Episodios

  • 155. Dr. Eboni Cornish: Neural Longevity, Brain Inflammation, and the Hidden Root Causes of Mental Health Symptoms
    Apr 14 2026

    Cognitive decline, mood disorders, and persistent neurological symptoms are often treated in isolation, even as underlying drivers like inflammation, infections, and blood flow dysfunction continue to go unaddressed. Emerging research suggests that brain health requires a root cause approach that integrates physiology, environment, and lifestyle over time.

    In this episode of Extend, we sit down with Dr. Eboni Cornish, Associate Medical Director at Amen Clinics and President Elect of ILADS, to unpack the science of neural longevity and how brain imaging can reveal hidden drivers of mental health symptoms. We break down how SPECT scans uncover patterns of neuroinflammation, why conditions like ADHD and depression may stem from infections, toxins, or hormonal shifts, and how blood flow and cerebellar function play a central role in cognitive performance and emotional regulation.

    We also explore how factors like sleep apnea, perimenopause, chronic infections, and metabolic dysfunction quietly reshape brain activity and how targeted interventions can restore function over time.

    Dr. Eboni Cornish is a nationally recognized expert in neuroinflammation and complex chronic illness, integrating advanced biomarker testing with brain imaging to uncover root causes and translate cutting edge science into practical strategies for long term brain and body resilience.

    What We Discuss:

    • 04:17) Neural longevity and why brain health is missing from longevity conversations.

    • (05:23) SPECT scan imaging and how it reveals brain activity and blood flow.

    • (08:55) Neuroinflammation and root causes behind mental health symptoms.

    • (14:13) The cerebellum as a central regulator of brain function.

    • (17:06) Perimenopause, estrogen decline, and changes in brain perfusion.

    • (23:22) Depression and mood disorders as physiological and blood flow issues.

    • (25:56) Lyme disease, infections, and neuropsychiatric symptoms.

    • (32:21) Brain scan patterns of inflammation and diagnostic insights.

    • (36:05) Sleep apnea and its impact on brain function and cognition.

    • (40:00) A systems approach to brain and body longevity.

    • (45:43) What a healthy brain looks like on imaging.

    • (48:01) Dementia risk, progression, and early detection.

    • (52:09) Practical steps to assess and improve brain health.




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    Learn more about Dr. Cornish:

    Website : Dr. Eboni Cornish Amen Clinics

    Dr. Cornish on Instagram: dr.ebonicornish

    Amen Clinics on Instagram: amen clinics

    Learn more about ILADS: ILADS

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    55 m
  • 154. Dr. Rick Doblin - Part 2: Psychedelics, MDMA Therapy, and the Future of Mental Health
    Apr 9 2026

    Mental health conditions like depression, PTSD, and trauma related disorders remain difficult to treat, especially when underlying cognitive and emotional patterns persist over time. Emerging research suggests psychedelic assisted therapies may work by temporarily changing how the brain processes information and the sense of self.

    In this episode of Extend, we continue our conversation with Dr. Rick Doblin, founder of MAPS, to explore the mechanisms behind psychedelic therapy. We break down how compounds like LSD may reduce activity in the default mode network, how this shift affects perception and emotional processing, and why integration is essential for translating short term insights into lasting change.

    We also explore how traditional practices like ayahuasca combine psychological and spiritual frameworks, and how these approaches are shaping new perspectives on trauma, behavior change, and mental health treatment.

    Dr. Rick Doblin is the founder and executive director of MAPS (Multidisciplinary Association for Psychedelic Studies), the organization leading global research into psychedelic assisted therapies and working to develop evidence-based treatments for PTSD and other mental health conditions.

