The DBT Podcast

Dr. Neel Shah, Flint Rock LLC
  • 5.0 (7)
  • MEDICINE
  • UPDATED BIWEEKLY

The Don’t Be Triggered (DBT) podcast cuts through the chaos with straight talk, real science and a healthy dose of humor from board-certified oncologist, Dr. Neel Shah. In each episode, Dr. Neel Shah and his expert guests—trainers, doctors, nutritionists, and more—break down what actually matters when it comes to your health. No fear tactics, no guilt trips…just clear, doable advice you can actually use. Getting healthier shouldn’t feel like an impossible checklist. Let’s laugh a little, learn a lot and take the pressure off—one myth-busting episode at a time.

Episodes

  1. 12/01/2025

    Dr. Duval Pandya - Understanding Stroke: Prevention, Detection, and Breakthrough Treatments

    Welcome to The DBT Podcast, where host Dr. Neel Shah explores the rapidly advancing world of diagnostic and therapeutic medicine with leading specialists. In this episode, Dr. Shah is joined by Dr. Duval Pandya, a stroke expert from Northwestern, for an insightful and practical conversation about stroke prevention, early recognition, treatment innovations, and recovery strategies. Dr. Pandya shares evidence-based guidance for reducing risk, understanding symptoms, and navigating the critical steps that save lives and support long-term health. WHAT YOU’LL LEARN IN THIS EPISODE (1:05) What are the signs and symptoms of a stroke? (2:09) What can be done to prevent/reduce the chances of a stroke? (5:10) What can be done to reduce stress? And let’s talk a little basketball! (9:40) What role does obesity play in strokes and what can be done to manage this? (10:58) What are some of the things to watch for when using GLP1 drugs? (12:55) How often should blood pressure be checked? (13:57) How does someone know if they are having a stroke? (16:05) Are there different types of strokes and what actually happens during a stroke? (18:00) How much progress has been made in treating strokes in the last 15 years? (20:15) What should you do immediately if you’re having a stroke? Do you drive yourself to the hospital or call 911? (21:20) What happens in a mobile stroke unit? (25:00) The doctors talk about taking aspirin – does it help? (25:55) What is done for stroke recovery and future prevention? (27:35) What are statins and when should they be taken? (28:20) Final comments from Doctor Pandya… The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    32 min

  2. 11/24/2025

    Dr. Kyle Parker: How Pathologists Detect Cancer: Advances in Blood and Tissue Analysis

    Episode Highlights: Welcome to The DBT Podcast, where host Dr. Neel Shah explores the evolving landscape of diagnostic medicine through conversations with leading experts. In this episode, Dr. Shah welcomes Dr. Kyle Parker, a practicing pathologist whose daily work sits at the intersection of laboratory science, technology, and patient care. Dr. Parker shares how pathology drives cancer diagnosis, how tools like flow cytometry and ctDNA analysis are transforming detection, and why these innovations matter for patients and providers alike. What You’ll Learn in This Episode: • How pathologists collaborate with clinicians to diagnose cancers • How flow cytometry works and why it has become such a powerful diagnostic tool • How quickly labs can now generate results compared to past methods • The difference between a pin-prick sample and a full blood culture • How circulating tumor DNA (ctDNA) can reveal cancer-specific mutations • Whether blood tests may eventually replace tissue biopsies • How a pathologist determines whether a tissue sample is cancerous   (1:30) The doctors talk about flow cytometry and how they work together to determine a diagnosis. (5:35) Learn about the progress made in cytometry (6:20) How long did it used to take to get enough data and how long does it take now? (6:51) How was this testing method discovered and how does it work? (11:04) What information can be determined from a pin prick versus a blood culture? (12:47) All of our cells have DNA in them. How is is this DNA used to cancer detected in the blood? (14:39) Will it be possible to one day identify cancers through blood samples or will be still need tissue samples? (16:20) There are more than 200 different types of tissue in the human body…Dr. Parker describes how he determines if a sample is cancerous. The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    22 min

