Ep. 61 – Treating Lyme Disease with Peptides, Exosomes, Ketamine and other Advanced Biohacks

Ep. 61 – Treating Lyme Disease with Peptides, Exosomes, Ketamine and other Advanced Biohacks

About the Episode

Sarah Schlichte Sanchez discusses her journey with Lyme’s disease, how to treat chronic illnesses, and how she became a voice in the Lyme’s disease community. Her and Heads Up Founder Dave Korsunsky dive into IGenX testing, ketamine, Envida Medical’s treatment protocols, and why tracking data is important.

“Choose to operate within the realm you have and keep making decisions.”

– Sarah Schlichte Sanchez

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


Sarah Schlichte Sanchez

Sarah Schlichte Sanchez is an entrepreneur, author, speaker, podcaster, and radio host.

Since recovering from Lyme disease she has created the Fight.Heal.Live coaching program, authored a children’s book about Lyme called “Little Bite Big Trouble”,  and filmed a 17-minute documentary about chronic illnesses called “Disappearing From Society.” Sarah appears weekly on the WGLRO radio station talking about chronic illness, Lyme disease, and the power of mindsets!

She lives in the mountains of CO. Has five kiddos and two dogs!

You can email Sarah at Sarah@LymeVoice

Lyme Voice

The Lyme Voice podcast was recently ranked the most popular Lyme disease podcast by ListenNotes.com, the aim of each episode is to educate, encourage and inspire people who are living with and battling complex chronic illnesses.

Join us as we focus on the complex social and emotional aspects of life with chronic Lyme disease.

We acknowledge the suck-factor of Lyme, it’s a heavy topic. But we do it with authenticity and buoyancy in an effort to figure out what works, what doesn’t, and how to overcome!

We discuss these realities with authors, MD’s, patients, practitioners, and other PHENOMENAL human beings. We address the medical and financial realities that impact households across the globe. While simultaneously finding hope, strategies, and treatment plans.

This accidental journey through the land of chronic illness can be daunting, but you are not alone. Believe me, when I say that healing is possible! There is a way through. And that people ARE healing in a wide variety of ways.


(1:52) Dave shares how he and Sarah met while they were both in Scottsdale, AZ.

(4:29) Dave and Sarah were both interested in hyperbaric oxygen, ketamine, wellness, and managing chronic illnesses.

(5:59) Sarah dives into how Lyme disease eventually caused her to get into health optimization.

(8:00) Sarah talks about what it’s like to deal with Lyme disease and how she created her podcast. 

(9:56) Lyme disease mimics 300 diseases including ALS, Parkinson’s, dementia, and more. This leads to many misdiagnoses. If you can treat the underlying cause of Lyme, which is usually bacterial (many times fungal and viral), a lot of the chronic illnesses go away.

(11:03) Sarah describes how sick she was with Lyme disease. She had chronic fatigue was in bed for two years. She was in a wheelchair and having seizures. 

(12:53) This experience led Sarah to Envita Medical Center. She lived there for two months to have her neurological Lyme disease. Lyme goes into your blood, changes form, and then goes directly into your organs. 

(16:09) Sarah shares the testing options typically outside of insurance coverage. IGeneX is the most common and well-received. Testing can be an extremely difficult process. 

(19:03) Lyme disease has been known since the ‘70s, but in the ‘90s the CDC changed the guidelines for testing positive.

(20:55) There are starting to be more definitive answers in testing.

(22:04) Envita Medical lowers the blood sugar levels through fasting and then deliver antibiotics.

(23:07) Envita pulsates antibiotics. They also treat with hydrogen peroxide, ketamine, Vitamin C, and others. They typically treat Lyme and cancer. One of the first differences Sarah would notice in patients is their improvement in their gait.

(26:00) People with PTSD have one of the lowest HRV rates. Western medicine doesn’t have a lot of answers for chronic illnesses. With ALS, Parkinson’s, Lyme disease, your nervous system is being attacked and you are constantly switching between fight or flight.

(28:17) Emotional issues add to the problem steming from infection. Combining integrative and conventional approaches can help treat the infection. Medicine like psilocybin and ketamine can help with the emotional part of it. Working with a coach who has lived through the experience can also be beneficial.

(30:39) Lyme is a difficult disease to tackle because you’re showing up for the challenge at your weakest. Part of the issue is navigating support and financial challenges.

(33:31) People say, “If it helps one person, then it was worth it.” But you can impact more than one person. Sarah’s coaching program is Fight, Heal, Live. Fighting is a mindset, Healing consists of choices, and living is the outcome.

(34:59) Suicide is the leading cause of death in the Lyme community. Sarah has received emails telling her that her podcast helped them chose not to commit suicide.

(35:41) Sarah used to own a real estate company in New Mexico, but left because of how extensive treatment would be.

