Latest / The Radio From Hell Show - Best Of / Dr. Cobble Q&A from October 29th, 2025

Transcript

Dr. Cobble Q&A from October 29th, 2025 · The Radio From Hell Show - Best Of

• 0:01
  Speaker 1: This is your chance to get some medical advice from
• 0:05
  Speaker 1: an actual medical doctor. I've seen his diploma. It's on
• 0:09
  Speaker 1: the wall. It is. There are several of them, and
• 0:12
  Speaker 1: a couple of them were done in crayon, which I
• 0:14
  Speaker 1: thought was odd. But it's doctor Michael Cobble. Good morning,
• 0:18
  Speaker 1: Doctor Cobble. How are you?
• 0:19
  Speaker 2: Good morning? My kids?
• 0:21
  Speaker 1: Did the crayon's a present? Doctor Daddy. Doctor Cobble can
• 0:28
  Speaker 1: answer questions about your your help lead you in the
• 0:32
  Speaker 1: right direction. And we have one call so far, but
• 0:36
  Speaker 1: and I get a little more information, but if you
• 0:38
  Speaker 1: want to text us three three nine eighty six. But
• 0:40
  Speaker 1: let's see so we can go to number one with Carolyn. Hi, Carolyn, Hi,
• 0:45
  Speaker 1: how are you?
• 0:47
  Speaker 3: I'm well, thank you?
• 0:48
  Speaker 1: And you well, thank you. What is your question for
• 0:51
  Speaker 1: the doctor?
• 0:53
  Speaker 3: My question is Statn's My doctor recently subscribed or prescribed
• 0:59
  Speaker 3: statins for me, and I don't have high cholesterol and
• 1:04
  Speaker 3: I don't have any history of heart disease. And I'm
• 1:06
  Speaker 3: kind of curious about that because I've had several friends
• 1:09
  Speaker 3: that have also been prescribed statins lately.
• 1:13
  Speaker 2: Oh that's kind of interesting. I mean, statins are FDA
• 1:17
  Speaker 2: approof for LDL cholesterol reduction. That's bad cholesterol and cardiovascular
• 1:23
  Speaker 2: risk reductions. So if you don't have high cholesterol, it's
• 1:27
  Speaker 2: a little bit surprising. But people with normal cholesterol can
• 1:32
  Speaker 2: have heart attacks. And I think you know, any cholesterol
• 1:35
  Speaker 2: above two hundred doubles your lifetime risk of a heart
• 1:38
  Speaker 2: attack stroke. Anything above two forty.
• 1:42
  Speaker 4: Well, what caron my ld L is like one o three?
• 1:49
  Speaker 2: Well, anything above one hundred is moderate risk, and I
• 1:53
  Speaker 2: prefer it below one hundred, again without knowing your family history,
• 1:58
  Speaker 2: your age, or in imaging studies, because some imaging chest
• 2:02
  Speaker 2: X ray might show some partiovascular disease or a cty
• 2:05
  Speaker 2: calcium score, an ultrasound or a CT scan, or there
• 2:10
  Speaker 2: are different ways that we can see. Yeah, that's yeah.
• 2:15
  Speaker 2: I mean for most people's statins are remarkably well tolerated.
• 2:19
  Speaker 2: For most high risk, moderate risk people, statins lower heart
• 2:24
  Speaker 2: attacks and strokes by thirty to fifty fifty, So it
• 2:29
  Speaker 2: doesn't hurt my feelings. You're on a statum, but men
• 2:33
  Speaker 2: over forty five or moderate risk for heart disease, women
• 2:36
  Speaker 2: over fifty five or moderate risks, So I'm excited you're
• 2:41
  Speaker 2: you're your L deals above one hundred and your doctor's
• 2:45
  Speaker 2: like let's put you on a little statin to lower
• 2:47
  Speaker 2: your risk. And you know, the studies have shown that
• 2:50
  Speaker 2: those drugs do limit Alzheimer's and other things too, so
• 2:53
  Speaker 2: as long as you don't have a side effect from it,
• 2:55
  Speaker 2: it's probably a good choice. All right, love questions. Yeah,
• 3:01
  Speaker 2: it's my favorite topic.
• 3:02
  Speaker 1: So I really you're you're a heart guy.
• 3:06
  Speaker 2: Yeah, all right.
