Medical Disruptor™ by Dr. E
Dr. Efrat LaMandre PhD, FNP-C

Último episódio
279 episódios
- Your fatigue never lifted. Your brain fog never cleared. You had COVID, you technically recovered, and you have not been the same person since.
Dr. Robin Rose is double board certified in internal medicine and gastroenterology. After she left conventional practice she started running much deeper bloodwork on everybody, and the same things kept showing up. White counts in the twos and threes. Ferritin that didn't line up with the iron. Elevated D dimer in people who had no clot anywhere.
That last one is what sent her looking. A D dimer is what the ER runs when they think you have a blood clot, so seeing it high in people without one didn't add up. It led her to microclots. Too small to see on a scan, big enough to choke off the circulation where your cells actually pick up oxygen.
We get into why she now asks every patient with POTS or mast cell activation when they last had COVID. Why the gut is where a lot of this starts and nobody checks it and why even a mild case isn't nothing, and why so many people feel like they aged five years in one.
If you had COVID and never fully bounced back, this conversation is going to explain a lot. The fatigue, the brain fog, the racing heart when you stand up, and the labs that keep coming back normal.
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Introduction
2:38 - From Conventional GI to Cellular Medicine
16:53 - The Strange Lab Patterns No One Was Talking About
21:19 - Spike Protein, Vaccines, and Her Own Reaction
28:17 - Prophylaxis and Treatment: Nasal Sprays, Melatonin, Ivermectin
36:16 - Rapid Fire: Dysautonomia, POTS, and Why There's Hope
Guest Links:
FB: https://www.facebook.com/drrobinrose
IG: https://www.instagram.com/dr.robinrose/
Website:https://terrainhealth.org
Learn more about your ad choices. Visit megaphone.fm/adchoices - If your child has eczema that keeps coming back, gets constipated for days at a time, or has
had one ear infection after another, this episode is for you. These usually get treated as three separate problems by three different specialists.
This week's
guest, Dr. Sheila Kilbane says they are often one problem showing up in three places, and dairy
is frequently part of it.
She is a board certified pediatrician who trained in integrative medicine at the University of
Arizona.
She did not set out to change how she practiced. She just kept listening to moms who
told her their child improved after cutting dairy, and eventually she went looking for why.
In this episode she walks through the case that changed everything. She explains the cup of
inflammation, which is the simplest way I have heard anyone describe why symptoms cluster. She covers what to do first, why she starts with magnesium, why you should never stop dairy
cold turkey, and how to protect your child's bones while you do it.
Your child is not a difficult case. Their cup is just full.
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Get Dr. E's FREE 5 Red Flag Phrases guide here:
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Check us out on social media:
https://www.instagram.com/drefratlamandre
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https://www.tiktok.com/@drefratlamandre
#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Intro
3:15 - From Med School to Listening to Moms
11:06 - The Chronically Unwell Child: What Pediatrics Misses
18:38 - Leaky Gut: One Problem, Three Symptoms
22:15 - Fix the Poop First: Magnesium Over Miralax
35:28 - Answering the AAP Pushback + Rapid Fire
Guest Links:
IG: https://www.instagram.com/sheilakilbanemd
YT: https://www.youtube.com/ @SheilaKilbaneMD
Website: https://sheilakilbane.com
Learn more about your ad choices. Visit megaphone.fm/adchoices - If you are on hormone therapy and still dealing with dryness, painful sex, or leaking when you laugh, this episode is for you.
Estrogen and progesterone do a lot of good work. They protect your bones, your heart, and your brain. But systemic hormones do not reach everything. There is a whole area of your body they mostly skip, and that is where a lot of women are still struggling in silence.
Dr. Anna Cabeca is a triple board certified OBGYN who delivered thousands of babies before she started asking why so many of her patients were not getting better. In this episode she explains why vaginal estrogen alone often is not enough either, and what she uses instead.
She also explains the vaginal microbiome. Your standard panel looks for infections. It does not check whether your protective bacteria are still there. And as we age, that protection thins out, which raises the risk of recurring infections, bladder problems, and even HPV.
We talk about topical DHEA and testosterone, why they reach the deeper tissue that estrogen cannot, and how she watched patients scheduled for incontinence surgery improve enough that they no longer needed it.
Menopause is mandatory. Suffering is not.
