Become a master of cortisol and learn how to identify and treat a common condition in patients with adrenal tumors! Join us as we learn about mild autonomous cortisol secretion (MACS) with Dr. Irina Bancos (@irinabancos), an internationally renowned adrenal expert!

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Show Segments

• Intro
• Advice for listeners
• Adrenal incidentaloma Definition (Case 1)
• Hormonal workup for adrenal incidentalomas
• Defining mild autonomous cortisol secretion (MACS)
• Significance and prevalence of MACS
• Diagnostic testing for MACS
• Treatment options for MACS (surgery vs. comorbidity management)
• Post surgical management of MACS (Case 2)
• Diagnostic testing for adrenal insufficiency (AI)
• Glucocorticoid withdrawal syndrome management
• Deciding when patients are able to come off of steroids after AI
• Outcomes after adrenalectomy in MACS
• Take home points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

• Producer, writer, show notes, and CME: Mobeen Ahmad MD
• Cover art and infographic: Kate Grant MBChb, MRCGP
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Mobeen Ahmad MD
• Reviewer: Emi Okamoto MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Irina Bancos MD, MSc

• Consulting, advisory board or safety monitoring board (all fees to institution): Recordati, Corcept, Esteve, Spruce, Sparrow, Diurnal, Neurocrine, Lufordi, Adaptyx, Crinetics, Xeris, AstraZeneca, NovoNordisc, Camurus.
• Research grant for investigator initiated research (to institution): Esteve, Recordati

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Metabolic Health, Advanced Lipidology, and Preventing ASCVD

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.

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Show Segments

• Intro
• Primary Prevention & Metabolic Syndrome (Case 1)
• Beyond the Standard Lipid Panel
• When to Order ApoB
• How Lp(a) Changes Management (Case 2)
• Using CAC/CCTA in the Gray Zone
• Recognizing Early Cardiometabolic Risk
• CGMs, Wearables, and Signal vs Noise (Case 3)
• How to Talk to Patients About Risk
• Take-Home Points

Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by 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
• Guest: Greg Katz MD

Disclosures

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

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code CURB at checkout.

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Sponsor: FIGS

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Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Join us as we review and appraise recent practice-changing articles. In this episode, we cover the latest in GLP-1s and GIP agonists for CVD, Type 2 Diabetes, and Obesity, valacyclovir to treat Alzheimer’s, weight regain patterns after medication-induced weight loss, and a deep dive into the data behind deprescribing – and behavioral science to increase deprescribing behavior. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Alex Chaitoff (@alexchaitoff), Nora Taranto (@norataranto), & Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Nora Taranto MD, MSCE; Alexander Chaitoff MD, MPH; Paul Williams, MD, FACP,, & Matthew Watto MD, FACP
• Cover Art: Nora Taranto MD, MSCE
• Reviewer: Sai S Achi MD, MBA, FACP
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

• Intro, disclaimer
• GLP-1 + GIPs vs GLP-1s for patients with T2DM and Obesity – SURPASS-CVOT
• Weight Regain after Weight loss
• VALAD – Valacyclovir in patients with early Alzheimer’s
• Nudges to increase Deprescribing
• Outro

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We have a classic episode for you. Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and individualizing management of prediabetes with lifestyle changes and medications.

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Show Segments

• Intro
• Case from Kashlak
• Why screen for prediabetes and diabetes?
• Who to screen for prediabetes and diabetes
• How to screen for prediabetes and diabetes
• Role of the physical exam
• Explaining a diagnosis of prediabetes to patients
• Atypical types of prediabetes
• Management of prediabetes: lifestyle changes
• Management of prediabetes: medications
• Outro

• Producer, Writer, and Show Notes: Malini Gandhi MD
• Infographic and Cover Art: 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: Scott Isaacs MD

Disclosures

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

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Sponsor: University of Pennsylvania Graduate School of Education
Learn about our Medical Education master’s program, explore our certificate option, and sign up for an application fee waiver code. Take the next step in advancing medical education—visit www.gse.upenn.edu/curbsiders.

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Stop getting TICK’ed off by Lyme

Master Lyme disease — from recognizing erythema migrans and avoiding unnecessary testing to managing disseminated Lyme and post-exposure prophylaxis. Learn practical, evidence-based strategies you can use in the clinic. We’re joined by Dr. Sophie Woolston MD, infectious diseases expert and clinician-educator. (MaineHealth)

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Show Segments

• Intro
• Case 1
• Lyme Basics
• Stages of Lyme
• Lyme Testing and Interpretation
• Coinfection
• Lyme Treatment
• Tick Prevention and Removal
• Post-Treatment Lyme Disease Syndrome
• Outro

• Written and Produced by: Beth Gasperlin MD
• Show Notes, Infographics, and Cover Art by: Zoya Surani
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP, Beth Gasperlin MD
• Reviewer: Leah Witt MD
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
• Technical Production: PodPaste
• Guest: Sophie Woolston MD

Disclosures

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

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For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.

Sponsor: Mint Mobile

Shop plans at MINTMOBILE.com/CURB.

