The Podcast by KevinMD

Latest Episodes:

Oral Wegovy sounds easy, but the reality is more complicated Apr 13, 2026

Show notes

Is the new oral Wegovy pill a breakthrough or a risk most patients never hear about? Shiv K. Goel, an internal medicine and functional medicine physician, joins the show to unpack his KevinMD article, "Oral Wegovy: the miracle and the mess of the new GLP-1 pill," and why treating this drug casually could hurt you. He breaks down emerging data linking high-dose semaglutide to ischemic optic neuropathy, with reporting odds nearly five times higher for Wegovy than Ozempic, and explains why the obesity population faces unique hemodynamic risks. You will learn why he never prescribes a GLP-1 without prescribing a plan, including slow titration, protein and resistance training to protect lean mass, hormone optimization, and red flag education. Goel also addresses the rebound weight gain most patients face after stopping, the dangers of buying compounded GLP-1 medications from medical spas, and why losing just 10 pounds may not warrant these drugs at all. If you are considering oral Wegovy or already on a GLP-1, this episode could change how you approach weight loss medication.

Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Safety-net dentistry restores human dignity for patients recovering from severe addiction Apr 10, 2026

Show notes

Clinical director at Franklin Park Family Dental in Dorchester and Tremont Family Dentistry in Boston, Charan Teja Bobba, discusses his article "Treating methamphetamine-associated dental disease in safety-net clinics." Charan reflects on the profound human reality behind treating patients with severe addiction, noting that a ruined smile often represents a lifetime of being let down by the health care system. He explains the physical devastation of meth mouth, where acidity, dry mouth, and teeth grinding create a perfect storm of enamel erosion and decay. The conversation emphasizes why safety-net practices are vital for restoring not just oral health, but a person's identity and self-esteem. By prioritizing patience and trust over rushed clinical work, dentists can help vulnerable populations feel human again. Discover how providing full dental care to those in recovery is a fundamental step toward restoring true medical equity and wholeness.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Finding peace and reclaiming humanity within a broken health care system Apr 09, 2026

Show notes

Physician wellness coach Jessica Singh discusses the article "Physician burnout: Finding peace in a broken health care system." Jessica shares a powerful narrative of a grueling swing shift in a rural emergency department, managing critical patients and a mounting waiting room with minimal resources. She describes the intense pressure of a life-saving intubation and the spiritual strength she drew upon during the crisis. The conversation shifts to the toxic interpersonal dynamics often found in medical culture, as Jessica recounts a difficult "changing of the guard" with a hostile administrator. This experience led to a profound reckoning with her professional identity and the realization that her value as a human being extends far beyond hospital walls. Discover how perspective, faith, and the simple act of a deep breath can help clinicians navigate the "trance of servitude" and find peace amidst systemic failure.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why physicians pay more in taxes and how to reclaim your income Apr 08, 2026

Show notes

Physician and tax specialist Logan Foltz discusses the article "Physician tax strategies: Why your tax bill is so high and how to fix it." Logan explains why the Internal Revenue Code patterns are often unfavorable to physicians, who typically rely on clinical labor and face high marginal tax rates with limited control over income timing. He breaks down the structural reasons for sticker shock after residency, including heavy payroll taxes and the inability to deduct unreimbursed work related expenses as an employed physician. The conversation explores how understanding the tax code as a problem to be solved can empower clinicians to leverage self employment, business entity structures, and geographic considerations to improve their annual tax liability. Logan also discusses the importance of diversifying income beyond labor alone and navigating a complex U.S. health care system that leaves doctors with little bandwidth for financial planning. Learn how to stop feeling trapped by your tax bill and start engaging with the system more deliberately to secure your financial future.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why loving organizations are the secret to ending burnout in medicine Apr 07, 2026

Show notes

Physician coach Apurv Gupta discusses the article "What is a loving organization?" Apurv describes his model of a loving organization as a system that designs the clinical environment to make safety and purpose natural rather than forced. He explores the bridge between individual cognitive shifts and organizational renewal using the INTEGRATE methodology to reduce burnout and improve patient outcomes. By replacing fear-based operating systems with emotional literacy and compassionate accountability, medical teams can achieve high performance through unconditional acceptance. Discover how creating a workplace rooted in love can transform the health care environment into a space where both healers and patients thrive.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why weight regain is a predictable biological response after stopping GLP-1s Apr 06, 2026

