After Hours Clinic: The BetterLife Podcast

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious examine the rapid growth of wellness-focused telehealth companies and the promises driving the modern health optimization movement. They discuss the rise of online services offering hormones, peptides, supplements, ADHD treatments, and longevity programs, while sharing firsthand experiences evaluating some of the industry&#...

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious examine new research published in JAMA on the HPV vaccine and its association with reduced cancer risk in males. The discussion breaks down how the human papillomavirus contributes to cervical, head and neck, esophageal, anal, and penile cancers, and why vaccination recommendations expanded from girls to boys over the past...

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious examine two controversial and rapidly evolving topics in modern medicine: rapamycin and vaccine skepticism. Dr. Janarious breaks down the science behind rapamycin, a low-cost transplant medication now being studied for its potential role in longevity, muscle preservation, and ovarian aging. They analyze recent clinical tria...

In this episode of After Hours Clinic, Dr. David Janarious and Andrew Lane break down a troubling trend highlighted in a recent Atlantic article: patients stuck in emergency rooms for days while awaiting proper hospital admission. They examine how financial incentives, staffing shortages, and system strain have reshaped emergency care, often leaving patients with suboptimal treatment at high cost....

In this episode of After Hours Clinic, Dr. David Janarious and Andrew Lane examine the growing tension between medical science and modern wellness trends. They unpack the realities behind rising prescription drug costs and why meaningful reform remains unlikely. The conversation then shifts to peptides, clarifying what they are, where they can be useful, and why much of the hype may be misplaced....

In this bonus episode of After Hours Clinic, Dr. David Janarious breaks down a simple but underutilized blood test that can provide meaningful insight into alcohol consumption. He explains how the phosphatidyl ethanol (PEth) test works, why traditional screening methods often fall short, and how this inexpensive tool can drive real behavioral change. The conversation examines the broader cultural...

In this episode of After Hours Clinic, Dr. David Janarious and Andrew Lane are joined by licensed therapist Elle Miller, who specializes in trauma and PTSD among first responders and medical professionals. Elle shares her journey into mental health care, working with high-stress populations and addressing the stigma that prevents many from seeking help. The conversation explores how PTSD is diagno...

In this episode of After Hours Clinic, Dr. David Janarius and Andrew Lane review Surrounded by Narcissists by Thomas Erikson, examining the rise of narcissistic traits in modern culture. They discuss what defines narcissistic personality disorder versus everyday narcissism, and why labeling others can be misleading and even harmful. The conversation critiques the book’s lack of scientific groundin...

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious revisit the concept of free-range parenting, inspired by  The Coddling of the American Mind . Andrew shares a real-life story of neighborhood conflict sparked by kids playing unsupervised, leading to discussions around risk, independence, and community dynamics. The conversation explores how overprotective parenting may lim...

In this episode of After Hours Clinic, Dr. David Janarious and Andrew Lane examine the parenting insights from Dopamine Kids by Michaeleen Doucleff. They discuss how modern environments—filled with screens and processed foods—shape behavior through dopamine-driven habits. The conversation covers the distinction between motivation and reward, the impact of screen time on children’s self-regulation,...

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious examine a timely question at the intersection of longevity, fitness, and alcohol use. Using a recent population study from Norway as a springboard, they analyze whether cardiovascular fitness can lessen the mortality risks associated with alcohol consumption. The conversation addresses how alcohol is often underreported in...

In this episode of After Hours Clinic, Andrew Lane sits down with Dr. David Janarious to examine what happens when trusted figures in health and longevity face public scrutiny. Using recent revelations involving Peter Attia as a starting point, Andrew and Dr. Janarious explore how medical influencers gain authority, why people elevate them to hero status, and the risks of conflating personal condu...

In this episode, Dr. David examines acarbose, a long-standing diabetes medication that has recently gained attention for its potential role in longevity and cardiovascular prevention. He breaks down how acarbose works as an alpha-glucosidase inhibitor, why it has historically been underused in clinical practice, and what renewed interest has emerged from animal longevity research. Dr. Day reviews...

In this episode of After Hours Clinic, Andrew Lane and Dr. David Janarious unpack the renewed uncertainty surrounding telehealth as shifting federal rules trigger confusion for providers, insurers, and patients. They explore why telehealth expanded, why it remains essential, and how short-term policy decisions create unnecessary disruption. The conversation then shifts to the growing wave of misin...

In this episode of Better Life, Dr. David Janarious and Andrew Lane examine new obesity data linked to the rise of GLP-1 medications such as Ozempic, Mounjaro, and Zepbound. They discuss early indications of a national decline in obesity rates, questions around health outcomes, and the financial strain these drugs place on patients and insurers. The conversation explores insurance restrictions, ap...

Every day, we're bombarded with health news containing exciting, concerning, and conflicting messages. One day, there's a cure for cancer, the next a drug recall. What's true? What's AI slop? The BetterLife Podcast has you covered. Join Board-Certified Family Physician Dr. David Janarious and entrepreneur Andrew Lane as they review the latest health news with unfiltered, straight-shooting analysis...