エピソード

  • You Are Probably Not Eating Enough To Lose Weight ft. Dr. Bindiya Gandhi

    You Are Probably Not Eating Enough To Lose Weight ft. Dr. Bindiya Gandhi
    2026/11/10
    You're eating one meal a day, you walk every morning, and the scale is just sitting there. Meanwhile everyone keeps telling you to eat less. At some point somebody has to say it: you're probably not eating enough. Let's also retire "slow metabolism." It describes how you feel and explains nothing. Dr. Bindiya Gandhi is board certified in family medicine with an integrative medicine fellowship from the Andrew Weil Center, and she got here the hard way. In residency she had a rash on her face that would not quit. Two years. Every cream, every ointment, thousands of dollars. She kept asking for more testing and kept getting told she was a stressed out resident, which, sure, name one resident who isn't. It was celiac. The rash has never come back. She gets into why skipping meals can backfire, what actually changes in your forties that nobody warns you about, and the labs your primary care office isn't running, plus the unglamorous reason why. We also spoke about GLP-1s. What they're great at, who genuinely benefits, and the parts that don't make the ads, including muscle loss and what's happening to your gut. Your body isn't broken. It's being cautious, and it needs better information than it's getting. 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 8:58 - How Hormones Break the Calories In, Calories Out Rule 12:28 - Weight Loss Labs Most Doctors Never Order 16:39 - GLP-1s Explained: Benefits, Muscle Loss and Side Effects 23:42 - Why Eating More Can Help You Lose Weight 31:16 - Vegetables, Fiber and Boosting Your Natural GLP-1 Guest Links: FB: https://www.facebook.com/drbindiyamd IG: https://www.instagram.com/drbindiyamd YT: https://www.youtube.com/@drbindiyamd Website:https://www.drbindiyamd.com Learn more about your ad choices. Visit megaphone.fm/adchoices
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    40 分
  • Encore: Your Thyroid Isn't Fine: Why TSH Doesn't Tell the Whole Story

    Encore: Your Thyroid Isn't Fine: Why TSH Doesn't Tell the Whole Story
    2026/11/03
    You were told your thyroid is fine because one number came back normal. Meanwhile you’re exhausted, foggy, and fairly sure something is off. Both of those things are true at the same time, and this episode is about the gap between them. Dr. Alan Christianson is a board certified naturopathic endocrinologist and a bestselling author on thyroid health, and he has spent years on the part of this that almost nobody talks about. Autoimmune activity can be well underway while your labs still look acceptable, which is why so many women spend years being told there’s nothing to treat yet. Then he says something that runs against nearly everything else you’ve heard about thyroids. Most people are not short on iodine. A lot of them are getting far too much, and some of that is coming from the supplements they started taking to help. On the episode, we get into how iodized salt came about, why thyroid nodules are not automatically bad news, and what wellness culture has quietly done to all of this. One number isn’t the whole picture. You’re allowed to ask for more testing. Build your case! https://freechapter.lpages.co/how-to-build-a-case-for-yourself/ 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 7:30 - Subclinical Hypothyroidism Explained 15:10 - Autoimmunity Before TSH Changes 23:45 - Thyroid Nodules and Nutrients 31:00 - How to Reclaim Thyroid Health Guest Links: FB: https://www.facebook.com/DrAlanChristianson/ IG: https://www.instagram.com/dralanchristianson/ YT: https://www.youtube.com/user/Alannmd Website: https://www.drchristianson.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    46 分
  • Encore: Struggling With Hashimoto’s? Why Your Thyroid Needs More Than Medication

