Intelligent Medicine®

Author: Dr. Ronald Hoffman

Q&A with Leyla: Does nicotine destroy the spine?

A spoof on suggested nutrition guidelines; Does nicotine destroy the spine? Suggestions for an 88-year-old man with an irregular heart rate. “My PSA is on an upward trend since my last test. Should I stop taking testosterone?” Essential tremors; “I wake often during the night. What can I take to help me stay asleep?” And more!

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Intelligent Medicine Radio for January 10: Long-Overdue Change to the Broken Food Pyramid

Applauding a long-overdue change to the broken Food Pyramid; FDA green lights testosterone replacement; Does CoQ10 protect against statin muscle damage? MAHA derailed by federal policies that allow harmful chemicals to proliferate; FDA approves electrical stimulation headset as safe and effective for home-use to treat depression; Is just a little red wine ever day bad for you? And more!

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Q&A with Leyla: Top Stories of 2025

The Top stories of 2025; Does use of statins lead to muscle loss? GABA for insomnia and sleep support? What impact does a cocktail of pharmaceutical drugs have on the microbiome? In light of the recent EPA proposal to double permissible formaldehyde emissions, how does this jibe with MAHA? And more!

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ENCORE: Intelligent Medicine Radio for January 3: Artificial Light and Menstrual Cycle Rhythms

The advent of artificial light is obliterating women’s moon-driven menstrual cycle rhythms; When the triple whammy of cataracts, glaucoma and macular degeneration strikes; Are wrist and finger wearables for blood pressure ready for prime time? Drinking bottled water causes surge in plastic micro-particle intake; The common supplement that can supercharge cancer immunotherapy; Children garner psychological benefits from grandparent time; And more!

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ENCORE: Q&A with Leyla: A Treatment for Warts

Consequences of weight loss with weight loss drugs; Enter myostatin inhibitor drugs; “My latest A1c is 5.9 but I’m doing everything right. What gives?” Alpha-ketoglutarate for healthy aging? A treatment for warts? “Am I destined to develop diabetes given my strong family history of the disease?

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ENCORE: Q&A with Leyla: Holiday Stress

On this special holiday edition of Q&A with Leyla: Holiday Stress tops tax season stress; Is berberine truly efficacious? Does alcohol really reduce stress and improve circulation? Is thiamine a treatment for Parkinson’s? Is there a natural thyroid medicine that is not pork-derived? Help for guttate psoriasis; And more!

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Illustration of a red boxing glove punching an assortment of junk food, including donuts, pizza, a cheeseburger, a cup of soda, potato chips, and candy
There’s a food fight going on in America, and it’s being waged at the highest levels of government, academia, agribusiness, and the medical establishment.
Illustration of a red boxing glove punching an assortment of junk food, including donuts, pizza, a cheeseburger, a cup of soda, potato chips, and candy
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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