When Bridget McNulty was diagnosed with type 1 diabetes 18 years ago, she felt like the only person in the world it had ever happened to. She later discovered that almost everyone she spoke to had felt exactly the same way.

Bridget is the founder of Sweet Life, South Africa's largest online diabetes community, and a published author. In this episode, Catriona talks to her about why that sense of isolation at diagnosis is so universal, what people with chronic conditions actually need from a community, and why managing diabetes 24 hours a day, 365 days a year is exhausting in a way that's almost impossible to explain to people who don't live it.

They also discuss the divide between public and private healthcare in South Africa, why type 2 diabetes carries a stigma that type 1 doesn't, the relief of talking to people who just get it without needing everything explained, and why the language healthcare professionals use around diabetes needs to change.

Connect with Sweet Life: sweetlife.org.za South Africans with Diabetes on Facebook @sweetlife.org.za on Instagram

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Dr Max Draper, author of Testosterone Decoded, joins Catriona Williams to discuss the dramatic decline in testosterone levels since the 1980s and its implications for men's health. After experiencing low testosterone following testicular cancer, Dr Draper changed his career focus to specialise in this overlooked area of men's health. In this episode, he explains how testosterone affects far more than muscles and sex drive, influencing energy, mental clarity, mood, and fertility.

Key takeaways:

1. Testosterone levels have been declining across generations since the 1980s, with each decade showing lower average levels than the previous one

2. Low testosterone symptoms include low energy, brain fog, reduced motivation, mood changes, and reduced resilience to stress

3. Proper testing requires checking both total and free testosterone levels, not just total testosterone alone

4. Lifestyle factors including sleep, exercise, diet, stress management, and body composition should be optimised before considering testosterone replacement therapy

5. Testosterone replacement therapy can complicate fertility and requires careful consideration, particularly for younger men who haven't completed their families

Dr Max Draper is a medical doctor, author, and specialist in testosterone and men's health, bringing both professional expertise and personal experience to this crucial health topic.

Follow My Health Focus for more expert health interviews and evidence-based patient education.

My Health Focus is not a medical service. The information provided is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment.

JOIN THE MY HEALTH FOCUS COMMUNITY AND SIGN UP TO OUR NEWSLETTER

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Living with Gallstones

When Juliet Sullivan collapsed in agony on a pavement in England, she had no idea what was happening to her.

The diagnosis was gallstones, and along with it came instructions to follow a low-fat diet for several months until her gallbladder could be removed. What she could not find anywhere was a practical, accessible book to help her through it. So she wrote one.

In this episode, Juliet joins Catriona Williams to talk through her experience from first attack to full recovery, and shares the dietary wisdom she gathered along the way.

5 Key Takeaways

1. Gallstone attacks are frequently misdiagnosed at first because the pain, though felt in the upper abdomen, can mimic other conditions including appendicitis or cardiac events.

2. A low-fat or very low-fat diet is typically recommended to reduce the risk of triggering further attacks while awaiting surgery, but it is not a long-term solution and healthy fats remain important for overall wellbeing.

3. Keeping a food diary after diagnosis can help identify personal trigger foods, which vary between individuals. Common culprits include oils, butter, avocado, and rich restaurant or ready-made meals.

4. Gallbladder removal is a common procedure, but recovery is a genuine physical experience that deserves honest preparation rather than being minimised by healthcare teams.

5. After surgery, most people can gradually reintroduce a full and healthy diet, though many find their eating habits and awareness of fat content change permanently for the better.

Juliet Sullivan is the author of The Gallstone Friendly Diet, a practical and warmly written guide for anyone navigating life with gallstones before and after surgery.

Find the book online and follow My Health Focus for more conversations on everyday health.

My Health Focus is not a medical service. The information provided is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment.

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