The Curbsiders Internal Medicine Podcast

We have another classic episode for you. Confidently counsel on nutrition, as we discuss different dietary patterns and address common patient queries. We are joined by Dr. Joan Salge Blake (Boston University).

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Review the latest 2026 AHA/ACC multisociety pulmonary embolism guidelines with us, including risk stratification, new clinical categories, acute and extended anticoagulation, advanced therapies, follow-ups, and more. We are joined by Drs. Cyrus Askin and Nick Mark from Critical Care Time!

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Show Segments

• Intro
• Initial assessment and diagnostic approach to PE
• Evolution of PE classification systems
• Acute PE treatment
• Advanced therapies
• Duration of anticoagulation
• Post-discharge follow-up
• Chronic thromboembolic disease
• Outro

Credits

• Producer, writer, show notes, infographic, and cover art: Edison Jyang, 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
• Guest: Cyrus Askin, MD; Nick Mark, MD

Disclosures

Dr. Cyrus Askin reports financial disclosures with Astra Zeneca, Speakers Bureau. The Curbsiders report no relevant financial disclosures.

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Show description:
Learn how to navigate conversations about changing care needs, match older adults with the right site of care, and connect patients and families with resources to make transitions smoother and more successful. We’re joined by Dr. Rachel Miller, to break it all down.

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Show Segments

• Intro
• Case
• Assessing home environment
• Post-hospitalization sites of care
• Beyond the hospital: other sites of care
• Outro

Credits

• Written and Produced by: Ashlee Randolph DO, Rachel K. Miller MD, MSEd, Leah Witt Gaspard, MD
• Cover art and infographics by: Ashlee Randolph DO and Rachel K. Miller MD, MSEd
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Rahul Ganatra, MD, MPH
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Dr. Rachel K. Miller, MD, MSEd

Disclosures

Dr. Rachel K. Miller reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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Expertly evaluate and manage small intestinal bacterial overgrowth (SIBO) with Dr. Purna Kashyap (@KashyapPurna, Mayo profile). Identify when and how to test for SIBO and review treatment options.

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Show Segments

• Intro
• Case
• Topic
• Rapid fire questions/Picks of the Week
• Outro

Credits

• Written, Produced, Infographic and Cover Art by: Elena Gibson MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Leah J. Witt Gaspard, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Purna Kashyap MBBS

Disclosures

Dr. Kashyap is a member of the scientific advisory board of the International Observatory of Biocodex Microbiota Institute, chair of the scientific advisory board of the American Gastroenterology Association Center for Gut Microbiome Education and Research, ad hoc advisory board member for Pendulum, and Intrinsic Medicine, and advisory board member for 32 Biosciences for which he receives equity option as compensation.The Curbsiders report no relevant financial disclosures.

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Cardiovascular disease caused by hyperlipidemia is the leading cause of death worldwide, but it doesn’t have to be! We have the tools to treat this widespread problem. Dr. Daniel Edmundowicz (Temple University) takes us through how to keep lipids where they should be, low.

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Show Segments

• Intro
• Case
• Topic
• Rapid fire questions/Picks of the Week
• Outro

Credits

• Written and Produced by: Deborah Gorth MD, PhD
• Infographic and Cover Art by: Deborah Gorth MD, PhD and Meryl Gorth RD, MPH
• 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: Daniel Edmundowicz MD, MBA, FACP, FACC

Disclosures

Dr. Edmundwicz reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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Join us as we review recent practice-changing articles on Varenicline by mail for smoking cessation, anticoagulation for intermediate risk AF, CAC scores plus PREVENT for ASCVD risk stratification, blood testing for CRC, a new oral PCSK9 inhibitor, and more. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), and Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra, MD, MPH
• Reviewer: Sai S Achi, MD, MBA, FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

• Intro, disclaimer
• Varenicline by mail for smoking cessation
• Anticoagulation for intermediate-risk AF
• CAC scores added to PREVENT for ASCVD
• Blood testing for colorectal cancer
• Oral PCSK9 inhibitor, negative results for pelacarsan and ziltivekimab
• Outro

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Blood-based Biomarkers, Anti-Amyloid Therapies and Beyond

We have another classic episode for you. From blood-based biomarkers to anti-amyloid treatments, join us as we explore the latest in Alzheimer’s disease diagnosis and treatment with Dr. Halima Amjad. This episode will equip you to guide your patients about the latest Alzheimer’s diagnostics as well as eligibility, risks and monitoring for anti-amyloid therapies.

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Show Segments

• Intro
• Case
• Cognitive and functional history reminders
• Diagnosing Alzheimer’s Disease
• Blood-based biomarkers
• Anti-amyloid therapy indications, eligibility and contraindications
• Patient counseling and treatment decisions
• ARIA
• Key takeaways
• Outro

Credits

• Written and Produced by: Natalie Barrett DO, Rachel K Miller MD
• Show notes, cover art and infographic: Natalie Barrett DO, Rachel K Miller MD, Leah Witt 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
• Guest: Halima Amjad, MD

Disclosures

Dr. Amjad reports financial relationships with Centene (Advisor) and Craniometrix (Advisor). Relationships have not ended. The Curbsiders report no relevant financial disclosures.

