Voices in Health and Wellness

Why Traditional Cardiology Is Failing Women with Dr Hwaida Hannoush

Send us Fan Mail [https://www.buzzsprout.com/2489689/fan_mail/new] Feeling “just tired” should not be the reason a heart problem gets missed. We sit down with Dr Hwaida Hannoush, a specialist in metabolic cardiology and functional medicine and the founder of Pressi Med Clinic, to unpack why women’s heart disease is still under-recognised and under-treated, even when the stakes are life-changing. We talk about the real-world ways women present differently, from fatigue and breathlessness to vague chest pressure or stomach discomfort, and how that can lead to delayed care. Dr Hannoush explains why women’s cardiovascular risk is more complex than the standard checklist, including microvascular disease, HFPEF, autoimmune links, and the often-forgotten impact of reproductive history. We dig into pregnancy complications such as pre-eclampsia and gestational diabetes as early warning signals that should trigger prevention, not a shrug after delivery. We also get practical about what “functional medicine” looks like when applied to heart health prevention. Rather than treating cholesterol numbers in isolation, we discuss a whole-body cardiometabolic approach that considers inflammation, gut health, hormones, and the deeper “why” behind persistent symptoms. Finally, we go behind the scenes of building a virtual clinic: rapid access, direct messaging, remote testing, automation, and the hard parts too, like mindset barriers and the cost of testing. If you care about women’s heart health, prevention, and smarter risk assessment, listen now, share this with someone who needs it, and leave us a review to help more people find the show. GUEST BIOGRAPHY Dr Hwaida Hannoush is a specialist in metabolic cardiology and functional medicine and the founder of Precimed Clinic, a virtual prevention-focused practice dedicated to women’s cardiovascular health. After years in conventional cardiology and academic research, she transitioned into root-cause medicine to better address the overlooked drivers of heart disease in women. Her work focuses on prevention, patient empowerment, and bridging the gap between traditional cardiology and functional medicine. * Website: https://precimedclinic.com [https://precimedclinic.com] *  LinkedIn: https://www.linkedin.com/in/hwaida-hannoush-md-fase-02523130/ [https://www.linkedin.com/in/hwaida-hannoush-md-fase/] About Dr Andrew Greenland Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing. Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care. 💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com [https://subscribe.voicesinhealthandwellness.com]

"Everything Looks Normal” - So Why Do Patients Still Feel Sick? with Dr Megha Mohey

Send us Fan Mail [https://www.buzzsprout.com/2489689/fan_mail/new] “Everything looks normal” can be one of the most discouraging lines a patient hears, especially when the fatigue, brain fog, gut symptoms, or weight loss resistance are very real. Dr Megha Mohey joins me to unpack why that mismatch happens and how integrative and functional medicine aims to close the gap by looking for root causes and patterns, not just isolated lab values. Dr Mohey is board-certified in internal medicine with advanced training in integrative medicine, functional medicine, and medical acupuncture. She shares her journey from nearly two decades in traditional practice, where shrinking appointment times and growing admin load made meaningful chronic disease care harder, to launching Way Integrative and Functional Health, a physician-led concierge model based in Michigan. We talk about what actually changes when you can spend 60 to 75 minutes on a first visit, how she structures follow-ups and written plans, and why she starts with foundations like sleep, nutrition, stress, lifestyle, and relationships before piling on supplements or complex protocols. We also dig into what she’s seeing right now: patients doing “all the things” from social media stacks to extensive testing, yet still feeling stuck, and others who have been told their conventional labs are fine despite ongoing symptoms. Gut health comes up repeatedly, including IBS, dysbiosis, malabsorption, and how these can connect with hormone transitions and metabolic health goals. Finally, we go behind the scenes on building a sustainable clinic business: scaling with a team, using technology and online resources, exploring group programmes, and expanding telehealth across state lines through additional licensing. If you’re a clinician, founder, or curious patient who wants a clearer view of modern integrative healthcare and the realities of running it, listen now, then subscribe, share with a colleague, and leave a review with your biggest takeaway. 👤 GUEST BIOGRAPHY Dr Megha Mohey is a board-certified physician in Internal and Integrative Medicine with advanced training in Functional Medicine, Medical Acupuncture, and lifestyle-focused care. She is the founder of Way Integrative and Functional Health, where she helps patients address root causes related to metabolic health, gut health, longevity, and chronic disease through a personalized, whole-person approach. Alongside her concierge-style functional medicine practice, she continues to practice traditional internal medicine, bringing a unique perspective on the evolving future of healthcare. Contact Details * Website: https://www.way.health/ * LinkedIn: https://www.linkedin.com/in/megha-mohey-md-facp-aboim-2b522340/ About Dr Andrew Greenland Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing. Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care. 💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com [https://subscribe.voicesinhealthandwellness.com]

