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PODCAST · health

Medicine Redefined

by Altamash Raja, DO and Darsh Shah, DO

Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means. Hosts Dr. Darsh Shah and Dr. Altamash Raja spotlight clinicians, scientists, thought leaders, and reformers who are reshaping how we think about physical, mental, metabolic, and systemic health. While the healthcare system focuses on treating disease, our guests focus on optimizing human potential. From sleep and nutrition to stress resilience and lifestyle medicine, discover how forward-thinking practitioners are putting the health back in healthcare.

Publisher-supplied feed metadata · PodParley refreshed Oct 17, 2026 · Source feed

Episodes

  1. 213. Power Fades Faster Than Strength: How to Test It and Train It (Training Series, Part 4)

    EPISODE DESCRIPTION Strength is how much force you can make. Power is how fast you make it, and it fades roughly twice as fast with age. In part four of the training series, Dr. Altamash Raja and Dr. Darsh Shah explain why most of that loss isn't about muscle size, how to train power with…

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  2. 212. How Much Cardio Do You Really Need? Zone 2, VO2 Max, HIIT, and the Minimum Effective Dose (Training Series, Part 3)

    EPISODE DESCRIPTION Is zone 2 really the secret to longevity? In part three of the training series, Dr. Altamash Raja and Dr. Darsh Shah dig into the cardio evidence: why the biggest drop in mortality comes from going from nothing to something, how much benefit sits beyond 150 minutes a week, and...

  3. 211. Strength vs. Hypertrophy: Load, Weekly Sets, Training to Failure, and the Minimum Effective Dose (Training Series, Part 2)

    EPISODE DESCRIPTION How many hard sets does muscle actually need, and does the weight on the bar matter? In part two of the training series, Dr. Altamash Raja and Dr. Darsh Shah work through the 2026 ACSM position stand: strength and size as two goals with two prescriptions, why effort matters…

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  4. 210. How to Build a Training Week You'll Actually Repeat (Training Series, Part 1)

    Is your training week built on evidence, or on habit? In part one of a five-part series, Dr. Altamash Raja and Dr. Darsh Shah unpack the American College of Sports Medicine's 2026 resistance training position stand: what didn't consistently matter (training to failure, machines versus free…

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  5. 209. What Actually Matters for Longevity: Visceral Fat, VO2 Max, Muscle Mass, and Insulin Resistance | Sam Robinson, DO

    EPISODE DESCRIPTION Should doctors be worried about AI, or should administrators? Family physician Dr. Sam Robinson left a 2,200-patient insurance panel with a 13-week waitlist to build Altaura Health, a direct primary care longevity practice outside Sacramento. He joins Drs. Raja and Shah on the...

  6. 208. Acid Reflux Isn’t Just an Acid Problem: PPIs, Rebound, and Deprescribing | Badal Shah, DO

    EPISODE DESCRIPTION Acid reflux isn't a problem of too much acid. Gastroenterologist Dr. Badal Shah joins Drs. Raja and Shah to break down what's actually failing (the lower esophageal sphincter), how patients end up on PPIs for decades, and how to wean off without rebound. They cover the…

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  7. 207. Treatment-Resistant Depression: TMS, Ketamine, Spravato, and What Comes Next | Rocky Sullivan, DO

    EPISODE DESCRIPTION If antidepressants haven't worked, is that the end of the road? Dr. Patrick "Rocky" Sullivan returns to break down transcranial magnetic stimulation — what it actually does to the brain, how it differs from ECT, and where it fits alongside ketamine and Spravato. He covers...

  8. 206. FDA Approval on Peptides, Creating a Second Brain with AI, Red Light Therapy, and Building Capacity

    Dr. Darsh Shah and Dr. Altamash Raja catch up on hybrid athlete training, peptides, AI, red light therapy, health tech, and the balance between optimization and resilience. From HYROX prep and the rise of competitions like the Lifetime Games to recent peptide committee votes, CMS reimbursement...

  9. 205. Beyond Rest and Recovery: What Actually Heals the Brain After Concussion | Marissa McCarthy, MD

    Dr. Darsh Shah and Dr. Altamash Raja sit down with Dr. Marissa McCarthy, a board-certified physical medicine and rehabilitation physician, brain injury specialist, and residency program director for the University of South Florida PM&R program. Dr. McCarthy practices at the USF Concussion Center...

