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A weekly look at the health news that matters to you. Dr. Brian Goldman brings you the best science from top experts in plain language. He cuts through the BS and confusion to give you a dose of smart advice that you won’t find anywhere else. New episodes every Thursday.

The Dose

A U.S. federal vaccine advisory panel has voted to drop its long-standing recommendation for universal hepatitis B vaccination at birth. In Canada, most infants don’t receive the vaccine until two months of age, with some exceptions. It can all be a bit confusing. So Dr. Lynora Saxinger, an infectious diseases specialist at the University of Alberta Hospital, explains what Canadians should know about when to get vaccinated for hepatitis B.

When should infants (and other people) get vaccinated for hepatitis B?

Researchers say a shingles vaccine could slow the progression of dementia and lower the risk of dying from it. Earlier this year, they produced the strongest evidence yet that the vaccine might reduce the risk of getting dementia in the first place. Dr. Nathan Stall, a clinician scientist and geriatrics lead at Sinai Health explains why shingles may be linked to cognitive decline and how a shingles vaccine could help.

What does the evidence tell us about the shingles vaccine and dementia?

A new variant of H3N2 may mean a more severe flu season in Canada, and this year's flu vaccine may not be quite as effective against it. Dr. Stephanie Smith, an infectious diseases specialist at the University of Alberta Hospital, explains what you should watch for this flu season, why you should still get vaccinated, and how else you can protect yourself.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

What’s the latest on this year’s flu season?

Canadians are some of the biggest users of antidepressants in the world, yet many people taking them aren’t sure when, or whether, they can safely stop. Dr. Ishrat Husain, head of the Mood Disorders Service at the Centre for Addiction and Mental Health, explains how long antidepressants should be used, how to taper safely, and what patients need to know before making a change. 

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

How long should I stay on antidepressants?

With roughly five billion people flying each year, in-flight medical emergencies happen more often than you’d think. One recent study found they occur about once every 212 flights. Dr. Vincent Poirier is an emergency physician and a senior medical advisor for Air Canada and Air Transat. He explains the most common medical incidents, how airlines handle them, and what passengers should know.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

What do I need to know about in-flight medical emergencies?

E-scooter injuries are on the rise in Canada, including in children. According to the Canadian Institute for Health Information, between 2022 and 2024, hospitalizations involving e-scooters for kids between five and 17 years old increased by 61 per cent. And growing research is examining e-scooter injuries. Dr. Daniel Rosenfield, a pediatric emergency physician at SickKids, says no one under the age of 16 should ride an e-scooter.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

What should parents know about e-scooter injuries in children?

A new Health Canada-approved drug called lecanemab has been shown to slow early-stage Alzheimer's disease. Neurologist Dr. Sharon Cohen, who participated in phase three trials for the drug, explains why lecanemab is such a big deal.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

What is lecanemab and how does it slow down Alzheimer's disease?

Most Canadians reset their clocks twice a year. We spring forward, fall back and experts say that messes with our body's internal clocks. Rébecca Robillard, University of Ottawa associate professor and co-chair of the Canadian Sleep Research Consortium, says we should abolish Daylight Saving Time, in order to protect our sleep and overall health.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

Fill out our listener survey here. We appreciate your input!

Why does the time change mess with my sleep, and what can I do about it?

An estimated one third of Canadian adults are obese, and ultra-processed foods are a major culprit. Leading nutrition scientist Kevin Hall recently co-wrote a new book on how foods nourish and harm us. He says understanding what's in our food is essential for our health, and that not all ultra-processed foods are bad.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

Fill out our listener survey here. We appreciate your input!

What's the harm in eating ultra-processed foods and what can I do about it?

Some wellness clinics in Canada are promoting IV vitamin and hydration therapy as a way to ease hangovers, migraines, and even prevent illness and inflammation. But Bernie Garrett, UBC associate professor and author of a book on deceptive health care, says there’s little evidence these treatments actually work.

For transcripts of The Dose, please visit: lnk.to/dose-transcripts. Transcripts of each episode will be made available by the next workday. For more episodes of this podcast, click this link.

Fill out our listener survey here. We appreciate your input!

What do I need to know about IV hydration and vitamin therapy?

There’s been a lot of talk about gyms lately. A COVID-19 outbreak that infected dozens of people was recently tracked back to a fitness studio in Hamilton, Ont., even though the operators had taken precautions. At the same time, several gym owners in COVID hot spots argue that not all fitness facilities pose the same risk. Plus, we know exercise is key to physical and mental health during these stressful times. Infectious disease specialist Dr. Zain Chagla explains how we can reduce our risk and stay well.

Ep. 31 The Dose - Is it safe to go to my gym or exercise class?

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