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    Health & Fitness

    Made for Health | Peptides | Lyme | Chronic Infections | Long Covid | Insulin Resistance | Hypermobility

    You were made for health—vibrant, thriving, and full of possibility. But navigating today’s broken healthcare system, endless misinformation, and confusion can feel overwhelming. On Made for Health, Dr. Aaron Hartman cuts through the noise to deliver science-backed solutions that restore your health and reignite your hope.

    Join us each week for expert insights, practical tips, and inspiring conversations that empower you to harness your body’s incredible power to heal. Whether you’re seeking clarity, direction, or just a trusted voice, this podcast is your roadmap to the vibrant life you were made for.

    Advertise

    Copyright: © Copyright 2025 Aaron Hartman, MD

    • Apple Podcasts
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    Latest Episodes:
    The Gut Microbiome, FMT & Bifidobacteria: What Dr. Sabine Hazan Is Learning About the Gut-Brain Connection | E192 Nov 02, 2026
    Show notes

    In this episode of Made for Health, Dr. Aaron Hartman sits down with Dr. Sabine Hazan, MD, a gastroenterologist, hepatologist, internal medicine specialist, and microbiome researcher whose work centers on the human gut microbiome and fecal microbiota transplantation, or FMT.

    Dr. Hazan founded ProgenaBiome, a genetic sequencing research laboratory focused on understanding patterns within the microbiome, and she has spent decades working in clinical research. Her journey into microbiome science began through gastroenterology, biologic therapies, recurrent C. difficile, and a fundamental question: if changing the gut can change disease, what exactly are we changing?

    The conversation explores fecal microbiota transplantation, stool testing, Bifidobacteria, gut-brain signaling, autism, Alzheimer's disease, long COVID, Crohn's disease, probiotics, microbiome compatibility, and the challenge of studying a biological ecosystem that may be far more individualized than medicine once assumed.

    Throughout the discussion, Dr. Hazan repeatedly emphasizes that much of this work is still research in progress, and she frames several of her observations as hypotheses that need further replication rather than settled clinical conclusions.

    Key Topics Covered

    • Why Dr. Hazan began studying the microbiome
    • Her background in gastroenterology and clinical trials
    • Crohn's disease and biologic therapies
    • Fecal microbiota transplantation
    • Recurrent C. difficile
    • Why microbiome testing needs validation and standardization
    • The limitations of commercial stool testing
    • CAP and CLIA laboratory standards
    • Why FMT may require donor-recipient compatibility
    • Why stool should not be treated like a one-size-fits-all product
    • Bifidobacteria and healthy aging
    • Bifidobacteria and immune function
    • The gut-brain axis
    • Autism and microbiome research
    • Alzheimer's disease and gut microbial patterns
    • Long COVID and microbiome changes
    • Crohn's disease and intestinal inflammation
    • Calprotectin and mucosal health
    • Probiotics and product-label accuracy
    • Why “more treatment” is not always better for the microbiome
    • Antibiotics and microbial shifts
    • Nutraceuticals and microbiome research
    • Light, sound, frequency, and environmental exposures as emerging research areas
    • Why microbiome restoration may take many months
    • The need for longitudinal testing and follow-up

    In This Episode, You Will Learn

    ✅ Why Dr. Hazan believes the microbiome should be studied as an ecosystem rather than treated as a single supplement target

    ✅ How her early work with FMT made her question whether every donor sample is appropriate for every patient

    ✅ Why she believes microbiome compatibility may eventually matter in a way similar to blood-transfusion compatibility

    ✅ Why stool tests should be reproducible before clinicians base treatment decisions on them

    ✅ How Bifidobacteria became one of the central organisms in her research

    ✅ What she has observed in research involving autism, Alzheimer's disease, long COVID, Crohn's disease, and other conditions

    ✅ Why the gut-brain relationship may involve both loss of beneficial microbes and overgrowth of other organisms

    ✅ Why she cautions against repeatedly adding antibiotics, antifungals, probiotics, or other interventions without understanding what they are doing to the microbial ecosystem

    ✅ Why microbiome improvement may require long-term monitoring rather than one short intervention

    Resources & Links

    🌐 Dr. Sabine Hazan:

    https://sabinehazanmd.com/

    🧬 ProgenaBiome:

    https://progenabiome.com/

    🔬 Microbiome Research Foundation:

    https://microbiomeresearchfoundation.org/

    📘 Let's Talk Sh!t

    By Dr. Sabine Hazan

    Dr. Hazan notes that ProgenaBiome's stool testing is conducted within research protocols and cautions that participants should not treat research sequencing results as direct treatment instructions.