  3. 11/17/2025

    Inside Radiology: MRIs, CTs, AI, and Early Detection With Dr. Sheil Shah

    On this episode of The DBT Podcast, host Dr. Neel Shah sits down with, Dr. Sheil Shah, a radiologist practicing in Washington, D.C., to explore how modern imaging has transformed medicine. Dr. Sheil Shah brings deep clinical experience with MRI, CT, ultrasound, and image-guided procedures, and his work sits at the intersection of technology, early detection, and patient-centered care. Together, they trace the extraordinary evolution of radiology—from a time before CT scans and MRIs existed to today's high-resolution imaging, minimally invasive biopsies, and the rapidly growing role of artificial intelligence. Their conversation is filled with practical insights for patients, fascinating historical context, and an entertaining family debate about height and basketball skills. What You’ll Learn in This Episode• How CT scans and MRIs revolutionized medicine in just 50 years • The story of how magnets came to be used to look inside the human body • Risks, benefits, and misconceptions about MRI—including incidental findings • Why modern imaging “cuts” provide clearer, more precise diagnoses • Whether imaging costs are likely to decrease in the near future • How AI is transforming radiology—from pre-scanning images to drafting reports • The role of imaging in cancer detection and where full-body MRI fits in • CT vs. MRI: What they are, when each is used, and how radiation exposure actually compares to everyday life • Why contrast dye is used in certain scans and how biopsies have become safer and less invasive • The three screenings every patient should know about • A fun and personal moment as the two Dr. Shahs compare basketball skills and talk Detroit sports   Episode Highlights: (1:30) 50 years ago Ct scans and MRIs didn’t exist. How have they made such a big difference is medicine today? (4:08) How was it discovered that magnets could be used to look inside the human body? Dr. Shah explains. (5:45) Are there any downsides to having an MRI? How and when should you have one? What about incidental findings? (10:25) Sr. Shah explains the cuts that can now be done for even better diagnoses.  (11:58) Will the cost of these test decrease soon? (14:15) How will AI effect the future or radiology? What radiology platform 18:25)do many radiologists use today to help ”pre-scan” images and alert a doctor? (18:25) What about diagnosing cancer? (19:27) The Dr. Shahs talk about their height and who’s better on a basketball court? It’s all in the family! Then they talk Detroit Lions basketball! (22:57) What are CT scans and how are they different from an MRI? And…Dr. Shah talks radiation and explains everyday exposures. (31:52) Listen to the three important screenings, and why dye/contrast is used for certain screenings and how biopsies have evolved in the last few years. The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    36 min

  4. 11/03/2025

    Open Wide: The Truth About Teeth with Dr. Keyur Shah DDS

    In this lively episode of The DBT Podcast, host Dr. Neel Shah welcomes Dr. Keyur Shah, DDS, for an engaging and informative conversation about oral health, dental myths, and how orthodontics contributes to overall wellness. Dr. Shah is an unusually talented and gentle orthodontist based in Matteson, Illinois, where he provides comprehensive orthodontic care for patients of all ages. Born and raised in Toronto, Canada, Dr. Shah graduated valedictorian from the University of Toronto’s dental school before completing his residency at Loyola University Medical Center. He went on to earn a master’s degree in orthodontics from the University of Manitoba, where he completed his orthodontic specialty training. Dr. Shah stays on the leading edge of his field, maintaining active membership in numerous professional organizations, including the American Association of Orthodontists, American Dental Association, Illinois Dental Society, Chicago Dental Society, Illinois Society of Orthodontists, and the Midwestern Society of Orthodontists. When he’s not transforming smiles, he enjoys spending time with his wife, a native Chicagoan, and cheering on his favorite teams—especially the Chicago Bears. Together, Dr. Neel and Dr. Keyur dive into topics like fluoride, flossing, braces, oral cancer screenings, and the myths that keep people from embracing good dental care—all with data, humor, and a healthy dose of friendly Bears/Lions football banter. Episode Highlights (1:08) Neel teases Keyur about the latest Chicago Bears game. (2:25) Why so many people fear the dentist—and when we realize how vital dental care is to our health. (4:35) The importance of regular cleanings for long-term oral health. (6:00) Dr. Shah explains fluoridation—its benefits and misconceptions. (8:00) How heredity and lifestyle contribute to gum disease. (9:50) The value of daily hygiene and why oral cancer screenings can save lives. (12:50) Flossing and Waterpicks (13:20) When parents should schedule a child’s first dental appointment. (16:15) The role of braces in oral health—and why everyone is their own dentist. (22:00) Braces at 90? You’ll want to hear this story. (24:10) From ancient tools to modern tech: the evolution of orthodontics. (26:10) Common myths about dentistry—and what the science says. (31:05) A Bears season prediction that might need some flossing of its own. (33:08) Wrapping up with a promise to always “keep it real” with data and science. The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    35 min

