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Medication-based maintenance therapy is recommended for patients with opioid dependence. Listen to this week’s episode to learn how once monthly naltrexone injections are as effective as daily treatment with buprenorphine/naloxone.


Direct acting oral anticoagulants are increasingly used for stroke prevention for individuals with atrial fibrillation. Whether these agents are as safe and effective as warfarin has been a concern for many clinicians, but recent comparative effectiveness analyses are providing answers. In this week’s podcast episode, we will review these recent studies and draw some conclusions about which agents are best.


In this session we discuss the impact of length of sleep on obesity and DM II.


If you become frustrated trying to get a thigh cuff onto the arm of an obese patient, we may have the answer.


In this session we’ll review a recently published study on the moderate consumption of alcohol and its effect on the brain. Best practices will be discussed.


In this podcast episode, we will discuss current guidelines for a concussion evaluation or work-up as well as return to activity following a concussion. We will also put a paper on this topic into context and consider what impact this should have on your practice.


The number of adults in the US on prescription medications is rising, with approximately 15% taking five or more daily medications. A recent study found that depression is a common side effect—37.2% prevalence among American adults taking prescription medications—and is associated with an increased risk of concurrent depression.


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This podcast episode will review the basics of asthma diagnosis and management, covering the critical content for both patient management and board preparation. Our objectives will be to review the diagnosis and management guidelines for adult and pediatric asthma and briefly discuss the pathophysiology of asthma and how it influences treatment of an acute exacerbation.


8% of patients believe they have a penicillin allergy, yet the actual number is far less. Listen to this episode to learn about the incidence of penicillin allergy, the risks associated with reporting a believed allergy, and how you can better manage these patients.


Listen to this episode to learn about a small study which found that adding 35 grams of fiber and 0.8 grams of protein/kg/day to the diets of obese patients—without making any other diet changes—led to weight loss at 12 weeks.


It has been fairly established that short duration of sleep is associated with obesity in teens and adults; however, the impact of quantity and quality of sleep has not been as well established. A cross-sectional study by Feliciano et al. found that longer and better sleep was associated with better cardiometabolic profiles in early adolescence – independent of other factors.


Although depression is a common problem in primary care, unfortunately, the screening rates remain low. In recent years, evidence-based clinical practice guidelines have been developed to improve detection and treatment of depression in the primary care setting. Primary care providers are now faced with the implementation of these recommended modalities. In this installment of the Frankly Speaking Podcast, the faculty will guide you through practical steps to improve outcomes in patients with depression.