Fit As A Fiddle

If you want the "in" on your health, search no further. Fit As a Fiddle brings you top tips from experts in many fields of health and wellness. Grow with our community as you learn how to enhance your overall physical and mental wellbeing.

Fit As A Fiddle is a health podcast hosted by Dr. Sneha Gazi, with 173 episodes on record and a Required Pod Score of 80.

Dr. Sneha Gazi hosts Fit As A Fiddle, a health show with 173 episodes published.

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  Episode #14

  A PT, OT, and Chiro Talk About Pain & Nervous System Regulation

  Oct 1, 202636 minS9

  In this roundtable episode of Fit as a Fiddle, orthopedic and pelvic health PT Dr. Sneha Gazi sits down with chiropractor Dr. Rob Shire and occupational therapist Dr. Taylor Rahe to unpack how PT, OT, and chiropractic care overlap and differ. They discuss why their collaborative, nervous-system-centered approach is so powerful for patients, especially in the perinatal world. They explore how each profession uses its unique tools to support the same ultimate goal: helping people participate fully and meaningfully in their lives, whether that means dancing at a daughter’s wedding, traveling the world, or simply getting out of bed without fear. Together, they dig into what “dysregulation” actually means without pathologizing patients, reframing the nervous system as protective and on your side rather than “broken.” The trio discuss regulation versus calm, observing pain from a compassionate, mindful distance, and the role of neuroplasticity in changing ingrained patterns of movement, stress, and identity rooted in chronic pain. They also talk candidly about patient responsibility, the challenge when people do not follow through on home programs, and how tools like HRV biofeedback can make invisible progress visible, and therefore more motivating. The episode closes with a powerful case for truly multidisciplinary, patient-centered care: why no single profession can be everything to everyone, how to stay in your lane while collaborating deeply, and how to think of care as an individualized “algorithm” that might mix PT, OT, chiropractic, biofeedback, mindfulness, and more. For both providers and patients, this conversation is an invitation to stay curious, understand each profession’s scope, and stay open to different modalities as pathways to the same goal: a fuller, more empowered life in your body. Connect with them: Dr. Rob Shire: drrobertshire.com Dr. Taylor Rahe: drtaylorrahe.com truwholecare.com Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.

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  Episode #13

  The Truth About Epidurals

  Sep 24, 202635 minS9

  In this episode of Fit as a Fiddle , Dr. Sneha Gazi sits down with Dr. Tiffany Lin, a board-certified anesthesiologist and pain medicine specialist at Weill Cornell Medicine and NewYork-Presbyterian Hospital, for an approachable, evidence-informed conversation about labor epidurals. Dr. Lin explains what an epidural actually is, how it works on the nerves that carry pain, sensation, and movement, and why modern epidural techniques look very different from the “completely numb and stuck in bed” version many people still picture. Together, they explore how epidurals can be tailored throughout labor, including lower-dose options that may allow for repositioning in bed, patient-controlled dosing, and adjustments when someone wants more pain relief or more sensation and pressure for pushing. They also discuss what to expect with placement, common medication-related side effects, why a urinary catheter may be used, and the rare but important risks and reasons an epidural may not be appropriate for every patient. Dr. Lin also clears up persistent myths around timing, C-sections, prolonged labor, and paralysis. Most importantly, this episode makes space for every kind of birth preference. Whether you are planning an unmedicated birth, considering an epidural, scheduling a cesarean, or simply want to understand your options before labor begins, the goal is education, flexibility, and informed consent. Listen in to better understand the benefits, risks, alternatives, and questions to bring to your OB, midwife, and birth hospital as you create a plan that feels right for you. Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.

