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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Yoga has been practised for thousands of years but as many people are cynical about trying it as there are huge fans of it.

In this episode I share my own experiences and the benefits yoga can confer to our health. 

Links:

Barriers to yoga (Nepalese sudy): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8039334/

Yoga effects on brain health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971819/

The warrior positions: https://www.yogawitholivia.co.uk/blog/transitions1

Yoga and inflammation: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8842003/

Yogic breathing benefits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7336946/

Summary of benefits and starter guide:

https://www.womenshealthmag.com/uk/fitness/yoga/a706996/benefits-of-yoga/

Yoga courses and learning: https://ukyoga.co.uk/courses/

Sacropenia and how to prevent it: https://www.healthline.com/nutrition/sarcopenia

Dean Ornish and heart disease reversal: https://jamanetwork.com/journals/jama/fullarticle/188274

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This episode is about mentoring which I think is much needed in the world today. Many of us will have had incredible mentors who selflessly give up their time and knowledge in order to help others.

I feel it is a way of paying it forward and that both mentors and mentees to help each other grow and learn.

Beyond Ed Peile who I mention in the episode I would like to acknowledge and thank Jon Fowler, Mark Allen, Julian Godlee and my late father for their inimitable ability to mentor, inspire and transform others. 

Links:

The power of mentorship: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/

Mentorship behaviours: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8406889/

Mentoring for UK doctors: https://www.bma.org.uk/advice-and-support/career-progression/mentoring/mentoring-for-doctors

The 5 stages of mentoring: https://www.nihr.ac.uk/documents/phases-of-the-mentoring-relationship/27693

Ed Peile: https://warwick.ac.uk/fac/sci/med/staff/peile/

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Singing is something close to my heart and I feel it does not get enough attention for it’s

multiple health benefits.

It is accessible to so many and is an easy thing to take up and enjoy.

In this episode I explore the benefits to almost every body system which singing can confer.

Links:

Social prescribing: https://www.telegraph.co.uk/news/2017/12/26/nhs-should-prescribe-tango-dancing-book-clubs-not-pill-every/

The vagus nerve: https://www.medicalnewstoday.com/articles/318128

Alexander technique: https://alexandertechnique.com/

Breathing and singing: https://www.backstage.com/magazine/article/common-misconceptions-breath-support-singing-1872/

Singing and COPD: https://www.bbc.co.uk/news/av/health-25237125

Singing and cortisol: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4854222/

Immunity and singing (in a choir): https://pubmed.ncbi.nlm.nih.gov/15669447/

The effect of singing on pain: https://journals.sagepub.com/doi/10.1177/147470491201000403

Effect on memory and cognition: https://www.sciencedaily.com/releases/2021/02/210210133432.htm

Bereavement and singing: https://spcare.bmj.com/content/early/2019/06/26/bmjspcare-2018-001642

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Triage is increasingly being used in healthcare outside the emergency setting to help filter urgent from non-urgent. 

With the growing use of artificial intelligence, triage algorithms are becoming more reliable. I look at the pros and cons of triage from the view point of both patient and practitioner. 

Links: 

Triage and it’s background: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5649292/

Continuity of care: https://www.bmj.com/content/375/bmj.n2468

And article on the ethics of triage:

https://www.vox.com/platform/amp/coronavirus-covid19/2020/3/31/21199721/coronavirus-covid-19-hospitals-triage-rationing-italy-new-york

Sample triage protocol: https://www.medicalprotection.org/ireland/practice-matters/may-2014/example-triage-protocol-for-non-clinical-staff

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In this episode I look at symptoms affecting the gut. They are one of the most common presentations in

general practice.

Most of us experience some kind of gastrointestinal symptom at some point in our lives. I delve into my understanding on how the gut works and how and why things can go wrong and what we can do to help ourselves.

Links:

Mintel gastrointestinal problems data: https://www.mintel.com/press-centre/beauty-and-personal-care/86-of-brits-have-suffered-from-a-gastrointestinal-problem-in-the-past-year/amp

Mintel article on gut health determinants: https://www.mintel.com/blog/food-market-news/gut-health-goes-beyond-digestion/amp

Ultra-processed foods: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7399967/

Aryl-hydrocarbon receptor: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5777317/

Short chain fatty acids: https://www.frontiersin.org/articles/10.3389/fendo.2020.00025/full

Diet and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6702398/

H. pylori infection and reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502218/

Low FODMAP diets: https://pubmed.ncbi.nlm.nih.gov/33585949/

Probiotics and their potential role in reflux disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019778/

SIBO and IBS - is there a link?: https://pubmed.ncbi.nlm.nih.gov/29761234/

Gallstones and SIBO: 

https://pubmed.ncbi.nlm.nih.gov/29392773/

A review of inflammatory bowel disease (Crohns and Ulcerative colitis): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6685307/

‘Red flag’ gut symptoms needing medical assessment: https://bowelinterestgroup.co.uk/resources/red-flag-symptoms-in-gi-conditions/

Diverticulitis: Diverticulitis: Symptoms, Causes, Diagnosis, Treatment, Surgery (healthline.com)

The popular ‘4 R’s of gut health’: https://thenutritionalinstitute.com/resources/blog/292-the-4-r-s-of-gut-health

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*TW* Today’s episode is on a topic which affects us all. 

