Knowledge bomb: Dr. G talks about emotional repression and suppression. He highlights how when people hold in their emotions it leads to disease. He also gives solutions on how to learn to express your emotions in a healthy way.

Guest conversation: Louisa Nicola, a neuroscientist out of NYC teaches us all about brain optimization. She shares her findings in research about what we need to be doing daily to have our brain functioning at its highest level. She gives us an actionable blueprint to optimize ourselves long term.

Guest bio: Louisa Nicola is a Sydney University trained clinical neuroscientist who works one on one with the professional NBA, MLS and NHL players to enhance peak brain performance.

Louisa spent most of her time growing up as a triathlete, training on average 4 hours a day and qualifying for the Beijing and Auckland world championships. Her love for neuroscience came after being hit by a car and having her world title stripped from her just 3 weeks prior to Beijing. During her rehab she realised that it wasn’t the multiple broken bones that brought her back to racing, it was the neuroscience behind physical performance and how this can be optimized for both clinical and peak performance populations.

Louisa went on to study medicine and science at the University of Sydney with a focus on neurophysiology where she was able to understand from a molecular level how the brain functions. Since then, she formed her own company Neuro Athletics to solve the concussion and mental health epidemic facing elite athletes today which grew from a Sydney based company to now, a NY based company.

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The coronary circulation serves the purpose of matching myocardial oxygen supply and consumption. A transient mismatch causing reversible myocardial ischaemia is the dominant feature of chronic ischaemic heart disease (IHD), which is also characterized by stable symptoms over a period of months, years, or even decades. Stable angina is the most frequent presentation of chronic IHD; other clinical presentations are microvascular angina, vasospastic angina, and ischaemic cardiomyopathy. Stable angina is mainly caused by obstructive coronary atherosclerosis. ECG exercise stress test is the first-line test for diagnosis and risk stratification; when it cannot be performed or is not interpretable imaging stress tests are indicated. The aims of treatment are to improve prognosis and to reduce symptoms. Prognosis is improved by the reduction of coronary risk factor burden, by the administration of antiplatelet agents, and, in high risk patients, by myocardial revascularization. Symptoms are improved by anti-anginal drugs which act through different mechanisms, including reduction of myocardial oxygen consumption and improvement of myocardial perfusion, and by myocardial revascularization in patients who do not satisfactorily respond to drugs. Microvascular angina is caused by coronary microvascular dysfunction; its prognosis is good, but symptoms can be invalidating and frequently do not fully respond to conventional anti-anginal drugs. Vasospastic angina is caused by coronary artery spasm; prognosis is good if spasm is prevented by treatment with coronary vasodilators. Ischaemic cardiomyopathy is dominated by symptoms and signs of left ventricular dysfunction; prognosis is mainly determined by the degree of left ventricular dysfunction and seems improved by myocardial revascularization in patients with large areas of myocardial viability….

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