Kara Fitzgerald, ND, received her doctor of naturopathic medicine degree from the National University of Natural Medicine in Portland, Oregon. She completed the first Counsel on Naturopathic Medicine-accredited post-doctorate position in nutritional biochemistry and laboratory science at Metametrix Clinical Laboratory under the direction of Richard Lord, PhD. Her residency was completed at Progressive Medical Center, a large, integrative medical practice in Atlanta, Georgia. Dr. Fitzgerald is the lead author and editor of Case Studies in Integrative and Functional Medicine and is a contributing author to Laboratory Evaluations for Integrative and Functional Medicine and the Institute for Functional Medicine (IFM)’s Textbook for Functional Medicine. With the Helfgott Research Institute, Dr. Fitzgerald is actively engaged in clinical research on the DNA methylome using a diet and lifestyle intervention developed in her practice. The first publication from the study focuses on reversal of biological aging and was published 04-12-2021 in the journal Aging. She has published a consumer book titled Younger You as well as a companion cookbook, Better Broths and Healing Tonics and has an application-based Younger You Program, based on the study. Dr. Fitzgerald is on the faculty at IFM, is an IFM Certified Practitioner and lectures globally on functional medicine. She runs a Functional Nutrition Residency program, and maintains a podcast series, New Frontiers in Functional Medicine and an active blog on her website, www.drkarafitzgerald.com. Her clinical practice is in Sandy Hook, Connecticut. Additional publications

Next-Gen Alzheimer’s Testing: The Power of p-Tau 217 and Blood-Based Biomarkers

p-Tau 217: The Breakthrough Biomarker Revolutionizing Early Alzheimer’s Detection

Join me for a fascinating conversation around an exciting breakthrough in dementia detection that’s offering real hope for early intervention. Dr. Hans Frykman, Chief Scientific Officer at Neurocode Laboratories, is here to share groundbreaking insights into cutting-edge biomarkers that can identify Alzheimer’s disease before symptoms even appear. What’s even more fascinating is how these same tools are revealing neuroinflammation caused by infections, including COVID, Lyme disease, and mold exposure—issues that are incredibly relevant in functional medicine today. The assays Dr. Frykman and his team have developed are transforming the way we think about diagnosing and addressing neurodegeneration. We’re talking about a potential game-changer that allows us to intervene earlier, reverse damage, and ultimately improve the trajectory of these conditions. This is an extraordinary time in science and medicine, and the work we’re discussing today is at the forefront of it all. Don’t miss out on how this could reshape your practice. ~DrKF

Cutting Edge Interventions For Patients with Adverse Food Reactions with Dr. Tom Fabian

Cutting-Edge Metabolomic Testing for IBS, Longevity, and Metabolic Health

We’re witnessing an exciting shift in how we understand gut health and disease—and it’s all thanks to the powerful metabolites produced by the microbiome, like short-chain fatty acids (SCFAs) and secondary bile acids. In today’s episode, Dr. Tom Fabian shares groundbreaking insights into how these postbiotics influence intestinal barrier integrity, immune balance, and even muscle regeneration. These compounds are also connected to key processes like glucose metabolism and healthy aging. What’s truly fascinating is how this science is opening up new frontiers in treating IBS, metabolic conditions, and chronic gut issues. With the upcoming launch of Diagnostic Solution Laboratories’ StoolOMX test an add-on to the GI-MAP, we now have a tool to measure these metabolites in clinical practice, making personalized and effective treatments more attainable. This is a pivotal moment in functional medicine that you don’t want to miss.

woman with insomnia

Insomnia’s Five Subtypes: Here’s How to Address Each One

Sleepless nights can be more than just an occasional inconvenience—they often come with exhaustion, frustration, and confusion about why nothing seems to help. If you’ve (or your patients have) tried different remedies but still struggle to get quality rest, understanding the specific nature of insomnia is the key to unlocking deeper, restorative sleep.

Exposomics and Precision Medicine: Redefining Chronic Disease with Environmental Insights

A Fresh Take on Exposomics: Resiliency Factors That Offset Environmental Risks

In this episode, we’re diving into exposomics—one of the most cutting-edge fields in environmental medicine. We in the functional medicine space have long embraced this approach that focuses on the lifelong effects of environmental exposures, from the prenatal period on, and how these exposures shape our health over time. I’m thrilled to have Drs. Robert and Rosalind Wright with us, pioneers in this field at Mount Sinai to share their research exploring how environmental factors, from lead and air pollution to social stress, can influence chronic diseases like asthma, obesity, Alzheimer’s, and autism.