• 3:07
  Speaker 1: Those statins are are remarkably effective too, aren't they. I
• 3:12
  Speaker 1: mean I have cholesterol, elevated cholesterol, and then I started
• 3:18
  Speaker 1: taking you yes, me, you know very well, you're the
• 3:23
  Speaker 1: one who put me on the statins.
• 3:25
  Speaker 2: And Bill, I have high cholesterol too.
• 3:28
  Speaker 1: And it and it worked. I mean it works really well.
• 3:31
  Speaker 1: And anytime I've had my cholesterol tested since then, it's
• 3:36
  Speaker 1: been just you know, very normal, very nice because I
• 3:39
  Speaker 1: take those statins.
• 3:41
  Speaker 2: And your your adherents, your compliance. You're such a great patient.
• 3:45
  Speaker 1: Bill is com very compliant.
• 3:50
  Speaker 2: That one thing, taking cholesterol.
• 3:53
  Speaker 1: Just that. But I eat and drink too much, so
• 3:56
  Speaker 1: you know, all evens out eats even seven six h
• 4:01
  Speaker 1: two nine six nine six is the number. Or you
• 4:03
  Speaker 1: can text questions three three nine eighty six ask medical
• 4:07
  Speaker 1: medical questions of doctor Michael Cobble.
• 4:10
  Speaker 4: Please ask doctor Cobble to go over who needs the
• 4:12
  Speaker 4: COVID vax booster and where to get it. He says
• 4:16
  Speaker 4: pharmacies are not offering them this year. But that's not
• 4:18
  Speaker 4: the case.
• 4:19
  Speaker 1: No, that's true, that's not true.
• 4:22
  Speaker 2: Well they're offering him. You just have to have a
• 4:24
  Speaker 2: prescription from your doctor, your clinician. But I think anyone
• 4:29
  Speaker 2: that's anyone over sixty five should probably get the COVID vaccine.
• 4:34
  Speaker 2: And then I think anyone under sixty five that's high risk,
• 4:37
  Speaker 2: very high risk diabetes, CARDIBASCU disease, autoimmune disease, cancer, pulmonary disease,
• 4:45
  Speaker 2: you know those types of things. I think it's smart.
• 4:49
  Speaker 1: Yeah, all right, I have a cold.
• 4:52
  Speaker 4: I'm on day two of Afron for the stuff he
• 4:55
  Speaker 4: knows at night, I know I have to stop tomorrow.
• 4:58
  Speaker 4: What can I use to stop being stuff?
• 5:01
  Speaker 2: This is always myke.
• 5:02
  Speaker 5: I love Afron and I always count the days preciously.
• 5:06
  Speaker 1: I can have this for one more day and then
• 5:08
  Speaker 1: I won't be able to bring well what now? So
• 5:11
  Speaker 1: why is there how many days can you do it?
• 5:13
  Speaker 1: And why is there a restriction?
• 5:16
  Speaker 2: Well, Afron, you can get rebound congestion, it can get worse.
• 5:20
  Speaker 2: So typically we don't like to do it more than
• 5:23
  Speaker 2: three days. But I think that if somebody has normal
• 5:25
  Speaker 2: blood pressure and I think a decongestant pseudophedrin, you have
• 5:31
  Speaker 2: to ask for it from the pharmacist. It's behind the counter.
• 5:35
  Speaker 2: That's pretty good. And then I think the flow naz Fleu,
• 5:39
  Speaker 2: ticke a Zone, Rhina Court, NASA next nas of Court.
• 5:42
  Speaker 2: Those nasal steroids at night or twice a day are
• 5:46
  Speaker 2: pretty good. So those are options.
• 5:49
  Speaker 6: Afron just works so good you can breathe immediately.
• 5:53
  Speaker 2: A right.
• 5:54
  Speaker 4: Please ask the doctor if it's true that eating brazil
• 5:57
  Speaker 4: nuts will lower cholesterol and prove in vent the use
• 6:00
  Speaker 4: of statins.
• 6:02
  Speaker 1: Doubt it.
• 6:03
  Speaker 2: Well, they are about seventy different natural products that can
• 6:08
  Speaker 2: lower cholesterol marginally. By marginally, I mean seven to twelve percent.