Prejudice, bias and inclusion are all ongoing hot topics which can affect our wellbeing, how we feel about ourselves and our experience of the world. 

Here I look at the reasons why it is such a complex area to navigate and not as simple as it should be. 

There are some anecdotes on this episode that might be difficult to listen to. 

Links:

Protected characteristics: https://www.equalityhumanrights.com/en/equality-act/protected-characteristics

A paper on similarities and differences in people and their perceptions: https://www.frontiersin.org/articles/10.3389/fpsyg.2018.00849/full

Health inequalities and gender: https://eurohealthnet.eu/publication/gender-health-and-inequalities-before-and-after-the-pandemic-where-we-go-from-here/

Microsoft video training on bias and inclusion: https://www.microsoft.com/en-us/inclusion-journey/learn

Medical regulators and racism: https://blogs.bmj.com/bmj/2021/06/29/racism-and-the-general-medical-council/

The 2004 film Crash that cleverly gets under the belly of prejudice and bias: https://youtu.be/DEJH0hEoHc4 

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This framework that I have created helps turn what is in your mind into action. 

IDEAL:

Identify, Define, Engage, Activate and Look Back

One of the hardest things can be to turn intentions into reality. This simple framework along with the work of known behavioural theory experts can help implement your behaviour change intentions. 

Links:

BJ Fogg behaviour model: https://behaviormodel.org/

Susan Michie and COM-B: https://implementationscience.biomedcentral.com/articles/10.1186/1748-5908-6-42

Pre-order your copy of The Health Fix now: https://www.amazon.co.uk/Health-Fix-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=mp_s_a_1_1?qid=1655897648&refinements=p_27%3AAyan+Panja&s=books&sr=1-1 

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*TW*

This is such a trenchant topic and I wanted to cover it for so many reasons. 

Most of us get some kind of brain symptom at times but it is short lived, but that is not the case for many people. Alzheimer’s Disease is the commonest form of dementia affecting over 60% of all dementia sufferers worldwide.

This episode looks at the determinants of brain health and the aetiology of Alzheimer’s Disease.

Links:

Facts, figures and information on dementia: https://www.who.int/news-room/fact-sheets/detail/dementia

Food and brain health: https://www.healthline.com/nutrition/11-brain-foods (did not focus on this in the episode but in case you want to know more).

Brain health and food chat with @Doctors_Kitchen: https://www.listennotes.com/podcasts/the-doctors/8-eat-to-boost-your-brain-W4eh8cIyNHf/

The hippocampus and memory: https://alz-journals.onlinelibrary.wiley.com/doi/full/10.1002/alz.12009

Association between diabetes and Alzheimer's Disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4265876/

The ApoE gene: https://www.frontiersin.org/articles/10.3389/fnins.2021.630502/full

Cognitive stimulation therapy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5639131/

Alzheimer’s support: https://www.alzheimers.org.uk/

101 on Alzheimer’s Disease - what it is and it’s pathology: https://www.nia.nih.gov/health/what-happens-brain-alzheimers-disease

Treatment of Alzheimer’s Disease: https://www.alzheimersresearchuk.org/dementia-information/types-of-dementia/alzheimers-disease/treatments/

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Sometimes in order to get to the underlying reason behind symptoms that may arise from your lifestyle and environment. 

It is a way of dissecting an area that may need more focus, for instance: diet, environment, movement, sunlight exposure, sleep, historic infections and your family history.

They are good tools to use if you are not making huge progress with conventional habit changes.

Links:

Some benefits of a health diary: https://blog.vantagefit.io/health-diary/

Caffeine overload? https://www.healthline.com/nutrition/caffeine-side-effects 

Fish in your diet - risks and benefits: https://www.bbc.co.uk/news/av/health-35884051

Methylisothiazolinone and skin: https://mi-free.com/

Back pain and posture: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3828513/

Foot shapes: https://www.healthline.com/health/types-of-feet#pronation-and-supination

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Self talk is something we all do. It’s how communicate with ourselves and it can have a significant 

impact on our health.

In this episode I give examples of cognitive distortions which can lead to poor self esteem, false beliefs and negative thinking.

Links:

Cognitive distortions and CBT: https://positivepsychology.com/cognitive-distortions/

Monkey brain: https://www.forbes.com/sites/alicegwalton/2017/02/28/8-science-based-tricks-for-quieting-the-monkey-mind/?sh=699868ec1af6 

Self help therapies and mental health apps: https://www.nhs.uk/mental-health/talking-therapies-medicine-treatments/talking-therapies-and-counselling/self-help-therapies/

There are many mental health apps which may be of benefit and there is also scope for doing CBT online. Disclosure: I am medical adviser to a web-based app called Leafyard which is AI driven and based on CBT: Leafyard.com/actnow

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This week I cover the topic of overwhelm, suggested by a listener.

It’s a feeling we all know and dislike. I try to get under its belly and look at the causes behind it as well

as solutions to minimise the chance of it arising.

Links:

Overhelm and burnout: https://careerpivot.com/2020/overwhelm-and-burnout-whats-the-difference-guest-post/

Saying no: https://tinybuddha.com/blog/stop-saying-yes-want-say-no/

Perfectionism and its pitfalls: https://www.bbc.com/future/article/20180219-toxic-perfectionism-is-on-the-rise

Anxiety and overwhelm: https://www.calmclinic.com/anxiety/symptoms/feeling-overwhelmed

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Perfectionism has risen in the workplace in recent years. It can be a huge positive in terms of work standards but also predisposes people to stress, anxiety and burnout.

