The document discusses various memory issues that can occur in Ruby and Rails applications, including bloat, memory leaks, and memory churn. It provides examples of each issue and recommends using the Oink gem to monitor memory usage and identify problems. The document also advises stopping the use of global state, limiting object mutation to reduce memory churn, and exploring object graphs to find memory leaks. Best practices are presented for configuring memory monitoring and troubleshooting performance issues.