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Helping you diagnose a common cause of hypertension!

Hypertension is a growing disease globally, affecting millions of individuals and increasing the risk of heart disease and stroke. Along with the expert help of Dr. Vaidya (Brigham and Women’s Hospital), we help reimagine the approach of clinicians in terms of hypertension and help them navigate common diagnostic dilemmas! @AnandVaidya17 (Bluesky) @AnandVaidya17 (X)

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Show Segments

• Introduction and Personal Interests
• Advice and Wisdom in Medicine
• Case 1
• Defining Primary Aldosteronism
• Screening for Primary Aldosteronism
• How common is Primary Aldosteronism
• Challenges in Diagnosis and Testing
• Medication Management and Testing Protocols
• Managing indeterminate cases
• Aldosterone Suppression Testing and its role
• Discussing treatment options with patients
• Case 2
• Considering genetic causes of Primary Aldosteronism
• The need for AVS for lateralization
• Upcoming imaging modalities for Primary Aldosteronism
• Case 3
• Medical Management of Primary Aldosteronism
• Future Directions in Treatment

• Producer, Writer, Show Notes:Mobeen Ahmad MBBS
• Infographic:Kate Grant MBChB MRCGP
• Cover Art:Kate Grant MBChB MRCGP
• 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: Anand Vaidya MD, MMSc

Disclosures

Dr. Vaidya has disclosed the following:

Financial Relationships: Astra Zeneca-Consulting Fee and Corcept-Consulting Fee, relationships have not ended.

The Curbsiders report no relevant financial disclosures.

Sponsor: The Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com. Go to sanfordguide.com and use the code, CURB at checkout.

Sponsor: MedStudy Podcast

MedStudy Qbank - Study less. Remember more. Pass confidently. Medstudy.com/Curbsiders CURB15 for 15% off

Sponsor: Panacea Legal

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Sponsor: DeleteMe

Get 20% off your DeleteMe plan when you go to joindeleteme.com/CURB and use promo code CURB at checkout.

Join us as we review and appraise recent practice-changing articles on oral semaglutide for obesity, fish oil in ESRD, IV iron during infection, the new US Dietary Guidelines, & anticoagulation after ablation in AFib. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), Josh Gilman, & Matt Watto (@doctorwatto).

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Credits

• Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Joshua Gilman, MD, & Matthew Watto MD, FACP
• Cover Art: Rahul Ganatra, MD MPH
• Reviewer: Emi Okamoto, MD
• Technical Production: Pod Paste
• Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

• Intro, disclaimer
• Oral Semaglutide for obesity
• Fish Oil for CV risk reduction in hemodialysis patients
• IV Iron for iron deficiency anemia during infection
• New USA Dietary Guidelines
• Anticoagulation after catheter ablation for AF
• Outro

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Sponsor: Gusto

Try Gusto today at gusto.com/CURB, and get three months free when you run your first payroll.

Sponsor: MDProgress

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We have another classic episode for you. Master inpatient heart failure management! Learn key tips for initiating guideline-directed medical therapy, diuretic therapy pearls, and ensuring smooth transitions of care. We are joined by Dr. Gurusher Panjrath @PanjrathG (GW School of Medicine and Health Sciences-Dr. Panjrath)

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

• Intro
• Rapid Fire Questions/Picks of the Week
• Case Aliquot 1
• Defining Heart Failure
• POCUS in Heart Failure
• Timing/Indications for Echocardiography
• Initiating Diuretic Therapy
• Adjusting Diuretic Therapy/Drip vs Bolus
• Adjunct Diuretic Therapy
• Afterload Reduction
• Monitoring Diuretic Response
• Inpatient Sodium and Fluid Restriction
• Case Aliquot 2
• Classifying Heart Failure
• Pharmacotherapy for HFrEF
• Pharmacotherapy for HFpEF
• Ischemic Evaluation
• Interval Summary/Highlights
• Case Aliquot 3
• Considerations for Initial Care of Cardiogenic Shock
• Choosing Inotrope/Vasopressor
• Right Heart Catheterization
• Case Aliquot 4
• Discharge Medications for Heart Failure
• Titration of Goal Directed Medical Therapy
• Post Discharge Follow Up
• Washout Period for ACEi/ARB
• Cost/Barriers of ARNI
• Patient Education
• Take Home Points
• Outro

• Writer, Producer, and Show Notes by: Reaford Blackburn, Jr., MD
• Infographic & Cover Art: Caroline Coleman MD
• Hosts: Monee Amin, MD and Meredith Trubitt, MD
• Reviewer: Rahul Ganatra MD
• Technical Production: PodPaste
• Guest: Gurusher Panjrath, MD

Sponsor: MDProgress

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Sponsor: Quince

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Sponsor: Sanford Guide

Curbsiders listeners can get 20% off the already very moderately priced yearly subscriptions directly at sanfordguide.com.

Sponsor: Babbel

Here's a special, (limited time) deal for our listeners. Right now get up to 55% off your Babbel subscription – at Babbel.com/CURB.