The Curbsiders Internal Medicine Podcast

#484 Hotcakes: Vitamin D3, Omega-3 Fatty Acids, and Physical Performance, Gabapentin and Falls, Gepotidacin for UTI, and Intermittent Fasting for Weight Loss

Mon, 26 May 2025

Join us as we review recent practice-changing articles on the effect of vitamin D3 and omega-3 fatty acids on physical performance, gabapentin and falls, gepotidacin for uncomplicated UTI, and intermittent fasting for weight loss. Fill your brain hole with a delicious stack of hotcakes! Featuring Paul Williams (@PaulNWilliamz), Rahul Ganatra (@rbganatra), special guest Laura Glick (@LauraRGlick) and Matt Watto (@doctorwatto).

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Credits

Written and Hosted by: Rahul Ganatra MD, MPH; Paul Williams, MD, FACP, Matthew Watto MD, FACP

Cover Art: Rahul Ganatra MD, FACP

Reviewer: Sai S Achi, MD,MBA,FACP

Technical Production: Pod Paste

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Show Segments

Intro, disclaimer

Vitamin D3 vs omega-3 fatty acids and physical performance

Gabapentin vs duloxetine and risk of falls

Gepotidacin vs nitrofurantoin for uncomplicated UTI

Intermittent fasting vs daily calorie restriction for weight loss

Outro

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#483: Diabetic Dilemmas in Older Adults, Pregnancy and Corticosteroid Use with Jeff Colburn, MD

Mon, 19 May 2025

This episode doesn't sugarcoat the truth about tricky diabetes management!

Wrangle wild blood sugars among older adults, pregnant individuals, and those taking corticosteroids! Join our Kashlak resident endocrinologist Dr. Jeff Colburn, as we dive into diabetic dilemmas. We will help you dodge dangerous lows and navigate tricky treatment traps in these special populations. Get the un-sugar-coated truth on managing complex diabetes cases!

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Show Segments

Intro

Diabetes in Older Adults (Geriatrics)
- General Approach
- Risks of Hypoglycemia
- 4Ms Framework
- Insulin Management
- Oral Medications

Diabetes in Pregnancy
- Preconception Counseling
- Eye Health Monitoring
- Insulin Therapy During Pregnancy
- Postpartum Care

Steroid-Induced Hyperglycemia
- General Approach
- Postprandial Insulin Adjustment
- NPH Insulin Usage
- Initiating Insulin
- Role of GLP-1RA and SGLT2-inhibitors

Take-home Points

Outro

Credits

Producer, Writer, and Show Notes: Isabel Valdez, PA-C

Infographic and Cover Art: Zoya Surani, BA, MS

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Leah Witt, MD

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Jeff Colburn, MD

Disclosures

Dr. Jeff Colburn reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures.

Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.

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UNLOCKED #43 Exclusive! HFrEF (TFTC audio)

Wed, 14 May 2025

Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED.

*This offer expires at 3am EST on May 15, 2025.

Matt and Paul recap top pearls from a recent episode on heart failure with reduced ejection fraction (HFrEF) and the importance of understanding the underlying causes of heart failure with Dr. Michelle Kittleson (video version). They also answer listener questions and share their picks of the week.

Chapters:

00:00 Introduction and Humor

01:41 Understanding Heart Failure

04:50 Guideline-Directed Medical Therapy

09:57 Practical Approaches to Treatment

13:58 The Importance of Medication Adherence

16:22 Dietary Considerations in Heart Failure

18:24 ED Follow-Ups and Patient Management

20:38 SGLT2 Inhibitors and Infections

25:58 Patient Counseling and Preventative Care

26:33 Picks of the Week

REBOOT #458 Heart Failure with Reduced Ejection Fraction - Kittleson Rules Outpatient Heart Failure Volume 1

Mon, 12 May 2025

We’re taking a break this week, but we’ll be back next week with a brand-new episode.

Provide superb outpatient care for your patients with HFrEF. Identify underlying causes of heart failure and titrate medications with ease. Dr Michelle Kittleson @MKittlesonMD (Cedars Sinai) breaks down the nuances of treating this common cardiac condition.

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Show Segments

00:00 Introduction

03:22 Case Presentation: Newly Diagnosed Heart Failure

07:26 Using Physical Exam Findings to Guide Diuresis

11:58 The Four Pillars of Guideline-Directed Medical Therapy for Heart Failure

15:07 Optimizing Therapy and Follow-Up in Heart Failure Patients

22:10 The Benefits of High-Intensity Initiation and Titration of Guideline-Directed Medical Therapy

28:02 Consideration of Other Medications

40:02 Referral to Advanced Heart Failure Specialist

49:11 Optimizing Therapy and Follow-Up

55:33 Conclusion and Book Recommendation

Credits

Writer and Producer: Deborah Gorth MD, PhD

Infographic and Cover Art: Zoya Surani

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: Michelle Kittleson MD, PhD

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Sponsor: American College of Physicians

Order ACP MKSAP today at acponline.org. Curbsiders Listeners who use promo code CORECS will receive a MKSAP gift pack with their subscription.

Sponsor: Panacea Legal

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#482 Recap from SHM #Converge25

Mon, 05 May 2025

Highlights and Pearls from SHM’s Annual Meeting

We recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.

Note: There is no CME for this episode, but visit curbsiders.vcuhealth.org to claim credit for past episodes.

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Show Segments

Intro

Care of the Patient Experiencing Homelessness

Updates in GI

Delirium

Adaptive Leadership

Transgender Health

Capacity Assessment

Heart Failure

Care of the Transplanted Kidney

Precipitated Withdrawal

IV contrast

Alcohol Withdrawal

MRSA Nares Swabs

Bugs, Bite, and Fever

Perioperative Medicine

Parkinson’s Disease

Stroke

Outro

Credits

Producer, Writer, Show Notes: Meredith Trubitt MD, Monee Amin MD, Caroline Coleman MD

Cover Art: Caroline Coleman, MD

Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP

Reviewer: Rahul Ganatra, MD MPH

Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP

Technical Production: PodPaste

Guest: Michelle Brooks MD, Avital O’Glasser MD, Rahul Ganatra MD MPH

Disclosures

The Curbsiders report no relevant financial disclosures.

Sponsor: Freed

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Sponsor: Locumstory

Learn about locums and get insights from real-life physicians, PAs and NPs at Locumstory.com.

Sponsor: Grammarly

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Sponsor: Continuing Education Company

Special offer for Curbsiders listeners: Save 30% on all online courses and live webcasts with promo code CURB30. Visit www.CMEmeeting.org/curbsiders to explore all offerings and claim your discount.