    Connect With Dr. Sabine Hazan

    🌐 Official Website:

    https://sabinehazanmd.com/

    🧬 Research & ProgenaBiome:

    https://progenabiome.com/

    🔬 Microbiome Research Foundation:

    https://microbiomeresearchfoundation.org/

    Dr. Hazan also shares research updates through social platforms including X and Instagram.

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Endotoxins & LPS: Could Your Gut or Environment Be Keeping You Inflamed and Stuck? | 191 Oct 30, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this Made for Health solo minisode, Dr. Aaron Hartman continues his ongoing series asking:

    Why are you still sick? Why are you stuck? Why aren’t you healing the way you expected?

    This time, he focuses on a less-discussed source of inflammation: endotoxins, also known as lipopolysaccharides or LPS.

    Dr. Hartman explains that LPS comes from the outer membrane of gram-negative bacteria. These bacterial products can become relevant through environmental exposure, especially in damp or water-damaged buildings, but also through the gut when intestinal permeability allows bacterial components to interact more directly with the immune system.

    For people dealing with brain fog, bloating, autoimmune issues, SIBO, chronic inflammation, or lingering symptoms despite treating mold, Lyme disease, MCAS, and other conditions, Dr. Hartman suggests that endotoxin exposure may be another piece worth investigating.

    Key Topics Covered

    • What endotoxins are
    • Lipopolysaccharide, or LPS
    • Gram-negative bacteria
    • Environmental endotoxin exposure
    • Water-damaged buildings
    • Actinomycetes and bacterial contamination
    • Chronic Inflammatory Response Syndrome
    • Gut-derived endotoxins
    • Intestinal permeability and “leaky gut”
    • SIBO and bacterial overgrowth
    • Immune activation
    • Systemic inflammatory response
    • Brain fog and neurological symptoms
    • Autoimmune disease
    • PANS and PANDAS
    • Mold and biotoxin illness
    • Butyrate and gut health
    • Activated charcoal as a binder discussed in the episode
    • Oral IgG
    • BPC-157
    • Testing for immune responses to endotoxins
    • Why gut testing may reveal overlooked drivers of inflammation

    In This Episode, You Will Learn

    ✅ What endotoxins are and where they come from

    ✅ Why Dr. Hartman distinguishes mold exposure from other components of water-damaged buildings

    ✅ How gram-negative bacteria can contribute LPS to the environment and the gastrointestinal tract

    ✅ Why intestinal permeability may allow bacterial products to interact with the immune system

    ✅ How endotoxin exposure may overlap with inflammatory symptoms such as brain fog, bloating, immune activation, and autoimmunity

    ✅ Why SIBO can involve more than gas and bloating

    ✅ How Dr. Hartman connects endotoxins with inflammatory pathways he first encountered in hospital medicine

    ✅ What testing approaches he considers when evaluating possible endotoxin-related immune activation

    ✅ Which supportive strategies he discusses for reducing exposure and addressing the gut

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Gut Microbiome & Healthy Aging: Menopause, GLP-1s & Gut Health with Dr. Julia Malkowski | E190 Oct 26, 2026
    Show notes

    Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    What if healthy aging is influenced not only by the number of birthdays you’ve celebrated, but also by the ecosystem living inside your gut?

    In this insightful episode of Made for Health, Dr. Aaron Hartman sits down with Dr. Julia Malkowski, ND, DC, a naturopathic doctor, doctor of chiropractic medicine, and clinical educator at Doctor’s Data whose work focuses on the gut microbiome and functional diagnostics.

    Dr. Malkowski’s path into medicine began with a deeply personal experience. When her infant son developed a persistent skin rash, she sought answers beyond the explanations she had been given. She shares how seeing his skin improve after a dietary change redirected her career and inspired her to pursue naturopathic medicine.

    Today, that same curiosity shapes her work exploring “biome aging”—the idea that changes in the gut microbiome may offer insight into biological aging and health across the lifespan. Together, she and Dr. Hartman discuss microbiome diversity, inflammation, estrogen metabolism, perimenopause, menopause, GLP-1 medications, intestinal barrier function, and the influence of food and environmental exposures.

    The conversation ultimately returns to a practical message: supporting gut health begins with everyday foundations. From greens, beans, and berries to movement and time outdoors, Dr. Malkowski shares the habits she prioritizes before reaching for more complex interventions.

