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New Frontiers in Functional Medicine

Updated 3 days ago

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Welcome to New Frontiers in Functional Medicine™. Each month, I interview the best minds in Functional Medicine. Expect thought provoking ideas, new research, lots of clinical pearls for practitioners and step-change information for consumers and patients. I hope you join us. Don’t hesitate to email me with ideas for future podcasts.

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Welcome to New Frontiers in Functional Medicine™. Each month, I interview the best minds in Functional Medicine. Expect thought provoking ideas, new research, lots of clinical pearls for practitioners and step-change information for consumers and patients. I hope you join us. Don’t hesitate to email me with ideas for future podcasts.

iTunes Ratings

128 Ratings
Average Ratings
116
9
1
1
1

Informative!

By dr mcintyre - Feb 03 2020
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Very helpful resource. Amazing podcast!

Great talks!

By SavyShoper - May 30 2019
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Amazing guests who really know their stuff!! I’ve learned so much!!

iTunes Ratings

128 Ratings
Average Ratings
116
9
1
1
1

Informative!

By dr mcintyre - Feb 03 2020
Read more
Very helpful resource. Amazing podcast!

Great talks!

By SavyShoper - May 30 2019
Read more
Amazing guests who really know their stuff!! I’ve learned so much!!
Cover image of New Frontiers in Functional Medicine

New Frontiers in Functional Medicine

Latest release on Jun 02, 2020

The Best Episodes Ranked Using User Listens

Updated by OwlTail 3 days ago

Rank #1: Episode 27: SPONSORED | Using DUTCH hormone Test with Dr. Carrie Jones

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Dr. Carrie Jones and I went to medical school (National College of Natural Medicine) together. She was a brilliant, awesome friend then, and still is. What a privilege it’s been to watch her grow into the expert she is today. As you’ll see in her bio, Dr. Jones has been focused on women’s health and hormones her entire career which has spanned academia, clinical practice and now as the chief medical officer at Precision Analytical, home of the DUTCH dried urine hormone panel.

Given Carrie’s background, she’s uniquely suited to train us on using the DUTCH panel, as she’s literally interpreted thousands of these tests over the years. Her podcast is chock full of Monday morning pearls of the best kind- actionable content I think you’ll appreciate and use immediately.

May 28 2017

47mins

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Rank #2: Episode 14: Taking a Deeper Dive into Eat Fat, Get Thin with Dr. Mark Hyman

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Science has demonstrated for over a century that fat simply isn’t the macronutrient villain it’s been made out to be. Join me and Dr. Mark Hyman as we spend some time discussing his new NYT best-selling book Eat Fat, Get Thin. We drill down into the research that has been published over the years demonstrating the largely beneficial aspects of most fatty acids.

May 31 2016

39mins

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Rank #3: Episode 37: The Gut/Thyroid Connection with Dr. Michael Ruscio

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Join me for an interesting, clinician-friendly conversation on the gut/thyroid axis with Dr. Mike Ruscio. Dr. Ruscio challenges both conventional understanding (where the gut/thyroid relationship isn’t recognized outside the research setting) and in the functional medicine world, where he argues we are often over-treating and over-testing thyroid function. What is the thyroid adrenal relationship? What should we expect with regard to thyroid antibodies and successful treatment? What should we be thinking about with regard to gut health when diagnosing and treating thyroid disease? Listen to this great New Frontiers episode where we dive deep into all this and more!

Mar 16 2018

1hr 5mins

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Rank #4: Episode 41: Food: What the Heck Should We Eat with Expert Dr. Mark Hyman

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In my conversation with Mark Hyman on his new NYT best seller, Food: What the Heck Should I Eat?, we discuss the myriad challenges consumers face in figuring out the correct diet, but also, what WE as clinicians caring for patients – what do we prescribe? What do the data show? Are grains really verboten? Is dairy completely off-the-plate? What about meat? And fats/cholesterol and the APOE4 patient? Mark enlightens me to the new “regenerative agriculture” movement; going far beyond organic, regenerative agriculture regenerates the environment while providing good, clean food. Amazing, right? He also addresses the common price complaint. What is the cost of eating clean vs eating conventional? We also go behind the scenes to address the insidious agribusiness at the heart of US policy, and chat about Steven Savage’s recent take-down of Environmental Working Group’s Dirty Dozen Clean Fifteen lists. This was such a fun convo for me, and as always, Mark is doing great detective work getting to the heart of concerns around diet and the ecology of eating. Take a listen, I bet you’ll be as intrigued as I was.

