Next Phase Human

Dr. Rasham Sandhu

Most people think about their health when something goes wrong. Next Phase Human is for everyone who wants to start thinking about it before that moment arrives. Hosted by Dr. Sandhu — a cardiologist with a focus on prevention, longevity, and whole-body wellness — this podcast brings together physicians, researchers, and wellness professionals for honest, evidence-based conversations about the topics that actually move the needle on your long-term health. Each episode covers the intersection of cardiovascular wellness, modern medicine, lifestyle optimization, and human performance — translated into practical, approachable conversations for professionals, business owners, and anyone serious about living better longer.Topics include heart health, metabolic health, sleep, stress, nutrition, longevity diagnostics, wearable technology, recovery, burnout, and the future of preventative care. This is not clickbait wellness. This is a forward-thinking physician who believes the best healthcare happens before you need it. New episodes weekly.

Episodes

  1. 1d ago

    The Antibiotic Problem: What 23 Extra Years of Life Cost Your Gut

    Dr. Rasha Kuran is an infectious disease specialist at Kern Medical Center and UCLA and serves as director of the Infectious Disease Fellowship Program. Her clinical and research interests include valley fever genetics, antibiotic stewardship, and the intersection of hormones, nutrition, and infection risk. She completed her residency at UCI and credits Dr. Royce Johnson as the mentor who brought her into the specialty. Topics Covered 00:00 Opening hook00:17 Welcome to Next Phase Human and meet Dr. Rasha Kuran01:00 What infectious disease actually covers and why the name is a misnomer01:40 The mentor who changed her career path02:20 Why healthy people still get infections03:00 Valley fever, genetics, and ancestry04:00 Modern life: healthier or more susceptible?06:00 The antibiotic tradeoff: 23 years of life06:50 The Z-Pak problem and viral vs. bacterial infections08:00 Patient expectations and prescribing pressure09:00 Valley fever presenting as bacterial pneumonia10:00 Climate change and valley fever spreading beyond the Central Valley11:00 What parents should ask for: strep, flu, and COVID testing12:00 Antibiotic resistance and increasingly complex infections13:00 MRSA explained: gyms, doorknobs, and community spread16:00 Antibiotics in livestock and downstream human resistance17:00 C. diff and how you can get it without ever entering a hospital18:00 Cross contamination and why the CDC advises against washing chicken19:00 What antibiotics do to the gut microbiome20:00 One course, one year of recovery21:00 C-section vs. vaginal birth and microbiome transfer22:00 The fecal transplant experiment that transferred obesity24:00 Post-menopausal UTIs and the estrogen connection27:00 Rebuilding the gut: prebiotics, soluble fiber, and cooking from scratch28:00 High fructose liquid sugar as the biggest offender29:00 Fermented foods and daily servings30:00 Probiotics: which ones have randomized trial evidence32:00 Kids and antibiotic overexposure: asthma, allergies, obesity33:00 When it is safe for parents to wait34:00 COVID in hindsight: the lesson learned36:00 What we would do differently today39:00 Long COVID and the lasting immune scar41:00 Vaccines that prevent cancer: HPV and hepatitis B42:00 Hybrid immunity and how boosters work43:00 Part two preview: valley fever, hormones, and nutrition Mentioned in This Episode Dr. Rasha Kuran | Kern Medical Center | UCLADr. Royce Johnson — mentor and former Chair of the Department of MedicineValley fever (coccidioidomycosis) genetic susceptibility research at Kern MedicalMRSA (methicillin-resistant staph aureus)C. diff (Clostridioides difficile)Fecal microbiota transplantationBio-K Plus probioticStanford fermented foods study (3-5 servings daily)HPV vaccine and hepatitis B vaccineTopical estrogen for recurrent post-menopausal UTIs Connect Dr. Rasham SandhuInstagram: @nextphasehumanNext Phase Human PodcastSpotify: https://open.spotify.com/show/033qZ46toArgzpRrRrlpvbApple Podcasts: https://podcasts.apple.com/podcast/next-phase-human-w-dr-sandhu/id1896859526 Dr. Rasha KuranKern Medical Center | UCLAInfectious Disease Fellowship Program Guest inquiries: nextphasehuman@gmail.com California Cardiovascular Institute | cacvinst.com8337 Brimhall Rd Building 1200, Bakersfield CA 93312

