Cardiovascular disease remains the leading cause of death globally, yet most patients receive outdated dietary advice and symptom management rather than metabolic intervention strategies. Dr. Philip Ovadia, board-certified cardiothoracic surgeon and founding member of the Society of Metabolic Health Practitioners, challenges conventional cardiology's approach to prevention and treatment. This conversation reveals why your cardiologist's standard protocols may be missing the most powerful tools for heart disease prevention, and how metabolic medicine is reshaping our understanding of cardiovascular health. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok ⁠#functionalmedicine⁠ ⁠#drefratlamandre⁠ ⁠#medicaldisruptor⁠ ⁠#NPwithaPHD⁠ ⁠#nursepractitioner⁠ ⁠#medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

Heart disease is still the leading cause of death, yet most people never learn about the tests that actually reveal their true risk. In this episode of the Medical Disruptor, I explain why your genetics are not your destiny, why traditional cholesterol panels often miss the full picture, and how modern testing can show what is really happening inside your arteries. My goal in this episode is to help you understand your true risk, build a prevention-focused care team, and take back control with information that is rooted in evidence, not fear. If you’ve ever been told your labs are “normal” but still want deeper answers, this episode gives you the modern roadmap for protecting your heart. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters: 00:00 Intro 00:43 Why traditional heart-disease testing is incomplete 03:12 Genetics vs environment: what really drives risk 06:55 Cholesterol myths & particle number explained 13:28 ApoB, Lp(a), LDL-P: the tests that matter 19:45 Inflammation, insulin resistance & metabolic fire 25:30 Gut–heart connection: what the microbiome reveals 29:55 How to build your heart-health team 33:22 Four habits that lower risk by up to 80% 36:44 Final takeaway: prevention you can start today Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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 Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #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/ Learn more about your ad choices. Visit megaphone.fm/adchoices

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. Learn more about your ad choices. Visit megaphone.fm/adchoices

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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #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 Learn more about your ad choices. Visit megaphone.fm/adchoices

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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: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok Guest Links: FB: https://www.facebook.com/DrChristineMaren IG: https://www.instagram.com/drchristinemaren/ Website: https://drchristinemaren.com/ #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

Your doctor dismisses your unexplained fatigue, brain fog, and joint pain as "stress"—but the real culprit may be microscopic holes in your intestinal wall that conventional medicine refuses to acknowledge. Intestinal permeability—AKA "leaky gut"—represents one of the most overlooked diagnostic gaps in conventional healthcare. Dr. E explains the science behind compromised intestinal tight junctions, why standard GI testing misses this critical dysfunction, and how environmental toxins, medications, and dietary factors systematically damage your gut barrier. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok ⁠#functionalmedicine⁠ ⁠#drefratlamandre⁠ ⁠#medicaldisruptor⁠ ⁠#NPwithaPHD⁠ ⁠#nursepractitioner⁠ ⁠#medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

You’ve done the labs. You’ve listed the symptoms. And you’ve been told “everything looks normal.” So why do you still feel exhausted, foggy, and not like yourself? Here's what's really happening: You're caught in the gap between being healthy and being sick enough to matter to our medical system.  Your thyroid function may be declining, your immune system may be mounting an attack against your own tissue, but because you haven't crossed the arbitrary threshold that triggers a diagnosis, your very real suffering gets dismissed. In this episode of the Medical Disruptor, I break down why TSH-only testing misses up to 60% of thyroid dysfunction, how Hashimoto's can progress for 7-10 years before showing up on standard labs, and why your symptoms aren't "just stress" or "just aging"—they're your body providing crucial information about autoimmune processes that conventional medicine isn't looking for. Because you’re not fine—you’re just not sick enough for their checklist. Learn more about your ad choices. Visit megaphone.fm/adchoices

Most of us think stress is just about our busy schedules. But what if your body is stressed and you don’t even know it? In this episode of Medical Disruptors, Dr. E sits down with Dr. Torkil Færø—Norwegian physician, where he explains how HRV reveals the hidden state of your autonomic nervous system—the balance between “fight or flight” and “rest and digest.”  And once you can measure it, you can finally manage it. This means you could be walking around in constant sympathetic nervous system activation without realizing it—until it manifests as fertility issues, autoimmune flares, insomnia, or metabolic dysfunction.  Heart rate variability measures the variation between heartbeats, revealing whether your autonomic nervous system is in rest-and-digest mode or fight-or-flight mode at any given moment. The data exposes hidden stressors conventional medicine never tests for. We explore why tracking reveals that sunlight can double your heart rate variability while Covid infections and PMS create equally dramatic dips, why the Garmin watch provides real-time stress level readings that other wearables don't offer, and how food intolerances show up in your heart rate before they manifest as skin reactions or digestive issues.  If conventional lab tests keep coming back normal but you still feel terrible, this episode reveals the diagnostic tool that measures what blood work can't detect—and why doctors were never trained to look for it. This episode of Medical Disruptors will change how you see your body, your stress, and your future. Watch now and subscribe for more disruptive conversations. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Guest Links: FB: https://www.facebook.com/dr.torkil/ IG: https://www.instagram.com/dr.torkil Website: https://thepulsecure.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

