Evolution of Medicine Podcast

Cardiometabolic Disease, Fatty Liver & Weight Loss

In this episode James Maskell is joined by returning guest, Dr. Shilpa Saxena, MD to continue exploring the use of GLP-1 agonists, specifically Semaglutide, for weight loss and cardiometabolic diseases. The conversation reinforces the importance of using GLP-1s responsibly and in conjunction with lifestyle medicine coaching to address underlying behavioral issues and promote sustainable weight loss. Dr. Saxena emphasizes the need to address metabolic dysfunction comprehensively, consider...

VagusFest Debut

In James Maskell’s first-ever solo podcast, he introduces Evolution of Medicine’s upcoming event, VagusFest. On May 29, 2024, listeners can join the Evolution of Medicine’s debut VagusFest, a participatory education experience focused on toning the vagus nerve, that will provide hands-on healing experiences for participants.   In this podcast episode, James previews themes that will be explored during VagusFest and expresses how the event will help advance health-promoting medicine. V...

Cleveland Clinic Functional Medicine Update

Dr. James Carter, the director of the Center for Functional Medicine at Cleveland Clinic, discusses his journey to functional medicine and his role at Cleveland Clinic. Dr. Carter is also a vascular medicine specialist and is interested in vascular health from a functional medicine perspective. He talks about the vision and growth of functional medicine at Cleveland Clinic, including the development of specialized programs for women's health, oncology, pediatrics, and cardiovascular hea...

Anthroposophic Medicine

In this episode, we learn about anthroposophic medicine from James Maskell’s guest, Adam Blanning, MD. Anthroposophic medicine takes a holistic approach to humans, nature, illness, and healing by addressing the physical, emotional, and spiritual aspects of health. The principles and practices of this medicinal form incorporate elements of herbal medicine, homeopathy, movement therapies and more. Anthroposophic medicine was established in the early 1920s by Rudolf Steiner and Ita Wegman. An...

Toxicity in Children: Protecting Future Generations

James Maskell’s guest on this episode is Dr. Elisa Song, a holistic pediatrician whose mission is to educate clinicians and parents alike about environmental toxicity in children and how to help children thrive by improving their health. She has written books, organized conferences and is passionate about addressing environmental toxicity.   In this episode, she discusses several sources of toxins in children and the importance of toning the vagus nerve as a strategy to improve children's ...

Business of Functional Medicine: Unifying Direct Private Care Providers

Guest: Zak Holdsworth, CEO of Hint Health In this Business of Functional Medicine episode, we hear from Zak Holdsworth, a leader in the health technology industry and the CEO and cofounder of Hint Health. Hint Health supports the direct primary care (DPC) movement and aims to provide affordable, high-quality health care by offering a successful alternative to the traditional fee-for-service model. Zak Holdsworth’s company offers technology solutions for DPC clinics, including memb...

Clearing Confusion Around Botanical Medicine with Dr. Guilliams

In this episode, Dr. Tom Guilliams rejoins the podcast to explore the complexities and misconceptions surrounding botanical medicine and how clinicians can maximize the therapeutic effects of herbs. We learn from Dr. Guilliams that clinicians using herbs should consider the role of the microbiome in terms of absorption and activation of botanical compounds. He explains that because absorption varies from person to person, a personalized approach is needed for optimal outcomes. Dr. Gui...

The Vagus Nerve: The Organ of Unity

In this podcast episode, James Maskell interviews Dr. Navaz Habib about the importance of the vagus nerve in healing and overall health. Dr. Habib explains that the vagus nerve plays a critical role in shifting the body from a sympathetic (fight or flight) state to a parasympathetic (rest and digest) state, which is necessary for healing. He emphasizes the importance of creating a safe and supportive environment for patients to feel connected and reduce stress. Dr. Habib also discusses t...

Detox: What You Need To Know with Dr. Jeffrey Morrison

James Maskell’s guest on this episode is Jeffrey Morrison, MD, whose clinical approach is to use nutrition to prevent or reverse degenerative and chronic disease. In both his clinical practice and as a member of the Board of Directors of the American Academy of Environmental Medicine, he considers detoxification as a critical foundation to health. During this conversation, Dr. Morrison emphasizes that toxins in the environment are a major cause of disease and that our bodies are not equi...

