Evolution of Medicine Podcast

In this episode, host James Maskell sits down with Dr. Helen Lavretsky — integrative and geriatric psychiatrist, neuroscientist, and professor of psychiatry at UCLA, where she directs clinical research on integrated mental health and serves as research director for UCLA's Integrative Medicine Collaborative. Her path into the field began through Kundalini Yoga, sparking 20 years of studying mind-body practices with rigorous neuroscience. Despite initial pushback in academic psychiatry, her evidence ultimately gained widespread acceptance. She details her clinical model: a partnership where...

The Forgotten Medicine: Community, Dance & Song

In this live episode from the Institute for Functional Medicine's Annual International Conference, host James Maskell sits down with Dr. Geeta Maker-Clark, who opened the conference that morning with its keynote address. The conversation begins with something unusual: conference attendees — mostly, as Maskell puts it, "type A, cerebral" doctors — got up and danced during her talk, a rare sight at a medical conference. Dr. Maker-Clark, who is part of a West African dance company, explains why: drumming and dance tap into something deeply primal in all of us, tied to ancestral rhythm, grief,...

2026 Pauling Award Winner Reveals the Truth About Hormones & GLP-1s

Evolution of Medicine Podcast

What does it take to earn functional medicine's highest honor? In this live episode from the Institute for Functional Medicine's 33rd Annual International Conference, host James Maskell sits down with Joel Evans, MD, FMCP-M, recipient of the 2026 Linus and Ava Helen Pauling Award in Functional Medicine — awarded to Joel Evans, MD, FMCP-M in recognition of his career-long contributions to the field. Joel Evans, MD, FMCP-M shares the story of his journey from OB-GYN to functional medicine leader, crediting Jeff Bland and Bethany Hayes for pulling him into the field early on. He discusses why...

The Blueprint for Functional Medicine in Big Health Systems

Evolution of Medicine Podcast

What does it actually take to build a functional medicine program that thrives inside a conventional health system? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Laura Sandquist and Kate Otremba, who've spent six years building a large integrative and functional medicine program within Allina Health, a conventional health system in Minnesota. Laura and Kate share the infrastructure they built to make it work — smart phrases, practice guidelines, and templates that help clinicians translate their functional medicine training...

The Bioage Reversal Breakthrough

Evolution of Medicine Podcast

What if the best way to live a long life isn't a longevity hack — but preventing chronic illness in the first place? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Dr. Kara Fitzgerald, a naturopathic physician and longtime functional medicine researcher, to talk about her groundbreaking work on reversing biological age. Dr. Fitzgerald shares the story behind her 2018 clinical study, which found that a diet and lifestyle intervention reversed biological age by over three years — a result that stunned the field, since even...

Why Whole Health Starts With This One Question

Evolution of Medicine Podcast

What does it really mean to practice "whole health" — and how do we keep it from becoming just another buzzword? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Dr. Tracy Gaudet to unpack the evolution of whole health, the growing risk of paradigm "veneers" masking real transformation, and why the patient-practitioner relationship remains central to any lasting healing. Tracy explains how true system change begins with a different kind of conversation — one that starts with a person's purpose and meaning rather than their...

Inside the Growth of Functional Medicine

Evolution of Medicine Podcast

How is functional medicine evolving from a niche practice into a global movement that is transforming healthcare? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Amy R. Mack, MSES, MPA, CEO of the Institute for Functional Medicine (IFM), to discuss the organization's mission, the rapid growth of functional medicine, and its future in healthcare. Amy shares how her background in nonprofit leadership—and the influence of her father, a gastroenterologist who practiced whole-person care long before it became mainstream—shaped her...

How Functional Medicine Is Reshaping Healthcare

Evolution of Medicine Podcast

How can functional medicine create healthier communities while transforming the future of healthcare? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Gail C. Christopher, DN, IFM Board Chair of The Institute for Functional Medicine, and Executive Director of the National Collaborative for Health Equity, to discuss the evolution of functional medicine and its growing influence on mainstream healthcare. Drawing on decades of experience in clinical practice, public policy, philanthropy, and health equity, Dr. Christopher explains how...

Frontier Care in Warfarer Populations

Evolution of Medicine Podcast

How can functional medicine improve the health, resilience, and performance of military personnel? In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Dr. Bryan Stepanenko and former Green Beret Geoff Dardia to discuss how functional medicine is transforming healthcare for warfighters and veterans. They explain the unique physical and psychological demands of military service, including blast exposure, traumatic brain injuries, chronic sleep deprivation, toxin exposure, and repetitive physical stress. Rather than simply treating...

Using CGM in Care Delivery

Evolution of Medicine Podcast

In this live episode of The Evolution of Medicine Podcast, James Maskell speaks with Dr. Ryan Arnold at the Institute for Functional Medicine Annual Conference about how continuous glucose monitoring (CGM), metabolic health, and functional medicine are transforming preventive healthcare. Dr. Arnold explains how his practice uses the Dexcom Stelo Continuous Glucose Monitor to help patients understand their individual glucose responses, allowing them to make personalized nutrition and lifestyle changes before chronic disease develops. He discusses how real-time glucose data provides far...

More Episodes

What if the best way to live a long life isn't a longevity hack — but preventing chronic illness in the first place?

In this live episode from the Institute for Functional Medicine Annual Conference, James Maskell sits down with Dr. Kara Fitzgerald, a naturopathic physician and longtime functional medicine researcher, to talk about her groundbreaking work on reversing biological age.

Dr. Fitzgerald shares the story behind her 2018 clinical study, which found that a diet and lifestyle intervention reversed biological age by over three years — a result that stunned the field, since even epigenetic clock pioneer Steve Horvath didn't believe bioage reversal was possible in humans. She explains how follow-up research traced most of that effect to polyphenol-dense "methylation adaptogens," and why she's now pursuing an NIH grant to understand whether polyphenols can move the needle on both exposomic aging (environmentally driven) and deeper, programmed aging (the kind tied to Yamanaka factor biology).

The conversation also covers the longevity summit she hosted last year to unite the functional and longevity medicine communities, her advice for practitioners building a career in this space — community, clarity of purpose, and in-person connection — and her take on where direct-to-consumer lab testing and wearables fit into the future of patient care.

Whether you're a clinician, researcher, or simply curious about the science of aging, this episode offers a grounded look at what it actually takes to move the needle on healthspan and lifespan.

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About the Guest:

Dr. Kara Fitzgerald is actively engaged in clinical research on epigenetics and longevity using a diet and lifestyle intervention developed in her research and practice. She has published two clinical studies on the potential bioage-reversing effects of an 8-week DNA methylation-supportive diet and lifestyle in middle-aged men and women in the journal Aging.

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