Akkermansia: A Keystone Microbe for Longevity and Metabolism

This GLP-1-Supporting Probiotic Is A Constant In Our Longevity Stack

Join me and Dr. Colleen Cutcliffe, my brilliant friend, scientist, and the powerhouse CEO of Pendulum, for our deepest dive yet into all things Akkermansia. This free-flowing conversation will take your understanding of this extraordinary strain to a whole new level. We’ll explore Akkermansia’s pivotal role in metabolic health—think cravings, weight regulation, A1C—and why we’re deficient in the first place. Plus, we’ll discuss its connection to stress, anxiety, and even neurodegenerative diseases. We’ll also dive into the hotly debated topic of Akkermansia’s impact on MS, unpacking both sides of the controversy. And, we’ll touch on its promising influence on hormonal balance, from infertility to menopause. As someone who’s deeply invested in science, I’m personally bullish on Akkermansia and trust Pendulum’s products as part of my own foundational health stack. With groundbreaking science and fresh insights, this episode will change the way you approach your practice. ~DrKF

person tracking HRV with a smart watch

Tracking HRV: Is it Worth It?

By the end of my book tour in 2022—one of the most amazing but intense experiences of my life—you could scrape me off the floor. (Who knew? I certainly didn’t expect it.) I was wiped out. My Oura data corroborated what I was feeling, and, particularly devastating, my HRV was stuck in the low teens. Thank goodness I’d layered an extremely needed vacation into the book experience, and we headed off to Baja California Sur. It was this vacation—and my almost immediate HRV rebound—that prompted me to trade the high-stress East Coast lifestyle for a more balanced, nurturing environment in Mexico longer term.

Healing Depression Project: Providing Hope For Treatment-Resistant Patients

Healing Depression Project: Providing Hope For Treatment-Resistant Patients

For many struggling with depression, the message they often hear from traditional care is “just live with it” or “there’s nothing more we can do.” In today’s episode, we’re challenging that narrative. I’m joined by Dr. Achina Stein and Silvia Covelli, the founders of the Healing Depression Project. Dr. Stein, a functional psychiatrist, and Silvia, who’s personally battled chronic depression, are offering a fresh approach to treatment-resistant depression. Their in-residence program, launching in March, takes a whole-person approach—integrating nutrition, lifestyle changes, trauma healing, and community support. And with research built into the program, they’re not just helping patients; they’re also paving the way to make this approach more accessible for everyone. If you’re ready to rethink depression treatment, this episode is for you. ~DrKF

NAD+ in the Spotlight: New Insights on Boosting Cellular Resilience

NAD+ in the Spotlight: New Insights on Boosting Cellular Resilience

I’m really excited about this one—Dr. Greg Kelly is back with us, and we’re diving deep into NAD, a molecule that’s finally getting the attention it deserves. If you’ve heard me talk about NAD before, you know how foundational it is for energy, longevity, and cellular health, but I’ve got to say—after today’s conversation, I’m looking at it in a whole new way. Dr. Kelly brings a fresh perspective on how NAD influences mitochondrial function, DNA repair, and even the aging process. He’s challenging the way we think about aging, and I’m here for it. For me, NAD is no longer just a side player—it’s going front and center in my supplement stack. If you’re wondering how it might show up clinically, whether it’s in fatigue or other signs of cellular stress, you’ll want to listen in. And if you’re like me, you’ll be adding this one to your regular routine. Have a listen and get ready to rethink how you approach aging and energy. ~DrKF

medical research

Research & News RoundUp – January 2025

This month: Yes, yes, yes: intensive lifestyle interventions (4 papers); omega-3 fatty acids and exercise all WORK on preventing and/or reversing cognitive impairment, including in those with genetic risk (including APOE4). Do adipocytes house epigenetic memory leading to the inevitable weight regaining phenomenon we have long seen? The longevity potential of phytonutrients (you know I am bullish here!). And what about that wildly popular Nature Aging paper on aging happening in two bursts—am I hanging up the towel when I hit 60? (Short answer: no.)