In this episode — Fertility specialist Gabriela Rosa joins to talk about couples the healthcare system has given up on: two-plus years trying with multiple failed IVF cycles. They cover her seven-year study of 544 patients (78.8% took home a healthy baby), why infertility gets diagnosed by a stopwatch instead of an investigation, the real success rates behind IVF and egg freezing, and why male fertility is half the equation.

Guest: Gabriela Rosa, DrPH, MPH (Clinical Effectiveness, Harvard T.H. Chan School), MScM (Reproductive Medicine & Human Genetics, University of Sydney), BHSc (ND) — fertility specialist; founder and clinical director of The Rosa Institute; author of Fertility Breakthrough: Overcoming Infertility and Recurrent Miscarriage When Other Treatments Have Failed (2019) and Eat Your Way to Parenthood. @gabrielarosafertility on Instagram.

Chapters

00:00 — Who fertility treatment is really for (cold open)

01:11 — Welcome and introduction

02:47 — Gabriela’s path into fertility

07:00 — Two patients who changed everything

12:32 — The cohort study: 544 patients, seven years

17:17 — Trying, perseverance, and pleasure

19:08 — When trying to conceive kills your sex life

23:06 — Reframing the fertility timeline

24:16 — Population fertility and the egg-freezing pitch

29:11 — IVF’s real success rate

31:56 — Male fertility and age

38:30 — Sperm banking, and why men don’t think about it

40:08 — Life expectancy and deferred maintenance

42:01 — “What is new under the sun? Nothing.”

45:34 — Unexplained infertility: a diagnosis based on time

48:18 — The leaking toilet

52:19 — Richard’s hospital story

54:19 — Existence vs. non-existence

56:08 — Close

Dr. Richard Louis Miller discusses the causes of social isolation, alienation, and loneliness, especially in the context of socioeconomic stratification and the COVID pandemic. He offers practical solutions to foster human connection and combat these issues.

Chapters

00:00 Introduction: The epidemic of loneliness and its causes

02:10 The importance of human contact and the effects of social distancing

02:40 Solutions overview: universal access to anti-loneliness tools

03:05 Tool 1: Making weekly phone calls to friends and family

04:04 Tool 2: Initiating small contact in daily life with strangers

05:56 Closing remarks: collective action to rebuild connection

In this episode — Stem cell biologist Bruce Lipton, who brought the word “epigenetics” into the mainstream, returns for a second conversation with Richard. They open on a warning about civilizational collapse, then work through how the first seven years of life program roughly 95% of adult behavior — including the program for how you’re “supposed” to age, which is why Richard says “acting your age is dangerous.” They close on the argument at the heart of Bruce’s forthcoming book, Beyond Darwin — that cooperation, not competition, is evolution’s real survival strategy.

Guest: Bruce H. Lipton, PhD—stem cell biologist; author of The Biology of Belief (Hay House, 10th Anniversary Edition) and the forthcoming Beyond Darwin: How Epigenetics, Quantum Science, and Cooperation Shape Humanity’s Future (BenBella Books, August 2026, co-written with Patricia King).

Chapters

00:00 — The ten-to-twenty-year collapse warning

00:42 — Welcome back, and how “epigenetics” went mainstream

04:04 — What epigenetics actually means

06:53 — The mind as architect: thought into chemistry into genes

11:13 — The subconscious computer: programmed before birth through age seven

15:38 — Why the conscious mind loses the wheel

19:59 — “We are all Bill”: the programs you can’t see in yourself

24:43 — Two terminal diagnoses, five years later

27:05 — Bruce’s tongue cancer, and the book he’d been avoiding

31:59 — Beyond Darwin: what Darwin missed

34:53 — Placebo, belief, and Ellen Langer’s counterclockwise study

36:34 — Why acting your age is dangerous

40:44 — From the caves to civilization: how domination got wired in

50:16 — The garden is not a battleground

56:31 — Did humanity inherit a dysfunctional childhood?

59:12 — Close