In this episode, we dig into the hype around continuous glucose monitors (CGMs) and why they’ve suddenly become a wellness must-have. We share real patient stories that span the spectrum—from genuinely helpful use to unintended harm—and use them to explore what’s driving the trend, what people hope these devices will reveal, and where things can get confusing or stressful. We also unpack what “more data” really means in real life, why interpretation matters, and how personalization can be both empowering and risky.

00:00 Podcast Mission
01:18 CGM Patient Stories
03:38 Social Media Claims
06:24 Why CGMs Are Trending
09:59 Real Benefits And Limits
12:43 How CGMs Actually Work
16:51 Who Benefits Most
23:06 Prediabetes And Healthy Users
27:29 Normal Range Anxiety
33:19 CGMs In Eating Disorders
37:17 Silent Hypoglycemia Risk
38:19 CGM Study Extremes BMI
40:37 Biofeedback Versus Harm
43:06 CGM Harms And Overuse
44:18 Whipples Triad Proof
45:34 Normal Spikes Aren’t Disease
49:18 Psychological Burden Study
54:44 Carb Reintroduction Crashes
01:00:19 Practical CGM Use Guidance
01:07:21 Work With A Dietitian
01:08:43 Final Disclaimer

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In this episode, we dig into the question of whether social media can be addictive—and why this conversation is accelerating now. We start with a recent landmark legal case that put platform design features under the microscope, then zoom out to explore what “addiction” means in medicine and why behavioral addictions matter. We also share a candid moment where we put ourselves through a validated questionnaire and reflect on what it brings up for us as doctors and humans. From brain research to real-life “why can’t I stop?” experiences, we review what the evidence suggests, where it’s still messy, and why abstinence isn’t always the realistic answer. We end with practical, research-informed strategies and ways we can talk about this with patients and families.

00:00 Podcast mission intro
01:14 Social media trial sparks
06:19 Why this moment now
12:05 Defining addiction criteria
15:12 Social media addiction quiz
17:53 Behavioral addiction debate
23:57 Brain changes evidence
34:16 Harms and health impacts
38:07 Benefits and U Curve
40:05 Moderate Use and Connection
41:05 Platform Differences Matter
43:07 Withdrawal Abstinence Evidence
44:54 Tolerance and Slippery Slope
47:11 What Doctors Should Conclude
51:36 Talking With Patients
52:30 Interventions That Work
56:16 Digital Literacy and Regulation
01:00:00 Digital Detox Day Dream
01:05:53 Opt In Design and Nextdoor
01:07:02 Wrap Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode, we discuss the viral push to “de-prescribe” SSRIs. We outline common claims (overprescribing, lifelong use, “addiction,” inadequate withdrawal counseling, chemical-imbalance myths, and political/media narratives) and why these resonate given stigma, distrust of medicine and pharma, and negative personal stories. We review evidence-based SSRI use and typical treatment durations, note common side effects and limited long-term data, and fact check a frequently cited stat suggesting many long-term users don't need to be on meds at all. We review real “root causes” of anxiety and depression, compare effectiveness of SSRIs and psychotherapy, review lifestyle interventions and evidence for supplements, and highlight that most people with depression or anxiety receive no treatment. Sonia also shares a personal story from residency that highlights the role of bias, stigma, fear and importance of narrative in medicine as well as nuanced, compassionate counseling.

00:00 Podcast Mission
01:25 Patient Deprescribing Story
03:38 Viral Claims Breakdown
06:36 Why This Went Viral
12:27 Ideal SSRI Use
15:23 Long Term Use Data
20:22 Root Causes Explained
30:13 Evidence Based Treatments
33:35 Lifestyle Is Bidirectional
34:09 Exercise Sleep Diet Evidence
36:36 Why Just Exercise Fails
39:03 Omega-3 Supplement Reality
41:30 SAMe And Other Supplements
42:46 Nuanced Supplement Counseling
46:23 Treatment Gap And Barriers
48:51 Deprescribing Stigma Debate
51:24 Clinical Takeaways And Tools
56:07 Personal Story
01:00:45 Doctors Sharing Humanity
01:03:29 Wrap Up And Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode, we dive into why fiber is having a viral moment on social media and what can get lost when “maxing” any nutrient becomes the goal. Using real patient stories, we review the potential downsides of going from low to high fiber too fast, the confusion created by trendy products and marketing, and why “more” isn’t always better. We also preview how we think about fiber in real life—food-first, context-aware, and focused on what’s actually practical.

00:00 Podcast mission
01:15 Why fiber maxing
01:36 Patient stories
02:58 Trend claims
04:11 Why it went viral
08:02 Nugget of truth
09:49 How much fiber
11:50 Types of fiber
16:59 Prebiotic products
21:54 Supplements that work
27:58 Too much fiber
31:32 Practical takeaways
32:45 How to counsel patients
34:03 Resources and wrap
34:21 Medical disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode, we talk about why creatine is suddenly everywhere on social media and why patients are asking about it for everything from brain fog and mood to menopause and dementia prevention. We tease what the evidence actually says (and doesn’t say), why context matters, and how to think about “for whom” and “for what” before adding any supplement. We also touch on common misconceptions, practical considerations that come up in real clinic visits and lab work, and why nuanced, shame-free conversations beat hot takes and miracle-claim marketing. If you’re curious about whether creatine belongs in your routine—or just tired of confusing wellness messaging—come listen.

