Explore every episode of the podcast Medical Disruptor™ by Dr. E

Perimenopause does not always start with hot flashes. Sometimes it starts with anxiety out of nowhere, or sleep that falls apart, or ringing in your ears, or just the sense that you are not quite yourself anymore. If you keep being told you are too young for menopause or you still get your period so you’re not perimenopausal you need to watch this episode. Dr. Tara Scott is a board certified OBGYN who spent almost twenty years in conventional women's health before she started going back to school on her own time. She went through infertility herself, and when the Women's Health Initiative came out in 2002 and everyone panicked about hormones, she went looking for real answers instead of taking the panic at face value. She explains why the guidelines say women don't need hormone testing, and why that is different from saying testing has no value. Men get baseline testosterone testing and ongoing monitoring. Women get told their hormones fluctuate too much to bother. We also get into why more estrogen can backfire if nobody checked yours first, what anxiety in your forties is often really about, and the researcher who has now catalogued over a hundred perimenopause symptoms. There is a version of your forties that does not feel like this, and it starts with knowing your own numbers. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 1:51 - Infertility, the 2002 WHI Panic, and Root Cause Medicine 7:36 - What ACOG Actually Says About Hormone Testing 17:07 - The Full Hormone Workup (Including the Test Nobody Orders) 23:32 - Medical Gaslighting and the Pizza Hut Analogy 35:02 - The Financial Incentive Question + Rapid Fire Guest Links: FB: https://www.facebook.com/hormonegurumd IG: https://www.instagram.com/hormonegurumd/ YT: https://www.youtube.com/channel/UCdT6C4nc_y9x9TSCMhiZgaQ Website: https://drtarascott.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Your fatigue never lifted. Your brain fog never cleared. You had COVID, you technically recovered, and you have not been the same person since. Dr. Robin Rose is double board certified in internal medicine and gastroenterology. After she left conventional practice she started running much deeper bloodwork on everybody, and the same things kept showing up. White counts in the twos and threes. Ferritin that didn't line up with the iron. Elevated D dimer in people who had no clot anywhere. That last one is what sent her looking. A D dimer is what the ER runs when they think you have a blood clot, so seeing it high in people without one didn't add up. It led her to microclots. Too small to see on a scan, big enough to choke off the circulation where your cells actually pick up oxygen. We get into why she now asks every patient with POTS or mast cell activation when they last had COVID. Why the gut is where a lot of this starts and nobody checks it and why even a mild case isn't nothing, and why so many people feel like they aged five years in one. If you had COVID and never fully bounced back, this conversation is going to explain a lot. The fatigue, the brain fog, the racing heart when you stand up, and the labs that keep coming back normal. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:38 - From Conventional GI to Cellular Medicine 16:53 - The Strange Lab Patterns No One Was Talking About 21:19 - Spike Protein, Vaccines, and Her Own Reaction 28:17 - Prophylaxis and Treatment: Nasal Sprays, Melatonin, Ivermectin 36:16 - Rapid Fire: Dysautonomia, POTS, and Why There's Hope Guest Links: FB: https://www.facebook.com/drrobinrose IG: https://www.instagram.com/dr.robinrose/ Website:https://terrainhealth.org Learn more about your ad choices. Visit megaphone.fm/adchoices

If your child has eczema that keeps coming back, gets constipated for days at a time, or has had one ear infection after another, this episode is for you. These usually get treated as three separate problems by three different specialists. This week's guest, Dr. Sheila Kilbane says they are often one problem showing up in three places, and dairy is frequently part of it. She is a board certified pediatrician who trained in integrative medicine at the University of Arizona. She did not set out to change how she practiced. She just kept listening to moms who told her their child improved after cutting dairy, and eventually she went looking for why. In this episode she walks through the case that changed everything. She explains the cup of inflammation, which is the simplest way I have heard anyone describe why symptoms cluster. She covers what to do first, why she starts with magnesium, why you should never stop dairy cold turkey, and how to protect your child's bones while you do it. Your child is not a difficult case. Their cup is just full. Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠ Get Dr. E's FREE 5 Red Flag Phrases guide here: ⁠https://freechapter.lpages.co/5-phrases-that-are-red-flags/⁠ Check us out on social media: ⁠https://www.instagram.com/drefratlamandre⁠ ⁠https://www.facebook.com/drefratlamandre⁠ ⁠https://www.tiktok.com/@drefratlamandre⁠ #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Intro 3:15 - From Med School to Listening to Moms 11:06 - The Chronically Unwell Child: What Pediatrics Misses 18:38 - Leaky Gut: One Problem, Three Symptoms 22:15 - Fix the Poop First: Magnesium Over Miralax 35:28 - Answering the AAP Pushback + Rapid Fire Guest Links: IG: ⁠https://www.instagram.com/sheilakilbanemd⁠ YT: ⁠https://www.youtube.com/ ⁨@SheilaKilbaneMD⁩ ⁠ Website: ⁠https://sheilakilbane.com Learn more about your ad choices. Visit megaphone.fm/adchoices

If you are on hormone therapy and still dealing with dryness, painful sex, or leaking when you laugh, this episode is for you. Estrogen and progesterone do a lot of good work. They protect your bones, your heart, and your brain. But systemic hormones do not reach everything. There is a whole area of your body they mostly skip, and that is where a lot of women are still struggling in silence. Dr. Anna Cabeca is a triple board certified OBGYN who delivered thousands of babies before she started asking why so many of her patients were not getting better. In this episode she explains why vaginal estrogen alone often is not enough either, and what she uses instead. She also explains the vaginal microbiome. Your standard panel looks for infections. It does not check whether your protective bacteria are still there. And as we age, that protection thins out, which raises the risk of recurring infections, bladder problems, and even HPV. We talk about topical DHEA and testosterone, why they reach the deeper tissue that estrogen cannot, and how she watched patients scheduled for incontinence surgery improve enough that they no longer needed it. Menopause is mandatory. Suffering is not. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case: https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 3:13 - From 2-3 Surgeries a Week to 2-3 a Year 11:44 - The Vaginal Microbiome Your Annual Exam Misses 17:36 - A Preventable Stage 4 Cervical Cancer Story 24:27 - Topical Hormones for Dryness and Incontinence 39:14 - Pushback and Rapid Fire Questions Guest Links: IG: https://www.instagram.com/thegirlfrienddoctor YT: https://www.youtube.com/thegirlfrienddoctor Website: https://dranna.com Learn more about your ad choices. Visit megaphone.fm/adchoices

High cholesterol does not always start in your diet. When your thyroid is slow, everything in your body slows down with it, including how you clear cholesterol. So you can eat well, move your body, do everything right, and still watch that number climb. If you were handed a statin prescription and never had your thyroid checked, this episode is for you. McCall McPherson is a PA and the founder of Modern Thyroid Clinic. At 27 she was spending 16 hours a day in bed, losing her hair, gaining weight, and struggling to think clearly. Her doctor ran one lab and offered her medication for her cholesterol. That was the whole visit. In this episode she explains why running only a TSH misses the real picture, and which labs actually tell you what is happening. She explains free T3 and why a large number of people cannot turn their thyroid medication into the form their body can use. We talk about Hashimoto's and how she has kept her own antibodies in remission for over 12 years. She breaks down the word subclinical and the single flawed study that taught a generation of clinicians to wait until patients get much worse. And she explains why so many people end up on medications for cholesterol, blood sugar, and blood pressure that trace back to a thyroid nobody treated properly. When you know what to ask for and what the lab results actually mean, you can get your life back. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Get Dr. E's FREE 5 Red Flag Phrases guide here: 5 PHRASES THAT ARE RED FLAGS Check us out on social media: https://www.instagram.com/drefratlamandrehttps://www.facebook.com/drefratlamandrehttps://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 1:45 - Bedridden and Dismissed: McCall's Thyroid Story 5:02 - What the Standard TSH Test Gets Wrong 8:45 - Hashimoto's and How to Lower Your Antibodies 15:58 - Subclinical Hypothyroidism and the Flawed Study Behind the Guidelines 28:53 - The Optimal Thyroid Numbers and What to Ask Your Doctor Guest Links: FB: https://www.facebook.com/modernthyroidclinic IG: https://www.instagram.com/mccallmcphersonpa YT: https://www.youtube.com/@McCallMcPherson Website: https://www.modernthyroidclinic.com Learn more about your ad choices. Visit megaphone.fm/adchoices