• 6:13
  Speaker 2: So I think that you know, eating a Mediterranean diet,
• 6:16
  Speaker 2: eating healthy, eating more fiber fruits, you know, nuts, vegetables
• 6:22
  Speaker 2: may compliment your cholesterol. But I think again, from people
• 6:26
  Speaker 2: that are moderate, high or very high risk, they should
• 6:29
  Speaker 2: be on the prescription medication. And if for some reason
• 6:32
  Speaker 2: they have a side effect from one, try another, try another,
• 6:35
  Speaker 2: try another. Or there are other medicines on the market
• 6:39
  Speaker 2: that lower cholesterol as well. But statins have been around
• 6:42
  Speaker 2: thirty years, they're well established. They prevent heart attack, strokes,
• 6:45
  Speaker 2: and death if you're not allergic to it. It's something
• 6:49
  Speaker 2: that makes sense.
• 6:51
  Speaker 1: Now. Listen, if they've been around for thirty years and
• 6:53
  Speaker 1: they're well established, I'm sure there's something wrong with them.
• 6:58
  Speaker 7: Well, they could cause autism, yeah, yeah, And I don't
• 7:02
  Speaker 7: and I don't. I'm not trying to make fun of autism.
• 7:06
  Speaker 7: I think any family living with autism or having a
• 7:09
  Speaker 7: child with autism is complicated. It's difficult, it's challenging.
• 7:13
  Speaker 2: But I think there's a lot of crazy stuff out there,
• 7:16
  Speaker 2: and it's sad to see people misinforming things. There is
• 7:20
  Speaker 2: no doubt that alcohol during pregnancy causes autism. That is true,
• 7:25
  Speaker 2: and alcohol should not be ingested during pregnancy. But we've
• 7:30
  Speaker 2: known that for years. But I think that the news
• 7:33
  Speaker 2: stuff coming out. I think it's great to do research,
• 7:36
  Speaker 2: it's great to challenge these things, but it's a little
• 7:39
  Speaker 2: bit wacky. R All right, thank you, Jesse Waters.
• 7:45
  Speaker 1: All Right, back with the doctor Cobble, Doctor Michael Cobble,
• 7:48
  Speaker 1: and we've got a bunch of questions lined up here
• 7:51
  Speaker 1: on the phone, so let's get to it. An Angie, I, Angie, Hello,
• 7:57
  Speaker 1: are you good? What's your question for doctor Bubble.
• 8:02
  Speaker 5: Doctor Cobble.
• 8:02
  Speaker 8: I've recently learned I have low GFR. It's sixty. They
• 8:09
  Speaker 8: told me everything else looks fine. I don't need to
• 8:13
  Speaker 8: go to a nephrologist. I just need to go get
• 8:15
  Speaker 8: checked again within six or six months. I'm just wondering
• 8:18
  Speaker 8: what I could do in between now and man or
• 8:20
  Speaker 8: what to watch for, just to know can you improve
• 8:26
  Speaker 8: kidney function?
• 8:27
  Speaker 1: So what's GFR? First of all, doctor.
• 8:29
  Speaker 2: College glomel glomerular filtration rate. It's kind of measured by
• 8:35
  Speaker 2: the creatinine in the blood in the blood tests. Okay,
• 8:40
  Speaker 2: So how young are you, Angie?
• 8:43
  Speaker 9: I'm forty seven.
• 8:45
  Speaker 2: Okay. So typically our GFR can we start with about
• 8:51
  Speaker 2: one hundred and twenty GFR points. We lose about one
• 8:54
  Speaker 2: per year, so I expect the GFR around sixty for
• 8:58
  Speaker 2: people that are fifty to sixty. There are different things
• 9:01
  Speaker 2: that can lower the GFR artificially, you know, being dehydrated
• 9:06
  Speaker 2: could artificially do it. Having a little bit of alcohol
• 9:10
  Speaker 2: the night before, a little advil, ibuprofen, etcetern a leave.