  2. Jul 8

    Testosterone, Estrogen, and the Medicine Nobody Is Practicing

    SHOW NOTES Dr. Hugh Beatty began his medical career as an anesthesiologist in Los Angeles before transitioning into pain management and primary care. A chance encounter with functional medicine in 2013 changed his entire practice philosophy. Today he operates as a concierge functional and regenerative medicine physician in Bakersfield, using hormones, PRP, ozone therapy, and comprehensive testing to address root causes rather than manage symptoms. He is the author of "5 Pillars of Health: Do You Want to Be Well?" Topics Covered 00:00 Opening hook00:16 Welcome to Next Phase Human and meet Dr. Hugh Beatty01:00 What sparked the transition from anesthesiology to functional medicine02:10 The global testosterone decline: what the data actually shows03:30 Root causes: environment, phytoestrogens, BPA, stress, and diet04:44 Generational testosterone comparison05:30 Testosterone as an anti-inflammatory hormone07:15 The ideal TRT candidate vs. the guy who just wants a quick fix09:00 HPA axis suppression and the lifelong commitment problem10:30 Cream vs. pellets vs. injections: what Dr. Beatty uses and why12:00 Microdosing testosterone daily: fewer side effects, fewer fluctuations13:30 Under 300 on blood work: the number that triggers a full workup14:30 Andropause defined16:00 Prolactin, cortisol, and testosterone opposition17:30 Estrogen dominance in men and the aromatase enzyme19:30 Why men need progesterone21:00 A 60-year-old man with higher estrogen than his wife22:30 Beer, aromatase activity, and gynecomastia25:30 Resistance training as the superior exercise for testosterone27:30 Building lower body muscle and cognitive benefits29:00 Natural testosterone boosters: vitamin D3, zinc, ashwagandha, sleep31:30 Ashwagandha cycling protocol32:30 Tongkat ali and sex hormone binding globulin34:00 Over-treating men, under-treating women35:30 Testosterone in women: fears vs. reality37:30 Alcohol and hormone health39:00 Sleep as the most underrated hormone habit42:00 Pregnenolone steal and the stress-hormone cascade43:30 Young people, stress, and early hormone depletion45:30 What Dr. Beatty sees in women aged 40 to 5048:00 Perimenopause begins at 3549:30 The 28-day saliva test and why it beats blood draws51:30 How hormone testing on the wrong day creates misdiagnosis52:30 Should all women eventually be on HRT?55:00 Cancer risk, bioidentical vs. synthetic hormones, and 12 years of clinical observation57:30 Estrogen plus progesterone vs. estrogen alone59:00 Beta-glucuronidase, the gut enzyme recycling estrogen01:00:30 Three causes of estrogen dominance most doctors miss01:01:30 The tired but wired professional: hormonal physiology explained01:03:30 DHEA: the biological clock of aging01:05:30 DHEA dosing and optimal targets01:07:00 Fixing a flat cortisol curve with DHEA01:09:00 Shift work, circadian rhythm, and hormone destruction01:12:00 Supplements for stress: ashwagandha, L-theanine, rhodiola, magnesium01:14:00 Which magnesium form for which problem01:16:00 PRP therapy: what it is and why Dr. Beatty prefers it over steroids01:19:00 Combining ozone and PRP for regenerative results01:21:00 Ozone and the diabetic foot01:24:00 Bell's palsy, CRPS, and post-surgical recovery cases01:28:00 Why ozone is used globally but not FDA-approved01:30:00 The peptide landscape in California and what needs to change01:33:00 The dose makes the medicine01:35:00 The single most important biomarker to track01:37:00 The biggest longevity mistake Dr. Beatty sees01:38:00 One thing to start tomorrow Mentioned in This Episode Dr. Hugh Beatty | Instagram: @docnbak | hughbeatty.com"5 Pillars of Health: Do You Want to Be Well?" — available on AmazonAmerican Academy of Anti-Aging Medicine (A4M)DUTCH Test (Dried Urine Test for Comprehensive Hormones)28-day saliva hormone testingGI Map gut health testDNA Intellex genetic testingJen Simmons MD — integrative oncological breast surgeonDr. Mark HymanDr. Frank Shallenberger — ozone therapy pioneerBPC-157 and peptide therapyVitamin D3 with K2, zinc, ashwagandha, L-theanine, rhodiola, magnesium threonate, glycinate Connect Dr. Rasham SandhuInstagram: @nextphasehumanNext Phase Human PodcastSpotify: https://open.spotify.com/show/033qZ46toArgzpRrRrlpvbApple Podcasts: https://podcasts.apple.com/podcast/next-phase-human-w-dr-sandhu/id1896859526 Dr. Hugh BeattyInstagram: @docnbakwww.hughbeatty.com"5 Pillars of Health: Do You Want to Be Well?" on Amazon Guest inquiries: nextphasehuman@gmail.com California Cardiovascular Institute | cacvinst.com8337 Brimhall Rd Building 1200, Bakersfield CA 93312