If you have not slept properly in years this episode is for you. You lie down exhausted and your brain goes a million miles an hour. You wake at 3am for no reason and you are running on empty. This week's guest on the Medical Disruptor, Dr. Daniella Marchetti, holds the highest credential in behavioral sleep medicine. She works with veterans at the VA and with women in private practice, and she noticed something that changed how she treats insomnia. The gold standard treatment for getting a good night’s rest was built on men's sleep. Women's sleep is different. The hormone shifts are different. The daily load is different. And when treatment does not account for that, women drop out of it. In this episode she explains why being wide awake and wired at night is usually not anxiety. It is your nervous system doing exactly what it was trained to do. We talk about how your sleep tracker may be making things worse by turning rest into a score you keep losing. She explains what melatonin actually does, why the doses most people take are far too high, and what she recommends instead. She also shares the one question to ask a provider before you trust them with your sleep. It’s time to get a good night’s sleep. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 5:02 - Why Women Need a Different Sleep Treatment 9:13 - Are Wearables Making Your Sleep Worse? 16:47 - "Mom-somnia": Why a Mother's Sleep Changes 28:56 - Ambien, Lunesta and the Truth About Sleep Meds 32:30 - The Truth About Melatonin Guest Links: IG: https://www.instagram.com/drdaniellamarchetti Website: https://daniellamarchetti.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you been exhausted, carrying weight you cannot lose, losing your words mid sentence, feeling older than you are? Those are not four separate problems. They are energy problems, and your body makes energy in one place. We all learned that the mitochondria is the powerhouse of the cell. Then we closed the book and never thought about it again. Which is pretty rude, when you think about it. That little thing has been working double shifts for you since the day you were born. It got you through tenth grade biology and you paid it back with four hours of sleep, a drive thru coffee, and a vitamin you bought in 2022. Dr. Benjamin Busch worked in the emergency room for twenty years. Then he left and built a practice that measures your energy instead of guessing at it. In this episode of the Medical Disruptor, he explains what VO2 testing shows, why a normal lab result only means you look like most other sick people, and how food, toxins, and hormones break the way your cells make energy. We also talk about brain injury treatment, why fibromyalgia was never a mental health diagnosis, and the money reasons the system is set up to manage you instead of fix you. This show gives you the conversation you did not get in your fifteen minute visit. Nothing is for sale here. Just real, board certified clinicians who trained inside the system and will tell you where it falls short. You are not lazy. You are not aging badly. You are running low on power. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 3:05 - Why He Walked Away From the ER 11:44 - Inside a Mitochondria-Focused Practice 16:11 - Why the System Profits From Sickness 22:16 - How Modern Life Damages Your Mitochondria 27:34 - Intranasal Biologics for Brain Healing Guest Links: FB: https://www.facebook.com/ViveWell.Health/ IG: https://www.instagram.com/vivewell.health/ YT: https://www.youtube.com/@ViveWell.Health Website: https://vivewell.health/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Half of the people who show up with a heart attack have completely normal cholesterol. That statistic is exactly why I brought back Dr. Philip Ovadia, a board certified cardiac surgeon who spent years operating on hearts while morbidly obese and pre-diabetic himself. In 2016, before Ozempic or any of the GLP-1 medications existed, he lost 100 pounds and reversed his own prediabetes, and it changed what he believed about the disease he had spent his whole career treating. We get into why insulin resistance carries six times the heart disease risk that elevated LDL cholesterol does, based on the Women's Health Initiative data, and why nearly 90 percent of adults are walking around metabolically unhealthy without knowing it. Dr. Ovadia walks through fasting insulin, a simple and inexpensive blood test that can flag this risk years before a cholesterol panel ever would, and explains why imaging that actually looks at your arteries tells you more than blood work alone ever can. We also talk honestly about statins, what the real numbers behind their benefit show once the marketing is stripped away, and why he now tells patients that meat, not cholesterol, belongs back on the table. It is a conversation that reframes what actually predicts a heart attack and gives you real questions to bring into your next cardiology appointment. Normal cholesterol does not mean a healthy heart. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Get Dr. E's FREE 5 Red Flag Phrases guide here: https://freechapter.lpages.co/5-phrases-that-are-red-flags/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:15 - From obese surgeon to carnivore & "meat is medicine" 8:18 - Insulin Resistance vs. Cholesterol & the $15 Test 19:36 - Why Doctors Miss It: Fasting Insulin, CRP & GLP-1s 23:45 - Gut Health, Fiber, Fermented Foods & ApoE4 31:25 - Fixing the Cardiology Visit & What to Ask Your Doctor Guest Links: FB: https://www.facebook.com/ovadiahearthealth IG: https://www.instagram.com/ifixhearts/ YT: https://www.youtube.com/ ⁨@IFixHearts⁩ Dr. Philip Ovadia New Book: https://stayoffmykitchentable.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Your thyroid does not make one hormone. It makes five. Your last panel probably only tested one. That gap is exactly why I brought Dr. Amie Hornaman onto the show. In this episode of theMedical Disruptor, she shares her own thyroid story, including the 25 pounds that showed up in a matter of weeks and the seven different doctors she saw before anyone gave her an answer. From there we get into why testing TSH and T4 alone misses so much, what a full thyroid panel should actually include, and why she believes most people need more than T4 only medication like Synthroid to feel like themselves again. We break down reverse T3 and what it means when it is elevated, then go into T2, a thyroid hormone that is not T3 or T4, has decades of research behind it, and may play a real role in metabolism and fat burning. We close with what to actually ask for at your next appointment so a normal result is not the end of the conversation. As always, this is a free conversation with a vetted, board certified clinician, no products and no upsells, just information you can take straight into your next appointment. This is how we address medical gaslighting directly, by giving you the language and the data to advocate for your own thyroid health. You are not fine. You are just not sick enough yet. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 3:22 - Amie's 25-Pound Mystery & 7 Doctors 7:27 - Why TSH & T4 Alone Aren't Enough 19:55 - T2: The Forgotten Thyroid Hormone 28:08 - How to Stop Getting Dismissed 33:21 - "You're Just a DC, Not an MD" Guest Links: FB: https://www.facebook.com/groups/dramie IG: https://www.instagram.com/dramiehornaman/ YT: https://www.youtube.com/dramiehornaman Website: dramiehornaman.com Learn more about your ad choices. Visit megaphone.fm/adchoices

What Is Actually Living in Your Gut That Is Making Every Other Symptom Worse ft. Izabella Wentz Your gut symptoms have a cause. Finding it just requires someone willing to look past the standard playbook. More than thirty distinct root causes including SIBO, parasites, celiac disease, bile acid malabsorption, food sensitivities, and exocrine pancreatic insufficiency can produce the exact same symptoms and most of them will never show up on a standard workup because the tests that catch them were never built into the protocol. Dr. Izabella Wentz is a pharmacist, Hashimotos specialist, and four-time bestselling author who spent years watching her own body fall apart while the medicine she had been trained in had no answers for her. Explosive diarrhea, brain fog, anxiety, hair loss, fatigue. Each symptom managed in isolation, and none of them ever connected. It was not until she started looking at what was actually happening in her gut that everything shifted. The IBS went into remission, her Hashimotos improved, and the acid reflux disappeared. In this episode we get into why IBS is no longer being treated as a diagnosis of exclusion and what that means for anyone who has been handed that label without a real workup. Izabella walks through the first places she looks before any testing even begins, including medications most people never think to question and food additives hiding in products marketed as healthy. She breaks down the functional tests that actually reveal what is driving symptoms and why parasite infections are far more common than conventional medicine is willing to admit. She also explains the three conditions that have to be present for autoimmune disease to develop and why a disrupted gut barrier can precede an autoimmune diagnosis by a decade or more. The Medical Disruptor exists to bring you board-certified clinicians who were trained inside conventional medicine, learned its limits firsthand, and came out the other side with real answers. Your gut is not just a digestive organ. It is the command center for your immune system, your hormones, your brain, and your ability to absorb every nutrient your body needs to function. When it is compromised, everything else follows. And the longer you go without finding the actual cause, the longer everything else keeps breaking down. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 0:00 - Introduction 2:45 - Izabella's Decade of Dismissed Symptoms 9:58 - What IBS Really Is and How It's Diagnosed 16:47 - Medications and Food Additives That Trigger IBS 21:11 - Functional Testing to Find Your Root Cause 25:06 - The Gut-Thyroid-Autoimmune Connection Guest Links: FB: https://www.instagram.com/izabellawentzpharmd/ IG: https://www.instagram.com/izabellawentzpharmd/ YT: https://www.youtube.com/user/ThyroidPharmacist Website: https://thyroidpharmacist.com/media/ Learn more about your ad choices. Visit megaphone.fm/adchoices

What Your TSH Number Isn't Telling You ft. Dr. Brittany Henderson Your TSH can look "perfectly normal" and you can still feel exhausted, foggy, cold, and stuck at a weight that won't budge. In this episode of the Medical Disruptor, I sit down with thyroid specialist Dr. Brittany Henderson to find out why. Dr. Henderson is fellowship-trained at Duke, ran thyroid programs at two major academic centers, and now runs her own thyroid-only practice, the Charleston Thyroid Center. She told me flat out that TSH alone is not enough, and that most doctors don't even know how to read a full thyroid panel. In this conversation we get into why TSH is actually a pituitary hormone, not a thyroid hormone, and why the "normal" TSH reference range was built on flawed population data that included undiagnosed Hashimoto's patients. I ask her what free T4, free T3, and reverse T3 actually reveal that TSH can't, and she walks me through why muscle mass is the missing piece in thyroid hormone conversion, since it's muscle tissue that activates T4 into usable T3. She also explains why up to 95% of people with severe Hashimoto's or a thyroidectomy may need combination T4/T3 therapy instead of T4 alone, and we break down the real differences between levothyroxine, desiccated thyroid extract, and combination treatment. We talk about patients who've been on the wrong thyroid medication for decades and what happens when it's finally corrected, plus the flip side: patients who never needed thyroid medication in the first place and how to tell the difference. Along the way we cover how birth control, inflammation, steroids, and menopause quietly throw off your thyroid labs without anyone telling you. If you've ever been told your thyroid is fine while your body is telling you otherwise, this episode gives you the exact labs to ask for and the language to ask for them. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:10 - From Duke-Trained Endocrinologist to Questioning the Standard of Care 12:38 - Why TSH Alone Is Not Enough 23:16 - Combination Therapy and the Muscle Mass Connection 25:17 - Desiccated Thyroid Extract: History and Misconceptions 35:19 - Pushback, Broken Guidelines, and Where to Find Dr. Henderson Guest Links: FB: https://www.facebook.com/DrHendersonMD/ IG: https://www.instagram.com/mythyroiddoctor/ Website:charlestonthyroidcenter.com | mythyroiddoctor.com | thethyroidfoundation.org Learn more about your ad choices. Visit megaphone.fm/adchoices

