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PODCAST

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. Hosted on Acast. See acast.com/privacy for more information.

health & fitness medicine

All Episodes

15:14

Polycystic Ovary Syndrome (PCOS)

Saving Lives In Slow Motion ·

2025/08/21

PCOS is a growing global issue.Its prevalence has increased in recent years and the reasons behind it are complex.In this episode I look at its roots, causes and impact plus what we can do about it in terms of lifestyle and treatments.Links:Depression and PCOS:https://pmc.ncbi.nlm.nih.gov/articles/PMC10607337/LH (luteinziing hormone):https://my.clevelandclinic.org/health/body/22255-luteinizing-hormoneLH:FSH ratio in

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15:42

Metabolic Health - what it is and why it is so important

Saving Lives In Slow Motion ·

2025/08/14

In this episode I look at metabolic health which is one of the most important aspects of our long term health. I look at the mechanisms and measures of metabolic health and what we can do to improve ours.Continuous Glucose Monitoring:https://my.clevelandclinic.org/health/articles/continuous-glucose-monitoring-cgmHba1c:https://www.diabetes.org.uk/about-diabetes/looking-after-diabetes/hba1c#American metabolic health stats:https://www.liebertpub.com/doi/10.1089/met.2018.0105High fructose corn

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14:53

5 top tips for gut health (and they’re not what you...

Saving Lives In Slow Motion ·

2025/08/07

In this episode I cover my own personal tips from the view point of a GP and lifestyle medicine doctor. Gut symptoms Around 86% of us in the UK have experienced gut symptoms at some point. My tips are simple, for everyone and hopefully make sense.Parasympathetic drive for digestion:https://www.livescience.com/parasympathetic-nervous-system-rest-and-digestDigestive enzymes:https://www.webmd.com/diet/what-are-digestive-enzymesBlue Zones eating

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14:43

Inflammation - the ‘fire’ within that leads to...

Saving Lives In Slow Motion ·

2025/07/31

Chronic inflammation is a key process which is linked to almost all non-communicable disease. In this episode I look at how it arises and why it is so harmful.Links:Age-related end glycation products:https://www.healthline.com/nutrition/advanced-glycation-end-products#what-they-are'Leaky gut’ syndrome:https://pmc.ncbi.nlm.nih.gov/articles/PMC8305009/Depression as an inflammatory condition:https://www.sciencedirect.com/science/article/pii/S1043661824002676Probitoics after

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16:18

Psychiatry and Surgery - essential specialties which...

Saving Lives In Slow Motion ·

2025/07/24

What do surgery and psychiatry have in common?They are both demanding specialties, occasionally of last resort, that save lives acutely and help people back to better health.LinksAntipsychotic drug discovery:https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2022.903156/fullPyrrole Disorder:https://www.healthline.com/health/pyrrole-disorder#diagnosisRationing in the NHS:https://www.kingsfund.org.uk/insight-and-analysis/blogs/nhs-rationing-under-the-radarAn example of risks vs

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15:44

The Vagus Nerve - what’s all the fuss about and could...

Saving Lives In Slow Motion ·

2025/07/17

There are so many posts, papers and publications about the vagus nerve.In this episode I look at why it’s so popular and whether it really can be a key to future treatments with advances vagus nerve stimulation.Links:Quick overview:https://www.mayoclinic.org/tests-procedures/vagus-nerve-stimulation/about/pac-20384565Polyvagal Theory:https://www.polyvagalinstitute.org/whatispolyvagaltheoryThe Great Nerve:https://www.amazon.co.uk/Great-Nerve-Science-Harness-Reflexes/dp/059371699XResearch on the vagus

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16:02

Curious cases and mystery symptoms - a swollen knee,...

Saving Lives In Slow Motion ·

2025/07/10

Medicine is an inexact science. My patients who are engineers find it frustrating that there is so much conjecture and educated guess work in medicine. But this episode highlights why diagnoses can take time. It’s a mix of detective work, bias and listening to the patient story.Links:Chilblains:https://www.mayoclinic.org/diseases-conditions/chilblains/diagnosis-treatment/drc-20351103STI and painful knee:https://www.medicalnewstoday.com/articles/gonococcal-arthritisCarpal tunnel

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18:02

Collapses, faints, fits and dizziness - a quick 101

Saving Lives In Slow Motion ·

2025/07/03

Not a week goes by in practice where I don’t see a patient who hasn’t collapsed or had a dizzy spell.There are so many reasons for this, some preventable, some not. I look at some of the syndromes that lead to these issues.Links:Fainting:https://www.healthline.com/health/fainting#causesPseudoseizures (non-eplieptic seizures):https://my.clevelandclinic.org/health/diseases/24517-psychogenic-nonepileptic-seizure-pnesAbsence

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17:00

Why am so tired all the time? Some causes and solutions

Saving Lives In Slow Motion ·

2025/06/26

5-15% of GP consultations are linked to tiredness.And the number is growing.In this episode I look at common and rarer reasons for tiredness.Hydration - if you’re feeling thirsty you’re partly dehydrated:https://www.nhsinform.scot/illnesses-and-conditions/nutritional/dehydration/Sleep apnoea:https://www.mayoclinic.org/diseases-conditions/sleep-apnea/symptoms-causes/syc-20377631Breathing to help some root causes of

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15:47

Teenage and Adolescent Health - can we avert a...

