Dear listeners,

Why do some men have trouble achieving an erection while others have trouble maintaining one? In this episode of the Primary Medicine Podcast, Dr. Elliot Justin, founder and CEO of FirmTech, joins us to discuss the possible causes of erectile dysfunction and how they may affect treatment. We also explore FirmTech’s performance rings and TechRing, including their potential uses, safety considerations, and the research underway.

Listen to the full podcast episode here.

Cheers,

Dr. Dimitre

The post Episode 124: Erectile Dysfunction Why Getting and Keeping an Erection Are Different with Dr. Elliot Justin from FirmTech appeared first on Primary Medicine Podcast.

Dear listeners,

Although breastfeeding initiation rates in Canada remain among the highest in the world, maintaining exclusive breastfeeding for the recommended six months continues to be a major challenge. In this episode, pediatrician and lactation consultant Dr. Rajinder Gulati joins us to unpack why so many mothers stop breastfeeding earlier than they intended and what healthcare systems can do differently.

We discuss the striking regional differences across Canada, including why British Columbia consistently outperforms other provinces, and explore what lessons can be learned from both successful provincial programs and immigrant communities, whose breastfeeding outcomes often exceed those of Canadian-born mothers.

Dr. Gulati explains why “not enough breast milk” is one of the most commonly reported reasons for stopping breastfeeding—and why true low milk supply is far less common than many people believe. We also examine the importance of early lactation support, healthcare provider training, family and workplace support, and addressing the socioeconomic barriers that disproportionately affect vulnerable families.

Finally, Dr. Gulati shares the evidence-based interventions he believes would have the greatest impact if adopted by health leaders across Canada, from expanding access to skilled lactation support to creating policies that enable mothers to continue breastfeeding for as long as they choose.

Listen to the full podcast episode here.

Cheers,

Dr. Dimitre

The post Episode 122: Building a Breastfeeding Friendly Healthcare System with Dr. Rajinder Gulati appeared first on Primary Medicine Podcast.

Dear listeners,

Physician burnout is often framed as a personal problem—but what if it’s really a problem with the way medicine is structured?

In this episode, I’m joined by Dr. Tracy Gapin, physician entrepreneur, TEDx speaker, bestselling author of Male 2.0, and founder of the Peak Launch Institute. After years in traditional urology practice, Dr. Gapin built a different model of care focused on what he calls Precision Performance Medicine.

We discuss why so many physicians feel trapped in high-volume, insurance-driven medicine, how doctors can begin transitioning toward more autonomous and sustainable cash-based practices, and why making a change doesn’t have to mean blowing up your career overnight.

We also explore Dr. Gapin’s approach to men’s health, testosterone, longevity, and performance—and how his thinking has evolved since writing Male 2.0.

Listen to the full podcast episode here.

Cheers,

Dr. Dimitre

The post Episode 123: Reimagining Medical Practice Burnout, Autonomy & Better Care with Dr. Gapin appeared first on Primary Medicine Podcast.