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In this episode, I was joined by Dr. Robert Kiltz (@doctorkiltz) a fertility expert and proponent of animal based diets. We explored the role of sugars and glycans in health and disease–Dr. Kiltz detailed how these compounds impact metabolic diseases, from cancer to infertility, and we discussed why understanding their effects is crucial for addressing modern health challenges. We also delved into plant-based diets and their potential effects on reproductive health. Throughout our conversation, Dr. Kiltz emphasized the importance of questioning traditional health narratives, such as the food pyramid, which he believes could be undermining fertility and overall wellness. He detailed how getting away from a plant-based diet can reduce inflammation, improve reproductive outcomes, and address chronic conditions like diabetes and autoimmune disorders. Enjoy! Dr. Kiltz is the Founder and Director of CNY Fertility, one of the largest and most innovative fertility practices in the country. Dr. Kiltz is a Diplomat of the American Board of Obstetrics and Gynecology and Fellowship trained and Board Certified in Reproductive Endocrinology and Infertility. He spent more than two decades helping families grow by developing cutting-edge approaches to fertility grounded in Western medicine and supported by practices of holistic medicine. —Dr. Kiltz’s Links— Website: https://www.doctorkiltz.com/ Instagram: https://www.instagram.com/doctorkiltz/ Books by Dr. Kiltz: https://www.doctorkiltz.com/books-by-dr-kiltz/ For a high quality, ideology-free education consider enrolling in Peterson Academy: https://petersonacademy.com/Order After Party, my hangover supplement if you’d like to avoid the damage done by alcohol on https://bit.ly/3HajcWV and Amazon https://a.co/d/6OGdTrT. Be sure to leave a review! I read them all :) —Follow Me— All Platforms: https://linktr.ee/mikhailapeterson Instagram: https://instagram.com/mikhailapeterson TikTok: https://tiktok.com/@mikhailapeterson Website: https://mikhailapeterson.com Lion Diet: https://liondiet.com Biotoxin: https://biotoxin.com Facebook: https://facebook.com/mikhailapetersonpodcast X: https://twitter.com/MikhailaFuller Telegram: https://t.me/mikhailapeterson —Chapters— 0:00 - Introduction 2:15 - The fermentable nature of plants 5:42 - The role of supplements and diet in pregnancy 8:33 - Food aversions and pregnancy challenges 13:20 - Inflammation and infertility 23:40 - Diet and lifestyle changes to improve health 29:58 - Personal health journeys and overcoming disease 35:22 - Challenges of modern healthcare recommendations 40:05 - Rediscovering balance in life and health 46:12 - Napping, energy, and fatigue recovery 52:20 - Reflection on chronic illness and resilience 57:15 - The impact of cultural views on diet and health 1:00:27 - Cultural shifts around family and children 1:02:10 - Finding community and redefining parenting norms 1:04:10 - Closing thoughts #fertility #metabolichealth #inflammation
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Drs Piña and Borlaug discuss the CMR substudy from the SUMMIT trial of tirzepatide in HFpEF/obesity. How does weight loss affect pericardial fat and skeletal muscle? https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt --TRANSCRIPT-- Ileana L. Piña, MD, MPH: Hello. I’m Ileana Piña, from Thomas Jefferson University in Philadelphia, Pennsylvania, and this is my blog. It’s a little bit different blog because I’m really interviewing a good friend about these glucagon-like peptide 1 (GLP-1) inhibitors. Some of our heart failure patients are getting their GLP-1 inhibitors from their primary care physicians, but many questions have arisen with the trial called SUMMIT. With us today is Barry Borlaug, who is in charge of the research section with the cardiovascular section of Mayo, and that is Mayo, Rochester, where it must be much colder even than here in Philadelphia. Barry, congratulations on that trial. Tell our audience a little bit about how the trial was structured because it’s important how we get into your information. SUMMIT Recap Barry A. Borlaug, MD: Thanks, Ileana. SUMMIT was a randomized, double-blind, placebo-controlled trial, testing the GLP-1/glucose-dependent insulinotropic polypeptide (GIP) agonist tirzepatide vs placebo in patients with heart failure with preserved ejection fraction (HFpEF). Unlike some other trials, this was real HFpEF with an ejection fraction of 50% or above. Patients were randomized 1:1 to tirzepatide, titrated up to 15 mg once weekly, or placebo and treated for a minimum of 52 weeks. The dual primary endpoints were worsening heart failure or cardiovascular death and quality of life by the Kansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score. The median duration of follow-up was 2 years. We continued follow-up until the last patient enrolled completed the full 52-week period of treatment. We found that, as compared to placebo, tirzepatide reduced the risk of worsening heart failure or cardiovascular death by 38%, which was statistically significant, and also improved the KCCQ clinical summary score. In addition to that, we also looked at other patient-centered outcomes like 6-minute walk distance and biochemical markers like C-reactive protein (CRP). We saw that there was also a significant improvement in exercise function measured by 6-minute walk distance and about a 40% decrease in CRP levels. Piña: How long did the total trial last, including the time that the drugs were being administered? Borlaug: The longest duration of follow-up was 3 years, and the median follow-up was 2 years. Piña: Were any of these patients also on sodium-glucose cotransporter 2 ( SGLT2) inhibitors ? Borlaug: Yeah, a minority of patients were also on SGLT2 inhibitors, about 17%. Piña: What was the baseline KCCQ score? Borlaug: Very poor. A s you know, physician-reported heart failure severity often doesn’t agree with patient reports. Overall, 72% of the patients were judged by their physicians to have class II heart failure, but the mean KCCQ score was just over 53, so pretty severe patient-reported limitations or severe HFpEF. Despite this — and this is often the case in HFpEF and obesity-related HFpEF — the median N-terminal pro-B-type natriuretic peptide ( NT-proBNP) was only 175. Piña: I was very surprised at that. Very surprised. That really is low. That was NT-proBNP. That wasn’t BNP. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt
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