  5. 10/20/2025

    Understanding Immunity and Allergies with Dr. Sanjay Patel

    Episode Highlights: - The importance of understanding both innate and adaptive immunity How allergies were first recognized and how far treatment has come Breakthrough medications that are transforming care for allergic patients   - What causes immune deficiencies and how they can be treated   - The myths and misinformation surrounding immune “boosting   - Which vitamins and supplements actually have science behind them   - Everyday changes you can make at home to reduce allergens   - How stress, sleep, and social connection all impact immunity   - The need for trusted medical guidance and evidence-based information (:40) A friendly start as Drs. Shah and Patel talk about football—especially the Chicago Bears. (3:50) A look into the history of allergy and immunology as a field of study. (5:40) Explaining immunoglobulins, innate immunity, and adaptive immunity—how our bodies recognize and fight threats. (8:50) How allergies are discovered, what they really are, and how modern medicine treats them. (13:00) A discussion of new medicines available today to help those with allergies or immune deficiencies. (14:15) How and why people become immuno-deficient, and what that means for their health. (19:34) The most common pieces of misinformation Dr. Patel encounters about immunity. (25:57) Vitamins and supplements—especially vitamin C—and whether they truly boost immunity. (28:53) Practical advice on what you can do around your home to help with allergies. (33:02) Everyday habits that might actually harm your immune system. (34:43) The effects of stress and socialization on immunity and overall health. (37:52) Closing thoughts from Dr. Patel. The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    41 min

  6. 10/06/2025

    Pediatric Health, Vaccines, and Raising Healthy Kids with Dr. Zoy Patouhas

    Episode Highlights: ·  Why vaccines are essential and how they protect children ·  Discussing misinformation about autism, preservatives, and vaccine ingredients ·  Recommendations for screen time, phones, and social media use in kids ·  Nutrition tips including colorful eating and daily fruit/vegetable goals ·  Strategies to help kids manage stress and build healthy routines ·  Safe approaches to exercise and strength training ·  The importance of keeping communication open with your pediatrician   (:45) Meet Dr. Zoy Patouhas! (1:50) Dr. Patouhas talks about pediatric  “anticipatory medicine”, explains what it is, why it’s important and how it works. Also, why vaccines are important and how they work…protection without having to fight a disease. And, what’s natural immunity? (8:24) What does the data show about the risk for getting vaccines? And what about Autism and vaccinations? (13:20) What’s the number one item of misinformation about vaccinations? Then, what about preservatives? What about aluminum content? (16:30) and…what about formaldehyde content? (18:43) Dr. Zoy talks about measles, how it changes the brain chemistry and its long-term effects. (20:19) What’s “herd immunity” and why’s it important to the population? (23:41) Does complete isolation prevent you from getting an illness? (24:45) When should kids get phones, how much screen time is too much, and other questions are addressed by Dr. Zoy…and she provides recommendations. For example – less than 2 hours of screen time per day…parents set the example! (29:21) What about nutrition and processed foods? Look for all the colors of the rainbow! And 5-6 fruits and veggies per day. (32:22) Dr. Zoy addresses stress in kids and makes recommendations to address this. Remember, EVERY age experience stress. Decrease screen time, healthy diet, water, fresh air, hugs (tactile experiences) and 5-6 pictures that bring happiness to share right before lights out. (35:34) At what age is it OK for kids to start lifting weights? Dr. Zoy discusses the options. (38:00) And now…of course, Dr. Neel and Dr. Zoy discuss football and specifically the Detroit Tigers! (40:17) Will the Lions win the division this year?! (40:40) What final words does Dr. Zoy want to share? “Keep the dialog open with your pediatrician”! (42:55) What’s the major cause of childhood death in the US? The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    45 min

  7. 09/22/2025

    Inside the mind of an Oncologist: Seeing Double as Dr. Neel Shah Interviews Himself!