Can you heal your gallbladder instead of removing it? Maybe. In this episode I break down what's really behind gallstones, gallbladder sludge, and gallbladder pain, and what you can actually do before surgery. I'm Dr. E, the NP with the PhD. Most people get told "you have stones, let's take it out" and that's the whole conversation. Nobody asks why the gallstones formed, or what happens to your digestion after gallbladder removal. That's what we're fixing here. We cover: What causes gallbladder sludge and gallstones Why gallbladder attacks and biliary colic happen The root causes doctors skip: insulin resistance, thyroid, hormones, bad bile What gallbladder removal actually does to your body When you truly do need surgery Already having symptoms? Get checked by your GI first. If you're in wait-and-see mode, you deserve to ask the deeper questions. Welcome to The Medical Disruptor, where smart humans get answers they won't hear anywhere else. I help humans go from medically gaslit to medically empowered. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 0:00 - Introduction 2:31 - Gallbladder Pain, Stones & Sludge 5:42 - The Root Cause Nobody Talks About 7:50 - Why the Gallbladder Gets Sluggish 10:04 - Life After Removal: Post-Cholecystectomy Syndrome 13:37 - How to Support Your Gallbladder Naturally Learn more about your ad choices. Visit megaphone.fm/adchoices

Estrogen is the hormone women are told to fear, and never told it is actually the one they need most. In this episode of The Medical Disruptor, I sit down with endocrinologist Dr. Cassie Smith to dismantle the hormone myth that's kept millions of women suffering: the belief that estrogen and hormone therapy cause cancer. Dr. Cassie trained at one of the top metabolism and endocrinology fellowships in the country, was named chief resident, ran clinical trials, and then walked away from conventional medicine because the system was failing her patients, and failing her. What she's seen treating thousands of women tells a very different story than what your doctor was taught. We get into why "normal" thyroid labs don't mean you're healthy, how your gut secretly controls whether your hormones actually work, why TSH is a terrible standalone test, and why hormones done correctly can extend longevity and lower your risk of heart disease, dementia, and disease, not raise it. If you've been hesitant about hormone therapy, this conversation will give you the context you need, so you can make a decision based on how hormones truly work, not on outdated fear. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Stop getting dismissed at the doctor's office.Get Dr. E's FREE 5 Red Flag Phrases guide here: https://freechapter.lpages.co/5-phrases-that-are-red-flags/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 4:38 - A Doctor Diagnosed, Dismissed, and Gaslit 11:10 - How Your Gut Controls Your Hormones 19:52 - Why "Normal" Labs Don't Mean You're Healthy 26:13 - What to Ask Your Doctor (and When to Leave) 34:58 - The Truth About Hormones and Cancer Guest Links: FB: https://www.facebook.com/ModernEndocrine IG: https://www.instagram.com/modernendocrine_/ YT: ⁨https://www.youtube.com/@modernendocrine Website: https://www.modern-endocrine.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Menopause doesn't have to be miserable. Yes, we're going to age, and yes, our hormones are going to change, but we do not have to feel old, exhausted, foggy, and brushed off. In this solo episode of the Medical Disruptor, I walk you through how to actually balance your hormones through perimenopause and menopause, in the order your body actually works. Most women get handed estrogen and sent home, and I'm going to show you why that approach so often misses the real driver, and what you need to address first. I start by clearing up the difference between menopause and perimenopause so you know which stage you're really in, and then I explain why your sex hormones aren't the right place to begin. From there I walk through it in the order that actually matters: first insulin and blood sugar, which almost everyone skips, then cortisol and your stress system, which can quietly hog the raw ingredients your sex hormones need, and then your thyroid, where I explain why a single TSH number is not enough testing. Only after those foundations do I get into sex hormones and hormone therapy, including the real difference between HRT and BHRT, what you're actually being offered, and why the type, dose, and route of delivery matter so much. I also unpack the truth behind the Women's Health Initiative studies, the myth that menopause is simply estrogen deficiency, what estrogen dominance really means, and why testosterone matters for women too. You're not stuck, and you don't have to push your way through this. I'm Dr. E, the NP with the PhD, and I help humans go from medically gaslit to medically empowered. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case: https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 1:25 - Defining Menopause, Perimenopause & Hormones 3:06 - Why Insulin Comes First 5:38 - Cortisol & Your Stress System 7:21 - Getting Your Thyroid Tested Right 9:15 - Sex Hormones, HRT & Finding Balance Learn more about your ad choices. Visit megaphone.fm/adchoices

Why Your Brain Is Starving Even When You Eat ft. Dr. Matt Bernstein What if the symptoms we call "mental illness" aren't really about brain chemistry at all, but about a brain that's literally starving for energy? In this episode of The Medical Disruptor, I sit down with psychiatrist Dr. Matt Bernstein, who trained and taught at Harvard before everything he believed about mental health got turned upside down. It started with what he was seeing in his own patients, and then it became personal when his own children got sick at home. We get into the science most psychiatrists were never taught. Dr. Bernstein explains how brain insulin resistance can leave your neurons swimming in glucose but unable to use it for fuel, why mitochondrial dysfunction and inflammation may be the real root causes behind conditions like bipolar disorder and severe depression, and how a ketogenic diet can give the brain a fuel source it can actually access. He also shares one of the biggest eye-openers for me personally, which is that the "relapse" so many people experience after stopping medication is often withdrawal, not the illness coming back. We also talk about why the "chemical imbalance" story is incomplete and what's actually happening in the brain, how food, exercise, sleep, and metabolic health work together to heal the mind, and the difference between a clinician questioning the model and a health influencer simply guessing. Everything you think you know about why the brain breaks down is about to be challenged. Press play and let Dr. Bernstein walk you through the science that changed his mind, and his entire practice. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 2:23 - When His Own Sons Got Sick 11:02 - The "Chemical Imbalance" Myth 18:04 - Why Your Brain Is Starving 22:20 - Switching the Brain's Fuel 29:09 - "Isn't This Just False Hope?" Guest Links: FB: https://www.facebook.com/accordmh IG: https://www.instagram.com/accordmh/ Website: https://accordmh.com Learn more about your ad choices. Visit megaphone.fm/adchoices

You can eat all the "right" foods and still be starving your body of what it actually needs. Healthy and well-nourished are NOT the same thing, and that gap is wider in 2026 than ever. I'm Dr. E, the NP with the PhD, and this is The Medical Disruptor. In this solo episode I explain why getting all your nutrients from food alone has become nearly impossible, even on a clean, whole-food, plant-heavy diet. Industrial farming has left much of our soil depleted, so fruits and vegetables grow with fewer nutrients than they used to carry. That same soil affects the meat and fish in our food chain too. Then produce travels thousands of miles and sits for days or weeks, losing nutrients the whole way, so what lands on your plate is not what was picked. Listen to the full episode to see why you can be doing everything right and still feel fatigued, foggy, low, and wrung out. Your symptoms are usually the first sign your body is running low, long before any test flags a problem. Stop being dismissed. Start being informed. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Stop getting dismissed at the doctor's office. Get Dr. E's FREE 5 Red Flag Phrases guide here: https://freechapter.lpages.co/5-phrases-that-are-red-flags/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre Chapters: 0:00 - Introduction 2:43 - Why Eating Healthy Isn't Enough Anymore 5:08 - The Toxic Load Hiding in Your Food 7:57 - Sick & Dismissed: "You Don't Need That" 9:43 - The RDA Myth & America's Deficiency Epidemic 15:05 - Doing Everything & Still Running on Empty? #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

What if the source of your chronic symptoms has been hiding in your mouth this whole time? In this episode of the Medical Disruptor I sit down with Drs. Ben and Shawn Javid, twin brothers and practicing dentists with nearly 50 years of combined experience, who walked away from conventional dentistry to practice biological dentistry. We get into why mercury fillings are still being placed in millions of mouths, what really happens to a tooth after a root canal, and how hidden infections in the jaw can show up as symptoms everywhere else in the body. We also go over the case of a patient with 40 years of heart palpitations, and what to actually ask if you are looking for a biological dentist. This conversation gave me a whole new lens on the connection between the mouth and the body, and I think it will do the same for you. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ "Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 - Introduction 7:10 - Why No One Checks Your Mouth 8:48 - Mercury Fillings: The Obvious Toxin 16:06 - Your Tooth Is an Organ 28:06 - "Isn't This Just Fearmongering?" 37:22 - Doing Everything & Still Sick? Guest Links: FB: https://www.facebook.com/MySmileBody/ IG: https://www.instagram.com/mysmilebody/ YT: https://www.youtube.com/@MySmileBody Website: https://mysmilebody.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

