REBOOT #505 Demystifying Dizziness with Dr. David Hale

Peptides, Mouth Tape, Raw Milk & More: What’s Worth the Hype?Learn the evidence on social media wellness trends and how to discuss with your patients (and friends!) without being dismissive (or falling for the hype). Explore viral trends like peptides, red light masks, sleepy girl mocktails and mouth taping along with understanding influencer incentives for promoting wellness trends. We’re joined by infectious disease epidemiologist and science communicator Jessica Malaty Rivera to talk evidence, uncertainty, misinformation, and trust, @jessicamalatyrivera, (JPHMP, @jessicamalatyrivera, Making Science Make Sense Substack),Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro  Case Why health information spreads on social media Talking to patients about viral wellness trends Peptides Red light masks Mouth taping Sleepy girl mocktails Raw milk and the appeal-to-nature fallacy Fibermaxxing Contrast therapy and cold plunging Take-home points Outro Credits Producers, Writers, Show Notes, Infographics, Cover Art:: Rand Mudafr, Leah Witt Gaspard, MD 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: Jessica Malaty Rivera DisclosuresJessica Malaty Rivera reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: Continuing Education CompanyFor Curbsiders listeners, there’s also an exclusive offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.Sponsor: QuinceDownload the Quince app for app-exclusive offers, or go to Quince.com/curb. Get free shipping on your order and 365-day returns. Now available in Canada and the UK, too. Sponsor: UpToDateFor a limited time, Curbsiders listeners can get 10% off UpToDate packages with code CURB3 . Visit store.uptodate.com Sponsor: GustoTry Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.

We have another classic episode for you. Dizziness can be a daunting presenting symptom. Demystify dizziness with us by breaking it down by timing and triggers, various pertinent physical maneuvers, and even an approach to chronic dizziness. We are joined by our esteemed guest Dr. David Hale (Johns Hopkins)!Sponsor: BabbelGo to Babbel.com/CURB for up to 60% off. Sponsor: LocumstoryLocumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locumsSponsor: QuinceGo to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada and the UK, tooSponsor: Mint MobileGet premium wireless for $15/mo. Shop Mint Unlimited Plans at MINTMOBILE.com/CURB.

All About Disorders of Gut-Brain InteractionMaster disorders of gut–brain interaction. Learn how Rome V changes the diagnosis of IBS and other DGBIs, how to approach chronic diarrhea and the microbiome, and how to choose targeted treatments for bloating, pain, and vomiting. We’re joined by Dr. Xiao Jing (Iris) Wang, a gastroenterologist and expert in disorders of gut–brain interaction.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Updates to Rome V Criteria Microbiome Information Evaluation and Management of Chronic Diarrhea Abelchia Abdominophrenic Dyssynergia Key Takeaways Outro Credits Written and Produced by: Zoya Surani Show Notes, Infographic, Cover Art by: 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: Dr. Xiao Jing (Iris) Wang DisclosuresDr. Wang reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: PanaceaVisit panacea.legal/curb to schedule your free consultation.Sponsor: UpToDateFor a limited time, listeners can get 10% off UpToDate packages with code CURB at store.uptodate.comSponsor: FIGS Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.  Sponsor: MasterClassGet at least 15% off any annual membership at MASTERCLASS.com/CURB

I’m Going Bananas for This One!Learn how to formulate a framework while dealing with potassium disorders in patients with varying levels of kidney disease.We’re joined by Dr Joel Topf, (@kidney_boy) to explore how to navigate potassium disorders, develop etiology frameworks, and treat these patients.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Rapid fire questions/Picks of the Week Case 1: Hyperkalemia How to Approach Patients with Hyperkalemia Treatment Options for Hyperkalemia Case 2: Hypokalemia How to Approach Patients With Hypokalemia Treatment Options for Hypokalemia Case 3: Hyperkalemia in ESKD patients How To Approach the Management in ESKD patients Take Home Points Outro Credits Producer, Writer, Show Notes, Infographics, & Cover Art: Sai S Achi MD MBA FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Joel Topf MD, FACP DisclosuresDr. Topf reports the following conflicts of interests: Advisor-Travere Therapeutics, Advisor-Otsuka, Advisor-Vera Therapeutics, Advisor-Novartis, Advisor-Vertex TherapeuticsThe Curbsiders report no relevant financial disclosures. Sponsor: FIGSGet 15% OFF your first order at wearfigs.com with code FIGSRX.Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.  Sponsor: DeleteMe Get 20% off your DeleteMe plan when you go to www.joindeleteme.com/CURB and use promo code CURB at checkout.  Sponsor: DocUpdateDownload DocUpdate today, free on the Apple App Store and Google Play Store.

This episode explores complex questions around addiction treatment from our audience, including the off-label use of GLPs for SUDs, the nuances of naloxone, and managing high-dose methadone in hospital settings. Experts Drs. Shawn Cohen and Zina Huxley-Reicher, in addition to the co-hosts Drs. Carolyn Chan and Era Kryzhanovskaya share insights, resources, and practical tips for clinicians navigating these challenging scenarios.Claim CME for this episode at curbsiders.vcuhealth.org!By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!Show Segments Intro, disclaimer Picks of the Week Off-Label GLP use Naloxone review Acute pain in patients with opioid use disorder (OUD) Care Coordination with opioid treatment programs (OTPs) New medications for pain; suzetrigine Perioperative pain management for patients with OUD Outro Credits Producer, Show Notes, Infographic: Era Kryzhanovskaya, MD Hosts: Carolyn Chan, MD. MHS and Era Kryzhanovskaya, MD Reviewer: Kenny Morford, MD Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Shawn Cohen, MD; Zina Huxley-Reicher, MD Sponsor: The Permanente Medical GroupJoin us in New York City as we host Information Sessions on Thursday, August 20th, Friday the 21st, and Saturday the 22nd, , as well as a Social Mixer at the Castell Rooftop Lounge on Friday, August 21st. Visit northerncalifornia.permanente.org and RSVP todaySponsor: UpToDateFor a limited time, listeners can get 10% off UpToDate packages with code CURB1. Visit store.uptodate.com.Sponsor: FIGSGet 15% OFF your first order at wearfigs.com with code FIGSRX.Sponsor: Quince Download the Quince app for app-exclusive offers, or go to Quince.com/curb. Get free shipping on your order and 365-day returns