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"Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case: https://freechapter.lpages.co/how-to-build-a-case-for-yourself/
Check us out on social media:
https://www.instagram.com/drefratlamandre
https://www.facebook.com/drefratlamandre
https://www.tiktok.com/@drefratlamandre
#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Introduction
3:13 - From 2-3 Surgeries a Week to 2-3 a Year
11:44 - The Vaginal Microbiome Your Annual Exam Misses
17:36 - A Preventable Stage 4 Cervical Cancer Story
24:27 - Topical Hormones for Dryness and Incontinence
39:14 - Pushback and Rapid Fire Questions
Guest Links:
IG: https://www.instagram.com/thegirlfrienddoctor
YT: https://www.youtube.com/thegirlfrienddoctor
Website: https://dranna.com
Learn more about your ad choices. Visit megaphone.fm/adchoices - High cholesterol does not always start in your diet. When your thyroid is slow, everything in your body slows down with it, including how you clear cholesterol. So you can eat well, move your body, do everything right, and still watch that number climb.
If you were handed a statin prescription and never had your thyroid checked, this episode is for you.
McCall McPherson is a PA and the founder of Modern Thyroid Clinic. At 27 she was spending 16 hours a day in bed, losing her hair, gaining weight, and struggling to think clearly. Her doctor ran one lab and offered her medication for her cholesterol. That was the whole visit.
In this episode she explains why running only a TSH misses the real picture, and which labs actually tell you what is happening. She explains free T3 and why a large number of people cannot turn their thyroid medication into the form their body can use. We talk about Hashimoto's and how she has kept her own antibodies in remission for over 12 years.
She breaks down the word subclinical and the single flawed study that taught a generation of clinicians to wait until patients get much worse. And she explains why so many people end up on medications for cholesterol, blood sugar, and blood pressure that trace back to a thyroid nobody treated properly.
When you know what to ask for and what the lab results actually mean, you can get your life back.
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Get Dr. E's FREE 5 Red Flag Phrases guide here:
5 PHRASES THAT ARE RED FLAGS
Check us out on social media:
https://www.instagram.com/drefratlamandrehttps://www.facebook.com/drefratlamandrehttps://www.tiktok.com/@drefratlamandre
#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Introduction
1:45 - Bedridden and Dismissed: McCall's Thyroid Story
5:02 - What the Standard TSH Test Gets Wrong
8:45 - Hashimoto's and How to Lower Your Antibodies
15:58 - Subclinical Hypothyroidism and the Flawed Study Behind the Guidelines
28:53 - The Optimal Thyroid Numbers and What to Ask Your Doctor
Guest Links:
FB: https://www.facebook.com/modernthyroidclinic
IG: https://www.instagram.com/mccallmcphersonpa
YT: https://www.youtube.com/@McCallMcPherson
Website: https://www.modernthyroidclinic.com
Learn more about your ad choices. Visit megaphone.fm/adchoices - If you have not slept properly in years this episode is for you.
You lie down exhausted and your brain goes a million miles an hour. You wake at 3am for no reason and you are running on empty.
This week's guest on the Medical Disruptor, Dr. Daniella Marchetti, holds the highest credential in behavioral sleep medicine. She works with veterans at the VA and with women in private practice, and she noticed something that changed how she treats insomnia.
The gold standard treatment for getting a good night’s rest was built on men's sleep. Women's sleep is different. The hormone shifts are different. The daily load is different. And when treatment does not account for that, women drop out of it.
In this episode she explains why being wide awake and wired at night is usually not anxiety. It is your nervous system doing exactly what it was trained to do. We talk about how your sleep tracker may be making things worse by turning rest into a score you keep losing.
She explains what melatonin actually does, why the doses most people take are far too high, and what she recommends instead. She also shares the one question to ask a provider before you trust them with your sleep.
It’s time to get a good night’s sleep.
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Still second guessing yourself in the exam room? Click here!
https://freechapter.lpages.co/self-gaslighting-habits-to-watch-for/
Check us out on social media:
https://www.instagram.com/drefratlamandre
https://www.facebook.com/drefratlamandre
https://www.tiktok.com/@drefratlamandre
#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Introduction
5:02 - Why Women Need a Different Sleep Treatment
9:13 - Are Wearables Making Your Sleep Worse?
16:47 - "Mom-somnia": Why a Mother's Sleep Changes
28:56 - Ambien, Lunesta and the Truth About Sleep Meds
32:30 - The Truth About Melatonin
Guest Links:
IG: https://www.instagram.com/drdaniellamarchetti
Website: https://daniellamarchetti.com
Learn more about your ad choices. Visit megaphone.fm/adchoices
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Sobre Medical Disruptor™ by Dr. E
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 take control of your health.
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Medical Disruptor™ by Dr. E
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