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.
Maladaptive Stress Response, Personality Patterns, and Fatigue with Alex Howard
Living in a pandemic era filled with political, environmental, and social turmoil is tiring – downright exhausting. So is it any wonder the number of chronic fatigue cases has crept up to 1.5 million people in the US? In this episode of New Frontiers, guest host Dr. Patrick Hanaway talks with Alex Howard, the creator of the Therapeutic Coaching methodology and Founder of The Optimum Health Clinic, one of the world’s leading integrative clinics specializing in chronic fatigue syndrome. Alex has published several research articles and books on the topic, with his latest book, Decode Your Fatigue: A Clinically Proven 12-Step Plan to Increase Your Energy, Heal Your Body and Transform Your Life - just published. In addition, he is currently working on a randomized control trial with the UK national health service, NHS, as a follow-up to a preliminary study on his integrative approach to chronic fatigue syndrome. Dr. Hanaway and Alex discuss the key factors contributing to fatigue, using personalized mapping to untangle the picture and the importance of intervention sequencing to create positive, long-term shifts in patients’ well-being. I’m so proud to have these two incredible humans sharing what they know with all of us on New Frontiers – it’s an amazing conversation and I could listen to them talk all day! Please leave a review, rating, and share this episode far and wide! ~DrKF
Phytochemicals in Chronic Disease Prevention with Dr. Jed Fahey
Although lifespans are getting longer, most Americans spend the last 16 years of their lives (on average) managing multiple illnesses with various drugs. With most of our faculties compromised in those final years, quality of life is significantly reduced, and life is not as enjoyable as it could be. So is there anything we can do to expand our healthspan, not just our lifespan? My guest in this podcast, Dr. Jed Fahey, joins me to discuss the underappreciated, healthspan-promoting power of phytochemicals. Dr. Fahey is a nutritional biochemist with extensive research experience in phytochemistry. Following years of faculty appointments at the John Hopkins School of Medicine and Public Health, Dr. Fahey is now dedicating most of his efforts towards educating on “the dark matter of nutrition” – i.e. phytochemicals. In this interview, Dr. Fahey shares plenty of great pearls from his vast experience in the world of phytochemicals and zooms in on the protective role of the glucoraphanin-sulforaphane system. You wouldn’t want to miss his insights! As always, thanks for listening, and I so appreciate any comments, reviews, and ratings wherever you listen to New Frontiers. ~DrKF
Exploring Longevity Medicine and Epigenetic Aging with Dr. Lucia Aronica
What can queen bees teach us about epigenetics? And what do polyphenols, stress, and sunlight have in common? Hint: it has to do with longevity science. To mark our exciting paper on the Potential Reversal of Epigenetic Age Using a Diet and Lifestyle Intervention we are hosting a series of podcasts focused on the science of epigenetics and longevity, and kick things off with talented researcher and Stanford lecturer, Dr. Lucia Aronica. Dr. Aronica is a passionate advocate of lifestyle medicine and is currently leading the epigenetic analysis for the largest randomized clinical trial in the field of personalized nutrition on low carb vs. low fat diets. Fascinating work! With her rich international research experience in nutritional epigenetics, Dr. Aronica guides us through the mechanics of epigenetics and epigenetic aging, the importance of hormesis, and the powerful epigenetic language of lifestyle interventions, including epinutrients. Join me in this fascinating conversation and find out what you can do right now to optimize longevity. Listen, learn, share -- leave us a comment – I’d love to know what you think! ~DrKF
Sponsored | Immuno-Senescence: What Clinicians Need to Know with Dr. Joseph Raffaele
Folks, if you’ve been following me for any time, you know I am fascinated with reversing epigenetic aging. With such research rapidly evolving, there’s always something new to talk about and my guest today has become a friend and a regular on the New Frontiers podcast – Dr. Joseph Raffaele: a renowned expert on telomere biology and age management medicine. Dr. Raffaele, who is board-certified in internal medicine, diplomat at the American Board of Anti-Aging Medicine, AND co-founder of PhysioAge Systems, joins me for the third time to talk about the latest in immunosenescence and aging. (You can find links to our previous conversations and related content in the shownotes.)
