Stay ConnectedDr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with over 25 years of experience, his unique blend of candour, perspective and knowledge make for a mind-expanding essential weekly bite-sized listen.
Hosted on Acast. See acast.com/privacy for more information.
Copyright: © Dr Ayan Panja
There isn’t a week in practice when I don’t get asked about food intolerances and how to test for them. It’s a contentious topic that needs
some deconstructing.
In this episode I look at what is and isn't intolerance and how to proceed if you think you have a food intolerance.
Links:
Food intolerance vs allergy - official guidance: https://www.allergyuk.org/resources/food-intolerance/
IgG testing: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5004213/
Elimination diets: https://www.healthline.com/nutrition/elimination-diet
SIBO and IBS: https://pubmed.ncbi.nlm.nih.gov/29761234/
Gluten sensitivity: https://www.coeliac.org.uk/information-and-support/coeliac-disease/about-coeliac-disease/gluten-sensitivity/
Deeper dive on mucosal tolerance: https://courses.lumenlearning.com/wm-biology2/chapter/mucosal-surfaces-and-immune-tolerance/
Milk digestion over the years: https://pubmed.ncbi.nlm.nih.gov/35896667/
My book The Health Fix: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/ref=tmm_pap_swatch_0?_encoding=UTF8&qid=&sr=
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
Lyme Disease rates have doubled in the last 30 years in the USA and rates are rising across the world in affected areas. In this episode I look at Lyme, other tick-borne illnesses and the mystery symptoms they can give rise to, as well as strategies to treat and prevent them.
Lyme disease factsheet:
https://www.ecdc.europa.eu/en/borreliosis/facts/factsheet
The Bullseye rash: https://www.cdc.gov/lyme/signs_symptoms/rashes.html
The life cycle of a spirochaete: https://www.nature.com/articles/nrmicro2714
B.Burgdorferi - the major cause of Lyme disease: https://www.ncbi.nlm.nih.gov/books/NBK532894/
B.mayonii - another strain causing Lyme disease: https://www.cdc.gov/lyme/mayonii/index.html
Dr Horowitz Lyme questionnaire: https://caudwelllyme.com/do-you-have-lyme-disease-the-horowitz-questionnaire
Differentiating arthritis from Lyme Diseases: https://www.webmd.com/rheumatoid-arthritis/ra-or-lyme
Dr Horowitz interview:
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
Cholesterol has become an obsession for so many people over the last 50 years. In this episode I look at the story of cholesterol and why it is important and when to worry about it.
Links:
The history of cholesterol: https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-19/history-in-medicine-the-story-of-cholesterol-lipids-and-cardiology
Food and cholesterol: https://www.health.harvard.edu/heart-health/11-foods-that-lower-cholesterol
Monacolin K (in both red yeast rice and statins): https://www.sciencedirect.com/topics/agricultural-and-biological-sciences/monacolins
Numbers need to treat (NNT):
https://www.cebm.ox.ac.uk/resources/ebm-tools/number-needed-to-treat-nnt
Diet and statins: https://www.theguardian.com/society/2016/aug/29/mediterranean-diet-better-than-statins-for-tackling-heart-disease-study
Homocysteine and heart disease: https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-021-01977-8
Flawed study or is it because not all LDL is bad? https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/cholesterol-and-statins
Reduction of ApoB and risk reduction of heart disease: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7489462/
TG:HDL ratio (Triglycerides to HDL): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/#:~:text=3%20The%20ratio%20of%20triglycerides,lower%20than%20this%20value4.
NICE recommendation for statins:
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
TW: Sensitive topic: one in six people worldwide are now affected by infertility and rates have soared over the last 30 years.
In this episode I look at the reasons behind it and what we can do about it on an individual and societal level.
