Takeaways:Dietary guidelines have evolved since the 1980s.The food pyramid was introduced in 1992 and has influenced public perception.New dietary guidelines emphasize healthy fats but retain some old recommendations.There are contradictions in the new guidelines regarding saturated fat and protein intake.The definition of processed foods remains vague and controversial.The guidelines are intended for healthcare professionals, not consumers.Public policy needs to align with dietary guidelines for effective implementation.The emphasis on real food is not a new concept in dietary guidelines.There is skepticism about whether the new guidelines will lead to meaningful changes in public health.The conversation around dietary guidelines is often politically charged.Follow Kevin: <a href="https://www.instagram.com/kcklatt" target="_blank">Tap Here</a> Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of personal data for advertising.

<description>&lt;p&gt;Takeaways:&lt;/p&gt;&lt;p&gt;Dietary guidelines have evolved since the 1980s.&lt;/p&gt;&lt;p&gt;The food pyramid was introduced in 1992 and has influenced public perception.&lt;/p&gt;&lt;p&gt;New dietary guidelines emphasize healthy fats but retain some old recommendations.&lt;/p&gt;&lt;p&gt;There are contradictions in the new guidelines regarding saturated fat and protein intake.&lt;/p&gt;&lt;p&gt;The definition of processed foods remains vague and controversial.&lt;/p&gt;&lt;p&gt;The guidelines are intended for healthcare professionals, not consumers.&lt;/p&gt;&lt;p&gt;Public policy needs to align with dietary guidelines for effective implementation.&lt;/p&gt;&lt;p&gt;The emphasis on real food is not a new concept in dietary guidelines.&lt;/p&gt;&lt;p&gt;There is skepticism about whether the new guidelines will lead to meaningful changes in public health.&lt;/p&gt;&lt;p&gt;The conversation around dietary guidelines is often politically charged.&lt;/p&gt;&lt;p&gt;Follow Kevin: &lt;a href="https://www.instagram.com/kcklatt" target="_blank"&gt;Tap Here&lt;/a&gt;&lt;/p&gt;&lt;br/&gt; &lt;p&gt;Hosted by Simplecast, an AdsWizz company. See &lt;a href="https://pcm.adswizz.com"&gt;pcm.adswizz.com&lt;/a&gt; for information about our collection and use of personal data for advertising.&lt;/p&gt;</description>

The new U.S. Dietary Guidelines just dropped, and the internet is freaking out over the updated food pyramid. In this episode, we break down what the guidelines actually say, who they’re really written for (hint: mostly policymakers, not everyday people), and why the pyramid graphic can be more confusing than helpful.

We also dig into the biggest inconsistencies like the push for more protein and “natural fats,” the mixed messaging on saturated fat, and the messy “processed foods” debate without a clear definition. Bottom line: there’s some reasonable advice here, but a lot of the hype is performative, and the real impact depends on how these guidelines get translated into actual policy like school lunches and federal programs.

Breaking Down the New Food Pyramid (Great or Confusing)

Takeaways:Cortisol is essential for various bodily functions, especially during stress.Adrenal glands have a circadian rhythm that affects cortisol production.Cushing's syndrome can result from excess cortisol and has specific symptoms.Diagnosis of adrenal disorders requires careful testing and consideration of symptoms.Mild autonomous cortisol secretion can complicate diabetes management.The Catalyst trial explored the effects of cortisol antagonism on diabetes.Future research may focus on selective glucocorticoid receptor modulators.Woolly mammoth studies provide insights into historical testosterone levels.Understanding adrenal health is crucial for effective patient care.Endocrinologists must navigate the complexities of hormone testing and treatment.   Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of personal data for advertising.

<description>&lt;p&gt;Takeaways:&lt;/p&gt;&lt;p&gt;Cortisol is essential for various bodily functions, especially during stress.&lt;/p&gt;&lt;p&gt;Adrenal glands have a circadian rhythm that affects cortisol production.&lt;/p&gt;&lt;p&gt;Cushing's syndrome can result from excess cortisol and has specific symptoms.&lt;/p&gt;&lt;p&gt;Diagnosis of adrenal disorders requires careful testing and consideration of symptoms.&lt;/p&gt;&lt;p&gt;Mild autonomous cortisol secretion can complicate diabetes management.&lt;/p&gt;&lt;p&gt;The Catalyst trial explored the effects of cortisol antagonism on diabetes.&lt;/p&gt;&lt;p&gt;Future research may focus on selective glucocorticoid receptor modulators.&lt;/p&gt;&lt;p&gt;Woolly mammoth studies provide insights into historical testosterone levels.&lt;/p&gt;&lt;p&gt;Understanding adrenal health is crucial for effective patient care.&lt;/p&gt;&lt;p&gt;Endocrinologists must navigate the complexities of hormone testing and treatment.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;br/&gt; &lt;p&gt;Hosted by Simplecast, an AdsWizz company. See &lt;a href="https://pcm.adswizz.com"&gt;pcm.adswizz.com&lt;/a&gt; for information about our collection and use of personal data for advertising.&lt;/p&gt;</description>