In this episode I look at ways to capitalise on its strengths and mitigate any negatives. Not sure if you are one? Take the quiz below.

Links: 

Take the quiz - are you a perfectionist?: https://www.livewellwithsharonmartin.com/qsm_quiz/perfectionist-quiz/

Perfectionism in younger generations: https://www.bath.ac.uk/announcements/unreasonable-demands-lead-to-substantial-rise-in-perfectionism-among-young-people/

Downsides of perfectionism: https://www.bbc.com/future/article/20180219-toxic-perfectionism-is-on-the-rise

DSM-V - classification of perfectionism: https://www.sciencedirect.com/science/article/abs/pii/S0191886914001354

Mindfulness: https://www.mindful.org/meditation/mindfulness-getting-started/

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This week I discuss supplements. It’s a veritable minefield. 

How do you know the quality of what you are taking?

Are there some supplements that are essential and others that should be avoided?

I give you my take on all this and more in this episode.

Links: 

Vitamin D NICE guidance: https://www.guidelines.co.uk/nutrition/nice-vitamin-d-guideline/252552.article

Types of vitamin D: https://www.healthline.com/nutrition/vitamin-d2-vs-d3

B12 deficiency symptoms: https://www.healthline.com/nutrition/vitamin-b12-deficiency-symptoms

Do probiotics work? https://www.scientificamerican.com/article/do-probiotics-really-work/

Digestive enzymes: https://www.hopkinsmedicine.org/health/wellness-and-prevention/digestive-enzymes-and-digestive-enzyme-supplements

Antioxidants: https://www.frontiersin.org/articles/10.3389/fphys.2020.00694/full

A great go to resource for truly independent analyses and views on supplementation: https://examine.com/supplements/

Signs of nutrient deficiency: https://www.rush.edu/news/6-signs-nutrient-deficiency

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The How, What and When of our habits can have significant effects on our health.

Here are some papers on related topics. The abstracts make interesting reading.

Time restricted eating - changing when you eat: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7262456/

Sleep - the how and when: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3174832/

Morning exercise: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7492403/

Weblink for exercise: https://www.healthline.com/health/fitness-exercise/best-time-to-workout#The-Case-for-Sweating-in-the-Afternoon,-or-Night

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In this episode I cover the concept of adding in and removing. It seems devilishly simple but can have profound effects on health.

This is one of many concepts I cover in my book which is out in January 2023.

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My book The Health Fix launches next January in 2023 and I submitted my draft last month. I wanted to let listeners know about what inspired the book and how it might be of help.

It is a toolkit for self care like no other (in my opinion)! I will be sharing some vignettes from it over the next few weeks which I hope you enjoy.

Links: 

Pre-order The Health Fix: https://www.amazon.co.uk/Health-Fix-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=mp_s_a_1_1_nodl?qid=1655897648&refinements=p_27%3AAyan+Panja&s=books&sr=1-1

Monkey brain: https://www.stress.org/please-meet-your-monkey-mind

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Relationships (good ones) are essential to our lives. What do they go wrong and what factors are at play?

How do we sustain them and what are the basic underlying pillars that make or break them?

They need work and attention and there are many ways of looking at them. 

Links: 

Psychotherapist Esther Perel: https://www.estherperel.com/

Transactional analysis and the work of Eric Berne: https://ericberne.com/

Dysfunctional relationships: https://www.psychologytoday.com/gb/blog/rediscovering-love/201401/is-your-relationship-dysfunctional

How to improve relationships: https://www.psychologytoday.com/gb/blog/mate-relate-and-communicate/201412/10-ways-improve-any-relationship

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This episode is about loneliness. Why is loneliness an issue? What are the different types of loneliness and how do we define them?

I look at this huge issue which is a global issue that can be deceptively hard to identify.

Loneliness by country: https://www.statista.com/statistics/1222815/loneliness-among-adults-by-country/

Social isolation and health: https://www.cdc.gov/aging/publications/features/lonely-older-adults.html

Loneliness can be as bad as smoking 15 cigarettes a day: https://www.inc.com/amy-morin/americas-loneliness-epidemic-is-more-lethal-than-smoking-heres-what-you-can-do-to-combat-isolation.html

Intergenerational connection: https://www.theguardian.com/society/2018/nov/12/children-care-homes-residents-feel-more-human

Seal (Killer - live in Paris): https://www.youtube.com/watch?v=V5xAyX_U2GM

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Today’s episode is all about empathy.

Is it valued in today’s society? Is it important to us as human beings and what does it mean to you? 

Health care and the role of empathy: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151200/

Physician empathy and patient satisfaction: https://www.prnewswire.com/news-releases/physician-empathy-a-key-driver-of-patient-satisfaction-300228070.html

The three types of empathy: https://www.inc.com/justin-bariso/there-are-actually-3-types-of-empathy-heres-how-they-differ-and-how-you-can-develop-them-all.html

Some evidence that social media may actually marginally improve empathy (no causality): https://www.researchgate.net/publication/336326078_Social_Media_Use_and_Empathy_A_Mini_Meta-Analysis

An expert view on empathy and reasons for it decreasing: https://genius.com/Dr-sara-h-konrath-why-is-empathy-decreasing-annotated

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This week’s episode is all about time. The pandemic, people’s loss and the state of the world right now has brought time into sharp focus. Is it really the only thing that matters? I talk about ways that I have managed to see time in a different way and share some perspectives on how we might look at it and mould it to suit our own lives.

