130 | A Slightly Spicy Heart-Health Debate: Real Talk Between a PA & RD episode artwork

EPISODE · Oct 15, 2025 · 48 MIN

130 | A Slightly Spicy Heart-Health Debate: Real Talk Between a PA & RD

from Exam Room Nutrition: Where Busy Clinicians Learn About Nutrition

What happens when a dietitian and a PA sit down to talk about heart disease—from both sides of the exam room?In this episode, Colleen brings together two heart health experts: Michelle Routhenstein, MS, RD, CDCES, a cardiovascular dietitian known for her evidence-based prevention strategies, and Josh Wageman, PA-C, PhD, a clinical lipid specialist who’s spent his career studying cholesterol disturbances and Alzheimer’s.Together, they tackle one of medicine’s most common (and confusing) topics—heart health. You’ll hear how each expert thinks, what they prioritize, and how they talk with patients who are juggling elevated LDL, inflammation, insulin resistance, or menopause-related changes. By the end, you’ll see how bridging nutrition and medicine leads to smarter, more patient-centered care—because this is how the healthcare team should work anyway. Resources:Episode 38 | Love Your Heart with MichelleEpisode 111 | HDL Good, LDL Bad with JoshEpisode 117 | The Best Diet to Lower Cholesterol with JoshConnect with MichelleBuy Josh's BookAny Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week.Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer. 

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What happens when a dietitian and a PA sit down to talk about heart disease—from both sides of the exam room? In this episode, Colleen brings together two heart health experts: Michelle Routhenstein, MS, RD, CDCES, a cardiovascular dietitian known for her evidence-based prevention strategies, and Josh Wageman, PA-C, PhD, a clinical lipid specialist who’s spent his career studying cholesterol disturbances and Alzheimer’s. Together, they tackle one of medicine’s most common (and confusing) topi...

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130 | A Slightly Spicy Heart-Health Debate: Real Talk Between a PA & RD

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