Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A from July 8th, 2026

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Dr. Cobble Q&A from July 8th, 2026 · The Radio From Hell Show - Best Of

• 0:00
  Speaker 1: It's now time to get your medical questions answered. Doctor
• 0:05
  Speaker 1: Michael Cobble is here and he is here to talk
• 0:08
  Speaker 1: to you about you know, your awie problem. Do you
• 0:11
  Speaker 1: have a ali you got if you got a hitch
• 0:14
  Speaker 1: in your get along? A boo boo, you have a
• 0:16
  Speaker 1: boo boo? Yeah, something anything, Doctor Cobble may be able
• 0:20
  Speaker 1: to give you or steer you in the right direction.
• 0:23
  Speaker 1: So good morning, doctor Cobble.
• 0:26
  Speaker 2: Good morning.
• 0:28
  Speaker 3: And wow, somebody says Bill was having a Mediterranean salad
• 0:31
  Speaker 3: to get on doctor Cobble's good side.
• 0:33
  Speaker 1: That's right. It is true that doctor Cobble and many
• 0:37
  Speaker 1: doctors have said to me in the past. You know,
• 0:40
  Speaker 1: if you could just sort of get on a Mediterranean
• 0:42
  Speaker 1: style diet, it will help you. Why why is it
• 0:46
  Speaker 1: that those diets are so much healthier, doctor Cobble.
• 0:50
  Speaker 2: Well, I think they're just higher in fiber and vegetables
• 0:53
  Speaker 2: and those healthy oils that you know, nuts and seeds
• 0:57
  Speaker 2: and and anti flammatory products that are prevent diabetes and
• 1:03
  Speaker 2: heart disease and vascular disease and immune disease and all
• 1:06
  Speaker 2: those types of things. And while we're speaking of diseases, yeah,
• 1:10
  Speaker 2: I don't want to sound like a prude. But this
• 1:12
  Speaker 2: whole gambling, it just it just seems like an illness
• 1:17
  Speaker 2: to me.
• 1:17
  Speaker 1: Oh it's an addiction thing now, right, Yeah, the way
• 1:21
  Speaker 1: the prediction market is specifically gambling.
• 1:25
  Speaker 2: Yeah, I just it's terrible. I think it's fun if
• 1:28
  Speaker 2: people want to go to Las Vegas for a vacation
• 1:31
  Speaker 2: type thing. But I just think being able to gamble
• 1:33
  Speaker 2: from your phone and from your computer and twenty four
• 1:36
  Speaker 2: to seven just seems so unhealthy. I don't know, we
• 1:39
  Speaker 2: need to eat the Mediterranean diet.
• 1:41
  Speaker 1: Yes, what are the prediction Well so we shouldn't get
• 1:45
  Speaker 1: into it now, but I'm just what what are the
• 1:46
  Speaker 1: prediction markets designed to do other than this? They must
• 1:49
  Speaker 1: have that's it. This can't is this this is the
• 1:52
  Speaker 1: reason they start to gamble. It's it's you know, that's it?
• 1:56
  Speaker 1: Uh well, uh so, uh doctor cobble the Can we
• 2:01
  Speaker 1: talk about the miracle drugs that seem to be these
• 2:04
  Speaker 1: weight loss glp ones glp ones they seem to be
• 2:10
  Speaker 1: finding out they're doing more than just helping people with
• 2:13
  Speaker 1: diabetes or helping people lose weight. Can you talk about
• 2:17
  Speaker 1: them more?
• 2:17
  Speaker 2: Well? Yeah, I mean the chemical class was identified in
• 2:21
  Speaker 2: nineteen sixty four, came out in the US market in
• 2:25
  Speaker 2: two thousand and four for diabetes management, and there were
• 2:29
  Speaker 2: a fair number of those products that came on the
• 2:31
  Speaker 2: market over the next fifteen years. And then maybe eight
• 2:35
  Speaker 2: years ago semiglue tide came out for weight loss, and
• 2:38
  Speaker 2: then of course there's appetides come in, and then a
• 2:41
  Speaker 2: couple oral drugs have come in. But I think that
• 2:45
  Speaker 2: they showed that they prevented heart disease, heart attack, strokes,
• 2:50
  Speaker 2: prevent diabetes, prevent fatty liver or reduce fatty liver, reduce
• 2:55
  Speaker 2: sleep apnea, they're anti inflammatory, they lower in planetary markers
• 3:00
  Speaker 2: thirty five percent. Is obviously they promote weight loss, but
• 3:06
  Speaker 2: they do some of these things independent of weight loss.