  10. 204. Metabolic Flexibility Explained: Why Ketones May Be an Overlooked Health Marker | Dorian Greenow

    Dr. Darsh Shah and Dr. Altamash Raja sit down with Dorian Greenow, founder of Keto-Mojo, for a wide-ranging conversation on ketosis, metabolic flexibility, chronic disease, and what it means to make health measurable. Dorian shares how his own experience with weight gain, depression, and...

  11. 203. What Medical School Doesn’t Teach About Health, Fulfillment, and Finding Your Why | Brian Devorkin

    Dr. Darsh Shah and Dr. Altamash Raja sit down with Brian Devorkin, a third-year medical student at Case Western and host of BackedBriScience, for a wide-ranging conversation on fulfillment, longevity, chronic illness, and the harder questions behind choosing medicine. Brian shares how chronic...

  12. 202. Metabolic Osteoarthritis: How Fat Tissue Talks to Your Joints

    In this episode, Dr. Darsh Shah and Dr. Altamash Raja explore the emerging concept of metabolic osteoarthritis and the growing evidence linking joint degeneration to obesity, insulin resistance, inflammation, and metabolic syndrome. They break down novel research on GLP-1 medications and…

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  13. 201. You Spend Your Whole Life Chasing Something… Then What? The Psychology of High Performers | Casey Stevens, MS, LMFT

    Casey Stevens is a trauma-informed therapist, speaker, and guide focused on nervous system healing, consciousness, emotional resilience, and the relationship between trauma, identity, and human potential. In this conversation, we explore high performance, vulnerability, trauma, nervous system...

  14. 200. Can Hospital Food Help Patients Heal? Food as Medicine at Tampa General | Tanuja Sharma, MD

    Dr. Tanuja Sharma is a board-certified family and integrative medicine physician and the Medical Director of Integrative Medicine and Arts at Tampa General Hospital. She completed her integrative medicine fellowship through the Andrew Weil Center at the University of Arizona and is leading one of...

  15. 199. The Mental Strength Playbook: Workplace Stress, Burnout, and Showing Up Under Pressure | Amy Morin, LCSW

    Dr. Altamash Raja and Dr. Darsh Shah sit down with Amy Morin, LCSW, to discuss how to turn pressure into strength, build resilience through small wins, and navigate burnout in today’s work culture. Morin gives us simple tools and a practical approach to manage anxiety, dread, and difficult...

  16. 198. Beyond LDL: The 2026 Guidelines Make Lp(a), ApoB & 30-Year Risk Essential

    Darsh and Altamash unpack the first major ACC/AHA lipid update since 2018, now reframed as a dyslipidemia guideline expanding beyond LDL to include triglycerides, ApoB, and lipoprotein(a). They highlight earlier prevention, the new PREVENT risk calculator, return of numeric LDL and non-HDL…

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  17. 197. Sleep for High Performers: Jet Lag, Naps, Wearables, and When Tech Helps (or Hurts) | Jade Wu, PhD

    We welcome back sleep expert Jade Wu to discuss practical sleep strategies for high performers, especially around travel, naps, and sleep technology. Dr. Wu suggests we may be over-relying on technology for our sleep, making the case for simplicity when it comes to sleep scores, managing jet lag,...

  18. 196. Is Sleep the Ultimate Performance Enhancer? | Jade Wu, PhD

    Behavioral sleep psychologist Dr. Jade Wu returns for round three to explain why sleep is the ultimate performance enhancer — not a cost to be paid. She breaks down sleep's role in physical repair, cognitive function, and emotional regulation, and shares why both neglecting sleep and...

  19. 195. Menopause Hormone Therapy: What the WHI Got Wrong and What the FDA Finally Fixed | Lauren Spivack, MD

    Dr. Lauren Spivack is a board-certified OB-GYN, Menopause Society Certified Practitioner, and fellowship-trained minimally invasive gynecologic surgeon. She treats patients in South Jersey and through the evidence-based telehealth platform Alloy (https://www.myalloy.com/). In this episode, we…

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  20. 194. Why the Food Pyramid Flipped, How to Exercise for Longevity, & Will AI Replace Doctors?

