Dr. Baliga's 'Got Knowledge Doc?' PODKASTS
🔬 Anemia & Folate: Key Insights 🩸 Anemia is primarily caused by iron deficiency in the U.S., especially in pregnancy (30% prevalence). 📊 NHANES data shows high iron deficiency in young females (up to 77.5% at ferritin <50 μg/L). ⚠️ Causes include heavy menstrual loss, increased pregnancy needs, and low dietary heme iron. 💊 Iron supplements (18 mg/day) help, but >45 mg/day may cause nausea & constipation. 👶 Maternal iron status affects infant birth weight, and delayed cord clamping improves newborn iron stores. 🌍 In low-income countries, anemia is...
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
Vitamin B12: Essential for Health 🩸🧠 Vitamin B12 is crucial for red blood cell formation, brain function, and DNA synthesis. Found in animal-based foods 🥛🍳🐟, those on vegan diets need fortified foods or supplements 💊. Deficiency can cause anemia, neurological issues, and cognitive decline ⚠️. High-risk groups include vegans, vegetarians, older adults, and individuals with malabsorption conditions 🏥. Maternal deficiency affects fetal development 🤰👶. Absorption declines with age, and severe cases (e.g., pernicious anemia) may require high-dose supplements or...
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
Vitamin D is essential for bone health 🦴, immune function 🛡️, and muscle strength 🏋️. Deficiency is common and affects women 👩⚕️, young adults 🧑🎓, and non-Hispanic Black Americans. Main sources include sunlight ☀️, oily fish 🐟, eggs 🥚, and fortified foods 🥛. Recommended intake is 600-800 IU/day 💊. Studies show mixed results 📊, but it may help with cancer prevention 🎗️, autoimmune diseases 🧬, and cognitive function 🧠. Excessive intake ⚠️ can cause kidney stones 🩺 and hypercalcemia.
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
🧠 High-dose Vitamin D (100,000 IU biweekly) reduced disease activity in Clinically Isolated Syndrome (CIS) of MS 🌞📉. Patients had fewer MRI lesions 🖥️, longer time to disease activity ⏳, but no significant impact on relapses ❌. Well-tolerated with minimal side effects ⚕️, These findings support further research on Vitamin D as an MS therapy 🔬🚀.
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
🔬 BEAM-302 is a liver-targeting gene therapy using base editing to correct the PiZ mutation in Alpha-1 Antitrypsin Deficiency (AATD). 🧬 I t increases functional AAT 🫁 while reducing toxic Z-AAT, showing up to 78% reduction at the 60 mg dose. 📊 The Phase 1/2 trial demonstrated dose-dependent efficacy, a well-tolerated safety profile, and no serious adverse events (SAEs). 🛡️ With ongoing dose escalation and expansion to liver disease patients, BEAM-302 could be a one-time curative therapy 🚀, with further data expected in late 2025. 📅
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
Confucius (c. 551–479 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.
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
This study identifies the Median Raphe Nucleus (MRN) 🧠 as a behavioral switchboard 🔄, regulating perseverance 🛑, exploration 🚀, and disengagement ❌ through distinct neuron types. GABAergic neurons 🟢 promote perseverance, Glutamatergic neurons 🔵 drive exploration, and Serotonergic neurons 🟠 maintain engagement. Using optogenetics 💡, fiber photometry 📈, and circuit tracing 🔗, researchers demonstrated how MRN integrates signals from the lateral hypothalamus (LHA) 🌟 and lateral habenula (LHb) ⚡ to control decision-making. These findings have clinical...
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
🔬 Study Overview: A meta-analysis comparing alternative LDL cholesterol-lowering strategies (moderate-intensity statins + ezetimibe) vs high-intensity statins in patients with ASCVD. 📊 Key Findings: ✅ No significant difference in 3-year cardiovascular events (7.5% vs 7.7%) 📉 Lower LDL cholesterol in the alternative strategy (64.8 vs 68.5 mg/dL) 🩸 Reduced risk of new-onset diabetes (10.2% vs 11.9%) 💊 Fewer therapy discontinuations due to intolerance (4.0% vs 6.7%) ⚖️ Conclusion: The alternative strategy offers comparable efficacy with better tolerability and...
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
🦴 USPSTF Osteoporosis Screening Summary 📋 🔍 Why? Prevent fractures, disability, and mortality. 👩⚕️ Who? Women 65+ ✅, at-risk postmenopausal women ✅, men ❌ (insufficient evidence). 🩻 How? DXA scan (bone density test) is the gold standard. ⚠️ Risk Factors: Age, low weight, family history, smoking, alcohol, medications. ✅ Benefits: Reduces fracture risk with moderate evidence. ⚠️ Harms: Minimal risks, rare side effects from treatment. 📌 Takeaway: Screen women 65+ and younger high-risk women!
info_outlineDr. Baliga's 'Got Knowledge Doc?' PODKASTS
🫀 Cardiac CT Calcium Score: Key Insights 🔬📊 🔍 What is CAC? ✅ Measures calcified plaque in coronary arteries via cardiac CT 📸 ✅ Higher CAC = Higher cardiovascular risk ⚠️ ✅ Agatston Score: 0 (None) → >400 (Severe Atherosclerosis) 📊 Clinical Impact: ✅ Strong predictor of ASCVD events (MI, stroke, CHD death) 📉 ✅ MESA Study: CAC >300 → 10-year CHD risk: 13-25% ✅ CAC = 0 → Low risk, even for some statin-eligible patients 🚀 🎯 Guidelines & Utility: 📢 Used for risk stratification in intermediate-risk patients (7.5%-20%...
info_outline1. “Bioaccumulation of Microplastics in Decedent Human Brains” (Nature Medicine, 2024)
This study confirms the presence of microplastics and nanoplastics (MNPs) in human brain tissue, particularly the frontal cortex. Researchers used pyrolysis gas chromatography-mass spectrometry (Py-GC/MS) and electron microscopy to analyze postmortem samples, finding polyethylene (PE) as the dominant plastic type. Brain tissue exhibited significantly higher plastic concentrations than the liver or kidney, with even greater MNP accumulation in individuals diagnosed with dementia. The findings raise concerns about potential neuroinflammation and long-term neurological effects, though causality remains unproven.
2. “Microplastics and Nanoplastics in Atheromas and Cardiovascular Events” (New England Journal of Medicine, 2024)
This study investigates the presence of microplastics in atherosclerotic plaques and their potential role in cardiovascular disease. Analyzing carotid artery plaques from patients undergoing endarterectomy, researchers found polyethylene (PE) and polyvinyl chloride (PVC) in 58.4% of plaques. Patients with MNP-containing plaques had a 4.53 times higher risk of heart attack, stroke, or death over a three-year follow-up. The study also linked MNP presence to elevated inflammatory markers (IL-18, IL-1β, TNF-α, IL-6), suggesting that microplastics might exacerbate cardiovascular disease progression.