Ed Delesky, MD and Nicole Aruffo, RN
Your Checkup: Patient Education Health Podcast
Ever leave the doctor’s office more confused than when you walked in? Your Checkup: Health Conversations for Motivated Patients is your health ally in a world full of fast appointments and even faster Google searches. Each week, a board certified family medicine physician and a pediatric nurse sit down to answer the questions your doctor didn’t have time to. From understanding diabetes and depression to navigating obesity, high blood pressure, and everyday wellness—we make complex health topics simple, human, and actually useful. Whether you’re managing a condition, supporting a loved one, or...
Author
Ed Delesky, MD and Nicole Aruffo, RN
Category
Podcast website
Latest episode
Jul 6, 2026
Where to listen?
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Episodes
95: The Motivation Checkup: Episode 4: How to Continue When Motivation Fades 26.01.2026 31:36
In this episode, we talk about what really happens when motivation fades — and why it’s not a sign that you’ve failed. Life stress, poor sleep, illness, and emotional overload all pull on the same limited energy system in your brain, making even good intentions feel hard to act on. You’ll learn why pushing harder usually backfires, how to use “minimum viable habits” to protect your progress on lo...
94: The Motivation Checkup Episode 3: Small Steps, Lasting Change 19.01.2026 24:14
In this episode, we explore why starting small is actually the most effective way to build lasting habits. Big goals can feel overwhelming, and relying on motivation alone often sets us up for failure. By focusing on tiny, repeatable actions — what we call minimum viable habits — you can protect your confidence, maintain consistency, and slowly train your brain to see yourself as someone who show...
93: The Motivation Checkup: Episode 2: Why Willpower Fails 12.01.2026 27:24
In this episode of Your Checkup , we unpack why relying on willpower alone so often fails — and why that failure isn’t a personal flaw. Willpower is a limited resource that gets drained by stress, decision fatigue, and daily demands, making it unreliable for sustained health change. Instead of asking ourselves to try harder, real progress comes from designing systems that work with our brains: re...
92: The Motivation Checkup: Episode 1 Understanding Motivation 05.01.2026 38:26
New year energy fades fast, and that’s exactly when most health plans fall apart. We’ve been there—patients telling us “I can’t stay motivated,” and our own early alarms that sometimes lose the argument. So we take a fresh, practical look at motivation: not as a trait you’re born with, but as a state you can design by meeting three basic needs—choice, capability, and support. We start by ditching...
91: GLP1 Pill for Weight Loss? Understanding Oral Wegovy 29.12.2025 41:37
Oral Wegovy is officially FDA approved — but what does that actually mean for patients? In this episode of Your Checkup , we break down the December 2025 approval of oral semaglutide 25 mg for chronic weight management, who qualifies, how it works, and how effective it really is. We review the clinical trial data behind the approval, including expected weight loss, common side effects, and long-t...
90: The First 5 Questions I Ask Every New Patient 22.12.2025 33:14
We trade holiday laughs and a Michelin-level dinner recap for a clear look at how five simple questions can transform a medical visit into a relationship. We show how home, routine, joy, and self-perception reveal risks and shape plans that fit real life. You can reach out to us by email, yourcheckuppod@gmail.com You can find us on Instagram, you can follow us there Also active on threads where we...
89: Normal Cholesterol but Still at Risk? Lipoprotein (a) Explained Simply 15.12.2025 35:53
In this episode of Your Checkup , we break down lipoprotein(a) — a largely inherited form of cholesterol that can significantly increase the risk of heart disease and stroke, even when standard cholesterol numbers look normal. We talk about what Lp(a) is, why it matters, who should be tested, and how it helps explain “unexpected” heart events in otherwise healthy people. While Lp(a) can’t current...
88: GLP-1 Starter Guide for Patients 08.12.2025 33:17
We share a quick life update, welcome our first guest Mike Rozanski, and clear up the Michelin Guide origin story before shifting to a focused guide on starting GLP-1 medications. Practical strategies cover injections, nausea, constipation, muscle protection, and adjusting other meds safely. • board certification in obesity medicine and motivation to destigmatise care • guest segment on Michelin g...
87: GLP-1 Price Cuts: Will It Improve Access? 01.12.2025 29:11
We unpack new GLP-1 pricing, coverage hurdles, and whether cash-pay programs make these meds more reachable for diabetes, obesity, and sleep apnea care. Along the way we share candid pros and cons of injections, tease future oral options, and weigh real tradeoffs. • current cash-pay pricing from major manufacturers • differences between Wegovy, Ozempic, and Zepbound • tighter insurance coverage an...
86: Menopausal Hormone Replacement Therapy Explained for Patients 24.11.2025 41:13
Clear guidance on benefits, risks, and how the FDA’s label changes shift conversations in the exam room about HRT Nikki's Corner • Philly’s first Michelin stars and what the tiers mean • Flying taxis in Dubai • A cold case solved by college criminology students Learning • What HRT is, routes of therapy, and who benefits • Reframing WHI-era fears with age and timing data • FDA label changes...
85: Menopause: Symptoms, Timing, And What Helps 17.11.2025 29:51
We discuss a clear, practical guide to menopause, explaining what it is, why it happens, and how to manage the most common symptoms with everyday steps and evidence-based options. We set up next week’s deep dive on hormone therap. • Defining menopause and typical timing • Why estrogen declines and bodywide effects • Common symptoms across sleep, mood, and metabolism • Hot flashes and night sweats...
84: Osteoporosis Explained: How to Keep Your Bones Strong 10.11.2025 40:25
We break down osteopenia and osteoporosis with clear steps to protect independence: how bones weaken, how DEXA scoring works, and which daily habits reduce fracture risk. We share nutrition, exercise, lifestyle changes, and home safety that make a measurable difference. • key stats on fracture risk in women and men over 50 • definitions of osteopenia and osteoporosis using T-scores • hip, spine an...
