Metabolic Markers: Fasting Insulin and HOMA-IR

The surgeon who spent 12 to14 hours a day in the operating room developed diabetes, uncontrolled high blood pressure, and an autoimmune disease that was eating away at his skull and it forced him to confront what medical school never taught him about actually staying healthy.

I sat down with Dr. Darshan Shah, board-certified surgeon, founder of Next Health (one of the largest longevity clinic networks in America), and a doctor who had to reverse his own chronic disease to understand the massive gap between Western medicine and the science of health. We explore why surgeons and physicians become some of the sickest people in healthcare, how functional medicine differs from what you learn in medical school, why biomarker testing matters more than your doctor's "you're fine" assessment, and what root cause medicine actually looks like in practice. Dr. Shah also breaks down the AI revolution happening in cardiovascular imaging with Cleerly scans, how his new AI health dashboard reads your bloodwork and medical records to give you proactive guidance, why Yamanaka factors could regenerate damaged nerves in the brain, and what the future of personalized, preventive medicine looks like when you combine AI with real biological data.

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TOPICS DISCUSSED

00:00 Intro: The surgeon who developed the diseases he was treating

01:17 From trauma surgeon to longevity doctor: Dr. Shah's journey

04:18 Autoimmune disease, diabetes, and high blood pressure in a surgeon

10:30 Western medicine vs. the science of health

18:45 Why doctors don't learn prevention in medical school

35:20 Next Health clinics and democratizing longevity medicine

52:40 Biomarker testing and why "your labs are normal" is dangerous

01:03:52 AI health dashboard: uploading bloodwork and getting proactive guidance

01:06:45 Cleerly scans and reversing cardiovascular disease with AI imaging

01:10:08 Yamanaka factors, nerve regeneration, and the future of brain health

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I’m Louisa Nicola - clinical neurophysiologist - Alzheimer’s prevention specialist - founder of Neuro Athletics.

My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention.

If you're committed to optimizing your brain- reducing Alzheimer’s risk - and staying mentally sharp for life, you’re in the right place.

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