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The Curbsiders Internal Medicine Podcast

#520: Healthspan Medicine, A Practical Approach

The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

Education, Health & Fitness, Higher Education, Medicine, Science

4.83.3K Ratings

🗓️ 6 April 2026

⏱️ 80 minutes

🧾️ Download transcript

Summary

How do we help patients improve health span without letting wearables, biomarkers, and wellness trends take over the conversation? Learn how to think about CGMs in patients without diabetes, how to interpret early cardiometabolic risk beyond the A1c, how to prescribe exercise in a practical way, and how to counsel patients about sleep, wearables, and even peptides. We’re joined by Dr. Sandeep Palakadedi (Dr. “Deep”), founder and CEO of Velocity Health and author of The Ultimate Asset.

Claim CME for this episode at curbsiders.vcuhealth.org!

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Show Segments

  • Intro
  • CGMs, Postprandial Glucose, and Data Neurosis
  • Beyond Glucose: ApoB, Lp(a), and Early Cardiometabolic Risk
  • Body Composition, VO2 Max, and Functional Longevity
  • Sleep, HRV, and Wearables
  • Prescribing Exercise in Real Life
  • How to Talk to Patients About Peptides
  • Take-Home Points


Credits

Written and produced by Paul Wurtz MD. Show notes, cover art, and infographic also created by Paul Wurtz MD.

  • Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP   
  • Reviewer: Sai S Achi MD, MBA, FACP
  • Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
  • Technical Production: PodPaste
  • Guest: Sandeep Palakodeti MD, MPH


Disclosures

Dr. Palakodeti reports no relevant financial disclosures. The Curbsiders report no relevant financial disclosures. 

Sponsor: MINT MOBILE

Shop plans at MINTMOBILE.com/CURB.

Sponsor: FIGS

We’ve teamed up with FIGS, and now Curbsiders listeners can get 15% off. Just go to WearFIGS.com and use code FIGSRX. 

Sponsor: Continuing Education Company

For Curbsiders listeners, there’s a special offer: use promo code Curb30 for 30% off all online courses and webcasts. Visit CMEmeeting.org/curbsiders to learn more.  

Transcript

Click on a timestamp to play from that location

0:00.0

It's 2026 and we're about to have our three-year anniversary of our Patreon at patreon.com

0:05.9

slash curbsiders. So to celebrate, we're offering the first 1,000 members who sign up free

0:11.6

house officer privileges for one month. That lets you get access to 70 plus bonus episodes

0:17.6

where Paul and I recap high-y, answer listener questions, and give our

0:22.3

picks of the week. It's a lot of fun, so check us out at patreon.com slash curbsiders, or you can

0:28.5

click the link in the episode description to sign up.

0:33.7

So Paul, we were eating dinner tonight, and my daughter said to me, your glass is empty.

0:39.4

Would you like another one?

0:43.6

You know, like what am I going to do with two glasses?

0:45.5

Or I don't know.

0:46.2

Yeah, exactly, Paul.

0:47.1

What am I going to do with two empty glasses?

0:48.7

It was a dumb question.

0:51.6

I sent her to her room.

0:56.4

The Kersiders podcast is for entertainment, education, and information purposes only, and the topics

0:59.6

discuss should not be used solely to diagnose, treat, cure, or prevent any diseases

1:02.1

or conditions.

1:02.7

For the more of the views and statements expressed on this podcast are solely those of the host,

1:04.8

and should not be interpreted to reflect official policy or position of any entity, aside from possibly,

1:07.5

cash like moral hospital and affiliate outreach programs.

1:09.1

If indeed, there are any, In fact, there are none. Pretty much, we aren't responsible if you screw up. You should always do your own homework and let us know when we're wrong. Welcome back to the curbsiders. I'm Dr. Matthew Frank Wado, here with my great friend in America's primary care physician, Dr. Paul Nelson Williams.

1:28.9

Hey, Paul.

...

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