# Nutritional perils, the immunoglobulin paradox, and a flickering candle - Editors' Highlights June 2025

Page: https://stenobird.com/podcast/practical-neurology-podcast-320148/nutritional-perils-the-immunoglobulin-paradox-and-a-flickering-candle-editors-highlights-june-2025
Text version: https://stenobird.com/podcast/practical-neurology-podcast-320148/nutritional-perils-the-immunoglobulin-paradox-and-a-flickering-candle-editors-highlights-june-2025.md
Podcast: [Practical Neurology Podcast](https://stenobird.com/podcast/practical-neurology-podcast-320148)
Published: 2025-05-16T09:10:24+00:00
Episode link: https://pnbmj.podbean.com/e/editors-highlights-june-2025/
Audio file: https://mcdn.podbean.com/mf/web/n46s4hzcvztvihj8/pn_150525_june_2025.mp3
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JSON: https://stenobird.com/v1/public/podcasts/practical-neurology-podcast-320148/episodes/nutritional-perils-the-immunoglobulin-paradox-and-a-flickering-candle-editors-highlights-june-2025
Duration seconds: 3305

## Resource

This episode’s theme is new diseases, whether they are newly described, or old diseases back in a new form. We start off with IgG4-related disease, a chronic multisystem disorder that is still being understood. Then there is a genetics paper on repeat expansion disorders, a group of conditions often thought as disparate but with quite a few commonalities. Next along is a fascinating case following gastric sleeve bariatric surgery, highlighting the dangers of travelling for unsupervised surgeries, and raising the question, “Are you getting enough soil in your diet?” There’s also a discussion of what else Hoover’s sign might represent, and the evolution of immunoglobulin use. Closing the episode is a paper offering a masterclass on the assessment of best interests in prolonged disorder of consciousness. Read the issue: https://pn.bmj.com/content/25/3/199 Please subscribe to the Practical Neurology podcast on your favourite platform to get the latest podcast every month. If you enjoy our podcast, you can leave us a review or a comment on Apple Podcasts (https://apple.co/3vVPClm) or Spotify (https://spoti.fi/4baxjsQ). We'd love to hear your feedback on social media - @PracticalNeurol. Production and editing by Brian O'Toole. Thank you for listening.

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## Transcript

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