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BackTable Urology

Ep. 230 Gut Instincts: GI Fundamentals for Urology Providers Who Want to Elevate Care with Dr. Michelle Pearlman

29 Apr 2025

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Can a basic understanding of gastroenterology make you a better urologist? In this episode of BackTable Urology, Dr. Amy Pearlman is joined by gastroenterologist (and twin sister) Dr. Michelle Pearlman to discuss nutrition, exercise, and the interplay of common gastrointestinal and urinary conditions. --- SYNPOSIS The discussion begins with an emphasis on the significance of dietary fiber and protein in promoting digestive health, highlighting their role in preventing common gastrointestinal issues. Dr. Michelle then covers GLP-1 agonist medications like Ozempic and Wegovy, delving into their effects on weight management and outlining potential side effects that are relevant across both gastroenterology and urology. Throughout the conversation, the sisters examine the interrelated nature of gastrointestinal and urinary conditions, emphasizing how thoughtful nutritional choices and regular exercise can support overall patient health. They also advocate for proactive management of constipation, especially after surgery. The episode concludes with practical resources that physicians can integrate into their practice to enhance patient care. --- TIMESTAMPS 00:00 - Introduction05:14 - GLP-1 Agonist Overview10:55 - Muscle Mass and Sarcopenia14:14 - Preventing Frailty: Hormones, Nutrition, and Exercise21:23 - High-Quality Protein Options24:42 - Inflammation, Gut Health, and Cancer Risk34:34 - Post-Surgery Nutrition and Recovery42:25 - Final Thoughts --- RESOURCES Prime Institute Miami:https://www.primeinstitute.us/

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