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

Último episódio
275 episódios
- 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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#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 What Your Mitochondria Have To Do With Brain Fog And Chronic Fatigue ft. Dr. Benjamin Busch
04/08/2026 | 41minHave 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.
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"Fine" isn't the same as well. Stop waiting to collapse before someone listens. Build your case
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#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/adchoicesThe Real Driver Behind Most Heart Attacks Is Not Cholesterol ft. Dr. Philip Ovadia
28/07/2026 | 41minHalf of the people who show up with a heart attack have completely normal cholesterol.
That statistic is exactly why I brought back Dr. Philip Ovadia, a board certified cardiac surgeon who spent years operating on hearts while morbidly obese and pre-diabetic himself. In 2016, before Ozempic or any of the GLP-1 medications existed, he lost 100 pounds and reversed his own prediabetes, and it changed what he believed about the disease he had spent his whole career treating.
We get into why insulin resistance carries six times the heart disease risk that elevated LDL cholesterol does, based on the Women's Health Initiative data, and why nearly 90 percent of adults are walking around metabolically unhealthy without knowing it.
Dr. Ovadia walks through fasting insulin, a simple and inexpensive blood test that can flag this risk years before a cholesterol panel ever would, and explains why imaging that actually looks at your arteries tells you more than blood work alone ever can.
We also talk honestly about statins, what the real numbers behind their benefit show once the marketing is stripped away, and why he now tells patients that meat, not cholesterol, belongs back on the table.
It is a conversation that reframes what actually predicts a heart attack and gives you real questions to bring into your next cardiology appointment.
Normal cholesterol does not mean a healthy heart.
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#functionalmedicine #drefratlamandre #medicaldisruptor #NPwithaPHD #nursepractitioner #medicalgaslighting
Chapters
0:00 - Introduction
2:15 - From obese surgeon to carnivore & "meat is medicine"
8:18 - Insulin Resistance vs. Cholesterol & the $15 Test
19:36 - Why Doctors Miss It: Fasting Insulin, CRP & GLP-1s
23:45 - Gut Health, Fiber, Fermented Foods & ApoE4
31:25 - Fixing the Cardiology Visit & What to Ask Your Doctor
Guest Links:
FB: https://www.facebook.com/ovadiahearthealth
IG: https://www.instagram.com/ifixhearts/
YT: https://www.youtube.com/ @IFixHearts
Dr. Philip Ovadia New Book: https://stayoffmykitchentable.com
Learn more about your ad choices. Visit megaphone.fm/adchoices- Your thyroid does not make one hormone. It makes five. Your last panel probably only tested one.
That gap is exactly why I brought Dr. Amie Hornaman onto the show.
In this episode of theMedical Disruptor, she shares her own thyroid story, including the 25 pounds that showed up in a matter of weeks and the seven different doctors she saw before anyone gave her an answer.
From there we get into why testing TSH and T4 alone misses so much, what a full thyroid panel should actually include, and why she believes most people need more than T4 only medication like Synthroid to feel like themselves again.
We break down reverse T3 and what it means when it is elevated, then go into T2, a thyroid hormone that is not T3 or T4, has decades of research behind it, and may play a real role in metabolism and fat burning. We close with what to actually ask for at your next appointment so a normal result is not the end of the conversation.
As always, this is a free conversation with a vetted, board certified clinician, no products and no upsells, just information you can take straight into your next appointment. This is how we address medical gaslighting directly, by giving you the language and the data to advocate for your own thyroid health.
You are not fine. You are just not sick enough yet.
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
3:22 - Amie's 25-Pound Mystery & 7 Doctors
7:27 - Why TSH & T4 Alone Aren't Enough
19:55 - T2: The Forgotten Thyroid Hormone
28:08 - How to Stop Getting Dismissed
33:21 - "You're Just a DC, Not an MD"
Guest Links:
FB: https://www.facebook.com/groups/dramie
IG: https://www.instagram.com/dramiehornaman/
YT: https://www.youtube.com/dramiehornaman
Website: dramiehornaman.com
Learn more about your ad choices. Visit megaphone.fm/adchoices What Is Actually Living in Your Gut That Is Making Every Other Symptom Worse ft. Izabella Wentz
14/07/2026 | 41minWhat Is Actually Living in Your Gut That Is Making Every Other Symptom Worse ft. Izabella Wentz
Your gut symptoms have a cause. Finding it just requires someone willing to look past the standard playbook.
More than thirty distinct root causes including SIBO, parasites, celiac disease, bile acid malabsorption, food sensitivities, and exocrine pancreatic insufficiency can produce the exact same symptoms and most of them will never show up on a standard workup because the tests that catch them were never built into the protocol.
Dr. Izabella Wentz is a pharmacist, Hashimotos specialist, and four-time bestselling author who spent years watching her own body fall apart while the medicine she had been trained in had no answers for her. Explosive diarrhea, brain fog, anxiety, hair loss, fatigue. Each symptom managed in isolation, and none of them ever connected.
It was not until she started looking at what was actually happening in her gut that everything shifted. The IBS went into remission, her Hashimotos improved, and the acid reflux disappeared.
In this episode we get into why IBS is no longer being treated as a diagnosis of exclusion and what that means for anyone who has been handed that label without a real workup. Izabella walks through the first places she looks before any testing even begins, including medications most people never think to question and food additives hiding in products marketed as healthy.
She breaks down the functional tests that actually reveal what is driving symptoms and why parasite infections are far more common than conventional medicine is willing to admit.
She also explains the three conditions that have to be present for autoimmune disease to develop and why a disrupted gut barrier can precede an autoimmune diagnosis by a decade or more.
The Medical Disruptor exists to bring you board-certified clinicians who were trained inside conventional medicine, learned its limits firsthand, and came out the other side with real answers.
Your gut is not just a digestive organ. It is the command center for your immune system, your hormones, your brain, and your ability to absorb every nutrient your body needs to function. When it is compromised, everything else follows. And the longer you go without finding the actual cause, the longer everything else keeps breaking down.
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
2:45 - Izabella's Decade of Dismissed Symptoms
9:58 - What IBS Really Is and How It's Diagnosed
16:47 - Medications and Food Additives That Trigger IBS
21:11 - Functional Testing to Find Your Root Cause
25:06 - The Gut-Thyroid-Autoimmune Connection
Guest Links:
FB: https://www.instagram.com/izabellawentzpharmd/
IG: https://www.instagram.com/izabellawentzpharmd/
YT: https://www.youtube.com/user/ThyroidPharmacist
Website: https://thyroidpharmacist.com/media/
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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