• 9:16
  Speaker 2: So I don't get very excited about a GFR of sixty,
• 9:20
  Speaker 2: But I get excited if it was sixty this year,
• 9:22
  Speaker 2: fifty five next year, fifty the next year, forty five
• 9:25
  Speaker 2: the next year, because you should only lose about one
• 9:27
  Speaker 2: point per year. So I think checking, you know, we
• 9:31
  Speaker 2: check a creating GFR once a year. Blood pressure strugs
• 9:35
  Speaker 2: can artificially lower it. At the rate you're going, you'll
• 9:40
  Speaker 2: have a GFR of twenty in when you're ninety, and
• 9:45
  Speaker 2: at twenty we start talking about dialysis. But again, I
• 9:50
  Speaker 2: don't like the creating. I don't like that measure or
• 9:54
  Speaker 2: that discussion with young, healthy people like you. You know,
• 9:57
  Speaker 2: if you're diabetic, you have high blood pressure, there's some
• 10:00
  Speaker 2: other reason why your kidney could be struggling, then I'd
• 10:04
  Speaker 2: be a little bit worried about it. Taking cratnin supplements
• 10:08
  Speaker 2: over the counter and doing a high protein diets can
• 10:12
  Speaker 2: artificially raise cratney in the bloodstream. They're not damaging the
• 10:16
  Speaker 2: kidney per se. So again, there are a lot of
• 10:20
  Speaker 2: reasons why that cratnine and the GFR can fluctuate on
• 10:23
  Speaker 2: any given day. I'm more worried about the trend over
• 10:26
  Speaker 2: many years. So I wouldn't I wouldn't be worried about
• 10:30
  Speaker 2: a GFR of sixty, I'd be worried about a GFR
• 10:32
  Speaker 2: forty or thirty. That's getting down to a point of concern. Right,
• 10:39
  Speaker 2: that's a great question. I love that question, and I
• 10:41
  Speaker 2: think it's a good thing to monitor everything.
• 10:45
  Speaker 1: Is unexciting before we let her go.
• 10:47
  Speaker 4: I think it's important she asked about what she can
• 10:49
  Speaker 4: do for kidney health.
• 10:50
  Speaker 1: What could she do to help that?
• 10:53
  Speaker 7: Well?
• 10:53
  Speaker 2: I think I think the Mediterranean diet. I think, you know, again,
• 10:57
  Speaker 2: more fiber, more vegetables in your diet. I think not
• 11:01
  Speaker 2: overdoing the protein. I think being active, being healthy, avoiding
• 11:07
  Speaker 2: you know, large quantities of alcohol, the nonsteroidal anti inflammatories,
• 11:13
  Speaker 2: you know, if you've got osculo skellopain tail and all
• 11:16
  Speaker 2: safer on the kidneys, and ibuproff and a leaf type stuff.
• 11:20
  Speaker 2: So I know, I've just picked on everything that Bill
• 11:23
  Speaker 2: does wrong. He's hanging his head.
• 11:30
  Speaker 1: I went to the nephrologist. I got the kidneys of
• 11:32
  Speaker 1: a of a fourteen year old.
• 11:39
  Speaker 2: Thank you so much.
• 11:41
  Speaker 1: All right, thank you.
• 11:43
  Speaker 4: Let's go to Jessica.
• 11:45
  Speaker 1: Jessica, what's your question for doctor Cobble.
• 11:48
  Speaker 9: Yeah, so I've been told that kidney stones while they
• 11:52
  Speaker 9: are in the kidney don't hurt. But I've been an
• 11:56
  Speaker 9: intense amount of pain the last two months. Do they
• 12:02
  Speaker 9: hurt in the kidney?
• 12:03
  Speaker 1: Do we know that you have?
• 12:07
  Speaker 9: Yes, I've had two cats kats, one last Thursday and
• 12:11
  Speaker 9: an ultrasound.
• 12:12
  Speaker 2: All right, Yeah, I mean I think a kidney stone
• 12:16
  Speaker 2: can hurt anywhere that it is, and typically in the
• 12:19
  Speaker 2: kidney you're not as sensitive to it as it would
• 12:23
  Speaker 2: be in the yurt or as it's passing from the
• 12:25
  Speaker 2: kidney down to the bladder. Once it's in the bladder,
• 12:28
  Speaker 2: it's usually asymptomatic. But yeah, I mean I think a
• 12:31
  Speaker 2: kidney stone could be uncomfortable no matter where it is.
• 12:35
  Speaker 2: But typically I worry more about the kidney stone causing
• 12:38
  Speaker 2: pain when it's passing from the kidney to the bladder.