    Key Topics Covered

    • The personal experience that led Dr. Julia Malkowski into naturopathic medicine
    • What she means by “biome aging” and the gut’s biological clock
    • Microbiome diversity and changes across the lifespan
    • Gut health, inflammation, telomeres, and epigenetic aging clocks
    • Why perimenopause is an important transition in her approach to gut health
    • The estrobolome, estrogen metabolism, and beta-glucuronidase
    • Menopause-associated changes in cholesterol and metabolic health
    • Fiber as a foundation for feeding the gut microbiome
    • Naturally produced GLP-1 versus GLP-1 medications
    • Why nutrition quality still matters when appetite decreases on GLP-1 therapy
    • Fiber, polyphenols, and maintaining beneficial gut bacteria
    • Keystone microbes, including Bifidobacterium, Lactobacillus, and Faecalibacterium prausnitzii
    • Akkermansia muciniphila and its role in the gut ecosystem
    • Short-chain fatty acids and how microbes support one another
    • What microbiome testing can reveal—and why repeat results need context
    • Intestinal permeability, zonulin, tight junctions, aging, and stress
    • The speakers’ clinical experiences and research questions involving peptides
    • Questions about food additives, environmental exposures, and gut health
    • Dr. Malkowski’s research comparing microbiome patterns across regions
    • Early-life microbiome development, birth mode, and maternal influences
    • Simple food priorities: greens, beans, and berries
    • Movement, outdoor exposure, and social connection
    • Vitamin D, turmeric, olive oil, and individualized probiotic considerations
    • GI360 stool testing and interpreting findings with a qualified clinician

    In This Episode, You Will Learn

    • How her son’s health experience changed Dr. Malkowski’s career and approach to medicine
    • What she means by a gut microbiome’s “age,” and why she pays attention to diversity rather than chronological age alone
    • How she connects estrogen metabolism, microbial diversity, and intestinal barrier function when thinking about perimenopause and menopause
    • Why she emphasizes feeding the microbiome with fiber and polyphenol-rich foods during a GLP-1 medication journey—not focusing only on protein or reduced appetite
    • How thinking about the microbiome as an interconnected ecosystem changes the conversation about individual bacteria and probiotics
    • Why microbiome test results are a snapshot, and how diet and consistency matter when interpreting repeat testing
    • Why she considers intestinal barrier function and individual tolerance before assuming a probiotic is the right next step
    • How greens, beans, berries, movement, and time outdoors fit into her practical approach to supporting gut health
    • What functional stool testing can contribute to a conversation with your clinician, and why results need to be considered alongside symptoms and medical history

    Resources & Links

    Dr. Aaron Hartman – Richmond Functional Medicine:

    richmondfunctionalmedicine.com

    LinkedIn – Dr. Aaron Hartman: Connect Here

    YouTube – Richmond Functional Medicine: Watch Here

    Back-to-School 2026: Back-to-School Bundle

    Connect With Dr. Julia Malkowski

    Professional Website – Doctor’s Data:

    doctorsdata.com

    Instagram:

    @drjuliamalkowski

    LinkedIn:

    Connect With Dr. Julia Malkowski

    Facebook:

    Dr. Julia Malkowski

    Modern Human Podcast – Instagram & Updates:

    @themodernhumanpodcast

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Thiamine Deficiency & High-Calorie Malnutrition: Could Hidden Nutrient Deficiencies Be Why You’re Still Sick? | E189 Oct 23, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this Made for Health solo minisode, Dr. Aaron Hartman continues asking the question at the center of this series:

    Why are you still sick? Why are you stuck even after addressing Lyme disease, mold, MCAS, gut dysfunction, nervous-system dysregulation, and other potential drivers?

    This time, Dr. Hartman looks at something much more fundamental: Are you actually getting—and using—the nutrients your cells need?

    He explores thiamine, or vitamin B1, deficiency, including the possibility of milder functional deficiencies that may not resemble classic severe beriberi but could still overlap with symptoms such as fatigue, neurological complaints, dysautonomia, and POTS. He then expands the conversation to a larger concept: high-calorie malnutrition, where someone may consume plenty of calories while still being deficient in vitamins, minerals, and other micronutrients required for normal cellular energy production.

    For Dr. Hartman, this raises another important possibility for people who have made progress but still feel stuck:

    What if part of the problem is not another disease—but a body that simply does not have enough of the raw materials it needs to function well?