Rising infertility in men and women: https://www.scientificamerican.com/article/reproductive-problems-in-both-men-and-women-are-rising-at-an-alarming-rate/
1:6 with infertility: https://www.theguardian.com/world/2023/apr/03/one-in-six-people-worldwide-affected-by-infertility-who-reports
Birth rates in South Korea and reasons behind them: https://www.youtube.com/watch?v=tvpkEEmnZNU
Exercise and fertility: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310950/
Female fertility and nutrition: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634384/
Sperm counts and time of day: https://pubmed.ncbi.nlm.nih.gov/32195611/
Semen and antioxidants: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5203687
Fertility support: https://www.nhs.uk/conditions/ivf/support/
Infertility counselling: https://www.bica.net/
Buy THE HEALTH FIX now: https://www.amazon.co.uk/dp/1914239326?ref_=cm_sw_r_cp_ud_dp_S32SMEDYMC4SBPSJ4CGV
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
Minor illness seems trivial, but is it always simple to deal with and when do we need to think more carefully about what can seem like minor illness on the surface?
Lay referral: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316199/pdf/brjgenprac004944500617.pdf
The debate about doctors and Physician Associates: https://www.bmj.com/content/383/bmj.p2449
Sore throat causes: https://twitter.com/DrSteveTaylor/status/1761753922920694133/photo/1
Rincke’s oedema: https://voicefoundation.org/health-science/voice-disorders/voice-disorders/reinkes-edema/
PEWS (scoring system for acute illness in children): http://generalpracticemedicine.org/PEWSSheetApril2017Final2.pdf
Recurrent UTI: https://www.mayoclinic.org/diseases-conditions/cystitis/expert-answers/bladder-infection/faq-20057833
The role of pharmacies: https://www.england.nhs.uk/primary-care/pharmacy/community-pharmacy-contractual-framework/referring-minor-illness-patients-to-a-community-pharmacist/
Managing uncertainty in medicine: https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.51925
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
In this episode I look at ADHD which is increasing in prevalence due to increased diagnoses. There are many features to this condition which need unpacking. I look at the causes, what we can do to help manage ADHD and why it occurs in the first place.
The increase in diagnosis: https://www.ucl.ac.uk/news/2023/jul/significant-rise-adhd-diagnoses-uk
ADHD and dopamine - seeking rewards:
https://www.medicalnewstoday.com/articles/325499
Time blindness: https://add.org/adhd-time-blindness/
The risk and benefits of ADHD medication: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697582/
Risk factors for ADHD: https://www.healthline.com/health/adhd/causes
Time blindness: https://www.thecut.com/2020/04/coronavirus-self-isolation-time-blindness.html
Hyperfocus: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7851038/
Rating scales for children: https://www.healthline.com/health/adhd/rating-scale#symptoms-checklist
For adults (website with advice and help): https://adhduk.co.uk/adult-adhd-screening-survey/
Once of many ADHD podcasts: https://podcasts.apple.com/gb/podcast/adhd-chatter/id1677158558
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
It’s something that befalls most of us as we age, but what is it?
It is a marker of vulnerability as we age and in many ways a soft tool to
predict our risk of future illness and rate of decline.
In this episode I look at how it is assessed and what we can do to prevent it.
Links:
Rockwood score: https://www.england.nhs.uk/south/wp-content/uploads/sites/6/2022/02/rockwood-frailty-scale_.pdf
Standing desks: https://www.healthline.com/nutrition/7-benefits-of-a-standing-desk
Prognosis in frailty: https://www.bgs.org.uk/resources/end-of-life-care-in-frailty-identification-and-prognostication
Ageing well: https://www.hopkinsmedicine.org/health/wellness-and-prevention/stay-strong-four-ways-to-beat-the-frailty-risk
An AI device tech example:
Gait analysis: https://www.frontiersin.org/articles/10.3389/frobt.2021.749274/full
Creatine: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996960/
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
In this episode I look at what makes for good health in children.
It’s clearly multifactorial and the latest reports show that the health of children has declined in recent years in the UK. I look at why this may be the case and what the root causes might be.
