

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Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means.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

Apr 15, 2024 • 1h 7min
151. Foot Health, Transition Protocol to Minimalist Shoes & Footwear in Athletes | Irene Davis, PhD, PT
Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida. Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida. She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running. She is the current President of the American College of Sports Medicine.
In this episode, we discuss:
Buying a minimalist shoe online or in the store
Transition protocol into minimalist shoes or barefoot
core
Biomechanics of the Nike Vaporfly (4% show)
Advantages and disadvantages of a carbon foot plate
The role of athletic footwear
Why older people should consider minimalist shoes
Mentioned in the show:
Vivobareboot
Xero Shoes
Merrell Shoes
Nike Vaporfly (4%) Shoes
Carbon Fiber Plate - Bone Stress Injuries
Pickleball
LeBron James Feet

Apr 8, 2024 • 1h 8min
150. Learning From Health Influencers and Documentaries, Nutrition in Mental Health and MSK Injuries & Revisiting Timeless Principles | EC Synkowski, MS
EC Synkowski is a nutritionist, CrossFit Level 4 Coach, and the owner of OptimizeMe Nutrition. EC is the creator of the #800gchallenge and #LazyMacros. Her podcast TheConsistencyProject is a medium for education where she elaborates on the nuances of nutrition and translates evidence-based scientific data into practical solutions for everyday success.
EC's academic background
BS in biochemical engineering
MS in environmental sciences
MS in Nutrition & Functional Medicine
Resources Mentioned in the show:
Chronic MSK Pain and Nutrition (PMID: 32086871)
You are what you eat (Netflix)
Blue Zones (Netflix)
Follow EC:
webstie
Instagram

Apr 1, 2024 • 40min
149. Progress Note #17: Fasted Cardio & Training, Optimizing Nutrition, Workouts, Sleep, and Stress During Ramadan
In this episode, Dr. Darsh and Dr. Altamash take a deep dive into fasted cardio and training. Is it beneficial? Or do we just think we are burning more fat?
Altamash also talks about his experience with training, sleep, stress, and nutrition during the holy month of Ramadan.
For anyone who is, was, or has thought about fasting in any capacity, this is the episode for you!
Studies mentioned in the show:
Breakfast Omission Reduces Subsequent Resistance Exercise Performance (PMID: 30707135)
Viscous placebo and carbohydrate breakfasts decrease appetite and increase resistance exercise performance (PMID: 32174286)
Starving Your Performance? Reduced Preexercise Hunger Increases Resistance Exercise Performance (PMID: 34872065)
The acute effect of fasted exercise on energy intake, energy expenditure, subjective hunger and gastrointestinal hormone release compared to fed exercise in healthy individuals: a systematic review and network meta-analysis (PMID: 3473283)
Does observance of Ramadan affect sleep in athletes and physically active individuals? A systematic review and meta-analysis (PMID: 34693577)

Mar 25, 2024 • 1h 23min
148. Physique Optimization: Psychology, Longevity & Lifestyle (Part 2) | Joe Farese
Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked over the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors.
Joe's recent bodybuilding resume includes:
2021 WNBF Pro Mr. Universe winner
2021 and 2022 Pro Masters Mr. America winner
2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner
In this episode, we discuss:
Sleep and distress tolerance in relation to physique transformation
The power of social connection
Longevity in bodybuilding
Injury prevention
Drug testing and steroids in bodybuilding
The psychology of bodybuilding
Body dysmorphia and body image
Resources mentioned in the show:
Mike Israetel on sleep for muscle growth (Modern Wisdom)
Joe on the three kinds of performance intelligence: mind, body, and emotion

Mar 18, 2024 • 1h 47min
147. Physique Optimization: Muscle Building & Fat Loss (Part I) | Joe Farese
Joe Farese is a natural-for-life pro bodybuilder who has competed for the last 36 years consecutively. He has also worked the past 36 years as a trainer and health coach for populations ranging from young athletes to seniors.
Joe's recent bodybuilding resume includes:
2021 WNBF Pro Mr. Universe winner
2021 and 2022 Pro Masters Mr. America winner
2023 Pro Mr. America lightweight class winner and Grandmasters (50+) Mr America class winner
In this episode, we discuss:
-Background in bodybuilding and coaching
-Competing at a high level
-Pros/Cons of “bodybuilding mentality”
-Specific training philosophies
-Traditional bodybuilding vs “functional” training
-Bodybuilding nutrition

Mar 11, 2024 • 1h 13min
146. The Rise of the Self-Determined Physician | Jimmy Turner, MD
Dr. Jimmy Turner is an academic anesthesiologist, entrepreneur, author, and life coach. He obtained his medical degree from Wake University and then completed an Anesthesia residency at the same institution. Subsequently, he completed a Regional Anesthesia and Acute Pain Medicine fellowship. After his training, he stayed on within the Department of
Anesthesia and now holds the title of Associate Professor.
Dr. Turner is passionate about teaching doctors how to create the time, financial
freedom, and mindset shifts they need to create a life they love, which he does
through books, podcasts, and his coaching program.
In this episode, we discuss:
Jimmy's origin story
Disability insurance
The arrival fallacy
Shift from physician burnout to entrepreneur burnout
the importance of setting boundaries
Jimmy’s hell yes policy
Revamping medical education to empower physicians, help promote autonomy, and minimize the risk of burnout
What makes a self-determined physician
Jimmy's FREE Book
Find Jimmy Turner:
Money Meets Medicine
The Physician Philosopher
Podcasts
Books
Coaching

