Dr. Baliga's 'Got Knowledge Doc?' PODKASTS
Vitamin D is essential for bone health π¦΄, immune function π‘οΈ, and muscle strength ποΈ. Deficiency is common and affects women π©ββοΈ, young adults π§βπ, and non-Hispanic Black Americans. Main sources include sunlight βοΈ, oily fish π, eggs π₯, and fortified foods π₯. Recommended intake is 600-800 IU/day π. Studies show mixed results π, but it may help with cancer prevention ποΈ, autoimmune diseases π§¬, and cognitive function π§ . Excessive intake β οΈ can cause kidney stones π©Ί and hypercalcemia.
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π§ High-dose Vitamin D (100,000 IU biweekly) reduced disease activity in Clinically Isolated Syndrome (CIS) of MS ππ. Patients had fewer MRI lesions π₯οΈ, longer time to disease activity β³, but no significant impact on relapses β. Well-tolerated with minimal side effects βοΈ, These findings support further research on Vitamin D as an MS therapy π¬π.
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π¬ BEAM-302 is a liver-targeting gene therapy using base editing to correct the PiZ mutation in Alpha-1 Antitrypsin Deficiency (AATD). 𧬠I t increases functional AAT π« while reducing toxic Z-AAT, showing up to 78% reduction at the 60 mg dose. π The Phase 1/2 trial demonstrated dose-dependent efficacy, a well-tolerated safety profile, and no serious adverse events (SAEs). π‘οΈ With ongoing dose escalation and expansion to liver disease patients, BEAM-302 could be a one-time curative therapy π, with further data expected in late 2025. π
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Confucius (c. 551β479 BCE), a renowned Chinese philosopher and teacher, founded Confucianism, emphasizing morality, family loyalty, social harmony, and virtuous governance. His teachings, compiled in the Analects, profoundly influenced Chinese culture, ethics, and education.
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This study identifies the Median Raphe Nucleus (MRN) π§ as a behavioral switchboard π, regulating perseverance π, exploration π, and disengagement β through distinct neuron types. GABAergic neurons π’ promote perseverance, Glutamatergic neurons π΅ drive exploration, and Serotonergic neurons π maintain engagement. Using optogenetics π‘, fiber photometry π, and circuit tracing π, researchers demonstrated how MRN integrates signals from the lateral hypothalamus (LHA) π and lateral habenula (LHb) β‘ to control decision-making. These findings have clinical...
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π¬ Study Overview: A meta-analysis comparing alternative LDL cholesterol-lowering strategies (moderate-intensity statins + ezetimibe) vs high-intensity statins in patients with ASCVD. π Key Findings: β No significant difference in 3-year cardiovascular events (7.5% vs 7.7%) π Lower LDL cholesterol in the alternative strategy (64.8 vs 68.5 mg/dL) π©Έ Reduced risk of new-onset diabetes (10.2% vs 11.9%) π Fewer therapy discontinuations due to intolerance (4.0% vs 6.7%) βοΈ Conclusion: The alternative strategy offers comparable efficacy with better tolerability and...
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𦴠USPSTF Osteoporosis Screening Summary π π Why? Prevent fractures, disability, and mortality. π©ββοΈ Who? Women 65+ β , at-risk postmenopausal women β , men β (insufficient evidence). π©» How? DXA scan (bone density test) is the gold standard. β οΈ Risk Factors: Age, low weight, family history, smoking, alcohol, medications. β Benefits: Reduces fracture risk with moderate evidence. β οΈ Harms: Minimal risks, rare side effects from treatment. π Takeaway: Screen women 65+ and younger high-risk women!
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π« Cardiac CT Calcium Score: Key Insights π¬π π What is CAC? β Measures calcified plaque in coronary arteries via cardiac CT πΈ β Higher CAC = Higher cardiovascular risk β οΈ β Agatston Score: 0 (None) β >400 (Severe Atherosclerosis) π Clinical Impact: β Strong predictor of ASCVD events (MI, stroke, CHD death) π β MESA Study: CAC >300 β 10-year CHD risk: 13-25% β CAC = 0 β Low risk, even for some statin-eligible patients π π― Guidelines & Utility: π’ Used for risk stratification in intermediate-risk patients (7.5%-20%...
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Tirzepatide & Weight Maintenance ππ A phase 3 clinical trial (SURMOUNT-4) showed that continued use of tirzepatide helps maintain weight loss in adults with obesity. Participants on tirzepatide lost an extra 5.5%, while those on placebo regained 14%. β 89.5% maintained at least 80% of their weight loss, compared to 16.6% on placebo. Common side effects were mild gastrointestinal issues π€’. Stopping treatment led to significant weight regain, reinforcing the need for long-term therapy. π¬
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π« CAUGHT-CAD Trial Summary π¬ π Objective: Investigated whether CAC scoring combined with a prevention strategy slows plaque progression in intermediate-risk patients with a family history of CAD. π Key Findings: β LDL Reduction: -51 mg/dL (CAC group) vs. -2 mg/dL (Usual Care) π β Slower Plaque Progression: +15.4 mmΒ³ vs. +24.9 mmΒ³ (p=0.009) π₯ β Less Noncalcified Plaque Growth: +5.6 mmΒ³ vs. +15.7 mmΒ³ (p=0.002) π¬ β Regression in High-Risk Plaque (Fibrofatty/Necrotic Core): -0.8 mmΒ³ vs. +4.5 mmΒ³ (p=0.02) π π― Clinical Impact: CAC-informed strategies...
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Vitamin D is essential for bone health π¦΄, immune function π‘οΈ, and muscle strength ποΈ.
Deficiency is common and affects women π©ββοΈ, young adults π§βπ, and non-Hispanic Black Americans. Main sources include sunlight βοΈ, oily fish π, eggs π₯, and fortified foods π₯.
Recommended intake is 600-800 IU/day π.
Studies show mixed results π, but it may help with cancer prevention ποΈ, autoimmune diseases π§¬, and cognitive function π§ .
Excessive intake β οΈ can cause kidney stones π©Ί and hypercalcemia.