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PODCAST

Medical Disruptor™ by Dr. E

Dr. Efrat LaMandre PhD, FNP-C

The Medical Disruptor™ Podcast was made for people who want to take their health to the next level. Dr. E’s mission is to give you reliable, science-based health information through a unique lens, using functional medicine to help you get the answers you’ve been looking for. In our episodes, Dr. E explains the root cause of your symptoms so you can take control, stop suffering and start living. Dr. E wants to empower you to realize your symptoms are NOT in your head while giving you the tools to

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All Episodes

15:11

Adrenal Burnout Has 4 Stages and Most of Us Are Stuck...

Medical Disruptor™ by Dr. E ·

2026/04/23

You are exhausted and you have been for a while. Feeling exhausted all the time is NOT normal. If you have been told otherwise, that is medical gaslighting.This episode is about what happens in between feeling completely depleted and getting an answer that actually explains it. I am breaking down adrenal fatigue, what it really is, why conventional medicine does not always recognize it, and why that does not mean what you are experiencing is not real. I cover the physiology of cortisol and how

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35:40

Why “Uncurable” Is Just the Beginning of the Real...

Medical Disruptor™ by Dr. E ·

2026/04/21

What happens when the system that is supposed to have all the answers reaches the end of its toolbox and you leave believing that is all there is?The Medical Disruptor brings you vetted clinicians who have practiced inside the system long enough to see where it breaks down. This week, Dr. Aaron Hartman, triple board-certified physician and author of Uncurable, sits down with Dr. E to talk about the patients medicine labels hopeless, the diagnoses that function as a dead end instead of a starting

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16:41

Why Mold Illness Goes Undetected for Years and the...

Medical Disruptor™ by Dr. E ·

2026/04/17

The Medical Disruptor is here to give you real, science-backed guidance with no selling, no gimmicks, and no agenda. Mold illness is one of the most commonly missed drivers of chronic symptoms. When brain fog, fatigue, hormone disruption, gut issues, and unexplained nerve sensations don't show up on standard labs, the system runs out of tools and patients get left without answers. In this episode, I break down exactly why mold toxicity affects some people and not others, what the multi-system

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43:26

Why Memory Loss Gets Misdiagnosed as Depression and...

Medical Disruptor™ by Dr. E ·

2026/04/14

The Medical Disruptor exists for one reason: to give patients free access to clinicians who are brave enough to tell the truth. No products. No upsells. Just board-certified doctors who trained inside the system and eventually hit a wall it could not explain. Dr. Ali Elahi is one of them. A neurologist with nearly two decades of conventional practice, he watched the same patients cycle through the same appointments, collect the same normal results, and leave with the same antidepressants while their

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21:03

Getting a Fibromyalgia Diagnosis Feels Like an Answer...

Medical Disruptor™ by Dr. E ·

2026/04/09

After years of being dismissed, getting any diagnosis feels like a victory, and fibromyalgia sounds like proof that someone finally believed you. What nobody tells you is that this particular label often marks the moment the investigation ended, not the moment it began.Fibromyalgia is a diagnosis of exclusion, which means it gets assigned when the standard workup runs out of ideas, not when someone actually found what is wrong with you. Your pain is real. Your suffering is real. But the label is

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40:13

The 12 Minute Appointment Is Why You're Not Getting...

Medical Disruptor™ by Dr. E ·

2026/04/07

Most people do not get gaslit with one big lie.They get gaslit with one small dismissal at a time. Dr. Chris Renna, DO is the founder of LifeSpan Medicine and one of the earliest pioneers in prevention-first care. Long before longevity became a trend, he was already practicing it. In this episode, he and I break down what gets missed when healthcare is reactive, rushed, and reduced to one symptom at a time. If you have been told you are fine while your function is clearly declining, this

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23:11

Alzheimer's: Can You Really Do Something To Prevent It?

Medical Disruptor™ by Dr. E ·

2026/04/04

It's scary that over 5 million Americans are affected by Alzheimer's disease, and more than half of them don't even know they have it. Alzheimer's is extremely hard to diagnose in its early stages, which is why it comes as a shock to everyone.Now, you might be bothered about the possibility of waking up one day and already having the disease. But it actually starts slowly and at first you may not even notice it. But don't let this put you down - there are ways to prevent it! Want more

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24:37

What Hormonal Imbalance Actually Means (And Why It’s...

Medical Disruptor™ by Dr. E ·

2026/04/02

When people talk about hormonal imbalance, the conversation almost always starts and ends with estrogen and progesterone. That focus makes sense, given how closely sex hormones are tied to puberty, birth control, pregnancy, perimenopause, and menopause. However, stopping there often misses what is actually driving symptoms. In this episode of The Medical Disruptor, I explain hormones in plain English and walk through the major hormone systems people often overlook, including thyroid signaling,

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38:58

Why Most Probiotics Don't Work and How to Find One...

Medical Disruptor™ by Dr. E ·

2026/03/31

Is your probiotic actually doing anything? Most aren't. And the supplement industry is counting on you not knowing the difference between real science and marketing. This week on the Medical Disruptor I spoke with Dr. Vivek Lal, a board-certified neonatologist and microbiome scientist who spent years studying why some premature babies survived chronic lung disease and others didn't. What he found changed everything: the microbiome isn't just in your gut. It lives in your lungs, your skin, your

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48:19

You Were Told to Manage Your Diabetes. What If You...

Medical Disruptor™ by Dr. E ·

2026/03/24

You've been told your A1C is "a little high." Maybe your doctor said "watch your diet" and sent you home. Maybe you've been on medication for years and nothing is actually getting better. If that sounds familiar, this episode is going to change how you think about your health.In this episode of Medical Disruptor, Dr. William Hsu explains why type 2 diabetes is fundamentally a disease of cellular aging and why that changes everything about how we should treat it. He breaks down the Nobel

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52:13

What Happens to Your Kidneys When You Eat Too Much...