May 06 2018

44mins

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Rank #5: Episode 4: Natural Cures for Dummies - with Dr. Kara Fitzgerald and Dr. Banks

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Just released April, 2015, Natural Cures for Dummies is a superb survey of all things Natural Medicine. In this podcast, Dr. Banks and I cover a ton of content: The book, appropriate diets, including the elimination diet and the perils of gluten, we cover his approach to detox, appropriate supplements, genomics and systems medicine, Functional Medicine and so much more.

Aug 12 2015

58mins

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Rank #6: Episode 6: Enacting an Elimination Diet: Tips for Patients, Clinicians with Jennifer Fugo

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One of the cornerstone tools of functional medicine is the elimination diet, be it a straightforward gluten/dairy free plan, or an involved, customized removal of many different foods. On top of this, we want our patients to choose clean, organic sources of foods. This dietary prescription is a tall order for many of our patients. Many years ago, Jen Fugo (author of The Savvy Gluten-Free Shopper: How to Eat Healthy Without Breaking the Bank) was prescribed just such a diet. With very limited funds, she figured out how to navigate the myriad pitfalls and change her life. Today, she’s dedicated her career to assisting individuals on therapeutic diets make the transition healthfully, affordably and successfully.

Oct 13 2015

55mins

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Rank #7: Episode 23: Functional Strategies for the Management of Gastrointestinal Disorders

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Functional hypochlorhydria is a condition we see so often, yet Prilosec is a top ten medication: what’s the disconnect? Probiotics: which ones, how much, combo or single strain? What does the research really show probiotics are actually doing? Is there any truth to probiotics colonizing the GI tract? And what about soil-based probiotics, any reason to be jumping on that bandwagon? What is the correct lab test for identifying pancreatic exocrine insufficiency (PEI), and what is the optimal range? Is there any utility to testing fecal fats? What enzymes (vegetarian or animal-based), botanicals and other interventions are appropriate for addressing PEI?

Mar 21 2017

1hr 7mins

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Rank #8: Episode 7: From Cell to Soul with Dr. Sara Gottfried

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From Cell to Soul: A Functional Approach to Women’s Hormone Management with Sara Gottfried, MD.

Dr. Sara Gottfried has elegantly distilled her years of clinical experience and thousands of patient contacts into a user-friendly body of knowledge for physician and layperson alike. She’s truly a functional/systems medicine pioneer, combining the best of scientific data with the art (and heart) of medicine. An expert in the area of women's hormones, Dr. Gottfried candidly shares her own personal experience with hormone imbalances. Sara was pivotal on my own journey toward better self-care, as you’ll hear in this podcast.

Nov 14 2015

1hr

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Rank #9: Episode 12: Always Hungry? A Conversation with David Ludwig, MD PhD

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David S. Ludwig, MD, PhD, is a practicing endocrinologist and researcher at Boston Children’s Hospital, Professor of Pediatrics at Harvard Medical School and Professor of Nutrition at Harvard School of Public Health. He is Founding Director of the Optimal Weight for Life (OWL) program at Boston Children’s Hospital, one of the oldest and largest family based weight management programs. He also directs the New Balance Foundation Obesity Prevention Center. Described as an “obesity warrior” by Time Magazine, he has been featured in the New York Times, Boston Globe and USA Today and on NPR, ABC, NBC, CBS, CNN and other networks. His new book ALWAYS HUNGRY? published on January 5 is a New York Times bestseller
drdavidludwig.com/ www.facebook.com/davidludwigmd/

Mar 07 2016

46mins

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Rank #10: Episode 20: A Deeper Understanding of Fibromyalgia and Clinical Approaches

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Fibromyalgia can be a particularly difficult condition to address conventionally, but Functional Medicine really has a lot to offer here. In this podcast, we mine the wealth of information that Dr. David Brady brings to the table on this important topic, including:
· The signs and symptoms of fibromyalgia and how it is diagnosed (previously-defined tender points are no longer used!) – see also Dr. Brady’s questionnaire at www.fibrofix.com

· What other mimicking conditions need to be considered or ruled out

· How fibromyalgia differs from chronic fatigue syndrome—vastly different disorders that are commonly confused

· Why not all pain is driven by inflammation

· How not to fall into the trap of only looking at mitochondrial dysfunction

· Organic acids, catecholamines, food reactivity and other relevant labs for assessment and tracking

· Childhood and adult stress patterns in (especially female-dominated) fibromyalgia, and how that factors into interventions