Functional Optometry with Dr. Bryce Appelbaum

In this episode, James interviews Dr. Bryce Appelbaum, a neuro-optometrist. For the first time ever on the podcast, we learn about the field of functional optometry, including how it differs from traditional optometry. Dr. Appelbaum discusses the importance of vision for overall health and how vision problems can impact learning, behavior and daily life. His framework is shaped by his childhood experience with overcoming visual problems through vision therapy. He is passionate about his ...

The Future of Integrative Medicine: A Conversation with Dr. Andrew Weil

James’ guest on this episode is Dr. Andrew Weil, the founder and leader of a fellowship program for integrative medicine through the University of Arizona. In this role and others, he has significant influence on future generations of integrative medicine practitioners. In this conversation, Dr. Weil discusses the current state of integrative medicine and his vision for the future. Integrative medicine is becoming more mainstream in the United States, with many medical schools teaching ...

Business of Functional Medicine: Live Life by Design

In this episode, Dr. Joan Rosenberg discusses her book, 90 Seconds to A Life You Love, and the concept of living life by design. Many believe their circumstances dictate their lives; our guest asserts that one can design their life by having a vision or big goals and working towards them despite the circumstances. Dr. Rosenberg shares the importance of paying attention to how thoughts and feelings are expressed and managing emotional states effectively. She introduces the concept of th...

Health Care Post-Pandemic: From the ICU to Functional Medicine

In this episode, Dr. Mollie James shares her experiences during and after the pandemic. She transitioned from being a critical care physician in an ICU to providing functional and integrative medicine primary care services.   Dr. James previously had a career in surgical and critical care, which ended because she spoke publicly about providing early COVID treatments and did not receive a vaccine because she has natural immunity. She was put under investigation by a medical board for 18 m...

How Detoxification and Gut Health Make or Break Emotional Well-Being

Peter Kozlowski, MD is a functional medicine physician based in Chicago, Illinois. In this episode, we discussed the importance of detoxification and gut health in his practice. He emphasizes the need to address the mental, emotional and spiritual aspects of health because they play a significant role in detoxification. Dr. Kozlowski recommends focusing on the basics of detox, such as sleep, hydration, bowel movements, and sweating, before considering more advanced testing and treatments...

Heart, Mind and Body: The Power of Lifestyle and Integrative Medicine

 This episode’s guest is Dr. Michelle Thompson, the medical director of the Lifestyle Medicine Institute at the University of Pittsburgh Medical Center (UPMC). This conversation explores how Dr. Thompson is bringing lifestyle and integrative medicine into major health systems. She began her journey practicing integrative medicine but leveraged the six pillars of lifestyle medicine to bridge the gap with conventional medicine. This hybrid path allowed her to excel at practicing in traditi...

Health Medicine and Community Connections

Dr. Joe Pizzorno, a prominent naturopathic doctor and Board Chair at the Institute for Functional Medicine (IFM), joins James to discuss the unifying factors among the many channels of health medicine, which include acupuncture, naturopathic, functional, integrative, chiropractic, and Ayurvedic medicine. This conversation addresses foundational aspects of health, such as nutrition and lifestyle, that support optimal mitochondrial function for vitality. Dr. Pizzorno also shared the need f...

Business of Functional Medicine: Trust-Building, Self-Recovery and Connection

ummary  Our guest, Lieutenant Colonel (Retired) Scott Mann is a former U.S. Army Green Beret, and he now shares his skills and experience as a storyteller, speaker, actor, playwright and leadership trainer. During this podcast episode, he joined Kristen Brokaw, our host for the Business of Functional Medicine quarterly series, to discuss the importance of emotional recovery and human connection for clinicians so they can combat burnout and build trust with patients. Scott Mann's expe...

