The Curbsiders Internal Medicine Podcast

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#518: Cardiology Meets Longevity Mar 23, 2026

Show notes

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.

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

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.

Sponsor: DeleteMe

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

Sponsor: Panacea Legal

Visit Panacea.Legal and use code CURB20 for 20% off contract review services.

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.

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.

#517 DIGEST: Weight regain after weight loss medications, GLP1/GIP comparisons, valacyclovir for Alzheimer’s, and nudges to encourage deprescribing Mar 16, 2026

Show notes

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).

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

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

Show Segments

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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REBOOT: #481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs Mar 09, 2026

Show notes

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.

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

Credits

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.

Sponsor: Babbel
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Sponsor: MedStudy Qbank
Study less. Remember more. Pass confidently.

Medstudy.com/Curbsiders

CURB15 for 15% off

Sponsor: University of Pennsylvania Graduate School of Education
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#516 Lyme Disease Primer featuring Dr. Sophie Woolston Mar 02, 2026

Show notes

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)

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

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

Credits

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.

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.

Sponsor: Mint Mobile

Shop plans at MINTMOBILE.com/CURB.

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX.

Sponsor: Freed

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#515 Primary Aldosteronism, A Deep Dive with Anand Vaidya, MD Feb 23, 2026

Show notes

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)

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

Credits

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

Visit Panacea.Legal and use code CURB20 for 20% off contract review services.

Sponsor: DeleteMe

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#514 Hotcakes: Oral Semaglutide, Fish Oil in ESRD, IV Iron During Infection, New US Dietary Guidelines, & Anticoagulation after Ablation in AFib Feb 16, 2026

Show notes

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).

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

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

Show Segments

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

Sponsor: FIGS

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Sponsor: Continuing Education Company

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

Sponsor: Gusto

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Sponsor: MDProgress

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REBOOT: #469 Inpatient Heart Failure Feb 09, 2026

Show notes

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)

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

Credits

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

Enjoy your first month free at mdprogress.ca/promo/curbsiders

Sponsor: Quince

Go to Quince.com/curb for free shipping on your order and 365-day returns. Now available in Canada, too.

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.

#513 Pituitary Incidentalomas Feb 02, 2026

Show notes

Dr. Fleseriu schools us on managing the unexpected

Become a master of pituitary incidentalomas. Learn about the hormonal workup and management of pituitary microadenomas, macroadenomas and empty sella syndrome and when surgery may be needed. We’re joined by Dr. Maria Fleseriu, @MariaFleseriu (Oregon Health and Science University)

Intro
Rapid fire questions/Picks of the Week
Case 1
Defining Pituitary Incidentalomas
What is the difference between micro adenoma, macroadenoma and functional vs non-functional adenomas
Hormonal workup of microadenoma (assessing for hypopituitarism and hormonal excess)
Decided when to reimage patients and long term follow up of microadenomas
Case 2
Hormonal workup for pituitary macroadenoma
Deciding when surgery should be considered
Discussing the role of visual field testing
Case 3
Defining empty sella syndrome
Discussing hormonal assessment of empty sella syndrome
Treatment options for hyperprolactinemia caused by empty sella syndrome
Outro

Credits

Producer, writer, show notes, and CME: Mobeen Ahmad MD
Infographic and 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: Dr. Maria Fleseriu

Disclosures

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

Sponsor: Continuing Education Company

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

New customers can make the switch today and for a limited time, get unlimited premium wireless for just $15 per month. Switch now at mintmobile.com/CURB

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

Sponsor: FIGS

Check out the limited-edition Team USA collection, and get 15 percent off your first order at Wearfigs.com with code FIGSRX.

REBOOT: #462 Male Hypogonadism Pearls with Dr. Bradley Anawalt: Insights on Testosterone Deficiency Jan 26, 2026

Show notes

We have a classic episode for you. Master male hypogonadism diagnosis and management. Discover when and how to test, how to tackle confounding conditions, and why lifestyle changes may be more effective than testosterone therapy in certain patients. We are joined by Dr. Brad Anawalt, an expert in endocrine care, to guide us through the essentials.

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

Intro
Case 1
History and Physical
Laboratory Testing
Effect of Lifestyle on Testosterone
Case 2
Prostate and Cardiovascular risk
Treatment Options and Considerations
Secondary Causes of Hypogonadism
Case 3
Testicular Size and Klinefelter Syndrome
hCG and Clomiphene
Monitoring and Follow-Up
Take-Home Points
Outro

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: Bradley D. Anawalt MD

Sponsor: Gusto

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

Sponsor: Locumstory

Locumstory.com is literally just a free, unbiased resource dedicated to educating physicians about locums.

Sponsor: MedStudy

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

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.

#512 Sleep Optimization and CBT for Insomnia with Ashley E. Mason, PhD Jan 19, 2026

Show notes

What Dreams May Come

Breeze through your next visit for insomnia. Learn how to comfortably approach insomnia and optimize sleep. We touch on specifics such as cognitive behavioral therapy for insomnia or the effects of various sleep-related drugs/supplements, and how to taper down from them. We are joined by Ashley E. Mason, PhD (UCSF).

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

Show Segments

Intro
Case
Understanding patient’s goals
Cognitive behavioral therapy for insomnia
Stimulus control
Sleep Hygiene
Time-in-bed restriction
Impact of different medications/substances on sleep
Tapering off medications
Outro

Credits

Producer and Writer: Matthew Watto MD, FACP
Producer, 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: Ashley E. Mason, PhD

Disclosures

Dr. Mason has disclosed the following:
Financial Relationships: Evolve Global, consulting fee and stock options; Oura Health, consulting fee.

The Curbsiders report no relevant financial disclosures.

Sponsor: FIGS

Take 15% off your first order at Wearfigs.com with the code FIGSRX.

Sponsor: Continuing Education Company

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

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