    In this episode, Dr. Altamash Raja and Dr. Darsh Shah break down the newly released 2025–2030 U.S. Dietary Guidelines, explore new research on exercise variety and longevity, and discuss how rapid advances in artificial intelligence are reshaping healthcare, clinical workflows, and the future of...

  21. 193. The GLP-1 Revolution: Food Noise, Muscle Loss & The Future of Metabolic Medicine | Priya Jaisinghani, MD

    Today, Dr. Priya Jaisinghani joins us to cut through the headlines. We move beyond the "cheating" narrative and explore the biology of obesity as a chronic disease. We discuss the phenomenon of "Food Noise"—the constant mental static about eating—and why silencing it is a matter of brain…

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  22. 192. Metabolic Psychiatry Toolkit: Measuring Ketones, Treating Insulin Resistance, and Using GLP-1s Strategically | Matt Bernstein, MD

    In Part 1, we established that psychiatry often treats a metabolic crisis as a simple chemical imbalance. Today, Dr. Matt Bernstein returns to give us the solution. This episode is a masterclass on the ketogenic diet—not for weight loss, but as a critical medical intervention for serious mental...

  23. 191. Psychiatry Abandoned Biology: The Metabolic Crisis in the Brain | Matt Bernstein, MD

    In this episode of Medicine Redefined, Dr. Altamash Raja and Dr. Darsh Shah sit down with psychiatrist Matt Bernstein, MD to question why mental health outcomes continue to worsen despite more medications and access to care. Matt introduces metabolic psychiatry, a framework that looks beyond...

  24. 190. Holiday Travel Protocol, Protein Debates, & Planning to Fail

    Darsh and Altamash break down why health outcomes are shaped by small, repeated choices (not occasional slip-ups). Using weight gain around the holidays as an example, they discuss how consistency and habit adherence matter more than intensity or “reset” culture. They explore how simplifying…

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  25. 189. Creatine as Medicine: Brain Health, Bone, & Longevity | Darren Candow, PhD

    Join Dr. Altamash Raja and Dr. Darsh Shah on Medicine Redefined as they introduce Dr. Darren Candow, a leading researcher on creatine supplementation. The episode dives into the benefits of creatine, not just for muscle performance, but also for brain health, bone density, and cardiovascular...

  26. 188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD

    Join Dr. Altamash Raja and Dr. Darsh Shah in a comprehensive discussion with Dr. Allison Grimaldi on femoral acetabular impingement (FAI) and hip health. This episode of Medicine Redefined dives into part two of the hip-focused conversation. Dr. Grimaldi provides a deep dive into FAI, discussing...

  27. 187. What We Get Wrong About Lateral Hip Pain | Alison Grimaldi, PhD

    Join hosts Darsh and Altamash as they sit down with Dr. Allison Grimaldi to dive deep into the complexities of hip pain and the latest research in the field. In this episode, Dr. Grimaldi sheds light on the challenges of diagnosing and treating hip issues, the anatomy of the hip joint, and the...

  28. 186. Stop Overpaying for Your Health Insurance: EOBs, Tiers & Avoiding Bad Bills

    Ever felt like your insurance company is gaslighting you? Dr. Altamash Raja shares a real story that turned a routine billing error into a masterclass on how to actually navigate health insurance. From copays and deductibles to hidden tiers and the fine print that drains your wallet - this…

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  29. 185. The Functional Medicine Revolution That Went Wrong | Nisha Chellam, MD

    Dr. Darsh Shah and Dr. Altamash Raja sit down with Dr. Nisha Chellam to explore her journey from traditional internal medicine to functional medicine. Together, they discuss the “revolving door” of chronic disease, why she stopped attending supplement-driven conferences, and how she blends...

  30. 184. Fixing Credentialing and the Future of Physician Autonomy | Leah Houston, MD

    Darsh and Altamash talk to Dr. Leah Houston, an emergency medicine physician turned healthcare entrepreneur, for insights on the broken physician credentialing system and how technology could restore autonomy to doctors. TIMESTAMPS: 00:01:00 – Evercred (decentralized physician credentialing...

  31. 183. Tech Tools, Living Pro-Analog, Ketones, and Finding Preventive Healthcare

    Darsh and Altamash are back, trading thoughts on what’s been capturing their attention lately - from the tech tools boosting daily efficiency to the appeal of living more “pro-analog.” They dive into the hype and science behind ketones, unpack how GLP-1s are reshaping the way we think about food...