Saving Lives In Slow Motion ·

2025/06/19

Teenage and adolescent health offers us a glimpse into the future health of the world.The Lancet Commission wrote a report in 2016 and have recently written a follow up which paints a slightly concerning picture.In this episode I look at health in this group of people, the challenges they face and what, if anything, can be done about it.Links:The Lancet Commission report summary:https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00863-3/fulltextBarriers to healthcare for

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16:05

HEALTHY HABITS - 1925 vs 2025: same but different

Saving Lives In Slow Motion ·

2025/06/12

In this episode I look at our health compared to 100 years ago.I was pleasantly surprised at some similarities having stumbled across something online but then also appreciate that we live in a different world now.Links:Donald Moore’s health habits in 1925:https://archive.org/details/health.habits.moore.1925/page/n1/mode/2upAdventist health:https://www.bluezones.com/explorations/loma-linda-california/Health in the

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15:14

Assisted Dying - what it is, what it's not and why...

Saving Lives In Slow Motion ·

2025/06/05

In the UK, there is much discussion around assisted dying with a bill that is being voted on in government at the moment.In this episode I look at the ethics around it and what it might mean on an individual and societal level.Palliative Care: https://www.nhs.uk/tests-and-treatments/end-of-life-care/what-it-involves-and-when-it-starts/Dr Florian Willett’s death:https://www.independent.co.uk/news/world/europe/suicide-pod-activist-euthanasia-sarco-b2762514.htmlLocked-in

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17:05

Fasting - how it works and what you need to know if...

Saving Lives In Slow Motion ·

2025/05/29

Fasting is a hot but contentious topic.It has been practised for thousands of years and is nowpurported to be a way of tackling or preventing certain metabolic diseases.In this episode I look at the pros, cons and mechanisms of fasting.Links:Historical perspectives of fasting:https://pmc.ncbi.nlm.nih.gov/articles/PMC8838777/Time restricted feeding in mice:https://pmc.ncbi.nlm.nih.gov/articles/PMC3491655/5:2 diet summary:https://www.healthline.com/nutrition/the-5-2-diet-guideProlonged

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16:38

Health fads and trends - cold plunges, IR saunas,...

Saving Lives In Slow Motion ·

2025/05/22

Every week or so you will see and article about one or more of these topics.Maybe you have tried them or do them regularly. In the episode I look at the science and thinking behind them all.Links:Cold water exposure - a paper:https://pmc.ncbi.nlm.nih.gov/articles/PMC9518606/Vagus nerve stimulation:https://my.clevelandclinic.org/health/treatments/17598-vagus-nerve-stimulationHyperbaric oxygen:https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/hyperbaric-oxygen-therapySaunas and

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16:21

Prescribing Lifestyle Medicine - an evolution, from...

Saving Lives In Slow Motion ·

2025/05/15

Prescribing Lifestyle Medicine is a course I run with Dr Rangan Chatterjee that has been going for 8 years now.It was the first course of its kind in the UK and in this episode I look at a recap of our recent conference, what has changed in lifestyle medicine over the years and the latest science.Links:Dr Emily Leeming:https://www.emilyleeming.com/Dr Rob Lustig:https://robertlustig.com/Dr Kiran Sodha:https://www.drsodha.co.uk/Dr Nathaniel Roocroft’s

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15:10

Ayurvedic Medicine - ahead of it’s time?

Saving Lives In Slow Motion ·

2025/05/08

Ayurvedic Medicine is thousands of years old. It has a systems based approach which can be personalised and its methods are based on careful observation and the interconnectedness of human beings and our relation to our environment.There has also been caution around some treatments which can cause harm which I cover in this episode.A quick summary of Ayurvedic Medicine:https://www.nccih.nih.gov/health/ayurvedic-medicine-in-depthThe

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19:11

Inner child work - an intrinsic part of true wellbeing

Saving Lives In Slow Motion ·

2025/05/01

It’s easy to race through life without thinking that we need to do some inner work on ourselves but more often than not it catches up with us at some point.In this episode I look at why it’s important and go through a basic inner child exercise to get you started.Links:A beginner’s guide to inner child work:https://www.healthline.com/health/mental-health/inner-child-healing#listenSome books which covers this and a lot more:How to do the work by Nicole

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16:09

5 signs of hidden illnesses you need to know

Saving Lives In Slow Motion ·

2025/04/24

Symptoms are often hard to interpret with the amount of data and tools that are out there these days. In this episode I look at innocuous symptoms that can creep up on us over a long time but could be harbinger of an underlying condition.COMT genes:https://www.psychologytoday.com/gb/blog/click-here-for-happiness/202001/what-is-the-comt-gene-and-how-does-it-affect-your-healthRaynaud’s Phenomenon: https://www.hopkinsmedicine.org/health/conditions-and-diseases/raynauds-phenomenonFungal

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15:22

Work-life balance - the ultimate hot topic and how to...

Saving Lives In Slow Motion ·

2025/04/17

There isn’t a week that I don’t hear the phrase ‘work-life balance’.In this episode I look at what it means, how it has changed over the years and what we can do to try to get it right.What is work-life balance?:https://www.forbes.com/sites/maurathomas/2022/07/26/what-does-work-life-balance-even-mean/Severance:https://www.imdb.com/title/tt11280740/Womens Liberation and WLB:https://pmc.ncbi.nlm.nih.gov/articles/PMC4079063/#:The Great

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15:07

Your questions answered! - DNA analyses, bad habits,...

Saving Lives In Slow Motion ·

2025/04/10

In this episode I have saved up questions from the last 6 months and decided to tackle them head on.From whether you should get a DNA analysis to why some people think fibre is bad for you - it’s in this ep!DNA analyses - a view pointhttps://www.theguardian.com/science/2017/jul/23/what-i-learned-from-home-dna-test-kits-are-they-accurate-or-worthwhileSNPs:https://medlineplus.gov/genetics/understanding/genomicresearch/snp/Genetic screening via health

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