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Saving Lives In Slow Motion
Dr Ayan Panja puts health into context. A lifestyle medicine expert, author and family physician with over 25 years of experience, his unique blend of candour, perspective and knowledge make for a mind-expanding essential weekly bite-sized listen.
Latest episode

242. Consumer Medicine - where and how do we draw the line?
15:52||Season 1, Ep. 242In this episode I look at the rise of consumer medicine with increasing requests for tests or interventions driven by people themselves. It has boomed in recent years andI want to look at how we can draw the line between consumer healthcare and retail. Cortisol: https://my.clevelandclinic.org/health/articles/22187-cortisolSIBO: https://my.clevelandclinic.org/health/diseases/21820-small-intestinal-bacterial-overgrowth-siboMCAS info: https://www.mastcellaction.org/Rationing in the NHS: https://www.bmj.com/content/394/bmj-2026-100765?__cf_chl_tk=uuJmA7dbhxE43HI9RQLpTvgHCLNftcClYbNGxOydJXA-1791977808-1.0.1.1-9e6v98b4Up72vzAkwWPVhO5SOqdZIHpORi8_LUdAFJABuying medication abroad - an example: https://www.discoverbkk.com/what-to-do-in-an-emergency/where-can-i-buy-medicine-in-bangkokOrigins and harms of consumer medicine: https://pmc.ncbi.nlm.nih.gov/articles/PMC9297484/
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241. P4 Medicine - the future of health and evidence based prevention
18:56||Season 1, Ep. 241In this episode I look at the concept of P4 Medicine: predictive, preventive, personalised and participatory and howit will change the way we look proactively at our health.Leroy Hood is seen as the thought leader of this model of medicine as a visionary doctor and scientist. I passionately believe in the concept if health systems can afford it.Links: Leroy Hood lecture: https://www.youtube.com/watch?v=sinVPvW_ikEP4 medicine a 2013 paper: https://pmc.ncbi.nlm.nih.gov/articles/PMC4204402/Alzheimer’s Disease modifiable risk factors: https://pubmed.ncbi.nlm.nih.gov/34101789/SCORE2 and QRISK3: https://www.gptools.org/2023/01/13/qrisk3-whats-has-changed/Predictive medicine articles in Nature: https://www.nature.com/subjects/predictive-medicineEvidence for health coaching: https://pmc.ncbi.nlm.nih.gov/articles/PMC11954133/THE HEALTH FIX: https://www.amazon.co.uk/Health-Fix-Dr-Ayan-Panja/dp/1914239326/
240. When Life Doesn’t Go To Plan - what we can do to navigate it
15:30||Season 1, Ep. 240Every week I meet people whose lives are changed by illness or events which make theirlife go in a direction they were not expecting. In this episode I look at what we can do toprepare for the unexpected.Links:The life of Mike Tetley MBE: https://www.bigredbook.info/mike_tetley.htmlAdjusting to long term conditions: https://pmc.ncbi.nlm.nih.gov/articles/PMC10237456/Eckhart Tolle - The Power of Now: https://eckharttolle.com/power-of-now-excerpt/Hedonic adaptation: https://www.youtube.com/watch?v=MJr-43grEzwAffective forecasting: https://www.psychologytoday.com/gb/basics/affective-forecasting
239. Workplace Wellbeing - getting it right isn’t always easy
16:40||Season 1, Ep. 239It means different things to different people and in this episode I look at what makes for good workplace wellbeing.Links: Wellbeing at work: https://pmc.ncbi.nlm.nih.gov/articles/PMC12579173/#section8-11786329251387227Belonging at work: https://www.forbes.com/sites/biancabarratt/2024/02/27/why-feeling-a-sense-of-belonging-at-work-matters-and-how-to-cultivate-it/Psychological safety: https://www.mckinsey.com/featured-insights/mckinsey-explainers/what-is-psychological-safetyMaking mistakes at work: https://uk.indeed.com/career-advice/career-development/making-mistakes-at-workHybrid working: https://www.circles.com/resources/blurred-work-life-balance-why-hybrid-employees-struggle-to-switch-off
238. Medicine in 2100 - the end of disease?
15:21||Season 1, Ep. 238In this episode I look t the possibility that most disease might be curable by 2100.It sounds great but there are multiple knock on effects from this possible reality. Yamanaka factors: https://iscrm.uw.edu/what-is-cell-reprogramming/Stem cells: https://www.mayoclinic.org/tests-procedures/bone-marrow-transplant/in-depth/stem-cells/art-20048117Predictive medicine: https://www.sciencedirect.com/science/article/pii/S2590098625000223Population growth: https://ourworldindata.org/population-growth
237. 10 Lifestyle Medicine Hacks - evidence-based medicine vs biohacking and their common ground.
22:38||Season 1, Ep. 237They are often at loggerheads but in this episode I discuss how lifestyle medicine encapsulateselements of both and how we can incorporate them into everyday life.Links to studiesWalking after meals: https://pubmed.ncbi.nlm.nih.gov/36715875/Interrupting sitting for long periods: https://pubmed.ncbi.nlm.nih.gov/42070794/Resistance training and weights: https://pubmed.ncbi.nlm.nih.gov/35599175/Sleep regularity: https://pubmed.ncbi.nlm.nih.gov/41259946/Timing and eating: https://pubmed.ncbi.nlm.nih.gov/41586347/Benefits of the great outdoors: https://pubmed.ncbi.nlm.nih.gov/29982151/Breathing: https://pubmed.ncbi.nlm.nih.gov/35623448/Saunas: https://pubmed.ncbi.nlm.nih.gov/30077204/Cold exposure and wellbeing: https://pmc.ncbi.nlm.nih.gov/articles/PMC11778651/Learning something new: https://pubmed.ncbi.nlm.nih.gov/31020777/
236. Who To Trust With Your Health - Influencers, Dr Google, a doctor or AI?
21:50||Season 1, Ep. 236This is such an important issue for us in the modern world. Where to seek health and medical advice is broader than ever these days and it’s important to know how to filter. Links:Cyberchondria: https://pubmed.ncbi.nlm.nih.gov/30419526/Use of online search tools: https://bmjopen.bmj.com/content/9/8/e027743WHO regulation for AI: https://www.who.int/news/item/19-10-2023-who-outlines-considerations-for-regulation-of-artificial-intelligence-for-healthA day in the life of a GP: https://www.mirror.co.uk/news/health/nhs-gp-doctors-surgery-appointments-37597121