  32. 182. How The Biggest Loser Revealed the Dark Side of Weight Loss

    Darsh and Altamash dive into Netflix’s Fit for TV and the wild story behind The Biggest Loser. From shocking weight loss tactics to the billion-dollar business of reality TV, tune in as they break down the science of obesity, GLP-1s, and the dark side of weight-loss entertainment. Sources: 00:01…

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  33. 181. The Truth About Menstrual Cycle Training & Hormonal Impacts on Performance | Shawn Arent, PhD, CSCS

    Dr. Darsh Shah and Dr. Altamash Raja continue their conversation with Dr. Shawn Arent on hormone physiology and performance. They dive into female physiology and menstrual cycle myths, the overlooked role of thyroid and reverse T3, catecholamines and autonomic balance, and the future of…

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  34. 180. The Truth About Cortisol, Insulin & Overtraining | Shawn Arent, PhD, CSCS

    We are back with a powerhouse guest, Dr. Shawn Arent, for part 1 of a series on hormone optimization. From cortisol misconceptions to insulin fearmongering, they cut through the noise with science-backed insight into performance, recovery, and stress physiology. You’ll rethink everything you’ve...

  35. 179. Is Medicine Worth It? Real Talk on Debt, Purpose, and The Future of Doctors

    In this episode of Medicine Redefined, Darsh and Altamash dive deep into the question on every future and current physician’s mind: is medicine still worth it? What starts as a reflection on the financial and emotional toll of the profession quickly evolves into a powerful conversation about...

  36. 178. The Cost of Secrecy in Insurance: Why Transparency Matters | Dr. Vincent Marchese, DO

    In this episode of Medicine Redefined, Dr. Darsh and Dr. Altamash sit down with Dr. Vince Marchese, sports medicine physician and founder of Apex Medicine, to explore how transparency and direct pay models are transforming healthcare. We break down why traditional insurance creates confusion and...

  37. 177. Ketamine, Trauma, and the Future of Psychiatry | Rocky Sullivan, DO

    In this episode of Medicine Redefined, Darsh and Altamash sit down with Dr. Patrick “Rocky” Sullivan, an emergency physician turned ketamine therapy pioneer, to explore how this powerful molecule is quietly transforming mental health care. Drawing from years of ER experience and clinical...

  38. 176. Pills, Profits, and Power: The Fight to Reform Big Pharma | Vinay Patel, PharmD

    In this episode of Medicine Redefined, Darsh and Altamash take a deep dive into the complex world of medications with Dr. Vinay Patel, pharmacist and founder of MakoRx. Dr. Patel exposes the hidden realities behind Big Pharma, explaining why generic drugs can be so confusing and revealing the…

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  39. 175. Cynicism in Healthcare: New Surgeon General, Critiquing Viral Health Experts & Getting on Board with AI

    In this episode, Darsh and Altamash talk about why so many people feel let down by the healthcare system. They break down where trust has gone wrong, how rising costs and confusing policies leave both patients and doctors frustrated, and why it feels like "no one is coming to save you". They also...

  40. 174. The Torn ACL Dilemma: Should Every Athlete Get Surgery? | Jeremy Boyd, PT, DPT

    We welcome back Dr. Jeremy Boyd for a deep dive into one of the most debated injuries in sports medicine: the ACL tear. Building on our previous conversation around philosophy and mindset in rehab, this one gets tactical—real tactics, real strategies, and real challenges. Topics Covered in the...

  41. 173. Why Rehab Fails—And What Truly Heals | Jeremy Boyd, PT, DPT

    Dr. Jeremy Boyd, founder of Trifecta Therapeutics, a sports rehabilitation and performance practice with three locations in Southern NJ/Greater Philadelphia, is residency and fellowship trained and board-certified in Orthopaedic and Sports Physical Therapy. As a Fellow of the American Academy of...

  42. 172. Ultra-Processed Minds: Trauma, Addiction & the Food We Eat | David Wiss, PhD

    Dr. David Wiss, a registered dietitian with a PhD in Public Health from UCLA and a minor in Health Psychology. David is the founder of Nutrition in Recovery and the creator of the Wise Mind Nutrition app, which blends nutritional psychology, behavioral change, and trauma-informed care. His work...

