Stay Off My Operating Table
I was a morbidly obese heart surgeon.All through high school, college, med school and surgical training, I followed the U.S. dietary guidelines for both diet and exercise. Yet nothing I did kept the weight off. I just kept getting fatter and fatter.Each day in surgery, I would split open the chests of people just like me. I knew I was heading for the operating table myself if I didn't find solutions that worked. In 2016, I finally found a way to lose 100 pounds and keep it off. Now - in addition to doing heart surgery - I work to h...
275: Is Body Fat a Defense Mechanism? A Surgeon Rethinks Obesity, Statins, and GLP-1s - Dr. Robert Cywes
Dr. Robert Cywes spent years failing weight loss programs before he recognized that his problem was never nutrition. A board-certified pediatric and adult general surgeon who earned his PhD studying liver metabolism, Cywes now treats carbohydrate consumption as a substance abuse problem rather than a dietary one.
In this conversation with cardiac surgeon Dr. Philip Ovadia, Cywes makes an argument that inverts a familiar assumption: body fat is not the disease. He describes it as something closer to a defense. From there, the discussion moves through the physiology of small, dense LDL, what the published data on...
274: Your Body Already Makes 300,000 Peptides. Medicine Is Just Catching Up - Dr. Melissa Petersen
Jack Heald opens this episode admitting that a year ago, peptides would have sounded like voodoo to him. Then Dr. Philip Ovadia wrote him a prescription.
Dr. Melissa Petersen has spent three decades in integrative health. She holds a doctorate in chiropractic and natural medicine, is board certified in holistic health, and wrote the book Codes of Longevity. Through Peptide University and the Human Longevity Institute, she trains clinicians to see the body as a signaling system rather than a set of silos. Her starting point is a question most physicians were never asked in medical school...
273: The Problem With Good Patients: Why Politeness in the Exam Room Can Cost You - Dr. Efrat LaMandre
For years, nurse practitioner Dr. Efrat LaMandre ("Dr. E") told patients with normal labs that nothing was wrong with them. She now calls that habit unintentional gaslighting, and calls herself a recovering medical gaslighter.
Her new book, The Problem with Good Patients, turns attention to the other side of the exam table: the pre-emptive apologies, the deference, the quiet decision to trust a lab value over what the body is saying. She traces that pattern back to the sticker and lollipop at the pediatrician's office.
Then, after finishing the book, she spent six months talking...
272: The Menopause Symptom Doctors Miss — And Why It Predicts Heart Disease - Zora Benhamou
A woman in her 60s tells gerontologist Zora Benhamou she "never went through menopause." She hasn't had a period in years. Benhamou has heard this story hundreds of times, and she says it's the most dangerous one a woman can believe about her own body.
In this conversation with Dr. Philip Ovadia, Benhamou — founder of Hack My Age and a specialist in aging and longevity — walks through why symptoms like frozen shoulder, unexplained joint pain, and sudden personality shifts are frequently hormonal, why perimenopause can start in a woman's mid-30s, and why the women who feel noth...
271: She had 3 Months to Live - Thirty Five Years Ago - Dr. Nasha Winters
In 1991, a 19-year-old pre-med student was diagnosed with end-stage ovarian cancer and told nothing could be done. She is still alive. Dr. Nasha Winters joins Dr. Philip Ovadia and Jack Heald to trace the strange, unscripted path that got her there, and the decades of research since that convinced her modern oncology is aiming at the wrong target entirely.
Winters, now a naturopathic oncologist who has trained clinicians in 46 countries, argues that cancer and heart disease are not the separate diseases we treat them as, and that both persist because medicine keeps chasing a single mutation or...
270: Dr. Ken Berry Revolutionizes Diabetes Care, Challenge Traditional Associations
Dr. Ken Berry argues humans have a species-specific “proper human diet” and that low-carb/keto approaches can prevent and reverse diabetes, yet major institutions resist due to incentives and enforcement pressures. He founded the nonprofit American Diabetes Society and built “Dr. Berry AI” to spread practical guidance and advocacy.
01:49 Dr. Berry's Background
07:35 The American Diabetes Society
22:24 The Future of AI in Medicine
28:39 Dr. Berry AI
29:27 The Vitamin A Test
40:28 Medical Board Experience
54:54 Wrap-Up & Resources
Send Dr. Ovadia a Text Message. (If you want a response, you must include your contact...
