Intelligent Medicine®

Author: Dr. Ronald Hoffman

ENCORE: Q&A with Leyla: Heating Pad for Pain

An example of another bad ‘scientific’ study; Thoughts on the new at-home prostate test; A case study in high cholesterol; My husband’s A1c went up after taking a statin for 5 months. Help! Using a heating pad for pain — a listener’s success story; And more!

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Caffeinated Insights: New Findings in Heart Health

Curious about how coffee affects your heart? Cardiologist Dr. Gregory Marcus has new findings on the nuanced effects of caffeine on heart health. Hear about the surprising relationship between coffee and the heart. Don’t miss it!

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Intelligent Medicine Radio for August 15: That Fishy Smell

Most mayos, salad dressings and chips “made with 100% avocado oil” fail test; Immune benefits of BWH Beta Glucan; Low-fat dairy shown to confer no weight, cholesterol benefits over full-fat dairy; FDA and USDA to define ultra-processed foods for first time—but what are they really? Those dark skin blotches—are they melasma, or just age spots? That fishy smell—does it mean your seafood is spoiled? And more!

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Q&A with Leyla: The New Vaccine Schedule Recommendations

The new vaccine schedule recommendations; My urologist is giving me grief that my vitamin D level is too high; Nattokinase for long covid? Thoughts on Cleveland Clinic’s assessment of fish oil supplements; Natural treatments for anxiety and depression; Is taking Bergamot for cholesterol really effective? And more!

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Intelligent Medicine for August 8: Your Future Drug Deliveries May Be Via Drones

What are the pros and cons of male circumcision? Do women wearing thongs get more vaginal infections? An avocado a day may keep the cardiologist away; Major study flags frailty risks with GLP-1 drugs for seniors; Unlicensed doctor arrested after patient dies following NAD+ infusion; Your future drug deliveries may be via drones; Can osteoporosis be reversed with hormone replacement therapy and resistance exercise? And more!

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Q&A with Leyla: Protein Intake Across the Lifespan

Considerations for protein intake across the lifespan; My bone mineral density has improved with strontium, should I stop taking it? My HgbA1c is steady at 5.5, could I reduce my metformin dose? I have a large gallstone and am wondering what the pros and cons of having my gallbladder removed are; Is there an easier way to ingest supplements? And more!

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Illustration of medical professionals amidst books and and scientific instruments. Medical studies concept.
The medical research establishment is reeling as budget cuts loom for the National Institutes of Health. A colleague involved in funding research at my alma mater, Albert Einstein College of Medicine told me: “It’s been all hands on deck as we struggle to defend our grants.”According to Healthcaredive:
Illustration of medical professionals amidst books and and scientific instruments. Medical studies concept.
Brunette woman rubbing moisturizer on her cheek
I’ve long said that what skin needs is not fancy potions applied externally; rather, healthy skin requires a lube job from within via targeted supplementation. But lately, some promising research about innovative natural topical treatments for skin has caught my eye.
Brunette woman rubbing moisturizer on her cheek
Stethoscope on press headlines regarding medical matters
U.S. taxpayers funded a campaign to dox foes of pesticides and GMOs. Controversy rages over the sweeping powers afforded Elon Musk in rooting out DOGE-y government programs, especially at USAID. But here’s one that most assuredly deserves defunding. Long before DOGE was launched, Lighthouse Reports, a consortium of public interest journalists, undertook an investigative report (“Poison PR”) in collaboration with the UK Guardian newspaper that highlighted the role of a U.S. taxpayer-funded PR operation in building a database of environmentalists.
Stethoscope on press headlines regarding medical matters
Senior woman with short hair dressed in a blue t-shirt, flexing her arm as she lifts a lightweight dumbbell
I used to be an osteoporosis screening “hawk”; I fell in line with the conventional wisdom that sussing out premature bone loss with a DEXA bone densitometry was a must for women hitting menopause, when bone loss begins to accelerate. 
Senior woman with short hair dressed in a blue t-shirt, flexing her arm as she lifts a lightweight dumbbell
Yellow background with six wavy arrows in multiple colors, spreading from the bottom left to top right of the photo, some of them crossing over each other. Concept for multiple paths continuing forward.
When I attend my med school reunions, I reunite with brilliant classmates who love being doctors. But they lament their loss of autonomy as private equity wheeler-dealers swallow up small group practices; return on investment supplants patient care as the prime goal of healthcare. Administrators proliferate, at the same time a critical doctor shortage looms. Burnout and disillusionment are prompting a wave of early retirements of veteran practitioners. 
Yellow background with six wavy arrows in multiple colors, spreading from the bottom left to top right of the photo, some of them crossing over each other. Concept for multiple paths continuing forward.
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