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Medical Disruptor™ by Dr. E

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

278 episódios

  • Medical Disruptor™ by Dr. E

    What Dairy Is Doing To Your Child's Gut And Skin ft. Dr. Sheila Kilbane

    01/09/2026 | 42min
    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.

    Want more practical health tips? Join my newsletter! ⁠https://freechapter.lpages.co/newsletter-opt-in/⁠

    Get Dr. E's FREE 5 Red Flag Phrases guide here:

    ⁠https://freechapter.lpages.co/5-phrases-that-are-red-flags/⁠

    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 - 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
  • Medical Disruptor™ by Dr. E

    The Menopause Symptoms Your HRT Is Never Going To Reach ft. Dr. Anna Cabeca

    25/08/2026 | 44min
    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.

    Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/

    "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
  • Medical Disruptor™ by Dr. E

    Your High Cholesterol Could Actually Be A Thyroid Problem ft. McCall McPherson

    18/08/2026 | 42min
    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.

    Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/

    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
  • Medical Disruptor™ by Dr. E

    Why Your Sleep Never Went Back To Normal ft. Dr. Daniella Marchetti

    11/08/2026 | 39min
    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.

    Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/

    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
  • Medical Disruptor™ by Dr. E

    What Your Mitochondria Have To Do With Brain Fog And Chronic Fatigue ft. Dr. Benjamin Busch

    04/08/2026 | 41min
    Have you been exhausted, carrying weight you cannot lose, losing your words mid sentence, feeling older than you are? Those are not four separate problems. They are energy problems, and your body makes energy in one place.

    We all learned that the mitochondria is the powerhouse of the cell. Then we closed the book and never thought about it again. Which is pretty rude, when you think about it. That little thing has been working double shifts for you since the day you were born. It got you through tenth grade biology and you paid it back with four hours of sleep, a drive thru coffee, and a vitamin you bought in 2022.

    Dr. Benjamin Busch worked in the emergency room for twenty years. Then he left and built a practice that measures your energy instead of guessing at it.

    In this episode of the Medical Disruptor, he explains what VO2 testing shows, why a normal lab result only means you look like most other sick people, and how food, toxins, and hormones break the way your cells make energy. We also talk about brain injury treatment, why fibromyalgia was never a mental health diagnosis, and the money reasons the system is set up to manage you instead of fix you.

    This show gives you the conversation you did not get in your fifteen minute visit. Nothing is for sale here. Just real, board certified clinicians who trained inside the system and will tell you where it falls short.

    You are not lazy. You are not aging badly. You are running low on power.

    Want more practical health tips? Join my newsletter! https://freechapter.lpages.co/newsletter-opt-in/

    "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

    3:05 - Why He Walked Away From the ER

    11:44 - Inside a Mitochondria-Focused Practice

    16:11 - Why the System Profits From Sickness

    22:16 - How Modern Life Damages Your Mitochondria

    27:34 - Intranasal Biologics for Brain Healing

    Guest Links:

    FB: https://www.facebook.com/ViveWell.Health/

    IG: https://www.instagram.com/vivewell.health/

    YT: https://www.youtube.com/@ViveWell.Health

    Website: https://vivewell.health/
    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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