    In this special episode Neel Shah interviews Dr. Neel Shah! Dr. Shah is a board-certified Hematologist-Oncologist in Dyer, Indiana, known for his work in community oncology, bringing academic-level care to patients in Northwest Indiana. He graduated from Wayne State University School of Medicine and completed his residency at the University of Illinois at Chicago and a fellowship at Rush University Medical Center. Beyond his clinical expertise, he is passionate about his hometown of Detroit—and a proud supporter of the Detroit Lions. In this candid self-conversation, Dr. Shah explores a range of important topics: Cancer basics: What cancer really is and the emotional weight of delivering a diagnosis.Treatment decisions: How oncologists determine the right course of care.Medical advancements: Breakthroughs in tools, blood cell treatments, and bone marrow therapies compared to 10–15 years ago.Supplements: Which are safe, helpful, or harmful for cancer patients.Second opinions: When and why they matter in oncology.Mental health: Essential support for patients and families navigating a cancer diagnosis.Genetic and family history: The role of testing when cancer runs in the family.A personal touch: Dr. Shah even pokes fun at himself—answering the burning question of why he’s so short!   (1:10) Dr. Shah begins this unusual episode talking about his passion for Detroit and the Detroit Lions! (1:30) Dr. Shah, an Oncologist, talks about cancer, what it is and what it’s like to tell a patient they have been diagnosed with it. (3:20) How does a doctor know the correct course of treatment to pursue? Dr. Shah explains. (4:52) What tools are not available today that weren’t available 10-15 years ago? (5:44) What are the new treatments that are being used to treat cancer? Learn about blood cells and bone marrow and their part in healing. (8:40) what about supplements? Does Dr. Shah recommend them to fight cancer? What to take and what to avoid. (10:50) Whan is it wise to get a second opinion on a cancer diagnosis? (12:42) what kinds of mental health support is important for those diagnosed with cancer? (13:55) What kind of tests are important when there is a history of it within a family? (16:06) And why is Dr. Shah so short?!!! The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    17 min

  8. 09/08/2025

    Men’s Health, Weight Loss & Football: A Conversation with Dr. Joe Legaspi

    Welcome to another episode of the DBT Podcast with Dr. Neel Shah. Today’s guest is Dr. Joe Legaspi, a physician known for his comprehensive and practical approach to men’s health, weight management, and preventive medicine. With more than two decades of clinical experience, Dr. Legaspi has guided countless patients through the challenges of obesity, hormonal changes, and lifestyle health. In this conversation, you’ll learn how he tailors treatment plans for individuals, what screenings and tests are essential at different life stages, and how stress, sleep, and community all play vital roles in wellness. Whether you’re curious about testosterone therapy, coronary calcium scores, or how today’s weight-loss drugs work, this episode delivers actionable insights with a dose of humor and perspective. (1:10) How Dr. Legaspi approaches giving advice on weight loss. (3:02) Tailoring a patient-specific plan for long-term success. (4:30) Will the Chicago Bears win more games than the Detroit Lions this year?! (6:00) Why athletes aren’t always the picture of health — what tests they (and you) should get regularly. Including the truth about low T. (7:55) How available drugs have changed in the past 25 years — and why chronic diseases are more common. (10:37) At what point does a male need testosterone help? (11:54) At what age should testosterone be tested? (13:30) Sleep: how much do you really need? (14:14) PSA testing recommendations — when to start, when to stop. (19:00) Dr. Legaspi’s mental health recommendations. (20:35) The importance of movement and community for long-term health. (23:30) How Dr. Legaspi’s practice has changed since Covid-19. (25:54) When and how often to get a coronary calcium score. (31:06) The role of heredity in health and longevity. (32:30) How weight loss drugs work. (35:32) The biggest health myths — busted. The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    38 min

  9. 08/25/2025

    Strong from the Core: Dr. Jana Richardson on Physical Therapy, Pelvic Health & Mobility

    Physical therapy is more than just rehab—it’s a key to unlocking better movement, strength, and quality of life. In this episode, we’re joined by Dr. Jana Richardson, a leading specialist in pelvic health, to explore the essential role physical therapy plays in both prevention and recovery. We’ll talk about the history of PT, the signs and symptoms of pelvic floor issues, and simple exercises that can make a big difference. Jana also shares her expert advice on stretching, yoga, meditation, massage, and more—plus why pelvic health is a crucial part of overall wellness for everyone. (1:00) What’s important to know about physical therapy…and let’s learn about its history. (3:38) Jana is an expert on pelvis health. She explains what it is and why it’s important for both women and men. (6:00) What’s the most common symptom she sees in her patients? (7:52) How to know the issue is a pelvic floor problem and not something else? (12:15) What exercises can someone do to help manage pelvis floor issues? (16:45) Why is squatting so important for mobility? (17:26) Are massages important? What are the different types, and which ones are the best for mobility? (20:02) How do you communicate the best pressure for you in a massage? (21:17) What about foam rollers? (22:20) What are the things that Jana feels the general public should know about PT? (28:00) Jana talks about stretching, why it’s important and how to determine what stretches can help. (30:00) On the subject of meditation – is there an amount of time that works best? (31:35) What type of yoga can make a difference? (34:10) At what point should a doctor refer a patient to PT? (36:17) How many pelvic floor specialists are there and how does the future look for pelvic floor health? (38:00) What else does Jana want to add? The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    42 min