Show notes

Obesity medicine physician Jessica Duncan discusses the article "GLP-1 weight regain: Why stopping medication leads to weight return." Jessica explains that expecting to maintain weight loss after abruptly stopping GLP-1 therapy is unrealistic because it ignores the physiological forces that defend a person's prior weight. She critiques a marketplace that often treats these powerful medications as consumer products rather than chronic disease therapies, noting the risks of obtaining prescriptions through brief online questionnaires without ongoing medical oversight. The conversation highlights the complexity of appetite regulation and metabolism, emphasizing that obesity must be managed as a chronic condition rather than a short term problem to be solved. Jessica advocates for longitudinal care relationships and individualized plans that address hunger cues, sleep, and food environment to prevent weight return. Discover why mistaking predictable biology for personal failure is the greatest hurdle in modern obesity care.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why hospital systems fail to notice the human behind the bill Apr 03, 2026

Show notes

Patient advocate Eric Goldfarb discusses the article "How a pregnancy test on a male patient revealed health care flaws." Eric shares the absurd and heartbreaking story of finding a pregnancy test charge on his 88 year old father's final hospital bill. He explains how this error was merely a symptom of a larger, systemic failure where institutional momentum often overrides common sense and patient safety. Eric details the struggle to stop a dangerous premature discharge after his father's brain surgery and the subsequent bureaucratic fog that prevented the hospital from correcting a biologically impossible billing error. The conversation explores how patients become ticket numbers and how the simple act of noticing can be the difference between a system that heals and one that harms. Discover why advocacy often requires repeating the obvious until the system finally listens.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

True metabolic healing requires more than just prescribing expensive peptides Apr 02, 2026

Show notes

Internal medicine and functional medicine physician Shiv K. Goel discusses the article "Why lifestyle matters more than BPC-157 and semaglutide." Shiv explains how the modern longevity boom has trained patients to seek out quick fixes like peptides and weight loss injections while ignoring foundational habits. He shares a compelling patient story to illustrate why optimizing sleep, circadian rhythms, and stress management is far more powerful than any supplement drawer. Shiv argues that tracking endless biomarkers with wearables without understanding a patient's personal story only creates anxiety. By prioritizing deep listening and addressing the root causes of metabolic dysfunction, clinicians can offer real solutions rather than just another health care transaction. Discover how aligning your daily routines with your biology is the ultimate biohack for a longer, healthier life.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Reclaiming human dignity as the foundation of medical practice Apr 01, 2026

Show notes

Former Treasurer of the American College of Physicians Janet A. Jokela discusses the article "The service of humanity: Recommitting to physicians' ethical duties." Janet reflects on her visit to the Ronald Reagan Museum where she found profound connections between the former president's views on diversity and the medical profession's ethical oath. Janet explains that the service of humanity is not just a phrase for white coat ceremonies, but a call to treat every patient with benevolence and goodwill regardless of their background or political status. The conversation highlights courageous actions taken by Minnesota physicians to protect vulnerable populations and reaffirms that health is a human right grounded in dignity. By prioritizing empathy over technology, Janet believes clinicians can rediscover their true identities as healers in an increasingly fractured world. Discover how a simple commitment to kindness can transform the entire landscape of modern medicine.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

Why physicians must lead the design of artificial intelligence in health care Mar 31, 2026

Show notes

Family physician, medical device inventor, and health care entrepreneur Tod Stillson discusses the article "AI governance in health care: Why physicians must lead the design." Tod warns that the greatest threat to modern medicine is allowing artificial intelligence to be designed without physician oversight. He reflects on how hospital consolidation and private equity have previously redistributed power away from clinicians, and argues that AI could become the next structural layer that reduces physicians to mere units in a revenue architecture. Tod outlines five non-negotiable characteristics of trustworthy AI, emphasizing that technology must augment clinical judgment rather than impersonate it. He highlights the "accountability test," reminding listeners that the responsibility for clinical decisions remains with the doctor, not the algorithm. Discover why physicians must move from being passive consumers to active architects to ensure that AI creates leverage with integrity.

PARTNER WITH KEVINMD → https://kevinmd.com/influencer

SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast

RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended