Episoder
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In this episode I look at why across much of the world mental health is in crisis. What are the reasons for this? What can we do about it?
TW: mentions suicide.
Systems biology in medicine: https://www.imperial.ac.uk/metabolism-digestion-reproduction/research/systems-medicine/
COVID and mental health: https://pmc.ncbi.nlm.nih.gov/articles/PMC8758130/#
Trauma and mental health: https://www.theguardian.com/society/2021/sep/20/trauma-trust-and-triumph-psychiatrist-bessel-van-der-kolk-on-how-to-recover-from-our-deepest-pain
Antipsychotic medication: https://www.bap.org.uk/articles/chlorpromazine-the-first-antipsychotic/
The coal gas story, UK: https://pmc.ncbi.nlm.nih.gov/articles/PMC478945/
Suicide and means restriction: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00157-9/fulltext
Golden Gate Bridge stories and learnings: https://ennyman.medium.com/a-lesson-from-29-golden-gate-suicide-attempts-a42f4ef3f970
https://edition.cnn.com/2023/11/19/us/golden-gate-bridge-suicide-safety-net/index.html
Jonny Benjamin: https://jonnybenjamin.co.uk/
The Hoffman Process: https://www.hoffmaninstitute.co.uk/about-the-process/
Early Years resources: https://www.annafreud.org/services/services-for-children-and-young-people/for-under-fives/early-years-in-mind/
Leafyard - one of many mental health AI apps: https://www.leafyard.com/healthfix
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Hydration is something many of us take for granted but in this episode I bust some myths around hydration, cover why it is important to give it some thought and why urine colour is not the best measure of how hydrated we are.
Too much vs too little: https://www.instagram.com/drayanpanja/p/C16g1vfI3ZP/
BUY THE HEALTH FIX NOW: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=nodl_?dplnkId=1ba53367-030f-4f3f-ad09-4a1fc81eadf5
Plethysmography: https://www.healthline.com/health/plethysmography
Water intoxication: https://my.clevelandclinic.org/health/diseases/water-intoxication
Diarrhoeal disease and oral rehydration therapy (ORT): https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
ORT: https://ourworldindata.org/oral-rehydration-therapy
8 glasses of water a day?: https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-63755475#
Overhydration dangers: https://www.healthline.com/health/overhydration
Delirium: https://www.mayoclinic.org/diseases-conditions/delirium/symptoms-causes/syc-20371386
What hydrates us: https://www.webmd.com/parenting/features/healthy-beverages
Excessive thirst: https://www.nhs.uk/conditions/thirst/
Tap water: https://www.independent.co.uk/life-style/tap-water-uk-safe-to-drink-b2600254.html
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Manglende episoder?
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The thyroid is an important gland and with many functions. Up to 10% of people have a thyroid disorder and in this episode I look at common presentations and how to keep your thyroid healthy.
How thyroid hormone is made: https://www.ezmedlearning.com/blog/thyroid-hormone-synthesis-steps-pathway
Hashimoto’s Disease - a common cause of hypothyroidism (underactive): https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855
Derbyshire goitre: https://pubmed.ncbi.nlm.nih.gov/15719162/
Nutritional factors and the thyroid: https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/multiple-nutritional-factors-and-thyroid-disease-with-particular-reference-to-autoimmune-thyroid-disease/DBA9BAD5847376FA5E099B7ACC7556A2
Iodine - a double edged sword: https://www.healthline.com/health/iodine-uses
Selenium and the thyroid: https://pubmed.ncbi.nlm.nih.gov/37033262/
Ashwagandha: https://www.liebertpub.com/doi/10.1089/acm.2017.0183
Heavy metals and the thyroid: https://pmc.ncbi.nlm.nih.gov/articles/PMC3569681/
Lioyhyronine (T3): Many people cannot convert T4 to T3 (a defect in the de-iodinase enzyme that loses the iodine molecule): https://thyroiduk.org/if-you-are-hypothyroid/treatment-options-for-hypothyroidism/treatment-options-for-hypothyroidism/liothyronine-t3/
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It’s the second commonest cancer in men across the world and increasing in incidence.
In this episode I look at why it occurs and what we can do prevent it, manage risk and raise awareness.
