The Antisocial Doctors Podcast

In part two of our breast cancer screening series, we explore why "alternatives" to mammography—like thermography and QT ultrasound imaging—are suddenly everywhere on social media and why they sound so appealing. We dig into the biggest claims, the emotions and distrust fueling the trend, and the questions we hear from patients about pain, radiation, dense breasts, and “better” high-tech options. We also unpack why ultrasound and MRI come up so often in these conversations, and what gets missed when people frame screening as a simple “which test is best?” debate. If you’ve been tempted by a painless, no-radiation option—or you’re confused by the messaging online—we hope this episode will help you think through it with nuance, evidence, and compassion.00:00 Podcast Mission Intro01:13 Part Two Setup01:53 QT Scan Patient Story04:05 Claims About Alternatives06:13 Thermography Hype09:05 Why This Goes Viral10:45 Marketing And Conflicts14:21 Nugget Of Truth17:31 Ultrasound Versus Mammogram19:42 When Ultrasound Makes Sense23:14 MRI Pros And Cons28:15 Autonomy Versus Harm29:12 PCP Would You Rather29:56 Ordering Patient-Requested Tests31:39 MRI Screening Tradeoffs31:58 Thermography Explained33:28 Why Thermography Fell Off35:23 Revisiting Thermography Claims42:42 Thermography Harms and Costs44:51 QT Ultrasound How It Works46:18 QT Data and FDA Status50:41 Bigger Picture and Incentives56:06 Resources Wrap-Up and DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode of The Anti-Social Doctors Podcast, we kick off a two-part, hot topic: mammograms—specifically, the claims circulating online that mammograms may be harmful or ineffective. We explain why this conversation has become so viral, outline the major concerns people raise, and review what the research actually shows.00:00 Podcast Mission01:12 Rebrand and Substack03:35 Why Mammograms Trend07:39 Common Anti Claims11:19 Why It Goes Viral19:54 Nugget of Truth21:48 Guidelines and Incentives31:07 Radiation Risk Breakdown41:10 Radiation Risk Nuance42:45 Trust And Shared Decisions45:30 Overdiagnosis And DCIS48:53 Biases And Better Metrics50:16 Age 40 To 49 Debate55:34 All Cause Mortality Myth01:00:34 Why Guidelines Exist01:05:44 False Positives And Costs01:12:29 Sonia's Personal Callback Story01:15:05 Takeaways And Next Episode01:18:05 Patient Communication Tools01:19:18 Wrap Up And DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode of The Anti-Social Doctors Podcast, we dig into why body composition testing is suddenly everywhere—from gyms to clinics—and why it’s sparking big opinions online. We share the real patient moments that prompted this conversation, talk about the promises that get made (and why they’re so appealing), and explore what we think patients and clinicians should keep in mind before treating these reports like gospel. We also tease the differences between common testing methods, why “more data” isn’t always better, and the questions we wish were answered before body comp is treated like a routine vital sign. If you’re curious, skeptical, or feeling overwhelmed by health metrics, this one’s for you.00:00 Podcast Mission01:14 Why Body Comp03:10 Big Claims Online05:27 Why It Went Viral08:17 Nugget Of Truth16:32 DEXA Vs BIA17:12 How BIA Works21:26 What The Studies Show31:25 Does Monitoring Help35:36 Vital Sign Debate36:31 Motivation Beyond BMI38:29 Accuracy Limits and Frustration41:47 Obsession and Disordered Eating45:14 Stigma and Mental Health49:12 Cost Incentives and Wellness Revenue54:15 Why Use It With GLP-1s56:35 Practical Takeaways and Best Practices59:24 How They Use It in Clinic01:03:45 Future Use in Eating Disorders01:05:00 Resources CME and DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we dig into the viral buzz around NAD+ and its precursors and ask the big question: are supplements or IV “drips” actually worth it? We share a real patient story that captures why these promises feel so tempting—especially when you’re anxious, exhausted, or desperate to feel better. We also discuss the surprising gap between what’s commonly claimed online and what’s actually been studied, including what we found when we looked closely at the available research and the red flags that stood out. If you’ve been curious about NAD+ for energy, longevity, recovery, or “inflammation,” this is the nuanced, evidence-focused conversation you’ve been looking for.CORRECTIONS:  In this episode we discussed the 2022 FDA ban