AI, EDS, and the Decade-Long Diagnostic Gap with Dr Dacre Knight

Send us Fan Mail [https://www.buzzsprout.com/2489689/fan_mail/new] A decade of chronic pain and chronic fatigue with “normal” results is not just a medical problem, it is a systems problem. I’m joined by Dr Dacon Knight, Associate Professor of Medicine at the University of Virginia, to unpack why hypermobile Ehlers-Danlos syndrome (hEDS) and related connective tissue disorders still slip through the cracks, even when the signs have been there for years. We explore what clinicians should look for beyond a single aching joint: instability, subluxations, dislocations, fatigue, and the way connective tissue can affect multiple organ systems from gut to lungs to nerves. We also get honest about the diagnostic odyssey, why imaging can mislead, and how the lack of a definitive genetic test for hEDS forces diagnosis to depend on clinical pattern recognition and experience. That gap in training is where many patients lose time, confidence, and trust. From there, we move into what good care can look like when it is genuinely multidisciplinary: physical therapy, occupational therapy, specialist collaboration, and mental health support that recognises the stress and harm caused by years of dismissal. Dr Knight then shares how his team is using AI in healthcare research and clinical decision support, including work on large patient datasets, the possibility of voice signatures as biomarkers, and digital twin models for education and safer experimentation. If you care about earlier diagnosis, better chronic illness care, and practical uses of machine learning that improve real lives, subscribe, share this with a colleague, and leave a review with the one change you want to see in how we handle chronic pain. Guest Biography Dr Dacre Knight is Associate Professor of Medicine at the University of Virginia and Medical Director of the UVA Health Ehlers-Danlos Syndrome Center. His work focuses on complex chronic illness, connective tissue disorders, multidisciplinary care, and the use of emerging technologies including artificial intelligence to improve diagnosis, research, and patient outcomes.  Contact Details * Website: https://uvahealth.com [https://uvahealth.com] * LinkedIn: https://www.linkedin.com/in/dacre-knight-md-ms-facp-9b279a61/ [https://www.linkedin.com/in/dacre-knight-md-ms-facp-9b279a61/] About Dr Andrew Greenland Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing. Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care. 💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com [https://subscribe.voicesinhealthandwellness.com]

From Fear to Agency: Rethinking Dementia Prevention with Dr Ashanthi Gajaweera

Send us Fan Mail [https://www.buzzsprout.com/2489689/fan_mail/new] Dementia is one of the biggest fears people carry quietly, and the hardest part is not knowing what to do with that fear. We sit down with Dr Ashanthi Gajaweera, a neurologist with more than two decades in traditional practice, to unpack why she stepped outside the insurance-based model and founded HealthSpan Neurology, a preventative neurology clinic built around cognitive longevity and dementia risk reduction long before symptoms show up.  We talk through what a real dementia prevention programme looks like when you finally have time to do it properly: longer visits, a clear sequence of assessment and testing, and a stepwise plan that prioritises what matters most for the individual rather than dumping “a million things” on one to-do list. Shashanti shares how she thinks about mechanisms that drive cognitive decline such as metabolic health and inflammation, how she sets expectations for patients who feel subtle change, and why empowerment and agency are just as important as lab results.  A standout thread is menopause and brain health. Ashanthi explains why hormonal change can intersect with memory, mood, migraines, and overall neurological resilience and why women deserve prevention guidance that takes menopause seriously instead of treating it as an afterthought. We also get candid about the “jungle” of brain health claims, how to avoid pseudoscience without becoming cynical, and what it takes to market a prevention service that many people do not even realise exists.  If you care about evidence-based brain health, cognitive longevity, and practical dementia prevention, subscribe, share this with someone who worries about their future, and leave us a review with your biggest takeaway. Guest Biography Dr Ashanthi Gajaweera is a neurologist and founder of Healthspan Neurology, a preventative practice focused on dementia prevention and cognitive longevity. After 20+ years in traditional medicine, she transitioned away from the insurance-based model to create a more proactive, patient-centred approach to brain health. Her work centres on helping individuals understand and reduce their risk of cognitive decline before symptoms appear, using an evidence-informed and personalised framework. With certification in menopause care, she brings a unique perspective to how hormonal changes in midlife impact brain health. Known for her clear, data-driven approach and her stance against pseudoscience, Dr Gajaweera empowers patients to move from fear to agency, with practical strategies to take control of their long-term cognitive health. Links * Website: healthspanneurology.com [https://www.linkedin.com/safety/go/?url=http%3A%2F%2Fwww.healthspanneurology.com&urlhash=HtX9&isSdui=true&lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base_contact_details%3BcmWKiju%2BTry3HnviWIubSQ%3D%3D]  * LinkedIn: https://www.linkedin.com/in/drgajaweera/ [https://www.linkedin.com/in/drgajaweera/] About Dr Andrew Greenland Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing. Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care. 💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com [https://subscribe.voicesinhealthandwellness.com]