    What We Discuss:

    • (1:01:22) LSD therapy for trauma and addiction

    • (1:10:10) Psilocybin, creativity, and cognition

    • (1:12:05) DMT, ego dissolution, and consciousness

    • (1:18:21) Ayahuasca traditions and addiction recovery

    • (1:26:39) MDMA therapy and intergenerational trauma

    • (1:31:36) Ketamine clinics and treatment resistant depression

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    Learn more about Dr. Rick Doblin:

    Website: maps.org

    Instagram: rickdoblinphd

    X: @RickDoblin

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    56 m
  • 153. Dr. Rick Doblin - Part 1: Psychedelics, MDMA Therapy, and the Future of Mental Health
    Apr 7 2026

    Depression, PTSD, and trauma related disorders continue to challenge modern medicine, even as our understanding of the brain and consciousness rapidly evolves. New research suggests that certain therapies may help unlock deeper healing by combining neuroscience, psychology, and carefully guided experiences.

    In this episode of Extend, we sit down with Dr. Rick Doblin, founder of MAPS, to unpack the science and history behind psychedelic assisted therapy and its potential role in mental health treatment. We break down the research behind MDMA assisted therapy for PTSD, how psychedelics influence neuroplasticity and emotional processing, and why therapeutic context, preparation, and integration are essential for safe and meaningful outcomes.

    We also explore how psychedelic research is reshaping conversations around trauma, healing, and the future of psychiatry.

    Dr. Rick Doblin is the founder and executive director of MAPS (Multidisciplinary Association for Psychedelic Studies), the organization leading global research into psychedelic assisted therapies and working to develop evidence-based treatments for PTSD and other mental health conditions.

    What We Discuss:

    • (01:55) The political origins of psychedelic prohibition

    • (04:40) Ancient psychedelic traditions and the Eleusinian Mysteries

    • (08:01) Dr. Rick Doblin's path to founding MAPS

    • (10:34) Science, policy, and the future of psychedelic medicine

    • (11:00) Expanding research on MDMA therapy

    • (12:21) Psychedelic churches and religious freedom laws

    • (15:42) Why context and safety shape psychedelic outcomes

    • (16:20) Neuroplasticity and emotional processing

    • (17:36) Bromo-LSD and non-psychedelic therapeutic compounds

    • (20:39) Psychedelics and rewriting personal narratives

    • (23:22) The Good Friday Experiment and mystical experiences

    • (25:23) MDMA therapy and trauma processing

    • (27:47) Psychedelics and alternatives to alcohol

    • (30:30) Ketamine therapy and pharmaceutical incentives

    • (36:16) MAPS, MDMA development, and commercialization

    • (41:56) The FDA pathway for MDMA therapy

    • (47:00) Global psychedelic research initiatives

    • (56:51) Early LSD research in psychology

    • …to be continued

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    Clinic: next-health.com

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    Learn more about Dr. Rick Doblin:

    Website: maps.org

    Instagram: rickdoblinphd

    X: @RickDoblin

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    1 h y 4 m
  • 152. Nick Norwitz: Cholesterol Myths, Insulin Resistance, and the Real Drivers of Heart Disease
    Apr 2 2026

    Cholesterol remains one of the most debated biomarkers in cardiovascular medicine, yet many people still misunderstand what it actually tells us about metabolic health and disease risk. As research evolves, the conversation is shifting from simple cholesterol numbers toward deeper drivers of cardiometabolic dysfunction.

    In this episode of Extend, we sit down with Nick Norwitz, metabolic health researcher and physician scientist, to unpack the science behind cholesterol, insulin resistance, and cardiovascular risk. We break down the difference between LDL and ApoB, why insulin resistance may be a stronger predictor of heart disease, how statins work beyond cholesterol lowering, and what emerging research reveals about metabolic health, biomarkers, and individualized risk.

    We also explore how curiosity driven experimentation, data tracking, and deeper metabolic literacy can help people move beyond simplistic cholesterol narratives and better understand their own cardiometabolic health.

    Nick Norwitz is a physician scientist and metabolic health researcher who graduated valedictorian from Dartmouth College before earning a PhD in Human Metabolism from the University of Oxford and an MD from Harvard Medical School. Following a personal battle with inflammatory bowel disease, he became a leading voice in metabolic health education and the author of the widely read newsletter StayCuriousMetabolism.com.