269: A Doctor Says Medicine Is Built to Manage Sickness, Not Cure It - Dr. Sean O'Mara
Dr. Sean O'Mara scans hearts for a living, but not the way most cardiologists do. He measures the ring of fat wrapped around the heart muscle itself, a structure most physicians were never trained to look for and few insurance codes account for. In this conversation, O'Mara walks Jack Heald and Dr. Philip Ovadia through a case that reframes what fasting, the microbiome, and the body's own signaling chemistry can accomplish in a matter of days, not months. He explains why the fat around the heart shares blood vessels with the coronary arteries themselves, why atrial fibrillation may trace...
268 - Dr. Aseem Malhotra on Statins, Stents, COVID Risks and Joining iFix Hearts
Dr. Aseem Malhotra relates his path from mainstream interventional cardiology to challenging the mainstream's cholesterol hypothesis.
Malhotra explains:
why biased research funding misleads doctors and patients about statin benefits and harmswhy most coronary stents don’t prevent heart attacks or extend life outside acute situationswhy medicine is not an exact sciencethe "Saturated Fat & Cholesterol Myth"His awakening over vaccine injury riskCensorship in medicineThe changing culture of cardiolgyDr. Aseem Malhotra Contact Info:
BOOK: A Statin Free Life
FILM: First Do No Pharm
Social Me...
267: Stephen Hussey Survived a Heart Attack and Wants Answers to Questions the Hospital Evaded
A 34-year-old functional medicine practitioner had every marker doctors look for: a zero calcium score, clean metabolic labs, a lean and active build. Six months later he had a widowmaker heart attack with a total blockage and no plaque anywhere else in his arteries.
In this conversation, Dr. Stephen Hussey walks Jack Heald and Dr. Philip Ovadia through what happened after the stent, the questions the hospital would not answer, and the research he pursued once he left. That research led him toward mechanisms of clotting and arterial injury rarely discussed in a cardiology office, and toward...
266: Dr. Eric Berg - The 9 Environments Making You Sick
Most chronic physical and mental health problems trace back to "ancestral mismatch" — the gap between the ancient environment our biology was shaped by and the modern, overly convenient one we now live in. Dr. Berg's book breaks this mismatch into nine trackable "environments" (food, social, light, work, cognitive, etc.) and argues that fixing willpower isn't the answer — redesigning your surroundings is.
NOTABLE QUOTE
"Change your environment one time and make it easy for you to succeed."
— Dr. Eric Berg
CONTACT INFO:
Dr. Eric Berg Contact Info
Bio: With over 47,000,000 follow...
265: He Developed Diabetes Running 50 Miles a Week - Dr. Tim Noakes
For decades, Professor Tim Noakes told the world that carbohydrate-loaded muscles were the secret to endurance performance. He built a career on it, wrote a bestselling running manual around it, and trained a generation of athletes to believe it. Then, standing at a podium, he tore the nutrition chapter out of his own book.
In this conversation with Dr. Philip Ovadia, the South African physiologist traces a personal reckoning that began with an unlikely diagnosis: type 2 diabetes, arrived at while running fifty miles a week and staying lean. He walks through the science that forced him to...
14 Hormonal Archetypes: A Framework for What Blood Tests Miss - Dr. Jay Wrigley
Dr. Jay Wrigley, the physician behind Hormone Diet Doc, returns to the podcast after spending nine months building an entirely new framework for hormonal health, drawn from three decades in clinical practice and his own hundred-pound transformation. He rejoins Dr. Philip Ovadia to unpack why the standard thyroid test so often leaves patients with false reassurance, and what actually happens between the thyroid, the liver, and the cell before a hormone can do its job.
The conversation moves through the hormonal shifts that accompany midlife in both men and women, why testosterone replacement is frequently reached for...
An Endocrinologist Got Sick and Her Own Specialty Couldn't Fix Her - Dr. Cassie Smith
Dr. Cassie Smith spent a decade being failed by her own specialty. As a board-certified endocrinologist, she developed Graves' disease, then Hashimoto's, then infertility, and no colleague could give her an answer. The answer she eventually found wasn't in a prescription pad. It was in her gut.
