Stay ConnectedWelcome to New Frontiers in Functional Medicine, Longevity & Epigenetics™ where I interview the best minds in functional medicine to discuss the science and research behind medicine, longevity, epigenetics, and so much more. Expect thought-provoking ideas, new research, lots of clinical pearls for practitioners, and step-change information for clinicians and patients. Join us! ~DrKF
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Cardiovascular health and longevity are deeply influenced by aging, perimenopause, and systemic changes that extend far beyond cholesterol markers alone.
In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald sits down with Kiran Krishnan to explore the biology of vascular aging, endothelial dysfunction, and metabolic changes that emerge in midlife and beyond. As estrogen declines during perimenopause, patients often experience shifts in lipid metabolism, weight regulation, and overall metabolic resilience—driving increased cardiovascular risk. This conversation dives into the critical role of the endothelial glycocalyx, nitric oxide signaling, and the gut microbiome in maintaining vascular integrity and systemic health. Dr. Fitzgerald and Kiran connect the dots between gut health, cardiovascular disease, joint degeneration, and systemic inflammation, offering a systems biology approach that is highly relevant for functional medicine practitioners. You’ll also hear how targeted interventions—specifically Arterosil, Vascanox, and Cartigenix—can be used synergistically to support endothelial health, nitric oxide production, microbial balance, and joint integrity. Topics covered include: - Endothelial glycocalyx dysfunction and cardiovascular risk - Nitric oxide signaling and vascular health - Perimenopause, estrogen decline, and metabolic changes - Gut microbiome influence on cardiovascular and joint health - Anabolic vs catabolic balance in aging - Clinical applications for Arterosil, Vascanox, and Cartigenix - Moving beyond LDL: a systems-based approach to heart health This episode provides a clinically grounded, functional medicine perspective on aging, cardiovascular disease prevention, and whole-body resilience. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS
Kiran Krishnan is a research microbiologist and health expert with over 20 years of experience in the microbiome and human health space. He is the co-founder of Microbiome Labs, a leading microbiome therapeutics company focused on supporting healthcare professionals.Kiran has conducted and published research in scientific journals, contributed to academic textbooks, and holds multiple global patents. He is a widely recognized speaker known for translating complex microbiome science into practical, clinically relevant insights.
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Fatty acids remain one of the most debated areas in clinical nutrition, yet many widely held beliefs may not align with current evidence. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald sits down with Bill Harris, PhD, Founder of OmegaQuant Analytics and co-inventor of the Omega-3 Index, to examine the role of omega-3 and omega-6 fatty acids in cardiovascular risk and clinical decision-making.
Learn how to use the Omega-3 Index as a biomarker, interpret atrial fibrillation risk in the context of omega-3 intake, and differentiate between pharmaceutical and dietary interventions. The conversation also explores emerging data on linoleic acid, challenges simplified “good vs bad fat” models, and highlights the complexity of fatty acid metabolism—offering practical guidance for evaluating labs and refining nutrition strategies in practice.
Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/
GUEST DETAILS
Dr. Bill Harris, PhD is a leading omega-3 researcher with over 40 years of experience and more than 400 publications on fatty acids and health. He is the co-inventor of the Omega-3 Index and founder of OmegaQuant Analytics. Dr. Harris has held faculty positions at three medical schools, received NIH funding for omega-3 research, and co-authored American Heart Association statements on fatty acids and heart health. He is ranked among the top 2% of scientists worldwide for research impact.
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In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald speaks with Tom Fabian, PhD, Senior Educator and Research Specialist at Diagnostic Solutions Laboratory, about why higher protein intake doesn’t always lead to better muscle outcomes. Emerging research shows that digestion, microbiome balance, and immune signaling all influence how effectively the body utilizes dietary protein.
Dr. Fabian explores the gut–muscle axis and explains how microbiome-derived metabolites and regulatory T cells support tissue repair and recovery. The conversation also highlights why variability in protein digestion matters and how evaluating gut function can help practitioners determine whether patients are positioned to benefit from higher protein intake.
Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/
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Tom Fabian, PhD, translates microbiome research into clinical insights for functional medicine. He is a science advisor with Diagnostic Solutions Laboratory and a Science Advisory Board member with Designs for Health.
Email: tom.fabian@diagnosticsolutionslab.com
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As more patients present with digestive sensitivity and increasingly restricted diets, restoring gut resilience has become a central clinical challenge. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald speaks with Colleen Cutcliffe, PhD, CEO and co-founder of Pendulum Therapeutics, about emerging microbiome science and practical strategies for supporting microbial balance, dietary tolerance, and metabolic health.