Hormones and their roles in prostate cancer: https://www.ceu.ox.ac.uk/news/largest-study-to-date-confirms-role-of-two-hormones-in-aggressive-prostate-cancer-risk#
Benign prostatic hypertrophy (not cancer): https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087
Genetics and prostate cancer: https://medlineplus.gov/genetics/condition/prostate-cancer/#causes
Gleason grading of prostate cancer: https://www.pcf.org/about-prostate-cancer/diagnosis-staging-prostate-cancer/gleason-score-isup-grade
Stress and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC5693840/
Inflammation and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC4029103/#:~:text=These%20preliminary%20studies%20revealed%20that,score%207%E2%80%9310)%20disease.
Exercise and prostate cancer: https://www.pcf.org/patient-resources/living-prostate-cancer/exercise-prostate-cancer/
Toxins / cadmium: https://www.nature.com/articles/s41389-020-0202-7
Dietary cadmium: https://bmccancer.biomedcentral.com/articles/10.1186/s12885-015-1153-9#
Selenium supplementation: https://pubmed.ncbi.nlm.nih.gov/8971064/
Prospective Japanese study on green tea: https://pubmed.ncbi.nlm.nih.gov/17906295/
Calcium and red meat: https://www.nature.com/articles/6604331
Green tea and diet:
https://www.sciencedirect.com/science/article/abs/pii/S0306987722000792
Movember.com
Buy my book THE HEALTH FIX on sale price now: https://rb.gy/rzknqt
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The amount of health information and practitioners are constantly growing and we have a choice about where we search for this information and advice.
But how do you know who is reliable? How do you decide who to trust?
I explore this and more in the episode.
Gen Z and their health: https://www.healthline.com/health-news/tiktok-main-source-health-information-gen-z#56%25-of-Gen-Z-users-turn-to-TikTok-for-health-and-wellness-advice
Good cheap and fast - 2 out of 3: https://audioinsurgent.substack.com/p/fast-cheap-goodpick-two
Debates around vaccines: https://pmc.ncbi.nlm.nih.gov/articles/PMC10070776/
What health means in a digital society: https://pmc.ncbi.nlm.nih.gov/articles/PMC5778676/#:~:text=Definitions
Youtube Health: https://health.youtube/
Trust in health - sources: https://www.bbc.co.uk/news/health-48663843
Conflicts of interest: https://jamanetwork.com/journals/jama/fullarticle/2623608
The role of influencers: https://www.tandfonline.com/doi/full/10.1080/1553118X.2022.2042694
Covid vaccine injuries: https://www.nytimes.com/2024/05/03/health/covid-vaccines-side-effects.html
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Narrative Medicine is an important art in a consultation involving both talking and listening. In this episode I look at why it is important and how it can help our health outcomes.
AI in consultations: https://www.dailymail.co.uk/health/article-13169325/GP-AI-listening-auto-generate-patient-notes-confidential-medical-information-wrong-hands.html
Neurodivergence: https://autietraumageek.medium.com/lost-in-translation-the-social-language-theory-of-neurodivergence-part-1-of-2-1963ba0073c5
Data usage in medicine: https://bjgp.org/content/68/668/e146
Pre-surgery anxiety: https://www.medicalnewstoday.com/articles/surgery-anxiety#pre-surgery-vs-post-surgery-anxiety
The therapeutic benefit of being heard: https://thelionmind.org.sg/the-importance-of-being-heard-enhancing-mental-health-through-active-listening/
The seven C’s: https://www.conversationsinvitingchange.com/about/
Narrative medicine - journal article: https://jamanetwork.com/journals/jama/fullarticle/194300
A review of narrative medicine and outcomes: https://bmjopen.bmj.com/content/10/1/e031568
Narrative medicine - good for both patients and clinicians: https://www.thepermanentejournal.org/doi/10.7812/TPP/23.116#
AI and empathy: https://www.wavestone.com/en/insight/the-empathy-paradox-can-ai-connect-with-customers-in-contact-centres/
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Community as a cure? We often think of healthcare being a relationship between a clinician and a patient but amazing things can occur through the power of community and using it as sociological therapy. I look at why groups can be so powerful and how you might run one.