Links:

Myths about time management: https://www.forbes.com/sites/forbescoachescouncil/2018/11/05/11-time-management-myths-that-are-hurting-your-productivity/?sh=2fbb64254f80

Time management grid (leaving everything to the last minute makes it become urgent and important):

https://weekplan.net/academy/weekly-planning/4-quadrants-of-time-management

Time perspectives: https://psychcentral.com/lib/whats-your-time-perspective#1

Volunteering: https://worksmart.org.uk/news/any-volunteers-how-giving-your-free-time-good-your-career

Ferris Bueller: https://www.youtube.com/watch?v=vsYBtfQ3QDo

ABC method and time management grid: https://s3.wp.wsu.edu/uploads/sites/471/2019/08/Prioritization-Methods.pdf

A great conversation between Sadiq Khan and Alistair Campbell: https://www.youtube.com/watch?v=qeA-7oS1Lhk

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Language is important in all walks of life and has changed hugely over the years because

of how humans communicate.

In this episode I look at its importance and its role in health and medicine, nuances in language and how we can try to work out what someone means from what they say.

You can cross reference to my episode on Consultations which overlaps with this nicely and covers the way in which we communicate.

Links: 

Rita Charon's work on narrative medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949238/

John Launer’s 7 C’s: https://www.gp-training.net/communication-skills/communication-skills-theory/narrative-based-medicine/

Interesting paper on language, culture and medicine: https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1060&context=fmch_articles

Pragmatics in language: https://all-about-linguistics.group.shef.ac.uk/branches-of-linguistics/pragmatics/what-is-pragmatics/

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This episode is all about perspective. 

How can we improve our ability to look at other’s points of view and

why is it so important?

Can we avoid conflict by being mindful about language and behaviours?

Protected characteristics: https://www.equalityhumanrights.com/en/equality-act/protected-characteristics

Taking perspective:https://www.psychologytoday.com/gb/blog/the-power-personal-narrative/201906/the-power-perspective-taking

Perceptual positions: https://www.brilliantminds.co.uk/video-perceptual-positions/

The age of the individual?: https://www.theguardian.com/books/2020/jan/16/the-age-of-the-individual-must-end-tom-oliver-the-self-delusion

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This is an argument that rages on in the world of nutrition and medicine. In this episode I look at what food is, what it does to us in terms of our health and the mechanisms behind it and give you my verdict on whether I consider it to be medicine or not.

Ultra processed foods - review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10899807/

Protein benefits: https://www.healthline.com/nutrition/10-reasons-to-eat-more-protein

Blue Zones diets: https://www.bbcgoodfood.com/howto/guide/what-is-the-blue-zones-diet

Herbs and spices with health benefits: https://www.healthline.com/nutrition/10-healthy-herbs-and-spices

Akkermansia mucinophilia in IBD: https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.1089600/full

T Reg cells - what are they?

:https://www.frontiersin.org/articles/10.3389/fnut.2022.878382/full

Apples and their in vitro benefits: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5490512/

The all important Aryl hydrocarbon receptor (now a therapeutic target for big pharmaceutical companies): https://www.sciencedirect.com/science/article/pii/S221323172300023X

Short chain fatty acids and heart disease: https://pubmed.ncbi.nlm.nih.gov/24388214/#

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We know what wellbeing means - or do we? 

What does it really mean and how do we acknowledge and make it a priority at work and in our

lives?

One of my friends triggered this episode having been unsure how to acknowledge and accommodate wellbeing at work.

In this episode we look at the determinants of wellbeing and how to take practical steps to improve yours.

Links: 

World Health Organisation: https://www.who.int/about/governance/constitution

Various wellbeing wheels: rb.gy/pxbmfq

What Works Wellbeing: https://whatworkswellbeing.org/resources/wellbeing-evidence-at-the-heart-of-policy/

Educating Ruby by Claxton and Lucas: https://www.amazon.co.uk/Educating-Ruby-Children-Really-Learn/dp/1845909542

Wellbeing stories (for children): https://www.wellbeingstories.com/

AI driven mental health app for which I am medical adviser: https://www.leafyard.com/actnow

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Today I’ll be looking at medical myths. It’s a fascinating area which most of us will be able to relate to.

How many times have you found yourself saying we only use 10% of our brains

or that you should feed a cold and starve a fever? 

I’d love to hear your experiences of this via Insta, Twitter, LinkedIn or FB.

Here are some links based on the show for more info:

Do we only use 10% of our brains? https://www.bbc.com/future/article/20121112-do-we-only-use-10-of-our-brains

Is crossing your legs bad for you? https://www.bbc.com/future/article/20151013-is-crossing-your-legs-bad-for-you

Greying hair: https://www.sciencedaily.com/releases/2021/06/210622154339.htm

Feed a cold, starve a fever? https://www.healthline.com/health/feed-a-cold-starve-a-fever

Health Freaks 2013: https://www.youtube.com/watch?v=hEGH4hfxMfU

Garlic and libido (a study): https://pubmed.ncbi.nlm.nih.gov/24844765/

An apple a day keeps the doctor away: https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2210883

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Today’s episode is about medical diagnosis. It’s a tricky business and 

as patients we want to make sure the diagnosis is as accurate as possible without

something being missed or the opposite - the risk of overtreatment.