When and How to Use Vitamin K2 with Your Patients: From Aesthetics to Bone Health

In this podcast episode, James Maskell speaks with Swathi Rao, PA-C. She is the owner of Be Well Family Care in Indianapolis, and she was featured in James’ book, The Community Cure, to showcase her successful implementation of group visits. We explored the clinical applications of vitamin K2, which range from musculoskeletal and immune health to aesthetics and longevity. Swathi also shared how her knowledge on vitamin K2 nutrient therapy has developed throughout her career, how to ...

How Capitation with Group Medical Visits Evolves Healthcare

Our podcast guest, Michael Mabry, DO, works in a fully capitated medical group in Johnson City, Tennessee. Capitation is a fee-per-patient model, which tends to promote health by incentivizing preventative medicine, chronic disease reversal and helping patients maintain their health.  Implementing group medical visits has allowed Dr. Mabry’s practice to improve patient outcomes and increase the local community’s access to lifestyle medicine. In his group visits, patients who have similar...

Plant Polyphenols for Fat Loss

This week’s podcast guest is Jonathan Jones, PhD, a plant polyphenols researcher and the Chief Scientific Officer at Monteloeder, a company that provides innovative, scientifically researched botanical ingredients by assessing the botanicals’ components, antioxidant and anti-inflammatory capacities, and mechanisms of action. They developed a product called metabolaid®, which contains a standardized ratio of Hibiscus sabdariffa extract and lemon verbena extract to deliver active compounds...

Environmental Medicine and Medical Censorship

Zandra Palma, MD practices what she calls “sub-diagnostic analysis and disease reversal,” which is primarily environmental medicine with a touch of functional medicine. Environmental medicine, according to our guest, looks for elegant solutions to chronic health conditions. This often means removing environmental toxins that trigger mitochondrial dysfunction.  Common environmental toxins include heavy metals, pesticides, plastics like BPA, and biotoxins like Lyme and mold—among many others...

Transforming Healthcare: Working Within and Beyond the System

Our guest for this episode is Zeev E. Neuwirth, MD, an advocate for transforming healthcare delivery. He is a healthcare executive with over 15 years of clinical practice in internal medicine and another 15 years in clinical operations, quality improvement, care redesign and population health. Dr. Neuwirth is also a digital health industry advisor, podcast host and author. His most recent book released in September 2023 is called Beyond The Walls: Megatrends, Movements and Market Disr...

Mitochondrial Support for Post-Infection Syndromes

On this episode, Jon D. Kaiser, MD taught us about the mitochondrial health and chronic disease connection. Dr. Kaiser is a mitochondrial specialist with over thirty years of clinical and research experience in applying functional medicine approaches to treat complex medical conditions, including HIV/AIDS, chronic fatigue syndrome (CFS), fibromyalgia and long COVID. Dr. Kaiser began his career as an HIV/AIDS specialist in San Francisco at the height of the HIV epidemic. He found that...

Incretin Agonists: Safety, Optimization and Support

This week, we address a hot and controversial topic in medicine: weight loss pharmaceuticals.  Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptides (GIP) agonists are gaining popularity for their use in treating type 2 diabetes and, in some cases, obesity. These medications stimulate insulin secretion and are shown to increase weight loss and improve blood pressure. However, significant gastrointestinal and other rare but concerning side effects make these...

Connecting to Your Spark

Molly Maloof, MD joins the Evolution of Medicine podcast to discuss a shared vision: connection as a critical pillar of healthcare. Dr. Maloof recently authored and released a book called The Spark Factor, which teaches readers how to personalize biohacking strategies for better energy and health. Dr. Maloof wrote portions of the book to fill the information gaps in biohacking for women, but 80% of its content is also applicable to men. If you listen to this short yet powerful episo...

How Functional Pharmacies Are Evolving Medicine

Dan Strause is the president and CEO of Hometown Pharmacy, which is a network of 70 independent functional pharmacies across Wisconsin and Upper Michigan that deliver patient-focused care. The Hometown Pharmacy group seeks to connect prescribing clinicians with pharmacists to collaborate and achieve the goal of moving patients from pharmaceuticals to nutraceuticals to food. They see a critical need for pharmacists to reconnect and work with prescribing clinicians, especially to mitigate...