The production of this episode was supported by the Penn Geriatrics AGE-SMART Geriatric Workforce Enhancement Grant. This podcast content is solely the responsibility of the authors and does not necessarily represent the official views of the Health Resources and Services Administration or the U.S. Department of Health and Human Services.

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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),

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Show 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

Disclosures

Jessica Malaty Rivera reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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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)!

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All About Disorders of Gut-Brain Interaction

Master 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.

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Show 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

Disclosures

Dr. Wang reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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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.

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Show 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

Disclosures

Dr. Topf reports the following conflicts of interests: Advisor-Travere Therapeutics, Advisor-Otsuka, Advisor-Vera Therapeutics, Advisor-Novartis, Advisor-Vertex Therapeutics

The Curbsiders report no relevant financial disclosures.

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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 http://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.

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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

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Diagnosis and Management of Obstructive Sleep Apnea

Show 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.

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Show 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

Disclosures

Dr. Das reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

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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 Hype

Patients 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.

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Show 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

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS
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Sponsor: Panacea Financial
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Sponsor:Continuing Education Company
Visit http://cmemeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

Caring for patients using mitragynine-derived substances

Familiarize 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 http://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.

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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

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Visit http://cmemeeting.org/curbsiders and use promo code Curb30 for 30% off all online courses and webcasts.

From Pain to Gain: Diagnosis to Updated Treatment Options

Learn 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 http://curbsiders.vcuhealth.org!

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Show 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

Disclosures

Dr. Clauw reports financial disclosures with the following companies: Tonix, Axsome, Ono, Swing (Consulting Fee). The Curbsiders report no relevant financial disclosures.

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With 10+ parts to the 2025 ACLS guidelines, it’s a lot to sift through. Join us for this focused conversation on the parts that have had most practice changing updates with Dr. Jessica Nave (Emory University).

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Show Segments

• Intro
• Rapid Fire Questions/Picks of the Week
• Case 1
• Updates to narrow complex unstable tachyarrhythmias
• Case 2
• Stable ventricular tachycardia
• Ventricular fibrillation
• Refractory ventricular fibrillation
• POCUS/Lines
• Post Cardiac Arrest Care
• Termination of Resuscitation
• Outro

Credits

• Producer, Writer, Show Notes, Hosts: Monee Amin MD, Meredith Trubitt MD
• Cover Art, Infographic:Caroline Coleman MD
• Reviewer: Sai Achi MD, MBA,FACP
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Jessica Nave MD

Disclosures

Dr. Nave reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Mint Mobile
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We have another classic episode for you. Transform your approach to menopause care with the latest evidence and expert insights you can use tomorrow. Learn how to move beyond outdated WHI-era fears and confidently prescribe individualized, effective hormonal therapies. We’re joined by urologist and sexual medicine specialist Dr Rachel Rubin (@DrRachelRubin), who brings clarity, practicality, and a fresh perspective to this rapidly evolving field.

Claim CME for this episode at http://curbsiders.vcuhealth.org/!

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Show Segments

• Intro
• Case
• Shifting care for menopause
• WHI/black box warning labels
• What makes you nervous?
• Local vaginal treatments
• Progesterone therapy
• Estrogen therapy
• Testosterone therapy
• Perimenopause
•

Outro

Credits

• Producer, Writer, Show Notes, Infographic, Cover Art: Molly Heublein MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Molly Heublein MD
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
•

Guest: Rachel Rubin MD

Disclosures

Dr. Rachel Rubin reports financial support from Sprout Pharmaceuticals . The Curbsiders report no relevant financial disclosures.

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Confidently counsel on nutrition, as we discuss different dietary patterns and address common patient queries. We are joined by Dr. Joan Salge Blake (Boston University).

Claim CME for this episode at http://curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Case
• Ketogenic Diets
• Mediterranean & DASH Diets
• Fiber
• Oils and Fats
• Processed Foods
• Paleolithic and Carnivore Diets
• Food Order and Glycemic Control
• Protein
• Vegetarian and Vegan Diets
• Intermittent Fasting and Meal Timing
• Artificial Sweeteners
• Outro

Credits

• Producer, Writer, Show Notes, Infographic, and Cover Art: Edison Jyang, MD
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Reviewer: Leah Witt, MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Joan Salge Blake, EdD, MS, RDN, LDN, FAND

Disclosures

Joan Salge Blake, EdD, MS, RDN, LDN, FAND reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS
Curbsiders listeners can get 15% off. Just go to http://wearfigs.com/ and use code FIGSRX.

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