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Health & Fitness

New Frontiers in Functional Medicine

Updated 1 day ago

Health & Fitness
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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.

Read more

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

102 Ratings
Average Ratings
95
5
0
1
1

Episode 69

By pbbear49 - Sep 05 2019
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Very informative and relevant. Great questions and fantastic understandable answers by Dr. Raffaele. Made it useful for daily life and the steps needed to be taken for better health.

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

102 Ratings
Average Ratings
95
5
0
1
1

Episode 69

By pbbear49 - Sep 05 2019
Read more
Very informative and relevant. Great questions and fantastic understandable answers by Dr. Raffaele. Made it useful for daily life and the steps needed to be taken for better health.

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

Updated 1 day ago

Read more

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.

Rank #1: 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 #2: 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 #3: 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 #4: Episode 21: Arthritis - oxidative stress, microbes, gut permeability and more with Dr. Susan Blum

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Thanks to Dr. Susan Blum, functional medicine has even more to offer for patients with rheumatoid arthritis (RA) and osteoarthritis (OA). She shares new insights about RA’s underlying causes, details what goes missed in treatment plans, and gives practical tips for mining data from stool tests, utilizing functional blood markers, and combining herbs and probiotics to reverse processes that other practitioners may think are permanent

Feb 15 2017

52mins

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Rank #5: Episode 5: Osteoporosis- Metabolic Disease of the Bone with Dr. Keith McCormick

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As a former Olympian and current Iron Man triathlete, (he qualified for the world championship in Hawaii this year!) Dr. Keith McCormick was diagnosed with severe osteoporosis at 45 years old. His own healing journey lead him to become a world expert on treating osteoporosis from a functional and integrative perspective. His 2008 book, The Whole Body Approach to Treating Osteoporosis, is useful for patient and clinician alike. This podcast is a goldmine of pearls for clinicians treating individuals with bone loss. Topics covered include underlying pathogenic mechanisms, laboratory evaluations and treatments-pharmaceutical and natural. Health savvy patients will find Dr. McCormick’s content useful.

Sep 06 2015

53mins

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Rank #6: 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 #7: 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 #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 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 #10: 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 #11: 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 #12: Episode 28: Moving Beyond SIBO with Dr. Vincent Pedre

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Small Intestinal Microbial Overgrowth: A Conversation with Dr. Vincent Pedre, MD IFMCP

All microbes, not just bacteria, can contribute to problems in the small intestines. Today more than ever, we see patients with hard-to- treat gut problems. Dr. Pedre brings his own gut healing journey and Functional Medicine background to the table to talk to us about treating patients with SIBO-or as he likes to call it-SIMO, which encompasses microbes beyond bacteria and includes the oft-overlooked fungal piece of the puzzle. Dr. Pedre shares loads of treatment pearls from his gut-centric practice, but reminds us that any protocol must be individualized for the person sitting in front of us.

Jun 26 2017

1hr 1min

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Rank #13: Episode 61: Must-know Causes for Refractory Sibo with Dr. Steven Sandberg-Lewis

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A huge, constant question we get from clinicians and patients is: what to do about refractory SIBO? Patients want hope, clinicians want to successfully resolve… Listen to my podcast to discover what one of the greatest minds thinks about all this and more.

Dr. Steven Sandberg-Lewis, co-founder with Dr. Allison Siebecker of the National University of Natural Medicine SIBO Center – one of only four centers in the US dedicated to diagnosis, treatment, education and research, is a longtime naturopathic physician and perennially popular professor of gastroenterology at NUNM. In this NFFM episode, DrSSL covers less commonly explored reasons for SIBO, including hiatal hernia syndrome, ileocecal valve syndrome, adhesions & scar tissue and hypochlorydria. Learn signs/symptoms (often unexpected), diagnosis and treatment for these all-too-often missed underlying issues. FYI – great downloads in the shownotes too – the “common causes of SIBO” PDF is essential, IMO. Be sure to rate, like, comment, and share our podcasts! Thanks always! ~DrKF

Apr 23 2019

1hr 3mins

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Rank #14: 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 #15: Episode 68: What’s the deal with Lectins and Autoimmunity? with Dr. Datis Kharrazian

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If you’re practicing functional medicine, you’re aware of (and likely prescribing) the autoimmune paleo diet, pulling folks off of many foods, lowering carbs, reducing or eliminating lectins (and nightshades). In this terrific podcast with Dr. Datis Kharrazian, we talk about his research in stratifying who’s who with regard to autoimmunity. For example, Dr. K suspects that very roughly about 30% of his autoimmune patients are truly lectin sensitive; they tend to be those with arthritic musculoskeletal autoimmunity, most classically, RA. For many of these folks, lectins must be eliminated. However, lectin/nightshade elimination may not be required for, say, Hashimoto’s; although there IS a collection of potential cross reactive foods that could play a role in promoting antibody production (and removing will reduce ab production)…. Check out the podcast. And there are loads of citations (DK publishes only in open access journal.)Listen and learn, then PLEASE rate and comment on iTunes, or wherever you listen to New Frontiers! ~DrKF

Aug 29 2019

1hr 5mins

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Rank #16: 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 #17: Episode 29: The Vaccine Balancing Act with Dr. Hilary Andrews

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I went to school with Dr. Hilary Andrews. She graduated before me, but I recall her then—she had a reputation for brilliance (and was voted class valedictorian, incidentally). Hilary applied that brilliance to childhood health and nutrition, which inevitably included investigation around vaccine safety. Flash forward to current time, Hilary continues to research and lecture extensively on the topic of immunization. She’s developed a number of CE courses available for clinicians.

Make no mistake: Dr. Andrews recognizes the profound benefits of immunization-from the virtual elimination of polio, to the exciting work in cancer. However, Dr. Andrews also recognizes among other things, that one immunization schedule does not fit all. And that optimizing baby’s health, including supporting immune system maturation, ensuring nutrient sufficiency, and adequate detoxification capacity, is essential to ensure the safest, most effective response.

Aug 30 2017

1hr 4mins

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Rank #18: 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 #19: Episode 16: Cancer as a Mitochondrial Metabolic Disease & The Calorie-Restricted Ketogenic Diet

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Dr. Seyfried has dedicated his career to changing the way we think about- and therefore treat- cancer. Going back to Otto Warburg and others, couple with newer research Tom and his colleagues are actively conducting, it’s clear that the origin of cancer is in a fundamental disruption of mitochondrial oxidative phosphorylation. Cancer is not, as is commonly thought, a genetic disease. While somatic genetic mutations abound, their origin is from a proliferation of reactive oxygen species generated by damaged mitochondrial cellular respiration. The triggering agents for cancer are anything that disrupts mitochondrial energy metabolism, from chemicals and xrays, to viruses, diet (including GMOs) and lifestyle habits. Switching primary fuel sources from glucose to ketones by using the calorie-restricted ketogenic diet (RKD), we start to shut down the energy supply to cancer cells and reverse the trajectory of the disease.

Aug 01 2016

1hr 4mins

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Rank #20: 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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