The discussion explores next-generation probiotic strains, fiber diversity, IBS patterns, and real-world approaches clinicians can use to help patients rebuild microbiome resilience and expand diet diversity in practice.
Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/
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Colleen Cutcliffe, PhD, is CEO and Co-Founder of Pendulum Therapeutics, where she focuses on advancing microbiome science and metabolic health through next-generation probiotic research. She holds a PhD in Biochemistry and Molecular Biology from Johns Hopkins University and brings more than 25 years of experience across biotechnology, pharmaceuticals, and academic research.
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In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald speaks with Dr. Robert Lustig about the new USDA dietary guidelines and the broader forces shaping nutrition and metabolic health. Dr. Lustig brings a characteristically direct and nuanced perspective on sugar, ultra-processed foods, and food policy—raising important questions about what drives real change. It’s a thoughtful conversation that challenges assumptions and invites deeper reflection.
Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS Robert H. Lustig, MD, MSL, is Emeritus Professor of Pediatric Endocrinology at UCSF and a neuroendocrinologist with expertise in obesity, metabolism, and nutrition. Known for his influential work on sugar and ultra-processed foods, Dr. Lustig focuses on improving metabolic health through food system reform, research, and advocacy. He is the author of Fat Chance, The Hacking of the American Mind, and Metabolical, and a leader with Eat REAL, Biolumen, SnapRecall, and Perfact.
Website: https://robertlustig.com/ Email: rlustigmd@gmail.com
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Bone loss doesn’t start when fractures happen — it begins years earlier.
In this episode, we explore how bone aging accelerates during menopause and the emerging role of the gut microbiome as a driver of skeletal decline. Dr. Kara Fitzgerald speaks with research scientists from Sōlaria biō, the company behind Bōndia, about their work studying plant-derived microbes, microbial synergies, and the connections between gut health, inflammation, and bone loss in peri- and postmenopausal women.
We also review findings from a randomized, placebo-controlled clinical trial examining a microbiome-based intervention for bone health — and discuss why bone loss may need to be addressed earlier, systemically, and beyond hormones alone.
Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS
Alicia Ballok, Ph.D. is Director of Discovery at Sōlaria biō, leading research on plant-derived synbiotics for inflammatory and immune-mediated diseases. Trained in Microbiology and Immunology at Dartmouth, with postdoctoral work at Harvard Medical School and Massachusetts General Hospital, her work focuses on translating host–microbe science into therapeutic innovation.
Mark Charbonneau, Ph.D. is Vice President of R&D at Sōlaria biō. He earned his Ph.D. in Computational and Systems Biology at Washington University in St. Louis, studying infant microbiome development and undernutrition. His work spans microbiome research, bioinformatics, and live biotherapeutic innovation.
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Looking for a clinically proven way to target bone loss? Bōndia by Sōlaria biō is a groundbreaking blend of plant-derived prebiotics and probiotics shown in a clinical trial to improve bone density outcomes by 85%. Try it for yourself at Sōlaria biō and use code Kara20 for 20% off your order.
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The continued release of the Epstein files has sparked difficult but necessary conversations across the medical, longevity, and wellness communities.
In this candid and deeply reflective episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald sits down with Dr. Sara Szal and Dr. Brad Jacobs to explore what this moment calls forward from clinicians — ethically, professionally, and personally. Together, they discuss: • Medical accountability and the responsibility that comes with influence • The ethical obligations of physicians and mandated reporters • How the medical system has failed vulnerable adolescents — especially young women • Power dynamics, patriarchy, and the culture of silence • Trauma, ACE scores, and measurable impacts on long-term health • What practitioners can do differently starting now This is a thoughtful, clinician-focused conversation about integrity, trauma-informed care, and the role healthcare providers play in protecting and supporting patients. If you care about the future of ethical, patient-centered medicine, this is an important listen. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS Dr. Sara Szal is a best-selling author, board-certified gynecologist, and women’s health expert focused on helping women navigate perimenopause and menopause with strength and clarity. Her work integrates evidence-based medicine, advanced lab testing, and targeted lifestyle protocols to support body composition, metabolic health, sleep, mood, and cognitive vitality.
