

Medicine Redefined
Darsh Shah, DO and Altamash Raja, DO
Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means. Hosts Dr. Darsh Shah and Dr. Altamash Raja spotlight clinicians, scientists, thought leaders, and reformers who are reshaping how we think about physical, mental, metabolic, and systemic health. While the healthcare system focuses on treating disease, our guests focus on optimizing human potential. From sleep and nutrition to stress resilience and lifestyle medicine, discover how forward-thinking practitioners are putting the health back in healthcare.
Episodes
Mentioned books

Oct 11, 2021 • 1h 7min
31. Amy Shah, MD: Combating Burnout and Fatigue, Circadian Fasting, & Finding Balance
Dr. Amy Shah joins the show to discuss why we are all "so effing tired."
Dr. Shah graduated from Cornell University with a major in nutrition sciences. She went on to complete her medical training at Albert Einstein College in NY, followed by residency training at Harvard and a fellowship in Allergy/Immunology at Columbia University.
Amy helps busy people transform their health using cutting-edge nutritional and medical science. Her proven techniques to heal inflammation utilize the power of the microbiome to help digestion, obtain natural hormone balance and heal food sensitivities. She is a well-known expert on intermittent fasting for women.
In this episode we discuss:
Amy’s journey to burnout and what made her reflect and change her practices
Common misnomers that are often used when describing fatigue and exhaustion
Finding a balance between being anchored to the research/data and utilizing "unconventional" approaches to help patients
Circadian Biology and Fasting
Medicine Redefined episode on Light Therapy with Roudy Nassif
Follow Amy
Amy's website
IG @fastingmd
On Twitter @amyshahmd
On Youtube
Amy's Book

Oct 4, 2021 • 1h 29min
30. Mario Novo, DPT - Part II of II: Blood Flow Restriction Training Applications
Dr. Mario Novo returns to the show to discuss the broad applications of Blood Flow Restriction.
In this Part 2 episode, we discuss:
The earliest application of BFR in limb salvage programs
Molecular and physiological explanation of how BFR may influence protein and muscle metabolism
BFR with fractures and for bone remodeling
BFR with aerobic and resistance training
BFR to augment performance
Differences between the BFR systems on the market
Resources discussed in this episode:
Safety of BFR in Hypertension - A Meta-Analysis and Systematic Review
Owens Recovery Science Website
Owens Recovery Science Podcast
10% discount of H+ Cuffs - Use "Mario10"
Follow Mario on IG @liftersclinic

Sep 28, 2021 • 1h 5min
29. Mario Novo, DPT - Part I of II: The Science and History of Blood Flow Restriction Training
In this episode, Dr. Mario Novo joins the show to discuss the science of Blood Flow Restriction. Mario is a Doctor of Physical Therapy with expertise in human biomechanics, tissue regeneration, pain neuroscience, and sports performance. He is also a clinical researcher, university professor, and nationally recognized expert in the field of strength/conditioning and blood flow restriction rehabilitation (BFR-R).
In this episode we discuss:
BFR origins
Definition of BFR and other occlusion training methods
Systemic and local mechanisms of action
Follow Mario on IG @liftersclinic

Sep 20, 2021 • 37min
28. Lessons Learned: Dave Tilley, DPT and Charlie Piermarini, PA-C
In this episode, Darsh and Altamash break down the lessons they learned from Dr. Dave Tilley and Charlie Piermarini.
Studies Referenced:
Efficacy and Safety of CBD for Job Burnout in Healthcare Workers (PMID: 34387679)
CBD and Pain: Mechanism vs Mind (PMID: 34251840)
Adverse Effects of CBD (PMID: 32268347)
CBD for Pain: Mechanisms and Pharmacology (PMID: 33238607)
Washington Post Article on Simone Biles
Time Magazine Article on Simone Biles
Senate Hearing for Larry Nassar Investigation (September 2021)
Medical Marijuana Education for Providers
Charlie Piermarini's RestorativeCBD
Sponsor

