Medical Disruptor™ by Dr. E

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

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

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

This week's

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

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/

Check us out on social media:

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