    Key Topics Covered

    • Why nutrient deficiencies may be overlooked in chronic illness
    • Thiamine, or vitamin B1, deficiency
    • Functional versus severe nutrient deficiency
    • Wet and dry beriberi
    • Thiamine and neurological function
    • Thiamine and cardiovascular function
    • Dysautonomia and POTS
    • Chronic fatigue and fibromyalgia
    • Mitochondrial dysfunction
    • Cellular energy production
    • Why some patients may respond to B1 supplementation
    • The concept of high-calorie malnutrition
    • Processed food and micronutrient density
    • B-vitamin deficiencies
    • Magnesium and potassium
    • Vitamin D
    • Omega-3 fatty acids
    • Micronutrients and the Krebs cycle
    • Why calories alone do not equal nutrition
    • Food fortification and nutrient loss from food processing
    • IV vitamin C and the additional nutrients often included with it
    • B-complex vitamins
    • Nutrient testing in complex chronic illness
    • Why rebuilding nutrient status may take time
    • Returning to foundational nutrition and real food

    In This Episode, You Will Learn

    ✅ Why Dr. Hartman routinely evaluates thiamine and other nutrient levels in complex patients

    ✅ How vitamin B1 deficiency can affect the nervous system, cardiovascular system, and energy production

    ✅ Why some symptoms associated with POTS, dysautonomia, chronic fatigue, and neurological dysfunction may prompt him to consider nutrient status

    ✅ What Dr. Hartman means by high-calorie malnutrition

    ✅ How someone can eat plenty of food while still lacking essential vitamins and minerals

    ✅ Why heavily processed carbohydrates may increase metabolic demand while providing fewer of the micronutrients needed to process them

    ✅ Why mitochondria require multiple vitamins and minerals to efficiently produce cellular energy

    ✅ Why feeling better after a multivitamin, B-complex, or nutrient replacement may sometimes provide an important clue

    ✅ Why improving one nutrient may not be enough if several deficiencies are present

    ✅ Why Dr. Hartman keeps returning to the same foundational recommendation: eat real, nutrient-dense food

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    The Metabolic Approach to Cancer: Trauma, Terrain, Mitochondria & Integrative Oncology with Dr. Nasha Winters | E188 Oct 19, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    What if cancer is not simply an isolated enemy to attack, but also a signal to look more closely at the terrain in which disease developed?

    In this powerful episode of Made for Health, Dr. Aaron Hartman sits down with Dr. Nasha Winters, ND, FABNO, L.Ac, Dipl.OM, a naturopathic doctor and Fellow of the American Board of Naturopathic Oncology whose work focuses on metabolic and integrative oncology.

    Dr. Winters’ interest in cancer is deeply personal. At just 19 years old, after years of unexplained health problems, she was diagnosed with advanced ovarian cancer involving multiple areas of her body and was told she may have only months to live. That experience ultimately redirected her education, clinical career, and understanding of health. Pasted text(20261018-195841)

    More than three decades later, she shares how that diagnosis changed the way she thinks about cancer, trauma, metabolism, environmental exposures, mitochondria, hormones, and the relationship between a person's biography and biology.

    Key Topics Covered

    • Dr. Nasha Winters’ stage IV ovarian cancer diagnosis at age 19
    • Why her early symptoms were repeatedly attributed to existing diagnoses
    • What changed when one physician recognized that something was different
    • Her prognosis and the moment she decided she wanted to understand cancer rather than simply “fight” it
    • The unexpected experiences she believes influenced her early survival
    • Fasting and metabolic stress in cancer
    • Childhood trauma and the Adverse Childhood Experiences, or ACE, framework
    • Big-T and little-T trauma
    • EMDR and trauma processing
    • Psychedelic experiences and confronting mortality
    • Psychoneuroimmunology
    • The relationship between emotions, stress, nervous-system signaling, and physical health
    • Cancer as a disease of the individual “terrain”
    • Environmental exposures and the exposome
    • Mitochondrial health
    • Metabolic dysfunction and cancer
    • Insulin and growth signaling
    • Hormone metabolism
    • Integrative approaches to prostate cancer
    • Integrative considerations in breast cancer
    • Colon cancer and the rising burden of cancer in younger adults
    • Why Dr. Winters believes patients should understand their individual terrain
    • How integrative oncology can work alongside conventional cancer care
    • Why patients may have more influence over their health than they realize

    In This Episode, You Will Learn

    ✅ How Dr. Winters went from a 19-year-old pre-med student with advanced cancer to spending decades studying integrative and metabolic oncology

    ✅ Why finally having someone believe that “something is different” was an important moment in her diagnosis

    ✅ How childhood experiences and unresolved trauma became part of the way she understood her own illness

    ✅ Why she considers metabolic health, immune function, nervous-system regulation, environmental exposures, and emotional health together rather than viewing cancer through one pathway

    ✅ What she means when she talks about a person's “terrain”

    ✅ Why Dr. Winters evaluates factors such as insulin signaling, hormone metabolism, environmental burden, inflammation, and mitochondrial function