00:00 Podcast Intro
01:24 Why Creatine Now
03:48 Viral Claims Breakdown
05:46 Why It Went Viral
09:07 Creatine Basics Explained
10:43 How To Take Creatine
12:34 Muscle Benefits Evidence
15:33 Menopause And Bone Health
18:13 Cognition And Dementia Data
21:33 Sleep Deprivation Studies
25:56 Creatine for Depression
28:30 Why Evidence Stays Weak
31:04 Side Effects and Labs
34:15 Supplement Quality Risks
35:09 Hype and Hidden Harms
38:10 Personal Takeaways
41:01 Clinical Bottom Line
43:40 Talking to Patients
45:52 Practice Changes and Trust
49:26 Wrap Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
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In this episode, we talk about the viral name change from PCOS to PMOS and why it’s sparking so much conversation online. We share why this shift feels validating for so many people who’ve struggled for years to get clear answers, and we unpack the kinds of confusing, oversimplified claims that flood social media around this condition. We also explore why the name change matters beyond semantics, what concerns some patients have about it, and what we wish more people understood before falling into the “cure” and “root cause” rabbit holes.

00:00 Podcast intro
01:20 Episode topic reveal
02:02 Patient diagnosis delays
03:38 Sonia personal story
07:16 Social media claims
09:36 Why it went viral
15:28 Nugget of truth
17:51 Backlash and concerns
22:11 Defining and diagnosing
22:33 Rotterdam criteria
30:09 Ruling out other causes
32:54 PCOS subtypes explained
41:34 Biomarkers and testing
46:19 CRP Inflammation Confusion
48:13 Metabolic Biomarkers Breakdown
49:21 Vitamin D Iron Testing Debate
52:38 Guidelines and Sleep Apnea Risk
54:49 Birth Control Not a Band Aid
01:01:15 Fertility Timing and REI Referral
01:03:38 Lifestyle Basics Fiber Exercise Sleep
01:08:50 Medications Metformin to GLP1s
01:16:18 Weight Stigma Habits Over Pounds
01:20:34 Who Should Manage PCOS Care
01:24:32 How to Talk to Patients
01:27:35 Resources Wrap Up Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode, we explore the hype and reality behind wearables like Oura Rings, Apple Watches, Fitbits, and other fitness trackers, using real patient stories to frame the conversation. We share what the data can and can’t tell you, how accuracy varies across metrics, and why “more data” doesn’t always mean better health outcomes. We also discuss why these devices are so popular, the motivations and fears they tap into, and the potential downsides—like anxiety, perfectionism, and increased healthcare utilization. We close with how we think about these tools in clinic and how to decide whether a wearable is truly helping you.

00:00 Podcast mission

01:25 Patient stories

03:05 Wearables big claims

05:35 Why wearables took off

11:04 Nugget of truth

13:54 Accuracy and impact

14:58 Step counting science

18:24 Apple Heart Study

23:08 Heart rate variability

27:19 HRV Norms Myth

27:34 Wearables and Heart Health

30:34 Sleep Tracking Accuracy

32:30 Sleep Apnea Screening

34:40 Patient Case Sleep Apnea

37:21 Psychological Harms

40:04 Data Overload and OCD

43:27 Healthcare Utilization Risks

46:38 Trusting Symptoms Over Data

51:24 Costs and Hidden Tradeoffs

52:41 Talking to Patients

55:50 Wrap Up and Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

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In this episode, we discuss the viral rise of multi-cancer early detection blood tests (MCEDs) that claim to screen for 50+ cancers with a single blood draw and promise peace of mind (i.e. Galleri & Cancerguard). We unpack why these tests are so compelling, what the marketing gets right (and what it leans on), and what it can feel like to navigate these conversations as patients and as primary care doctors. We also tease the key questions we think matter most—who might consider them, what happens after a “signal detected” result, and why this isn’t a simple yes/no situation in real life.

00:00 Podcast mission

01:13 Why this topic now

04:43 What these tests promise

05:50 Why it went viral

08:36 Marketing tactics

12:19 Cost and access

14:05 How the test works

18:01 Scary stats vs evidence

19:45 Does it detect cancer

21:04 Sensitivity specificity explained

23:32 Predictive value reality check

25:55 Explaining False Positives

26:41 Why It Cannot Replace Screening

28:12 Pathfinder Study Setup

31:24 Pathfinder Results Breakdown

32:40 Workup Cascade And Harms

36:00 Insurance And Downstream Costs

37:23 NHS Trial Early Signals

40:55 Guidelines And Shared Decisions

44:15 When Doctors Might Use It

49:23 Final Takeaways And Wrap

50:01 Podcast Medical Disclaimer

To receive professional continuing education credits for listening to our episodes- visit www.theantidocialdoctors.com to subscribe. You will receive an email with each new episode including a link to the episode, a written summary, and a link to claim your CME/CEs.

📖 Read the full episode summary, sources, and resources on our Substack:
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