The Soil is Broken - and It's Showing Up in Our Patients | Dr. Nanda | Part 4 episode artwork

EPISODE · Apr 10, 2026 · 20 MIN

The Soil is Broken - and It's Showing Up in Our Patients | Dr. Nanda | Part 4

from Chief Milestones · host Reshma Vadlamudi

This episode isn't about eating clean. It's about what's actually missing from the food chain before the food reaches you - and what it takes to try to fix it at the source.In Part 4 of this conversation, Dr. Nanda - physician, researcher, and now regenerative farmer - breaks down the microbial science behind soil health, why conventional and even organic farming practices are building the wrong ecosystem, and what he's running into as he tries to scale a compost operation designed to restore what chemical agriculture has removed.We cover:Why a handful of soil already contains enough nutrients for an acre - and why the plant still can't access them without the right microbial activityThe difference between what a standard farm soil test measures versus what's actually present in the soil at an elemental levelWhy raw manure - including organic chicken manure - builds an anaerobic ecosystem that undermines long-term soil healthWhy organic certification and hydroponic growing don't guarantee nutritional density, and the nutrient count question older agricultural texts answer differently than current onesThe equipment gap Dr. Nanda is trying to engineer around: standard boom sprayers designed for chemicals shred living microbes, and the infrastructure for compost application at scale doesn't exist yetWhy regenerative systems are more resilient to climate variability than chemical inputs - and why that matters nowThe direct connection between soil microbiome depletion, prebiotic starvation, and the chronic disease patterns Dr. Nanda sees in his patientsThis is a conversation about systems - biological, agricultural, and operational - and what it looks like to build something new inside infrastructure that wasn't designed for it.This is Part 4 of an ongoing conversation. Parts 1–3 are available in the Chief Milestones feed.Chief Milestones is a podcast studying how real operators, founders, and decision-makers build durable outcomes under real constraints - in business, health, and family.Reach out: [email protected] Milestones is a video podcast featuring honest conversations with founders, parents, and investors about building real businesses, staying healthy, and raising families.New episodes release Tuesdays and Fridays.Youtube: https://www.youtube.com/@ChiefMilestonesInstagram: https://www.instagram.com/chiefmilestones/Spotify: https://open.spotify.com/show/7HLDAe7SP3GnJSTOgAQqLy?si=6e9ac82be46f413cApple Podcasts: https://podcasts.apple.com/us/podcast/chief-milestones/id1861185226

Episode metadata supplied by the publisher feed · Published Apr 10, 2026

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This episode isn't about eating clean. It's about what's actually missing from the food chain before the food reaches you - and what it takes to try to fix it at the source. In Part 4 of this conversation, Dr. Nanda - physician, researcher, and now regenerative farmer - breaks down the microbial science behind soil health, why conventional and even organic farming practices are building the wrong ecosystem, and what he's running into as he tries to scale a compost operation designed to restor...

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The Soil is Broken - and It's Showing Up in Our Patients | Dr. Nanda | Part 4

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