    ✅ How she approaches different cancer types through an individualized lens rather than assuming every person with the same diagnosis has the same underlying terrain

    ✅ Why she believes conventional oncology and integrative oncology do not need to exist in opposition

    ✅ How patients can begin learning about their own health patterns even before facing a cancer diagnosis

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Connect With Dr. Nasha Winters

    🌐 Website:

    https://drnasha.com/

    🎙️ Podcast:

    Tend the Terrain

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Nervous System Dysregulation: Could Trauma, Limbic Kindling & Vagal Dysfunction Be Why You’re Still Sick? | E187 Oct 16, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this Made for Health solo minisode, Dr. Aaron Hartman continues his ongoing series asking a deceptively simple question:

    Why are you still sick? Why does your body seem stuck even after you’ve addressed so many other pieces?

    After years of working with patients dealing with mold illness, Lyme disease, autoimmune issues, gut dysfunction, SIBO, hormonal problems, brain fog, mast-cell activation, and other complex conditions, Dr. Hartman says one pattern increasingly stands out: the nervous system itself may remain dysregulated even after other contributors have been addressed. Pasted text

    This episode explores what he calls a nervous-system triad involving limbic-system dysregulation, mast-cell activation, and vagal dysfunction, along with trauma, multiple chemical sensitivity, the “cell danger response,” and why some patients paradoxically feel worse when given treatments that seem biochemically appropriate. Pasted text

    The central idea is not that chronic illness is “all in your head.” It is almost the opposite: your brain, nervous system, immune system, mitochondria, and stress-response pathways may all be communicating with one another—and sometimes the body has difficulty returning to a state that feels safe enough for recovery.

    Key Topics Covered

    • Why nervous-system dysregulation may keep some chronically ill patients feeling stuck
    • Why “it’s all in your head” can be a damaging oversimplification
    • Big-T trauma, little-T trauma, and healthcare-related trauma
    • Limbic-system hypervigilance
    • The amygdala, memory, emotion, and threat perception
    • Multiple Chemical Sensitivity and TILT
    • Mast Cell Activation Syndrome as part of the nervous-system picture
    • Vagal dysfunction and autonomic regulation
    • Fight, flight, freeze, shutdown, and overwhelm
    • Polyvagal concepts discussed in the episode
    • Chronic stress and the body’s sense of safety
    • The “cell danger response” framework
    • Mitochondria and inflammatory signaling
    • Why some patients feel worse from supplements or detoxification protocols
    • Reactions to glutathione, methyl donors, and other treatments discussed in the episode
    • Brain retraining and nervous-system regulation
    • EMDR, somatic therapy, parts work, breathwork, and tapping
    • Why trauma work may sometimes need to happen earlier in the healing process
    • Why foundational work involving stress, sleep, environment, and nervous-system regulation still matters

    In This Episode, You Will Learn

    ✅ Why Dr. Hartman believes nervous-system dysregulation can remain even after mold, Lyme, gut, hormonal, or autoimmune contributors have been addressed

    ✅ How limbic hypervigilance may lower the threshold at which the body perceives something as threatening

    ✅ Why sensitivities to foods, fragrances, chemicals, detergents, supplements, or capsule ingredients may sometimes occur alongside nervous-system dysregulation

    ✅ How vagal dysfunction may influence patterns of shutdown, overwhelm, autonomic symptoms, and recovery

    ✅ Why trauma does not have to mean one catastrophic event

    ✅ How illness itself—and even difficult experiences within the healthcare system—can become physiologically stressful

    ✅ Why some patients can react poorly to treatments that appear “correct” on paper

    ✅ Why Dr. Hartman increasingly considers nervous-system work alongside detoxification, infection treatment, nutrition, and other functional-medicine strategies

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Medical Gaslighting Doesn’t Stop in the Exam Room: How to Trust Yourself and Build the Right Care Team with Dr. Efrat LaMandre | E186 Oct 12, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this deeply personal episode of Made for Health, Dr. Aaron Hartman sits down with Dr. Efrat “Dr. E” LaMandre, a family nurse practitioner, PhD in Integrative Medicine, host of the Medical Disruptor podcast, and a leading voice on medical gaslighting.

    What begins as a conversation about why patients feel dismissed when their tests come back “normal” becomes something much more personal. Dr. E shares that she was recently diagnosed with stage IV lung cancer after months of back pain that she repeatedly minimized herself. The experience transformed her from a clinician who teaches patient advocacy into a patient navigating the healthcare system firsthand. Pasted text

    Together, Dr. Hartman and Dr. E explore a rarely discussed side of medical gaslighting: the ways patients can begin gaslighting themselves. We may apologize for taking a clinician’s time, downplay symptoms, assume normal tests mean nothing is wrong, or ignore the internal sense that something has changed.

