vlmd rounds

Send us a Text Message. Healthcare systems use cult tactics on doctors to forge a disenfranchised workforce, deprived of autonomy and independent thinking. I share my own experience of burnout and reflections on the real cause of burnout in medicine. Contact me for information on my physician burnout recovery program: www.vyvyanelohmd.com

Send us a Text Message. Most people with anemia or iron overload don’t think about their immune system but iron levels are very closely linked to inflammation in your body. Learn the details on the regulation of iron stores in the body and the importance of macrophages in iron cycling. Find out how iron impacts insulin sensitivity and metabolic health and what happens when iron is deposited in your brain. liver and other organs. Note: There is a sound glitch at 32:36 and I was saying "spinach is rich in oxalic acid". This interferes with iron absorption.

Send us a Text Message. Fuzzy science” abounds in the world, and even luminaries fall into its trap sometimes. This review clarifies the mis-explanations of important concepts in lipid science that were discussed in Peter Attia’s podcast. The interview with Dr. Thomas Dayspring resulted in a 7 hour series that promised a deep dive into cholesterol and lipoproteins. Lipid science is a complex and ever-evolving field. Understanding some of the basic tenets of the field helps us traverse more complicated topics. The intention of this review is to help clarify the important points Dr. Dayspring made and to open up the scope of the discussion by examining less considered aspects of cholesterol, lipoproteins and their functions. The deep dive into the topic by Drs. Attia and Dayspring was indeed much needed and appreciated and this review acts merely as supplementary commentary or footnotes to the discussion. Since Attia and Dayspring devoted an impressive 7 hours to their discussion, the 2 hour length in this episode respects the time and effort that went into their series by attending to their points in detail. Let me know your thoughts in the comments. What questions do you have from Dr. Dayspring’s interview? Time stamps: 00:00 Intro 05:11 Criteria for review 06:53 Aligning with their intention 09:29 Feynman's scientific principles 11:28 Phospholipids 18:46 Lipid Rafts 30:54 TD: "All cells make cholesterol." 45:28 The Rare Exceptions 50:45 Lipoproteins & cholesterol in artery walls 1:05:59 Pools of Cholesterol 1:09:50 Lipoprotein density 1:12:23 How apoproteins are bound 1:15:04 Statins & liver selectivity 1:21:05 Cholesterol functions & metabolism 1:31:02 HDL 1:34:11 RBC membrane cholesterol 1:36:59 Lipoprotein lineages 1:40:48 ApoE 1:50:40 Cholesterol's function in lipoproteins 1:59:55 Unregulated apoB 2:02:23 Conclusion My practice: https://vyvyanelohmd.com/work-with-me/

Send us a Text Message. Why Tuberculosis & Atherosclerosis are Siblings! You can learn a lot about someone if you know their family members. That's why we're looking at Tuberculosis in this episode. 1.8 billion of the world's population has been infected by TB. Most of them have latent infection. 10.6 million had active infection in 2021. This common infectious disease has many similarities to atherosclerosis and we could learn a lot about plaque formation by looking at TB. #tuberculosis #tb #atherosclerosis #ldl #cholesterol #metabolichealth To improve your metabolic health: Tulaversity.com For health coaches and healthcare professionals: https://www.tulaversity.com/certification Contact/Livestream events: vyvyanelohmd.com

Send us a Text Message. We'll discuss the general process of vascular calcification and some common risk factors for this. How do smooth muscle cells in the blood vessel wall contribute to the process? And what about macrophages? How do statins affect calcification? What about CAC-scores? What would happen if you have a low score and started taking a statin? Which calcified plaques are at highest risk for rupture? Find out in this episode of vlmd rounds. #atherosclerosis #ldl #cholesterol #calciumscore Courses for Health coaches & Metabolic Practitioners: https://www.tulaversity.com/certification Improve your metabolic health: www.tulaversity.com Livestream event dates: https://vyvyanelohmd.com/events/

