effects on cardiovascular health, particularly in middle-aged endurance athletes. The discussion covers the various proven advantages of aged garlic extract, including its ability to enhance VO2 max, improve arterial flexibility, reduce inflammation, and support immune function. They also explore the broader implications for cardiovascular prevention beyond just lowering cholesterol, the potential for using aged garlic extract to bolster overall health, and the failures of current dietary guidelines in addressing ultra-processed foods. The episode concludes by emphasizing the overall health benefits of consistently incorporating Kyolic Aged Garlic Extract into your diet.

Dr. Hoffman continues his conversation with Jim LaValle, a Clinical Pharmacist, Author, Board Certified Clinical Nutritionist, and Heart Health Expert, about the benefits of aged garlic extract. Click HERE for a special offer.

Exploring Ecological Medicine with Dr. Jenny Goodman, author of “GETTING HEALTHY IN TOXIC TIMES: An ecological doctor’s prescription for healing your body and the planet.” Dr. Goodman delves into the principles and practice of ecological medicine, discussing how it views the human body as an interconnected ecosystem and emphasizes the relationship between the body and the environment. Dr. Goodman describes her integrative approach to treating health issues, which includes environmental history taking, nutritional adjustments, detoxification, and supplementation. The discussion also covers the impact of environmental toxins, the importance of preconceptual care, and practical measures to detoxify home environments. Dr. Goodman shares insights into the political and industrial challenges of reducing environmental toxicity and how individuals can advocate for change.

Dr. Hoffman continues his conversation with Dr. Jenny Goodman, author of "GETTING HEALTHY IN TOXIC TIMES: An ecological doctor’s prescription for healing your body and the planet."

How to think about RFK Jr.’s nomination to head HHS; Supplement industry insiders embrace anticipated FDA reforms; How indicative is LDL cholesterol of heart attack or stroke risk? IV vitamin C notches impressive gains against advanced cancers; NT Factor for immune support.

How regular exercise counters age-related immune decline; When dry mouth is due to a drug side effect; Fish oil wards off heart disease and fitness forestalls dementia—even in individuals with high-risk genes; Covid vaccine uptake wanes despite ad campaigns; Prescriptions of new weight loss drugs soar—in kids! An explanation for weight rebound—adipose cells remember to hoard fat despite weight loss; How can you tell if you have fatty liver disease? Metformin even if you don’t have diabetes? A second opinion on statins

Nutritionist Leyla Muedin weighs in on the potential of GLP-1 medications in addiction and she addresses menopausal symptoms naturally. Leyla details recent findings on the use of GLP-1 medications like Ozempic and Monjaro in reducing opioid overdoses and alcohol intoxication rates. Leyla also explores the case of a menopausal woman and delineates a holistic approach to managing menopausal symptoms, emphasizing the importance of addressing nutrient deficiencies before opting for herbal or pharmaceutical remedies.

Dietary industry cheers RFK Jr. nomination to head DHHS; Macular degeneration runs in my family. How much zinc can I safely take and for how long?; I'd like to take a higher dose of magnesium taurate. What do you recommend?; Can long term sustained ketosis eventually lead to ketoacidosis?

I'm on the cusp of osteoporosis. How much strontium should I take?; What does it mean to have a slightly low MCHC?; My Lipoprotein (a) is less than 9. Is that good?; Please comment on the recent study that says intermittent fasting is only good for weight loss, not for other health benefits.

Neil Levin, Senior Nutrition Education Manager and product formulator for Now Foods and Protocol for Life Balance details the importance of enhancing medical and nutritional literacy, focusing on cardiovascular health and prevention. Neil shares his expertise on the role of various supplements such as Coenzyme Q10, vitamin K2, carnitine, and the benefits of combining these into comprehensive cardiovascular support products. They also discuss the global perspective on nutrition, seed oils, liposomal supplements, and the challenges associated with diet and nutrient absorption. Additionally, Neil provides insights into his experiences traveling and educating practitioners around the world about nutritional supplements.

Dr. Hoffman continues his conversation with Neil Edward Levin is the Senior Nutrition Education Manager and a product formulator for NOW(r) Foods and Protocol for Life Balance. Neil is an award-winning board-certified clinical nutritionist, a founder and former officer of the American Nutrition Association, a Director of the Mid-American Health Organization (MAHO), and serves on the International & American Association of Clinical Nutritionists' Clinical Nutrition Certification Board.