Parkrun: home | parkrun UK
Weight Watchers: How The WeightWatchers Weight-Loss Program Works
Stanley Schachter’s work - an article: https://www.strongtowns.org/journal/2009/2/16/the-tribe-mentality.html
An example of healthy living delivered in groups, initially churches: https://www.danielplan.com/#
Group consultations - Dr Rupa Joshi: https://painconcern.org.uk/empowering-patients/
Shape Up: https://www.watfordfccsetrust.com/project/shape-up/
Nushu: https://nushu.com/group
Communities in health - people as a valuable commodity: https://www.health.org.uk/publications/at-the-heart-of-health-realising-the-value-of-people-and-communities#:~:text=Mental and physical health and,community capacity and resilience%2C among
Rural groups in India: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207712/
Thalassemia awareness (charity): https://ukts.org/
Children’s Heart Disease Awareness: https://chfed.org.uk/
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Autoimmunity and autoimmune diseases are on the rise. In this episode I look at why this is the case, the mechanisms behind autoimmunity and what we can do to prevent and manage it.
Innate vs adaptive immunity (including B and T cells): https://www.ncbi.nlm.nih.gov/books/NBK279396/#
Molecular mimicry in autoimmunity: https://www.sciencedirect.com/science/article/pii/S0896841118305365#
Hashimoto’s - molecular mimicry in action. Gluten mimics the surface proteins of the thyroid gland: https://pubmed.ncbi.nlm.nih.gov/37554764/
Autoantibodies: https://pathology.jhu.edu/autoimmune/definitions
The rise of autoimmunity and autoimmune diseases: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9918670/#
Intestinal permeability and autoimmunity: https://academic.oup.com/biohorizons/article/doi/10.1093/biohorizons/hzx015/4670557#
'Leaky gut’ syndrome: https://www.medicalnewstoday.com/articles/326117
Autoimmune protocol diet: https://www.healthline.com/nutrition/aip-diet-autoimmune-protocol-diet#how-it-works
Proteus and rheumatoid arthritis; https://www.iomcworld.org/open-access/worldwide-links-between-emproteus-mirabilisem-and-rheumatoid-arthritis-46162.html
Sleep and autoimmunity: https://www.thelancet.com/journals/lanrhe/article/PIIS2665-9913(22)00311-3/fulltext
Stress and autoimmunity: https://www.autoimmuneinstitute.org/articles/stress-autoimmune-disease-navigating-the-complex-relationship/
An expert opinion on the rise in autoimmunity: https://medicine.yale.edu/news-article/why-are-autoimmune-and-allergic-diseases-rising-andrew-wang/
Vitamin D and autoimmunity: https://www.newscientist.com/article/2306132-vitamin-d-supplements-really-do-reduce-risk-of-autoimmune-disease/#ixzz7KF2W0SEL
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Our biomechanics affect us all the time, each and every day and is often ignored when it comes to its impact on health. From hip pain to heartburn, our anatomy and the way we move can have impacts on our health on a daily basis.
Leg length discrepancy: https://www.thebiomechanicsmethod.com/2021/06/01/how-a-leg-length-discrepancy-affects-the-body/
Podiatry and foot biomechanics: https://www.ukpodiatry.com/our-assessments/biomechanical-analysis
Kyphosis exercises: https://www.healthline.com/health/exercise-fitness/kyphosis-exercises#exercises-to-try
World Athletics: https://worldathletics.org/news/press-release/2017-world-championships-athletics-biomechani
The kinetic chain: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174497/
Exercise for constipation: https://www.healthline.com/health/chronic-constipation/exercises-to-relieve-constipation#1
Looking at your phone: https://www.cprtherapy.org/blog/Postural-Awareness-with-Mobile-Devices~6435.html
Douglas Heel (activation therapy): https://douglasheel.com/
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In my book The Health Fix I talk about how I ask patients about their typical day and why that is a great question to ask in order to generate a 'Lifestyle Prescription’.
Looking at your typical day may not be something you’ve done recently or in any detail but it can give you clues to why you may be contributing to some of your symptoms or how you feel.
Carpal tunnel syndrome and sleep position: https://www.athletico.com/2017/04/14/sleep-positioning-carpal-tunnel-syndrome/
Sleep and circadian rhythm tips: https://www.stylist.co.uk/health/sleep/cant-sleep-mistakes/496595
Health trackers and anxiety: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357265/
Caffeine and our genes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/
Systems medicine and biology: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/
Eating late and sleep disruption: https://health.clevelandclinic.org/is-eating-before-bed-bad-for-you
Microwave ovens and health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4242593/
Repressed emotions and dealing with them: https://www.healthline.com/health/repressed-emotions
My IDEAL framework in print: https://www.glamourmagazine.co.uk/article/the-health-fix-dr-ayan-panja-new-years-resolutions
My IDEAL framework on this podcast: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000567557435
Our monkey brain: https://podcasts.apple.com/gb/podcast/saving-lives-in-slow-motion/id1573742958?i=1000597803315
THE HEALTH FIX: The Health Fix: Transform your Health in 8 Weeks amazon.co.uk
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Big Pharma gets a lot of bad press, yet most of us have needed to take medication for something at some point in our lives.