• 3:09
  Speaker 2: You know, the diabetes management is not dependent on losing weight.
• 3:14
  Speaker 2: Skinny people with type two diabetes manage their blood sugar
• 3:18
  Speaker 2: is even better, and the anti inflammatory effect is not
• 3:21
  Speaker 2: weight driven. So I think the great thing for the
• 3:25
  Speaker 2: majority of people, because seventy percent of Americans are obese
• 3:29
  Speaker 2: or overweight, is if we can promote less food and
• 3:35
  Speaker 2: less waste, meaning your belt size. That I think that
• 3:41
  Speaker 2: people are always healthier. They move better, they sleep better,
• 3:44
  Speaker 2: they feel better, they look better, and I think that
• 3:47
  Speaker 2: now the manufacturers have made these much more affordable by
• 3:51
  Speaker 2: doing direct consumer options for people to buy them. I
• 3:56
  Speaker 2: think that, you know, you can get the oral products
• 3:58
  Speaker 2: for one hundred and fifty dollars and you can get
• 4:00
  Speaker 2: the injectables for two fifty to four to fifty.
• 4:03
  Speaker 1: Are the oral ones theave that much money?
• 4:06
  Speaker 3: Are the oral ones as effective as the injectible ones.
• 4:09
  Speaker 2: Well, I don't think they're going to be as dynamic.
• 4:12
  Speaker 2: I think that, but they're still quite effective. And the
• 4:16
  Speaker 2: oral semi glue tide showed cardiovascular benefits as well. Whether
• 4:21
  Speaker 2: the other oral product will have cardiovascular benefits, those studies
• 4:25
  Speaker 2: have not been completed, and there's appetite. Studies have not
• 4:28
  Speaker 2: been completed for cardiovascular benefits, but we know that the
• 4:32
  Speaker 2: semagally tide injection and the semically tight oral product both
• 4:37
  Speaker 2: had cardiovascular benefits and those are in the product insert
• 4:42
  Speaker 2: as well. So I think that the nice thing about
• 4:44
  Speaker 2: the oral products is that people that don't want to
• 4:47
  Speaker 2: do an injection every week, or they're afraid of needles,
• 4:50
  Speaker 2: or they just don't like doing that kind of thing,
• 4:53
  Speaker 2: they can take a pill once a day, and that
• 4:55
  Speaker 2: has the opportunity to reduce their desire to eat.
• 4:59
  Speaker 1: I hope Troy still he's been holding on a long time.
• 5:02
  Speaker 1: Hi Troy, Hi, Hi, what's your question for doctor Pommel?
• 5:07
  Speaker 4: My question is I just recently got on the stat
• 5:10
  Speaker 4: in about two months ago. My cholesterol was at two fifteen.
• 5:14
  Speaker 4: I did a lipid panel just recently. It's down now
• 5:18
  Speaker 4: down now to one twenty nine. I'm wondering if I
• 5:21
  Speaker 4: should get my dosage lower on the statin or stay
• 5:25
  Speaker 4: at what it is.
• 5:28
  Speaker 2: Well, that's that's fantastic, Troy. I think the closer you
• 5:31
  Speaker 2: get your total cholesterol to one hundred, the better. The
• 5:35
  Speaker 2: event data is so any clusterol over two hundred doubles
• 5:40
  Speaker 2: your lifetime risk of heart attack stroke. Again, I wouldn't
• 5:44
  Speaker 2: change anything if you're tolerating the staton, and ninety five
• 5:47
  Speaker 2: percent of people tolerate the staton really well. I have
• 5:50
  Speaker 2: my clusterol down to eighty five now. In college it
• 5:52
  Speaker 2: was one o four without lipid management. Over the last
• 5:55
  Speaker 2: thirty years my cholesterol went up to two seventy. So
• 5:58
  Speaker 2: it really just shows how age and genetics drive the cholesterol.
• 6:03
  Speaker 2: But if you're staying under one fifty, I think that's beautiful.
• 6:06
  Speaker 2: And if you're not having side effects from the drug,
• 6:07
  Speaker 2: which about five percent of people do, then I wouldn't
• 6:10
  Speaker 2: change anything. I'd rock and roll and keep doing what
• 6:13
  Speaker 2: you're doing, all right, enjoy the bone in ribbi.