I’m excited to continue the conversation with Dr. Raffaele, as we dive into the connection between viral infections, including COVID-19 and CMV, and cell senescence and what we can do clinically to reduce immune risk phenotypes and rejuvenate not only our immune system but our entire bodies. We also touch upon various lab markers that can help us assess immune cell health and epigenetic age, and the anti-aging properties of telomerase activator TA-65 derived from the Astragalus membranaceus plant. There are too many great take-aways to list here, so tune in and get ready to take some notes! Thanks for listening, and please leave a review if you can. ~DrKF
SPONSORED | Using Metabolomic Analysis For Clinical Insight
So many of us in functional medicine use standard organic acid interpretations, but newer research is using them in a broader metabolomics assessment (the vast landscape of clinically relevant metabolites). A great example is the assessment of in-born errors of metabolism. Utilizing metabolomics resulted in a six-fold higher diagnosis rate and identification of new in-born errors, compared to traditional organic acid assessment methods. Impressive, isn’t it? Think of what it could do in a full assessment.
I’m thrilled to be joined by my dear friend and metabolomics enthusiast Dr. Betsy Redmond in today’s podcast. I worked with Dr. Redmond back at Metametrix and deeply admire her passion and skill in bringing metabolomics into clinical practice. With years of experience in functional lab testing and a doctorate degree in nutrition, Dr. Redmond shares exciting pearls from the latest metabolomics research, including using urinary dicarboxylic acids to identify early cognitive decline and strategies to modulate the kynurenine tryptophan ratio (KTR) – a novel biomarker associated with inflammation, cognitive decline, and kidney disease. I was excited to hear that this ratio could also be used as an innovative biological age marker – a topic at the center of my recently published study on reversing epigenetic aging, and focus of my book, Younger You. Thanks for listening to New Frontiers; please leave us a review and comment to let us know what you think! ~DrKF
Sponsored | What does Evidence-based look like in Functional Lab Testing?
As the name suggests, New Frontiers is about staying ahead of the curve in functional medicine, continually asking critical questions, and being open to self-critique. This couldn’t be more true than when it comes to advanced functional testing. Today I’m pleased to talk with a familiar face and renowned hormone testing expert, my friend Mark Newman. Mark created the DUTCH test based on his decade-long experience in novel test development, and joins New Frontiers to talk about all things hormones: from cortisol & thyroid health to estrogen, progesterone and androgens, the importance of analytical and clinical validation of tests, and his upcoming research on various hormone replacement therapy methods. If you’re like me, you’ll be blown away by Mark’s passion for delivering functional tests that offer meaningful differentiation and his commitment to publishing peer-reviewed data. Settle in, and be sure to check out the shownotes for tons of ancillary info, plus special offers from Precision Analytical. Listen, learn, and leave us a comment wherever you find New Frontiers! Thank you! ~DrKF
I started listening to Dr. Fitzgerald’s podcasts earlier this year and have become hooked to listening to every single one. Her guests are so intelligent and so innovative in their research and clinical studies which provides so much hope to those of us that struggle with chronic illnesses that traditional medicine has not been able to prevent/treat. This is a must listen to podcast!
Good information but...
Kara is very bright so I enjoy her interviews with people like Bredesen and Dayspring BUT sound level is not well balanced between Kara's voice and interviewee.
I can get overloaded with functional medicine information. As a practitioner of myself, it seems I never know enough and so sometimes shy away from this sort of thing because it just makes me feel inadequate. Not true with this podcast. Dr. Fitzgerald has a great tone and her conversations leave me feeling inspired and excited! I always enjoyed her as a presenter at IFM, and I’m so excited to get to know her better through this podcast. Thank you so much for this, Dr. Fitzgerald! You rock.