How do we minimise the risk of our coming to harm from drugs and what can industry do to work more openly with us?
Diuretic drugs: https://link.springer.com/chapter/10.1007/978-3-642-79565-7_4
Ben Goldacre - a review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635613/
Evidence Based Medicine: https://guides.mclibrary.duke.edu/ebm
Lorcainide story: https://www.bmj.com/content/350/bmj.g7717/rr-1
Anti-arrhythmic drugs: https://www.bhf.org.uk/informationsupport/heart-matters-magazine/medical/drug-cabinet/anti-arrhythmics
Drug reps and doctors: https://www.npr.org/2024/04/19/1245972805/pharma-reps-have-visited-doctors-for-decades-what-impact-does-it-have-on-patient
The opioid crisis and Oxycontin latest: https://www.bbc.co.uk/news/world-us-canada-60610707
PHQ-9 for depression: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3416649/#
Monoclonal antibodies: http://news.bbc.co.uk/1/hi/health/114311.stm
ALLTRIALS: alltrials.net
The NHS and big pharma: https://www.theguardian.com/business/2023/jul/08/its-naive-to-think-this-is-in-the-best-interests-of-the-nhs-how-big-pharmas-millions-are-influencing-healthcare
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The evidence is compelling. Clutter can be harmful to our health in many ways from poor sleep, stress, anxiety and even physical pain. Why is this the case and what can we do about it?
Graham Hill - less stuff, more happiness: https://www.ted.com/talks/graham_hill_less_stuff_more_happiness?subtitle=en
Marie Kondo and her work: https://konmari.com/
Attention and the visual cortex: https://pubmed.ncbi.nlm.nih.gov/21228167/
Fals risk:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10735369/\\
Eating behaviours and hoarding: https://pubmed.ncbi.nlm.nih.gov/25440599/
Procrastination and clutter: https://pubmed.ncbi.nlm.nih.gov/36767429/
Decluttering challenge: https://www.apartmenttherapy.com/10-10-100-decluttering-challenge-37394185
Clutter, sleep and fatigue: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616259/
ADHD and clutter: https://www.additudemag.com/making-peace-with-your-clutter/
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I got thinking about this recently whilst on holiday recently where I was having a lot of lie-ins and
doing a lot of daydreaming.
Coffee: https://www.healthline.com/nutrition/top-evidence-based-health-benefits-of-coffee
Chewing and alertness: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4449949/
Chewing and effects on the immune system: https://www.manchester.ac.uk/about/news/research-reveals-surprising-health-benefits-of-chewing-your-food/
Fidgeting and NEAT: https://www.womenshealthmag.com/uk/fitness/fat-loss/a36287384/neat-exercise/
Eating bogies - benefits?: https://pubmed.ncbi.nlm.nih.gov/25344244/
Lie-ins: https://www.theguardian.com/lifeandstyle/2021/sep/13/dream-on-the-surprising-health-benefit-of-a-weekend-lie-in
Missing breakfast: https://www.healthline.com/nutrition/is-skipping-breakfast-bad
Alcohol and cognitive health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4866612/
Daydreaming: https://time.com/6256541/why-daydreaming-is-good-for-you/
Bottling up anger: http://news.bbc.co.uk/1/hi/health/8374519.stm
Bouts of anger: https://blog.swedish.org/swedish-blog/new-study-bouts-of-anger-can-take-a-toll-on-your-heart
How to process anger (Dr Gabor Maté): https://www.youtube.com/watch?v=Yh1-y3TzSO4
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Many of us have role models but do they impact our health?
As the Olympics were taking place recently I started to think about
this and in this episode I look at some studies and reveal their
interesting findings.