Diagnosis and Management of Obstructive Sleep ApneaShow description: Explore the interpretation of sleep studies in the diagnosis of obstructive sleep apnea. Master treatment of OSA and how to troubleshoot CPAP challenges with Dr. Aneesa Das. Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro and guest bio Case from Kashlak Definitions Sleep Testing and Interpretation Management of OSA  Outro Credits  Written and produced by: Alise Burke MD  Infographic and Cover Art: Dylan Naldzin Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD  Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Aneesa Das MD  DisclosuresDr. Das reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. Sponsor: FreedGo to freed.ai and use code FREED50 for fifty dollars off your first month.  Sponsor: DeleteMe Get 20% off your DeleteMe plan when you go to www.joindeleteme.com/CURB and use promo code CURB at checkout. Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts. 

We have another classic episode for you. 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.

Separating Signal from HypePatients bring us lists. Greens powders, magnesium for everything, vitamin D “for immunity,” fish oil, creatine, curcumin… so how do we separate signals from hype without becoming the office that just says “no” to everything? In this home-grown deep dive, we build a practical, patient-centered framework for evaluating any supplement, then pressure-test it against the products patients actually take. Learn a five-question approach to any supplement, how to judge product quality in an industry the FDA does not pre-approve, and where the evidence actually lands on greens powders and multivitamins, magnesium, creatine, vitamin D, fish oil (and why cod liver oil is not the same thing), turmeric/curcumin, and glucosamine/chondroitin.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Ask These Five Questions: A Framework for Any Supplement Supplement Quality and Regulation Greens Powders and Multivitamins Magnesium Creatine Vitamin D Fish Oil and Cod Liver Oil Turmeric and Curcumin Glucosamine and Chondroitin Simplifying the Regimen Take-Home Points Credits Writer and Producer, Show Notes, Cover Art, Infographic: 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 DisclosuresThe Curbsiders report no relevant financial disclosures. Sponsor: FIGSCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.   Sponsor: Panacea FinancialVisit Panacea.Legal/curb to schedule your free consultation.Sponsor:Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.   

Caring for patients using mitragynine-derived substancesFamiliarize yourself with the differences in mitragynine-derived compounds. Understand how to identify and manage kratom use disorder and withdrawal from mitragynine-derived compounds. We’re joined by Dr. Jonathan Tanawan (Profile).   Claim CME for this episode at curbsiders.vcuhealth.org!By listening to this episode and completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.Episodes | Subscribe | Spotify | iTunes | [email protected] | CME!Credits Written and Produced, with  Show Notes, Infographic, and Cover Art by Zina Huxley-Reicher, MD  Hosts: Carolyn Chan, MD. MHS and Zina Huxley-Reicher, MD Reviewer: Kento Sonoda, MD, MPH Showrunner: Carolyn Chan, MD, MHS Technical Production: PodPaste Guest: Jonathan Tanawan, MD Show Segments Intro, disclaimer, guest bio Guest one-liner, Picks of the Week* Case from Kashlak; Definitions Pharmacology of  kratom and other mitragynine-based compounds How to take a mitragynine-specific substance use history Defining a use disorder Withdrawal from kratom  Managing a use disorder with MOUD Legal landscape and regulation  Outro Sponsor: FreedGo to freed.ai and use code FREED50 for fifty dollars off your first month. Sponsor: FigsCurbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.  Sponsor: Continuing Education CompanyVisit CMEmeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

From Pain to Gain: Diagnosis to Updated Treatment OptionsLearn how to recognize fibromyalgia as a disorder of central pain processing, distinguish it from common mimics, and apply evidence-based strategies for diagnosis and management. In this episode, Dr. Daniel Clauw (University of Michigan) shares practical clinical pearls on nociplastic pain, sensory hypersensitivity, non-pharmacologic therapies, medication selection, and why opioids often fail in fibromyalgia.Claim CME for this episode at curbsiders.vcuhealth.org!Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CMEShow Segments Intro Rapid Fire questions Case 1 on fibromyalgia presentation Diagnosis and exam for fibromyalgia Non-pharmacologic treatment recommendations Pharmacologic treatment recommendations Case 2 on opioids for pain management Outro Credits Written and Produced by: Zoya Surani  Show Notes, Infographic, and Cover Art: Zoya Surani Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP    Reviewer: Emi Okamoto MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP Technical Production: PodPaste Guest: Dan J Clauw MD DisclosuresDr. Clauw reports financial disclosures with the following companies: Tonix, Axsome, Ono, Swing (Consulting Fee). The Curbsiders report no relevant financial disclosures. Sponsor: QuinceGo to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too. Sponsor: BreezeVisit meetbreeze.com/curbsiders to request your free quote and consultation with one of their licensed experts and make protecting your income a Breeze.