• 12:42
  Speaker 2: But the bad thing is if you have a kidney
• 12:46
  Speaker 2: stone in the kidney, they can't really do the lithotripsy
• 12:50
  Speaker 2: or you know, do the treatment. So I think maybe
• 12:55
  Speaker 2: visiting with your urologist or nephrologist or you're treating clinicians
• 13:00
  Speaker 2: and about options to try to help with that kidney.
• 13:05
  Speaker 2: I mean, I get kidney stones every ten years. It's
• 13:07
  Speaker 2: just unlucky genetically, and and my imaging shows I've got
• 13:12
  Speaker 2: some kidney stones. I'm a kidney and when it's the kidney,
• 13:15
  Speaker 2: I'm not usually symptomatic when it's passing. It's when it's symptomatic.
• 13:19
  Speaker 2: I think that you can have pain while the stones
• 13:22
  Speaker 2: and kidney it's just less likely to be the problem.
• 13:24
  Speaker 1: So sorry, your sounds like you're gonna ask sorry about that.
• 13:27
  Speaker 1: I live with them. Yeah, sorry, Jess.
• 13:30
  Speaker 9: Well dark all right, Well, thank.
• 13:32
  Speaker 2: You so much. Yeah, thanks for the question.
• 13:34
  Speaker 1: Let's go to Anissa. Hello, Nissa, what's your question for
• 13:38
  Speaker 1: doctor Cobble.
• 13:41
  Speaker 5: Hey, it's actually a Nissa, and I just had a comment.
• 13:46
  Speaker 5: I wanted to let y'all know that I went into
• 13:49
  Speaker 5: TBS a couple of Sundays ago and they gave me
• 13:53
  Speaker 5: my COVID vaccine without any questions. I'm sixty sixty five
• 14:01
  Speaker 5: and I was able to get the vaccine.
• 14:02
  Speaker 1: You didn't need a you didn't need a prescription.
• 14:04
  Speaker 2: That's crazy.
• 14:06
  Speaker 5: I did not need a prescription. I have sinophilic asthma,
• 14:10
  Speaker 5: and so I've kind of been running scared. I tried
• 14:12
  Speaker 5: to get it in the beginning and they told me no.
• 14:15
  Speaker 5: And then when I went in like I said, a
• 14:17
  Speaker 5: couple of Sundays ago just to the CBS. They said,
• 14:21
  Speaker 5: oh yeah, you can have it now and is quick
• 14:26
  Speaker 5: and payless, and I didn't have the arm pain like
• 14:30
  Speaker 5: I have had in the past.
• 14:31
  Speaker 1: Yeah, there you go.
• 14:32
  Speaker 5: So I would encourage everybody to get that done.
• 14:35
  Speaker 1: Good information, good, thank you, thank you. Yeah, I think
• 14:38
  Speaker 1: I'm pretty sure, very welcome. I'm pretty sure doctor Cobble
• 14:41
  Speaker 1: that they was like a couple of weeks ago the
• 14:46
  Speaker 1: requirement to have a doctor's prescription was dropped.
• 14:49
  Speaker 2: I think, oh good, that's wonderful.
• 14:52
  Speaker 5: Yeah, okay, all right, thanks Anisa, and thanks jaff K Junior.
• 14:58
  Speaker 4: All right, yeah, yeah, why Allen is here?
• 15:04
  Speaker 1: Hello? Allan.
• 15:06
  Speaker 2: Hi.
• 15:06
  Speaker 10: I was born with a congenital little heart defect called
• 15:09
  Speaker 10: the myo cardio bridge, and it was severe enough to
• 15:12
  Speaker 10: lead to a series of heart attacks at a young age,
• 15:15
  Speaker 10: and so I had what's called an unroofing procedure. But
• 15:18
  Speaker 10: during the diagnostics for the unroofing procedure, they also discovered
• 15:21
  Speaker 10: both myo cardio and endothelial dysfunction. And I was wondering
• 15:26
  Speaker 10: if you had had any luck treating those in terms
• 15:28
  Speaker 10: of fatigue. But fatigue is so debilitating.
• 15:30
  Speaker 2: That it's really life alter Oh that's a tough ye.