Role models (an alternative view): https://www.spectator.co.uk/article/the-problem-with-role-models/
Smoking in popular culture: https://truthinitiative.org/research-resources/tobacco-pop-culture/why-smoking-still-being-glamorized-media-and-pop-culture
Study 1: https://www.researchgate.net/publication/380209172_Health_Motivation_in_the_Influencer_Era_Analyzing_Entertainment_Personal_and_Social_Media_Role_Models
Study 2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421350/
Study 2 questionnaire: https://redcap.ctsi.psu.edu/surveys/index.php?s=4L973C8FFL
The importance of mentoring: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2352144/
Chasing your hero: https://www.youtube.com/watch?v=wD2cVhC-63I
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This is a topic close to my heart and is important to address for patients and medical staff.
Race is a sociological construct and differs from ancestry.
It has a surprising impact in medicine, both in terms of care and outcomes for patients. In addition racism
needs stamping out in the medical profession in all corners.
Prostate cancer risk in black men: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9826514/
Maternal mortality in black women during and after pregnancy : https://lordslibrary.parliament.uk/maternal-mortality-rates-in-the-black-community/#
South Asians and type 2 Diabetes: https://www.diabetes.org.uk/node/12895
Black people and stroke risk: https://www.healthline.com/health/stroke/why-do-african-americans-have-a-greater-stroke-risk
James Sims: https://www.history.com/news/the-father-of-modern-gynecology-performed-shocking-experiments-on-slaves
Abuse during COVID: https://www.phc.ox.ac.uk/about/staff-stories/racist-abuse-against-asians-during-the-covid-19-pandemic
Head injuries and race in sport: https://apnews.com/article/health-nfl-race-and-ethnicity-sports-066d9fd6bd85f5b5023207467701fde4#
Dr Arora and the GMC: https://www.bmj.com/content/379/bmj.o2619
Beta Thalassemia: https://www.hopkinsmedicine.org/health/conditions-and-diseases/beta-thalassemia
Tay-Sachs Disease: https://www.nhs.uk/conditions/tay-sachs-disease/
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Breathing is a basic function we all need in order to survive
but doing it correctly can have benefits to our health and the opposite is true -
breathing in a sub-optimal way can pre-dispose to certain illnesses.
Mouth breathing - could it predispose to allergies, asthma and impaired immunity?: https://www.sciencefocus.com/the-human-body/mouth-breathing
Nasal breathing benefits: https://journals.physiology.org/doi/full/10.1152/ajpregu.00148.2023?utm_source=AJPRegu&utm_medium=PressRelease&utm_campaign=1.17.2024
Breathing and stress: https://www.news-medical.net/news/20230113/Review-and-meta-analysis-suggests-breathwork-may-be-effective-for-improving-stress-and-mental-health.aspx
Jamie Clements, breath coach: https://thebreathspace.co.uk/breathe-with-me
Test your own breathing: https://www.thebreatheffect.com/test-your-breath/
Smoking and breathing techniques: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7064378/#
Sleep apnoea awareness: https://my.clevelandclinic.org/health/diseases/8718-sleep-apnea
THE HEALTH FIX: https://amzn.eu/d/5D6lJlm
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We know that how we live affects how we age, and in this episode, rather than focusing on longevity per se,
I look at the biology of ageing and how we can adopt simple daily habits to positively affect the factors that age us.
I also talk about my Health Loop and your 'typical day’ to help lay out your unique needs for a lifestyle prescription.
Links:
The fear of ageing: https://www.forbes.com/health/medicare/fear-of-aging-survey/
Causes of death by country: https://ourworldindata.org/data-insights/whats-the-leading-cause-of-death-in-each-country
Telomere length: https://learn.genetics.utah.edu/content/basics/telomeres/
Telomere length and habits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316700/
Epigenetics basics: https://www.psychologytoday.com/gb/basics/epigenetics
DNA methylation: https://www.whatisepigenetics.com/dna-methylation/
Proteostasis - how our bodies handle and house protein: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4539002/
Mitochondirlal dysfunction: https://www.nature.com/articles/s41392-024-01839-8
Stem cells: https://www.mayoclinic.org/tests-procedures/bone-marrow-transplant/in-depth/stem-cells/art-20048117#
Dr Michael Mosley’s Just One Thing: https://www.bbc.co.uk/programmes/p09by3yy/episodes/downloads
Standing desks: https://www.bbc.co.uk/news/uk-45819203
Healthy anger: https://www.psychologytoday.com/gb/blog/overcoming-destructive-anger/201608/what-constitutes-healthy-anger
THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=
Protein and ageing: https://www.healthline.com/health-news/high-protein-fewer-calories-safest-way-for-older-people-to-lose-weight
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In this episode I answer some of the many questions that land in my inbox.