If you've been diagnosed with IBS, or you have ongoing belly issues that testing keeps coming back "clear" on, this episode is for you. IBS is often given as a label once the serious causes are ruled out, but a label doesn't tell you what to do next. Your bowel isn't simply "irritable." Something is irritating it, and identifying that something is where real progress starts. I'm Dr. E, the NP with the PhD. In this episode I break down what IBS actually is, why it matters well beyond your stomach, and a practical, step-by-step way to start calming and repairing your gut. I cover the medical rule-out you shouldn't skip, how to use a food diary and elimination diet to pinpoint your triggers, why bloating and gas trace back to your microbiome, what SIBO is and how it's tested, how antibiotics and acid-blocking drugs can quietly set off IBS symptoms, and the correct order to eliminate, repair, reinoculate, and reintroduce foods so that probiotics actually help rather than make things worse. If you've already cut the obvious foods, tried the gut-friendly supplements, and you're still uncomfortable, the problem usually isn't you. Let's dig in. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here!: https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 0:00 Introduction: What Is IBS? 1:03 Get the Workup First & IBS Red Flags 5:01 Finding Your Triggers: Food Diary & Elimination Diet 9:07 The Microbiome, Bloating, SIBO & Medications 15:28 How to Treat IBS: The Order of Healing 17:35 The Wrap-Up: Your Action Plan Learn more about your ad choices. Visit megaphone.fm/adchoices

Anxious in your 40s for the first time ever? Before you assume it's anxiety, let’s figure out what is actually happening. In this episode of the Medical Disruptor, I sat down with Dr. Ellen Vora, a board-certified psychiatrist and the author of The Anatomy of Anxiety, and she said something I keep coming back to. A lot of what doctors call anxiety in women over 40 is actually perimenopause. Progesterone is a calming hormone, so when it starts to drop, you get the 3am wake-ups and the out-of-nowhere dread that look exactly like an anxiety disorder. This goes deeper than menopause, though. Ellen broke down how to tell the difference between what she calls false anxiety, the avoidable kind that comes from things like blood sugar crashes, bad sleep, inflammation, and hormone shifts, and true anxiety, which is more like your inner compass telling you something is genuinely out of alignment. We also got into why there isn't solid evidence that anxiety is a serotonin chemical imbalance and why your gut may be driving a lot of it. If your anxiety has never made sense to you, this is where you stop asking how to feel less anxious and start asking what it's trying to tell you. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/5-phrases-that-are-red-flags/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters Guest Links: FB: https://www.facebook.com/ellenvoramd/ IG: https://www.instagram.com/ellenvoramd/ YT: https://www.youtube.com/@ellenvoramd Website: https://ellenvora.com Chapters: 00:00 – Introduction 02:13 – Breaking from the system 13:30 – Why psychiatry never asks "why" 19:41 – The gut-brain connection 23:57 – False vs. true anxiety 30:31 – The real anxiety workup Learn more about your ad choices. Visit megaphone.fm/adchoices

Why Your Thyroid Is the "Check Engine Light" Your thyroid is the check engine light, not the engine. With Hashimoto's, the real story is happening in your gut, your immune system, and your stress physiology, often years before your thyroid shows it. If you have Hashimoto's and you're only chasing your thyroid numbers, you're missing the bigger question: why is your immune system attacking your thyroid in the first place? In this episode of the Medical Disruptor, I break down what Hashimoto's actually is, what the standard "replace the hormone" approach misses, and why your low-functioning thyroid is often a check engine light for something deeper, including gut health, gluten, infections, chronic stress, and toxins. I'm Dr. E, the NP with the PhD, and I help humans go from medically gaslit to medically empowered. We'll cover leaky gut and the gluten-to-TPO connection, the gut microbiome's role in converting T4 to T3, infections like EBV and H. pylori, how chronic stress and cortisol affect your thyroid, endocrine-disrupting toxins, and the smartest next steps to take before you reach for supplements. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Feeling "normal but not okay"? Grab my free guide to track your symptoms, spot your patterns, and get taken seriously https://freechapter.lpages.co/normal-but-not-okay-handout/ Check us out on social media: https://www.instagram.com/drefratlamandrehttps://www.facebook.com/drefratlamandrehttps://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 00:00 - Introduction 02:28 - Where Standard Treatment Falls Short 04:47 - The Gut, Gluten & Leaky Gut Connection 08:31 - Infections, Stress & Toxins 11:37 - What To Do Next: 5 Smart Steps 13:39 - Supplements That Actually Help Learn more about your ad choices. Visit megaphone.fm/adchoices

What if the fatigue you've learned to live with is the earliest warning sign of something building inside you for years? In this episode of the Medical Disruptor I sit down with Dr. Anil Bajnath, a board-certified physician and the founder of a precision medicine institute, to talk about why so many of us feel exhausted, foggy, and off, and what's actually driving it beneath the surface. We get into what's really fueling chronic fatigue at the cellular level, why our healthcare system is built to catch disease far too late, and what you can actually do to find the root cause instead of being told to just manage your stress.  Dr. B also shares how to take real agency over your own health, the one question more patients should be asking, and why the future of medicine is built around you instead of population averages. If you've ever felt unheard, or knew something was off even when you couldn't explain it, this conversation will help you understand your own body well enough to get ahead of disease instead of waiting for it. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Still second guessing yourself in the exam room? Click here! https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 00:00 From Whole Foods to Precision Medicine 05:43 Why the System Diagnoses Too Late 09:17 The Language of Multiomics 19:32 The Biological Audit 27:48 Patient Agency & Medical Gaslighting 34:22 The Future of Medicine is N of One Guest Links: FB: https://www.facebook.com/doctoranilbajnath/ IG: @DrAnilBajnath YT: https://www.youtube.com/@Pursuit.of.Precision Website: https://ifho.org/ Learn more about your ad choices. Visit megaphone.fm/adchoices

You're scheduled for surgery and your surgeon says "you don't need to do anything to prepare." That's medical gaslighting.  In this episode of The Medical Disruptor, I sit down with Dr. Becky Knackstedt, a plastic and reconstructive microsurgeon at Duke with an MD, PhD, and functional medicine certification from the Cleveland Clinic. She's published over 80 peer-reviewed papers and she's done what almost no surgeon does. She questioned what she was taught. We get into why surgical prehabilitation dramatically cuts complications, infections, and hospital stays, and why the system still isn't doing it.  Dr. Becky breaks down the protein, vitamin D, and probiotic protocols that actually move the needle on recovery, why just 5 days of targeted nutrition can change your outcome, and the microbiome connection that nobody in surgery is talking about. She also blows up some of the most damaging pre-op myths still being repeated in operating rooms across the country. Omega-3s, estrogen patches, and IUDs do not need to be stopped before surgery, despite what you've been told.  This is the conversation every patient needs before they sign the consent form. Whether it's breast reconstruction, orthopedic surgery, or a cosmetic procedure, the weeks before matter just as much as the surgery itself.  You are not powerless and you are not just a body on a table. You have a role in your own recovery and this episode shows you exactly how to use it. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 0:00 Meet Dr. Rebecca Knackstedt 0:30 Her background & credentials 1:00 Why surgery training wasn't enough 2:29 The broken surgical prep model 3:21 Why surgery ignores lifestyle 4:21 Insurance is the real barrier 5:20 What is prehabilitation? 6:56 The full prehab approach 8:10 5 days of immunonutrition 9:26 Bromelain, protein & wound healing 10:22 Clearance vs. true optimization 11:21 The patient who changed everything 13:42 What she started doing differently 15:56 Pain catastrophizing in surgery 16:51 Vitamin D — what you need to know 19:13 Daily vs. weekly Vitamin D dosing 20:49 The microbiome & surgery connection 22:12 Probiotics before surgery 23:46 What labs & assessments matter pre-op 25:57 Why surgeons are pushing back 28:00 How to advocate for yourself 29:33 Why she built Clara Recovery 31:27 Medical gaslighting in surgery 35:28 What to do weeks before surgery 38:35 Advice for clinicians Guest Links: FB: https://www.facebook.com/profile.php?id=61567434996173 IG: https://www.instagram.com/surgical_recovery/ YT: https://www.youtube.com/@UCw9aFvRFjNiyiQG3vPkS05Q  Website:www.clararecovery.com Learn more about your ad choices. Visit megaphone.fm/adchoices

If you have ever felt like something is off in your gut and nobody has been able to explain why, this episode is for you. On this episode of the Medical Disruptor, I sit down with Dr. Supriya Rao, a quadruple board certified gastroenterologist, to talk about what chronic gut symptoms are actually telling you, why the gut-brain connection is one of the most undertreated areas in medicine today, and what it looks like when a doctor goes beyond the standard workup to find real answers. We cover the truth about IBS, how hormones affect gut health in ways most people never get told, where GLP-1s actually fit into the picture, and the one question Dr. Rao says almost no patient ever thinks to ask. Your gut has been trying to tell you something. It's time to listen. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters:00:00 - Intro00:51 - Why Quadruple Board Certified04:42 - What Is IBS Really?08:39 - Her Motility Program Explained11:55 - Women's Gut Health & Hormones16:11 - Advice for Women Who Feel Dismissed17:33 - Her Take on GLP-1s19:14 - Who Should NOT Use GLP-1s24:49 - The Supplement Myth27:50 - Final Thoughts Guest Links: FB: https://www.facebook.com/gutsygirlMD IG: www.instagram.com/gutsygirlMD YT: https://www.youtube.com/@UC9kajE017PYU9eew6ijVLuA Website: www.gutsygirlmd.com Learn more about your ad choices. Visit megaphone.fm/adchoices

