Dr Ayan Panja shares his unique blend of bitesized wisdom and perspective to improve your health journey and make you stop, think and reflect. Knowledge, evidence and powerful storytelling make for a mind-expanding short form listen.
In this episode I cover the different type so anaemia as I have found it can cause much confusion and there are so many different types, from mild iron deficiency to types that can be life threatening.
Iron deficiency anaemia: https://www.nhs.uk/conditions/iron-deficiency-anaemia/
Bone marrow: https://my.clevelandclinic.org/health/body/22818-bone-marrow
Haem and non haem iron: https://www.mkuh.nhs.uk/patient-information-leaflet/good-sources-of-iron
Vitamin C and iron: https://www.canr.msu.edu/news/iron_and_vitamin_c_the_perfect_pair
Aplastic anaemia: https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/aplastic-anaemia/
Pernicious anaemia: https://my.clevelandclinic.org/health/diseases/22377-pernicious-anemia
Anaemia of chronic disease: https://my.clevelandclinic.org/health/diseases/14477-anemia-of-chronic-disease
MCV on a blood count: https://medlineplus.gov/lab-tests/mcv-mean-corpuscular-volume/
Leukaemia:
https://www.cancerresearchuk.org/about-cancer/leukaemia
Haemolytic anaemia: https://www.hopkinsmedicine.org/health/conditions-and-diseases/hemolytic-anemia
Sickle cell disease: https://www.nhs.uk/conditions/sickle-cell-disease/
Thalassemia: https://my.clevelandclinic.org/health/diseases/14508-thalassemias
Iron diet sheet: https://kingstonhospital.nhs.uk/information/iron-diet-sheet/
Eating your greens: https://pubmed.ncbi.nlm.nih.gov/34034049/
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In this episode I look at the liver and how to keep it healthy, arguably the most industrious visceral organ in our body with so many critical functions.
Non-Alcoholic Fatty Liver Disease: https://www.hopkinsmedicine.org/health/conditions-and-diseases/nonalcoholic-fatty-liver-disease
Glycogen: https://my.clevelandclinic.org/health/articles/23509-glycogen
Ultra processed food and liver disease: https://pubmed.ncbi.nlm.nih.gov/37871746/
Alcohol and liver disease: https://www.hopkinsmedicine.org/health/conditions-and-diseases/alcoholinduced-liver-disease
WIlson’s Disease: https://www.mayoclinic.org/diseases-conditions/wilsons-disease/symptoms-causes/syc-20353251
Haemochromatosis: https://www.haemochromatosis.org.uk/
Jaundice: https://www.nhs.uk/conditions/jaundice/
Gall bladder removal - cholecsytecomy: https://my.clevelandclinic.org/health/procedures/21614-gallbladder-removal
Diarrhoea after gall bladder removal: https://pmc.ncbi.nlm.nih.gov/articles/PMC10725554/
Hepatitis 'alphabet': https://www.who.int/news-room/questions-and-answers/item/hepatitis
Gallbladder diet: https://www.healthline.com/health/gallbladder-diet
Metabolic pathways in detoxification: https://onlinelibrary.wiley.com/doi/10.1155/2015/760689
Coffee and other foods: https://www.medicalnewstoday.com/articles/323915
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It’s a time of year that some people dread but there’s so much we can do get through this season and I look at that in this short but useful 101 episode.
Polyphenols and hormesis: https://www.sciencedirect.com/science/article/abs/pii/S0958166924000107
Vitamin C and zinc for colds: https://pubmed.ncbi.nlm.nih.gov/32342851/
Asthma exacerbations and vitamin D: https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(17)30306-5/fulltext#
Non IgE cows milk protein allergy: https://www.allergyuk.org/about-allergy/allergy-in-childhood/cows-milk-allergy/ (can cause cough if drinking milk)
Morning light (Russell Foster): https://www.neuroscience.ox.ac.uk/news/professor-russell-foster-receives-daylight-award-2020
Food cravings in winter: https://www.independent.co.uk/health-and-wellbeing/winter-diet-cold-weather-food-b2621804.html
Flu (Influenza): https://my.clevelandclinic.org/health/diseases/4335-influenza-flu
Exercise in winter health: https://www.heart.org/en/healthy-living/fitness/getting-active/how-to-stay-active-in-cold-weather
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Back pain is something most of us have suffered with at some point. In this episode I look at the various reasons behind back pain, how we can rethink it and manage it beyond simple exercise and pain relief including alternative therapies.
The stats: https://www.who.int/news-room/fact-sheets/detail/low-back-pain
Back muscles: https://my.clevelandclinic.org/health/body/21632-back-muscles
The lumbar spine: https://my.clevelandclinic.org/health/articles/22396-lumbar-spine
Sciatica: https://my.clevelandclinic.org/health/diseases/12792-sciatica
'Slipped disc': https://www.nhs.uk/conditions/slipped-disc/
Core exercises for the back (yoga and pilates may also help): https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/core-strength/art-20546851
Cauda equina - an emergency: https://orthoinfo.aaos.org/en/diseases--conditions/cauda-equina-syndrome/
Vitamin D and back pain: https://www.thepermanentejournal.org/doi/10.7812/TPP/18.241
IDD therapy: https://iddtherapy.co.uk/
Acupuncture: https://www.healthline.com/health/acupuncture-for-back-pain
Spinal cord stimulators: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/treating-pain-with-spinal-cord-stimulators
Mind-body link in back pain: https://www.nytimes.com/2021/11/09/well/mind/john-sarno-chronic-pain-relief.html
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In this episode I look at why across much of the world mental health is in crisis. What are the reasons for this? What can we do about it?
