#520: Healthspan Medicine, A Practical Approach

#520: Healthspan Medicine, A Practical Approach

Author: The Curbsiders Internal Medicine Podcast April 6, 2026 Duration: 1:19:36

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!

Patreon | Episodes | Subscribe | Spotify | YouTube | Newsletter | Contact | Swag! | CME


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.  


Tune in to The Curbsiders Internal Medicine Podcast for a direct line to practical clinical knowledge and the ever-evolving art of patient care. This isn't a dry lecture series; it's a dynamic conversation among practicing physicians who break down complex topics into actionable insights you can use. Each episode delves into the nuances of internal medicine, from managing common chronic conditions to interpreting the latest guidelines and navigating diagnostic dilemmas. You'll hear honest discussions about challenges at the bedside, evidence-based debates, and expert interviews that go beyond textbook summaries to reveal how medicine works in the real world. The podcast serves as both a continuing education resource and a professional companion, offering thoughtful analysis and clinical pearls that resonate whether you're a seasoned hospitalist, a resident in training, or a primary care provider. The focus is consistently on deepening understanding and improving daily practice, making the rounds or the clinic day feel a little less daunting and a lot more informed. Listen for a blend of curiosity, camaraderie, and a genuine commitment to mastering the craft of medicine, all delivered through engaging dialogue that feels like consulting with a trusted colleague.
Author: Language: English Episodes: 100

The Curbsiders Internal Medicine Podcast
Podcast Episodes
UNLOCKED #43 Exclusive! HFrEF (TFTC audio) [not-audio_url] [/not-audio_url]

Duration: 30:37
Join us at patreon.com/curbsiders today and save 20% on NEW Annual Memberships with promo code: UNLOCKED. *This offer expires at 3am EST on May 15, 2025. Matt and Paul recap top pearls from a recent episode on heart fail…
#482 Recap from SHM #Converge25 [not-audio_url] [/not-audio_url]

Duration: 1:29:15
Highlights and Pearls from SHM’s Annual MeetingWe recap the top pearls for the hospitalist from #SHM #Converge25 hitting updates in GI, stroke, anticoagulation, perioperative medicine, artificial intelligence, and more.…
#481 Prediabetes and Diabetes Prevention with Dr. Scott Isaacs [not-audio_url] [/not-audio_url]

Duration: 1:33:25
Conquer prediabetes and diabetes prevention! We’re joined by Dr. Scott Isaacs, who provides essential pearls on navigating screening tests for diabetes and prediabetes, identifying atypical cases of prediabetes, and indi…
#480 Hypermobility with Dr. Linda Bluestein [not-audio_url] [/not-audio_url]

Duration: 1:24:11
Don’t bend the knee to hypermobility! Learn how to evaluate patients for possible joint hypermobility, what associated conditions to be mindful of, and where to start with management. We’re joined by Dr. Linda Bluestein,…
#479 Managing Treatment-Resistant Depression featuring Dr. Jessi Gold [not-audio_url] [/not-audio_url]

Duration: 1:34:04
Lead the way in depression management! We’re joined by Dr. Jessi Gold, a psychiatrist and mental health advocate, who provides essential pearls on ways to recognize the multifaceted nature of depression and similarly pre…
#478 Dementia 2.0 with Anna Chodos [not-audio_url] [/not-audio_url]

Duration: 1:30:06
Updates in classification, evaluation, and treatmentBecome dexterous with dementia management! We’re talking with Dr. Anna Chodos about cognitive domains, diagnostic criteria, patient and caregiver resources, new antibod…