    Their message is not to reject conventional medicine. It is to understand what each clinician can and cannot provide, continue investigating when symptoms persist, and build a healthcare team capable of looking at the whole picture.

    Key Topics Covered

    • What medical gaslighting actually means
    • Why normal laboratory results do not automatically mean a patient feels well
    • Why patients may feel dismissed even by well-intentioned clinicians
    • Populations most affected by medical gaslighting
    • Why women may be especially likely to minimize their symptoms
    • Fatigue, migrating pain, unusual sensations, and GI complaints that can be difficult to fit into conventional diagnostic categories
    • The habit of “pre-apologizing” before describing symptoms
    • How patients learn to become “good patients”
    • Why people sometimes trust test results more than their own bodily experience
    • Intuition as a form of pattern recognition
    • The importance of knowing when something is different from your normal
    • Why self-advocacy does not mean rejecting doctors
    • Understanding the limitations of individual medical specialties
    • Why conventional testing still matters
    • How to build a multidisciplinary healthcare team
    • Choosing clinicians and researchers over unqualified health advice
    • Avoiding overwhelm when facing a complex diagnosis
    • Why healing plans may need to be implemented gradually
    • The emotional and mental challenges of serious and chronic illness
    • Hope, family, purpose, and continuing to move forward

    In This Episode, You Will Learn

    ✅ What medical gaslighting can look like even when the clinician has good intentions

    ✅ Why being told “your tests are normal” should not automatically end the conversation when symptoms persist

    ✅ How patients can unknowingly participate in their own medical gaslighting by dismissing or minimizing what they feel

    ✅ Why Dr. E now tells patients to get concerning symptoms checked instead of talking themselves out of evaluation

    ✅ Why self-advocacy is not the same as being confrontational or distrustful of medicine

    ✅ How intuition can reflect years of subconscious pattern recognition

    ✅ Why every specialist has a particular role—and why complex health problems may require an entire team

    ✅ How to decide whose medical advice deserves your attention when everyone around you has an opinion

    ✅ Why you do not have to make every lifestyle or treatment change at once

    ✅ What becoming a patient taught Dr. E about exhaustion, uncertainty, hope, and the emotional burden of illness

    Connect With Dr. Efrat LaMandre

    🌐 Website:

    https://www.drefratlamandre.com/

    🎙️ Medical Disruptor Podcast:

    https://www.drefratlamandre.com/e-podcasts

    Dr. E shares additional education and updates under Dr. Efrat LaMandre across her social platforms. Her official website describes the Medical Disruptor podcast as a show featuring credentialed clinicians who examine the limits of conventional care while exploring integrative solutions. Dr E.

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    POTS and Dysautonomia: Could Nervous System Dysregulation Be Why You’re Still Sick? | E185 Oct 09, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this Made for Health minisode, Dr. Aaron Hartman continues exploring an important question: Why are you still sick? Why does your body seem unable to get back into a healing state?

    This time, he focuses on dysautonomia and POTS—Postural Orthostatic Tachycardia Syndrome—conditions involving dysfunction in the autonomic nervous system, which helps regulate processes such as heart rate, blood pressure, temperature, digestion, sleep, and the body's response to stress. Pasted text

    For some people, the signs are dramatic. For others, they can be subtle: feeling lightheaded when standing, experiencing a racing or pounding heart seemingly out of nowhere, waking suddenly at night, struggling with brain fog, cold hands and feet, unusual skin color changes, temperature intolerance, or simply feeling significantly better after fluids, electrolytes, compression, or time spent calming the nervous system. Pasted text

    Dr. Hartman explains why dysautonomia can easily become one more overlooked layer in complex chronic illness—and why identifying what originally disrupted the nervous system may be just as important as identifying POTS itself.