    What We Discuss:

    • (02:14) The biggest misconception about cholesterol, LDL, and cardiovascular risk

    • (06:03) How sleep, inflammation, and plaque formation connect to heart disease

    • (08:18) Why insulin resistance may predict cardiovascular risk more strongly than LDL

    • (10:40) The atorvastatin study that showed suppressed GLP-1 levels

    • (16:54) Statins, pleiotropy, and why lowering LDL is only part of the story

    • (22:16) Coronary calcium scans and how imaging can change treatment decisions

    • (24:48) The Lancet statin meta-analysis and how headlines distorted the findings

    • (33:20) CoQ10, TUDCA, and supportive strategies for people taking statins

    • (35:15) Ezetimibe, how it works, and why it may have neuroprotective potential

    • (46:09) Bempedoic acid and how it compares with statins

    • (51:47) PCSK9 inhibitors, pros and cons, and who may benefit most

    • (54:20) ApoB versus LDL and why particle count matters

    • (56:15) The Oreo experiment, lean mass hyper-responders, and individualized cholesterol responses

    • (59:19) What to do after a high LDL result instead of automatically defaulting to a statin

    • (1:02:00) Berberine, nattokinase, and other non-prescription options for cardiovascular support

    • (1:06:03) The challenge of communicating nuance in health content online

    • (1:10:18) Why personalized experimentation matters more than one-size-fits-all medicine

    • (1:12:36) Lp(a), waist-to-hip ratio, and why cardiometabolic context changes risk

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    Website:drshah.com

    Clinic:next-health.com

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    Learn more about Nick Norwitz:

    Newsletter: staycuriousmetabolism.com

    YouTube: nicknorwitzMDPhD

    Instagram: nicknorwitz

    Twitter: Nick Norwitz MD PhD

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    1 h y 18 m
  • 151. Ramses Alcaide: Brain Wearables, EEG, and the Future of Brain Health Tracking
    Mar 31 2026

    Chronic stress, cognitive overload, and neurodegenerative disease are rising as modern life pushes the brain beyond what it was designed to handle. At the same time, most people still have almost no visibility into how their brain is actually performing day to day.

    In this episode of Extend, we sit down with Ramses Alcaide, founder and CEO of Neurable, to unpack how brain computer interface technology is moving from research laboratories into everyday wearable devices. We break down how non-invasive EEG sensors built into headphones can track brain age, cognitive speed, mental recovery, focus, and stress, and how AI is making brain data accessible without the complex lab equipment historically required.

    We also explore how continuous brain monitoring could transform prevention by identifying early patterns linked to burnout, ADHD, traumatic brain injury, and neurodegeneration years before symptoms appear.

    Ramses Alcaide is the founder and CEO of Neurable, a neurotechnology company developing non-invasive brain computer interfaces built into everyday wearable devices. He earned a PhD in Electrical Engineering and Neuroscience from the University of Michigan, where his research on EEG biomarkers and brain computer interfaces laid the scientific foundation for Neurable's technology.

    What We Discuss:

    • (06:00) What brain computer interfaces are and how EEG measures brain activity

    • (10:45) How Neurable uses AI to isolate and upscale brain signals

    • (14:00) The limits of snapshot brain testing and the value of continuous brain data

    • (18:00) ADHD, attention patterns, and biofeedback training for focus

    • (22:00) Brain training through gaming and performance optimization

    • (26:30) Why brain wearables may become the next generation of health trackers

    • (28:00) The cognitive metrics Neurable measures including brain age and cognitive speed

    • (30:00) Tracking brain age and how daily habits influence cognitive aging

    • (35:00) Meditation training and future sleep optimization tools

    • (39:00) How people can start using brain wearables in everyday life

    • (40:00) Personal experiments to reduce brain age including sleep, exercise, and creatine

    • (45:00) How clinics may use brain data to personalize treatments

    • (50:00) Stress detection and the future of wearable brain monitoring

    • (52:00) Barriers to adoption and the future of neurotechnology

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    Learn more about Ramses Alcaide:

    Website: neurable.com

    Linkedin: https://www.linkedin.com/company/neurable

    Instagram: ramsesalcaide

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    45 m
  • 150. Dr. Terry Grossman: Plasma Exchange, Detoxification, and the Future of Longevity Medicine
    Mar 26 2026

    Chronic inflammation, environmental toxins, and metabolic dysfunction continue to accelerate aging and chronic disease across modern populations. Many of the biggest drivers of health decline remain invisible, quietly accumulating in the body for decades before symptoms appear.

