The Preventus Podcast

In this episode of Preventus, Dr. Brett Hockey and Dr. Felice Hockey dive deep into the "abyss" of functional medicine: Gut Health. Moving beyond the trendy buzzwords, they break down the complex relationship between the microbiome, metabolic health, and systemic inflammation. From the mechanics of "leaky gut" to the clinical application of the 5R Framework, the doctors discuss how high-level testing (like TMAO and functional stool analysis) can reveal why you might be experiencing fatigue, bloating, or even brain fog despite "normal" lab results. Whether you're curious about the power of Microbiota Accessible Carbohydrates (MACs) or the impact of stress on your intestinal lining, this episode provides a clinical yet accessible roadmap to healing your gut.

The "Why" Behind This EpisodeThe Boarded Anesthesiologist: Dr. Brett discusses his journey to becoming one of the few anesthesiologists boarded in lipidology after seeing the stark difference in how heart disease patients react to surgery.The Epidemiology: Understanding the staggering statistics of CHD and why it's on the rise despite modern medicine.Key Technical Deep DivesThe Anatomy of Plaque: A step-by-step look at the vascular intima, endothelial cells, and how ApoB particles "rust" (oxidize) to create foam cells.The Four ApoB Particles: Why you need to know about VLDL, IDL, LDL, and the highly genetic LP(little a).The Insulin Connection: How insulin resistance at the fat-cell level drives "small, dense" LDL particles that are more likely to cause damage.The Nitric Oxide Factor: Why your blood vessels need nitric oxide to stay dilated and how insulin resistance shuts that process down.The Prevention ToolkitAdvanced Testing: Why the Haakes prefer the Cardio IQ (Quest) and Cardio Zoomer (Vibrant) over standard lipid panels.The "Metabolic Spectrum": Moving away from waiting for an A1C of 5.7 to diagnose a problem.Modifiable Factors: The "Big Four" of longevity: Diet (low insulin-recruiting), Exercise (muscle as an organ of longevity), Sleep, and Stress management.Environmental Toxins: The role of heavy metals and mold in vascular inflammation.

Dr. Brett and Dr. Felice discuss the rapidly expanding field of peptide therapy. They move beyond the headlines of Ozempic and Mounjaro to explore how peptides interact with cellular receptors to optimize mitochondrial function, gut health, and muscle mass. The central theme: Peptides are only as effective as the lifestyle foundation they are built upon.Key TakeawaysWhat is a Peptide? A sequence of 30-50 amino acids that acts as a "key" to unlock biochemical cascades in the body.The GLP-1 Paradigm: Discussion on Semaglutide and Tirzepatide. Why "microdosing" and maintaining protein intake are essential to prevent muscle loss.The Powerhouse (Mitochondria): Deep dive into MOTS-c and SS-31, peptides that actually enter the cell to "clean" the electron transport chain and boost energy currency (ATP).Body Recomposition: How Dr. Haake utilized a "stack" (Tesamorelin and BAM-15) to lose 13 lbs of fat while gaining muscle.The Wolverine Pack: How BPC-157 and TB-500 aid in systemic healing, from torn tendons to "leaky gut" and inflammation.

In This Episode, We Discuss:The FDA’s Major Shift: Analyzing Dr. Marty Makary’s recent statements on estrogen and breast cancer risk.The WHI "Genie out of the Bottle": How a flawed media rollout in 2002 led to decades of unnecessary fear and a gap in medical education.Absolute vs. Relative Risk: Why a "26% increase" sounds terrifying but actually represented less than 1 in 1,000 women.The 4 Pillars of BHRT Benefit: How hormones act as a preventative tool for:Osteoporosis: Preventing the "Saturday hip fracture" cycle.Cognitive Health: Why women get Alzheimer’s 2x more than men and how estrogen protects the brain.Cardiovascular Protection: The role of estrogen in keeping arteries healthy.Metabolic Function: Using estrogen to combat insulin resistance and the "menopause belly."The Foundation First: Why hormones work best when paired with the "Big 4": Diet, Exercise, Sleep, and Stress Management.

What if cataracts, glaucoma, and macular degeneration aren't just "signs of aging," but symptoms of a deeper metabolic crisis? In this episode of The Preventus Podcast, Dr. Brett Haake and Dr. Felice Haake sit down with renowned ophthalmologist Dr. Val Zudans to dismantle the "sick care" silos of modern medicine.Dr. Zudans reveals why the eye is the ultimate "canary in the coal mine" for mitochondrial dysfunction. From the biohacking benefits of Methylene Blue and Red Light Therapy to the shocking link between skin tags and insulin resistance, this conversation explores a unified theory of health: that nearly all chronic disease stems from our cells' inability to convert food into energy.