• 15:38
  Speaker 2: I think, you know, anothelial dysfunction myocardial dysfunction are both
• 15:43
  Speaker 2: pretty common, but there are so many different causes of it,
• 15:47
  Speaker 2: and yours of unfortunately, is you know it's a genetic
• 15:51
  Speaker 2: congenital issue. I don't know, you know. I think maybe
• 15:56
  Speaker 2: seeing a specialist at the U or i AMC and
• 16:00
  Speaker 2: seeing if a vaso I don't know, if a vaso
• 16:03
  Speaker 2: dilating calcium channel blocker or a vasodilating There are some
• 16:07
  Speaker 2: beta blockers that are better than others. A lot of
• 16:10
  Speaker 2: beta blockers. Close fatigue ACE inhibitors may have a benefit
• 16:15
  Speaker 2: as well, but uh, and then I don't know if
• 16:18
  Speaker 2: renexa renaulazine might have a benefit. I think again probably
• 16:23
  Speaker 2: seeing a cardiologists that specialize that in that but typically
• 16:28
  Speaker 2: I'd think of maybe nabivilol, the beta blocker that's better tolerated,
• 16:33
  Speaker 2: or calcium channel blocker depending on your heart rate. But why,
• 16:38
  Speaker 2: that's a toughie in shoot, and then treating other comorbid issues.
• 16:46
  Speaker 2: If you're orderline diabetic, you know s g l T
• 16:49
  Speaker 2: two inhibitor may have some value. If you're overweight to
• 16:51
  Speaker 2: g LP one may have some value. But yeah, I think,
• 16:55
  Speaker 2: you know, be persistent, you know, I think do your
• 16:57
  Speaker 2: own research, be persistent, go to the doctor's the list
• 17:00
  Speaker 2: of questions, and you know, keep working on it. And
• 17:03
  Speaker 2: then I don't know if medafinil, armadapanol may have some
• 17:07
  Speaker 2: benefit for your daytime fatigue. I think there are options
• 17:10
  Speaker 2: that are that may benefit you. And you sound great
• 17:14
  Speaker 2: on the phone. It's just terrible if you're dragging your
• 17:16
  Speaker 2: bat around. Yeah, you know, it'd be nice.
• 17:18
  Speaker 10: Feel They have tried to renect in a five milligram
• 17:23
  Speaker 10: dose and unfortunately that has not worked. So it's kind
• 17:25
  Speaker 10: of onto the next thing.
• 17:26
  Speaker 4: Alan, we're out of time, But Carrie online too has
• 17:30
  Speaker 4: a has a concussion.
• 17:31
  Speaker 1: Apparently we need to rush to her real quick if
• 17:34
  Speaker 1: you don't.
• 17:34
  Speaker 2: Mind, thanks for the question, though. That's great, Harry, are
• 17:37
  Speaker 2: you there?
• 17:38
  Speaker 6: Yes, I am, thank you quickly. I don't have a concussion.
• 17:43
  Speaker 6: My son's girlfriend does. She hit her head last week
• 17:46
  Speaker 6: and she's been feeling dizzy and nauseous and her pupils
• 17:49
  Speaker 6: were dilating different rates. How necessary is it to take
• 17:52
  Speaker 6: her into the doctor or do we just do a
• 17:54
  Speaker 6: lot of rest and like no TV.
• 17:56
  Speaker 2: Stuff like that. Yeah, I mean, I think if she
• 17:59
  Speaker 2: had Project felf vomiting like the Exorcist, or if she
• 18:02
  Speaker 2: was unarousable, or I think she bruised her brain and
• 18:07
  Speaker 2: it's going to take two to six weeks to recover
• 18:10
  Speaker 2: a pressure event where there's bleeding the brain, I would
• 18:12
  Speaker 2: worry about. You know, you can't arouse her. You know,
• 18:15
  Speaker 2: she can't talk, she's you know, she's throwing up across
• 18:19
  Speaker 2: the room. That's where i'd go to the emergency room.
• 18:22
  Speaker 2: So I think you're probably okay. I just take it
• 18:24
  Speaker 2: easy with her for the next two to six weeks.
• 18:26
  Speaker 3: Okay, thank you so much.
• 18:28
  Speaker 2: All right, thanks, thanks for the question.
• 18:30
  Speaker 1: All right, you guys, all right, doctor Gobble, thank you,
• 18:32
  Speaker 1: thank you.
• 18:33
  Speaker 2: Thank you. Abou