Links:
Children ‘betrayed’ in UK: https://www.bbc.co.uk/news/health-68203749
WHO website on child health: https://www.who.int/health-topics/child-health#tab=tab_1
UNICEF: https://www.unicef.org/
UNICEF child satisfaction tables: https://www.weforum.org/agenda/2020/09/child-well-being-health-happiness-unicef-report/
Child development: https://medlineplus.gov/ency/article/002002.htm
Attachment theory: https://www.verywellmind.com/what-is-attachment-theory-2795337
What every child needs: https://www.childrenscolorado.org/conditions-and-advice/parenting/parenting-articles/what-children-need/
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
In this episode I look at the history of sexual health, our attitudes towards it and how we things have changed over the last 100 years.
TW: use of sexual language and references to adult themes.
HPV: https://www.nhs.uk/conditions/human-papilloma-virus-hpv
Shame and STIs: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8297218/
Philadelphia trailer: https://www.youtube.com/watch?v=CKDz2LVHz0Y
Venereal Disease bill 1916: https://pubmed.ncbi.nlm.nih.gov/11589807/
Dr Kellogg: https://www.history.com/news/dr-john-kellogg-cereal-wellness-wacky-sanitarium-treatments
Erectile dysfunction and heart disease: https://www.mayoclinic.org/diseases-conditions/erectile-dysfunction/in-depth/erectile-dysfunction/art-20045141
Pfizer propagated the term erectile dysfunction to replace ‘impotence’:
LARCs and teenage pregnancy: https://www.england.nhs.uk/atlas_case_study/increasing-the-uptake-of-long-acting-reversible-contraception-larc-in-general-practice/
Young men, erectile issues and pornography: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8569536/
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
This week is my 100th episode. I reflect on some of the topics I have covered over the last 20 months or so and beyond
the basics I talk about what I think is the most important aspect of our health in the modern world (and it's not food or relationships)!
Links below for a deeper dive... let's go.
School resources - how the NHS works: https://www.england.nhs.uk/publication/schools-resources-toolkit/#:~:text=This%20is%20a%20toolkit%20of,NHS%20Services%2C%20health%20and%20wellbeing.
My Symptom Web via NHS England: https://twitter.com/NHS/status/1167147825815314433
MTHFR gene mutation: https://www.healthline.com/health/mthfr-gene#symptoms
MTHFR - more info: https://www.medicalnewstoday.com/articles/318526
Free coaching framework: https://www.basic-coaching.com/
Mental health app Leafyard who I am proud to partner with: https://www.leafyard.com/healthfix
How food can regain nutrients: https://www.bbc.com/future/bespoke/follow-the-food/why-modern-food-lost-its-nutrients/
Journalling for beginners: https://www.bbc.co.uk/bitesize/articles/z3hshcw
Effect of trauma on the brain: https://www.urmc.rochester.edu/news/publications/neuroscience/researchers-reveal-how-trauma-changes-the-brain
Systems Medicine - Leroy Hood: https://laskerfoundation.org/leroy-hood-there-is-going-to-be-a-fantastic-revolution-in-medicine/
Earth’s environmental problems in 2024: https://earth.org/the-biggest-environmental-problems-of-our-lifetime/
My book THE HEALTH FIX - on offer now!: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja-ebook/dp/B0B2VTFFVS/ref=zg_bs_g_362843031_d_sccl_1/259-3769703-6680765?psc=1
New Book: Why can’t I see my GP?: https://www.amazon.co.uk/s?k=why+can%27t+i+see+my+gp&i=digital-text&crid=3EHTLXLDL76C7&sprefix=why+can%27t+i+see+my+gp%2Cdigital-text%2C71&ref=nb_sb_noss_1
Save your life in slow motion and those of others by subscribing now and sharing. Thank you for listening and for your support. It means a lot to me.
Hosted on Acast. See acast.com/privacy for more information.
Our TOPPODCAST Picks 
