The Podcast by KevinMD

Orthopedic surgeon Yoshihiro Katsuura, medical student Mark Polemidiotis, and premedical student Cyrus Nasr discuss their article, "Why young people need to care about bone health now." Yoshihiro, Mark, and Cyrus explain that osteoporosis is not just an old person's disease but a result of peak bone mass missed during youth. They use the powerful metaphor of a "retirement account" to describe skeletal metabolism, where deposits must be made before age twenty to prevent a "moth-eaten" structure later in life. The discussion highlights the shocking mortality rates of insufficiency fractures and reveals why modern anabolic medications are revolutionizing treatment beyond the old "freezing" methods of bisphosphonates. Learn how to invest in your skeleton now to avoid paying the high price of frailty later. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Palliative care physician and certified physician development coach Christie Mulholland discusses her article, "Reclaiming physician agency in a broken system." She shares her personal story of leaving a prestigious academic position after realizing that "being a good doctor" was impossible within the constraints of corporate health care. Christie explains how for-profit entities now control seventy-eight percent of hospices, leading to worse patient care and deep moral injury for clinicians. The discussion explores the four paths physicians can take to reclaim agency: working within the system with boundaries, building alternatives like direct primary care, organizing through unions, or planning a strategic exit. Christie emphasizes that while the system is broken, physicians still have the power to make conscious choices about how they engage with it. Learn how to move from passive demoralization to active, values-driven leadership in your medical career. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Psychiatrist Farid Sabet-Sharghi discusses his article, "The psychological trauma of polarization." Farid explains how the human psyche is evolutionarily wired for connection, making the current climate of hostility and division deeply traumatic. He connects the panic and anxiety seen in his clinic to the reactivation of childhood wounds, where global discord mimics the volatility of a troubled family system. The discussion highlights the visceral impact of the 24-hour news cycle and offers clinical strategies for reclaiming agency through setting boundaries. Learn why unity is not just a social ideal but a fundamental psychological necessity for mental health.

Interventional physiatrist Francisco M. Torres discusses his article, "A doctor's own prostate cancer recovery." He shares his vulnerable story of undergoing a robot-assisted radical prostatectomy and the unexpected shame and "erosion of dignity" caused by severe urinary incontinence. Francisco explains how his medical assumption that anatomical knowledge would ensure a fast recovery was wrong, and how pelvic floor physical therapy with biofeedback finally restored his function. The conversation advocates for a systemic shift toward "prehabilitation," arguing that men should start pelvic floor training weeks before surgery rather than being sent home with a pamphlet and diapers. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Vascular surgeon Xzabia Caliste discusses her article, "The silent disease causing 400 amputations daily." She shares the heartbreaking personal story of witnessing both her aunt and uncle lose their limbs to peripheral artery disease (PAD), a preventable condition that causes over 400 amputations every day in the U.S. Xzabia explains how PAD restricts blood flow and why symptoms like leg pain or non-healing wounds are often dangerously dismissed as simple aging. The discussion addresses the critical "confidence gap" in primary care, where eighty percent of providers feel unprepared to diagnose vascular disease, and highlights the urgent need for early screening for those with risk factors like diabetes and smoking. Learn how to recognize the subtle warning signs of vascular disease and advocate for the specialized care that can save your mobility and independence. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Pediatric endocrinologist Shara Bialo discusses her article, "Why type 1 diabetes screening should be part of back-to-school." She highlights that back-to-school visits are a critical window to screen for type 1 diabetes (T1D), a disease where sixty-two percent of new cases currently result in life-threatening hospitalizations. Shara shares her personal perspective as both a doctor and a mother with T1D, addressing the guilt and stigma that often stops parents from screening for autoantibodies. The discussion emphasizes that ninety percent of diagnoses happen with no family history, making universal awareness and early detection vital to preventing complications like diabetic ketoacidosis. Learn how a simple conversation during a routine checkup can change the trajectory of a child's health. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Double board-certified obstetrician-gynecologist and reproductive endocrinology and infertility specialist Erica Bove discusses her article, "Why do high-quality IVF embryos fail." Erica explores the heartbreaking reality of recurrent implantation failure, challenging the assumption that it is a rare phenomenon. She analyzes the physical factors often missed in standard studies, such as chronic endometritis, silent endometriosis, and adenomyosis, while explaining why the endometrial receptivity analysis is losing favor in the field. The conversation also highlights a critical, often overlooked variable: the role of stress and mental health in fertility outcomes. Erica advocates for a holistic approach that combines rigorous medical guidelines with emotional support to help patients navigate the complex journey of IVF. Learn what to do when the science says it should work but the result is still negative. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Physician advocate and physical therapist Kim Downey and counselor Shari Morin-Degel discuss their article, "Why burnout prevention starts with leadership." Shari shares her personal journey from a trauma-exposed mental health professional to a burned-out leader who initially expected her team to just "push through." The conversation highlights how she reached a breaking point and realized that true recovery requires more than just individual resilience, it requires systemic support. Kim and Shari explore the data behind the "My Work BALANCE" initiative, revealing that employee engagement with wellness tools soars only when leaders actively model participation and provide paid time for it. They discuss critical research on behavior change and argue that tools alone are useless without a culture of visible norms and psychological safety. Learn how to shift from a culture of survival to one where teams can actually thrive. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Health care executive Kevin King discusses his article, "How to stay safe from back-to-school illnesses." Kevin explains why the return to classrooms often triggers a surge in respiratory illnesses (like the flu, COVID-19, and RSV) and how diagnostic tests are a critical tool for managing them. He highlights how rapid diagnostics are essential for getting the right treatment quickly, such as antivirals, and perhaps more importantly, for preventing the wrong treatment, which helps combat the growing threat of antibiotic resistance. Kevin also offers insight into how epidemiologists predict outbreaks by monitoring school absenteeism and data from the Southern Hemisphere, providing a fascinating look at community health surveillance. Discover how early and accurate testing serves as our frontline defense in protecting vulnerable populations and managing respiratory illnesses this school season. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Developmental-behavioral pediatrician Ronald L. Lindsay discusses his article, "A pediatrician's reckoning with behavior therapy." He shares his profound professional and personal pivot, moving from a decades-long focus on measurable goals to understanding the deep trauma and harm caused by applied behavior analysis (ABA). Ronald explains why he now supports the #BanABA initiative, detailing how the therapy often prioritizes compliance over communication and normalization over neurodiversity, particularly for nonspeaking autistic individuals. He calls for a shift away from coercive behavioral interventions, which were driven by insurance mandates, toward dignity-centered alternatives like DIR/Floortime and robust AAC support. Learn why this pediatrician is unbuilding his legacy to advocate for autistic voices and ethical, trauma-informed care. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Assistant professor of professional practice Adrian Reynolds discusses his article, "What is professional identity formation in medicine?" He explores how a student's frustrated question, "Did I get dumber?" reveals the deep crisis of professional identity formation (PIF) in medical education. Adrian argues that the role of academic coaches and learning specialists is often misunderstood as remedial, when in fact their "hidden work" in teaching metacognition, self-regulated learning, and growth mindset is the true backbone of the curriculum. This discussion reframes PIF by focusing on the non-clinical specialists who guide students, navigating their own identity dissonance and role ambiguity in a hierarchical system. Learn why the curriculum "stands on the shoulders" of these educators and how they are central to transforming medical education. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Otolaryngologist Brian F. Worden discusses his article, "The surprising link between migraine and tinnitus." He reveals that for the 26-47 percent of tinnitus patients who also report migraines, the tinnitus may actually be an atypical migraine symptom, even without a headache. Brian explains how migraine, a complex neurological disorder, activates the trigeminal nerve, which can affect the inner ear and amplify sensory hypersensitivity, putting existing auditory hyperactivity into "overdrive." He outlines how to identify fluctuating, migraine-related tinnitus (which worsens with stress or sleep disruption) versus constant tinnitus. The discussion covers practical migraine-specific therapies that can reduce tinnitus severity, including trigger avoidance, nutritional supplements, and medications. Learn how treating the underlying neurological disorder, not just the ear, may be the key to managing tinnitus. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Urologist William Lynes discusses his article, "Teaching medical students what it is really like to be a physician." He confronts the tragic reality of physician burnout and suicide, arguing the culture of overwork is bred into medical training from day one. William proposes a critical shift in medical education: a continuous course led by practicing physicians to teach students that maintaining their own mental health is essential to providing excellent clinical care. He shares his powerful personal story of learning this lesson "too late," urging for systemic change to address physician mental health before it becomes a crisis. Learn why prioritizing clinician well-being is the most important lesson medical schools are failing to teach. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Medical student Chuka Onuh and orthopedic surgery resident Ogechukwu Onuh discuss their article, "A sibling's guide to surviving medical school." They share lessons learned as siblings navigating medical training, focusing on the critical need to be intentional with time and avoid the "illusion of productivity." Chuka and Ogechukwu emphasize that study habits must be adaptable (like switching from Anki to practice questions for USMLE exams) and that students must learn to advocate for themselves. The conversation also explores the biggest challenge of the medical school journey: protecting your identity outside the white coat, prioritizing relationships, and building resilience to avoid burnout. Learn the habits and mindset shifts necessary to survive medical school with your sense of self intact. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Retired nurse practitioner Heidi Sykora discusses her article, "The case for regulating, not banning, kratom." She provides an evidence-based perspective on why kratom (Mitragyna speciosa) should not be treated as a dangerous opioid, clarifying the significant pharmacological difference between the natural kratom leaf and the potent, synthesized 7-OH. Heidi explains that while kratom dependence is possible, its addiction and withdrawal profile is much milder than classical opioids, and that severe psychiatric risks are rare and often linked to adulterated products. This discussion centers on the failure of prohibition and advocates for sensible regulation, like the Kratom Consumer Protection Act (KCPA), to ensure consumer safety, product purity, and accurate labeling. Learn the science-based facts about kratom regulation and why banning it might increase public health dangers. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Family physician Rebecca Thompson discusses her article, "The weight of genetic testing in a family," an excerpt from her book. She shares a profoundly personal story from the memoir about a woman who is a carrier of the Huntington's disease mutation and an expectant mother facing the agonizing wait for her baby's genetic test results. Rebecca explores this powerful narrative, the emotional detachment used as a shield during the pregnancy, and the devastating impact of Huntington's disease on the family described, particularly the grandmother. The discussion explores the complex, personal ethics of genetic testing, the burden of knowledge, and the stark memory of a young boy in a neurology clinic that shaped the protagonist's views on motherhood and this incurable disease. Learn about the impossible choices and emotional weight carried by families facing a devastating genetic mutation. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Emergency physician Resa E. Lewiss and health care executive Jake Horowitz discuss their article, "Why women ER doctors earn $21,000 less than men." They reveal staggering new data that shatters the myth that the gender pay gap does not exist in emergency medicine, showing how it persists even after controlling for hours, experience, and patient volume. Resa and Jake explore the hard numbers: women ER physicians earn $21,000 less annually, a salary disparity that widens to over $40,000 late in their careers. This is not about output, it is about systemic inequity in the health care system that contributes directly to physician burnout and attrition among women physicians. The discussion moves beyond the problem to focus on solutions, highlighting the critical need for pay transparency, hospital audits, and collective action to demand pay equity. Learn how data can expose the truth and finally help fix the systemic issues robbing women doctors of millions in career earnings. Our presenting sponsor is Microsoft Dragon Copilot. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Now you can streamline and customize documentation, surface information right at the point of care, and automate tasks with just a click. Part of Microsoft Cloud for Healthcare, Dragon Copilot offers an extensible AI workspace and a single, integrated platform to help unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's built on a foundation of trust. It's time to ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Nationally recognized psychiatrist, internist, and addiction medicine specialist Muhamad Aly Rifai discusses his article, "How insulin resistance may cause Alzheimer's disease." Muhamad introduces the paradigm-shifting concept of Alzheimer's as "Type 3 diabetes," arguing that insulin resistance in the brain is the root cause. He explains how this metabolic dysfunction starves neurons (especially in the memory-critical hippocampus), leading to the toxic beta-amyloid plaques and tau tangles associated with cognitive decline. Muhamad highlights the crucial link between diabetes and Alzheimer's risk and discusses breakthrough diagnostic tools (like new blood tests) that can identify the disease before memory loss begins. Discover the practical lifestyle and medical interventions (from diet to new diabetes medications) that may prevent, manage, or even reverse cognitive decline by treating its metabolic underpinnings. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Health care executive Ronke Lawal discusses her article, "Digital mental health's $20 billion blind spot." Ronke explains how the booming digital mental health industry is systematically failing 40 percent of the U.S. population (racial and ethnic minorities), ignoring a $20 billion market opportunity. She argues that the "one-size-fits-all" model, based on Western-centric care, is a product failure that leads to algorithmic bias, misdiagnosis in diverse patients, and culturally incompetent artificial intelligence (AI) chatbots. This failure in digital mental health doesn't just alienate users; it creates real financial consequences for health systems, including higher emergency department use and readmission rates. Ronke makes the ironclad business case for embedding "cultural intelligence" into technology, arguing it's the only way to fix systemic bias and build effective digital mental health tools. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Fertility specialist Oluyemisi (Yemi) Famuyiwa discusses her article, "How timing affects chemical exposure risks." Yemi introduces her fascinating concept of "chrono-exposomics," explaining how the time of day you are exposed to environmental chemicals may be as important as the dose. She reveals how our body's circadian rhythms (like liver detoxification and skin permeability) change over 24 hours, meaning the same exposure at 8 p.m. is not the same as at 8 a.m. Using the example of a manicure, Yemi explores how endocrine-disrupting chemicals (like phthalates and TPO) in nail products might be absorbed more heavily in the evening, posing a unique risk to fertility and hormonal health. Learn the practical, evidence-informed adjustments you can make to align your self-care routines with your body's natural schedule. Our presenting sponsor is Microsoft Dragon Copilot. Want to streamline your clinical documentation and take advantage of customizations that put you in control? What about the ability to surface information right at the point of care or automate tasks with just a click? Now, you can. Microsoft Dragon Copilot, your AI assistant for clinical workflow, is transforming how clinicians work. Offering an extensible AI workspace and a single, integrated platform, Dragon Copilot can help you unlock new levels of efficiency. Plus, it's backed by a proven track record and decades of clinical expertise, and it's part of Microsoft Cloud for Healthcare, built on a foundation of trust. Ease your administrative burdens and stay focused on what matters most with Dragon Copilot, your AI assistant for clinical workflow. VISIT SPONSOR → https://aka.ms/kevinmd SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended