Medical Disruptor™ by Dr. E

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.

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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/

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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.

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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/

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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

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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/

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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.

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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

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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.

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#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

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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.

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#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/

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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.

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#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

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If your child has eczema that keeps coming back, gets constipated for days at a time, or has

This week's

She did not set out to change how she practiced. She just kept listening to moms who

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⁠https://www.instagram.com/drefratlamandre⁠

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#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

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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.

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"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/

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#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

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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.

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FB: https://www.facebook.com/modernthyroidclinic

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YT: https://www.youtube.com/@McCallMcPherson

Website: https://www.modernthyroidclinic.com

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