Website: https://saraszalmd.com/
Dr. Bradly Jacobs is a Stanford-trained physician and outcomes researcher specializing in men’s health, longevity, and behavior change. His work blends precision medicine, psycho-emotional development, and performance optimization to help men build vitality, resilience, and sustainable healthspan.
Website: https://drbradjacobs.com/
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What if obesity and metabolic dysfunction start in the muscle, not the fat tissue we usually measure? In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald and Dr. Gabrielle Lyon unpack this emerging science, from intramuscular adipose tissue to protein needs, anabolic resistance, fatty liver disease, and the role of muscle in healthy aging. A compelling episode with immediate takeaways for clinical practice.
Check out the show notes at https://www.drkarafitzgerald.com/fxmed-podcast/ for the full list of links and resources.GUEST DETAILS Dr. Gabrielle Lyon is the physician behind Muscle-Centric Medicine®, a groundbreaking approach that reframes muscle as the key driver of metabolic health, aging, and resilience. She is the bestselling author of FOREVER STRONG and the forthcoming Forever Strong Playbook, which translates her science-backed principles into practical strategies for building lifelong strength and capacity.
Website: https://drgabriellelyon.com/ Instagram: https://www.instagram.com/drgabriellelyon/ YouTube: https://www.youtube.com/@DrGabrielleLyon
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Exosomes are becoming one of the most talked-about tools in regenerative medicine, but not all exosomes are created equal. In this episode of New Frontiers, Dr. Kara Fitzgerald talks with Alisa Lask, CEO of Plated Skin, about the science behind platelet-derived exosomes and why their signaling pathways matter for repair, renewal, and changes in skin appearance.
We explore how discoveries in cardiology led to this technology, what early clinical studies are showing, and why source and preparation are critical when evaluating any exosome-based approach. A clear, grounded look at a fast-moving field for clinicians who want to understand what’s real, what’s emerging, and what deserves attention next. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS Alisa Lask is the CEO of Rion Aesthetics, where she is driving innovation in regenerative aesthetics with platelet-derived exosomes and leading research in areas like hair restoration and skin appearance. She also oversees (plated)™ Skin Science, a medical-grade exosome skincare line distributed through aesthetic providers.
Alisa previously held senior roles at Galderma, Allergan, Zimmer-Biomet, and Eli Lilly, and she serves on the Board of Directors for CollPlant. She holds an MBA from the University of Michigan and is also a nationally competitive show-jumping equestrian involved in dog rescue initiatives. THANKS TO OUR SPONSOR (plated)™ Skin Science: http://platedskinscience.com/ Plated Skin Science translates the discovery of Dr. Atta Behfar, M.D., Ph.D., Director of Mayo Clinic’s Van Cleve Cardiac Regenerative Medicine Program into the first shelf-stable skincare line using regenerative, platelet-derived exosomes. These aren’t generic exosomes; they’re a specific class shown in peer-reviewed trials to regenerate skin's appearance by improving the look of wrinkles, pigmentation, luminosity, and overall skin quality. It’s an elegant approach to visible signs of skin aging, recognized by Time as a Best Invention of 2024 and now used in more than 2,000 medical practices. Learn more at http://platedskinscience.com/CONNECT with DrKF
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Functional dentistry is emerging as a powerful missing link in systems-based care. In this episode of New Frontiers in Functional Medicine, Dr. Kara Fitzgerald sits down with Staci Whitman, DMD, IFMCP, a leading voice in functional pediatric dentistry and co-founder of the upcoming Institute for Functional Dentistry. Together, they explore how the oral microbiome, airway health, saliva, hormones, nutrition, and stress physiology shape systemic inflammation, chronic disease risk, and long-term health outcomes.
You’ll learn how to recognize oral contributors to gut issues, autoimmunity, cardiometabolic disease, cognitive decline, sleep disorders, and more—plus practical tools you can use right away in a medical setting, including a simple five-question airway and breathing screener. If you’re looking to expand your longevity and whole-body health framework, this conversation offers clear, actionable insights you won’t want to miss. Full show notes + references: https://www.drkarafitzgerald.com/fxmed-podcast/GUEST DETAILS Dr. Staci Whitman is a board-certified pediatric and functional dentist and co-founder of the Institute for Functional Dentistry (IFD). She integrates the oral microbiome, airway and sleep health, nutrition, hormones, and early childhood development into modern dental care. She also founded Bloom Kids Dentistry and has an upcoming book on the oral microbiome.
Website: http://doctorstaci.com
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