Medical Disruptor™ by Dr. E

By Dr. Efrat LaMandre PhD, FNP-CAlternative Health Health & Fitness Nutrition

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Typical duration
41 min
per episode

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Medical Disruptor™ by Dr. E episodes

November 11, 2025 Should I Get Genetic Testing? Geneticist Explains Why Your Genes Aren’t Your Fate
Should you get genetic testing? Evolutionary geneticist Dr. Melissa Ilardo says: probably not.
What you believe about your genes affects your health outcomes more than what your genes actually say.
That's not philosophy—that's what the research shows.
On this episode of Medical Disruptors, I sit down with Dr. Ilardo to discuss why genetic determinism is a trap and why your genes aren't writing your health story the way you've been told.
We discuss why knowing your genetic risks might actually harm you through the nocebo effect, and how to distinguish between genetic mutations you must know like BRCA versus ones you shouldn't check. We explore what epigenetics actually means for your daily health decisions and why family history of diabetes, heart disease, or Alzheimer's is not your fate. The conversation reveals how lifestyle changes gene expression faster than you think, and why meditation and environment reshape your biology in measurable ways.
Your genes load the gun, but your environment decides whether it fires. And you have far more control over that trigger than genetic testing suggests.
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
[00:00:00] Why resilience, not disease
[00:06:45] Thailand spark: sea nomads
[00:12:40] Betting the PhD
[00:20:45] Bigger spleens, oxygen edge
[00:28:50] Epigenetics in plain English
Guest Links:
IG: @superhumanscilab
Website: https://www.superhumanlab.org

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42 min
November 08, 2025 Bring Harmony Back To Your Hormones: The Functional Medicine Approach To PCOS
Are you struggling with irregular periods, acne, facial hair, and weight gain?
These symptoms may be a sign you are battling with PCOS
But what if the diagnosis is only the tip of the iceberg, and the real answers lie beneath the surface?
While a diagnosis is a starting point, it's only the beginning of your journey toward understanding the full picture of PCOS.
In this week's episode, I will guide you through why accepting the diagnosis at face value might not be enough and why seeking the underlying cause is key to unlocking your path to better health.
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting

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25 min
November 06, 2025 Sunlight as Medicine: How Light Heals Hormones, Mood & Metabolism
Let’s talk about sunlight as medicine.

Sunlight isn't just about vitamin D. It's a biological signal that regulates over 200 genes, resets your circadian rhythm, and influences everything from blood sugar to blood pressure.

In this episode, you'll discover why 40% of U.S. adults are vitamin D deficient and how it's connected to rising rates of metabolic disease, sleep disorders, and mood disruption.

I'll explain how morning light exposure resets cortisol, melatonin, and insulin sensitivity, which is the science behind why you feel better on bright days. We'll dive into the vitamin D hormone system and how just 10-15 minutes of sunlight activates healing pathways your body was designed to use.

Sunlight is free, daily medicine, and you don't need permission from your doctor to start using it.
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
00:00 – Intro: The Hidden Power of Sunlight
02:15 – Your Body Has Agency
04:20 – The Vitamin D Hormone System Explained
07:10 – The Truth About Sunlight and Skin Cancer Risk
09:40 – Light as Medicine for Skin Health
11:30 – Your Internal Clock: How Morning Light Resets Everything
15:10 – Sunlight and Mood: Activating Your Natural Antidepressant System
18:00 – Metabolic Health: The Light–Blood Sugar Connection
21:00 – Blood Pressure and Cardiovascular Health
23:00 – Your Body’s Built-In Healing System
24:15 – How to Use Sunlight as Medicine (Action Steps)
26:30 – Final Thoughts: Reclaiming Health Through Light

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20 min
November 04, 2025 The Real Cause of IBS No One Talks About: The Gut Brain Axis
An IBS diagnosis gets handed to you when everything else is ruled out—so it feels like the diagnostic equivalent of a shrug.
Where do you go from there?
On this episode of Medical Disruptors, I sit down with Dr. Will “Dr. B” Bulsiewicz—a classically trained gastroenterologist who rebuilt his approach after getting sick himself.
Dr. B maps IBS as a gut–brain axis disorder. A disrupted microbiome derails motility and sensitizes the enteric nervous system. That’s why scopes can look clean while symptoms rage.
We cover celiac testing pitfalls, why diagnosis is still by exclusion, and how early “normal” labs don’t rule out emerging disease.
If you’ve been living around a bathroom or gave up after your IBS label, this conversation is your pivot point.
Check Out My Medical Disruptor Merch: drefratlamandre.com/merch
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
[00:00:00] Introductions
[00:01:05] Elite training arc
[00:03:30] Burnout and crash
[00:25:28] IBS as exclusion
[00:33:25] Gut–brain axis explained

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1 hr 4 min
November 01, 2025 Adrenal Fatigue: Are You Tired ALL the Time?
Are you tired of feeling like you have no energy and can barely make it through the day? Do you experience fatigue, anxiety, and sleeplessness on a daily basis?
You're not alone - these are all symptoms of adrenal fatigue.
Adrenal fatigue is a condition that can seriously impact your life. But the good news is, there are ways to combat it!
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting

