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Dr N Grewal, MD

@drngrewal.bsky.social
1.5K followers 266 following 57 posts

ER Physician, mom of 3. 🇨🇦 Clinical Assistant Professor, UBC & SFU Medicine *Avaaz* Health podcast host. Cofounder of SAsianCommunityHealthTaskForce & ThisIsOurShotCanada #medsky

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Dr N Grewal, MD @drngrewal.bsky.social · 11h
New podcast episode is out! Learn about the 2026 cholesterol guidelines update and how to best manage your individual cardiovascular risk. #cholesterol #mededucation #cardiovascular
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Avaaz Health @avaaz-voicepodcast.bsky.social · 09/10/2026
People of South Asian descent should have a PREVENT score calculated, and a particular set of tests tests done by their primary care provider, at an earlier age than non-South Asians. For more info listen to the episode at the Avaaz Health podcast. @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 08/10/2026
GLPs play a role in reducing ectopic & visceral fat and fatty liver with inflammation, and the limited South Asian data suggest they may be especially valuable in this population. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 06/10/2026
Vegetarian food is not automatically healthy.    When the MASALA study scored diets by quality — healthy plant-based (emphasizing fruits, vegetables, whole grains, legumes, and nuts) vs unhealthy plant-based (heavy in refined grains, sugars, and fried foods) — the quality changed diabetes risk.
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Avaaz Health @avaaz-voicepodcast.bsky.social · 05/10/2026
Want a simple way to assess cardiovascular risk? Check your waist circumference at the level of the belly button.   The International Diabetes Federation suggests a lower threshold for South Asian women: waist circumference less than 80 cm. @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 02/10/2026
Higher parity (number of children you give birth to) tracks with higher cardiovascular risk in women. It also increases other risk factors — there are higher rates of hypertension, cholesterol levels & obesity in women who have had more pregnancies (2+) @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 01/10/2026
South Asians develop heart disease at lower BMIs.   The MASALA study shows that South Asians carry more visceral fat, more intermuscular fat, and more hepatic (liver) fat, with less lean muscle mass, compared with other groups.    The reason? Find out on the Avaaz podcast. Episode out now.
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Avaaz Health @avaaz-voicepodcast.bsky.social · 29/09/2026
Not every “South Asian” from the Indian subcontinent is at the same risk.    The MASALA study has expanded to Bangladeshi and Pakistani participants, with their research showing heterogeneity — "South Asian" is not one risk profile.   @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 28/09/2026
Why do South Asians experience higher rates of heart disease and type 2 diabetes earlier in life?    We sit down with Dr. Alka Kanaya: Internal Medicine physician & Medicine Prof at UCSF, founding Principal Investigator of the MASALA Study. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 24/09/2026
Considering peptides, ask: Proven? Has it been tested in human studies? Prescribed? Is it approved by Health Canada/FDA? Pure? Do you know exactly what's in the product you're taking? The research is exciting but it hasn’t advanced far enough yet for us to recommend taking them at this time.
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Avaaz Health @avaaz-voicepodcast.bsky.social · 08/09/2026
Peptides have become the newest health craze. People are taking peptides to lose weight, build muscle, sleep better, grow thicker hair, even to slow aging. But are peptides actually the future of medicine or just a fad? Let’s dive in. @drngrewal.bsky.social @mangoe93.bsky.social
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Dr N Grewal, MD @drngrewal.bsky.social · 08/09/2026
New season for our women’s health podcast! New episode on #peptides : fad or fact? Prescription or placebo? For more info - listen on Spotify or Apple, or watch on YouTube.