TW: mentions suicide.
Systems biology in medicine: https://www.imperial.ac.uk/metabolism-digestion-reproduction/research/systems-medicine/
COVID and mental health: https://pmc.ncbi.nlm.nih.gov/articles/PMC8758130/#
Trauma and mental health: https://www.theguardian.com/society/2021/sep/20/trauma-trust-and-triumph-psychiatrist-bessel-van-der-kolk-on-how-to-recover-from-our-deepest-pain
Antipsychotic medication: https://www.bap.org.uk/articles/chlorpromazine-the-first-antipsychotic/
The coal gas story, UK: https://pmc.ncbi.nlm.nih.gov/articles/PMC478945/
Suicide and means restriction: https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00157-9/fulltext
Golden Gate Bridge stories and learnings: https://ennyman.medium.com/a-lesson-from-29-golden-gate-suicide-attempts-a42f4ef3f970
https://edition.cnn.com/2023/11/19/us/golden-gate-bridge-suicide-safety-net/index.html
Jonny Benjamin: https://jonnybenjamin.co.uk/
The Hoffman Process: https://www.hoffmaninstitute.co.uk/about-the-process/
Early Years resources: https://www.annafreud.org/services/services-for-children-and-young-people/for-under-fives/early-years-in-mind/
Leafyard - one of many mental health AI apps: https://www.leafyard.com/healthfix
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Hydration is something many of us take for granted but in this episode I bust some myths around hydration, cover why it is important to give it some thought and why urine colour is not the best measure of how hydrated we are.
Too much vs too little: https://www.instagram.com/drayanpanja/p/C16g1vfI3ZP/
BUY THE HEALTH FIX NOW: https://www.amazon.co.uk/Health-Fix-Transform-Your-Weeks/dp/1914239296/ref=nodl_?dplnkId=1ba53367-030f-4f3f-ad09-4a1fc81eadf5
Plethysmography: https://www.healthline.com/health/plethysmography
Water intoxication: https://my.clevelandclinic.org/health/diseases/water-intoxication
Diarrhoeal disease and oral rehydration therapy (ORT): https://www.who.int/news-room/fact-sheets/detail/diarrhoeal-disease
ORT: https://ourworldindata.org/oral-rehydration-therapy
8 glasses of water a day?: https://www.bbc.co.uk/news/uk-scotland-north-east-orkney-shetland-63755475#
Overhydration dangers: https://www.healthline.com/health/overhydration
Delirium: https://www.mayoclinic.org/diseases-conditions/delirium/symptoms-causes/syc-20371386
What hydrates us: https://www.webmd.com/parenting/features/healthy-beverages
Excessive thirst: https://www.nhs.uk/conditions/thirst/
Tap water: https://www.independent.co.uk/life-style/tap-water-uk-safe-to-drink-b2600254.html
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The thyroid is an important gland and with many functions. Up to 10% of people have a thyroid disorder and in this episode I look at common presentations and how to keep your thyroid healthy.
How thyroid hormone is made: https://www.ezmedlearning.com/blog/thyroid-hormone-synthesis-steps-pathway
Hashimoto’s Disease - a common cause of hypothyroidism (underactive): https://www.mayoclinic.org/diseases-conditions/hashimotos-disease/symptoms-causes/syc-20351855
Derbyshire goitre: https://pubmed.ncbi.nlm.nih.gov/15719162/
Nutritional factors and the thyroid: https://www.cambridge.org/core/journals/proceedings-of-the-nutrition-society/article/multiple-nutritional-factors-and-thyroid-disease-with-particular-reference-to-autoimmune-thyroid-disease/DBA9BAD5847376FA5E099B7ACC7556A2
Iodine - a double edged sword: https://www.healthline.com/health/iodine-uses
Selenium and the thyroid: https://pubmed.ncbi.nlm.nih.gov/37033262/
Ashwagandha: https://www.liebertpub.com/doi/10.1089/acm.2017.0183
Heavy metals and the thyroid: https://pmc.ncbi.nlm.nih.gov/articles/PMC3569681/
Lioyhyronine (T3): Many people cannot convert T4 to T3 (a defect in the de-iodinase enzyme that loses the iodine molecule): https://thyroiduk.org/if-you-are-hypothyroid/treatment-options-for-hypothyroidism/treatment-options-for-hypothyroidism/liothyronine-t3/
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It’s the second commonest cancer in men across the world and increasing in incidence.
In this episode I look at why it occurs and what we can do prevent it, manage risk and raise awareness.