    In this episode of Extend, we sit down with Dr. Terry Grossman, physician, longevity expert, and co author of Transcend and Fantastic Voyage with futurist Ray Kurzweil, to unpack the science behind therapeutic plasma exchange and its emerging role in longevity medicine. We break down how environmental toxins, microplastics, heavy metals, and chronic inflammation influence aging biology, why traditional medical testing often misses these risks, and how therapies like plasma exchange may help remove harmful compounds while improving key biomarkers linked to healthspan.

    We also explore how advanced diagnostics, hormone optimization, peptide therapies, and targeted longevity protocols may help individuals move beyond disease management toward true biological optimization.

    Dr. Terry Grossman is a pioneer in anti aging and longevity medicine who operates longevity clinics in Colorado and co authored two best selling books with Ray Kurzweil. He is also the author of Plasma Reset, the first book focused on therapeutic plasma exchange as a strategy for detoxification, anti aging, and long term health optimization.

    What We Discuss:

    • (01:54) How Dr. Terry Grossman entered longevity medicine

    • (05:19) The shift from traditional care to prevention and wellness

    • (12:45) The core pillars of longevity and health optimization

    • (16:30) VO2 max, HRV, and modern longevity metrics

    • (20:00) Genetic testing and personalized lifestyle strategies

    • (22:40) Environmental toxins and the rise of microplastics

    • (33:20) Simple detox strategies for daily life

    • (37:55) What therapeutic plasma exchange actually does

    • (46:55) Plasma exchange for toxins, autoimmunity, and long COVID

    • (51:45) Senescent cells, inflammation, and biological aging

    • (1:06:00) Hormone optimization and healthspan

    • (1:14:20) Peptides and emerging longevity therapies

    • (1:20:10) Rapamycin and metformin in longevity medicine

    • (1:24:00) Foundational supplements for long term health

    • (1:29:00) AI and the future of longevity medicine

    • (1:34:30) Longevity escape velocity and the future of aging

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    Learn more about Dr. Shah:

    Website: https://www.drshah.com/

    Clinic: https://www.next-health.com/

    Instagram: darshanshahmd

    Learn more about Dr. Terry Grossman:

    website: grossmanwellness.com

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    1 h y 41 m
  • 149. Kim Rogers: Parasites, Hidden Infections, and the Cleanse Protocol for Gut Health, Energy, and Recovery
    Mar 24 2026

    Chronic symptoms often get labeled, managed, and medicated, yet the root cause can remain hidden. Parasites, mold exposure, Lyme disease, and microbial imbalances may quietly disrupt energy, digestion, immunity, and cognitive clarity for years without being recognized.

    In this episode of Extend, we sit down with Kim Rogers, founder of RogersHood Apothecary and creator of the ParaFy Kit, to unpack the hidden role parasites may play in chronic illness and why this topic remains largely absent from conventional medicine. We break down how parasite exposure can occur through water, food, pets, and environmental toxins, why standard testing frequently misses infections, and how symptoms like bloating, brain fog, fatigue, teeth grinding, and insomnia may point toward deeper biological disruption.

    We also explore how a structured cleanse protocol using targeted herbs, binders, and supportive detox strategies may help the body remove parasites, heavy metals, and microbial overgrowth while restoring gut balance and energy.

    Kim Rogers is a former Western healthcare educator and curriculum author who spent more than two decades working inside the medical system before her own health crisis led her to uncover parasites as a major driver of chronic illness, eventually building a global community and wellness company dedicated to helping people reclaim control of their health.