You had COVID. You recovered. Except you didn't. The fatigue is still there. The brain fog. The shortness of breath. The feeling that your body just isn't yours anymore. And when you brought it up, you were told to give it time.  That's not an answer. That's medical gaslighting. In this episode I'm breaking down the real biology behind why so many people never fully bounce back after COVID, and why the standard workup misses it almost every time. We cover what Long COVID actually is, why the severity of your infection has nothing to do with whether you get it, and how it can hit your brain, gut, heart, and nervous system all at once. I'll walk you through the ACE2 pathway, what happens when it gets disrupted, and why that single mechanism explains so many of the seemingly unrelated symptoms people are living with. We'll also get into mitochondrial dysfunction, why it's the reason you crash after any exertion, and the six recovery pillars that address the actual mechanism instead of just managing what's loud. If you have been dismissed, told to be patient, or made to feel like you're overreacting, this episode is for you. Your experience is real. The biology backs it up. And now you have the language to prove it. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 - Introduction 01:30 - What Is Long COVID 02:30 - Symptoms by System 05:00 - Why Long COVID Happens 06:00 - Immune Dysregulation 07:00 - The ACE2 Problem 08:00 - Nervous System Disruption 09:00 - Mitochondrial Damage 10:30 - Recovery Framework 12:00 - Supplements & Inflammation 15:00 - Brain Fog Explained 18:00 - Gut & Microbiome Learn more about your ad choices. Visit megaphone.fm/adchoices

If you've hit your 40s and suddenly feel like you're losing it, waking up at 3 a.m., feeling on edge for no reason, exhausted in a way that sleep doesn't fix, I want you to hear this: it might not be anxiety. It might be perimenopause. In this episode, I sit down with Dr. Bojana Jankovic Weatherly, a double board-certified physician in internal and integrative medicine, to talk about the symptoms most of us are normalizing and most doctors are missing. We get into why progesterone decline shows up as anxiety, insomnia, and those 3 a.m. wake-ups long before any hot flash ever does, and why so many women in this stage of life are sent home with an antidepressant or an Ambien instead of an honest conversation about their hormones.  That's medical gaslighting, and it's stealing years of quality of life from women in their 40s. We talk about why hormone testing isn't the answer, what to track instead, and when to ask your doctor about progesterone even if you're still getting a regular period.  If you've been told to lose some weight, try meditation, or just push through, this one is for you. You're not crazy. You're not weak. You're hormonal, and there is so much we can actually do about it. Self Gaslighting yourself in the exam room? Get this FREE guide to avoid it!   https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/⁠ Want more practical health tips? Join my newsletter!  ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠ Check us out on social media: ⁠https://www.instagram.com/drefratlamandre⁠ ⁠https://www.facebook.com/drefratlamandre⁠ https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 - Intro 07:59 - What Is Perimenopause? 11:40 - Anxiety & Insomnia 13:10 - The 3AM Wake-Up 15:38 - What Labs to Get 18:35 - Should You Start HRT Early? 27:49 - Patch vs. Oral Estrogen 30:25 - How Long on Hormones? 32:55 - Weight Gain on HRT Guest Links: FB: ⁠https://www.facebook.com/drbojana/⁠ IG: ⁠https://www.instagram.com/dr_bojana/⁠ YT: ⁠https://www.youtube.com/@dr.bojana-mindfulhealingan8584⁠ Website: ⁠https://drbojana.com/⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

Ketones may be the most underrated fuel source in human metabolism, and most people only hear about them in the context of intermittent fasting or the ketogenic diet. When your body burns fat, it produces ketones- molecules that have been shown to support brain health, heart health, cognitive function, and longevity. The problem is that fasting and strict keto aren't realistic for most people, so the question is: Is there actually a way to get the benefits of ketones without giving up food? That's exactly what my guest this week on the Medical Disruptor set out to answer. Dr. Latt Mansor earned his PhD in metabolism from Oxford and is the lead scientist behind Ketone-IQ, a ketone-based drink that gives the body the same fuel source you'd typically only access through fasting. In this episode of The Medical Disruptor, we're going deep on how ketones work, why your metabolism may be the missing piece in your health story, and how to use ketosis to take your energy, focus, and longevity to the next level. I cover what ketones really are and why your brain and heart love them, the science behind intermittent fasting, paleo, and ketogenic diets, and why so many women are told their fatigue and brain fog are "normal" when their metabolism is actually the root cause. We get into how exogenous ketones work, who they're for, and practical ways to use them without overhauling your entire life. If you've been medically gaslit about your energy, your weight, or your metabolic health and told everything looks "fine," this conversation is going to give you a completely different lens. You don't have to fast to feel better. You just need the right information, and that's what we're here for. Get your ketones here → https://ketone.com/disruptor Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 - Introduction 03:49 - The $6M Military Study 05:23 - Latt's Personal Transformation 13:30 - What Is Ketosis 15:13 - Why the Brain Loves Ketones 20:47 - What Are Exogenous Ketones 25:17 - Ketones & Heart Failure 29:13 - Ketones & Alzheimer's 33:46 - Exogenous Ketones vs Keto Diet 36:17 - Ketones & Insulin Resistance 39:33 - What Medicine Needs to Change Guest Links: FB: https://www.facebook.com/latt.shahril.mansor IG: https://www.instagram.com/lattmansor/ Website: https://www.ketone.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Metabolism gets oversimplified all the time. Eat less, move more. That's the whole conversation. For a lot of people, that's where medical gaslighting begins. In this solo episode, I wanted to slow down and actually explain what metabolism is: your body's system for managing energy. Not a measure of effort or discipline, actually a biological process influenced by multiple factors at once. I walk through four of the most important ones: food quality, insulin signaling, the microbiome, and mitochondrial function. I also get into why the "calories in, calories out" model doesn't account for how differently your body processes various foods, and why nutrigenomics, the study of how food communicates with your genes, changes the way we should be thinking about nutrition entirely. We also talk about Akkermansia, a gut bacterium that's showing up more and more in metabolism research, and the role of polyphenol-rich foods in supporting it. The episode closes with a practical checklist you can actually use: healthy fats, eating a wide variety of colorful plants, reducing refined sugar and flour, incorporating intentional movement, targeted nutrients, and consistent sleep. The goal of this conversation is less blame, more clarity. Fewer generalizations that leave people feeling stuck or at fault for something that has a real biological explanation. Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠ Check us out on social media: ⁠https://www.instagram.com/drefratlamandre⁠ ⁠https://www.facebook.com/drefratlamandre⁠ ⁠https://www.tiktok.com/@drefratlamandre⁠ #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 Introduction 01:30 What Metabolism Actually Is 03:30 Why Calories In/Out Doesn't Work 05:30 Food Quality as Information 08:00 Insulin, Microbiome & Mitochondria 12:00 What To Actually Do 14:30 Closing Thoughts Learn more about your ad choices. Visit megaphone.fm/adchoices

Most people have been told to brush, floss, and show up for cleanings. What most people have never been told is that the bacteria living in your mouth can travel directly into your bloodstream and contribute to heart attack, stroke, Alzheimer's disease, and cancer. That missing information is medical gaslighting in one of its most systemic forms. In this episode of the Medical Disruptor Podcast, I sit down with Dr. Ellie Campbell, a family medicine physician with thirty years of clinical experience and advanced training in oral systemic health.  Together, we trace back a structural gap in medicine that has been in place since 1840, the year dentistry was formally separated from the rest of the body. Two separate schools, two separate licensing boards, two separate clinical vocabularies. The result is a system where your cardiologist and your periodontist may never speak to each other, and where the source of your chronic inflammation can go completely undetected. This is one of the clearest examples of medical gaslighting that does not announce itself. Nobody tells you your symptoms are in your head. The information is simply never connected, bleeding gums get minimized, root canals are cleared without a conversation about downstream effects. The bacteria move and the inflammation builds.  And the standard workup catches none of it. When the system was never designed to look for something, it will never find it. And when it never finds it, it stops asking.  The gap is real, and it is medical gaslighting. Want more practical health tips? ⁠Join my newsletter!  https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: ⁠ https://www.instagram.com/drefratlamandre⁠⁠ https://www.facebook.com/drefratlamandre⁠⁠ https://www.tiktok.com/@drefratlamandre⁠  #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  0:00 – Introduction  1:11 – The patient who changed her career  6:00 – "Heart attacks are optional"  8:10 – Why basic cholesterol panels aren't enough  12:00 – The oral microbiome explained  15:26 – Mouth bacteria travel to the heart & brain  19:54 – Xylitol pregnancy tip  22:11 – The truth about root canals  29:00 – The "Fire Panel" — 3 blood tests for hidden dental inflammation  Guest Links:  FB: ⁠https://www.facebook.com/campbellfamilymed⁠  IG: @campbellfamilymedicine  YT: ⁠https://www.youtube.com/results?search_query=campbell+family+medicine⁠  Website: ⁠www.campbellfamilymedicine.com⁠  Book: ⁠https://www.amazon.com/Blood-Pressure-BluePrint-Defeating-Hypertension-ebook/dp/B0CKC8347D Learn more about your ad choices. Visit megaphone.fm/adchoices