Medical Disruptor™ by Dr. E ·

2026/03/10

Could your high-protein diet be silently damaging your kidneys? Kidney decline doesn't announce itself, in fact it builds quietly while you have no idea it’s happening. Dr. Robin Rose is a physician who found out the hard way. After kidney cancer and losing a kidney, she was told she'd be fine. She wasn't. Her GFR dropped to 30. Conventional medicine said monitor and wait. She stopped waiting. In this episode we talk about: - Why GFR alone misses early kidney damage - What the kidney

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21:25

Age Is Just A Number: Taking Control of Having...

Medical Disruptor™ by Dr. E ·

2026/03/07

Ever wished you could turn back the clock so to feel great again? Are those birthdays starting to feel like a countdown? Relax, there’s no need to stress! You may not be able to turn back time, but you can rewrite your biology and redefine your health. Imagine being 50 and feeling even better than when you were 30. It's all about taking control of your health, making some lifestyle changes, and getting back that amazing feeling, no matter how old you are.Your age in years? It's just a number -

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61:31

Your Child's ADHD Might Actually Be Brain...

Medical Disruptor™ by Dr. E ·

2026/03/03

If you're parenting a kid who seems to be changing in real time, more anxious, more reactive, more rigid, more overwhelmed, and you keep getting the same tired answers, this episode is for you. Too often pediatrics treats behavior like the whole story: label it, medicate it, manage it… and then wonder why nothing truly shifts. In part two of this conversation on Medical Disruptors, I bring back pediatrician and integrative medicine fellow Dr. Pejman Katiraei to go deeper on a missed driver: brain

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60:04

Brain Decline Starts 20 Years Before Alzheimer's and...

Medical Disruptor™ by Dr. E ·

2026/02/24

Neurology is amazing in a crisis. Stroke at 3 a.m.? Seizure in the ER? Modern medicine delivers.But chronic brain issues are different. Migraine. Brain fog. Parkinson’s. Alzheimer’s risk. These often turn into symptom management with a fancy label and a longer medication list. In this episode of Medical Disruptors, I sit down with neurologist Dr. Ken Sharlin to talk about what comes before the diagnosis gets permanent. Why decline isn’t inevitable. And why the real leverage points aren’t “more

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16:05

What is Hormonal Imbalance and How Does It Impact...

Medical Disruptor™ by Dr. E ·

2026/02/21

Does your mood and energy swing up and down? Do you crave sugar or salt? Do you have trouble sleeping? Are you less interested in sex? This could mean your hormones are not in balance.So many things we accept as normal might actually be signs of imbalance. We often link hormone problems to sex hormones like estrogen, progesterone, and testosterone. However, the reality runs deeper. When our hormones are not balanced, it can cause all sorts of problems, from mood swings to unexplained weight gain,

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68:36

Why Most Depression Treatments Fail and What to Do...

Medical Disruptor™ by Dr. E ·

2026/02/17

You've tried the medications. You've done the therapy. You still don't feel like yourself, and nobody has a real answer for why.In this episode, I sit down with board-certified psychiatrist Dr. Aruna Nammi, who has spent her career asking the question conventional psychiatry refuses to take seriously: what if the treatment is the problem? Dr. Nammi breaks down what she calls Psychiatry 2.0, a root-cause approach to depression and anxiety that starts where conventional psychiatry refuses to look

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19:22

The Real Culprit Behind Heart Disease

Medical Disruptor™ by Dr. E ·

2026/02/14

Heart Disease is the number one killer in America AND... It’s NOT because of cholesterol The truth is that Heart Disease is caused by CHRONIC INFLAMMATION. It’s not as simple as taking cholesterol meds, its so much more! Dr. E will explain the surprising truth behind heart disease. This is a show broadcasted live by Dr. Efrat Lamandre every week with the express purpose of providing free, factual, and practical functional medicine tips to help people prevent disease naturally. Through giving

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62:45

How Mouth Breathing Is Ruining Your Teeth, Your...

Medical Disruptor™ by Dr. E ·

2026/02/11

You breathe through your mouth at night and think nothing of it. Maybe you snore. Maybe your kid does. Your dentist never mentioned it. Your doctor said it was normal. In this episode of Medical Disruptors, I sit down with Dr. Norma Cortez, a biological airway dentist who starts where most dentistry stops: breathing. We get into why cavities are often preventable, why "I avoid sugar" isn't the full shield people think it is, and how mouth breathing can quietly shift the oral microbiome, change

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18:02

Thyroid Imbalances: A Deep Dive into Hypothyroidism...

Medical Disruptor™ by Dr. E ·

2026/02/07

Ever felt puzzled by weird symptoms that just don't add up? Have you dealt with unexpected weight changes, constant tiredness, or feeling too hot or cold out of the blue? Don't brush it off – your thyroid could be trying to tell you something vital.Guess what? You're not alone – there are about 20 million Americans sailing in the same boat, wrestling with similar thyroid issues. What's even crazier? Around 60% of them don't even realize there's a hitch. And here's the kicker: conventional medicine

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71:00

Why Hormones Aren’t the Fix Everyone Thinks They Are

Medical Disruptor™ by Dr. E ·

2026/02/03

HRT can be a game-changer. But if the foundation is shaky, it can’t do its job.So before you change your hormone dose again, listen to this. There’s a reason symptoms can persist, especially in perimenopause and menopause. In this episode of Medical Disruptors, I’m with Dr. Wendy Warner, former conventional OB-GYN turned functional and integrative powerhouse, because she’s watching the same pattern on repeat. Women start hormone therapy while blood sugar is unstable. Cortisol is running the

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