    Encore: Struggling With Hashimoto’s? Why Your Thyroid Needs More Than Medication
    2026/10/27
    My voice decided to take the week off due to a fun side effect of my treatment, so this is a pre-filmed, pre-hair loss me. Enjoy the encore episode. This week on The Medical Disruptor, we’re running an encore of one of the most requested episodes we’ve done. Does this sound familiar? You’re on thyroid medication. Your TSH looks fine. And you still can’t get through the afternoon without lying down. If that’s you, this conversation is going to explain a lot. Hashimoto’s and hypothyroidism get treated like the same problem, and they aren’t. One is a thyroid that isn’t making enough hormone. The other is an immune system attacking the thyroid. Medication replaces the hormone. It does nothing about the attack. That means the number on your chart improves, the appointment gets shorter every year, and you quietly move from someone being figured out to someone being managed. Inna Topiler is a board certified clinical nutritionist who has spent her career on thyroid health, autoimmunity, and functional medicine. She didn’t get here from a textbook. She has Hashimoto’s herself. What she walks through is what’s actually driving the attack. Your thyroid is not the problem. It's time to figure out what is going on. 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 Introduction – Inna’s background and unique program for Hashimoto’s. 00:03:30 Hashimoto’s Explained – Autoimmune vs. hypothyroidism. 00:10:15 Personal Journey – Inna’s health struggles and career pivot. 00:17:00 Triggers Overview – Toxins, infections, stress, and food sensitivities. 00:30:20 Proactive Healing – Integrating mindset, testing, and holistic care. Guest Links: FB: https://www.facebook.com/InnaTopiler/ IG:https://www.instagram.com/innatopiler Website:https://innatopiler.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    36 分
  • Your Anxiety Might Be A Nutrient Imbalance, Not A Brain Problem ft. Dr. Courtney Snyder

    Your Anxiety Might Be A Nutrient Imbalance, Not A Brain Problem ft. Dr. Courtney Snyder
    2026/10/20
    You’ve been on something for your anxiety for a while now. It helps… but nobody ever told you where the anxiety came from in the first place. Some diagnoses explain what’s wrong. Others just name what you’re feeling and move you from searching to managing. This week's guest on the Medical Disruptor, Dr. Courtney Snyder, has been a psychiatrist for thirty years. She trained at Baylor, Columbia, and the University of Louisville, then added a fellowship in child and adolescent psychiatry on top of it, because she figured you can’t really understand adults until you understand childhood. She was not looking for a second career. Then in her forties she and her three year old daughter both got sick at the same time, and her daughter started looking like she was regressing. She stepped away from practice for ten years to go find the answers herself, and she came back with a whole different way of looking at brain symptoms. What she found changed how she practices. There’s a short list of things that show up over and over in people with anxiety, depression, and ADHD symptoms, and they are not in the brain. In this episode Dr. Snyder explains both of them. One of them most people have never heard of, and it’s one of the fastest things she treats. Another explains the women who can tell you precisely when the panic started, down to the month, and it lines up with a prescription they were handed for something else entirely. Treatment resistant doesn’t mean you’re out of options. It means nobody has found the cause yet. 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 7:51 - Brain Symptoms, Body Roots & the Walsh Approach 13:34 - Mold Toxicity as a Hidden Root Cause 15:22 - High Copper, Birth Control & Panic Attacks 19:37 - Combining Psychiatric Medication With Nutrient Therapy 25:14 - Mast Cell Activation, Pyrrole Disorder & Other Root Causes Guest Links: FB: https://www.facebook.com/courtneysnydermd/ IG: https://www.instagram.com/holistic_psychiatry/ YT: https://youtube.com/@courtneysnydermd-holisticp3072 Website: https://www.courtneysnydermd.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    37 分
  • Why More Estrogen Is Not Always Better In Perimenopause ft. Dr. Jen Pfleghaar

    Why More Estrogen Is Not Always Better In Perimenopause ft. Dr. Jen Pfleghaar
    2026/10/14
    Everyone is telling you to get on hormones right now, which could be great advice for some, the thing is perimenopause is where that advice gets complicated. Dr. Jen Pfleghaar is board certified in emergency medicine and went back for a fellowship in integrative medicine while she was still pulling ER shifts. On menopause, she and I don’t disagree at all. Estrogen protects your brain, your bones, and your heart, and most women should be on it. Perimenopause is a different animal. She breaks perimenopause into early, middle, and late, explains what each one usually needs, and makes the case for wearing a continuous glucose monitor for a full cycle before anyone writes a hormone prescription. We also get into the two things most women are handed instead, which is birth control and an antidepressant. I wrote a whole chapter about this in my new book. It’s the diagnosis that sounds like an answer. There’s a prescription, the appointment ends, everyone feels like something happened. Nothing was treated. Getting on hormones is not the goal. Feeling like yourself again is 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 13:25 - Should Every Menopausal Woman Be on HRT? 15:33 - Why Estrogen Without Progesterone Is a Mistake 19:06 - The Truth About Testosterone Pellets 21:36 - The 3 Stages of Perimenopause & When to Start Hormones 29:45 - How to Get Taken Seriously in a 15-Minute Visit Guest Links: FB: https://www.facebook.com/IntegrativeDrMom IG: https://www.instagram.com/integrativedrmom/ YT: https://www.youtube.com/ ⁨@integrativedrmom⁩ Website: https://www.healthybydrjen.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices
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    37 分
  • Your Genes Are Affected By How You Live Every Single Day ft. Dr. Kien Vuu