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  Episode #12

  Reframe Your Birth Story & Empower Your Birth

  Sep 17, 202656 minS9

  In this unique episode, Dr. Sneha Gazi turns the mic on her own birth story with the help of Risa Klein, a certified nurse midwife and the founder of Manhattan Midwife. With over 30 years of experience transitioning from attending home births to working in hospital settings, Risa has dedicated her career to empowering mothers and advocating for low-intervention, high-satisfaction deliveries. Risa shares her journey from working as a TV news producer to discovering her true calling in midwifery, explaining how she now focuses on birth consultations and medical record reviews to help mothers process, understand, and heal from challenging birth experiences. The conversation takes a deep dive into Sneha’s 45-hour labor, allowing Risa to clinically and emotionally reframe the extended timeline. Risa unpacks the reality of "back labor," explaining how a posterior fetal presentation likely caused Sneha’s prolonged early contractions without significantly dilating the cervix. She emphasizes the crucial need for early communication with care providers, noting that simple positional shifts, like getting in a tub or adopting a polar bear position, can often help turn the baby and save mothers from severe energetic depletion. The episode also clarifies the medical difference between labor induction and augmentation, validating Sneha’s intuitive decision to get a restorative epidural upon reaching active labor. Finally, Risa and the host explore the broader, often disconnected landscape of modern hospital births. They discuss the pitfalls of navigating large obstetrics practices where mothers might end up with rushed, unfamiliar, or unsympathetic providers who treat birth as a strict schedule rather than an individualized experience. Risa passionately advocates for continuous, trusting relationships between providers and mothers, encouraging listeners to speak up, ask questions, and secure a care team that truly listens to their needs. Connect with her: manhattanmidwife.com Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.

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  Episode #11

  Prenatal Nutrition from Preconception to Gestational Diabetes

  Sep 10, 202642 minS9

  In this episode of Fit as a Fiddle, we chat with prenatal dietitian Mel Spinella, founder of Well by Mel Nutrition, about what realistic, evidence-based nutrition looks like from preconception through pregnancy. Mel shares why the three months before conception matter so much, which labs to consider (vitamin D, folate/B12, iron, thyroid, blood sugar), and why not all prenatal vitamins are created equal, especially when it comes to choline, DHA, and iron. She discussed how nutrient needs shift across trimesters, how to think about supplements if you don’t eat fish, and the difference between “hard no” foods (alcohol, high-mercury fish, excess caffeine) and sensible food-safety precautions that shouldn’t spiral into food anxiety. Mel also offers practical strategies for managing morning sickness with blood-sugar-friendly snacks and vitamin B6. She reframes gestational diabetes as placenta-driven, not your fault, showing how to keep carbs in your life using balanced meals, snacks, and a strategic bedtime snack to steady blood sugar. Connect with her: wellbymelnutrition.com @pregnancynutritionist_ Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.

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  Episode #10

  IV Ketamine to Treat Depression

  Sep 3, 202644 minS9

  In this episode, we welcome Alison Greenberg, former co-founder of the virtual perinatal care platform Ruth Health and current Senior Director of Growth and Partnerships at Ember Health. Allison shares her journey from addressing physical maternal health gaps to tackling the interconnected mental health crisis. We dive into the groundbreaking work at Ember Health, the largest IV ketamine practice in the country, to demystify the medical use of ketamine for treating major depressive disorder, bipolar depression, and postpartum depression. The conversation unpacks the science and safety behind IV ketamine, a drug traditionally used as a highly safe anesthesia that boasts an astounding 75% to 84% efficacy rate for depression, far surpassing the 33% average of standard SSRIs. Alison explains why Ember strictly administers ketamine via IV in a medically supervised, clinical setting, strongly cautioning listeners against the rising, risky trend of mail-order, at-home oral ketamine. She warns that these unmonitored at-home treatments lack essential emergency oversight and pose serious risks, such as organ damage and a propensity for addiction. Finally, Alison walks listeners through the beautifully choreographed patient experience at Ember Health, highlighting their rigorous, interdisciplinary care model that requires patients to actively collaborate with a mental health provider. She explains the profound concept of neuroplasticity, how ketamine creates a vital 24 to 72-hour window after an infusion where the brain is literally ripe to rewire negative habits, behaviors, and depressive patterns. Tune in to learn how this fast-acting, safe treatment, which is even accessible to breastfeeding mothers, is changing the landscape of mental health care. Connect with her: emberhealth.co Click here and use your exclusive 20% listener discount (Code: Fit20) to enroll in Master Your Pelvic Floor, our signature self-paced course that will change the way you understand and care for your body.

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