You are exhausted and you have been for a while. Feeling exhausted all the time is NOT normal. If you have been told otherwise, that is medical gaslighting. This episode is about what happens in between feeling completely depleted and getting an answer that actually explains it. I am breaking down adrenal fatigue, what it really is, why conventional medicine does not always recognize it, and why that does not mean what you are experiencing is not real. I cover the physiology of cortisol and how your stress response system is supposed to work, what happens when years of chronic pressure start to disrupt that rhythm, and why most standard workups are not designed to catch this pattern. This is not about blaming your lifestyle or telling you to try harder. It is about understanding what is actually happening in your body. What we cover: -The four main stages of adrenal dysregulation and how to identify which one fits your experience -What cortisol testing actually tells you versus what it misses -Why "normal" labs can coexist with very real, very disruptive symptoms -Practical steps to start rebuilding your system with or without a formal diagnosis If you have spent months or years being dismissed while your body keeps telling a different story, this episode gives you the language and the framework to finally make sense of it. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 0:00 Intro 0:45 What Is Adrenal Fatigue? 2:00 The Physiology (Cortisol Explained) 4:00 Why Doctors Don't Recognize It 5:15 How to Know If You Have It 7:00 The 4 Stages 11:00 How to Fix It 14:30 Recap & Next Steps Learn more about your ad choices. Visit megaphone.fm/adchoices

What happens when the system that is supposed to have all the answers reaches the end of its toolbox and you leave believing that is all there is? The Medical Disruptor brings you vetted clinicians who have practiced inside the system long enough to see where it breaks down. This week, Dr. Aaron Hartman, triple board-certified physician and author of Uncurable, sits down with Dr. E to talk about the patients medicine labels hopeless, the diagnoses that function as a dead end instead of a starting point, and the moment his own family became the case conventional medicine had no answer for. His adopted daughter was given a prognosis medicine considered final. Two decades later, she has had zero surgeries. The average child with her diagnosis has had thirteen. In this conversation, Dr. Hartman connects medical gaslighting directly to the blind spots built into clinical training, breaks down why uncurable is often just the system's word for the edge of its toolbox, and walks through the diagnostic territory that root-cause medicine is willing to explore when conventional care has stopped asking questions. From gut dysfunction and environmental toxins to low-dose naltrexone and fatty acid analysis, this episode covers what gets left behind when the algorithm runs out.  Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠  Check us out on social media: ⁠ https://www.instagram.com/drefratlamandre⁠⁠ https://www.facebook.com/drefratlamandre⁠⁠ https://www.tiktok.com/@drefratlamandre⁠ #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters  00:00 Introduction 00:37 His Daughter's Impossible Diagnosis 02:34 The Wrong Growth Chart That Changed Everything 05:02 Yeast Overgrowth & Low Dose Naltrexone 09:19 The Book Uncurable 11:17 Why Other Countries Are Ahead in Medicine 14:41 Medicine's Biggest Blind Spots 16:35 The New Food Pyramid 23:15 Your Body Was Made to Self Heal 28:36 50% of Medical Studies Are False 32:53 Final Message - Never Give Up Guest Links:  FB: ⁠https://www.facebook.com/rvaintegrative⁠  IG: ⁠https://www.instagram.com/rvaintegrative/⁠  YT: ⁠https://www.youtube.com/c/AaronHartmanMD⁠  Website: ⁠https://uncurablebook.com/ ⁠  Website: ⁠https://aaronhartmanmd.com/⁠  Website: ⁠https://connected-health.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

The Medical Disruptor is here to give you real, science-backed guidance with no selling, no gimmicks, and no agenda. Mold illness is one of the most commonly missed drivers of chronic symptoms.  When brain fog, fatigue, hormone disruption, gut issues, and unexplained nerve sensations don't show up on standard labs, the system runs out of tools and patients get left without answers.  In this episode, I break down exactly why mold toxicity affects some people and not others, what the multi-system symptom pattern actually looks like, and what testing can actually catch it. I walk you through what type of testing you can ask for, the glutathione challenge prep that makes results more accurate, and how to identify whether your home or office is the source.  We also cover the full treatment arc from removing exposure to binders, detox support, and realistic recovery timelines. If you have been searching for information on mold you can trust, this episode is a place to start.  Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠  Check us out on social media:  https://www.instagram.com/drefratlamandre⁠⁠ https://www.facebook.com/drefratlamandre⁠⁠ https://www.tiktok.com/@drefratlamandre⁠  #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  00:00 The Symptom Everyone Dismisses (Big Mistake) 01:05 This Isn’t Just Allergies…  02:15 Mold vs Allergies – What Doctors Miss  03:05 Why Some People Get Sick (And Others Don’t)  04:20 The Hidden Exposure Making You Worse  05:10 The Weird Symptoms That Don’t Make Sense  07:00 These Red Flags Should NOT Be Ignored  08:10 When Mold Might Be the Missing Piece  09:10 Don’t Skip This Step (Start Here First)  10:05 The Moment to Take Mold Seriously  11:10 The Test That Can Actually Confirm It  12:40 How to Avoid a False Negative  14:05 What Happens If You Test Positive  15:00 Where Mold Is Hiding in Your Life  16:00 The First Step to Getting Bette Learn more about your ad choices. Visit megaphone.fm/adchoices

The Medical Disruptor exists for one reason: to give patients free access to clinicians who are brave enough to tell the truth. No products. No upsells. Just board-certified doctors who trained inside the system and eventually hit a wall it could not explain. Dr. Ali Elahi is one of them. A neurologist with nearly two decades of conventional practice, he watched the same patients cycle through the same appointments, collect the same normal results, and leave with the same antidepressants while their brains quietly declined. In this episode, we dig into why memory loss and cognitive decline are routinely dismissed as depression or stress, how pharmaceutical money shapes what neurologists are taught, and why a clinically supported brain treatment called transcranial magnetic stimulation stays hidden from the patients who need it most. This is the conversation your neurologist was never trained to have with you. What we cover: -Why early dementia is so often misdiagnosed as depression or anxiety -How pharmaceutical influence quietly shapes neurology training -What TMS is and what decades of evidence actually show -Why most TMS clinics are cutting corners and how to spot one that is not -The six questions every patient should ask before starting treatment -Why the window for early intervention matters more than most doctors admit. Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠ Check us out on social media: ⁠ https://www.instagram.com/drefratlamandre⁠ ⁠https://www.facebook.com/drefratlamandre⁠ ⁠https://www.tiktok.com/@drefratlamandre⁠ #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  00:00 Introduction  02:11 When guidelines stop working: frustration inside the system  06:46 Why antidepressants work less than you think  10:14 What is transcranial magnetic stimulation (TMS)  13:23 How TMS works inside the brain without chemicals  15:03 What TMS is currently FDA approved for  19:44 The young onset dementia case published in clinical neurophysiology  23:08 Why you have never heard of TMS (the marketing problem)  36:21 What a proper TMS protocol actually looks like 49:13 What clinicians should read to get started  53:57 What conditions TMS can treat Guest Links:  FB:https://www.facebook.com/neurospabrain/⁠  IG: ⁠https://www.instagram.com/neurospabrain/⁠  YT: ⁠https://www.youtube.com/@neurospabrain⁠  Website: ⁠https://www.youtube.com/@neurospabrain Learn more about your ad choices. Visit megaphone.fm/adchoices

After years of being dismissed, getting any diagnosis feels like a victory, and fibromyalgia sounds like proof that someone finally believed you. What nobody tells you is that this particular label often marks the moment the investigation ended, not the moment it began.  Fibromyalgia is a diagnosis of exclusion, which means it gets assigned when the standard workup runs out of ideas, not when someone actually found what is wrong with you.  Your pain is real. Your suffering is real. But the label is not the answer, and treating it like one is one of the most common forms of medical gaslighting.  In this episode I walk you through what fibromyalgia actually is, how it gets diagnosed, and why the standard treatment approach so often leaves you feeling more dismissed than when they walked in.  I also explain the difference between the triggers that started your pain and the drivers keeping your system stuck, and I introduce the concept of pre-disease, which is why so many fibromyalgia patients receive a second diagnosis years later that finally makes everything make sense.  You were not imagining it. You were not difficult. You were just seeing doctors who were trained to stop looking once they had something to write in the chart.  Want more practical health tips? Join my newsletter!  ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠  Check us out on social media: https://www.instagram.com/drefratlamandre⁠⁠ https://www.facebook.com/drefratlamandre⁠⁠ https://www.tiktok.com/@drefratlamandre⁠  #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  00:00 Why Fibromyalgia May Not Be the Answer You Think It Is  04:30 What Fibromyalgia Actually Is  10:00 How It Gets Diagnosed and Why That Process Is Flawed  17:00 Where Conventional Treatment Falls Short  24:00 Root Causes Worth Investigating When Labs Look Normal Learn more about your ad choices. Visit megaphone.fm/adchoices

Most people do not get gaslit with one big lie. They get gaslit with one small dismissal at a time.   Dr. Chris Renna, DO is the founder of LifeSpan Medicine and one of the earliest pioneers in prevention-first care. Long before longevity became a trend, he was already practicing it.  In this episode, he and I break down what gets missed when healthcare is reactive, rushed, and reduced to one symptom at a time. If you have been told you are fine while your function is clearly declining, this conversation is for you. They cover why normal labs do not mean optimal health, why prevention and lifestyle are treated as extras instead of essentials, and what it actually looks like to approach aging with strength, clarity, and independence. Medical gaslighting does not always happen with one big lie. It happens with small dismissals, repeated over time. You do not have to wait until things fall apart to be taken seriously. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 Introduction  02:35 Why he left reactive medicine in the 1980s  07:24 Why nutrition and lifestyle are afterthoughts in medical training  08:33 The Flexner Report and how it shaped modern medicine  11:43 The Rudman growth hormone study and what it missed  13:34 Foundation vs. function: the two-tier longevity model  29:31 Detox and cleanses: what actually works  31:51 Three actions patients can take right now  34:40 What every 55-year-old needs to hear  Guest Links: Website:https://www.lifespanmedicine.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