    Your Genes Are Affected By How You Live Every Single Day ft. Dr. Kien Vuu
    2026/09/29
    Everyone in your family has diabetes, so you figure you are going to get diabetes next. That is not actually how it works. Dr. Kien Vuu was chief of interventional radiology when he got the diagnosis himself. Diabetes, high blood pressure, about fifty pounds he didn't want, and a handful of prescriptions. He was forty. If he had stayed in the system he trained in, he says he would still be on all of it, plus more by now. He doesn't have either diagnosis anymore. What he explains in this episode is the difference between having a gene and turning it on. Every cell in your body carries the same DNA, but a heart cell and an eye cell act nothing alike, because different genes are switched on in each one. What decides which ones get switched on is everything going on around that cell. Your food. Your sleep. And a bigger one than most people expect, whether your body thinks you are safe. When your nervous system reads danger, it turns inflammation up and it turns your immune system down. That makes sense if something is actually chasing you. It is a problem if your body has been in that state for fifteen years. I did push back on him, because there is a version of this conversation that turns into blaming sick people for being sick. He answers that head on. Nobody controls every single thing, and that was never the point. The point is how much of it you do. You have been treating your family history like a verdict. You get a say in what happens. 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 7:33 - What Is Epigenetics? 10:31 - Why Conventional Medicine Misses the Whole Body 16:51 - How Stress Switches On Inflammatory Genes 23:05 - Small Shifts for Doctors & Patients 28:02 - Is It Victim Blaming? Control What You Can Guest Links: FB: https://www.facebook.com/doctorvmd IG: https://www.instagram.com/doctorvmd YT: https://www.youtube.com/ ⁨@DoctorVMD⁩ Website:https://kienvuu.com Learn more about your ad choices. Visit megaphone.fm/adchoices
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    40 分
  • Autoimmune Disease Is Not Bad Genetics or Bad Luck ft. Dr. Aly Cohen

    Autoimmune Disease Is Not Bad Genetics or Bad Luck ft. Dr. Aly Cohen
    2026/09/22
    Autoimmune disease is showing up in people with no family history, at ages nobody expected, and most people say that it's bad luck or bad genes. Dr. Aly Cohen stopped accepting that answer twenty years ago, and it started with her dog. He was a four and a half year old golden retriever who got sick out of nowhere with autoimmune liver disease, which is rare for dogs. She started looking at his water, his food, the plastic toy that lived in his mouth. Then she looked at her own kids, and then at her patients, and the question stopped being about the dog. If a healthy young animal can develop autoimmune disease out of nowhere, what is doing the same thing to us?. She has been chasing this question ever since. She explains the epigenome, which is the layer of proteins sitting on your genes deciding which ones get switched on. Having the gene is not the same as expressing it, and a lot of what flips that switch is what's coming into your body every day. We get into what a real autoimmune intake should ask, from your water filter to your job to what happened in your childhood. She also points out that vitamin D matters enormously in autoimmune disease, it's all over the literature and even on the board exams, and she almost never sees a patient show up with it tested. You have far more say in what happens to your health, and this is where you find out how much. Get Dr. E's FREE 5 Red Flag Phrases guide here: https://freechapter.lpages.co/5-phrases-that-are-red-flags/ 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 7:08 - How a Dog's Illness Changed Her Practice 10:13 - The Environmental Questions Rheumatologists Skip 22:06 - Genetics vs. Environment in Autoimmunity 30:02 - Inside "Detoxify" and the 80/20 Approach 36:07 - Rapid Fire: Plastics, Flares, and Wellness Traps Guest Links: FB: https://www.facebook.com/thesmarthuman IG: https://www.instagram.com/thesmarthuman/ Website:https://alycohenmd.com | https://thesmarthuman.com Learn more about your ad choices. Visit megaphone.fm/adchoices
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    41 分
  • Hormone Testing In Perimenopause And Why You Should Ask For It ft. Dr. Tara Scott

    Hormone Testing In Perimenopause And Why You Should Ask For It ft. Dr. Tara Scott
    2026/09/15
    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
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    42 分