· Additional intervention options such as sleep support, energy pathways, detox, exercise, diet, immune balancing to reset metabolic patterns and promote recovery

Dec 28 2016

1hr 7mins

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Rank #11: Episode 76: SP: The Business of Functional Medicine: Secrets for Success for your FxMed Practice

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Dr. Jeff Gladd is a brilliant Fx/integrative physician who is PASSIONATE about all things Fx business. If there is ONE area I get more requests on, it’s business: setting up a practice, platform building, building a reputation, finding one’s focus and passion. Extra-clinic revenue streams. And mentorship: finding your tribe, building your collegial connection, moving off the island of medicine and into your tribe. With that in mind, Jeff – who is the CMO at Fullscript – and I have a tour-de-force convo on all of these topics. Learn about FS’s integrated EMR, our Clinic Immersion and Fx Residency programs, with top tips for building your brand. And so much more. Check out the shownotes for loads of links, references, downloads and more, and be sure to leave a review wherever you listen to New Frontiers! As always, thank you for listening!

Dec 12 2019

58mins

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Rank #12: Episode 46: SPONSORED Endotoxemia: The Underlying Reason Most of Your Patients Need Immunoglobulins

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Endotoxemia. A fundamental driver of chronic disease. What is it? And more importantly, what do we do to address it? In my podcast with Dr. Jill Carnahan this month, she unleashes a torrent of compelling science and clinical savvy on all things endotoxemia. From heart disease and diabetes to autoimmunity (genetic or acquired) and mast cell activation, Dr. Carnahan is clear that pathological intestinal permeability (she discusses testing, but at this point in her career believes most everyone who sees her with chronic disease has IP) drives inflammation by allowing excess microbial endotoxins- primarily as lipopolysaccharide (LPS)- to enter circulation. Focused on root cause functional medicine (toxins, diet, infection, genetics), she concurrently heals the gut to drop the inflammatory burden. A key intervention for Jill is sugar-free, GMO-free, serum-derived bovine immunoglobulin (SBI), and we spend quite a bit of time on why SBI is crucial. With 43 human trials behind it, if you are not using SBI yet, you’ll be compelled to start, I suspect. We also have a fun dialogue on the role of fatty acids and toll-like receptor activation, connected directly to LPS. Jill shares a handful of very compelling case vignettes AND talks candidly about how she set up an extremely successful functional medicine practice and positioned herself as an expert in the field. And let me know: will you be changing how you prescribe high fat diets based on the research we discuss?

Jul 25 2018

37mins

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Rank #13: Episode 63: Strategies Preventing Cognitive Decline with Neurologist Dr. David Perlmutter

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In this episode of New Frontiers, Dr. Fitzgerald talks with Dr. Perlmutter about the best strategies for preventing and slowing cognitive decline, and how his thinking about preventive lifestyle strategies has evolved since he published his first book Grain Brain.

May 16 2019

1hr 9mins

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Rank #14: Episode 3: The Oral Microbiome - with Dr. Kara Fitzgerald and Cass Nelson-Dooley, MS

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The oral microbiome is an important part of the gut microbiome and tending to its balance should a routine part of any good “gut protocol.” Indeed, dysbiosis of the oral microbiome (and a leaky oral mucosa) might be key underlying imbalances in pathogenesis of systemic diseases, including autoimmune (IBD, rheumatoid arthritis, Sjogren) as well as cardiovascular disease. As clinicians, addressing our patient’s oral health may be the missing link in treating many systemic diseases. This podcast is great for clinicians as well as anyone interested in gut health, the oral microbiome, autoimmunity, leaky gut and cardiovascular disease.

Jul 06 2015

57mins

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Rank #15: Episode 19: Functional Gynecology Practice Pearls with Dr. Anna Cabeca

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Dr. Cabeca is a wealth of information and inspiration when it comes to women’s health. I am delighted to share my conversation with her this month, in which you’ll learn about:

- How Dr. Cabeca transitioned from performing multiple surgeries per week, to only needing to recommend a handful per year with a functional medicine approach
- The best lab tests and specimens for hormone assessment
- The importance of liquid chromatography mass spectrometry for serum free testosterone measures
- Factors to be aware of that can confound hormone testing results
- Estrogen metabolites and the importance of methylation assessment
- The sweet spot of keto-alkaline status for sex hormone balance, cortisol management, mental clarity, insulin sensitivity and weight loss (target pH of 7, and some ketones 3+ days per week)
- The benefits of vaginal testosterone and DHEA for tissue repair and incontinence
- Watching out for behavior change with testosterone to ensure appropriate dosing and saving marriages!
- Addressing vaginal dryness with safe oils and DHEA, diet and lifestyle

