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  • BLA 143: Do Statins Cause Dementia?
    2025/08/19

    Do life-saving statins secretly damage your brain? This episode tackles the controversial link between statins and dementia head-on. I'll explore the origins of the fear, from patient anecdotes to plausible science, and weigh it against the highest-quality evidence from large clinical trials. We'll separate the myths from the facts to reach a clear, evidence-based verdict on how these drugs truly affect your brain.

    Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay active for life.

    Click Here: https://www.jrennickemd.com

    CHAPTERS:

    00:00 - Intro

    01:07 - Where This Idea Came From

    04:55 - The Possible Mechanism Cause of Symptoms

    07:31 - The Scientific Evidence for Harm

    11:20 - The Evidence Against The Claims

    14:20 - Putting It All Together: A Unifying Framework

    18:57 - Final Thoughts/ Guidance

    23:32 - Outro

    SELECTED REFERENCES:

    https://pubmed.ncbi.nlm.nih.gov/12885101/

    https://doi.org/10.4172/2329-6887.1000141

    https://www.researchgate.net/publication/362574285_Mendelian_Randomization_Study_of_PCSK9_and_HMG-CoA_Reductase_Inhibition_and_Cognitive_Function

    https://pmc.ncbi.nlm.nih.gov/articles/PMC5487843/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC5487843/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC5487843/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC5487843/

    https://www.jacc.org/doi/10.1016/j.jacc.2021.04.075

    Disclaimer This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    24 分
  • BLA 142: What Is A "Normal" Blood Pressure?
    2025/08/12

    Ever wonder what your blood pressure numbers really mean? With different guidelines from the US and Europe, it can be incredibly confusing. In this episode, I'll cut through the noise, explaining the different standards, how to measure your BP accurately, and what's truly considered "optimal" for your cardiovascular health. We'll break down the authoritative guide on what your numbers really mean for you.

    Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

    ➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

    CHAPTERS:
    00:00 - Intro
    00:47 - Systolic vs Diastolic Blood Pressures
    02:04 - How To Measure Blood Pressure
    04:17 - Monitoring Blood Pressure Outside the Clinic
    06:16 - US Blood Pressure Guidelines
    08:15 - Medication Isn’t Always The Answer
    09:54 - The European Guidelines
    11:41 - Why The Guidelines Differ
    14:20 - So What Is “Normal” Blood Pressure?
    16:11 - BP Goals for Different Ages
    17:49 - Special Considerations for Specific Conditions
    19:08 - Why We Actually Care About Blood Pressure
    20:39 - The Risks of Low Blood Pressure
    22:43 - Lifestyle Interventions for BP Management
    24:45 - Medications for BP Management
    26:35 - Takeaways
    27:03 - Outro

    SELECTED REFERENCES:
    [https://academic.oup.com/eurheartj/article/45/38/3912/7741010?login=false#503300301](https://academic.oup.com/eurheartj/article/45/38/3912/7741010?login=false#503300301)
    [https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.15026](https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.120.15026)
    [https://www.ahajournals.org/doi/10.1161/hyp.0000000000000065](https://www.ahajournals.org/doi/10.1161/hyp.0000000000000065)
    [https://iris.who.int/bitstream/handle/10665/344424/9789240033986-eng.pdf](https://iris.who.int/bitstream/handle/10665/344424/9789240033986-eng.pdf)
    [https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.124.24173](https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.124.24173)

    *Disclaimer*

    This podcast is for entertainment, education, and informational purposes only.
    The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
    The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
    Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    28 分
  • BLA 141: How We Treat Obesity Is Changing Forever
    2025/08/05

    The old "try lifestyle first" model for treating obesity is officially over. For years, we've treated obesity differently than other chronic diseases, often blaming a lack of willpower. In this podcast, I break down the new guidance from the American College of Cardiology and explore why we need to treat obesity as the complex biological disease it is, using powerful new medications synergistically with lifestyle changes right from the start.

    Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

    ➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

    CHAPTERS:
    00:00 - Intro
    00:44 - The Scale of the Problem
    02:21 - Diagnosing Obesity
    05:19 - How Biology Affects Weight Loss
    07:33 - How Lifestyle Only Tends to Fail
    10:18 - A New Tool: Medications
    11:32 - Effectiveness of Incretin Therapies
    13:11 - The SELECT Trial
    15:18 - Side Effects
    18:24 - The ACC’s New Proposed Model
    21:18 - Biggest Issues Preventing Change
    23:22 - Takeaways
    25:21 - Outro

    SELECTED REFERENCES:
    Gilbert, O., Gulati, M., Gluckman, T. J., Kittleson, M. M., Rikhi, R., Saseen, J. J., & Tchang, B. G. (2025). 2025 Concise Clinical Guidance: An ACC Expert Consensus Statement on Medical Weight Management for Optimization of Cardiovascular Health. Journal of the American College of Cardiology. [https://doi.org/10.1016/j.jacc.2025.05.024](https://doi.org/10.1016/j.jacc.2025.05.024)

    *Disclaimer*

    This podcast is for entertainment, education, and informational purposes only.
    The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
    The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
    Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    26 分
  • BLA 140: Are Plants Trying To Kill You?
    2025/07/29

    Are plants actively trying to kill us? In this episode, I break down a popular video making that exact claim. I'll walk you through my thought process for analyzing these big statements, look at the evidence (or lack thereof), and give you the nuance that's often missing from these discussions. My goal is to help you become a more informed consumer of health information.

    Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.

    ➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

    CHAPTERS:
    00:00 - Intro
    01:21 - Thesis Statement
    02:21 - Brussell Sprouts Carcinogens
    05:45 - Professor Doesn’t Eat Plants
    07:49 - Plants and Carcinogens
    10:47 - Lectins and Satiety/Weight Loss
    13:01 - Lectins and Parkinson’s
    16:15 - Lectins and Leaky Gut
    19:15 - Mikhaila Peterson Story
    21:28 - Cyanogenic Compounds in 3rd World Countries
    23:50 - Are Almonds Going to Kill You?
    25:25 - Seed Oils
    27:41 - Photosensitivity
    29:17 - Can You Get All Your Nutrients With Meat?
    32:14 - Hormesis
    34:07 - Takeaway Points
    36:05 - Outro

    SELECTED REFERENCES:
    https://youtu.be/j1cqNDDG4aA?si=TWNeo115yi0z09tZ

    *Disclaimer*

    This podcast is for entertainment, education, and informational purposes only.
    The topics discussed should not solely be used to diagnose, treat , or prevent any condition.
    The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate.
    Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    37 分
  • BLA 139: Lp(a)- This Test Could Save Your LIfe
    2025/07/22

    Stop stressing over every health detail & start living! My FREE 'Necessary Nine' PDF cuts through the noise, giving you the essential things you need for a healthy life.
    ➡️ Download Here: https://www.jrennickemd.com/necessaryninepdf

    What if a single blood test could reveal a hidden, lifelong risk for heart disease that affects one in five people? This risk factor, Lipoprotein(a), is almost entirely determined by your genes and doesn't improve with diet or exercise. In this episode, I break down everything you need to know about Lp(a) and why asking your doctor for this simple, once-in-a-lifetime test could be a game-changer for your health.


    CHAPTERS:
    00:00 - Introduction
    00:44 - What is Lp(a)?
    01:30 - The Genetics of Lp(a)
    02:27 - 4: Kringle Repeats
    03:20 - 5: Epidemiology
    04:06 - 6: Global Impact of Lp(a)
    04:50 - 7: Why It Actually Causes Increased Risk
    05:50 - 8: Atherogenic Pathway
    06:31 - 9: Lp(a) and Plaque Stability
    07:22 - 10: Pro Inflammatory Pathway
    07:57 - 11: Local Inflammation Doesn’t Always Mean Systemic Inflammation
    09:03 - 12: Pro Thrombotic Pathway
    10:04 - 13: Clinlical Manifestations
    10:48 - 14: Screening Recommendations
    11:37 - 15: Measuring Lp(a)
    13:20 - 16: Defining High Risk Lp(a)
    14:32 - 17: Current Management Principles
    15:11 - 18: Lowering LDL
    17:08 - 19: Statins, Ezetimibe, and Bempedoic Acid
    18:25 - 20: PCSK9i and Omega 3’s
    19:31 - 21: Therapies to Avoid
    20:39 - 22: RNA Based Treatments
    21:17 - 23: Antisense Oligonucleotides- Pelacarsen
    22:00 - 24: siRNAs- Olpasiran
    22:50 - 25: Muvalaplin- An Oral RNA Option
    23:28 - 26: Lp(a)/Diabetes Paradox
    24:17 - 27: High Risk Populations
    25:18 - 28: Key Unanswered Questions
    25:53 - 29: Key Takeaways
    26:36 - 30: The Future

    SELECTED REFERENCES:
    https://doi.org/10.3390/ph18050753
    https://doi.org/10.1016/j.jacl.2024.03.001
    https://doi.org/10.37532/1755-5310.2023.15(S16).395
    https://doi.org/10.1161/ATV.0000000000000147
    https://doi.org/10.1016/j.ajpc.2024.100651

    *Disclaimer* This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    28 分
  • BLA 138: Can Exercise Decrease Death From Colon Cancer? (CHALLENGE Trial)
    2025/07/15

    Could one of the most effective ways to boost survival after a colon cancer diagnosis be exercise? In this episode, I dive deep into the groundbreaking CHALLENGE Trial, a landmark study that explored how a structured exercise program impacts survival rates for colon cancer patients. We'll break down the study's surprising results, including a 28% relative reduction in disease-free survival events and a 37% relative reduction in the risk of death, and discuss what this could mean for the future of cancer care.