on NMN being sold as a dietary supplement because it had been authorized for investigation as a drug. However, in September 2025, after industry petitions and a lawsuit, the FDA reversed this decision and concluded NMN can be marketed as a supplement after all. In our discussion regarding the IV NAD+ and IV NR observational study, we stated that there were 6 participants in each group. However, there were actually 8 participants in the IV NR group with 5 out of the 8 reporting adverse effects during infusion.00:00 Podcast Mission01:18 NAD Episode Setup01:44 Patient Brochure Story05:35 Natural Versus Safe07:37 Why NAD Is Trending11:59 NAD Science Basics13:54 Where NAD Comes From15:49 Why NAD Matters17:43 Human Evidence NR20:28 Clinical Outcomes Matter23:15 NR Trial Results25:15 Long COVID Study26:05 Switching To NMN26:08 NMN vs NR Absorption26:41 NMN Studies Overview27:24 FDA Pulls NMN28:12 NMN Results Reality Check29:39 IV NAD No Evidence30:16 Wellness Clinic Pilot Study32:12 Infusion Side Effects34:48 Flow Rate Red Flags36:04 Labs Outcomes And Cost38:47 Why IV Bars Are Risky41:41 Clinical Takeaways43:26 Patient Story Lupus Diagnosis46:26 Wrap Up And DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we dig into the hype around continuous glucose monitors (CGMs) and why they’ve suddenly become a wellness must-have. We share real patient stories that span the spectrum—from genuinely helpful use to unintended harm—and use them to explore what’s driving the trend, what people hope these devices will reveal, and where things can get confusing or stressful. We also unpack what “more data” really means in real life, why interpretation matters, and how personalization can be both empowering and risky. 00:00 Podcast Mission01:18 CGM Patient Stories03:38 Social Media Claims06:24 Why CGMs Are Trending09:59 Real Benefits And Limits12:43 How CGMs Actually Work16:51 Who Benefits Most23:06 Prediabetes And Healthy Users27:29 Normal Range Anxiety33:19 CGMs In Eating Disorders37:17 Silent Hypoglycemia Risk38:19 CGM Study Extremes BMI40:37 Biofeedback Versus Harm43:06 CGM Harms And Overuse44:18 Whipples Triad Proof45:34 Normal Spikes Aren’t Disease49:18 Psychological Burden Study54:44 Carb Reintroduction Crashes01:00:19 Practical CGM Use Guidance01:07:21 Work With A Dietitian01:08:43 Final DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we dig into the question of whether social media can be addictive—and why this conversation is accelerating now. We start with a recent landmark legal case that put platform design features under the microscope, then zoom out to explore what “addiction” means in medicine and why behavioral addictions matter. We also share a candid moment where we put ourselves through a validated questionnaire and reflect on what it brings up for us as doctors and humans. From brain research to real-life “why can’t I stop?” experiences, we review what the evidence suggests, where it’s still messy, and why abstinence isn’t always the realistic answer. We end with practical, research-informed strategies and ways we can talk about this with patients and families.00:00 Podcast mission intro01:14 Social media trial sparks06:19 Why this moment now12:05 Defining addiction criteria15:12 Social media addiction quiz17:53 Behavioral addiction debate23:57 Brain changes evidence34:16 Harms and health impacts38:07 Benefits and U Curve40:05 Moderate Use and Connection41:05 Platform Differences Matter43:07 Withdrawal Abstinence Evidence44:54 Tolerance and Slippery Slope47:11 What Doctors Should Conclude51:36 Talking With Patients52:30 Interventions That Work56:16 Digital Literacy and Regulation01:00:00 Digital Detox Day Dream01:05:53 Opt In Design and Nextdoor01:07:02 Wrap Up and DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we discuss the viral push to “de-prescribe” SSRIs. We outline common claims (overprescribing, lifelong use, “addiction,” inadequate withdrawal counseling, chemical-imbalance myths, and political/media narratives) and why these resonate given stigma, distrust of medicine and pharma, and negative personal stories. We review evidence-based SSRI use and typical treatment durations, note common side effects and limited long-term data, and fact check a frequently cited stat suggesting many long-term users don't need to be on meds at all. We review real “root causes” of anxiety and depression, compare effectiveness of SSRIs and psychotherapy, review lifestyle interventions and evidence for