I look at the role of screening and talk through some of the challenges we face as both patients and 

clinicians.

Links:

Improving diagnosis: https://www.improvediagnosis.org/stories/  (USA based)

Screening and ethics which govern it in the NHS: https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screening

“Too much medicine”: https://www.bmj.com/too-much-medicine

Overdiagnosis: https://www.bmj.com/content/362/bmj.k2820

Ivan Illich and his Medical Nemesis: https://www.rcpe.ac.uk/sites/default/files/jrcpe_46_2_omahony_0.pdf

Achenbach syndrome (just FYI): https://casereports.bmj.com/content/13/9/e238156

Medically unexplained symptoms: https://bjgp.org/content/67/656/106

Bill Turnbull documentary: https://www.channel4.com/programmes/bill-turnbull-staying-alive

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Impostor syndrome affects up to 70% of people and I see it so often that I wanted to look at what it is, where it came from and what we can do about it.

It’s a fascinating phenomenon which once uncovered can lead to self-exploration and changing our thoughts.

Links: 

The imposter phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy: Theory, Research & Practice, 15(3), 241–247: 

https://psycnet.apa.org/record/1979-26502-001

Latest large scale review study on Impostor syndrome: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7174434/

Dr Valerie Young: https://impostorsyndrome.com/

An article I wrote many years ago: 

"Failures can be the pillars of success”: 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC261763/

CBT techniques which may help: https://www.healthline.com/health/cognitive-restructuring

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Medical errors are common and need to be minimised. They are the 3rd commonest cause of death in the USA.

In this episode I look at why these errors happen and what we can do to prevent them.

Links:

Patient safety (WHO): https://www.who.int/news-room/fact-sheets/detail/patient-safety

Surgical safety checklist (WHO): https://www.who.int/teams/integrated-health-services/patient-safety/research/safe-surgery/tool-and-resources

Martin Bromiley’s charity looking at human factors: https://chfg.org/chfg-history/ 

PIP implant update: https://www.bbc.co.uk/news/health-57179180

Consent: https://www.nhs.uk/conditions/consent-to-treatment/

PALS (NHS): https://www.nhs.uk/nhs-services/hospitals/what-is-pals-patient-advice-and-liaison-service/

HealthWatch: https://www.healthwatch.co.uk/what-we-do

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This episode is about grief and bereavement. 

It is different for everyone but I share my own experience of it here.

Links:

The Kubler-Ross stages of grief: https://www.healthline.com/health/stages-of-grief

Transgenerational grief: https://www.griefrecoverymethod.com/blog/2018/01/transgenerational-grief

Theories on grief: https://griefjourney.co.uk/startjourney/for-professionals-and-caregivers/articles-for-professionals-and-caregivers/theories-of-grief/

General bereavement support: cruse.org.uk

Support for grieving children: https://www.winstonswish.org/

Support for grieving parents: https://www.careforthefamily.org.uk/family-life/bereavement-support/bereaved-parent-support

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What exactly is resilience? 

Is it more than being able to recover from adversity or stresses?

It’s a term that has annoyed me in the past so I wanted to get under it’s belly and explore where it came from beyond flexibility and adaptability in thinking or

handling stressful situations.

The work of Emmy Werner fascinates me and I try to draw out her key findings.

Summary article by Dr Werner: https://www.sciencedirect.com/science/article/abs/pii/1054139X92901577

Dr Werner’s longitudinal study: https://psycnet.apa.org/doiLanding?doi=10.1111%2Fj.1939-0025.1989.tb01636.x

Resilience in healthcare: https://bmjopen.bmj.com/content/10/1/e031765

Mayo Clinic tips on resilence: https://www.mayoclinic.org/tests-procedures/resilience-training/in-depth/resilience/art-20046311

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Today I’ll be talking about Lifestyle Prescriptions, covering what they are and how you can make a start on generating them for yourself starting with The Symptom Web® - a really simple concept which I devised and continue to teach on Prescribing Lifestyle Medicine

Prescribing Lifestyle Medicine: https://www.practiceunbound.org.uk/product/prescribinglifestylemedicine/home

Gut flora and antibiotics: https://atlasbiomed.com/blog/probiotics-after-antibiotics/

Caffeine and migraines: https://www.healthline.com/health/migraine/caffeine-migraine

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This episode is all about consultations, their history, evolution and how to get the most out of them with your health care practitioners.

Dr Michael Balint: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1464079/

Dr Milton Erickson: https://www.erickson-foundation.org/ 

Continuity of care: https://bmjopen.bmj.com/content/8/6/e021161 

The Patient Revolution: https://www.amazon.co.uk/dp/B07Q8YTYTG/ref=dp-kindle-redirect?_encoding=UTF8&btkr=1

Consulting models for GPs: https://www.gponline.com/consultation-models-practice/article/988629

Person centred care and social prescribing: https://www.rcgp.org.uk/clinical-and-research/our-programmes/about-person-centred-care.aspx

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Today we're talking all about invisible illnesses, in particular long covid and the explosion in the need for mental health support.