Nov 14 2016

58mins

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Rank #16: Episode 51: All things Mast Cell with World-Renowned Clinical Researcher Dr. Theoharides

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In my Tour de Force conversation with the brilliant Dr. Theoharis Theoharides, we covered all things mast cells, from “bench to bedside.” In case you have not yet encountered his work yet, he is one of the most highly decorated, well-published clinician researchers in the world. The focus of his life’s work has been on all things mast cells, and mast cell associated conditions. Given the meteoric rise in said conditions (and our improved understanding of the role of mast cells in most chronic diseases), as clinicians, we need to understand how to diagnose and treat. Buckle up for this podcast, and get your pen and pad ready – the depth and breadth of Dr. T’s knowledge requires careful listening. Give a listen, then give a thumbs up for this brilliant, generous clinician!

Nov 20 2018

1hr 41mins

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Rank #17: Episode 67: Functional Medicine Pediatrician Dr. Elisa Song on PANS/PANDAS DX and Treatment

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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. Thus, working with kids can come with questions – labs, dosing interventions. Listen as Dr. Song and I gallop through loads of foundational information (and we’ll provide more down the road – a blog, another podcast – we’ll see) as this is a huge, important area for us. Here, the bulk of our time on New Frontiers is on PANS/PANDAS: how to identify, and what to do. Both are forms of infection-triggered autoimmune encephalitis. Take a listen, and be sure to comment on iTunes or wherever you’re listening. I’d love to learn your thoughts! ~DrKF

Jul 13 2019

1hr 20mins

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Rank #18: Episode 38: SPONSORED HPA, Organic Acids and the DUTCH Test with Dr. Carrie Jones

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Why would Precision Analytical, the laboratory famous for the ground-breaking DUTCH test (Dried Urine Test for Comprehensive Hormones) and Cortisol Awakening Response test, decide to offer a handful of key organic acids on their panel (incidentally, at no extra charge)? The answers will wow you in this terrific podcast with Dr. Carrie Jones, Medical Director at PA. Turns out, looking at compounds such as homovanillic acid, vanillmadilic acid, 5HIAA, pyroglutamate, 8OH2DG and xanthurenate have LOADS to do with our sex hormones and our HPA axis at many different levels. As usual, Dr. Jones provides fun analogies (how does a trampoline explain perimenopause?), clinically useful information on test interpretation and on intervention considerations. Don’t miss it.

Mar 21 2018

45mins

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Rank #19: Episode 43: Fasting Mimicking Diet: Beyond caloric restrictions with Dr. Valter Longo

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Wow! What a great conversation with Dr. Valter Longo, director of USC’s Longevity Institute. It’s always exciting to talk to someone in the trenches of bench and clinical research, especially a rock-star like Valter Longo! You can hear my nerves as we begin ☺, yet there’s much to learn about Dr. Longo’s journey from a Blue Zone upbringing in Italy to music major to biochemisty major to leading expert in articulating the biochemical and genetic underpinnings of the aging process. Dr. Longo was a post-doc under Dr. Roy Walford – famous for his research on caloric restriction and longevity. While Walford’s work – famously the 2-year Biosphere study conducted on humans – yielded remarkable improvements in chronic diseases, there were many side effects. The limitations of the human Biosphere study prompted Dr. Longo to turn his attention to longevity in single-celled organisms (S. Cervascie, specifically), then animal studies, and most recently humans. Longo designed his short term fasting mimicking diet (FMD), which does away with the fallouts he observed in long term caloric restriction. We cover a lot of great material in this conversation – and Dr. Longo makes compelling points against the unfettered use of MCT and exogenous ketones. Take a listen and let me know what you think!

Jun 08 2018

1hr 2mins

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Rank #20: Episode 74: Sponsored | Innovations in Clinical Laboratory Testing with Dr. Michael Chapman

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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? You see where I’m headed. Even for the most seasoned FxMed clinician, a review of how to use these tests with an eye towards what to expect in new technology is essential. Disagreement with methods? Yes. Why? Zonulin Family Peptide – any utility? A great conversation with Dr. Michael Chapman of Genova Diagnostics. Thrilled with their commitment to in-house “data mining” and peer reviewed publication (IMO all of the Fx labs should be doing this). ~DrKF

Nov 01 2019

58mins

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