    Want a checklist to know the most important areas of health you need to take care of?
    Click Here: https://www.jrennickemd.com/necessaryninepdf

    CHAPTERS:
    00:00 - Intro
    00:34 - Old Evidence
    01:40 - CHALLENGE Trial Intro
    02:51 - Population, Invervention, Comparators, Outcomes
    04:30 - Healthier Survivor Problem
    05:22 - No True “Control” Group
    06:55 - Main Results
    08:08 - Fitness Outcomes
    10:01 - Safety and Side Effects
    11:07 - What Explains These Results?
    12:03 - Comparing These Results With Older Results
    13:27 - New Standard of Care?
    15:03 - Future Areas of Research
    16:11 - My Takeaways
    17:50 - Outro

    SELECTED REFERENCES:
    https://www.nejm.org/doi/full/10.1056/NEJMoa2502760

    *Disclaimer* This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

    colon cancer, exercise, cancer survival, CHALLENGE Trial, oncology, cancer research, disease-free survival, structured exercise program, physical activity, cancer treatment, cancer care, evidence-based medicine

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    19 分
  • BLA 137: Supplements For Recovery
    2025/07/08

    In this podcast, I break down the most effective supplements to optimize your recovery, separating the science from the hype. We'll dive into the foundational pillars of recovery and then take a deep look at everything from protein and carbs to creatine, HMB, tart cherry juice, and more, so you can make informed decisions to support your training.

    Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay active for life.

    Click Here: https://www.jrennickemd.com

    CHAPTERS:

    00:00 - Intro

    00:35 - Recovery Pillars

    03:43 - Protein

    05:39 - Whey Protein

    07:52 - Casein Protein

    09:28 - Plant Protein and Protein Blends

    11:57 - Carbohydrates

    15:20 - Protein and Carbs Together

    16:57 - Creatine

    20:08 - HMB

    22:07 - Tart Cherry Juice

    24:02 - Omega 3’s

    25:56 - Magnesium

    27:22 - BCAAs

    30:20 - L-Glutamine

    31:42 - Tiers of Recovery

    35:19 - Takeaways

    37:25 - Outro

    SELECTED REFERENCES:

    https://pmc.ncbi.nlm.nih.gov/articles/PMC5852829/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC8228369/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC9306613/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC11918606/

    https://pmc.ncbi.nlm.nih.gov/articles/PMC8565244/

    Disclaimer

    This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition.

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    38 分
  • BLA 136: Myostatin... the Next Muscle Frontier?
    2025/07/01

    Have you ever felt like you've hit a plateau at the gym? What if I told you there’s a biological handbrake in your cells that’s actively stopping your muscles from growing? In this episode, we're diving into the science of myostatin, the protein that puts a ceiling on your muscle potential, and how new drugs in development could change medicine and fitness forever.

    Sign up for my free newsletter to receive analysis, reviews, and my interpretations of the most recent research to help you stay active for life.
    Click Here: https://www.jrennickemd.com

    CHAPTERS:
    00:00 - Intro
    00:44 - What Is Myostatin?
    01:51 - How Myostatin Limites Muscle Growth
    03:41 - The Origins of Myostatin Interest
    05:37 - Myostatin and Weight Loss
    07:07 - Regeneron’s Recent Study
    08:37 - COURAGE Trial
    10:39 - Myostatin and Sarcopenia
    12:14 - Myostatin and Muscular Dystrophy
    13:02 - Myostatin and Spinal Muscular Atrophy
    14:14 - Eli Lilly’s Drug
    15:24 - Myostatin for sports
    17:35 - Safety Considerations
    19:29 - Key Takeaways
    21:10 - Outro

    SELECTED REFERENCES:
    https://www.ahajournals.org/doi/10.1161/circresaha.116.308391
    https://www.pnas.org/doi/10.1073/pnas.1707925114
    https://pmc.ncbi.nlm.nih.gov/articles/PMC6909929/

    https://jamanetwork-com.usu01.idm.oclc.org/journals/jamanetworkopen/fullarticle/2774903
    https://newsroom.regeneron.com/news-releases/news-release-details/interim-results-ongoing-phase-2-courage-trial-confirm-potential

    Disclaimer

    This podcast is for entertainment, education, and informational purposes only. The topics discussed should not solely be used to diagnose, treat , or prevent any condition. The information presented here was created with an evidence based approach, but you please keep in mind that science is always changing and at the time of listening to this there may some new data that makes this information incomplete or inaccurate. Always seek the advice of your personal physician or qualified health care provider for questions regarding any medical condition

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    22 分