It's scary that over 5 million Americans are affected by Alzheimer's disease, and more than half of them don't even know they have it. Alzheimer's is extremely hard to diagnose in its early stages, which is why it comes as a shock to everyone. Now, you might be bothered about the possibility of waking up one day and already having the disease. But it actually starts slowly and at first you may not even notice it. But don't let this put you down - there are ways to prevent it! Want more practical health tips? Join my newsletter! https://pages.drefratlamandre.com/newsletter-opt-in-yt/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre Learn more about your ad choices. Visit megaphone.fm/adchoices

When people talk about hormonal imbalance, the conversation almost always starts and ends with estrogen and progesterone. That focus makes sense, given how closely sex hormones are tied to puberty, birth control, pregnancy, perimenopause, and menopause. However, stopping there often misses what is actually driving symptoms. In this episode of The Medical Disruptor, I explain hormones in plain English and walk through the major hormone systems people often overlook, including thyroid signaling, cortisol and stress response, insulin and blood sugar regulation, gut-derived hormones, and how these systems interact with sex hormones rather than operating separately.  You’ll learn why symptoms can persist even when standard testing looks acceptable, how timing, signaling, and conversion matter as much as hormone levels themselves, and why addressing upstream drivers like stress, sleep, and metabolic health often changes the entire picture.  The goal is not to dismiss hormone therapy, but to use it thoughtfully, at the right time, and for the right reasons. Hit play to learn what to consider, what to ask, and how to move forward with confidence. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ All citations for this episode are included in the link: https://docs.google.com/document/d/1gH9wflGC2SnXg3IH-GOb35NTk5_shjAJNIscjtNWUWQ/edit?usp=sharing Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters: 00:00 What Is Hormonal Imbalance? 01:00 What Are Hormones? 02:20 Endocrine System Basics 05:50 What Causes Imbalance 06:40 Common Symptoms 08:20 Root Causes (Stress, Diet, Sleep) 10:50 How to Fix It (Top-Down Approach) 12:40 Supplements 13:40 Key Takeaways Learn more about your ad choices. Visit megaphone.fm/adchoices

Is your probiotic actually doing anything? Most aren't. And the supplement industry is counting on you not knowing the difference between real science and marketing. This week on the Medical Disruptor I spoke with Dr. Vivek Lal, a board-certified neonatologist and microbiome scientist who spent years studying why some premature babies survived chronic lung disease and others didn't.  What he found changed everything: the microbiome isn't just in your gut. It lives in your lungs, your skin, your brain. And the balance of that ecosystem is shaping your immune system, your inflammation, and your risk of chronic disease in ways most doctors were never taught. His research uncovered the gut-lung axis, a communication pathway where gut bacteria send metabolites to the lungs that can either protect you or set you up for disease. It may explain why two similar-looking people can face the same virus and have completely different outcomes. And if your provider has ever told you your gut issues are "just stress" or your inflammation is "just aging," this episode will show you what they may not have been trained to look for. In this episode we talk about: -Why the first 1,000 days of life shape your immune system for decades -How gut bacteria communicate with your lungs, brain, and skin through the gut X axis -Why 95% of probiotic supplements have no product-level clinical validation -Why more strains and higher CFU counts don't mean better results -Nobody is going to protect your microbiome for you. This episode is where you start. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters [00:00:00] NICU to microbiome origin story [00:02:28] Lung microbiome breakthrough [00:06:16] First 1000 days [00:13:53] Precision probiotics explained [00:28:05] Clinician takeaways Guest Links: FB: https://www.facebook.com/lalbullet IG: https://www.instagram.com/dr.viveklal/ YT: https://www.youtube.com/channel/UCcLW9D4F-mOPRQ0__5Za1Tw Website: https://resbiotic.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

You've been told your A1C is "a little high." Maybe your doctor said "watch your diet" and sent you home. Maybe you've been on medication for years and nothing is actually getting better. If that sounds familiar, this episode is going to change how you think about your health.  In this episode of Medical Disruptor, Dr. William Hsu explains why type 2 diabetes is fundamentally a disease of cellular aging and why that changes everything about how we should treat it. He breaks down the Nobel Prize-winning science of cellular autophagy, what actually happens inside your body during a prolonged fast, and why your cells are already programmed to repair and regenerate when given the right conditions.  He also introduces the Fasting Mimicking Diet, a clinically validated five-day nutritional protocol backed by 48 human clinical trials, that activates your body's built-in repair system without requiring a complete lifestyle overhaul.  This is not another conversation about eating less and moving more. This is about giving your body what it needs to actually heal.  What you will learn:  -Why insulin resistance starts 10 to 20 years before your blood sugar looks abnormal  -What diabetes remission actually means and why most patients are never told it is possible  -How 15 days per year of this protocol reduced biological age by a median of 2.5 years in clinical trials  -The one lab marker most doctors skip that could change your entire health picture  Your body has the ability to heal. Most patients are never told that. This episode changes that. Get your LMNT sample pack: ⁠http://drinklmnt.com/disruptor⁠  Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠  Check us out on social media: ⁠ https://www.instagram.com/drefratlamandre⁠⁠ https://www.facebook.com/drefratlamandre⁠⁠ https://www.tiktok.com/@drefratlamandre⁠  #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  00:00 Why a Harvard Endocrinologist Left Academic Medicine  02:00 What Medicine Gets Wrong About Diabetes  07:00 Why Diabetes Is an Age-Related Disease  13:30 The Nobel Prize Science Behind Your Body's Repair System  19:30 What Is the Fasting Mimicking Diet  25:00 The Clinical Evidence: 48 Trials and Counting  31:00 Pre-Diabetes and False Reassurance: The "Touch of Sugar" Problem  36:00 Why Lifestyle Is One Line and Drugs Are Ten Pages  44:00 Where to Find Dr. Hsu and How to Get Started  Guest Links:  FB: ⁠https://www.facebook.com/prolonfmd/ ⁠  Website: ⁠https://l-nutra.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Did you know that the air you breathe, the water you drink, and even the food you eat can all affect your health? Believe it or not, your environment can be responsible for up to 70% of your risk for certain illnesses. But how exactly does our environment affect our health? This is a show broadcasted live by Dr. Efrat Lamandre every week with the express purpose of providing free, factual, and practical functional medicine tips to help people prevent disease naturally. Through giving healthy nutrition tips, tips on intermittent fasting, managing stress through diet, and advocating self imrpovement for her patients, Doctor E hopes to help you take control of your health. Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

Could your high-protein diet be silently damaging your kidneys?  Kidney decline doesn't announce itself, in fact it builds quietly while you have no idea it’s happening. Dr. Robin Rose is a physician who found out the hard way. After kidney cancer and losing a kidney, she was told she'd be fine.  She wasn't.  Her GFR dropped to 30. Conventional medicine said monitor and wait. She stopped waiting. In this episode we talk about: -  Why GFR alone misses early kidney damage - What the kidney tubules reveal before standard labs catch it - How too much protein stresses kidneys under pressure - Why fatigue, brain fog, poor sleep and anxiety may be early warning signs - What kidney-protective eating actually looks like - Why toxic burden quietly pushes things in the wrong direction Dr. Rose went from a GFR of 30 to 68 with one kidney because she stopped waiting for the system to catch up. Your kidneys are already talking.  The question is whether you'll hear them before it 's too late. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters [00:00:00] Robin’s unconventional path [00:05:45] Kidney cancer wake-up [00:08:40] Why GFR misses early damage [00:17:53] Kidney-saving lifestyle shifts [00:35:30] Peptides and kidney repair Guest Links: Website: renologyiskidneysuccess.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever wished you could turn back the clock so to feel great again? Are those birthdays starting to feel like a countdown? Relax, there’s no need to stress! You may not be able to turn back time, but you can rewrite your biology and redefine your health. Imagine being 50 and feeling even better than when you were 30. It's all about taking control of your health, making some lifestyle changes, and getting back that amazing feeling, no matter how old you are. Your age in years? It's just a number - that’s your chronological age. What truly matters is arriving at your best biological age where everyday is a new chance to live life to the fullest! The Knew Method Live is a show broadcasted live by Dr. Efrat Lamandre every week with the express purpose of providing free, factual, and practical functional medicine tips to help people prevent disease naturally. Through giving healthy nutrition tips, tips on intermittent fasting, managing stress through diet, and advocating self improvement for her patients, Doctor E hopes to help you take control of your health. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