Mar 4, 2024 • 35min
145. Progress Note #16: Osteopathic (DO) vs. Allopathic (MD) Medicine & The Bias Against DOs
Drs. Altamash and Darsh are both DOs - osteopathic physicians. They break down the recent biases against this branch of medicine and explain the education process as well as similarities and differences to their allopathic (MD) peers.
Mentioned in the show:
Hasan Minhaj Stand-Up
"Somebody who does something other than osteopathy"

Feb 26, 2024 • 1h 28min
144. Minimalist Shoes, Running Mechanics & Barefoot Training | Irene Davis, PhD, PT
Irene Davis, PhD, PT, is a Professor in the School of Physical Therapy and Rehabilitation Science in the Morsani College of Medicine at the University of South Florida. Prior to this, she was the founding Director of the Spaulding National Running Center in the Department of Physical Medicine and Rehabilitation at Harvard Medical School. Dr. Davis received her Bachelor of Science in Exercise Science from the University of Massachusetts, and in Physical Therapy from the University of Florida. She earned her Masters degree in Biomechanics from the University of Virginia, and her PhD in Biomechanics from Pennsylvania State University. Her research is focused on the relationship between lower extremity structure, mechanics and injury and extends to the development of interventions to alter faulty mechanics through gait retraining. Her interests also include the effect of minimal footwear on mechanics and injury. She has given over 350 lectures both nationally and internationally and authored 160 publications on the topic of lower extremity mechanics during walking and running gait. She has been named one of the 50 Most Influential People in Running. She is the current President of the American College of Sports Medicine.
In this episode, we discuss:
Dr. Davis’ journey into PT and how she developed a passion into minimalist footwear
and training.
Foot anatomy and the importance of spending time training and addressing the foot
core
Various foot strike patterns and force distribution
Foot types, and shoe types such as motion control, stability, etc.
The role of minimalist footwear training and how it applies to clinical medicine
Early and lifetime exposure to barefoot training
Studies mentioned in the show:
Injury reduction effectiveness of assigning running shoes based on plantar shape in Marine Corps basic training
Injury reduction effectiveness of selecting running shoes based on plantar shape
Injury-reduction effectiveness of prescribing running shoes on the basis of foot arch height: summary of military investigations
Foot strike patterns and collision forces in habitually barefoot versus shod runners
Walking in Minimalist Shoes Is Effective for Strengthening Foot Muscles
The foot core system: a new paradigm for understanding intrinsic foot muscle function
The effect of a 12-week custom foot orthotic intervention on muscle size and muscle activity
Other resources mentioned in the show:
Born to Run by Chris McDougall
Follow Dr. Davis:
Twitter @IreneSDavis

Feb 19, 2024 • 1h 30min
143. Solving the Mental Health Crisis, Intuitive Mental Health & The Human Condition | Ravi Hariprasad, MD, MPH
Ravi Hariprasad, MD, MPH, is the founder and CEO of Intuitive Mental Health, a start up focused on partnering with primary care physicians to deliver comprehensive and personalized mental health support. Dr. Hariprasad obtained his medical degree of the University of Pennsylvania and completed his Masters in Public Health as well as his psychiatry residency at Harvard University. Dr. Hariprasad is well versed in both Western medicine as well as holistic and complementary perspectives such as Ayurveda. His early experience as an engineer and an entrepreneur have helped him understand system design, root cause analysis, and solution development and implementation.
Ravi Hariprasad LinkedIn
Mentioned in the show:
Intuitive Mental Health
Intuitive Psychiatry
Episode 127 - Ayurvedic Principles (Jyoti Patel, MD)
Episode 86 - Ayurveda in Modern Life (Shivani Gupta, PhD)
Jean Paul Sartre
Viktor Frankl
Stoicism
Selective Serotonin Reuptake Inhibitors (SSRIs)

Feb 12, 2024 • 1h 1min
142. The Med Matrix & AI in Medical Education | Deepak Melwani
Deepak Melwani is a serial entrepreneur and a 3rd year medical student at Midwestern University Chicago of Osteopathic Medicine, with a robust background in computer science. Before starting medical school, Deepak co-founded a retail software service, scaling it to achieve millions in revenue. His passion lies in leveraging business and technology to reach and impact lives globally. Deepak is deeply committed to integrating these interests with the transformative power of healthcare to profoundly influence individual lives. As a founding partner of Med Matrix, he is at the forefront of innovating the educational landscape for health professional students, revolutionizing their daily study routines.
Social Media:
Instagram
Twitter
Mentioned in the Show:
The Med Matrix (code 'MEDREDEFINED' for 15$ off 1st month)
Episode 76 - Rami Wehbi
MatchDay Health