Sep 13, 2021 • 1h 16min
27. Charlie Piermarini, PA-C: The Science on CBD, THC, and the Endocannabinoid System
Charlie Piermarini is a PA-C who works in Pain Management. He has seen countless patients suffering and started to see the real benefits of CBD. He decided to become an expert on the topic, and eventually created his company RestorativeCBD, which not only sells CBD but also provides education to health care providers and patients.
In this episode, we discuss:
The history of cannabis
CBD vs. THC
The endocannabinoid system
Methods of taking cannabis
Benefits and side effects
How you can become more educated on cannabis
Oncotarget paper discussing CB2 activation promotes colon cancer progression (PMID: 27634891)
Restorative CBD Website
Instagram
Cannabis Education

Sep 7, 2021 • 1h 31min
26. Dave Tilley, DPT, SCS, CSCS - Part II of II: Gymnastic Injuries, Communication in Rehabilitation & Gymnastic Moves to Incorporate Into Your Routine
Dr. Dave Tilley joins the show to discuss his expertise in the world of gymnastics. Dr. Tilley is an internationally recognized sports physical therapist who has worked with 1000s of gymnasts over the past decade. He is also an avid researcher and pays special attention to areas such as workloads/overtraining, Achilles tendon injuries, back pain, and culture change. Along with his coaching and clinical work as a medical provider, he founded SHIFT in 2013 and continues to act as the CEO.
In this episode, you will hear us discuss:
The culture of sport (gymnastics in particular)
Common injuries in gymnastics
Communication with other providers in the setting of rehabilitation
Patient stories about difficult rehab
Gymnastic work to incorporate into your routine
Dave's recently published paper in Sports Health discussing factors associated with Achilles ruptures in women's collegiate gymnastics (PMID: 34338076)
You can follow Dave Tilley here:
Website
Youtube
Instagram
Podcast

Aug 30, 2021 • 1h
25. Dave Tilley, DPT, SCS, CSCS - Part I of II: Simone Biles, Olympics & Shifting the Culture of Sport and Gymnastics
Dr. Dave Tilley joins the show to discuss his expertise in the world of gymnastics. Dr. Tilley is an internationally recognized sports physical therapist who has worked with 1000s of gymnasts over the past decade. He is also an avid researcher and pays special attention to areas such as workloads/overtraining, achilles tendon injuries, back pain, and culture change. Along with his coaching and clinical work as a medical provider, he founded SHIFT in 2013 and continues to act as the CEO.
In this episode you will hear us discuss:
The culture of sport (gymnastics in particular)
Simone Biles at the Tokyo Olympics
Mental health in sport
Tactfully treating/coaching gymnasts during hypersensitive time
You can follow Dave Tilley here:
Website
Youtube
Instagram
Podcast

Aug 23, 2021 • 33min
Lessons Learned: Max Shank and Micah Yu, MD
In this episode, Darsh and Altamash recap their discussion with Dr. Micah Yu and the athletic ninja Max Shank.
Max Shank website
Micah Yu website

Aug 16, 2021 • 56min
24. Max Shank - Part II of II: The Quantum Effect of 5 Minutes, the Social Media Roller Coaster & Delaying Gratification
Max Shank is again this week's guest as our conversation with him had too many nuggets for one episode.
In Part II of our conversation we talk about:
The psychology of his famous 5-minute flow program
Importance of proper breathing mechanics and the downstream effect it has on movement quality
Max’s initial assessment process
Max's social media fast
Delaying gratification to fast track success
Follow Max via instagram, youtube, and on his website

Aug 16, 2021 • 1h 9min
23. Max Shank - Part I of II: Why Movement Matters & "The High Opportunity Cost of Zero"
Max Shank is a coach, owner, author, teacher, and creator. He has done a lot and has the experience to show and talk for it. Based out in Souther California, Max has his own gym where he is teaching clients how to become primal with better movement patterns and better mobility. He joins us in this 2 part series to discuss why movement matters. This is a philosophical episode. Get ready!
Website
Instagram
YouTube