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Avaaz Health @avaaz-voicepodcast.bsky.social · 04/09/2026
Season 8 of our women’s health podcast launches Tuesday Sept 8th! Join us for informative chats hosted by practicing medical doctors. #womenshealth #healthpodcast #md
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Avaaz Health @avaaz-voicepodcast.bsky.social · 15/05/2026
That is a wrap on this season of the Avaaz Health Podcast! We will be back this fall with a brand-new, exciting season packed with deeper insights, expert medical breakdowns. Send your favorite episode to a woman in your life who needs to hear it. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 01/05/2026
You don’t have to smoke to get lung cancer. A significant number of cases occur in non-smokers—especially women. Symptoms are often subtle, which is why awareness matters just as much as risk factors. #LungCancer #HealthAwareness #CancerPrevention @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 28/04/2026
Cancer screening is designed to catch disease before symptoms start, when it’s most treatable. Skipping it because you feel healthy can mean missing the window for early detection. #CancerScreening #EarlyDetection @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 21/04/2026
High cortisol has become a buzzword on social media but routine cortisol testing is rarely helpful without clear medical reasons. #Cortisol #HormoneHealth #MedicalMyths #EvidenceBased #HealthTrends @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 17/04/2026
Low energy? Low mood? It’s not always testosterone. Social media has made hormone testing trendy but most healthy young men don’t need routine testosterone checks. The real answer often lies in sleep, stress, nutrition, and lifestyle. @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 13/04/2026
In this episode of the Avaaz Health Podcast, we sit down with oncologist Dr. Jiti, to break down some of the most common health myths circulating right now. From “Why screen if I feel fine?” to “Only smokers get lung cancer,” we unpack what’s fact. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 01/04/2026
Conversations about GLP-1s as weight loss drugs are taking place everywhere. What are they really? And how do they work? GLP-1s can be life-changing for some—but they’re not a quick fix or for everyone. Listen at the Avaaz podcast. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 30/03/2026
Everyone’s talking about it. The magic weight-loss injections. Better known as GLP-1s like Ozempic. Join us for a fact-based conversation about the good the bad and the unknown on GLP-1s. Listen to the full episode on the Avaaz Health Podcast @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 25/03/2026
Bioidentical hormones: are they safer, more natural, and better for you… or just smart marketing? 🤔 In this episode, we unpack what “bioidentical” actually means. 🎧 Listen at the Avaaz Health Podcast #menopause #bioidenticalhormones #hormonetherapy #hrt @mangoe93.bsky.social @drnavbahal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 23/03/2026
In peri-menopause, metabolism changes in ways most women aren’t warned about— like stubborn weight gain and bone density loss, and why your body suddenly feels like it’s playing by different rules. 🎧 Listen now on the Avaaz Health Podcast @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 19/03/2026
For many of us, our moms didn’t talk about menopause so we had little idea of what to expect when we hit the milestone ourselves. And turns out that the only thing predictable about menopause, is that it’s unpredictable. Listen to the full episode. @mangoe93.bsky.social @drngrewal.bsky.social
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Dr N Grewal, MD @drngrewal.bsky.social · 16/03/2026
Our new update on #menopause and #perimenopause is out today! #womenshealth #midlifehealth #menopausehormonetherapy
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Avaaz Health @avaaz-voicepodcast.bsky.social · 14/03/2026
New episode out Monday #notyourmothersmenopause Tune in wherever you get your podcasts and on our YouTube channel. @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 11/03/2026
Tune in on March 16th for the update you won’t want to miss on perimenopause and menopause: new terminology, new guidelines, and helpful medical advice! Find us on Spotify and Apple Podcasts, YouTube, Instagram, and TikTok.
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Dr N Grewal, MD @drngrewal.bsky.social · 11/03/2026
The fascinating role of epigenetics in altering gene expression during multiple South Asian famines, which may have resulted in metabolic syndrome and increased cardiovascular risk in these populations.
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Avaaz Health @avaaz-voicepodcast.bsky.social · 10/03/2026
South Asians Need More Exercise Than You Think. Time-restricted eating (intermittent fasting), resistance training, and higher weekly activity targets can significantly improve metabolic health in South Asians. #HeartHealth #MetabolicHealth @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 08/03/2026
Happy international women’s Day from us at Avaaz health
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Avaaz Health @avaaz-voicepodcast.bsky.social · 06/03/2026
A wider-than-expected waistline can be more than cosmetic — it may signal metabolic syndrome. Metabolic syndrome includes:
• Increased waist circumference
• High triglycerides
• Low HDL
• Elevated blood pressure
• Elevated fasting glucose @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 05/03/2026
Heart disease symptoms in South Asian men and women can be subtle — and different from the “classic” textbook presentation. There has to be greater awareness in the medical system.