Have you ever wondered what's really going on with your health? You experience symptoms, go get them checked out, only to be told there's nothing wrong. But deep down, you know that's not true. Well, guess what? You're in the right place! Join Dr. E and Georgia Grey as they discuss the benefits of functional medicine and The Knew Method's approach to treating the root causes of patients' symptoms. They break down the differences between conventional and functional medicine, along with providing insights on how to start making changes in your life to feel your best. Learn more about your ad choices. Visit megaphone.fm/adchoices

When we talk about longevity, most of us picture living longer—but what we really want is better years. Sharper minds, stronger bodies, and the energy to actually enjoy life. In this episode of the Medical Disruptor, I'm challenging everything you've been conditioned to believe about aging as inevitable decline. I break down the cellular mechanisms that actually drive aging—from Advanced Glycation End Products (AGEs) that literally caramelize your proteins, to mitochondrial dysfunction that drains your energy, to the chronic inflammation silently accelerating every aging process. You'll discover why "normal for your age" is often medical gaslighting for preventable cellular damage, and how lifestyle factors control 70% of how you age (while genetics account for only 30%). This isn't about expensive biohacks or miracle supplements. It's about understanding the biology behind aging so you can make informed choices about food preparation, blood sugar management, antioxidant support, and cellular health—all backed by decades of longevity research. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

Most of us think health comes down to food, exercise, and maybe a supplement or two. But your body isn’t just counting what goes in—it’s counting time. Which poses the question: Why does eating at night destroy your metabolism? In this encore conversation with Danielle Hamilton, better known as The Sugar Goddess, we dive into why circadian rhythm is the hidden force behind blood sugar, hunger, and hormones.  Your body isn't just tracking what you eat—it's tracking when you eat. The same bowl of oatmeal that fuels you at 8 a.m. can send your blood sugar crashing at 8 p.m. because your metabolism runs on a 24-hour clock that expects sunrise and sunset, abundance and scarcity, summer and winter. If you've been doing everything right with diet and exercise but still struggling with metabolism, blood sugar, or weight, this episode reveals the missing variable your doctor never mentioned.  Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor  #NPwithaPHD #nursepractitioner #medicalgaslighting Chapters 00:00 – Welcome & Why Timing Matters 02:18 – Circadian Rhythm Explained Simply 07:03 – Night Shifts, Sleep & Metabolism 09:30 – Blue Light, Screens & Hormones 18:04 – The Danger of One Diet Forever 21:12 – Seasonal Eating & Metabolic Health 26:24 – Vitamin D: Sunlight vs. Supplements 38:53 – Final Takeaway: Live by the Sun Guest Links: FB: https://www.facebook.com/daniellehamiltonhealth IG: https://www.instagram.com/daniellehamiltonhealth YT: https://www.youtube.com/channel/UCH9oPLW019uqEZc_Ftvyn5Q Website: https://daniellehamiltonhealth.com/ Blood Sugar Mastery Waitlist: https://www.daniellehamiltonhealth.com/blood-sugar-mastery Learn more about your ad choices. Visit megaphone.fm/adchoices

Autoimmune diseases are surging across America, yet conventional medicine rarely addresses the environmental triggers hiding in plain sight. The foods on your plate and the toxins in your daily environment represent two of the most significant—and controllable—factors in autoimmune development. This isn't about elimination diets—it's about understanding how environmental medicine intersects with autoimmune pathophysiology, and why your doctor likely hasn't mentioned the connection between your breakfast and your antibody levels. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting Learn more about your ad choices. Visit megaphone.fm/adchoices

Cancer prevention isn't just about genetics or luck—it's about understanding the biological environment that either supports or inhibits abnormal cell growth. Research shows up to 70% of cancers are linked to lifestyle and environmental factors, yet many healthcare providers dismiss these prevention strategies as unimportant. In this episode of The Medical Disruptor, Dr. E reveals evidence-based cancer prevention strategies that conventional medicine often overlooks, focusing on four modifiable risk factors you can control today. When you ask about diet, stress management, or environmental toxins in cancer prevention and are told these "don't really matter," you're encountering a limitation of medical training, not scientific evidence. Instead of waiting for a diagnosis or being told there's nothing more you can do, you'll learn how to create a cellular environment that supports health rather than disease. Looking to schedule a consultation with Dr. E? Book here: drefratlamandre.com/consult Check us out on social media: drefratlamandre.com/instagram drefratlamandre.com/facebook drefratlamandre.com/tiktok #functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting #CancerPrevention #WomensHealth Learn more about your ad choices. Visit megaphone.fm/adchoices