Here are some links that might be of interest:

Mental health information: mind.org.uk

ZOE: https://covid.joinzoe.com/

Long Covid: https://www.nice.org.uk/guidance/ng188

A ‘pacing’ resource: https://www.torbayandsouthdevon.nhs.uk/uploads/24053.pdf

High blood pressure: https://www.healthline.com/health/high-blood-pressure-hypertension#overview

Rolling with resistance - https://sbirt.publichealthcloud.com/resources/images/MI%20Strategy%20-%20Roll%20with%20Resistance%20-%20Updated.pdf

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High blood pressure is the biggest modifiable risk factor for cardiovascular disease, which is still the leading cause of death worldwide.

It’s often called a silent killer because it has usually has no symptoms.

This episode give you the lowdown on high blood pressure (also known as essential hypertension).

Links:

WHO page: https://www.who.int/news-room/fact-sheets/detail/hypertension

NICE guideline for hypertension: https://www.england.nhs.uk/london/wp-content/uploads/sites/8/2019/11/NICE-NG136-Visual-Summary.pdf

A summary of high blood pressure: https://www.healthline.com/health/high-blood-pressure-hypertension

Vitamin D and blood pressure in African-Americans: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3775458/

Salt and potassium: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7697211/

Low carb diets and blood pressure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6695889/

Potassium enriched salt and blood pressure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10863666/

Salt substitutes: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9532913/

Measuring blood pressure: https://www.youtube.com/watch?v=mfwBpBXUYHs

Why blood pressure matters: https://www.gov.uk/government/publications/health-matters-combating-high-blood-pressure/health-matters-combating-high-blood-pressure#

Resperate - the evidence is mixed, the effects small and it is not a substitute for any medication:

https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/expert-answers/resperate/faq-20057998#

https://northyorkshireccg.nhs.uk/wp-content/uploads/2021/04/NYCCG-Resp-Devices-Hypertension_v1.0_01.07.2021.pdf

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Welcome to episode one of Saving Lives In Slow Motion.

Today I'll be talking about behaviour change, whether it's giving up smoking, exercising more or just spending less time on your phone - making a change can be difficult.

I share the real reasons people change their behaviours and how you can too.

Show notes:

Here are some links that might be on interest. 

 BJ Fogg’s simple but effective method on behaviour change: https://tinyhabits.com/start-tiny/

Experts, including myself, talking about behaviour change during the pandemic: https://www.bbc.co.uk/sounds/play/m000mzm7 

Neuroplasticity - how the brain changes as your behaviours change: https://www.verywellmind.com/what-is-brain-plasticity-2794886

For more from me click here

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Dr Ayan Panja shares his perspective on the most important themes which impact our health & wellbeing and ponders on what we can do to improve our own health journeys. Bite-sized enriching episodes with an informal laid back tone which to make you sit back, think and create change.

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Mind Body Medicine is fascinating but has been poorly understood over the years. I believe it is more important to try to understand better now more than ever as we are surrounded by medically unexplained symptoms and non-communicable symptoms and diseases. 

In this episode I look at the origins and theories behind it as well as link to the evidence in the show notes.

Links:

The Holmes-Rahe Stress scale: https://www.mindtools.com/avn893g/the-holmes-and-rahe-stress-scale

The effectiveness of mind-body medicine (narrative): https://journals.lww.com/mjhs/fulltext/2023/11020/effectiveness_of_mind_body_medicine.2.aspx

Somatising: https://www.psychiatry.org/patients-families/somatic-symptom-disorder/what-is-somatic-symptom-disorder

Opinion piece - a new ear of mind body medicine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7486127/#

Views on Dr Sarno’s work: https://www.vox.com/science-and-health/2017/10/2/16338094/dr-john-sarno-healing-back-pain

Mind Body Medicine in Crohn’s Disease: https://www.frontiersin.org/articles/10.3389/fnint.2022.960301/full

Mindfulness and meditation - effects on stress:

https://www.apa.org/topics/mindfulness/meditation

Repressed emotions and physical health: https://www.healthline.com/health/repressed-emotions

Heart rate variability and stress: https://www.webmd.com/heart/what-is-heart-rate-variability

Mechanisms on how writing can help: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/

Journaling and heart failure: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927423/

Psychoneuroimmunology during COVID-19: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9075982/

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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This is a super hot topic in health care in some parts of the world at the moment. In this episode I look at how these drugs work and the pros and cons of taking them for weight loss purposes.

Obesity, in some instances, is in essence a form of ‘malnutrition’ because of the nature of food consumed and how rates have increased rapidly over the last 40 years.

Body Mass Index definition: https://www.bbc.co.uk/news/av/health-21264134

Heart disease risk reduced by weight loss jab: https://www.bbc.co.uk/news/articles/cd188m73vn1o

Ultra processed food and your brain: 

https://www.bbc.co.uk/food/articles/junk_food_brain

Supersize Me: https://en.wikipedia.org/wiki/Super_Size_Me

Obesity health risks: https://www.healthline.com/health/obesity/how-obesity-affects-body

The genetics of obesity: https://www.nature.com/articles/s41576-021-00414-z

The story behind semaglutide: https://www.vox.com/22553793/gila-monster-lizard-venom-inspired-obesity-drug-semaglutide

Weight loss stats on semaglutide: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9486455/

Semaglutide can stop working and even if it works it may need to be taken forever:

https://www.medicalnewstoday.com/articles/why-weight-loss-drugs-stop-working-how-to-break-past-ozempic-plateau#Hitting-a-weight-loss-plateau-after-a-year

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CGM has changed lives for the better people with Type 1 Diabetes but nowadays people without diabetes use it as a tool. In this episode I look at the pros and cons of CGM and how it can be used as a lens into our general health and how it is linked to our gut microbiome amongst many other systems.

