Dr. M’s Women and Children First Podcast #109: Nutrition, Epigenetic Change and Childhood Disease



Nothing in biology is random.
Not growth.
Not metabolism.
Not disease.
What we will explore today is the reality that the earliest inputs in life: nutrition, environment, signaling,
don’t just influence outcomes…
They shape them.
They write the first draft.
And if you understand that, if you truly let that land,
then everything about how we approach pregnancy, childhood, and prevention begins to shift.
From reaction…to intention.
From downstream management…to upstream design.

Why This Conversation Matters
This episode is not just another discussion.
In many ways, it is ground zero.
Because if you don’t understand this layer, the imprinting, the epigenetic programming, the responsiveness of biology to environment, then everything that follows in this podcast…becomes harder to fully see.
But once you do see it, the picture sharpens.
You begin to understand:why trajectories diverge early, why children present so differently and why the same diagnosis can have completely different roots.

This is the beginning of a new map.
And maps matter.

Gratitude to Today’s Guests
I want to take a moment to acknowledge the voices you heard today—because this kind of thinking doesn’t happen by accident.

Lucia Aronica
Dr. Aronica is a Stanford scientist and a global authority in nutritional epigenetics, helping clinicians understand that food is not simply fuel—it is biological information that actively programs gene expression.

She created Stanford’s first courses in nutritional epigenetics and pioneered the Epinutrition framework, a clinical model that reframes nutrition as signaling, not supplementation.

You may recognize her from the Netflix documentary You Are What You Eat: A Twin Experiment, and she is now launching the world’s first Clinical Epinutrition Certification, training health professionals to use food as epigenetic medicine.

Emily Stone Rydbom
Emily is a clinical nutritionist, researcher, and digital health founder working at the frontier of precision maternal nutrition.

As Founder and CEO of GrowBaby Health, and through her work with GrowHealth Technologies, she is building AI-enabled systems that integrate nutrition directly into standard obstetric care. With over 14 years of clinical experience, she has helped pioneer the “Standard of Care PLUS” model, demonstrating meaningful reductions in preterm birth and gestational diabetes in high-risk populations.

She is also a co-investigator on the ROOT Study—bringing this work directly into real-world maternal care here in North Carolina.

Samantha N. Fessler
Dr. Fessler brings a deep scientific lens to the intersection of metabolism, inflammation, and perinatal nutrition.
With a PhD in Exercise and Nutritional Sciences from Arizona State University, her work has focused on how nutritional strategies can modulate the interplay between immune signaling and metabolic function to improve outcomes for mothers and children.

As Director of Scientific Affairs at Needed, she helps translate rigorous science into actionable, evidence-based approaches that clinicians and families can actually use.

Randy L. Jirtle
And finally, Dr. Randy Jirtle—joining us again—whose work, quite simply, changed how we understand biology.
A pioneer in epigenetics and genomic imprinting, Dr. Jirtle’s research on the agouti mouse model demonstrated for the first time that environmental inputs—particularly nutrition and chemical exposure—could directly alter gene expression across generations. His work reframed the gene from a fixed sentence…to a responsive system.

In fact, Time Magazine once described it this way:“A gene represents less of an inexorable sentence and more of an access point for the environment to modify the genome.”

He is a Professor of Epigenetics at North Carolina State University and Senior Scientist at University of Wisconsin–Madison and remains, at his core, a deeply curious thinker.

And that curiosity… is what moved this field forward.

Final Thought: If there is one takeaway from today, it is this: The environment is not acting on the child. The child is responding to the environment.

And that response…is being written into biology.

Dr. M

Dr. M’s SPA Newsletter Volume 16 Issue 8 – Systems Biology


THE FUNCTIONAL MEDICINE STORY
DR. JEFF BLAND

“Change occurs from the outside in”
Dr. Bland

Medicine has a habit of believing it has arrived. Every generation of physicians looks around the room, surveys the white coats and microscopes and MRI machines, and quietly assumes the puzzle is mostly solved. History laughs at that assumption. The truth is that medicine is always mid-sentence in a very long story.