In this conversation with Dr. Philip Ovadia, Smith explains why millions of people on thyroid medication still feel exhausted, and why the problem often isn't the hormone itself but whether the body can actually use it. She walks through what happens when the gut lining is damaged, how certain bacteria...
The Conference Founder Who Thinks Data Isn't the Answer to Wellness - Robin Switzer
Robin Switzer has spent nearly a decade building one of the largest gatherings in metabolic health, watching thousands of people arrive chasing the same thing: a way to feel better. But somewhere between the Oura Rings, the continuous glucose monitors, and the endless lists of things to optimize, something shifted. Dr. Philip Ovadia and Jack Heald sit down with Switzer to talk about that shift, and why the community she built around the ketogenic diet has quietly become something much bigger. They cover what changed after a new administration took aim at food policy, why a DNA test she...
Beyond Blood Sugar: Why Insulin Matters More Than We've Been Told - Dr. Ian Lake
Most conversations about diabetes focus on controlling blood sugar. Dr. Ian Lake spent 20 years following this playbook—counting carbohydrates, injecting insulin, managing his type 1 diagnosis according to conventional medical guidance. Then a serious hypoglycemic episode and early signs of retinopathy forced him to reconsider everything.
What he discovered became the foundation of his practice and his new book Shifting Gears: insulin itself may be more important than the glucose it controls. By reframing type 1 diabetes as a metabolic optimization problem rather than a glucose-management puzzle, Lake unlocked something most people with the condition never experience—stability without cons...
How One Young Man Beat a Connective Tissue Disorder Everyone Said Was Permanent - Edward Goeke
A genetic connective tissue disorder deemed incurable by medicine improved dramatically through carnivore nutrition and structural medicine that conventional practice overlooks.
DESCRIPTION
At 16, Edward Goeke developed debilitating symptoms that left him bedridden: crippling pain whenever he felt emotion, constant tachycardia, and progressive deterioration. For two years, doctors dismissed him. Medications failed. Plant-based eating worsened his condition. By 18, he was losing vision and preparing to die.
Then came diagnosis: Ehlers-Danlos Syndrome, a genetic connective tissue disorder affecting his ligaments throughout his body. Told it was permanent. Told he'd never fully recover.<...
The Gratitude Cure: Why Your Body Can't Heal Under Stress - Ben Azadi
Your body cannot release stored fat or heal itself when it perceives threat; gratitude is the measurable physiological switch that lowers cortisol, raises oxytocin, and allows metabolic transformation.
DESCRIPTION
Ben Azadi lost 80 pounds and reversed suicidal depression through metabolic healing. His father wasn't as fortunate—a preventable decline into type 2 diabetes, neuropathy, and stroke in 2014. That loss forged his purpose: reach one billion people and reverse type 2 diabetes in a million within a decade.
But Azadi's message diverges sharply from the biohacking mainstream. While cold plunges and red light have th...
The Eating Disorder Doctors Couldn't Fix, Cured With Eggs and Butter - Kelsey Buchalter
For twenty years, Kelsey Buchalter cycled through hospitals, medications, and every conventional treatment psychiatry could offer for anorexia, bulimia, and anxiety. None of it touched the underlying problem. What finally did was a single instruction from a nutritionist: eat only red meat and eggs for ten days.
Now a health coach at Ovadia Heart Health, Kelsey sits down with Dr. Philip Ovadia and Jack Heald to trace the biological mechanism behind that shift, and to challenge a premise most mental health treatment never questions: that the mind can be repaired while the body remains inflamed and malnourished...
The Heart Scan That Could Save Your Life (And Why You Can't Get One) - Kim Mischo
Cardiac imaging expert Kim Mischo spent 20 years inside the cardiology machine — running nuclear stress tests that told patients they were fine, then watching some of those patients have heart attacks the following week. She knew the system was broken long before she could prove it.
Now she can prove it.
A non-invasive scan exists that can detect coronary artery disease at 5% blockage — before symptoms, before a stress test would ever flag anything. It's been guideline-recommended since 2021. It's 99% accurate. And insurance won't cover it.
The reason why is the part of this conversation that will...