    Key Topics Covered

    • What dysautonomia means
    • What POTS is and how it relates to dysautonomia
    • The sympathetic and parasympathetic nervous systems
    • Lightheadedness and dizziness after standing
    • Heart racing and unexplained palpitations
    • Brain fog and difficulty thinking
    • Waking at night with a racing heart
    • Cold hands and feet
    • Changes in skin color and circulation
    • Problems regulating body temperature
    • Sleep, mood, hormonal, and gastrointestinal symptoms
    • Why mild dysautonomia may be overlooked
    • Fluids and electrolytes
    • Compression garments
    • Nervous-system regulation
    • Dysautonomia after concussion or head injury
    • Long COVID and post-infectious dysautonomia
    • Lyme disease and nervous-system dysfunction
    • Hypermobility and POTS
    • Mast Cell Activation Syndrome
    • Autoimmune and gastrointestinal overlap
    • Why the patient's history can guide treatment
    • The NASA Lean Test
    • Physical examination findings Dr. Hartman considers
    • Why treating the underlying trigger matters

    In This Episode, You Will Learn

    ✅ Why POTS is only one form within the broader category of dysautonomia

    ✅ How autonomic nervous-system dysfunction can affect much more than heart rate and blood pressure

    ✅ Why symptoms may sometimes resemble anxiety or panic

    ✅ Why someone can have significant autonomic symptoms without fitting a textbook presentation

    ✅ How POTS and dysautonomia may overlap with hypermobility, mast-cell activation, mold illness, Lyme disease, autoimmune issues, gut problems, and post-infectious conditions

    ✅ Why Dr. Hartman asks when the symptoms started and what happened around that time

    ✅ How concussion, illness, trauma, infection, or other physiological stressors may become part of the clinical timeline

    ✅ Why fluids, electrolytes, compression, strengthening, and nervous-system regulation may become part of an individualized approach

    ✅ How the NASA Lean Test can help collect heart-rate and blood-pressure information over time

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Best of: How Adopting a Child with Special Needs Led to a Medical Revolution | E184 Oct 05, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this special episode of Made for Health, Dr. Aaron Hartman shares the deeply personal story behind his journey from conventional family medicine into integrative and functional medicine—and why Richmond Integrative & Functional Medicine exists today.

    The turning point began with his daughter, Anna.

    When Dr. Hartman and his wife began caring for Anna, who had cerebral palsy and significant medical needs, they quickly found themselves questioning recommendations from specialists. One of the earliest moments involved a recommendation for a feeding tube because Anna was considered extremely small on a standard growth chart. Dr. Hartman and his wife declined, believing there might be another path. Months later, they discovered a growth chart specifically for children with cerebral palsy—and Anna was right in the middle of the expected range. Pasted text

    That experience fundamentally changed how Dr. Hartman viewed expertise, medical decision-making, and the importance of looking at the right frame of reference for the individual patient.

    From there, his family continued exploring alternatives when standard medicine seemed to offer only procedures, medications, or surgery. Their search took them into nutrition, genetics, advanced gut testing, functional neurology, rehabilitation technologies, neuromodulation, and other approaches that were often being used elsewhere long before they became familiar in mainstream American medicine. Pasted text

    Today, Anna continues to make progress far beyond what her family was originally told to expect. Dr. Hartman shares how that experience shaped not only his life as a father but also his identity as a physician, researcher, and lifelong student of medicine. Pasted text

    Key Topics Covered

    • How Dr. Hartman originally entered medicine
    • The difference between learning medicine and truly learning how to heal
    • How adopting Anna changed his personal and professional life
    • Raising a child with cerebral palsy and significant medical needs
    • Why his family began questioning specialist recommendations
    • Anna’s feeding-tube recommendation and the importance of the correct clinical reference point
    • Why medical experts can sometimes be wrong
    • Medical gaslighting and families with special-needs children
    • Looking beyond one-size-fits-all treatment
    • Why function mattered more than appearance in Anna’s care
    • Exploring nutrition, genetics, gut health, and functional neurology
    • Technologies and therapies used in neurological rehabilitation
    • Why Dr. Hartman became increasingly interested in root-cause medicine
    • His transition from traditional family medicine into functional medicine
    • The role of clinical research in shaping his thinking
    • IFM, integrative medicine, functional medicine, and advanced training
    • Learning about mold, CIRS, mast-cell activation, and hypermobility
    • How his understanding of chronic illness evolved over time
    • Why short conventional appointments were not enough for complex patients
    • The creation of Richmond Integrative & Functional Medicine
    • Why complex patients need time, curiosity, and individualized care
    • Moving the practice to a fully functional-medicine model
    • The role of faith, family, persistence, and continuing education
    • Dr. Hartman’s vision for the future of personalized medicine

    In This Episode, You Will Learn

    ✅ Why caring for his daughter became the biggest turning point in Dr. Hartman’s medical career

    ✅ How using the wrong clinical reference point almost led Anna toward an unnecessary feeding tube

    ✅ Why Dr. Hartman began questioning the idea that specialists always have the complete answer

    ✅ How parenting children with complex health needs pushed him to investigate nutrition, genetics, neurology, and rehabilitation more deeply