  3. Jun 17

    Your iPhone Can Affect Your Pacemaker

    Atrial fibrillation is the most common serious heart rhythm disorder in the world, affecting millions of Americans — many of whom don't know they have it, don't understand what it means, and don't know what modern medicine can actually do about it. In this episode, Dr. Rasham Sandhu sits down with Dr. Gurjit Singh, a cardiac electrophysiologist who trained and taught at Henry Ford Hospital for over a decade before joining California Cardiovascular Institute as Chief Medical Officer and serving as Medical Director of AFib and Electrophysiology at Dignity Health and Adventist Health Bakersfield. Dr. Singh is also the researcher who proved in a landmark 2021 study that iPhone 12 magnets can deactivate implanted cardiac defibrillators — a discovery that went international and triggered an FDA panel that reshaped guidance for both device companies and smartphone manufacturers. He starts there, and then the conversation opens up into one of the most thorough, accessible, and practically useful breakdowns of AFib you'll find in podcast form. They cover how the heart's electrical system works and what actually happens during AFib, why the disease is showing up in younger and younger patients, the full landscape of modifiable risk factors and what the research actually says about each one, how AFib ablation works and why it is now considered a first-line therapy for most patients, what the Watchman device is and who it's appropriate for, how wearables like Apple Watch and Whoop fit into monitoring and early detection, and what the next 10 to 15 years of AFib prevention and treatment might look like — including AI-driven risk prediction from EKG data and nervous system modulation that doesn't require burning any heart tissue at all. Dr. Singh also shares the story of a patient he restored to normal rhythm after 15 years of AFib and heart failure — a case most physicians would have considered untreatable — and gives a practical framework for the 45-year-old who exercises a few times a week, has a drink on the weekends, and wants to know what they can actually do to reduce their risk given a family history of the disease. If you or someone you love has AFib, has been told they might be at risk, or is simply trying to understand what their wearable is telling them about their heart, this is the episode to share. Mentioned in This Episode California Cardiovascular Institute (CCI) — cacvinst.com | 8337 Brimhall Rd Building 1200, Bakersfield CA 93312Henry Ford Hospital, Detroit, MichiganDignity Health Bakersfield and Adventist Health BakersfieldiPhone 12 magnet / defibrillator study — published in Heart Rhythm Society (2021)AFIRM Trial (rate vs. rhythm control)CASTLE-AF Trial (ablation in heart failure patients)Apple Heart Study (~400,000 patients, AFib detection via Apple Watch)Decaf Trial (200 patients, coffee and AFib risk)GLP-1 / semaglutide meta-analysis (26 studies, 17% AFib risk reduction)Devices mentioned: Apple Watch, Whoop, Garmin, Kardia App, Oura Ring (upcoming episode), Watchman, AmplatzerMedications mentioned: warfarin, apixaban, rivaroxaban, heparin, antiarrhythmicsConnect Dr. Rasham Sandhu — @nextphasehumanDr. Gurjit Singh — @dr_gurjitsinghNext Phase Human Podcast — @nextphasehuman California Cardiovascular Institute8337 Brimhall Rd Building 1200, Bakersfield, CA 93312cacvinst.com Interested in being a guest on Next Phase Human?Contact: nextphasehuman@gmail.com

  4. Jun 11

    Master Your Mind, Master Your Life: Dandapani on Awareness, Energy, and the Real Root of Anxiety