  43. 171. Microplastics Are Everywhere But Should You Care?

    In this unscripted deep dive, Altamash and Darsh tackle the overlooked but increasingly relevant topic of microplastics—what they are, how they affect our bodies, and what practical steps we can take to reduce exposure. From water filtration and air quality to household hacks and consumer habits,...

  44. 170. Owning Your Practice and Your Future with The Rise of Direct Specialty Care | Sarah Weinstein, DO

    Dr. Sarah “Sassy” Weinstein—triple board-certified in family medicine, sports medicine, and lifestyle medicine. After finishing her family medicine residency, Dr. Weinstein headed to Colorado for a sports medicine fellowship, then expanded her expertise by becoming board-certified in lifestyle...

  45. 169. Feeling Stressed is Optional: Redefining Burnout, Identity & Purpose | Robyn Tiger, MD

    Dr. Robyn Tiger is a board-certified physician and founder of StressFreeMD, a platform dedicated to helping healthcare professionals navigate burnout and reclaim a sense of calm in their daily lives. After overcoming her own high-pressure struggles as an interventional radiologist, Dr. Tiger dove...

  46. 168. Rewiring the Brain: Unlocking the Secrets to Neurodegenerative Disease Prevention | Leonaura Rhodes, MBChB

    Today, we are honored to welcome Dr. Leonaura Rhodes, a physician, public health expert, neurotherapist, and certified brain health coach. With over three decades of experience, she has dedicated her career to helping individuals optimize brain function, manage stress, and design fulfilling…

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  47. Hype vs. Reality: The Biggest Health Trends of 2025

    In this episode, we revisit our 2024 health predictions to see what we got right—and what we completely missed. Then, we dive into the biggest winners and losers of 2025, the most overhyped health trends, and the breakthrough technologies that will actually make an impact. Plus, Altamash shares…

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  48. 167. Hype vs. Reality: The Biggest Health Trends of 2025

    In this episode, we revisit our 2024 health predictions to see what we got right—and what we completely missed. Then, we dive into the biggest winners and losers of 2025, the most overhyped health trends, and the breakthrough technologies that will actually make an impact. Plus, Altamash shares…

    more
  49. 166. Bridging Health and Design Through Architecture and Sustainable Agriculture | Denzel Hill

    Denzel Hill is an architectural designer with a unique perspective, aiming to connect the built world with nature to create healthier communities. He is the founder of Under One Sun Creative Consulting, an architectural design and visualization company. His company focuses on providing...

  50. 165. Can We Rebuild Trust in Healthcare After the COVID-19 Pandemic? | Heather Hammerstedt, MD, MPH

    Dr. Heather Hammerstedt is an emergency medicine physician, lifestyle medicine coach, and founder of Wholist Health. With over 20 years of experience in acute and chronic care, she has dedicated her career to addressing the root causes of illness through integrative approaches. Dr. Hammerstedt’s...

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ABOUT THIS SHOW

Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means. Hosts Dr. Darsh Shah and Dr. Altamash Raja spotlight clinicians, scientists, thought leaders, and reformers who are reshaping how we think about physical, mental, metabolic, and systemic health. While the healthcare system focuses on treating disease, our guests focus on optimizing human potential. From sleep and nutrition to stress resilience and lifestyle medicine, discover how forward-thinking practitioners are putting the health back in healthcare.

HOSTED BY

Altamash Raja, DO and Darsh Shah, DO

CATEGORIES

Frequently Asked Questions

How many episodes does Medicine Redefined have?

Medicine Redefined currently has 224 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.

What is Medicine Redefined about?

Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means. Hosts Dr. Darsh Shah and Dr. Altamash Raja spotlight clinicians, scientists, thought leaders, and reformers who are reshaping how we think about physical, mental, metabolic, and systemic...

How often does Medicine Redefined release new episodes?

Medicine Redefined publishes regularly with 224 episodes available. Check the episode list for the typical release schedule.

Where can I listen to Medicine Redefined?

You can listen to Medicine Redefined on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.

Who hosts Medicine Redefined?

Medicine Redefined is created and hosted by Altamash Raja, DO and Darsh Shah, DO.
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