Links:

CGM early days review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717493/

Prof Partha Kar: https://gettingitrightfirsttime.co.uk/girft-diabetes-lead-awarded-obe-in-new-year-honours/

Red meat and gut bacteria: https://www.nih.gov/news-events/nih-research-matters/gut-microbes-affect-harmful-compound-red-meat#

Akkermansia Muciniphilia: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8726741/

Gut bugs and metabolic disease: https://joe.bioscientifica.com/view/journals/joe/248/2/JOE-20-0473.xml#

Alcohol and blood glucose: https://blog.supersapiens.com/3-ways-alcohol-affects-your-glucose-levels/

Exercise and blood sugar: https://www.sugarfit.com/blog/workout-spikes-exercise-induced-gluconeogenesis/

Glucose spikes - the dangers?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530333/#:

The view of Harvard on CGM without diabetes:https://www.health.harvard.edu/blog/is-blood-sugar-monitoring-without-diabetes-worthwhile-202106112473

Walking after meals: https://www.healthline.com/nutrition/walking-after-eating

Advanced Glycation End Products (AGEs): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10401445/#

THE HEALTH FIX - the ultimate health manual tailored to you: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=

25wktvbz

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In this episode I look at smart phones. They have changed the way we live beyond imagination 

but are they doing us any harm in terms of the way we think and behave?

Links:

Life before smartphones:

https://medium.com/be-unique/before-smartphones-were-a-thing-87208717b8d7

Teenage brain: https://www.healthychildren.org/English/ages-stages/teen/Pages/Whats-Going-On-in-the-Teenage-Brain.aspx

Teenagers and smart phones: https://www.scientificamerican.com/article/are-smartphones-really-destroying-the-lives-of-teenagers/

Alpha brain waves: https://www.healthline.com/health/alpha-brain-waves#bottom-line

Multitasking and switching focus: https://neuroscience.stanford.edu/news/why-multitasking-does-more-harm-good

Phones and attention: https://www.nature.com/articles/s41598-023-36256-4#

Alpha waves: https://www.healthline.com/health/alpha-brain-waves

Dopamine fasting: https://www.sciencefocus.com/science/dopamine-fasting-smartphone-addiction

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Addictions can ruin lives but why do they occur in the first place and what can we do to acknowledge them better?

In this episode Iook at why they can be so hard to conquer and touch on different aspects of addiction.

Links: 

How the addicted brain works:

https://www.yalemedicine.org/news/how-an-addicted-brain-works

Sugar - why most of us could easily have a sweet tooth: https://theconversation.com/a-taste-for-sweet-an-anthropologist-explains-the-evolutionary-origins-of-why-youre-programmed-to-love-sugar-173197

Addiction and childhood: https://www.jkacap.org/journal/view.html?doi=10.5765/jkacap.2017.28.1.4#

Heroin detox in Thailand: https://www.bbc.co.uk/news/uk-england-berkshire-13674101

Dr Gabor Maté on trauma: https://www.theguardian.com/lifeandstyle/2023/apr/12/the-trauma-doctor-gabor-mate-on-happiness-hope-and-how-to-heal-our-deepest-wounds

Gambling addiction: https://www.nhs.uk/live-well/addiction-support/gambling-addiction/

A personal story: https://www.theguardian.com/commentisfree/2019/dec/30/studied-neuroscience-understand-addictions-not-cure

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Becoming a parent is a gift but it has its challenges. In this episode I look at some factors to be mindful of including the difference between the child and adult brain plus micro tips to help navigate your way through the maze of parenthood. 

Links: 

Parenting styles: https://www.parents.com/parenting/better-parenting/style/parenting-styles-explained/

Brain development in children: https://www.luriechildrens.org/en/blog/early-childhood-brain-development-and-health/

Parenting styles and psychological complaints: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873100/

Hoffman Process for understanding how early life connects to your adult behaviours: https://www.hoffmaninstitute.co.uk/about-the-process/

Unconditional love: https://www.psychologytoday.com/gb/blog/peaceful-parents-happy-kids/201504/how-give-unconditional-love-your-child-and-yourself?amp

Steve Biddulph’s advice: https://www.toorakcollege.vic.edu.au/blog/steve-biddulph-key-takeaways

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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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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Skin - it’s known as our largest ‘organ’ and most of us have had some kind of skin issue.

This is my 101. Enjoy!