Payment Models That Support Lifestyle Medicine

Our guest this week on the podcast is Robert Pearl, MD, a lifestyle medicine champion and leader. He is the former CEO of The Permanente Medical Group (1999-2017), the largest United States medical group, and the former president of The Mid-Atlantic Permanente Medical Group (2009-2017). In those two roles, he led 10,000 physicians and 38,000 staff. Currently, he cohosts a podcast and is an author, clinical professor, contributor to Forbes, and speaker. In this podcast episode, we discus...

Connecting Mental Health to HPA Axis Function

Izabella Wentz, PharmD is an author and pharmacist who previously spoke on the Functional Forum and specializes in helping patients overcome thyroid dysfunction. In this episode, she joins James to talk about her personal journey with Hashimoto’s thyroiditis after years of debilitating symptoms. Her most recent book, Adrenal Transformation Protocol, was released on April 18, 2023. The book focuses on resetting the body’s stress response through targeted safety signals, and it featu...

The Functional Medicine Approach to Mental Health

Dr. Carrie Jones rejoins the Evolution of Medicine podcast to discuss the functional medicine approach to depression, anxiety and attention issues. She is an avid educator who specializes in stress and endocrine health. A recent systematic review found that the serotonin theory of depression is scientifically unsupported,  which raises the question: What does this mean for patients who use either SSRIs or SNRIs? Dr. Jones explains how she answers this for concerned patients and discus...

Business of Functional Medicine: Operational Strategies for Your Practice

Kristen Brokaw hosts this episode which features Andy Sutton, CEO of Kare Health & Wellness.  Andy and his wife, Keri Sutton, cofounded and grew a successful integrative health center. Andy’s background is in architecture as a project manager, and his wife is a nurse practitioner who serves as the chief medical officer of Kare Health & Wellness. At the clinic, Andy also oversees marketing, new staff hires and training. Their clinic prioritizes developing and nurturing a strong cultur...

Transforming Alcohol Use Disorder with VR Wearables and Community

Guest:  Amanda Wilson, MD, CEO, Founder In this episode, we learned about emerging, research-based treatments for alcohol use disorder (AUD) that pair well with functional medicine values.  Traditional 12-step programs have startlingly low success rates (8% for Alcoholics Anonymous) and teach some principles that are not supported by scientific literature—for example, that patients must abstain and avoid exposure indefinitely to stay in recovery.   James’ guest, Amanda Wilson, MD,...

Best Clinical Practices for Musculoskeletal Health

Adrian den Boer, DC, ND joins the podcast this week to share his clinical success with collagen. As a functional medicine practitioner with extensive experience in naturopathic and chiropractic care, Dr. den Boer is just the person we needed to speak with to learn about the benefits of collagen for the musculoskeletal system.   Tune into this episode to hear his astounding success stories, including one that did not even seem possible, according to his medical school training. He also pr...

Connection Focus: Forum Community Meetups

Functional Forum Local Communities connect like-minded practitioners, enabling dialog, information sharing, interdisciplinary discussion, and community building for those who attend. In this episode we hear from a Functional Forum Community host and a loyal attendee. Kristen Brokaw, this week’s host, is the leader of Saint Louis’ local Forum Community, and founder of the St. Louis Institute for Integrative Medicine (SLIIM). Guest Grant Corsi is the Community Host of the Orange County ...

Business of Functional Medicine: Activate Your Prey Drive

“Everyone needs a good coach in life,” according to our podcast guest this week. For this Business of Functional Medicine episode, Kristen Brokaw interviewed Coach Micheal Burt to explore his perspective on becoming and staying motivated. He applies the term prey drive—the instinctual motivation of certain animals to find, pursue and capture prey—to human behavior and motivation. Coach Burt began his career as a basketball coach and is now an author, speaker and professional coach ...