The Accountant Who Cracked the Parkinson's Code Using Gut Bacteria - Martha Carlin
Martha Carlin wasn't a scientist when her husband was diagnosed with Parkinson's at 44. She was an auditor — trained to follow the evidence wherever it leads, and to never take anything at face value. That discipline took her somewhere medicine hadn't yet looked: the gut.
What she found over the next two decades reframes how we understand not just Parkinson's, but chronic constipation, cancer, metabolic disease, sleep, cravings, and the quiet collapse of human health since World War II. The microbiome isn't a side conversation — it may be the whole conversation.
This episode traces one woman's obse...
Why You're Sabotaging Your Health (And Don't Know It) - Martin Silva
Most people trying to get healthier are losing a battle they don't know they're fighting. It's not a lack of information. It's not even a lack of effort. It's something quieter — the stories running beneath the surface, the environments they've stopped noticing, the split-second decisions that feel small until they're not.
Martin Silva has spent 20 years coaching people out of the patterns that keep them stuck. A former competitive natural bodybuilder who hit the aesthetic ceiling and found it hollow, he now works with high-achievers in their 40s and 50s — people who are disciplined in every area of l...
254: When Food Isn't Enough: The Missing Half of Metabolic Health - Craig Emmerich
Craig Emmerich spent a decade eating low-carb and feeling great — until he wasn't. What followed was a quarter-million dollars, a chronic Lyme diagnosis, and a hard-won education in what diet alone simply cannot do.
In this conversation, Craig and Dr. Ovadia pull apart one of the most seductive myths in the metabolic health space: that the right food is always the right answer. They talk protein thresholds, personal fat limits, the case for bio-identical hormones, and the nuanced reality of GLP-1s — all filtered through 20-plus years of clinical observation and thousands of client testimonies.
What...
253: The Scientist Who Helped Rewrite America's Dietary Guidelines Tells All - Ty Beal
The science of what to eat has never been clearer. The problem was never the biology — it was everything else. Dr. Ty Beal, a global nutrition scientist who helped author the new U.S. Dietary Guidelines, has spent his career mapping where modern diets fail and why they keep failing. His Nutritional Value Score ranked foods with a rigor that finally puts organ meats in their proper place, calls out the grain mythology for what it is, and confirms what many already suspect: ultra-processed food is systematically, measurably eroding human health worldwide. But kn...
252: The Hidden Illness Hiding in Your Walls: Mold, Misdiagnosis & the Path Back - Ally D'Amico NP
You've done the work. You cleaned up your diet, fixed your sleep, addressed your metabolic health — and something is still wrong. Brain fog you can't explain. Fatigue that won't move. Weight creeping up for no apparent reason. Personality changes your family notices before you do.
Nurse practitioner Ally D'Amico spent 14 years watching patients spiral through specialists, collect diagnoses like fibromyalgia and chronic depression, and never actually get better — until she stumbled onto the thing nobody in conventional medicine was looking for. One in four people carry a genetic predisposition that prevents them from clearing a common environmental toxi...
251: Stem Cells, Peptides, and the Real Reason You're Getting Old - Dr. Adeel Khan
Your body already knows how to heal itself. The question is whether anyone is giving it the right signals.
Dr. Adeel Khan trained as a conventional physician before following a thread most doctors ignore: what if we could restore the system, not just manage the symptoms? That thread led him through sports medicine, global laboratories, stem cell research, and a fundamental rethinking of what aging actually is at the cellular level.
In this conversation, Dr. Khan explains why most clinics calling themselves "stem cell" providers aren't offering what they claim, what MUSE cells actually do...
250: Seven Years, 700 Cholesterol, Zero Plaque: What Dr. Nick Norwitz's Case Report Changes
Nick Norwitz has an MD, a PhD, and a cholesterol level that should have killed him — at least according to the standard model of cardiovascular disease. For seven years, his total cholesterol held above 700. His LDL sat in the high 500s. Every clinical algorithm flagged him as a cardiac emergency. He took none of the prescribed medications.
His just-published case report shows zero coronary plaque. Not reduced. Not minimal. Zero.
This episode isn't a victory lap. It's a serious conversation about what that result means — for how medicine measures risk, how it handles outliers, and why...
249: You've Seen 10 Doctors and Still Aren't Better. Here's Why - Reed Davis
You got the tests. You got the diagnosis — maybe more than one. You took the medication. And you still don't feel like yourself.