Guttate psoriasis: https://www.healthline.com/health/psoriasis-guttate

Pitiryiasis rosea: https://www.aad.org/public/diseases/a-z/pityriasis-rosea-symptoms

Scarlet fever: https://www.medicalnewstoday.com/articles/176242

Slapped cheek syndrome: https://www.nhs.uk/conditions/slapped-cheek-syndrome/

Omega 3 and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7892455/

Probiotics and skin: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386980/

Acne: https://www.webmd.com/skin-problems-and-treatments/acne/ss/slideshow-acne-dictionary

PCOS: https://www.healthline.com/health/polycystic-ovary-disease

Rosacea: https://www.rosacea.org/patients/all-about-rosacea

Non IgE cows milk protein allergy: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/

Dermatitis herpetiformis: https://www.coeliac.org.uk/information-and-support/coeliac-disease/dermatitis-herpetiformis/

Elimination diets: https://www.healthline.com/nutrition/elimination-diet

Atopy: https://www.healthline.com/health/atopy

Demodex: https://www.healthline.com/health/demodex-folliculorum

MI allergy: https://www.webmd.com/beauty/what-to-know-about-methylchloroisothiazolinone-allergies

Contact dermatitis: https://www.healthline.com/health/contact-dermatitis

Melanoma and ABCDE: https://www.melanomauk.org.uk/the-abcde-rule

Sunlight and cancer: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571149/

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Health screening has exploded over the last 20 years. Is it a money making exercise or actually worth it? In this episode I look at the pros and cons and how you can decide what may be worth doing and the reason people decide they need it.

Links:

UK ethics of health screening: https://www.gov.uk/government/publications/uk-nsc-ethical-framework-for-screening/uk-nsc-ethical-framework-for-screening

Health Screening - a recent paper: 

https://www.ncbi.nlm.nih.gov/books/NBK436014/

RCGP screening statement around extra work for NHS GPs from screening companies: https://www.rcgp.org.uk/representing-you/policy-areas/screening

Karen Brady’s story: https://www.theguardian.com/lifeandstyle/2006/apr/20/healthandwellbeing.health1

The pros and cons of PSA testing: https://prostatecanceruk.org/prostate-information-and-support/prostate-tests/psa-blood-test

Genomic (DNA) testing for propensity to disease (eg breast cancer): https://www.nhs.uk/conditions/genetic-and-genomic-testing/

MTHFR: https://www.medicalnewstoday.com/articles/326181

Our Future Health: https://ourfuturehealth.org.uk/

Bill Turnbull's prostate cancer story: https://www.bbc.co.uk/news/health-62755001

My book THE HEALTH FIX - paperback: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=

"The only health manual you'll ever need..." Dr Rangan Chatterjee. "...lifechanging..." Dr Rupy Aujla

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There isn’t a week in practice when I don’t get asked about food intolerances and how to test for them. It’s a contentious topic that needs 

some deconstructing.

In this episode I look at what is and isn't intolerance and how to proceed if you think you have a food intolerance.

Links:

Food intolerance vs allergy - official guidance: https://www.allergyuk.org/resources/food-intolerance/

IgG testing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5004213/

Elimination diets: https://www.healthline.com/nutrition/elimination-diet

SIBO and IBS: https://pubmed.ncbi.nlm.nih.gov/29761234/

Gluten sensitivity: https://www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/gluten-sensitivity/

Deeper dive on mucosal tolerance: https://courses.lumenlearning.com/wm-biology2/chapter/mucosal-surfaces-and-immune-tolerance/

Milk digestion over the years: https://pubmed.ncbi.nlm.nih.gov/35896667/

My book 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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Lyme Disease rates have doubled in the last 30 years in the USA and rates are rising across the world in affected areas. In this episode I look at Lyme, other tick-borne illnesses and the mystery symptoms they can give rise to, as well as strategies to treat and prevent them.

Lyme disease factsheet:

https://www.ecdc.europa.eu/en/borreliosis/facts/factsheet

The Bullseye rash: https://www.cdc.gov/lyme/signs_symptoms/rashes.html

The life cycle of a spirochaete: https://www.nature.com/articles/nrmicro2714

B.Burgdorferi - the major cause of Lyme disease: https://www.ncbi.nlm.nih.gov/books/NBK532894/

B.mayonii - another strain causing Lyme disease: https://www.cdc.gov/lyme/mayonii/index.html

Dr Horowitz Lyme questionnaire: https://caudwelllyme.com/do-you-have-lyme-disease-the-horowitz-questionnaire

Differentiating arthritis from Lyme Diseases: https://www.webmd.com/rheumatoid-arthritis/ra-or-lyme

Dr Horowitz interview:

 https://lymeconnection.org/support_and_resources/meet_the_lyme_disease_experts.html/title/dr-richard-horowitz-latest-treatments-in-lyme-disease

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Cholesterol has become an obsession for so many people over the last 50 years. In this episode I look at the story of cholesterol and why it is important and when to worry about it.

Links:

The history of cholesterol: https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiology

Food and cholesterol: https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol

Monacolin K (in both red yeast rice and statins): https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolins

Numbers need to treat (NNT):

https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt

Diet and statins: https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-study

ApoB and Lp(a): https://www.pennmedicine.org/for-health-care-professionals/for-physicians/physician-education-and-resources/physician-interviews/2023/october/lipid-management-part-3-apo-b-and-lipoprotein-a

Homocysteine and heart disease: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8

Flawed study or is it because not all LDL is bad? https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statins

Reduction of ApoB and risk reduction of heart disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489462/

TG:HDL ratio (Triglycerides to HDL): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.

NICE recommendation for statins:

https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2023/january/nice-recommends-statins-should-be-a-choice-for-more-people-to-prevent-heart-attacks-and-strokes

Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.

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