In this episode of The Smartest Doctor in the Room, Dr. Dean Mitchell sits down with headache specialist Dr. Robert Kaniecki from the University of Pittsburgh Medical School to break down everything you need to know about chronic headaches and migraines. Together they explore the different types of headaches, how to properly evaluate and diagnose them, and the latest treatments - from classic medications to cutting-edge options like CGRP inhibitors and Botox therapy. They also discuss common triggers such as stress, sleep, diet, and screen time, and when imaging tests like MRIs are actually necessary. Whether you experience tension headaches or debilitating migraines, this conversation offers clear, practical guidance for understanding symptoms, avoiding medication overuse, and finding real relief.
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In this episode of The Smartest Doctor in the Room, Dr. Dean Mitchell sits down with headache specialist Dr. Robert Kaniecki from the University of Pittsburgh Medical School to break down everything you need to know about chronic headaches and migraines. Together they explore the different types of headaches, how to properly evaluate and diagnose them, and the latest treatments - from classic medications to cutting-edge options like CGRP inhibitors and Botox therapy. They also discuss common triggers such as stress, sleep, diet, and screen time, and when imaging tests like MRIs are actually necessary. Whether you experience tension headaches or debilitating migraines, this conversation offers clear, practical guidance for understanding symptoms, avoiding medication overuse, and finding real relief.
Ep. 196 - The Real Cause of Autism - It Will Shock You
The Smartest Doctor in the Room
53 minutes
2 weeks ago
Ep. 196 - The Real Cause of Autism - It Will Shock You
In this wide ranging conversation, Dr. Dean Mitchell sits down with Professor Edward Quadros of SUNY Downstate to explore the critical roles of folate vitamin B9 and vitamin B12 in brain development and lifelong health. We unpack why some children show low cerebrospinal fluid folate despite a normal diet, how autoantibodies to the folate receptor can block folate from reaching the brain, and what the folate receptor antibody test FRAT reveals. Professor Quadros explains the research behind folinic acid leucovorin as a folate enhancer, what clinical studies show in children on the spectrum, and why earlier treatment tends to yield better outcomes. We also look at prenatal folate fortification, the potential value of screening parents, the milk and autoimmunity connection in susceptible kids, and clear up myths around the common MTHFR polymorphism. Finally, we connect B12 status, homocysteine, and the different B12 forms used in practice. If you care about evidence based insights on autism research, neurodevelopment, and smart supplementation, this episode is a must listen.
The Smartest Doctor in the Room
In this episode of The Smartest Doctor in the Room, Dr. Dean Mitchell sits down with headache specialist Dr. Robert Kaniecki from the University of Pittsburgh Medical School to break down everything you need to know about chronic headaches and migraines. Together they explore the different types of headaches, how to properly evaluate and diagnose them, and the latest treatments - from classic medications to cutting-edge options like CGRP inhibitors and Botox therapy. They also discuss common triggers such as stress, sleep, diet, and screen time, and when imaging tests like MRIs are actually necessary. Whether you experience tension headaches or debilitating migraines, this conversation offers clear, practical guidance for understanding symptoms, avoiding medication overuse, and finding real relief.
