{"podcast":{"title":"Connected By Health","slug":"connected-by-health-7781874","podcast_index_feed_id":7781874,"rss_url":"https://feeds.libsyn.com/605090/rss","website_url":"https://sites.libsyn.com/605090","image_url":"https://static.libsyn.com/p/assets/0/a/2/8/0a2804858618d7e216c3140a3186d450/3.png","author":"Krishna Vedala","episode_count":22,"summary":"Connected by Health is a modern healthcare podcast hosted by Krishna Vedala, MD, MPH, MBA, CPE—a board-certified Internal Medicine and Obesity Medicine physician, healthcare executive, and innovation leader based in Oklahoma City. This show explores the intersection of clinical medicine, physician leadership, healthcare operations, AI in healthcare, and data-driven decision-making; all with one goal: creating more connected, effective, and human-centered care. Each episode features conversations with physicians, healthcare executives, innovators, and system leaders on: - Internal Medicine & Obesity Medicine - AI in Healthcare & Health Data Management - Physician Leadership & Practice Management - Healthcare Finance, Business Intelligence & Quality Improvement - Operational Excellence & Lean Six Sigma in healthcare Dr. Vedala brings a rare blend of frontline clinical experience, executive leadership training, and systems-level thinking, helping listeners bridge the gap between medicine, leadership, and innovation. 🎧 Connected by Health is for physicians, healthcare leaders, administrators, and anyone committed to building the future of healthcare together. Connect with Dr. Krishna…","last_synced_at":"2026-06-10T22:17:07.292148+00:00","page_url":"https://stenobird.com/podcast/connected-by-health-7781874"},"episode":{"title":"Brosides with the Vedalas: MOSH - Male Obesity-Related Secondary Hypogonadism","slug":"brosides-with-the-vedalas-mosh-male-obesity-related-secondary-hypogonadism","published_at":"2026-05-29T10:00:00+00:00","page_url":"https://stenobird.com/podcast/connected-by-health-7781874/brosides-with-the-vedalas-mosh-male-obesity-related-secondary-hypogonadism","show_page_url":"https://stenobird.com/podcast/connected-by-health-7781874","url":"https://3843d0a6-ee19-4b65-a291-8ee3431a2980.libsyn.com/brosides-with-the-vedalas-mosh-male-obesity-related-secondary-hypogonadism","audio_url":"https://traffic.libsyn.com/secure/3843d0a6-ee19-4b65-a291-8ee3431a2980/riverside_mosh___apr_27_2026_001_krishnas_studio_1.mp4?dest-id=5269150","summary":"BroSides Ep. 1 (Vedala Brothers) Topic: Male obesity-associated secondary hypogonadism (MOSH). Definition: MOSH = low testosterone in men driven by obesity-related mechanisms rather than primary testicular failure. Mechanism: Excess adipose tissue increases aromatase (converts testosterone → estrogen) and obesity/insulin resistance lowers SHBG, reducing total testosterone. Clinical approach: Confirm low total testosterone with repeat testing and measure LH/FSH (to distinguish primary vs secondary). Rule out causes like prolactinoma, exogenous steroids, and sleep apnea before diagnosing. First-line treatment: weight loss, lifestyle changes, resistance training, and obesity medications (e.g., GLP-1s) to restore testosterone naturally. Reserve testosterone therapy for true hypogonadism after full workup and informed consent; be cautious because therapy has risks and is hard to stop once started. Takeaway: Use MOSH terminology to avoid overprescribing testosterone and prioritize addressing obesity as the underlying cause. Where Health, Society, and Innovation Intersect Connected by Health is a forward-thinking podcast built on a simple but powerful truth: healthcare is not a cost to be cut — it is an investment that shapes the future of everything around us. BroSides is a weekly podcast series presented by Connected by Health and hosted by the Vedala Brothers—Dr Krishna Vedala and Dr. Veer Vedala—where they discuss accessible, evidence-informed topics mainly in medicine and healthcare. Each episode features conversational, down-to-earth explanations of clinical concepts, emerging research, and practical patient-care insights, with the goal of helping both clinicians and the general public better understand when interventions (like medications or procedures) are truly neede…","meta_description":"BroSides Ep. 1 (Vedala Brothers) Topic: Male obesity-associated secondary hypogonadism (MOSH). Definition: MOSH = low testosterone in men driven by obesit…","key_points":[],"chapters":[],"topics":[],"duration_seconds":702,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/connected-by-health-7781874/episodes/brosides-with-the-vedalas-mosh-male-obesity-related-secondary-hypogonadism/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/connected-by-health-7781874/brosides-with-the-vedalas-mosh-male-obesity-related-secondary-hypogonadism.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}