 #SouthAsianHealth #HeartHealth #MetabolicHealth @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 05/03/2026
South Asians develop diabetes, heart disease, and heart attacks at younger ages — and often at lower body weights — than other populations. It’s biology, body composition, and metabolic differences that many people don’t talk about enough. #HeartHealth @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 24/02/2026
A new season of the Avaaz Health podcast drops on Monday. We tackle the latest scientific information on GLP-1’s, menopause and more. Listen in starting March 2 #WomensHealth #menopause #GLP1 #healthpodcast #fyp @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 20/02/2026
Around menopause many women face a higher risk of hypertension due to hormonal shifts, sleep changes, and stress. In this episode, we share why it happens and how to protect your heart health through midlife. Listen now on the Avaaz Podcast. #Hypertension @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 17/02/2026
Hypertension is known as the silent killer-often with no symptoms, yet it can quietly affect your overall health. In this episode, we break down what high blood pressure means, why it matters, and how to protect your health. Listen on the Avaaz Podcast. @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 10/02/2026
We’re revisiting our earlier episode on the Superwoman phenomenon through the lens of South Asian women. It’s the pressure to excel, care for everyone, uphold family expectations, yet it leaves us still feeling like never enough. #SuperwomanPhenomenon @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 11/02/2026
Trying to do it all isn’t a personality trait, it’s a survival skill many South Asian women were taught. In this episode, we talk about what it really costs to carry everything, all the time and what it might look like to choose rest. #superwoman @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 05/02/2026
Does PCOS affect fertility?
What does that actually mean for your body? PCOS can influence cycles and ovulation, but everyone’s experience is different.
🎙️ Listen to the full conversation on the Avaaz Health Podcast. #PCOS #WomensHealth #SouthAsianHealth @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 04/02/2026
PCOS isn’t just one symptom. It can affect your period, your skin your hair and so many other changes you may have noticed in your body. 🎙️ Listen to the full conversation on the Avaaz Health Podcast. #PCOS #southasianheath #womenshealth @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 30/01/2026
When parents start needing care, the questions get heavy.
Do we bring them or keep them in our homes to live — or choose an independent or assisted care facility? There’s no single “right” answer. #SandwichGeneration #ElderCare #CaregiverSupport @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 28/01/2026
Caring for aging parents and supporting kids at the same time?
Welcome to the sandwich generation — stretched emotionally, financially, and mentally. We’re revisiting this topic because it’s a reality for so many right now.
 #SandwichGeneration #fyp @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 20/01/2026
Alcohol use in women creates more health risks than it does in men. Find out why when you listen to the full Alcohol Use Disorder episode at Avaaz Health, wherever you get your podcasts. #alcoholusedisorder #MedicalPodcast #southasianheath @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 19/01/2026
Happy New Year! This week we're throwing it back to our 2023 podcast episode on alcohol use disorder. Listen to the full episode at Avaaz Health wherever you get your podcasts. #alcoholusedisorder #MedicalPodcast #southasianheath @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 17/12/2025
A Medical Order for Scope of Treatment (MOST) helps your healthcare provider understand how aggressive or conservative you want your care to be.
This is how you make your decisions legally actionable.
#MOSTForm #HealthcarePlanning #AdvanceCarePlanning @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 12/12/2025
Your cultural beliefs, religious values, and personal priorities shape every medical decision.
Advance care planning starts with understanding your values before talking treatments.
#ValuesBasedCare #CulturalCare #SouthAsianElders #MedicalAdvice @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 09/12/2025
CPR on TV looks gentle. Real CPR is intense — and can be traumatic for loved ones to witness.
An advance care directive lets you decide what interventions you’d want long before a crisis.
#CPRFacts #AdvanceDirective #EndOfLifeCare #fyp #AgingParents @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 03/12/2025
it’s a tough conversation now, but advanced care planning means less stress, less confusion, and more peace of mind after they’re gone. #wills #advancedcareplanning #southasianphysicians @drngrewal.bsky.social @mangoe93.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 27/11/2025
Here’s an important reminder: the pill protects against pregnancy, not infections. 
Only condoms and other barrier methods can reduce your risk of sexually transmitted infections (STIs).
We explain why combining methods is key to staying protected @mangoe93.bsky.social @drngrewal.bsky.social
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Avaaz Health @avaaz-voicepodcast.bsky.social · 26/11/2025
Let’s set the record straight: being on the pill won’t harm your fertility. 🙅‍♀️
Once you stop, your body quickly returns to its normal cycle. 
We share the science to help you make confident choices about your reproductive health. #FertilityFacts @mangoe93.bsky.social @drngrewal.bsky.social
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