Send us a Text Message. Learn about the role of macrophages in atherosclerosis. Where do they really come from? How do they contribute to the plaque? How are they driving the immune reaction? What's the relation between macrophages and T cells? We'll also look at vascular inflammation in the form of autoimmune vasculitis and note the similarities with atherosclerosis. #LDL #atherosclerosis #choelsterol #plaque #heartdisease #vasculitis #macrophages My website: vyvyanelohmd.com Check out the livestream dates Work with me to improve your metabolic health (Metabolic Foundations Program): www.tulaversitycampus.com if you are a health coach or clinician and want to acquire a solid foundation in metabolic health based on the most current science: www.tulaversitycampus.com

Send us a Text Message. Continuing on my discussion from episode 48, I lay out the real significance of the Vasa Vasorum. What is it about the vasa vasorum that plays into Atherosclerosis as an autoimmune disease? What's the real difference between the vasa vasorum of veins vs arteries? My website: vyvyanelohmd.com Work with me on your metabolic health: tulaversity.com

Send us a Text Message. I've been asked so many times about which end of the blood vessel allows entry of LDL particles that I've decided to address the question in this episode. One of the reasons there is so much confusion around discussion of the vasa vasorum is that we only focus on 1 tiny aspect of it and not the whole picture. All that missing information leads to confusion, "fuzzy talk" about the vasa vasorum and the pathogenesis of atherosclerosis. I've decided to do 2 episodes on the topic and in this 1st part, we'll just look at the full description of the vasa vasorum--its structure and organization. We'll also look at what is happening at the luminal side to clarify the 'back door' vs. 'front door' issue. And then I'll reveal the true significance of the vasa vasorum in part 2. #vasavasorum #atherosclerosis #cholesterol #ldl #heartdisease Online Metabolic Foundations Program: www.tulaversity.com. My website: vyvyanelohmd.com

Send us a Text Message. The Clot Thickens in Atherosclerosis--but How? This episode is based on a request by a listener to address Dr. Malcolm Kendrick's hypothesis on the clot as the underlying initiator of atherosclerosis which he proposed in his book, The Clot Thickens. Based on his observations, Dr. Kendrick talks about atherosclerosis as a blood disorder from increased clotting due to damage to the blood vessel lining. My points in this episode clarify the immune science of atherosclerosis and blood clotting, and delve into the significance and role of platelets in the disease process. Check out livestream events: vyvyanelohmd.com/events/ To work with me and join my coaching program: tulaversity.com

Send us a Text Message. Cholesterol is often considered the troublemaker in atherosclerosis. The medical world vilifies it and with some medications, aims to drive it to the brink of extinction in your body! Although not the inciting event in atherosclerosis, it does have an important role in the disease process and that's the main topic in this episode. I'll reveal "secrets" or rarely discussed aspects of cholesterol metabolism and how that may contribute to atherosclerosis. As usual, all is not quite what it seems in the marvelous complexity of the human body.Let me know what you think in the comments. Check out my live Q&A show: https://vyvyanelohmd.com/events/ To work with me, go to: https://tulaversity.com

Send us a Text Message. LDL-cholesterol--usually cast as the villain in the disease process of atherosclerosis. But is cholesterol the main problem? Why does your doctor want to lower the level of LDL as much as possible? Then there are others who say that high LDL levels are not the problem, it's mainly inflammation we should worry about. Just lower your inflammation and you should be fine. This episode will discuss the link between LDL, atherosclerosis/heart disease and inflammation. This is the MISSING LINK that has been right in front of our eyes. Make sure you don't miss this episode. #atherosclerosis #LDL #lipoproteins #heartdisease #reversedisease #metabolichealth #statins #cholesterol To work with me via my online program: Tulaversity.com Find out about my livestream dates and come chat with me on lipoproteins (or anything else you've heard on the podcast): vyvyanelohmd.com/events/