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28 min
October 28, 2025 Why You Feel Sick But Tests Come Back Normal | The Stem Cell Solution
What if every time your labs came back “normal,” you saw it as your chance to get curious instead of complacent?
On this episode of Medical Disruptors, I sit down with neuroscientist Christian Drapeau to reveal why stem cells are the true repair system of the body—and how you can influence them.
Not in theory. Not in a lab. In real life.
This episode will inspire you to get proactive about your health. If you’re stuck in that gray zone—told you’re fine while you feel anything but—this conversation will hit hard. This is when repair matters most.
Don’t wait for decline to become a diagnosis.
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
[00:00:00] Origin story: from neurology to plants
[00:07:17] Adult stem cells as the body’s repair system
[00:12:00] Aging, marrow shift, and declining stem cell availability
[00:16:40] What boosts circulation and migration
[00:31:10] Pre-disease, “I don’t feel well,” and acting early
Guest Links:
FB: https://www.facebook.com/christian.drapeau.3/
IG: https://www.instagram.com/stemcellchristian/?hl=en
TT: https://www.tiktok.com/@stemcellchristian
Website: https://www.christiandrapeau.com/

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54 min
October 27, 2025 Hormones and Cancer:What Patients Need to Know About Their Options
Hearing the word “cancer” changes everything. Overnight, your life becomes a blur of appointments, decisions, and fear.
Doctors tell you what to do, when to do it, and how to feel — and somewhere in the noise, your own voice gets lost. Too often, you’re made to believe there’s only one way forward, especially when it comes to hormone replacement therapy after breast cancer.
But that isn’t the whole story.
In this episode of Medical Disruptors, I sit down with Dr. Tiffany Troso, an oncologist with over 25 years in breast cancer treatment, who left the traditional system to become a true patient advocate.
Together, we dig into what most patients are never told: the different types of breast cancer, what estrogen and progesterone receptors actually mean, and why hormone therapy may still be possible even after a diagnosis.
We also talk about triple negative breast cancer, the risks of HRT after treatment, and how precision medicine and genetic testing are opening doors to new options.
This conversation isn’t just about chemo. It’s about clarity, choice, and control. If you’ve ever walked out of an oncology appointment feeling dismissed, confused, or scared to ask questions, this episode will remind you that your instincts matter.
There are doctors who listen. There are advocates who show up. And there are real options for cancer care beyond the narrow script you’ve been handed.
You don’t have to settle. You get to choose what happens next.

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53 min
October 21, 2025 Why Your Gynecologist Isn't Running This Important Test
If you’ve ever walked out of a gynecology appointment still dealing with itching, burning, or a lingering sense that something’s off—this conversation is for you. Most gynecologists still treat vaginal symptoms with a basic checklist: swab, prescribe, dismiss.
But when those symptoms keep coming back, it’s not a coincidence. It’s a sign that the standard approach missed something important.
On this episode of Medical Disruptors, I'm talking with Dr. Peggy Margetson—a women’s health physician who doesn’t just treat symptoms, she investigates.
Together, they unpack why standard swabs often miss critical information about the vaginal microbiome, including collapsed Lactobacillus populations, hidden pathogens, and recurring pH imbalances that keep infections coming back.
From there, the conversation moves into solutions. Dr. Peggy Margetson shares how her clinic uses targeted vaginal probiotics, treats partners when needed, and retests after treatment—not just to manage symptoms, but to confirm resolution. This is about real healing, not repeat prescriptions.
If you’ve been handed the same antibiotic over and over while your symptoms keep returning—or if you’ve ever felt blamed instead of helped—this episode will give you the language and confidence to push back in the exam room. It’s not about being a “difficult” patient. It’s about refusing to accept half-answers when your body is asking better questions.
Watch now to find out what your doctor isn’t testing—and what you can do about it.
Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
[00:00:00] Intro & mission
[00:03:00] Founding her practice
[00:14:00] Hidden causes of infection
[00:21:00] Vaginal biome testing explained
[00:32:00] Partner treatment & estrogen link
Guest Links:
FB: www.facebook.com/trustwomenshealthcare
IG: www.instagram.com/trustwomenshealthcare
YT: www.youtube.com/@drpeggynyc
Website: www.trustwomenshealthcare.com

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47 min
October 16, 2025 The 3 Root Causes of Inflammation Your Doctor Wasn’t Trained to Fix

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38 min
October 14, 2025 Your Gut Microbiome Changes in Perimenopause – Here's What to Do About It
Your gut microbiome doesn't stay the same through perimenopause—it changes, and that shift explains why digestion suddenly becomes unpredictable, why foods you tolerated for decades now trigger bloating, and why symptoms you never had before show up out of nowhere.

Gut health and hormones are not separate—they’re wired together.

In this episode of Medical Disruptors, I sit down with Dr. Christine Maren to reveal the gut–hormone connection almost no one is talking about. We dig into how hormone changes in midlife rewire the gut microbiome, disrupt balance, and trigger bloating, brain fog, and mood swings.

But this isn’t only about menopause. Your microbiome, your hormones, and your stress response form a feedback loop. Hormones shape the gut. The gut shapes hormones. Stress fuels both. Everyone lives in this cycle—though it hits hardest for women in their 40s and beyond.

That’s why midlife symptoms show up—or intensify—when hormones decline. And it’s why you don’t have to accept them as “normal.”

If you’re looking for hacks, keep scrolling. This conversation is about the long game—real resilience, balance, and solutions that last.

Watch now to change the way you think about gut health, hormones, and midlife—and don’t forget to subscribe for more episodes of Medical Disruptors.

Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult
Check us out on social media:
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Guest Links:
FB: https://www.facebook.com/DrChristineMaren
IG: https://www.instagram.com/drchristinemaren/
Website: https://drchristinemaren.com/
#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting

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55 min

About Medical Disruptor™ by Dr. E

From the publisher's feed

The Medical Disruptor™ Podcast was made for people who want to take their health to the next level. Dr. E’s mission is to give you reliable, science-based health information through a unique lens,…