osmolality

🎧 Dr RR Baliga's Internal Medicine "GOT KNOWLEDGE DOC" Podcasts for Physicians: MUST KNOW FACTs about Hypernatremia

Not Medical Advice or Opinion

Derived from a chapter titled

Electrolytes, authored by John J Chang, MD & Aldo J Pexioto, MD, from  Yale University School of Medicine in

Baliga's Textbook of Internal Medicine with ~1480 Multiple Choice Questions.

www.MasterMedFacts.com

Lubes, Lubes, Lubes.  Women….which one do you choose?  We review all the base type of lubes for your safe swinging pleasure: water, glycerin, silicone, petroleum, and oil.  You will learn about the ingredients, pH, and how this plays a VERY important role for the female vagina.  Quality ingredients will reduce your STI risk and bacterial vaginosis (BV)!  This review should be shared with everyone, not just with your swinger friends!

SHOW NOTES:

1. Is Your Lube Expired?
2. Lube pH Matters!
3. Osmolality - Oh Yeah.
4. Vaginal Epithelium Layer
5. Ingredients 
   1. Water, Glycerin, Silicone, Petroleum, Oil
6. Types of Lube Pros v. Cons

Referenced Articles:

• 42 Different Lube's pH Value and Osmolality (National Center for Biotechnology Information):   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3161103/table/T1/#tf20
• Are parabens safe?:   https://sexualityresources.com/ask-dr-myrtle/sexual-health-events-3-menopause-womens-urologic-issues/are-parabens-safe
• Cervical & Vaginal Mucosal Epithelia:  Blaskewicz CD, Pudney J, Anderson DJ (July 2011). "Structure and function of intercellular junctions in human cervical and vaginal mucosal epithelia". Biology of Reproduction. 85 (1): 97–104. doi:10.1095/biolreprod.110.090423. PMC 3123383. PMID 21471299.
• Cute Little Bunnies No Longer Have To Die For Your Lube:   https://www.vocativ.com/news/437121/fda-personal-lubricant-bunnies/index.html
• Hyperosmolal vaginal lubricants markedly reduce epithelial barrier properties in a three-dimensional vaginal epithelium model – ScienceDirect:   https://www.sciencedirect.com/science/article/pii/S221475001730118XVaginal
• Lactobacilli Dominance and Vaginal pH: Why Is the Human Vagina

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As Sports Nutritionists besides having to properly fuel cyclists during training and racing, there is also an additional challenge we often face. And that challenge is to try our best to minimize GI symptoms in cyclists. We can prepare a rider for months but if one key meal in a moment surrounding or during the race goes wrong, we can jeopardize months of preparation and condition the rider’s performance for that day.
On the other hand, we must make sure these athletes ingest a rather high amount of CHO-rich foods while on the bike in order to be able to sustain higher intensities in latter stages of the race. But this high exercise intensity and high quantity of ingested CHO are also some of the main factors that can also limit gastric emptying, CHO absorption and lead to some GI symptoms to occur, which may have serious consequences for cyclists.
On this episode Dr. Jamie Pugh helps us understand the main causes and practical strategies to minimize GI symptoms in cycling. That is why the name of this episode is "Feeling lighter from start to finish..."

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On this episode of Ask the Coaches with Lucho and Tawnee:

• Fat-adapted low-carb female runner experiences gut issues in half-marathon after taking sugary gels; she thought the high-intensity would require more sugar for fuel but the plan backfired, resulting in bloating and cramps.
• The more fat-adapted you are, the more you burn fat even at higher intensities.
• Gut-bomb effects of gels - more on the science of why they may wreak havoc.
• Fructose, maltodextrin, and also the bigger risks of gels if you have gut issues like SIBO or dysbiosis.
• Good alternative fuel strategies to gels for running races.
• Why UCAN digests differently than gels and traditional fuels.
• Will vasectomy patients experience low testosterone?
• How to mitigate chances of low T if you're an endurance male athlete.
• Thoughts on sweet spot base training for cycling, i.e. lots of rides with increasingly longer intervals at 75%-95% of your FTP. Comparing this approach to MAF.
• Sweet spot is a more traditional threshold training program that can yield great results but comes with higher risk and increases chances of overtraining.
• Can sweet spot training be applied to running?
• What's the deal with MAF for swimming; should we apply MAF to the swim?
• The importance of technique above all in swimming!
• Helping a 51-year-old male athlete find his "next thing" in sport, where he can also inspire and promote a positive message on health, fitness and nutrition to his daughter (who's had an eating disorder) and wife...
• How to still be an all-around athlete but not get obsessed with training.
• Don't feel like you have to race if you don't want to!