Dr. Jeff Bland has spent decades helping rewrite that sentence.

In a recent conversation on The Root Cause Business of Medicine Podcast, Dr. Bland’s life work comes into focus. Not as a rebellion against medicine, but as an expansion of it. His influence on nutrition science, biochemical individuality, and what we now call functional medicine has helped move the field away from the narrow idea that disease is simply something to suppress or worse just name. Instead, he has pushed a more interesting question forward: why did the disease appear in the first place?

That sounds obvious. It is so far from obvious that most physicians do not ask the question.

Bland’s career sits at the intersection of nutrition, biochemistry, genetics, and what he calls systems biology. Over the decades he has authored more than 100 peer-reviewed papers and written many books aimed at both clinicians and the public. But numbers don’t tell the story. What matters is the conceptual shift he helped introduce.

For most of modern medical history, the dominant model has been reductionist. And reductionism is the scientific approach of breaking complex systems into their smallest parts. It has given us antibiotics, vaccines, and surgical techniques that save lives every day. But it has also left a blind spot. When we zoom too far in, we sometimes lose the map of the entire ecosystem.

Human biology is not a machine made of replaceable parts. It is a network.

It is supremely interconnected…. and a literature review
Dr. M

Dr. M’s SPA Newsletter Volume 16 Issue 7 – Biological Fitness


Elk Antlers – What a Story

After returning from Jackson Hole, Wyoming this week, I was struck by the beauty of the Elk refuge, a place where thousands of elk relax in the winter lowlands. Staring at them, I pondered a question: why do the elk shed their antlers yearly? Seems like a lot of wasted energy in a resource scarce world.

The answer, mating.

Nature has a peculiar sense of theater. When reproduction is the goal, evolution doesn’t whisper, it builds costumes, props, and entire stage productions. Sometimes expensive ones. Across the mammalian world, attracting a mate often requires a spectacular display of biological investment. Energy is spent not just surviving, but advertising survival.

The elk might be the most dramatic example.

Every year, a male elk grows a massive set of antlers, sometimes weighing 30–40 pounds. These structures are not permanent. They are built from scratch annually, making them one of the fastest-growing tissues in the entire animal kingdom. At peak growth, antlers can elongate nearly an inch per day. To accomplish this feat, the animal diverts enormous metabolic resources into bone growth, calcium mobilization, and vascular supply.

Then, after the breeding season, the antlers are shed and the process begins again.
From an engineering standpoint, it seems wildly inefficient. Why build something so energetically expensive only to discard it months later?

Because in evolutionary terms, reproduction is the ultimate metric of success. If an animal fails to reproduce, its genes disappear from the story entirely, Darwinian failure.

Antlers function as a biological billboard: I am strong enough to waste energy….and more
Dr. M

Dr. M’s Women and Children First Podcast #108: Halie Hauser – Storytime

Screenshot


On today’s episode of Dr. M’s Women and Children First Podcast, we welcome Halie Hauser, a pediatric clinician, storyteller, and quiet architect of early childhood connection.

Halie is the creator of Storytime Explorers, a storytelling platform designed for toddlers and preschoolers that sits at the intersection of language, emotion, and human development. With a Doctor of Nursing Practice focused on pediatric primary care, she brings both clinical depth and creative intuition to the way she reaches children—and just as importantly, their parents.
\
Her work lives in the small moments: friendship struggles, big feelings, daily routines, the courage to try again. The ordinary terrain of childhood—where, if we’re paying attention, the most important wiring is happening.

Halie understands something we often forget in modern pediatrics: before a child can regulate, they must feel safe; before they can learn, they must feel connected; and before they can speak, they must be spoken to in a language that meets them where they are.

Through storytelling, she’s building that bridge.

This is a conversation about early brain development, emotional scaffolding, the power of narrative in shaping behavior—and how something as simple as a story can become a tool for resilience, attachment, and lifelong learning.