Reed Davis has spent 30 years working with exactly those people. As the founder of Functional Diagnostic Nutrition, he's trained over 5,000 practitioners in a methodology built on one counterintuitive premise: chasing a diagnosis may be the wrong move entirely.
Instead of narrowing in on a label, Reed looks for what he calls metabolic chaos — a constellation of interconnected dysfunction across hormones, immunity, digestion, detoxification, energy production, and the nervous system. The body, he argu...
248: The Patient Is the Point: How AI Is Forcing Medicine to Finally Listen - Dr. Ami Bhatt
Medicine has always positioned itself as the authority — the place you go when something is wrong, on its terms, in its building, by its schedule. But the infrastructure built to support that model may now be its biggest liability.
Dr. Ami Bhatt, Chief Innovation Officer of the American College of Cardiology, has a front-row seat to what's breaking down and what's quietly beginning to work. What she sees isn't a technology problem. It's a relationship problem — between patients and the systems meant to serve them, between clinicians and the tools being handed to them, between the pace of i...
247: Darius Sharpe, The ER Nurse Who Ran His Own Blood Sugar Experiments (And Found Heart Disease)
Darius Sharpe has spent over two decades watching the same patients cycle through emergency rooms with the same conditions, the same medications, and the same unaddressed root cause. As a paramedic-turned-ER nurse, he started asking a question nobody around him wanted to answer: why are we treating the result instead of the cause?
What followed was years of self-experimentation — continuous glucose monitors, serial lab draws, coronary imaging — on a man who, by every outward measure, looked like a picture of health. What he found in his own bloodwork challenged assumptions held across every nutritional camp.
BI...
246: The Missing Link Between Menopause, Marriage & Your Microbiome - Cynthia Thurlow
Every woman will go through menopause. Every partner, spouse, child, and close friend will feel it too. And almost none of them will understand what is actually happening — or why the standard medical response of "just add hormones" so often falls short.
Cynthia Thurlow joins Stay Off My Operating Table to explain why so many women hit midlife feeling like their bodies suddenly stopped cooperating, despite doing “all the right things.”
This conversation connects gut health to hormones, inflammation, and aging in a way that removes shame, self-blame, and confusion, and replaces it with cl...
245: Your Doctor Can't Save You: Dylan Gemelli on Accountability, Arterial Plaque, & the Health System's Blind Spots
Dylan Gemelli went from prison to Milan runways to millions of YouTube subscribers — and then a calcium score of 120 and an LP(a) of 330 stopped him cold at 40 years old. In this conversation with Dr. Philip Ovadia, he breaks down what both the biohacking and conventional medical worlds are getting wrong, why confusion is the real enemy of public health, and how he dropped his LP(a) from 330 to 94 without following his doctor's orders. This episode is equal parts cardiovascular science and hard-won life philosophy — and the two turn out to be inseparable.
BIG IDEA
244: The Metabolic Root of Depression, Anxiety, & Mental Illness - Dr. Lori Calabrese
Dr. Lori Calabrese is a psychiatrist whose trajectory changed when a patient with 15 years of treatment-resistant anorexia went into full remission after a ketogenic diet. What followed was a research journey — pilot studies, peer-reviewed case series, and a now-funded randomized controlled trial — consistently showing that depression, anxiety, OCD, bipolar disorder, and other conditions could achieve complete remission, not just symptom reduction, through metabolic intervention. The key mechanism isn't neurotransmitter adjustment but mitochondrial health: when the brain runs on ketones, it receives a more stable fuel that reduces the erratic neurological firing behind panic, mania, obsessive loops, and psychosis.
Dr...
243: Dave Feldman’s “The Cholesterol Code" Kicks the Lipid Hornet's Nest
Dave Feldman, a software engineer turned citizen scientist, went on a ketogenic diet and watched his LDL cholesterol spike dramatically while his family members on the same diet saw no such change. Unable to get cardiologists or lipidologists to study the phenomenon, he built a public charity from scratch, crowdfunded the research, and designed the Keto CTA study — enrolling 100 metabolically healthy people with very high LDL and scanning their coronary arteries with CT angiograms at baseline and one year later. He filmed the entire process. The result is the documentary The Cholesterol Code.