Why So Many Depression Patients Don’t Get Better - And What Actually Helps with Dr Scott West

Send us Fan Mail [https://www.buzzsprout.com/2489689/fan_mail/new] When depression does not lift with medication, people often assume the next step is simply “try another tablet” and wait. That waiting can cost years of energy, work, relationships, and self-belief. I sit down with Dr Scott West, Chief Medical Officer at Nashville Neurocare Therapy and a board-certified psychiatrist with over 30 years of experience, to talk plainly about what options look like when standard care stalls and what modern neurocare is doing differently. We dig into transcranial magnetic stimulation (TMS therapy) as an outpatient neuromodulation treatment, how it moved from early research to real-world clinical use, and why it has become a meaningful tool for treatment-resistant depression. We also explore how TMS has expanded into anxious depression and OCD, why diagnosis labels can lag behind what brain-circuit treatments are actually doing, and how combining approaches like psychotherapy and medication management can improve response and remission. Along the way, we tackle a topic patients feel immediately: expectations. Even with symptom improvement, stress at home, work conflict, and unmet coping skills can pull people back into relapse if those pieces stay untouched. Then we go behind the scenes of mental health care delivery: hiring and training great staff, tracking outcomes, managing bottlenecks, and navigating insurance coverage for TMS and treatments like esketamine. We also talk about the awareness gap, why many clinicians still do not refer, and how digital monitoring tools could help clinics understand longer-term results after patients return to the community. If you care about practical mental health innovation, this is a grounded look at where neurocare is now and where it is heading next.  Subscribe for more conversations like this, share the episode with someone who needs better options, and leave a review telling us what topic you want us to unpack next. GUEST BIOGRAPHY Dr. Scott West is a board-certified psychiatrist with over 30 years of clinical experience, specializing in the treatment of depression and treatment-resistant mental health conditions. He is the Chief Medical Officer at Nashville NeuroCare Therapy, where he focuses on integrating advanced neurotherapies such as transcranial magnetic stimulation (TMS) into patient care. Dr. West’s work bridges traditional psychiatry and emerging neuromodulation approaches, with a focus on improving patient outcomes and expanding access to innovative mental health treatments. Links * Website: https://nashvilleneurocare.com/ [https://nashvilleneurocare.com/] * LinkedIn: https://www.linkedin.com/in/scott-west-90190323/ [https://nashvilleneurocare.com/] About Dr Andrew Greenland Dr Andrew Greenland is a UK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. With dual training in conventional and root-cause approaches, he helps individuals optimise health, performance, and longevity — with a focus on cognitive resilience and healthy ageing. Voices in Health and Wellness features meaningful conversations at the intersection of medicine, lifestyle, and human potential — with clinicians, scientists, and thinkers shaping the future of care. 💌 Join the mailing list for new episodes and exclusive reflections: https://subscribe.voicesinhealthandwellness.com [https://subscribe.voicesinhealthandwellness.com]