When the Right Dose Changes Everything episode artwork

EPISODE · Jan 28, 2026 · 50 MIN

When the Right Dose Changes Everything

from Demystifying PANS/PANDAS Podcast · host Nancy O'Hara MD

In this episode of Demystifying PANS/PANDAS, I talk with TruDOSE leaders Tapley Holland and Elena Herning about how precision-dosed platelet therapy works to modulate immune dysfunction, calm neuroinflammation, and support healing in children and adults with complex conditions like autism and PANS/PANDAS.When healing finally starts working, it doesn’t always look comfortable at first. In this episode of Demystifying PANS/PANDAS, Tapley Holland and Elena Herning join us to explore TruDOSE, an IV therapy using a patient’s own platelets, precisely dosed and retested to stimulate repair and immune balance rather than suppress symptoms.They explain why the body doesn’t recognize diagnoses, only dysfunction, and how TruDOSE works systemically to modulate inflammation, immune signaling, and repair pathways. The conversation also dives into emerging research, early microbiome findings, real-world outcomes in autism and PANS/PANDAS, and why understanding why a therapy doesn’t work is just as important as celebrating when it does.Tapley Holland and Elena Herning are the leaders behind TruDOSE, a precision-based IV platelet therapy focused on immune modulation and systemic repair. Their work centers on using a patient’s own platelets, carefully tested and retested for dose accuracy, to support healing across complex inflammatory, neurological, and immune-driven conditions.Together, they are advancing TruDOSE through provider education and multiple IRB-backed research initiatives, including studies in autism, PANS/PANDAS, microbiome health, sports medicine, women’s health, and more, driven by a mission to better understand why therapies work, and sometimes don’t.Tapley Holland and Elena HerningWebsite: https://trudose.comNancy O’Hara, MD, MPH, FAAP, FMAPSWebsite: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PODCASTThank you for listening.Please subscribe and share.This podcast is produced by DrTalks.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

In this episode of Demystifying PANS/PANDAS, I talk with TruDOSE leaders Tapley Holland and Elena Herning about how precision-dosed platelet therapy works to modulate immune dysfunction, calm neuroinflammation, and support healing in children and adults with complex conditions like autism and PANS/PANDAS.When healing finally starts working, it doesn’t always look comfortable at first. In this episode of Demystifying PANS/PANDAS, Tapley Holland and Elena Herning join us to explore TruDOSE, an IV therapy using a patient’s own platelets, precisely dosed and retested to stimulate repair and immune balance rather than suppress symptoms.They explain why the body doesn’t recognize diagnoses, only dysfunction, and how TruDOSE works systemically to modulate inflammation, immune signaling, and repair pathways. The conversation also dives into emerging research, early microbiome findings, real-world outcomes in autism and PANS/PANDAS, and why understanding why a therapy doesn’t work is just as important as celebrating when it does.Tapley Holland and Elena Herning are the leaders behind TruDOSE, a precision-based IV platelet therapy focused on immune modulation and systemic repair. Their work centers on using a patient’s own platelets, carefully tested and retested for dose accuracy, to support healing across complex inflammatory, neurological, and immune-driven conditions.Together, they are advancing TruDOSE through provider education and multiple IRB-backed research initiatives, including studies in autism, PANS/PANDAS, microbiome health, sports medicine, women’s health, and more, driven by a mission to better understand why therapies work, and sometimes don’t.Tapley Holland and Elena HerningWebsite: https://trudose.comNancy O’Hara, MD, MPH, FAAP, FMAPSWebsite: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.drohara.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.facebook.com/drnancyohara/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.instagram.com/nhoharamd/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠LinkedIn: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.linkedin.com/in/nancy-o-hara-md-mph-faap-390781258/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠PODCASTThank you for listening.Please subscribe and share.This podcast is produced by DrTalks.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://drtalks.com/podcast-service/

NOW PLAYING

When the Right Dose Changes Everything

0:00 50:55

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

That Hoarder: Overcome Compulsive Hoarding That Hoarder Hoarding disorder is stigmatised and people who hoard feel vast amounts of shame. This podcast began life as an audio diary, an anonymous outlet for somebody with this weird condition. That Hoarder speaks about her experiences living with compulsive hoarding, she interviews therapists, academics, researchers, children of hoarders, professional organisers and influencers, and she shares insight and tips for others with the problem. Listened to by people who hoard as well as those who love them and those who work with them, Overcome Compulsive Hoarding with That Hoarder aims to shatter the stigma, share the truth and speak openly and honestly to improve lives. The Small Business Startup School – Business Notes | Financial Literacy | Retail Psychology – For Professionals & Entrepreneurs The Small Business Startup School Inc. Starting or buying a small business? While personal circumstances may vary, business patterns remain timeless. On The Small Business Startup School, we explore strategies, insights, and practical solutions to help entrepreneurs confidently navigate their journey.Hosted by Ola Williams—a retail entrepreneur, fintech founder, and financial coach with over two decades of experience—this podcast marries financial awareness and retail psychology with optimism to deliver actionable takeaways.Join us to learn, grow, and connect as we uncover the keys to business success.Let’s continue to learn together and be encouraged to keep on connecting! DIOSA. Carolina Sanper This podcast is a sacred space created by Carolina Sanper where you connect with your inner wisdom and embody your magnetic feminine power.It is the realization that the mystical realm is where you plant the seeds of your desired reality.It is a portal to your true essence: awareness, presence, and receiving with ease. Welcome home, DIOSA. 🖤 XXX Tech by SOVRYN Dr. Brian Sovryn The crossroads between technology, sensuality, and metaphysics - and the longest running anarchist podcast in the world! Brought to you by Dr. Brian Sovryn.

Frequently Asked Questions

How long is this episode of Demystifying PANS/PANDAS Podcast?

This episode is 50 minutes long.

When was this Demystifying PANS/PANDAS Podcast episode published?

This episode was published on January 28, 2026.

What is this episode about?

In this episode of Demystifying PANS/PANDAS, I talk with TruDOSE leaders Tapley Holland and Elena Herning about how precision-dosed platelet therapy works to modulate immune dysfunction, calm neuroinflammation, and support healing in children and...

Can I download this Demystifying PANS/PANDAS Podcast episode?

Yes, you can download this episode by clicking the download button on the episode player, or subscribe to the podcast in your preferred podcast app for automatic downloads.
URL copied to clipboard!