The findings were notable, bu...
242: Your Brain Is Starving: The Metabolic Root of Depression, Anxiety, and Chronic Fatigue - Moira Newiss
Moira Newiss spent 20 years running hospitals for the UK's National Health Service before her body and mind staged a slow, invisible collapse that no blood panel could explain — and the system she'd devoted her career to had nothing to offer but a prescription she didn't want to fill. What she found instead was a framework rooted in mitochondrial biology that reframes mental illness, chronic fatigue, and burnout as problems of cellular energy rather than brain chemistry.
BIG IDEA
"Psychological stress adversely affects the mitochondria just like high-sugar diets do — and a ketogenic diet...
241: This Contortionist Found the Link Between How You Breathe and Why You're Stuck - Kemi Blake
Kemi Blake started training contortion as an adult with a body that wasn't built for it — no childhood conditioning, no natural flexibility, just a fierce refusal to quit and an unusual willingness to pay close attention to what her body was doing in the moments before she lost consciousness. What she found wasn't a performance hack. It was a map of the nervous system, the body's hidden pressure architecture, and the emotional terrain that most of us spend our lives navigating blind.
BIG IDEA
The nervous system doesn't distinguish between emotional pain and ph...
240: Oxalates: The Hidden Toxin in Your "Superfood" Diet — With Sally K. Norton
Sally K. Norton, a Cornell-trained nutritionist with a master's in public health, spent decades sick while eating all the "right" foods before connecting her arthritis, chronic fatigue, sleep dysfunction, and other symptoms to oxalate accumulation. Her research — drawing on tens of thousands of peer-reviewed articles — reveals that medical and nutritional institutions have long known oxalates cause problems, but the information never connected across disciplines, was never prioritized, and got buried under decades of commercial food messaging and dietary dogma. Critically, simply eliminating high-oxalate foods overnight can trigger a difficult detox response as stored crystals release from tissues, so gradual diet...
239: Your Doctor Wants to Change Medicine But Can't - Here's What's Really Happening - Dr. Deep
Dr. Sandeep Palakti spent years at Harvard and Mayo Clinic before realizing the American healthcare system isn't designed to keep people healthy. In this conversation with cardiac surgeon Dr. Philip Ovadia, he breaks down why 70% of physicians are now employed by large health systems or insurers, how that institutional capture prevents real preventative care, and what both doctors and patients can do about it. He explains how he broke free to create Velocity Health, a national concierge practice focused on sleep, diet, exercise, and mental health through precise measurement and individualized strategies. For physicians feeling stuck and patients paying...
238: When Stents Aren't Enough: Why Heart Doctors Are Fighting Disease Outside the Hospital - Dr. Arasi Maran
Two cardiac specialists—one who performs open-heart surgery, the other who places stents in blocked arteries—sit down for an honest conversation about what they see on the operating table and in the cath lab. Dr. Philip Ovadia and Dr. Arasi Maran treat patients at the end stage of heart disease, often when it's too late for interventions to make a meaningful difference. Both physicians share the same conclusion: you don't need a cardiologist or surgeon if you understand what real food looks like and take responsibility for your health before disease sets in.
Dr. Arasi Maran Cont...
237: Dr. Amie Hornaman - 95% of Hypothyroidism is Actually Hashimoto’s Disease
Dr. Amie Hornaman to discuss one of the most underdiagnosed and misunderstood health issues affecting millions—especially women over 35. Dr. Amie shares her personal journey from being a misdiagnosed fitness competitor who gained 25 pounds despite extreme dieting and exercise, to becoming a leading thyroid hormone specialist.
Discover why 95% of hypothyroidism is actually Hashimoto's disease, why standard TSH testing fails most patients, and why T4-only medications like Synthroid don't work for the vast majority. Learn about the "forgotten hormone" T2 and its potential as a game-changer for metabolism and weight loss, the critical role of iodine, and wh...
236: A Carnivore Diet Has Healed, (and Keeps Healing), Julia Greenblatt
Julia Greenblatt shares how she overcame chronic illness and pain and restored her own vibrant health by adopting a carnivore diet. She highlights her rapid recovery from debilitating hemorrhoids, mental clarity, and overall life improvements.
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WEBSITE: Stay Off My Kitchen Table
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