Dr. M

Dr. M’s SPA Newsletter Volume 16 Issue 6 – Children


Why Don’t They Win

There are moments, usually late, usually quiet, when honest thinking can be had. When you zoom out and see the ecosystem around children not as a collection of caring institutions, but as a set of incentive machines. And incentive machines, unlike grandmothers, do exactly what they’re built to do.

MAKE MONEY

Tonight I sat with some difficult thoughts about the state of primary services for children in the United States. The deeper I look, the clearer it becomes that money, not well-being, drives most decisions shaping a child’s life. And the imbalance is not trending in a positive direction.

Children Continue To Lose From My Viewpoint

Approximately two-thirds of a child’s daily nourishment comes from school food programs, which too often rely on ultra-processed, calorie-dense, nutrient-poor products. Outside of school, the dominant food environment is similarly saturated with highly engineered foods that optimize profit, shelf life, and palatability rather than health. Kids are micronutrient starved, but calorically overfed. Biological systems begin to fray early. Biochemistry no longer meets cellular needs. Children develop disease and we are asked to medicate or worse rationalize away that this is NORMAL…..

Enjoy Dr. M

Dr. M’s SPA Newsletter Volume 16 Issue 5 – Relationship Balance


Finding Relational Balance


Relational balance falters when one person needs the other to feel safe or whole. A parent in a strained marriage or carrying childhood wounds may lean on a child for comfort. The child, loyal and loving, tries to meet that need. Over time, this can harden into dysfunction.

Years ago, I cared for a mother and son locked in a budding enmeshed relationship. She could not draw boundaries. She absorbed his pain, projected her own trauma onto him, and smothered him with anxious love and control. She tightly managed his world yet set no limits on how he treated her or others. By four, he was out of control. She was exhausted and indignant, insisting he was sweet while enabling every behavior. Her fear of becoming her own restrictive parents left him both fused to her and furious. Therapy was suggested. It was rejected….

Enjoy,
Dr. M

Dr. M’s Women and Children First Podcast #107: Sundeep Dugar, PhD – Drug Discovery


On today’s episode of Dr. M’s Women and Children First Podcast, we welcome a scientist whose work has quietly shaped the cardiovascular health of millions around the world.

Dr. Sundeep Dugar is a pharmaceutical innovator, inventor, and industry leader with more than three decades at the forefront of drug discovery. He is best known as a co-inventor of ezetimibe — marketed as Zetia® — a landmark cholesterol-lowering medication that transformed lipid management by targeting intestinal cholesterol absorption. He also co-inventor of the combination therapy Vytorin® (ezetimibe plus simvastatin), expanding treatment options for patients at high cardiovascular risk. For this groundbreaking work, Dr. Dugar and his colleagues received the prestigious 2005 National Inventor of the Year Award from the Intellectual Property Owners Association and the Heroes of Chemistry award from the American Chemical Society. Across his career, Dr. Dugar has contributed to more than 140 patents and has authored over 70 scientific publications, reflecting a lifetime devoted to translating chemistry into real-world therapies.

He is currently the founder of Aayam Therapeutics, where he leads efforts to develop innovative, accessible medicines through collaborative global research. He also serves as Co-Chief Executive Officer of Blue Oak Nutraceuticals, advancing a novel mitochondrial-targeted compound known as Mitokatlyst™, designed to stimulate mitochondrial biogenesis and cellular energy — with potential implications for muscle strength, metabolic health, cardiovascular function, and inflammation. He is the first one to decipher the mechanism by which exercise induces mitochondria levels. Mitokatlyst mechanism of action mimics this process.

Dr. Dugar’s scientific journey spans continents and some of the world’s premier institutions. He earned both his Bachelor’s and Master’s degrees in Organic Chemistry from the University of Delhi, completed his PhD in Chemistry at the University of California, Davis, and pursued postdoctoral research at ETH Zürich in Switzerland and at Cornell University.
Today, we’ll explore the story behind major pharmaceutical breakthroughs, the science of mitochondrial health, and what the future of therapeutics may look like when innovation meets global accessibility.

Please join me in welcoming Dr. Sundeep Dugar.

1 2 130