I tackle both common and interesting questions from listeners over the last year or so. There’s something
for everyone here and remember to cross reference with other episodes!
Intermittent fasting (review article): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005873/
Hypoglycaemia: https://www.nhsinform.scot/illnesses-and-conditions/blood-and-lymph/hypoglycaemia-low-blood-sugar/#
Elimination diets: https://www.healthline.com/nutrition/elimination-diet
Hypothyroidism: https://www.healthline.com/health/hypothyroidism/symptoms-treatments-more#symptoms
Hashimoto’s Disease and gluten (a meta-analysis): https://pubmed.ncbi.nlm.nih.gov/37554764/
Problems with T4 to T3 conversion: https://www.uchicagomedicine.org/forefront/biological-sciences-articles/2018/november/genetic-flaw-causes-problems-for-many-with-hypothyroidism
The Galleri-trial: https://www.nhs-galleri.org/
The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=
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Sight is one of our special senses. At least 2.2 billion people have some kind of visual impairment.
In this episode I look at common eye presentations, why they occur and how we can prevent them.
Trachoma - a leading cause of preventable blindness: https://www.who.int/news-room/fact-sheets/detail/trachoma
Glaucoma: https://www.mayoclinic.org/diseases-conditions/glaucoma/symptoms-causes/syc-20372839
Cataracts: https://www.rnib.org.uk/your-eyes/eye-conditions-az/cataracts/
Retinopathy: https://www.aao.org/eye-health/diseases/what-is-diabetic-retinopathy
Dry eyes: https://www.rnib.org.uk/your-eyes/eye-conditions-az/dry-eye/
Diet and supplements for eyes: https://www.medicalnewstoday.com/articles/321226
Lutein: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6164534/
Free radicals: https://www.medicalnewstoday.com/articles/318652
AMD: https://www.hopkinsmedicine.org/health/conditions-and-diseases/agerelated-macular-degeneration-amd
Smoking: https://www.health.ny.gov/prevention/tobacco_control/smoking_can_lead_to_vision_loss_or_blindness.htm
Blue light: https://www.youtube.com/watch?v=32F24gboCac
Eye strain: https://www.mayoclinic.org/diseases-conditions/eyestrain/symptoms-causes/syc-20372397
OCT test: https://eyeguru.org/essentials/interpreting-octs/
Blocked tear duct - common in babies: https://www.mountsinai.org/health-library/diseases-conditions/blocked-tear-duct
Please nominate me for The British Podcast Awards: https://www.britishpodcastawards.com/voting
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B12 deficiency affects up to 20% of people over the age of 60. It is often left undiagnosed but can present
in many ways. In this episode I look at the nuance involved in making the diagnosis and treating it appropriately
so that people do not come to harm.
NICE guidance: https://www.nice.org.uk/guidance/ng239
B vitamins: https://www.healthline.com/health/food-nutrition/vitamin-b-complex#What-is-vitamin-B-complex?
Dr Casimir Funk: https://www.newscientist.com/article/2418743-casimir-funk-the-scientist-who-gave-us-the-word-vitamin/
Beri-beri (B1 deficiency): https://medlineplus.gov/ency/article/000339.htm
Pernicious anaemia: https://www.healthline.com/health/pernicious-anemia
B12 food sources: https://www.medicalnewstoday.com/articles/vitamin-b12-foods
Drugs that affect B12: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6054240/
Thyroid eye disease: https://my.clevelandclinic.org/health/diseases/17558-thyroid-eye-disease
MMA testing: https://labtestsonline.org.uk/tests/methylmalonic-acid
Active B12: https://www.nice.org.uk/advice/mib40/chapter/introduction
A decent explanation of methylation and why not all types of B12 and folate are the same for all: https://drkellymccann.com/beginners-guide-to-methylation-and-b-vitamins/
Caution with B12/folate fortified foods if you have a methylation issue as they can be in the wrong form: https://zoe.com/learn/fortified-foods#
Sublingual B12 vs oral vs infection: https://link.springer.com/article/10.1007/s11845-023-03602-4#
THE HEALTH FIX - the best health book in the world?! https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326
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