• 6:16
  Speaker 1: Yeah, there you go. Yeah, it's a it's thanks joy.
• 6:21
  Speaker 1: It's fascinating. Oh there's a line open eight seven seven
• 6:25
  Speaker 1: six oh two nine sixty ninety six. It's fascinating to me,
• 6:28
  Speaker 1: doctor Pobble. We always just say, oh, well, the cholesterol's high,
• 6:31
  Speaker 1: you've been eating too much ribbi bone in ribi. But
• 6:35
  Speaker 1: in fact, some people are just genetically predisposed to have
• 6:40
  Speaker 1: high cholesterol. And it also age effects.
• 6:43
  Speaker 2: It is that, right, Yeah, age and genetics. Like my
• 6:47
  Speaker 2: brother in law and his mid fifties, his cholesterol is
• 6:50
  Speaker 2: to sixty and he's a vegetarian. He's healthier than any
• 6:53
  Speaker 2: of us on this radio show today. And then my
• 6:55
  Speaker 2: wife's a vegetarian. Her cholesterol well, mostly vegetarian, pescatarian. But
• 7:00
  Speaker 2: our cluster runs to fifty two sixty.
• 7:02
  Speaker 1: So you get on the you get on the statins
• 7:05
  Speaker 1: and it'll take it down, right. Yeah.
• 7:07
  Speaker 2: I think if you're moderate or higher risk, a statin
• 7:11
  Speaker 2: might be appropriate for you.
• 7:13
  Speaker 1: I once had somebody say to me, you know, oh,
• 7:16
  Speaker 1: you don't want to get on the statins. You know
• 7:17
  Speaker 1: you don't want to get get make sure you keep
• 7:19
  Speaker 1: your diet good so you don't have to go on statins,
• 7:21
  Speaker 1: because once you get on them, you'll have to be
• 7:24
  Speaker 1: on them for the rest of your life. And then
• 7:26
  Speaker 1: that's what I said.
• 7:27
  Speaker 2: So well, it's like high blood pressure if you unluckily again,
• 7:33
  Speaker 2: that's age and genetics and then some lifestyle drivers as
• 7:37
  Speaker 2: well that if you have to go on a bood
• 7:39
  Speaker 2: pressure pill, you're probably going to be on it the
• 7:41
  Speaker 2: rest of your life.
• 7:44
  Speaker 3: Yeah, all right, let's see, here's a text question. Uh,
• 7:48
  Speaker 3: when is a good time to be tested for low
• 7:51
  Speaker 3: t I'm turning thirty this year and it felt extreme
• 7:55
  Speaker 3: fatigue over the last few months. However, I just keep
• 7:58
  Speaker 3: brushing it off as the small oh affecting my asthma.
• 8:01
  Speaker 1: Could that be it? Or is it time?
• 8:06
  Speaker 2: Well? I get more excited about checking low testosterone when
• 8:09
  Speaker 2: men get around fifty. Certainly men younger than that can
• 8:13
  Speaker 2: have a problem. I think the environmental pollution, the smoke
• 8:16
  Speaker 2: and other things are more likely causing the fatigue that
• 8:21
  Speaker 2: you might be describing. I don't think it's unreasonable to
• 8:23
  Speaker 2: go see your clinician and have labs and have an exam.
• 8:27
  Speaker 2: But I think that there are certain things that make
• 8:32
  Speaker 2: men have lower testosterone. Obesity, alcohol, overuse, poor sleep, environmental stress.
• 8:41
  Speaker 2: There are a lot of different sleep apnea. There are
• 8:43
  Speaker 2: a lot of different things that can lower the production
• 8:46
  Speaker 2: of testosterone. But I think I don't typically start treating
• 8:52
  Speaker 2: low testosterone of thirty year olds. Do I have some
• 8:54
  Speaker 2: folks in my practice that are that age that need testosterone.
• 8:58
  Speaker 2: I do typically think more in a man forty five,
• 9:02
  Speaker 2: fifty fifty five.
• 9:03
  Speaker 3: All right, here's another text question that will prove we
• 9:07
  Speaker 3: need you to call because there are follow up questions.
• 9:10
  Speaker 3: My daughter just tested positive for COVID for the first time.
• 9:14
  Speaker 3: The test was expired. How likely is a false positive?
• 9:21
  Speaker 3: We'd want to ask how how expired it is. It
• 9:25
  Speaker 3: would be a good.
• 9:26
  Speaker 1: Follow up place.
