Evolution Of Medicine Podcast

In this final episode of 2022, James reviews key topics from the year of growth and provides a sneak peek of what is to come in 2023, the year of connection. The Evolution of Medicine community has experienced impressive growth and witnessed significant shifts in 2022. We learned about deprescribing to help patients escape the polypharmacy public health disaster. We have applied functional medicine principles to help patients who experience long COVID and other post-viral syndromes. Increasingly, we are also seeing signs that the mainstream is moving in our direction, and we must position ourselves to be ready when more patients come our way. Functional medicine needs to scale up, in part to help address the mental health crisis that exploded during the COVID era. More patients are also seeking support from functional medicine providers for vaccine injuries, such as myocarditis. Healthcare systems are now adopting functional medicine and building integrative care into their hospital and insurance systems. Gro

In this episode of the Business of Functional Medicine series, our guest, Erwin Raphael McManus, is a pastor, author, filmmaker and thought leader at the intersection of entrepreneurship, spirituality and psychology. He joins this podcast to share his model of communication archetypes called The 7 Frequencies and how understanding them can help practitioners work and communicate more effectively with patients. Erwin also talks through the frequencies most often adopted by practitioners and offers insights on how to better support and motivate patients to get healthy before they get sick. Listen to the full episode to learn more about: Erwin’s thoughts on the theory of quantum entanglement Descriptions of the frequencies, including the Challenger, Seer and Maven How healthcare providers benefit from understanding their communication style The importance of interpersonal relationships and interactions between patients and clinicians And much more Erwin McManus is also the host of The Genius Of podcast and the

Dysautonomia is a condition where the nervous system becomes dysregulated, causing disruption in the functions of various organ systems. Common symptoms include fluctuations in blood pressure, fatigue and anxiety. The condition seems to be increasingly common in the post-COVID era, and conventional medicine is unable to resolve the causes of this condition for patients. Shilpa P. Saxena, MD, an expert in cardiometabolic health and regular guest on the podcast, joins us to explore why functional medicine clinicians are uniquely positioned to support patients experiencing dysautonomia. Listen to the full conversation to learn more about: The importance of polyvagal theory for understanding dysautonomia  How vagal tone impacts multiple organ systems How to regulate and improve vagal tone Functional medicine tools that help heal dysautonomia

Sandra Scheinbaum, PhD is the founder and CEO of Functional Medicine Coaching Academy. As a leader in the field of integrative psychiatry, she joins James to speak about the advantages of leveraging a group coaching model for mental health services. For many reasons—from the current shortage of licensed clinical psychologists to improved patient compliance—mental health group coaching offers compelling advantages. Patients often feel more comfortable being honest and open with coaches they can relate to more as peers. Because traditional therapy still carries a cultural stigma, shame is a common barrier that prevents people from seeking support. Coaches, on the other hand, can be more approachable and provide a friendly dynamic that builds trust with patients. There is also a strong economic rationale behind practitioners adopting a coaching model: demand for mental health care is increasing, while the supply of licensed therapists is limited. Dr. Scheinbaum shares ample evidence of the benefits group coachin

We are all familiar with functional medicine and perhaps even functional fitness, but have you heard of functional joy? Our guest for this podcast episode is Radha Agrawal, a successful entrepreneur and the author of the book Belong. Radha joins us to discuss her organization, Daybreaker, which spans 28 cities and five continents with a mission to foster joy and community. Daybreaker’s very first events in 2013 were community dance meetups held early in the morning that aimed to replicate the positive aspects of nightlife while excluding alcohol. The scope of their work continues to expand nine years on, but dance is still their primary tool. Radha is now writing another book and developing a curriculum to teach clinicians and others to systematically foster joy in their communities. Community is a factor critical to chronic disease prevention and reversal, so we invited Radha to share her extensive experience with this powerful predictor of health outcomes often overlooked by healthcare institutions. Downloa

Patrick Holford is the author of 46 books on nutrition and lifestyle factors for wellness. He is also the founder of a charity, Food for the Brain Foundation, and the voluntary director of the Alzheimer’s Prevention Project. He joins James on this episode to showcase the foundation’s resources for reversing cognitive decline and preventing Alzheimer’s disease. They discussed targeted nutrition approaches and other tools available to patients and practitioners on the foundation’s website. Listen to the full episode to learn more about: Which nutrient deficiencies correlate with poorer cognitive function How to reduce the risk of developing Alzheimer’s disease through supplementation The success rates of targeted nutrition therapy for reversing cognitive decline—and how nutrition therapy can be more successful than pharmaceuticals Cognitive function data collected from 377,000 participants via the foundation's test Discover more valuable resources on the Food for the Brain Foundation’s website, where you can