Hormones and their roles in prostate cancer: https://www.ceu.ox.ac.uk/news/largest-study-to-date-confirms-role-of-two-hormones-in-aggressive-prostate-cancer-risk#
Benign prostatic hypertrophy (not cancer): https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/symptoms-causes/syc-20370087
Genetics and prostate cancer: https://medlineplus.gov/genetics/condition/prostate-cancer/#causes
Gleason grading of prostate cancer: https://www.pcf.org/about-prostate-cancer/diagnosis-staging-prostate-cancer/gleason-score-isup-grade
Stress and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC5693840/
Inflammation and prostate cancer: https://pmc.ncbi.nlm.nih.gov/articles/PMC4029103/#:~:text=These%20preliminary%20studies%20revealed%20that,score%207%E2%80%9310)%20disease.
Exercise and prostate cancer: https://www.pcf.org/patient-resources/living-prostate-cancer/exercise-prostate-cancer/
Toxins / cadmium: https://www.nature.com/articles/s41389-020-0202-7
Dietary cadmium: https://bmccancer.biomedcentral.com/articles/10.1186/s12885-015-1153-9#
Selenium supplementation: https://pubmed.ncbi.nlm.nih.gov/8971064/
Prospective Japanese study on green tea: https://pubmed.ncbi.nlm.nih.gov/17906295/
Calcium and red meat: https://www.nature.com/articles/6604331
Green tea and diet:
https://www.sciencedirect.com/science/article/abs/pii/S0306987722000792
Buy my book THE HEALTH FIX on sale price now: https://rb.gy/rzknqt
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The amount of health information and practitioners are constantly growing and we have a choice about where we search for this information and advice.
But how do you know who is reliable? How do you decide who to trust?
I explore this and more in the episode.
Gen Z and their health: https://www.healthline.com/health-news/tiktok-main-source-health-information-gen-z#56%25-of-Gen-Z-users-turn-to-TikTok-for-health-and-wellness-advice
Good cheap and fast - 2 out of 3: https://audioinsurgent.substack.com/p/fast-cheap-goodpick-two
Debates around vaccines: https://pmc.ncbi.nlm.nih.gov/articles/PMC10070776/
What health means in a digital society: https://pmc.ncbi.nlm.nih.gov/articles/PMC5778676/#:~:text=Definitions
Youtube Health: https://health.youtube/
Trust in health - sources: https://www.bbc.co.uk/news/health-48663843
Conflicts of interest: https://jamanetwork.com/journals/jama/fullarticle/2623608
The role of influencers: https://www.tandfonline.com/doi/full/10.1080/1553118X.2022.2042694
Covid vaccine injuries: https://www.nytimes.com/2024/05/03/health/covid-vaccines-side-effects.html
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Narrative Medicine is an important art in a consultation involving both talking and listening. In this episode I look at why it is important and how it can help our health outcomes.
AI in consultations: https://www.dailymail.co.uk/health/article-13169325/GP-AI-listening-auto-generate-patient-notes-confidential-medical-information-wrong-hands.html
Neurodivergence: https://autietraumageek.medium.com/lost-in-translation-the-social-language-theory-of-neurodivergence-part-1-of-2-1963ba0073c5
Data usage in medicine: https://bjgp.org/content/68/668/e146
Pre-surgery anxiety: https://www.medicalnewstoday.com/articles/surgery-anxiety#pre-surgery-vs-post-surgery-anxiety
The therapeutic benefit of being heard: https://thelionmind.org.sg/the-importance-of-being-heard-enhancing-mental-health-through-active-listening/
The seven C’s: https://www.conversationsinvitingchange.com/about/
Narrative medicine - journal article: https://jamanetwork.com/journals/jama/fullarticle/194300
A review of narrative medicine and outcomes: https://bmjopen.bmj.com/content/10/1/e031568
Narrative medicine - good for both patients and clinicians: https://www.thepermanentejournal.org/doi/10.7812/TPP/23.116#
AI and empathy: https://www.wavestone.com/en/insight/the-empathy-paradox-can-ai-connect-with-customers-in-contact-centres/
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Community as a cure? We often think of healthcare being a relationship between a clinician and a patient but amazing things can occur through the power of community and using it as sociological therapy. I look at why groups can be so powerful and how you might run one.
Parkrun: home | parkrun UK
Weight Watchers: How The WeightWatchers Weight-Loss Program Works
Stanley Schachter’s work - an article: https://www.strongtowns.org/journal/2009/2/16/the-tribe-mentality.html
An example of healthy living delivered in groups, initially churches: https://www.danielplan.com/#
Group consultations - Dr Rupa Joshi: https://painconcern.org.uk/empowering-patients/
Shape Up: https://www.watfordfccsetrust.com/project/shape-up/
Nushu: https://nushu.com/group
Communities in health - people as a valuable commodity: https://www.health.org.uk/publications/at-the-heart-of-health-realising-the-value-of-people-and-communities#:~:text=Mental and physical health and,community capacity and resilience%2C among
Rural groups in India: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9207712/
Thalassemia awareness (charity): https://ukts.org/
Children’s Heart Disease Awareness: https://chfed.org.uk/
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