If you're parenting a kid who seems to be changing in real time, more anxious, more reactive, more rigid, more overwhelmed, and you keep getting the same tired answers, this episode is for you. Too often pediatrics treats behavior like the whole story: label it, medicate it, manage it… and then wonder why nothing truly shifts. In part two of this conversation on Medical Disruptors, I bring back pediatrician and integrative medicine fellow Dr. Pejman Katiraei to go deeper on a missed driver: brain inflammation.  Because "ADHD," anxiety, sensory overload, phobias, obsessive looping, and even rage can be what it looks like when a child's nervous system is stuck in high alert. Not a kid being "difficult." Pejman explains the brain's immune cells (microglia) in plain English and why, when they're activated, everything can start to feel like a threat. That's when you see fear-based behavior, rigidity, big reactions, and changes that don't match your child's baseline. Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in⁠ Check us out on social media: ⁠https://www.instagram.com/drefratlamandre⁠ ⁠https://www.facebook.com/drefratlamandre⁠ ⁠https://www.tiktok.com/@UC6OkCk1JNEMzvMHm_YepXmw⁠  #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Guest Links: IG: ⁠https://www.instagram.com/wholistickids/⁠ Website:https://⁠wholistickids.com/people/dr-pejman-katiraei/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Neurology is amazing in a crisis. Stroke at 3 a.m.? Seizure in the ER? Modern medicine delivers.  But chronic brain issues are different. Migraine. Brain fog. Parkinson’s. Alzheimer’s risk. These often turn into symptom management with a fancy label and a longer medication list.  In this episode of Medical Disruptors, I sit down with neurologist Dr. Ken Sharlin to talk about what comes before the diagnosis gets permanent. Why decline isn’t inevitable. And why the real leverage points aren’t “more meds” or “more supplements”—it’s the inputs that shape inflammation, metabolism, and nervous system stability.  Dr. Sharlin breaks down his 5-part clinical roadmap for brain health, explains why getting the diagnosis right actually matters, and walks through the early drivers that can show up years before symptoms become irreversible.  We also go deep on migraines—what they really are, why your brain can get stuck on high alert, and how you bring the system back under control.  If you want brain health guidance that’s grounded, practical, and not fear-based, hit play.  Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: ⁠ https://www.drefratlamandre.com/instagram⁠⁠ https://www.drefratlamandre.com/facebook⁠⁠ https://www.drefratlamandre.com/tiktok ⁠  #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters:  [00:00:00] Sharlin’s path  [00:06:10] Acute vs chronic  [00:10:20] Five pillars roadmap  [00:22:40] Alzheimer’s early drivers  [00:34:20] Migraine threat circuitry  Guest Links:  FB: ⁠https://www.facebook.com/SharlinHealthandNeurology⁠ IG: ⁠https://www.instagram.com/sharlinhealthandneurology/⁠  YT: ⁠https://www.youtube.com/@dr.kensharlin1548⁠  Website:⁠https://functionalmedicine.doctor Learn more about your ad choices. Visit megaphone.fm/adchoices

Does your mood and energy swing up and down? Do you crave sugar or salt? Do you have trouble sleeping? Are you less interested in sex? This could mean your hormones are not in balance. So many things we accept as normal might actually be signs of imbalance.  We often link hormone problems to sex hormones like estrogen, progesterone, and testosterone. However, the reality runs deeper.  When our hormones are not balanced, it can cause all sorts of problems, from mood swings to unexplained weight gain, and constantly feeling tired. But don’t worry Dr. E has your back, she has the answers to how you can start to balance your hormones and get back to feeling your best. Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newslet...⁠  Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine⁠ ⁠#drefratlamandre⁠ ⁠#medicaldisruptor⁠ ⁠#NPwithaPHD⁠ ⁠#nursepractitioner⁠ ⁠#medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

You've tried the medications. You've done the therapy. You still don't feel like yourself, and nobody has a real answer for why. In this episode, I sit down with board-certified psychiatrist Dr. Aruna Nammi, who has spent her career asking the question conventional psychiatry refuses to take seriously: what if the treatment is the problem? Dr. Nammi breaks down what she calls Psychiatry 2.0, a root-cause approach to depression and anxiety that starts where conventional psychiatry refuses to look.  She walks through the six-month protocol that gets her patients 90% better, what you can start doing right now without a prescription, and why "noncompliant" is what doctors call patients who trust their own bodies over a broken system. Your body has been telling you something is wrong. This episode is for everyone who has been waiting for someone to finally listen. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters [00:00:00] Why psychiatry shifts [00:03:00] Omega-3 and psychosis [00:07:30] Medical causes missed [00:16:55] Psychiatry 2.0 framework [00:55:00] What to do now Guest Links: FB: https://www.facebook.com/trinergyhealth/ IG: https://www.instagram.com/trinergyhealth YT: https://www.youtube.com/@trinergyhealth6998 Website: https://psychiatry2.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Heart Disease is the number one killer in America AND... It’s NOT because of cholesterol The truth is that Heart Disease is caused by CHRONIC INFLAMMATION. It’s not as simple as taking cholesterol meds, its so much more! Dr. E will explain the surprising truth behind heart disease. This is a show broadcasted live by Dr. Efrat Lamandre every week with the express purpose of providing free, factual, and practical functional medicine tips to help people prevent disease naturally. Through giving healthy nutrition tips, tips on intermittent fasting, managing stress through diet, and advocating self imrpovement for her patients, Doctor E hopes to help you take control of your health. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting 00:00 Introduction 01:14 Debunking The Myth About Heart Disease 07:55 The Inflammation Connection 12:12 WHAT SHOULD I DO? 16:52 Recap Learn more about your ad choices. Visit megaphone.fm/adchoices

You breathe through your mouth at night and think nothing of it. Maybe you snore. Maybe your kid does. Your dentist never mentioned it. Your doctor said it was normal. In this episode of Medical Disruptors, I sit down with Dr. Norma Cortez, a biological airway dentist who starts where most dentistry stops: breathing. We get into why cavities are often preventable, why "I avoid sugar" isn't the full shield people think it is, and how mouth breathing can quietly shift the oral microbiome, change your face shape, and compromise your sleep without a single provider flagging it. Dr. Cortez breaks down why the tongue matters more than most people realize, how craniofacial growth shapes the airway, and why myofunctional therapy can change the trajectory early, before kids grow into bigger, harder-to-fix problems. This episode connects the dots between your mouth, your inflammation, and the answers no one thought to look for.  Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  [00:00:46] Snoring changes everything  [00:06:42] Cavities are preventable  [00:12:21] Tongue and airway  [00:27:56] Root canals debate  [00:38:58] Fluoride controversy  Guest Links:  FB: https://www.facebook.com/people/thebiologicalairwaydentist/100089637356095/ IG: https://www.instagram.com/thebiologicalairwaydentist/ Website:https://www.thebiologicalairwaydentist.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Ever felt puzzled by weird symptoms that just don't add up? Have you dealt with unexpected weight changes, constant tiredness, or feeling too hot or cold out of the blue? Don't brush it off – your thyroid could be trying to tell you something vital. Guess what? You're not alone – there are about 20 million Americans sailing in the same boat, wrestling with similar thyroid issues. What's even crazier? Around 60% of them don't even realize there's a hitch. And here's the kicker: conventional medicine might not give your symptoms the attention they deserve, which can leave you feeling like you're speaking a different language. Here's the twist: whether you're feeling sluggish or supercharged, if autoimmunity's in the mix, they both have a common thread. So get ready to unravel the mystery and take charge of your thyroid balance. Learn more about your ad choices. Visit megaphone.fm/adchoices

HRT can be a game-changer. But if the foundation is shaky, it can’t do its job. So before you change your hormone dose again, listen to this.  There’s a reason symptoms can persist, especially in perimenopause and menopause.  In this episode of Medical Disruptors, I’m with Dr. Wendy Warner, former conventional OB-GYN turned functional and integrative powerhouse, because she’s watching the same pattern on repeat.  Women start hormone therapy while blood sugar is unstable. Cortisol is running the show. Inflammation is simmering. Thyroid issues get missed. And the environment is quietly pushing the whole system off course. Then three months later? Frustration. They blame the hormones. Or they chase higher and higher doses like that’s the fix.  We get into what most conversations skip: how stress can hijack progesterone signaling, why “hot flashes” can actually be blood sugar swings, and why obesity can shift estrogen dynamics. We also talk estrogen metabolism and methylation, especially if you’ve got a family history that makes you cautious.  Then we pivot to bone health and the uncomfortable reality: osteoporosis isn’t a calcium problem. It’s a systems problem.  If you want a smarter way to think about hormone replacement therapy,one that actually matches how biology works, this episode is for you.  Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: https://www.instagram.com/drefratlamandre https://www.facebook.com/drefratlamandre https://www.tiktok.com/@drefratlamandre #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting  Chapters  [00:00:00] Meet Dr. Warner  [00:01:00] Vitex and PMS  [00:19:00] HRT isn’t a shortcut  [00:32:40] Estrogen metabolism genes  [00:48:00] Osteoporosis beyond calcium  Guest Links:  FB: https://www.facebook.com/profile.php?id=61566761630664 IG: https://www.instagram.com/wendywarnermd/ Website: https://www.wendywarnermd.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

The truth is that our “health”care system is DESIGNED to keep you sick. The entire system is based on illness codes. The system is built on people with lifelong illnesses that require expensive and ongoing treatments. It does not have tools for prevention It is NOT designed to get to the root cause of diseases. It is NOT designed to get people better. Watch this video as Dr. E delves into why our healthcare system doesn’t treat the root of the symptoms , and how you can take action. Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/ Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting 00:00 Introduction 02:11 Facts On HEALTH-care 03:31 Insurance 05:51 The Toaster World Analogy 14:02 Drug Companies 16:59 Specialists 22:28 What Do I Do? Learn more about your ad choices. Visit megaphone.fm/adchoices