83: Seasonal Affective Disorder: How to Recognize and What to Do 03.11.2025 39:04
We share a joyful wedding recap and travel bits, then pivot to a clear guide on Seasonal Affective Disorder: what it is, who it affects, why it happens, and the tools that help. Practical and compassionate advice to steady mood, sleep, and energy through winter. • defining Seasonal Affective Disorder and its seasonal pattern • key symptoms including oversleeping and carb cravings • distinguishing...
82: Jet Lag and Travel Fatigue 27.10.2025 35:11
We share newlywed joy, wild plane moments, and a clear plan for beating jet lag using light timing, hydration, naps, and simple habits that work. Direction matters, and we explain how to prep differently for eastward and westward travel so your body clock adjusts faster. • wedding highlights and travel • plane etiquette and seat recline awareness • jet lag basics and circadian rhythm cues • sympto...
81: Concussions: Raising Awareness for Student Athletes and Parents 06.10.2025 30:49
We unpack myths, the new stepwise approach, and why return to school should come before return to play. • what a concussion is • common and delayed symptoms including mood and sleep changes • immediate sideline steps • why “cocooning” is outdated and how light activity helps • individualized recovery timelines and risk of returning too soon • return-to-learn before return-to-play with simple acco...
80: Screen time, Social Media & Mental Health 29.09.2025 24:43
Screen time impacts our mental health in significant ways, with research suggesting particular risks for teens who spend more than three hours daily on social media. • Higher social media usage linked to increased rates of depression, anxiety, and stress • Teens more vulnerable to negative mental health effects than adults • Using social media to escape negative feelings raises mental health risks...
79: Colon Cancer Screening: Why It Is Important & Your Options 22.09.2025 30:40
Colon cancer screening saves lives by catching cancer early and even preventing it, yet only 69% of eligible adults are up to date with their screenings. We explore who needs screening, what tests are available, and how to choose the right one for you. • Most adults should start colon cancer screening at age 45, even if healthy • Family history may mean you need to start screening earlier • Stool-...
78: DASH Diet Explained: What to Eat to Lower Blood Pressure Naturally Hypertension 15.09.2025 33:43
The DASH diet offers a powerful, evidence-based approach to lowering blood pressure through nutritional changes rather than medication. • Stands for Dietary Approaches to Stop Hypertension • Focuses on fruits, vegetables, whole grains, lean proteins, and low-fat dairy • Limits sodium, saturated fat, added sugars, and processed meats • Can lower systolic blood pressure by 5-6 points and diastolic b...
77: The Flu Shot: Why This Vaccine Matters More Than You Think 08.09.2025 33:09
The flu vaccine is our best defense against influenza, a contagious respiratory virus that causes millions of illnesses and thousands of deaths in the US each year. Despite being only 40-60% effective, the vaccine significantly reduces hospitalizations, outpatient visits, and deaths while protecting vulnerable populations who cannot be vaccinated. • Influenza causes 9-41 million illnesses, 140,000...
76: Four Habits of People Who Maintain Weight Loss 01.09.2025 21:23
We explore the four key habits of people who have successfully maintained significant weight loss, based on findings from the National Weight Control Registry's long-term observational study. • 62% of successful weight maintainers watch less than 10 hours of TV weekly (under 90 minutes daily) • 75% weigh themselves at least once weekly as a data point, not as a measure of self-worth • 78% eat...
75: Fatty Liver Disease Explained: Causes, Symptoms, and How To Reverse It 25.08.2025 21:40
The liver performs vital functions including filtering toxins, producing proteins, storing energy, aiding digestion, and regulating cholesterol and hormones. Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) has become the most common chronic liver disease globally, affecting up to 38% of the population worldwide. • The liver filters blood, breaks down alcohol and medications, produ...
74: Why Your Body Fights Weight Loss: Metabolic Adaptation Explained 18.08.2025 35:33
Metabolic adaptation is a powerful physiological process that explains why weight loss is so challenging and why keeping it off can feel like your body is working against you. • Your body burns fewer calories than expected after weight loss, creating an "energy gap" • For every kilogram lost, metabolism slows by approximately 25 calories • Weight loss affects hormones like leptin (satiet...
73: Ultra-Processed Foods Explained: What They Do To Your Body (And Why They Matter) 11.08.2025 41:31
Our food choices extend far beyond calories, with recent research showing minimally processed diets outperform ultra-processed diets for weight loss even when nutrient content is identical. • Ultra-processed foods contain industrial ingredients not found in home kitchens like sweeteners, emulsifiers, and preservatives • The NOVA classification categorizes foods from unprocessed to ultra-processed...
72: How Many Steps a Day Do You REALLY Need? New Study Explained 04.08.2025 26:45
We dive deep into recent research that challenges everything you think you know about daily step goals. The famous 10,000 steps target was actually a marketing gimmick from 1960s Japan with no scientific backing, while new evidence shows 7,000 steps delivers the most dramatic health benefits. • The 10,000 steps goal originated from Japanese marketing, not science • Meta-analysis followed 161,000 a...
71: Tylenol vs. NSAIDs: Which Pain Reliever Is Right For You? 28.07.2025 27:49
We break down the key differences between Tylenol (acetaminophen) and NSAIDs (ibuprofen, naproxen, aspirin) to help you make informed decisions about which pain reliever is right for you. This evidence-based discussion draws from top medical sources to explain how these common medications work differently in your body. • Tylenol works on perception of pain and fever in the brain but doesn't a...
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