    ✅ Why functional medicine appealed to him as a way of asking “Why?” rather than only treating the diagnosis

    ✅ How research helped him recognize that many “new” therapies are often built on decades of previous science

    ✅ Why conditions such as mold illness, mast-cell activation, hypermobility, and complex chronic illness required him to keep expanding his training

    ✅ Why he eventually realized complex patients needed much more than a 10- or 12-minute appointment

    ✅ How Richmond Integrative & Functional Medicine grew from a personal family journey into a practice serving patients with complex chronic conditions

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


    Hypermobility and Fascia: Could Your Connective Tissue Be Why You’re Still Stuck? | E183 Oct 02, 2026
    Show notes

    🎒 Back-to-school season brings changing routines, new exposures, and added demands on the whole family. Support your family’s health this season with Richmond Integrative & Functional Medicine’s Back-to-School 2026 resources.

    Back-to-School 2026:

    https://richmondfunctionalmedicine.com/lp/back-to-school-2026/

    In this Made for Health minisode, Dr. Aaron Hartman continues exploring the question at the center of this series: Why are you still sick? Why does your body seem stuck even after addressing so many other pieces?

    This time, he turns to something that connects nearly every structure in the body but often receives far less attention: fascia and connective tissue.

    Dr. Hartman explains that fascia helps support organs, tissues, joints, nerves, and other structures throughout the body. For people with hypermobility, those tissues may be more lax or stretchy, which he believes can influence everything from joint stability and pain to nervous-system activation and complex chronic illness. Pasted text

    And hypermobility doesn't always mean someone can still perform obvious “double-jointed” tricks. Dr. Hartman explains that people who were very flexible when younger may become increasingly tight and painful as they age because the surrounding fascia can stiffen and develop areas of restriction—even while certain joints remain hypermobile. Pasted text

    Key Topics Covered

    • Why fascia and connective tissue may be an overlooked part of chronic illness
    • What hypermobility actually means
    • Why hypermobility is more than being “double-jointed”
    • The relationship between fascia and the nervous system
    • Why loose connective tissue may increase sensory input to the brain
    • Hypermobility as both a potential strength and vulnerability
    • Why hypermobile people may become tighter with age
    • Fascia, pain, and nervous-system activation
    • Ehlers-Danlos syndrome versus the broader hypermobility spectrum
    • The Pentad Super Syndrome discussed by Dr. Hartman
    • Hypermobility and Mast Cell Activation Syndrome
    • Hypermobility and POTS/dysautonomia
    • Gastrointestinal issues and connective tissue
    • Autoimmune conditions and hypermobility
    • Associations with ADHD, autism, OCD, and other neuropsychiatric conditions discussed in the episode
    • Bruising, bleeding, joint instability, and sports injuries
    • Nutrition and connective-tissue repair
    • Protein and collagen
    • Vitamin C and collagen production
    • Trace minerals and connective-tissue health
    • Bone broth, organ meats, and mineral-rich foods
    • Why childhood flexibility history may matter in adults
    • The Beighton score as a screening tool

    In This Episode, You Will Learn

    ✅ Why connective tissue may deserve more attention when chronic symptoms aren't improving

    ✅ Why hypermobility affects more than just joints

    ✅ How Dr. Hartman connects fascia with sensory signaling and nervous-system activation

    ✅ Why someone can be hypermobile and still feel extremely stiff as an adult

    ✅ How hypermobility may overlap with POTS, dysautonomia, mast-cell activation, gastrointestinal problems, and autoimmune issues

    ✅ Why childhood flexibility can provide important clues even if you are no longer flexible today

    ✅ Why hypermobile athletes may sometimes experience repeated injuries despite being strong and highly trained

    ✅ Why Dr. Hartman pays particular attention to protein, collagen, vitamin C, and mineral status in hypermobile patients

    ✅ How the Beighton score can help identify physical signs associated with hypermobility

    Resources & Links:

    🌐 Dr. Aaron Hartman – Richmond Functional Medicine: richmondfunctionalmedicine.com

    🌐 LinkedIn – Dr. Aaron Hartman: Connect Here

    📺 YouTube – Richmond Functional Medicine: Watch Here

    🎒 Back-to-School 2026: Back-to-School Bundle

    Mentioned in this episode:

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents

    25% Off Back to School Support for Parents

    Back to school asks a lot of parents, too. Support your body through the season with three physician-reviewed, foundation-first essentials: Twice Daily Multi, Quercetin + Nettles, and NAC. For a limited time, save 25% on the Back to School Support Bundle. Visit the link below ⬇️ Shop the Back to School Sale

    Back to School Support for Parents


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