    SHOW NOTES: Dandapani is a Hindu priest, entrepreneur, international speaker, and former monk of 10 years. After a decade of rigorous training in a cloistered traditional monastery under one of Hinduism's foremost teachers, he left to bring those teachings into the modern world — working with elite professional athletes, C-suite executives, and top global companies including Nike and American Express. His bestselling book The Power of Unwavering Focus has been translated into 23 languages. In this episode, Dandapani and Dr. Sandhu break down the one mechanic of the mind that explains anxiety, distraction, burnout, phone addiction, and how to actually fix all of it — not with patches, but with the treatment. Topics Covered Where awareness goes, energy flows — what that actually means and why it changes everythingThe 8 sequential steps of Hindu philosophy toward enlightenment, and why jumping to meditation without the first five steps doesn't workHow social media trains your awareness to fragment — and what that costs you at work, at home, and in your healthAnxiety as a mechanics problem: what awareness is doing in the mind that creates stress, fear, and worryThe 5-minute daily self-reflection practice that beats an hour of meditationAffectionate detachment — how doctors, lawyers, and helping professionals protect their energy without losing their compassionParenting in the phone era: why restriction fails and role modeling worksThe three phases of human evolution: instinctive, intellectual, intuitive — and how to move between themMentioned in Episode The Power of Unwavering Focus by Dandapani (translated into 23 languages)Dandapani's online courses: Unwavering Focus, The Energy Alchemist, The Magic of the Mind, Introduction to MeditationThe 8 limbs of Hindu philosophy (Ashtanga)Neurons that fire together, wire together — Hebbian theory referenced by Dr. SandhuDandapani's mobile app — available on iOS and AndroidConnect Dr. Rasham Sandhu — @nextphasehuman | cacvinst.com Dandapani — @dandapanillc | dandapani.org Next Phase Human — @nextphasehuman on Instagram California Cardiovascular Institute — cacvinst.com | (661) 443-0088 | info@cacvinst.com | 8337 Brimhall Rd., Building 1200, Bakersfield, CA 93312 Guest intake: justin@thebeaconstudios.com

  5. Jun 1

    Your Arteries Have Been Keeping Score Your Whole Life

    Dr. Ajay Patel returns to continue one of the most practical conversations in cardiology: how what you eat is either slowly building or silently threatening your cardiovascular health. Dr. Patel is an interventional cardiologist and structural heart specialist at Adventist Health and Dignity Health Bakersfield — and one of the highest-volume operators for high-risk cardiac interventions in patients with multi-vessel disease. In this episode, he and Dr. Sandhu move through the real science on nutrition, supplementation, fasting, and the diagnostic tools that can tell you what your standard bloodwork never will. Topics Covered Seed oils: red herring or real problem? What the population data actually showsSugar, cereal, and breakfast — why variety beats any single "healthy" routineKeto and carnivore: short-term wins, long-term question marksVisceral fat: what it is, why it's more dangerous than what you see, and how to measure itCalcium scoring, ApoB, and Lipo(a) — beyond standard cholesterol panelsIntermittent fasting, autophagy, and what 72-hour fasts actually trigger in the bodyNew University of Texas research: flu and shingles vaccines linked to reduced dementia ratesBeyond Meat vs. real meat: the one study that actually showed a benefit for ultra-processed foodAlcohol and the heart: cardiomyopathy, dementia risk, and the wine myth cardiologists createdMentioned in Episode Ornish Diet and reversal of heart diseaseTulane University study on meat consumption distribution (12% of Americans eat the majority of beef)University of Texas — flu vaccine / shingles vaccine dementia study via propensity-matched cohortImpossible Burger / Beyond Meat industry-funded LDL studyDEXA scan and FibroScan for visceral fat measurementPCSK9 inhibitors and plaque regressionConnect Dr. Rasham Sandhu — @nextphasehuman | cacvinst.com Dr. Ajay Patel — California Cardiovascular Institute | cacvinst.com Next Phase Human — @nextphasehuman on Instagram California Cardiovascular Institute — cacvinst.com | (661) 443-0088 | info@cacvinst.com | 8337 Brimhall Rd., Building 1200, Bakersfield, CA 93312  Guest intake: nextphasehuman@gmail.com

About

Most people think about their health when something goes wrong. Next Phase Human is for everyone who wants to start thinking about it before that moment arrives. Hosted by Dr. Sandhu — a cardiologist with a focus on prevention, longevity, and whole-body wellness — this podcast brings together physicians, researchers, and wellness professionals for honest, evidence-based conversations about the topics that actually move the needle on your long-term health. Each episode covers the intersection of cardiovascular wellness, modern medicine, lifestyle optimization, and human performance — translated into practical, approachable conversations for professionals, business owners, and anyone serious about living better longer.Topics include heart health, metabolic health, sleep, stress, nutrition, longevity diagnostics, wearable technology, recovery, burnout, and the future of preventative care. This is not clickbait wellness. This is a forward-thinking physician who believes the best healthcare happens before you need it. New episodes weekly.