    What We Discuss:

    • (01:31) Why parasites are a major blind spot in Western medicine

    • (02:32) Kim's health story and what led her to parasites

    • (04:14) The root cause stack: parasites, mold, and chronic Lyme, plus a hysterectomy at 29

    • (05:30) The 2021 TikTok moment and what she saw after her first cleanse

    • (09:13) How exposure happens: water, raw fish, raw meat, produce, and pets

    • (10:31) Why symptoms can flare: biofilms, stress load, and immune strain

    • (12:38) Countries that normalize parasite prevention and access to antiparasitics

    • (13:50) Testing reality: LabCorp vs parasites.org and why false negatives happen

    • (18:02) Symptom patterns: bloat, IBS, teeth grinding, insomnia, cravings, brain fog, fatigue

    • (20:42) How she built the ParaFy Kit and why transparency and cost drove the business

    • (24:19) Protocol structure: 30 days, 3 to 4 times per year, dosing flexibility, kids 3 and up

    • (25:49) Binder rules: timing, what it does, and why it can interfere with meds

    • (29:31) Prescription options and the insurance cost gap versus Mexico pricing

    • (38:29) Why she wants better, affordable testing and medical reform

    • (41:45) Sushi, freezing myths, and why fish exposure is more common than people think

    • (44:36) Where to buy and where to follow Kim

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    Learn more about Dr. Shah:

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    Learn more about Kim Rogers:

    Instagram: @mrsrogers.hood / @rogershoodapothecary

    TikTok: @mrsrogershood / @rogershood

    Podcast: What's Eating U

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    45 m
  • 148. Fitz Koehler: The Four Pillars of Fitness and the Exact Formula for Strength, Fat Loss, and Longevity
    Mar 19 2026

    Strength is the foundation of longevity. When muscle, cardiovascular fitness, mobility, balance, sleep, and nutrition align, performance improves, metabolism sharpens, and aging becomes something you influence rather than fear.

    In this episode of Extend, we sit down with Fitz Koehler, founder of Fitzness.com, keynote speaker, race announcer, and five time author, to unpack her Four Pillars of Fitness and the exact formula for sustainable weight loss and long term vitality. We break down the difference between activity and deliberate exercise, why toning is a myth, how the grunt, huff, wince, and wobble signal true adaptation, and how a simple calorie budget paired with high quality nutrition preserves muscle while reducing fat.

    We also explore how discipline outperforms motivation, why sleep and strategic naps accelerate recovery, how strength training protects bone and balance during menopause and aging, and how tracking weight, reps, and daily habits creates measurable progress over time.

    Fitz Koehler is one of America's most electrifying keynote speakers, a premier race announcer, fitness innovator, host of The Fitzness Show podcast, and five time author whose latest book You Supercharged! The Exact Formula for Fitness, Weight Loss, and Longevity is helping people worldwide build strength, resilience, and lasting health.

    What We Discuss:

    • (01:35) Fitz's Origin Story: From Teen Fitness Instructor to Industry Leader

    • (03:42) Cancer Recovery and Rebuilding Strength After Treatment

    • (09:20) Why Strength Training Is the Fountain of Youth

    • (12:00) "Toning" vs Real Muscle Adaptation

    • (13:42) The Four Pillars of Fitness: Strength, Cardio, Flexibility, Balance

    • (17:15) Activity vs Deliberate Exercise

    • (21:08) How to Start Again and Improve 1% Per Day

    • (26:10) Discipline Over Motivation

    • (29:02) You Supercharged and the Exact Formula for Weight Loss

    • (32:28) The Calorie Budget Strategy Explained

    • (40:09) Muscle Preservation, Protein, and GLP 1 Considerations

    • (42:41) Sleep, Recovery, and the Power of Strategic Naps

    • (48:00) Tracking Progress: Scale, Strength, Hydration

    • (52:00) Menopause, Hormones, and Building Strength at Any Age


    Thank You to Our Sponsors:

    Function Health: Learn more and join using my link. Visit www.functionhealth.com/drshah and use gift code DRSHAH25 for a $25 credit toward your membership.

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    Clinic: https://www.next-health.com/

    Instagram:darshanshahmd


    Learn more about Fitz Koehler:

    Website: https://www.fitzness.com

    Podcast: The Fitzness Show

    Instagram: fitzness

    Linkedin: Fitz Koehler

    Facebook: Fitzness

    You Tube: @fitzness

    Tik Tok: @fitzness13

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    1 h y 1 m