Understanding Toxic Productivity: Israa Nasir, MHC-LP, author of TOXIC PRODUCTIVITY: Reclaim Your Time and Emotional Energy in a World That Always Demands More, delves into the concept of toxic productivity, its parallels with addiction, and its impact on mental and physical health. Nasir provides insights into how to recognize and combat toxic productivity by developing emotional awareness, setting boundaries, and embracing intentional and sustainable habits. She also details the importance of community, mindfulness, and valuing personal well-being over relentless achievement.

Dr. Hoffman continues his conversation with Israa Nasir, MHC-LP, author of TOXIC PRODUCTIVITY: Reclaim Your Time and Emotional Energy in a World That Always Demands More.

Analysis paralysis: Dietary Guidelines Advisory Committee whiffs on ultra-processed food; Adding collagen to whey protein adds muscle boost; New approaches to Parkinson’s Disease diagnosis; Exercise scores brain benefits for movement disorders; Hyperbaric oxygen shows promise for PTSD; You’ll never guess why Costco recalled 80,000 pounds of butter; Bicyclist hit by ambulance billed for ride to hospital.

Urolithin A—How effective is it for energy? Magnesium and calcium deficiencies linked to cognitive decline in seniors; Natural solutions for arthritis; Pandemic surge in alcohol use persists; Does nutrition education make a dent on kids’ eating habits? Cordyceps shows promise against cancer; Pros and cons of liposomal supplements; Questioning routine use of beta-blockers for heart attack survivors.

Leyla Muedin discusses the multifaceted health benefits of Tai Chi. Leyla, a registered dietitian nutritionist based in New York City, highlights the importance of a holistic approach to health that includes nutrition, exercise, hydration, sleep, and sunlight. Emphasizing the growing body of research, she outlines how Tai Chi positively impacts balance, blood pressure, back pain, depression, Parkinson's disease, cognition, and inflammation. Leyla also shares her personal experience with Tai Chi helping her overcome vertigo. Featuring insights from Tai Chi expert Andrea Felix and recent studies, the episode underscores Tai Chi's significance for mental and physical well-being across all ages.

The Dietary Guidelines for Americans is rampant with conflicts of interest—and its authors just whiffed on condemning ultra-processed foods; My husband's B12 levels are very high. Is this because of the supplements he takes?; With the help of CM Core and chromium, our hemoglobin A1c is trending downward!; How can I help a patient with gastroparesis due to diabetes?

Are there really microplastics in high quality extra virgin olive oil? What are we to do?; Are plant proteins inferior to animal protein? Can I get complete protein on a plant based diet?; NIH finds a top government scientist engaged in research misconduct; I'm 74 years old and my hair is getting thinner. What can I do?

Unveiling the Hidden Dangers of MSG: An In-Depth Discussion with Drs. Catherine Reid and Barbara Price, co-authors of “Fat, Stressed and Sick: MSG Processed Food in America's Health Crisis.” The discussion focuses on the long-standing controversy surrounding monosodium glutamate (MSG) and its potential health effects, including the possible link to neurodegenerative disorders, mood disorders, metabolic issues, and more. The guests also delve into the history of MSG, methods of its production, and the scientific and health-based arguments against its use. Furthermore, they explore the addictive nature of processed foods that contain MSG and similar compounds, and provide insights on how to adopt a Reduced Excitatory Inflammatory Diet (REID) for better health. Throughout the episode, the conversation also touches upon public health implications, regulatory concerns, and ways to promote healthier eating habits, especially for children.

Dr. Hoffman continues his conversation with Katherine Reid, PhD, and Barbara Price, PhD, authors of "Fat, Stressed, and Sick: MSG, Processed Food, and America's Health Crisis."

Prostate Cancer: Integrative Approaches and Insights from Dr. Gio Espinosa, a renowned integrative urologist and host of the Prostate Cancer Summit. He details various facets of prostate health, including early detection methods, the efficacy and controversies surrounding PSA tests, natural dietary recommendations, the role of exercise in cancer prevention and management, and the integration of testosterone therapy in cancer treatment. Dr. Espinosa highlights the importance of personalized and holistic approaches in managing prostate cancer, emphasizing the value of combining conventional and naturopathic treatments for optimal patient outcomes.