Are you just surviving the "sick care" system, or are you optimizing for performance? Join Dr. Brett and Dr. Felice Haake as they welcome Dr. Graves Fromang to the Ikaria Concierge and Functional Medicine team. Dr. Fromang brings a unique perspective as an ER veteran who is returning to his roots in Osteopathic Manipulative Treatment (OMT). In this episode, we pull back the curtain on why conventional medicine is "treating and street-ing" patients and how we are doing things differently. We explore the "Mitochondrial Stack"—a powerful combination of OMT, Medical Grade Red Light Therapy, and Intermittent Hypoxia—to upregulate your cellular energy. Learn the science behind how these therapies clear out cellular "exhaust" and replace it with clean energy. Whether you are dealing with chronic shoulder pain, brain fog, or simply want to sleep like you’re eight years old again, this episode provides a roadmap for turning your health into a high-performance machine.

In this episode of the Preventis Podcast, hosts Dr. Brett Haake (anesthesiologist) and Dr. Felice Haake (primary care and functional medicine physician) introduce themselves and their practice, Ikaria Concierge and Functional Medicine. They share the unexpected journey that led them to leave conventional medicine and embrace a functional, preventative, and direct-access concierge approach. They detail Dr. Felice's background in family practice, bariatric medicine (obesity medicine), and her realization of the profound impact lifestyle and functional interventions had on patients' overall health. Dr. Brett discusses his motivation, stemming from a personal sports injury and his experience as a cardiac anesthesiologist seeing the end-stages of vascular disease, leading him to focus on prevention and healthspan. The main focus of the conversation is a recent development in the medical world: the announcement by the FDA director regarding the removal of the black box warning for estrogen and the updated guidance on Hormone Replacement Therapy (HRT) in women. They discuss the historical context of the Women's Health Initiative (WHI) study and the significant benefits of HRT, including reduced risk of osteoporosis, cardiovascular disease, and dementia. The doctors also outline their practice's core philosophy: addressing the root cause of disease, particularly metabolic dysfunction (insulin resistance), which they link to a majority of non-communicable diseases. They emphasize the value of time and access through the concierge model and introduce their sophisticated diagnostic tools, like the Vibrant Labs Cardio Zoomer, for a nuanced and precise approach to cardiometabolic risk and prevention.

Melissa Meadows, nurse practitioner at RBI Concierge Medicine, joins Dr. Felice Haake to talk about how you can tighten your skin with some simple, non-invasive, pain-free treatments available exclusively on the Treasure Coast at RBI Concierge Medicine in Vero Beach, Florida.

The Husband and Wife team of Dr. Brett Haake and Dr. Felice Haake discuss the intricacies of Thyroid Hormone, why a complete range of tests may be necessary, and why some people always feel cold all the time.

We're talking about a test that assesses cardiovascular risk, called the Cardio IQ Test. It takes a deeper dive into your cardiovascular risk and your risk for a heart attack, strokes, etc.

In this episode, Dr. Felice Haake and Dr. Brett Haake continue their series on advanced cardiac profiles, which delve deeper into cholesterol panels. They emphasize the limitations of standard cholesterol panels in detecting coronary artery disease and the importance of understanding advanced markers for longevity and health span. The conversation covers various aspects of advanced lipid panels, including particle sizes, apolipoproteins, inflammatory markers, and metabolic indicators. Learn about the significance of these markers in assessing cardiovascular risk and the potential impact of interventions such as medication and lifestyle changes. Stay tuned for practical tips on applying this knowledge to your own health journey. Don't miss out on valuable insights to optimize your well-being!

Husband and Wife Doctors, Dr. Felice Haake and Dr. Brett Haake, explore the critical topic of heart health. They dive into the limitations of standard lipid panels and the importance of comprehensive lab evaluations, particularly focusing on the Cardio IQ panel. The discussion covers the formation of atherosclerotic plaque, risk factors for coronary artery disease, and the significant role of insulin resistance. Emphasizing the need to evaluate multiple parameters beyond cholesterol levels, they highlight triglyceride to HDL ratio, fasting glucose, and other essential markers. They stress the holistic approach to patient care and the importance of optimizing health for prevention.

Dr. Felice Haake and Melissa Meadows (Aesthetic Nurse Practitioner with Regenerative Biologics) talk about skin resurfacing from a female doctor's perspective.

Dr. Felice Haake and Melissa Meadows (Aesthetic Nurse Practitioner with Regenerative Biologics) talk about botox, fillers, and enhancements from a female doctor's perspective.

We focus on fillers and modulators like Botox, with Dr. Felice Haake and Melissa Meadows, Aesthetic Nurse Practitioner with Regenerative Biologics (RBI Vero Beach).