This episode features Leo Galland, MD, who outlines a systems biology approach to understanding and treating post-COVID syndrome. Dr. Galland created the graphic below to model factors and biological repercussions of long COVID. In the interview, Dr. Galland walks us through each element in the web of long COVID. During the pandemic, he also created and published two hour-long videos—one for patients and one for providers—containing research and recommendations on addressing long COVID. The information he shares is intended to empower and educate both health care providers and patients. Download and listen to this episode to learn more about: The deficiency that both contributes to and results from long COVID Key information about what causes long covid How to prevent severe infection and address symptoms Downstream effects of viral damage that should be addressed by functional medicine providers   Episode assets: Understanding Long Covid: a comprehensive presentation for health professionals ACE2 in Immun

Julie Funt is the CEO of Juliet Funt Group and author of A Minute to Think, which describes the importance of metaphoric white space in everyone’s regular schedule. Her firm provides efficiency training to change the way we work, making it more sane, more human, and a more positive experience for all. In this Business of Functional Medicine episode, Kristen Brokaw speaks with Juliet about how this concept applies to the medical field, and we learn from the author some practical habit adjustments that can create more productive “white space.” Download and listen to the full conversation to learn more about: Why we need white space to be creative, productive and decisive Studies showing how small breaks improve performance Why pushing harder does NOT always equal better results Practical tips to conquer busyness and communicate efficiently And much more!

Our guest in this episode, Greg Leyer, PhD, has an academic background in deadly pathogenic bacteria, such as botulism and other foodborne illnesses. Now, he focuses on healthy bacteria and joins James to discuss benefits of probiotics for the vaginal microbiome. While gastrointestinal health is thought to depend on microbiome diversity, the vaginal cavity requires a more homogenous population of Lactobacillus species. By producing organic acids—mainly lactic acid—lactobacilli help maintain a pH below 4, which prevents bacterial vaginosis. Listen to the full episode to learn more about: How and why taking oral probiotics affects the vaginal microbiome Forms of microbiome supplementation, like probiotics, spores and heat-inactivated bacteria Efficacy of probiotic supplementation in different geographic locations and ethnicity And check out Dr. Leyer’s ongoing work: Your Health - Our Science UREX™ – The world’s most documented probiotics for women’s urogenital health Women's Health | The Probiotics Instit

Dr. Shane Holland joins this week’s podcast to share his experience with the Practice Accelerator. Shane’s story is one we hear over and over amongst our Practice Accelerator participants. In this series, Success Leaves Clues, we celebrate alumni stories in conjunction with our current open enrollment period, running September through October 2022. Shane began his career as a teacher and later became an emergency medicine physician, and he is currently transitioning into operating a functional medicine practice. Over the years, Shane has been interested in treating patients with chiropractic manipulation, herbs and supplements, and lifestyle adjustments. Still, he did not have access to a clear path toward building his own clinic around those strategies.   As an emergency medicine physician, Dr. Holland observed that roughly 90% of his patients did not require emergency care and were using emergency services in lieu of primary care. The training he received from The Institute for Functional Medicine (IFM) pro

Dr. Tom Guilliams, our go-to expert for anything related to nutrition research, returns to the Evolution of Medicine podcast for the second part of our Controversies in Nutrition series. Dr. Guilliams has written several books on the therapeutic uses of nutritional supplements. Our guest opens the discussion by rebutting attempts by major medical journals to discredit nutraceuticals. He breaks down the weaknesses of their research and arguments, along with how the studies are biased and unscientific. He also reviews the limitations of specific nutrient biomarkers, realistic expectations for improving methylation through folic acid supplementation, and how to assess optimal vitamin D levels in individuals who receive plentiful sun exposure. Listen to this episode if you’re interested in: Why treating based on genetic testing may or may not be beneficial The significance of tracking homocysteine levels in patients When to evaluate methionine levels The NAC controversy between the FDA and Amazon

Sandi and Steve Amoils are Medical Doctors who built a multi-disciplinary functional medicine clinic in Cincinnati, which includes chiropractors, energy healers, therapists and doctors. They talk about what first steps they took to work towards this vision, how they made their business work in a cash-based model, and why they partnered with a larger hospital system. Their clinic also runs an accredited fellowship integrative medicine program. Download and listen to the full episode to learn more about: Their insights on how they became successful Increasing patient demand for functional healthcare Building credibility for functional medicine Why a large hospital system wants to run an integrative health clinic, and why the doctors singed onto that partnership And much, much more!