• 9:26
  Speaker 2: Yeah, I mean, even under the best circumstances, you can
• 9:29
  Speaker 2: get a false positive or false negative with any test
• 9:33
  Speaker 2: meaning non expired, and you need to test correctly. I
• 9:37
  Speaker 2: think if you said the test has expired five or
• 9:40
  Speaker 2: ten years, then I would say the accuracy is probably
• 9:43
  Speaker 2: pretty poor. But if the expirations a year or two,
• 9:47
  Speaker 2: it's probably still quite accurate. Typically, prescription medicines lose about
• 9:52
  Speaker 2: five seven percent of efficacy per year of expiration. So
• 9:57
  Speaker 2: if you said I've got some benadryl and my first
• 9:59
  Speaker 2: aid kid and it's ten years old, and I'd say
• 10:03
  Speaker 2: you start out that first aid kid and get a
• 10:05
  Speaker 2: new one. But I don't think a year or two
• 10:07
  Speaker 2: exploration it's going to fuck that test that much. Eight
• 10:11
  Speaker 2: seven seven systematic and it's probably real, right, Eight.
• 10:15
  Speaker 1: Seven seven six six nine six is the number. Uh, doctor,
• 10:19
  Speaker 1: I have a question. I just noticed on my I
• 10:22
  Speaker 1: have that app that docket that cracks your your vaccinations. Uh,
• 10:28
  Speaker 1: it says I'm due for a flu shot on July first.
• 10:32
  Speaker 1: Why why would that be?
• 10:36
  Speaker 2: They're trying to torture you as well.
• 10:39
  Speaker 1: I mean, isn't it it's a little early for a
• 10:40
  Speaker 1: flu shot in July is yeah?
• 10:43
  Speaker 2: Yeah. I mean they had that flu outbreak in the
• 10:45
  Speaker 2: in the military and I think in the Texas recruits,
• 10:48
  Speaker 2: So this is not typically the time of year you
• 10:51
  Speaker 2: expect to see the flu. Typically, I want people to
• 10:54
  Speaker 2: get their flu vaccines in mid October. It's early November,
• 10:59
  Speaker 2: so it's it's in place in time for the Thanksgiving
• 11:02
  Speaker 2: celebrations and carries them through the early spring. But yeah,
• 11:06
  Speaker 2: COVID is more common in the early summer through fall. Obviously,
• 11:12
  Speaker 2: it's it can be any time of year, but fleear
• 11:15
  Speaker 2: typically is the winter. All right, The RSV is typically
• 11:20
  Speaker 2: the winter.
• 11:21
  Speaker 3: Okay, justin, We've just got a minute here, so you're
• 11:23
  Speaker 3: gonna have to race through your question.
• 11:25
  Speaker 2: Justin, go ahead, absolutely, thank you.
• 11:28
  Speaker 1: So my brother is taking seven pet tides and it's
• 11:32
  Speaker 1: trying to get me to go along with him at tacos.
• 11:34
  Speaker 2: What is your opinion on doctor, Well, I think poorly regulated.
• 11:39
  Speaker 2: So I think I have patients that ask about them,
• 11:43
  Speaker 2: I have patients that do them. I think that that.
• 11:46
  Speaker 2: I wish there was more data that followed them. But
• 11:50
  Speaker 2: I think if it fits into your finances and you
• 11:53
  Speaker 2: find benefit from them, then I think, you know, try them.
• 11:57
  Speaker 2: What are they trying for pain and other reasons? There
• 12:00
  Speaker 2: are different a bunch of different PEP sides available on
• 12:02
  Speaker 2: the market through the compounding pharmacies.
• 12:05
  Speaker 1: Why is your brother taking him? He has a shoulder injury,
• 12:09
  Speaker 1: but also it's helped him with some weight loss things
• 12:12
  Speaker 1: of that nature.
• 12:15
  Speaker 2: Yeah, I don't think they're unreasonable. I wish they were
• 12:18
  Speaker 2: monitored a little closer, but again I think if they're
• 12:22
  Speaker 2: not remarkably expensive now and I think give them a shot.
• 12:26
  Speaker 1: All right, all right, thank you, uh doctor Pobble, thank
• 12:31
  Speaker 1: thanks very much. Nice to talk to you, and we'll
• 12:33
  Speaker 1: speak with you again soon.
• 12:36
  Speaker 2: Have a pleasant day, yes, thank you, yeah, thanks, thanks
• 12:39
  Speaker 2: everyon