  10. 08/11/2025

    What Healthy Really Means: A Candid Talk with Trainer Aron Dorner

    2:08 Aron’s been a trainer for 20+ years. What fads has he seen come and go? And what’s a macro nutrient? 4:33 What makes you hungry? 6:32 What about a vegan diet and ultra processed food? 9:55 What are the differences in body aesthetics and body strength? What is actually healthy? 15:15 Strength training. How has that changed over time and why is it so important? 18:38 What changes has Aron seen in his senior clients? 19:57 Ted Lasso – there is actually a real bar where they hang out and Aron grew up close to there. 21:58 How accurate it the show as it depicts life in Britian? 25:09 As we age, what metrics should we use to understand if we’re in good shape? 30:31 What about stretching and mobility? 31:35 What are the biggest myths in training? 34:15 What should we look for in choosing a supplement? 36:57 Now…they talk sports…and why do Americans struggle to get good professional soccer teams? The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    41 min

  11. 07/28/2025

    Don’t Wait to Feel Bad - Preventative Care with Dr. Anand Shah

    1:57 Why should people see a doctor? Well, don’t wait until you don’t feel good! 4:13 While we won’t live forever…things have changed greatly to help longevity. Like what for instance? 5:46 Why do we sometimes feel invincible? 8:14 What blood tests are recommended and when? 9:30 What about the companies that want to provide myriad tests? 11:58 What about diet recommendations? 15:03 Longevity…are there common traits in people who live longer? 16:55 What about alcohol? 18:08 Inflammation…causes and ways to manage it. How do they test for it? 19:40 Drs. Shah talk about inflammation, cancer and the increase in survivors 20:52 What is the change in when someone should get a colonoscopy? 22:23 When should you think about checking with a doctor? 23:35 Why are we living longer even though living conditions are getting worse? 24:25 When should women get a mammogram? And what will come next if a problem is identified? 25:38 Pluses and minuses of MRI’s 27:20 Risks and benefits of following up on tests 28:13 What are some of the craziest things people do to damage themselves? 30:35 What about side effects of medications? 32:30 And now…they talk sports! The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    35 min

  12. 07/14/2025

    Dr. Dean Ferrera – Getting to the Heart of the Matter

    Episode Highlights (1:35) The origins of angioplasty and the evolution of heart care (2:45) What the heart actually does—and what "good" blood pressure looks like (5:15) The real risks of high blood pressure (7:17) Why feeling healthy doesn’t always mean being healthy (12:00) What is cholesterol? Why do we test it? (16:44) Understanding cholesterol panels—what matters and what doesn’t (19:37) What are statin drugs and who should consider them? (22:18) Should you take a daily aspirin? The current thinking (25:00) Why and how hearts malfunction—common issues explained (28:00) Atrial fibrillation (A-Fib): What is it, and why is it serious? (30:00) Understanding blood clots and circulation risks (31:47) The oldest, healthiest heart Dr. Ferrera has seen—it might surprise you (33:40) Dr. Ferrera's personal habits for heart health, including thoughts on diet, exercise, and processed food (38:10) Alcohol and heart health—what the research says The information shared in this podcast is for general informational purposes only and is not intended as medical advice. Always consult with a qualified healthcare provider for questions about your health. The views and opinions expressed by guests are their own and do not necessarily reflect those of the host or production team. Neither the host, the guests, nor Flint Rock LLC assume any liability for actions taken based on the content of this podcast.

    43 min
  • 12 Episodes

Ratings & Reviews

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out of 5
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About

The Don’t Be Triggered (DBT) podcast cuts through the chaos with straight talk, real science and a healthy dose of humor from board-certified oncologist, Dr. Neel Shah. In each episode, Dr. Neel Shah and his expert guests—trainers, doctors, nutritionists, and more—break down what actually matters when it comes to your health. No fear tactics, no guilt trips…just clear, doable advice you can actually use. Getting healthier shouldn’t feel like an impossible checklist. Let’s laugh a little, learn a lot and take the pressure off—one myth-busting episode at a time.

Information

  • Creator
    Dr. Neel Shah, Flint Rock LLC
  • Years Active
    2K
  • Episodes
    12
  • Rating
    Explicit
  • Copyright
    © 2025 Neel Shah
  • Show Website
    The DBT Podcast