As FxMed docs, we’re committed to working with the body’s own capacity for health. Dr. Josh Mitteldorf offers a contrarian strategy, one which he says is grounded in a new breed of evolutionary medicine. He tells us that diseases of old age are qualitatively different from the diseases we get when we’re younger, different because in old age, our bodies are part of the problem, not part of the solution. Aging, says Josh, is the body deliberately destroying itself (for the sake of the population), via inflammation and apoptosis and autoimmune diseases. In this interview, Josh and I find common ground talking about hormesis. In Josh’s theory, the fact that the body lives longer when stressed (e.g. caloric restriction) is proof that the body isn’t trying its hardest to stay young when it’s not stressed.
A work horse laboratory in any functional medicine practice is stool testing. But really gleaning the best insight into our patient’s clinical picture can be tough. What do all of these commensal organisms really suggest? How do they correlate with the inflammatory findings? Of the bell weather bugs (like akkermansia) how can we increase levels? Is there ANY place for microscopy (O&P) and culture in today’s high throughput Omics world?
In this episode of New Frontiers, Dr. Fitzgerald talks with Dr. Singh about his path to functional and integrative medicine, the importance of staying current in allopathic approaches, and the best strategies for testing and treating dysbiosis and leaky gut.
Episode 72: Nocturnal Hypoglycemia & Continuous Glucose Monitoring: the amazing Dr. Sara Gottfried & advanced metabolic monitoring
By far, my most wide-ranging conversation to date with my friend and colleague Dr. Sara Gottfried as we dive into her experience using a continuous glucose monitor and addressing fairly severe nocturnal hypoglycemia, to addictions and genetics, taming the dopamine-deprived COMTer, and lots of women’s health. Sara is an open book in such a lovely, inspiring way. How would a concussion lead to brain-body? (ok, there’s an obvious connection in that title, haha) but get all of the backgrounds in our convo.
Take a second and think about this: what clinical presentation would prompt you to prescribe cognitive behavioral coaching, breathwork or meditation? Did GERD make your list? Along with gentle, but powerful botanicals and nutraceuticals (IT’s Motility Agitator, DGL Chewables, Heartburn Advantage), these are cornerstone interventions for GERD in the practice of Victoria Albina, NP, MPH.
Some of the most extraordinary work happening in medicine right now comes from the GrowBaby team of Leslie Stone, MD and her daughter, Emily Rydbom, CNS. In their mostly Medicaid model, they’ve adopted a systems approach to pregnancy, and thereby doing so, have remarkably improved outcomes. Their rates of autism, eczema, ADHD, premature labor, gestational diabetes and pregnancy-induced hypertension fall well, well below national averages.
Are you thinking about age management with your patients these days? I am. And I’m thinking about it regarding myself, quite frankly. To that end, I just had a tour-de-force conversation with clinician researcher Joe Raffaele, MD. Can we halt, or even reverse, the biological aging process? There are an extraordinary number of variables to consider here, but the take-home appears to be YES.
If you’re practicing functional medicine, you’re aware of (and likely prescribing) the autoimmune paleo diet. You’re pulling folks off of many foods, lowering carbs, reducing or eliminating lectins (including nightshades). In my conversation with Dr. Datis Kharrazian, we talk about his impressive PhD research (under the guidance of Aristo Vojdani, PhD) in stratifying who’s at risk for lectin intolerance.
In this podcast of New Frontiers, I’m talking with Dr. Elisa Song, a functional medicine pediatrician and superb teacher. If you are practicing FxMed, you’re probably seeing more and more kids if your scope allows (even if you didn’t before). Kids need FxMed, yet there are arguably LESS pediatricians transitioning into FxMed than other disciplines.
Fibromyalgia is a tricky disorder to treat. Patients struggle with chronic pain and fatigue, and practitioners often struggle to find effective interventions. Dr. Erik Lundquist is pioneering research into novel treatments for fibromyalgia. In a new study, he investigates the use of specialized pro-resolving lipid mediators (SPMs) for fibromyalgia patients.