Send us a Text Message. Tea is full of bioactive molecules that have medicinal properties. What are some of the health effects of tea? Are there differences between green, black and fermented tea? How should you prepare it so that it preserves its healing effects? Learn more about my favorite drink in this episode of vlmd rounds! For more information, go to www.VyvyaneLoh MD.com

Send us a Text Message. What are the sleep patterns of elite athletes? How does sleep affect our athletic performance? How can we manage our sleep and training schedules? How much sleep do athletes need? How does altitude training impact sleep? What does brainwashing have to do with sleep? If you're an elite athlete or someone looking to optimize your athletic performance, check out this episode and let me know your thoughts. Here's my previous sleep episode: https://youtu.be/qdDyR8CAs40 For more information visit www.VyvyaneLohMD.com

Send us a Text Message. Ginger has been around for thousands of years as a spice and a medicinal herb in many cultures. Are its touted effects real or wishful thinking? How does ginger impact your brain? What about fat? How should you consume ginger and which forms have more efficacy? Will ginger make you lose weight? Check out this episode for the details. For more information, visit www.VyvyaneLohMd.com

Send us a Text Message. Anxiety is a distressing condition experienced by millions of people worldwide. It is generally treated with counseling and therapy, anti-anxiolytic medications to manage the symptoms and sometimes also antidepressants. However, it is becoming increasingly clear that anxiety is associated with neuroinflammation. We'll look at the changes in the brain with anxiety as well as different models of anxiety. How does chronic stress play a role in this? We'll also discuss ways to decrease inflammation in the brain. For more information, visit www.VyvyaneLohMD.com

Send us a Text Message. We've heard about the benefits of testosterone replacement for men and when we talk about aging and metabolic health, much has been made against estrogen in men. In general, estrogen has been thought of as feminizing in men, and the idea has been to get rid of its effects while strengthening androgenic effects in men. Yet it turns out that estrogen has metabolic benefits in men and women and estrogen deficits can increase cardiometabolic risks in all of us. Find out why estrogen is absolutely crucial for men's health in this episode of vlmd rounds. For more information, contact www.vlmdrounds.com

Send us a Text Message. What happens to your body in menopause? Why is it so easy to gain weight and so hard to lose it after menopause? What can you do about it? This episode is for everyone who has ever asked me those questions. Learn about what happens to your fat when you hit menopause and how that impacts you metabolically. What are some of the best strategies to lose fat after menopause? Find out in episode 39 of vlmd rounds. For more information, visit www.VyvyaneLohMD.com

Send us a Text Message. Vitamin A metabolites or retinoids are usually thought of as important for the skin and the eye, but metabolism? How do we get Vitamin A in our diet? Is beta-carotene the same as Vitamin A? (NO, but it's important to know why). How does Vitamin A affect fat tissue? Does Vitamin A have an impact on insulin resistance? Check out this episode for the details. For more information, visit www.VyvyaneLohMD.com

Send us a Text Message. In this episode we will look at the sensation of itching and how it is perpetuated. What is the difference between an acute itch vs. chronic itch? How are skin cells, neurons and immune cells talking to each other? Why do we itch? And how does itching fit into the larger phenomena of interoception (the perception of internal signals like hunger and heartbeat)? We'll also explore how stress can affect your skin and what you can do about it. And while this episode focuses on chronic itching, you'll also discover surprising links to chronic cough and anosmia (loss of smell). So if you've lost your sense of smell from a viral infection like COVID-19, check this one out. N.B.--I tried something different and filmed this outdoors in Barcelona. Didn't realize at the time that I was standing next to a wall with a playground on the other side, so sorry about the noise! For more information, visit http://www.VyvyaneLohMD.com.

Send us a Text Message. How is cholesterol metabolized? What controls its biosynthesis? What happens when it's modified? What are the effects of oxidized cholesterol on health and disease? What about cholesterol immunometabolism? Check out this episode to learn more. For more information, visit http://www.VyvyaneLohMD.com