supplements, and highlight that most people with depression or anxiety receive no treatment. Sonia also shares a personal story from residency that highlights the role of bias, stigma, fear and importance of narrative in medicine as well as nuanced, compassionate counseling.00:00 Podcast Mission01:25 Patient Deprescribing Story03:38 Viral Claims Breakdown06:36 Why This Went Viral12:27 Ideal SSRI Use15:23 Long Term Use Data20:22 Root Causes Explained30:13 Evidence Based Treatments33:35 Lifestyle Is Bidirectional34:09 Exercise Sleep Diet Evidence36:36 Why Just Exercise Fails39:03 Omega-3 Supplement Reality41:30 SAMe And Other Supplements42:46 Nuanced Supplement Counseling46:23 Treatment Gap And Barriers48:51 Deprescribing Stigma Debate51:24 Clinical Takeaways And Tools56:07 Personal Story01:00:45 Doctors Sharing Humanity01:03:29 Wrap Up And DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we dive into why fiber is having a viral moment on social media and what can get lost when “maxing” any nutrient becomes the goal. Using real patient stories, we review the potential downsides of going from low to high fiber too fast, the confusion created by trendy products and marketing, and why “more” isn’t always better. We also preview how we think about fiber in real life—food-first, context-aware, and focused on what’s actually practical.00:00 Podcast mission01:15 Why fiber maxing01:36 Patient stories02:58 Trend claims04:11 Why it went viral08:02 Nugget of truth09:49 How much fiber11:50 Types of fiber16:59 Prebiotic products21:54 Supplements that work27:58 Too much fiber31:32 Practical takeaways32:45 How to counsel patients34:03 Resources and wrap34:21 Medical disclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we talk about why creatine is suddenly everywhere on social media and why patients are asking about it for everything from brain fog and mood to menopause and dementia prevention. We tease what the evidence actually says (and doesn’t say), why context matters, and how to think about “for whom” and “for what” before adding any supplement. We also touch on common misconceptions, practical considerations that come up in real clinic visits and lab work, and why nuanced, shame-free conversations beat hot takes and miracle-claim marketing. If you’re curious about whether creatine belongs in your routine—or just tired of confusing wellness messaging—come listen.00:00 Podcast Intro01:24 Why Creatine Now03:48 Viral Claims Breakdown05:46 Why It Went Viral09:07 Creatine Basics Explained10:43 How To Take Creatine12:34 Muscle Benefits Evidence15:33 Menopause And Bone Health18:13 Cognition And Dementia Data21:33 Sleep Deprivation Studies25:56 Creatine for Depression28:30 Why Evidence Stays Weak31:04 Side Effects and Labs34:15 Supplement Quality Risks35:09 Hype and Hidden Harms38:10 Personal Takeaways41:01 Clinical Bottom Line43:40 Talking to Patients45:52 Practice Changes and Trust49:26 Wrap Up and DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com

In this episode, we talk about the viral name change from PCOS to PMOS and why it’s sparking so much conversation online. We share why this shift feels validating for so many people who’ve struggled for years to get clear answers, and we unpack the kinds of confusing, oversimplified claims that flood social media around this condition. We also explore why the name change matters beyond semantics, what concerns some patients have about it, and what we wish more people understood before falling into the “cure” and “root cause” rabbit holes.00:00 Podcast intro01:20 Episode topic reveal02:02 Patient diagnosis delays03:38 Sonia personal story07:16 Social media claims09:36 Why it went viral15:28 Nugget of truth17:51 Backlash and concerns22:11 Defining and diagnosing22:33 Rotterdam criteria30:09 Ruling out other causes32:54 PCOS subtypes explained41:34 Biomarkers and testing46:19 CRP Inflammation Confusion48:13 Metabolic Biomarkers Breakdown49:21 Vitamin D Iron Testing Debate52:38 Guidelines and Sleep Apnea Risk54:49 Birth Control Not a Band Aid01:01:15 Fertility Timing and REI Referral01:03:38 Lifestyle Basics Fiber Exercise Sleep01:08:50 Medications Metformin to GLP1s01:16:18 Weight Stigma Habits Over Pounds01:20:34 Who Should Manage PCOS Care01:24:32 How to Talk to Patients01:27:35 Resources Wrap Up DisclaimerTo receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.📖 Read the full episode summary, sources, and resources on our Substack: 👉www.theantisocialdoctors.com