Dr. Shilpa P. Saxena adds to her series of Evolution of Medicine interviews with a discussion on polycystic ovary syndrome (PCOS). With both personal and professional experience reversing the condition, she walks us through the functional medicine approach to treatment. Dr. Saxena explains how insulin resistance often accompanies and must be addressed through the “matrix” of each patient’s overall health and lifestyle. Since PCOS is a clinical diagnosis, she also describes the signs practitioners should look out for in their patients and how to confirm the diagnosis with the aid of laboratory testing. Developing a niche in PCOS can be a great opportunity for practitioners since it is so prevalent, affecting between 6-12% of women, and because functional medicine provides the most robust treatment approach for complex metabolic conditions.  Listen to the full conversation to learn more about: Tailoring treatments to patients with PCOS Which supplements to utilize in a PCOS treatment protocol Common root cause

Michael Fishman is a top advisor on marketing and business growth, aiding successful health and wellness companies. He leads the Consumer Health Summit (CHS) annually, which is now in its 24th year, and acts as an angel investor for over 20 health and wellness businesses. With his expertise, he advises his clients on how to effectively formulate their brand messaging and ensure it is communicated consistently, from training team members to sharpening taglines and from online messaging to in-person trust. In this episode of the podcast, Michael shares with Kristen Brokaw the principles and psychology behind his guidance. Tune in if you’d like to learn more about: How and why you need to develop a powerful tagline Avoiding overselling or “trying too hard” in online marketing Ensuring that your message cannot be misunderstood by your audience Why patients also need to feel understood—emotionally and intellectually And much more!

Functional medicine providers have the best tools and scientific understanding of topics like immunology, the microbiome and mitochondria. This constellation of knowledge and tools makes functional and integrative doctors optimally equipped to address osteoarthritis. Dr. Thomas Guilliams is an expert in nutrition research and immunology, and he has written several books on the therapeutic uses of nutritional supplements. During this conversation, we hear about the gut-joint relationship and an expanded understanding of osteoarthritis. We also explore best practices for nutrition and supplementation alongside lifestyle modifications to resolve chronic conditions. Listen in to learn more about: The evolution of the scientific understanding of osteoarthritis Issues with nutrition and supplementation research Addressing autoinflammatory conditions (as differentiated from autoimmunity) Guilliams’ take on the paleo dietary pattern And much more!

Josh Gunn, PhD is the Chief Scientific Officer for Ethos Laboratories. Ethos began with the mission to incorporate more functional medicine principles into conventional care and to help patients gain access to the root causes of their pain.  With a background in forensic toxicology, Dr. Gunn and the team have developed a new tool at Ethos called the Foundation Pain Index. The Pain Index is a biometric test designed to identify potential biochemical origins of patients’ chronic pain. The test results categorize health insights in a way that is actionable for all physicians, even if they are not trained in functional medicine. This personalized method also acknowledges that patient recovery often requires a multimodal approach, including lifestyle and community considerations. Practitioners who run OAT tests or other labs may already have access to some of these data points, but uniquely, the Foundation Pain Index test is covered by Medicare, Medicaid and most insurance plans. This is especially important for c

James interviews Michelle Simon, PhD, ND, president and CEO of the Institute for Natural Medicine (INM). Dr. Simon sees an increasing awareness that our current healthcare system is not delivering the results we need. She advocates for alternate solutions through her work with INM. Some have argued that iatrogenic disease is the third-largest cause of death in America. Applying the Therapeutic Order, which is a guiding principle for naturopathic medicine, can reverse that trend. Naturopathic medicine combined with the group visit model has the potential to address most of the population’s health issues. It is an excellent option to improve healthcare on a large scale.  Listen to the full conversation to learn about: The Therapeutic Order: what it is and why its important The reasons we need to change how we view primary care A new residency program for naturopathic doctors Projects that the Institute for Natural Medicine is working on How lifestyle and naturopathic medicine prevent iatrogenic disease

This week’s podcast is a series of interviews with a handful of physicians who are involved with the Institute for Functional Medicine (IFM). Dr. Luby is the Director of Medical Education Initiatives at IFM, which works to scale functional medicine and make it more accessible and easier to adopt into larger healthcare systems. The pandemic brought to light weaknesses in our healthcare system for which functional medicine offers solutions! Dr. Penn is an infectious disease specialist and works in epidemiology and infection prevention at Nebraska Methodist Hospital. He has worked closely with Dr. Luby, and Dr. Penn is planning to implement more of the IFM’s principles into his healthcare system. Dr. Nancy Cutter and Sharon Williams are from the Veterans Affairs (VA) in New Jersey. They are also working towards integrating lifestyle medicine into their systems in part by utilizing group visits. Listen to the full panel discussion to learn more about: The benefits offered by functional medicine for the VA in New

Our guest on this episode, Dr. Michael Ash, is a researcher who discusses lipid replacement therapy. The applications for this treatment include all fatigue related illnesses, including but not limited to environmental toxin exposure, Lyme disease and long COVID. Oxidative damage, which this therapy addresses, occurs in aging and all chronic and acute illness. When the immune system is activated (e.g., after an infection), mitochondria can be damaged. The defective mitochondria become swollen and leak electrons, which results in the oxidation of membranes. Oral lipid replacement therapy is used to remove and replace damaged membranes. Listen to this episode to learn: Mechanisms of action of inflammasomes What causes danger signals in cells Supplement dosing and sources of this nutrient through diet Symptoms and consequences of poor membrane health And much, much more!