IFM Conference Preview: Environmental Toxins and Autoimmunity

On this episode of the podcast, James is joined by two doctors from the Institute of Functional Medicine (IFM) to learn about their upcoming annual conference from June 1-3 in Orlando, FL. Aly Cohen, MD is an integrative rheumatologist who speaks about the importance of environmental medicine and why autoimmunity needs to be understood by providers across medical specialties. Dan Lukaczer, ND is the Director of Medical Education at IFM. He was previously Director of Clinical Research at...

Connecting Patient Data and Killing the PDF

This episode explores Kalibra, a new healthcare AI tool. It aggregates patient data from multiple sources and helps clinicians and patients alike prioritize health information based on functional and lifestyle medicine principles.  Our guest on this episode of the podcast, Ivan Vatchkov, the CEO of Kalibra, shares with us how Kalibra.ai performs diverse functions, including bringing together all patient data into one dynamic place. It digitizes, organizes and analyzes the many PDFs fro...

Non-Alcoholic Fatty Liver Disease

Approximately one quarter (25%) of the United States population has non-alcoholic fatty liver disease (NAFLD). Patients with this reversible condition have accumulated fat in their liver cells. Over time, this creates inflammation and if left unaddressed, will eventually lead to permanent scarring or cirrhosis of the liver. The condition is highly associated with metabolic syndrome and insulin resistance, and it is projected to become the leading cause of liver transplantation by 2030. O...

Nitric Oxide: The Key to Heart Health

Nathan S. Bryan, PhD is an academic and entrepreneur who has focused his career on the study of nitric oxide for nearly 25 years. He joins the podcast to contribute to the Evolution of Medicine’s current focus on cardiovascular and endothelial health.   Nitric oxide production is foundational to overall health. Unfortunately, many contemporary environmental and lifestyle factors reduce or prevent nitric oxide production in the body. Suboptimal nitric oxide production is a factor in insul...

Success Leaves Clues: Virtual Practice & Groups

Dr. Patricia Restrepo is a Practice Accelerator alumna who joins the podcast to share her experience growing two businesses with the help of the Accelerator program. After being diagnosed with type 2 diabetes at 14 years old, Dr. Restrepo pursued an education and career that allowed her to research natural solutions for weight management and diabetes. She was able to reverse her own diabetes, and now helps patients with similar diagnoses. Both of her businesses, one in Miami and the othe...

Reintroducing the Practice Accelerator

Yaa Boakye, CPT, RDN from the Practice Accelerator team joins James on this special episode to announce an upcoming resource that will help practitioners develop their businesses: the 90-Minute Private Practice Sprint. During this free webinar on February 17 at 8 p.m. PST/11 p.m. EST, James and Yaa will share practical, actionable, no-fluff guidelines to help practitioners set goals to grow their practices. Register for the Sprint here: https://goevomed.com/sprint  With her experience in...

Prescribing Mushrooms: What You Need to Know

Dr. Tom Guilliams, a longtime friend of the podcast, returns to share his experience researching and foraging for mushrooms. Dr. Guilliams also speaks about the difficulties of accurately identifying mushrooms due to inconsistent documentation and characterization across scientific resources. These inconsistencies present significant challenges for manufacturers developing medicinal mushroom products since the extracts and powders may not be reliably labeled. Therefore, manufacturers must ...

The Critical Nature of Reconnection

This is the first podcast episode of the 2023 year of connection. How can we employ connection to advance the functional and lifestyle medicine movement? One answer is that we must continue to leverage group care and community networks to support reconnection in the post-COVID era, improve patient outcomes and increase the awareness and accessibility of our movement. Our guest on this episode is an innovator and thought leader on health creation and chronic disease reversal. Zach Bush, M...

The Year of Growth in Review

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. Incr...

The 7 Frequencies of Communication

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...

Dysautonomia and Cardiometabolic Dysfunction

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 funct...

Group Coaching for Mental Health Services

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...

Fostering Community and Functional Joy

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 ...

Preventing Alzheimer's with Functional Medicine

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. ...

The Web of Long COVID

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. ...

Transforming Pharmacy into Functional Healthcare