The Curbsiders Internal Medicine Podcast

How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.
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Show Segments

Intro

CGMs, Postprandial Glucose, and Data Neurosis

Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk

Body Composition, VO2 Max, and Functional Longevity

Sleep, HRV, and Wearables

Prescribing Exercise in Real Life

How to Talk to Patients About Peptides

Take-Home Points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Sandeep Palakodeti MD, MPH

Disclosures

Dr. Palakodeti reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 
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Sponsor: Continuing Education Company

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Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!
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Show Segments

Intro

Advice for listeners

Adrenal incidentaloma Definition (Case 1)

Hormonal workup for adrenal incidentalomas

Defining mild autonomous cortisol secretion (MACS)

Significance and prevalence of MACS

Diagnostic testing for MACS

Treatment options for MACS (surgery vs. comorbidity management)

Post surgical management of MACS (Case 2)

Diagnostic testing for adrenal insufficiency (AI)

Glucocorticoid withdrawal syndrome management

Deciding when patients are able to come off of steroids after AI

Outcomes after adrenalectomy in MACS

Take home points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Producer, writer, show notes, and CME: Mobeen Ahmad MD

Cover art and infographic: Kate Grant MBChb, MRCGP

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD

Reviewer: Emi Okamoto MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Irina Bancos MD, MSc

Disclosures

Dr. Bancos has the following disclosures:

Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.

Research grant for investigator initiated research (to institution): Esteve, Recordati

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Metabolic Health, Advanced Lipidology, and Preventing ASCVD
Level up your primary prevention game. Learn when ApoB, Lp(a), and CAC actually change management, how to spot cardiometabolic risk before diabetes declares itself, and how to make smarter lipid decisions beyond the standard panel. We’re joined by Dr. Greg Katz, cardiologist and prevention expert at NYU Langone Health.
Claim CME for this episode at curbsiders.vcuhealth.org!
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Show Segments

Intro

Primary Prevention & Metabolic Syndrome (Case 1)

Beyond the Standard Lipid Panel

When to Order ApoB

How Lp(a) Changes Management (Case 2)

Using CAC/CCTA in the Gray Zone

Recognizing Early Cardiometabolic Risk

CGMs, Wearables, and Signal vs Noise (Case 3)

How to Talk to Patients About Risk

Take-Home Points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

Reviewer: Sai S Achi MD, MBA, FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Greg Katz MD

Disclosures

Dr. Katz reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

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Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. 

Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzheimer’s, weight regain patterns after medication-induced weight loss, and a deep dive into the data behind deprescribing – and behavioral science to increase deprescribing behavior.  Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Alex Chaitoff (@alexchaitoff), Nora Taranto (@norataranto), & Matt Watto (@doctorwatto).
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Credits

Written and Hosted by: Nora Taranto MD, MSCE; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP,, & Matthew Watto MD, FACP

Cover Art: Nora Taranto MD, MSCE

Reviewer: Sai S Achi MD, MBA, FACP

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

GLP-1 + GIPs vs GLP-1s for patients with T2DM and Obesity – SURPASS-CVOT 

Weight Regain after Weight loss 

VALAD – Valacyclovir in patients with early Alzheimer’s 

Nudges to increase Deprescribing 

Outro

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We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating  screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications.
Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

Intro

Case from Kashlak

Why screen for prediabetes and diabetes?

Who to screen for prediabetes and diabetes

How to screen for prediabetes and diabetes

Role of the physical exam

Explaining a diagnosis of prediabetes to patients

Atypical types of prediabetes

Management of prediabetes: lifestyle changes

Management of prediabetes: medications

Outro

Credits

Producer, Writer, and Show Notes: Malini Gandhi MD

Infographic and Cover Art: Zoya Surani

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   

Reviewer: Sai Achi MD,MBA,FACP

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Scott Isaacs MD

Disclosures

Dr. Isaacs reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 
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