We hear “high cortisol” blamed for everything, but your adrenal glands are supposed to make cortisol in a daily rhythm that helps you wake up, fuel exercise, and handle illness. In this episode, we break down what cortisol actually does, how real adrenal disorders like Cushing’s are diagnosed, and why random at home cortisol tests and “adrenal fatigue” claims are usually misleading.

Cortisol Myths vs Reality: What Your Adrenals Actually Do

Takeaways:Slimmer's Paralysis is a recognized condition.Ethical boundaries are crucial in patient relationships.Medical professionals must maintain professionalism at all times.Humor can sometimes arise in serious discussions.Patient stories should always be handled with care.The importance of clear communication in medical settings.Understanding patient experiences is vital for effective care.Ethics in medicine is a complex and nuanced topic.Medical discussions can lead to unexpected topics.Maintaining a professional demeanor is essential.   Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of personal data for advertising.

<description>&lt;p&gt;Takeaways:&lt;/p&gt;&lt;p&gt;Slimmer's Paralysis is a recognized condition.&lt;/p&gt;&lt;p&gt;Ethical boundaries are crucial in patient relationships.&lt;/p&gt;&lt;p&gt;Medical professionals must maintain professionalism at all times.&lt;/p&gt;&lt;p&gt;Humor can sometimes arise in serious discussions.&lt;/p&gt;&lt;p&gt;Patient stories should always be handled with care.&lt;/p&gt;&lt;p&gt;The importance of clear communication in medical settings.&lt;/p&gt;&lt;p&gt;Understanding patient experiences is vital for effective care.&lt;/p&gt;&lt;p&gt;Ethics in medicine is a complex and nuanced topic.&lt;/p&gt;&lt;p&gt;Medical discussions can lead to unexpected topics.&lt;/p&gt;&lt;p&gt;Maintaining a professional demeanor is essential.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;br/&gt; &lt;p&gt;Hosted by Simplecast, an AdsWizz company. See &lt;a href="https://pcm.adswizz.com"&gt;pcm.adswizz.com&lt;/a&gt; for information about our collection and use of personal data for advertising.&lt;/p&gt;</description>

In this episode, Dr. Spencer and Dr. Karl break down some of the strangest and most misunderstood GLP-1 side effects, from slimmer’s paralysis and foot drop to bladder spasms and post-bariatric reactive hypoglycemia. They walk through real patient cases, why these issues happen, and what clinicians and patients can do to spot them early and manage them safely.

GLP-1 Side Effects Deep Dive: Slimmer's Paralysis, Bladder Spasms, & Reactive Hypoglycemia.

Takeaways:Drug transfer during lactation is complex and challenging.Semaglutide was not detected in women taking any dose.Low amounts of tears epitide were found in milk.Tissue damage can affect drug absorption.Mastitis and engorgement complicate the lactation process.Injections are necessary for effective drug delivery.The analogy of an elephant illustrates the difficulty of drug transfer.Detection of drugs in milk is a critical concern for breastfeeding mothers.Understanding turnover is essential in lactation studies.The implications of drug transfer on women's health are significant. <a href="https://www.infantrisk.com/our-team">Infant Risk Center Link</a>  Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of personal data for advertising.

<description>&lt;p&gt;Takeaways:&lt;/p&gt;&lt;p&gt;Drug transfer during lactation is complex and challenging.&lt;/p&gt;&lt;p&gt;Semaglutide was not detected in women taking any dose.&lt;/p&gt;&lt;p&gt;Low amounts of tears epitide were found in milk.&lt;/p&gt;&lt;p&gt;Tissue damage can affect drug absorption.&lt;/p&gt;&lt;p&gt;Mastitis and engorgement complicate the lactation process.&lt;/p&gt;&lt;p&gt;Injections are necessary for effective drug delivery.&lt;/p&gt;&lt;p&gt;The analogy of an elephant illustrates the difficulty of drug transfer.&lt;/p&gt;&lt;p&gt;Detection of drugs in milk is a critical concern for breastfeeding mothers.&lt;/p&gt;&lt;p&gt;Understanding turnover is essential in lactation studies.&lt;/p&gt;&lt;p&gt;The implications of drug transfer on women's health are significant.&lt;br /&gt;&lt;br /&gt;&lt;a href="https://www.infantrisk.com/our-team"&gt;Infant Risk Center Link&lt;/a&gt;&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;br/&gt; &lt;p&gt;Hosted by Simplecast, an AdsWizz company. See &lt;a href="https://pcm.adswizz.com"&gt;pcm.adswizz.com&lt;/a&gt; for information about our collection and use of personal data for advertising.&lt;/p&gt;</description>

