Dr. Aly Cohen

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699 appearances 2 recordings 2 series first heard Apr 2025 last heard May 2025

Dr. Aly Cohen’s voice in public audio — every appearance, attributed to the second.

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Und wenn ich über die Umgebung spreche, sage ich, dass das eine der wichtigen Dinge ist, die wir aufnehmen müssen, weil wir nicht warten können, um andere Menschen zu regulieren. Wir können das Problem nicht geben und wir können das wirklich für uns selbst tun. Wir können das durch Reduktion von Auslösungen, durch sinnvolle Methoden tun.
Und dann können wir auch das auslösen, um unsere Krankheitsrisiken zu reduzieren. Also, du weißt, es ist etwas, das wir behandeln können.
I know during my residency training, the environment was a very small, if at all, covered topic. Maybe pollution, asthma, something very surface level. Perhaps in an autoimmune-focused residency, you have more education on that. But I'm curious, where did you end up getting all of your information, your data? How did you start compiling all of this?
Yeah, well, unfortunately, even today, 2025, we're not getting any of this education. I wish my residency did have that information or even my fellowship, which focused obviously on the immune system as a rheumatologist.
So my loading up of data and information and asking the right questions really started 15 years ago, when I was really quite surprised that I didn't know this material, because I was researching why my dog was sick. That's really the start of my whole career in environmental health.
Und er selbst hatte sich an einer jungen Zeit mit keinem Familienhistoriker und einem vierundhalbjährigen Golden Retriever verletzt. Ich denke, was passiert, ist, dass man manchmal von einer schlechten Situation getroffen wird. Es schlägt dir in dein Herz, deine Kischkes, so zu sprechen, und du verwendest viel Zeit, um die Wissenschaft herauszufinden, um einen Grund und einen Effekt zu erstellen.
But the cause and effect is not always direct. And I started following the papers that were available even 15 years ago. People like my co-author Fred Vomsal, who was largely responsible for having BPA removed from plastic baby bottles in 2012. And I started looking at all the research and reaching out to the authors and really trying to figure out if this was true.
Because again, when you're trained in medical school and medical training, you believe that is it. You believe there's nothing else that can affect your opinions about how you go through life and how you make choices and what disease risks we can avoid. So it was kind of relearning. Not relearning, because I believe in science. Obviously I treat with medications and
I really walk a fine line between just learning both sides of the stories and things that were just left out and still are in medical training.
When you say both sides of the stories, which both sides?
Well, both sides of the stories, meaning when doctors, and this is happening now, roll their eyes when patients go to see them and say, hey, doctor, what can I eat that might help make my flares and lupus and rheumatoid arthritis reduced? Or why did I get this disease? What can I do about exercise? And does that make a difference? Or if I go gluten free, is there a benefit to it?
Or, you know, there's just a million questions that I think patients are now asking. They're getting smarter, they're getting sicker, but they're getting smarter. They're getting more inquisitive. And a lot of, unfortunately, I think the medical institution, not the doctor's fault, the training fault. You know, I look at the system as the place to fix it.
I'm always looking at the system approach, um, And that's really walking the fine line is really trying to measure as much science into the equation and using medications when I'm thoughtful and judicious about them. But really incorporating lifestyle and diet and again chemical reduction as a really great starting point because we know that has such an effect. Why can't we integrate all of that?
all aspects of human health and lifestyle into our teaching to patients.
I'm curious on your side, Dr. Love, from a research perspective, has this epidemiological shift been noticeable for you in terms of people having higher levels of autoimmune conditions? What have you seen on the lab side and what has been the cause that you guys suspect that is behind this uptick?
Was schafft diesen Schiff? Von dem, dass es eine benannte Substanz ist, bis jetzt, dass man es als einen hostilen Verbrecher behandelt?
Like chickenpox and shingles is it?
Yeah, for me, when I have a patient coming in with Symptome von dem, was ich mir vorstelle, eine Rheumatologische Krankheit zu sein, eine Autoimmun-Krankheit. Ich mache fast das gleiche jedes Mal. Ich bestelle Inflammator-Marker, ich bestelle doppelte DNA-Testungen und bekomme sie in eine Rheumatologie-Konseln.
Also in einer solchen Situation, haben Sie eine höhere Diagnose-Rate für eine dieser oder all diese immunologischen Krankheiten gesehen, weil sich einige Kriterien verändert haben, oder ist das stabil geworden?
So what we're seeing more and more is that you don't always have to fit the criteria for a standard western medicine-diagnosed disease, of course. In other words, there's a lot of people that come into my office Es gibt verschiedene Symptome. Sie befinden sich nicht immer bei allen Kriterien für Rheumatoide. Sie befinden sich nicht bei allen Kriterien für Lupus.
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