In this episode, we sit down with leading lactation researcher Dr. Kaytlin Krutsch break down the first real human data on GLP-1 medications in breast milk. She explains what the studies found, what women should consider before starting these medications postpartum, and why the actual risk may be far lower than most people think.

GLP-1s and Breast Milk: What the New Research Actually Found

Takeaways:Behavior change is a complex process that requires understanding motivation and discipline.Motivation is not just a feeling; it's a psychological skill that can be developed.Many common phrases about behavior change are misleading and oversimplified.Exercise should be viewed as a choice rather than a habit that becomes automatic.Self-efficacy is crucial for successful behavior change and can be built through mastery experiences.Future self thinking can help individuals align their actions with their long-term goals.It's important to lower barriers to entry for new behaviors to increase adherence.Modeling healthy behaviors is essential for influencing children and adolescents.The psychological definition of a habit differs from the colloquial use of the term.Resources and support systems are vital for individuals looking to change their behaviors.<a href="https://www.instagram.com/karinnordinphd/" target="_blank">Follow Dr. Nordin Here</a><a href="https://bodybrainalliance.com/" target="_blank">https://bodybrainalliance.com/</a> Hosted by Simplecast, an AdsWizz company. See <a href="https://pcm.adswizz.com">pcm.adswizz.com</a> for information about our collection and use of personal data for advertising.

<description>&lt;p&gt;Takeaways:&lt;/p&gt;&lt;p&gt;Behavior change is a complex process that requires understanding motivation and discipline.&lt;/p&gt;&lt;p&gt;Motivation is not just a feeling; it's a psychological skill that can be developed.&lt;/p&gt;&lt;p&gt;Many common phrases about behavior change are misleading and oversimplified.&lt;/p&gt;&lt;p&gt;Exercise should be viewed as a choice rather than a habit that becomes automatic.&lt;/p&gt;&lt;p&gt;Self-efficacy is crucial for successful behavior change and can be built through mastery experiences.&lt;/p&gt;&lt;p&gt;Future self thinking can help individuals align their actions with their long-term goals.&lt;/p&gt;&lt;p&gt;It's important to lower barriers to entry for new behaviors to increase adherence.&lt;/p&gt;&lt;p&gt;Modeling healthy behaviors is essential for influencing children and adolescents.&lt;/p&gt;&lt;p&gt;The psychological definition of a habit differs from the colloquial use of the term.&lt;/p&gt;&lt;p&gt;Resources and support systems are vital for individuals looking to change their behaviors.&lt;/p&gt;&lt;p&gt;&lt;a href="https://www.instagram.com/karinnordinphd/" target="_blank"&gt;Follow Dr. Nordin Here&lt;/a&gt;&lt;/p&gt;&lt;p&gt;&lt;a href="https://bodybrainalliance.com/" target="_blank"&gt;https://bodybrainalliance.com/&lt;/a&gt;&lt;/p&gt;&lt;br/&gt; &lt;p&gt;Hosted by Simplecast, an AdsWizz company. See &lt;a href="https://pcm.adswizz.com"&gt;pcm.adswizz.com&lt;/a&gt; for information about our collection and use of personal data for advertising.&lt;/p&gt;</description>

In this episode, Dr. Spencer and Dr. Karl talk with Dr. Karin Nordin, behavioral change specialist and founder of Body Brain Alliance, about why most advice on motivation, discipline, and habits gets it wrong. They break down the science of behavior change, exploring how identity, self-efficacy, and “future self thinking” can help people finally follow through on healthy routines that last.

How to Build Healthy Routines That Actually Stick

Drs. Spencer and Karl Nadolsky talk about nutrition, medicine, and fitness through the lens of two physicians who lift weights. Both doctors are former NCAA division 1 wrestlers who have gone into medicine. Dr. Spencer Nadolsky is a board certified family physician specialized in obesity medicine and lipidology. Dr. Karl Nadolsky is a board certified endocrinologist also specialized in obesity medicine.

Docs Who Lift

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