(36:56) Dave and Sarah discuss how HRV, inflammatory factors, blood sugar, respiratory rate, core temperature, and resting heart rate can be good biomarkers to track. 

(40:54) Sarah elaborates on why applications like Heads Up can help you track and understand the data. If you have the right labs and right data, you can come to a diagnosis.

(43:04) Having the information helps your own mental sanity because it shows that the issue is not just in your head. 

(44:50) Exosomes and peptides are also important when it comes to chronic conditions.

(47:05) Sarah is starting a new podcast called Unpopular Decisions that focuses on the broader chronic illness realm.

(49:10) Sarah believes that it typically costs around $50,000 to heal from a neurological disease, but other people can do it for cheaper.



Sarah Schlichte Sanchez

Lyme Voice

Lyme Voice episode on Peptides

Lyme Voice episode on Exosomes

Lyme Voice episode on Inflammatory Markers and Biomarkers

Lyme Voice episode on Ketamine Therapy

Little Bite, BIG Trouble-Children’s book by Sarah

Ketamine’s anti-microbial effect

Envita Medical Center


Ep. 60 – Integrating the Oura Ring into your Functional Medicine Practice with Dr. Sachin Patel

Ep. 60 – Integrating the Oura Ring into your Functional Medicine Practice with Dr. Sachin Patel

About the Episode

Dr. Sachin Patel of The Living Proof Institute and Perfect Practice Mentorship sits down with Dave Korsunsky to discuss how Dr. Patel implements the Oura Ring into his practice. The pair dive into their favorite metrics to monitor, how to build a successful practice, and how each of them got into functional medicine.

“Getting people more parasympathetic heals and it helps restore the function of all of their organ systems. It also restores blood flow to those organ systems.”

– Dr. Sachin Patel

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


Living Proof Institute

The Living Proof Institute offers personal and corporate health solutions. Our goal is to improve the health and wellness of our community by improving the health of its citizens. Our mission is accomplished by patient education, dietary and lifestyle consulting, exercise prescription, and advanced functional laboratory testing.

Perfect Practice Mentorship

Perfect Practice is a world-class personal, professional, and practice development mentorship. Our mission is to provide simple, practical and affordable growth tools to help functional medicine practitioners and coaches deliver transformational care for their clients.

Dr. Sachin Patel

Sachin is a father, husband, philanthropist, functional medicine practice success coach, international speaker, and best-selling author whose philosophy is that, “The doctor of the future is the patient.” 

He founded The Living Proof Institute and coaches practitioners all over the world on how to step into their power and profoundly serve their communities.

And, he has taught thousands of functional medicine professionals how to start, grow, and scale their practices.

Sign Up For The Future Webinar With Dr. Sachin Patel & The Heads Up Team.

Show Notes

(2:10) Dave talks about how practices can use wearable technology to benefit their patients. Practices can get rapid feedback, personalized programs, and more.

(3:15) Dr. Patel started as a chiropractor for sports, soft tissue, and repetitive strain injuries. He ended up on the news, which resulted in more than 50 people calling his practices. All of these people had chronic health issues, as opposed to soft tissue injuries. This led Dr. Patel to functional medicine.

(3:43) Dr. Patel started the Living Proof Institute in Cincinnati, Ohio. The institute helps people get to the root cause using functional medicine, lifestyle, medicine, and mindset to help them heal.

(3:56) He moved back to Toronto to start another clinic. Other practices started reaching out to him about how he built his own practice. This led Dr. Patel to coaching. His goal is to establish a movement to create and deploy an army of practitioners that are making the world a better place and using technology in a responsible way to enhance their clinical outcomes.

(5:37) Dave reflects on how a functional doctor helped him identify the root cause of his health issues. This led him to move off of the Western diet and ignited a series of personal health changes.

(7:04) Dr. Patel shares how he grew up eating a bunch of grains as a vegetarian. He started removing gluten and dairy from his diet. This included meat substitutes which were stitched together with gluten.

(8:07) He would wake up tired, stiff, and achy every morning. He had major digestive issues. After altering his diet, his skin cleared up and many of his issues disappeared. He has now been gluten free for over a decade.

(9:44) Dave discusses how he is also now an early morning person.

(10:22) Dave shares how understanding Oura Ring metrics on himself now helps him interpret the data of his loved one’s through Heads Up.

(11:45) Dr. Patel met Harpreet Rai (CEO of Oura Ring) at Genius Network. This led him to invite Oura to come to Dr. Patel’s in-person event, which resulted in dozens of practitioners ordering rings.

(12:22) In Ontario, Dr. Patel had to figure out what claims he could make regarding his messaging. He decided to focus on vitality and health optimization.

(13:13) Dr. Patel realized that boards would go after practitioners requesting testing. Dr. Patel wanted to create a program that doesn’t use testing. 

(14:44) Dr. Patel wants patients to become their own doctor by having data. People who were put on a lifestyle design program were getting amazing results in 3-6 weeks. They got off their meds, lost 20-60 pounds, and transformed their health before getting tests done.

(15:44) By improving lifestyle and environment, there’s collateral benefit to their entire family. They want to teach the figurehead in the household how to create an environment of health in the home.

(16:17) In one family, a woman lost 27 pounds, the husband lost 45 pounds, and the daughter lost 27 pounds. Dr. Patel doesn’t want skinnier versions of people, but healthier versions of people.

(17:12) Dr. Patel focuses on heart rate variability (HRV). HRV correlates to bone health, muscle health, brain health, immune system function, digestive function, and other systems in the body. He tracks HRV through the Oura Ring.

(18:01) Dr. Patel gets 50-100 Oura Ring sizing kits delivered directly to his practice at a time. He includes a sizing kit in each client’s welcome package.

(19:11) Dave discusses the limitations of working within the Canadian system. Dave’s sister is a naturopathic doctor in Winnipeg and she can’t order labs for her patients, even a simple Vitamin D test.

(21:38) Dave talks about why it’s a great idea for Dr. Patel to stock the sizing kits for his clients to reduce friction when ordering the Oura Ring.

(23:50) Dave believes combining metrics and using that for engagement opportunities is the best approach for practices.

(24:36) Dr. Patel discusses how they use a health coach. Their patients can do a daily check. They can submit a journal entry, log their weight, hydration, bowel movements, sleep scores, and any other questions they may have.

(25:24) Dr. Patel’s practice shares patient progress, oftentimes through Heads Up Health Reports, during follow up meetings. The practice focuses primarily on sleep and HRV. The patient shares information the ring can’t tell them and Heads Up gives them information that the patient can’t tell them.

(26:53) Practices don’t need to be perfect to get started. You learn things and make improvements along the way.

(28:19) Dr. Patel enjoys gamifying within his community. He can hold sleep score contests with his clients.

(28:52) Dave talks about how the Heads Up employees all have their Oura Rings connected and a Slack Channel to discuss their scores. 

(29:59) Dave goes over some of the best metrics to monitor using the Oura Ring. These metrics include resting heart rate, temperature deviation, HRV, the actual readiness score, the respiration rate, and the sleep score. Temperature deviation can be a precursor to pending illness. Respiration rate can indicate impending illness and level of cardiovascular health.

(32:11) You can’t cheat heart rate variability. It shows how somebody is handling a stressful situation. Dr. Patel uses HRV as a measure of resilience. HRV is a good measure of parasympathetic tone; a good indicator of how well we’re recovering, repairing, and regenerating.

(34:50) Sleep is one of the most important things that we do. It is the most parasympathetic thing that we do. The Oura Ring shows how well protocols and recommendations are working.

(36:10) Dr. Patel had a friend who couldn’t sleep and Dr. Patel recommended that he turn off all artificial lighting after the sun goes down. His friend felt better, but the Oura Ring showed him the value within the data.

(37:18) Dr. Patel also focuses on respiratory rate. He uses a nose strip, mouth tape, and proper positioning when he sleeps.

(37:45) Dave tries to think about the central nervous system when he prioritizes his help. He turns the lights down early before bed and views it as the goal of meditation.

(39:07) Changing how you consume alcohol or cannabis can help with sleep onset. Water can also be used as an excellent source of relaxation therapy.

(40:28) The key to Dr. Patel’s program is to pair your nervous system with the activity that you are trying to accomplish. 

(41:18) Bob Rakowski shared a study that measured blood flow in extreme athletes. A sprinter, in a very fight or flight state, is sending only 5% of his blood flow to his liver and kidneys when he’s in that state. At rest, they send 50% to those organs.

(41:46) If you want someone to detox better, the key is to increase blood flow and nutrients to the organ system so they can function properly. By healing your parasympathetic system, that helps restore function and blood flow to their organ systems.

Your digestive system works better when you’re parasympathetic. Instead of changing your diet, slow down, chew your meal, enjoy it, and be grateful for it. Western culture views food as an inconvenience.

Our digestive system is most effective in mid-day when the sun is in the highest position (not necessarily noon). That’s when you should have your biggest meal. The most parasympathetic thing you can do right after that is take a nap and digest that meal, instead of going to exercise immediately after.

(43:24) Dave noticed that he should eat his biggest meal around 3pm.

(46:26) Dr. Patel noticed that food choices, meal timing, and stress affect HRV. You can’t eliminate stress, but you can change how they interpret it. If somebody’s HRV is not responsive, he starts to look into trauma. There may be something that is keeping them in a sympathetic state despite the fact that their physical health is improving.

(48:36) There are many things that are easily modifiable in our day-to-day life; our environment, lighting before bedtime, ambient bedroom temperature, meal timing, and meal choices.

(49:06) When you want to move on to the next level, you look at things that are psychospiritual including stressors in relationships with others and yourself.

(49:36) Dave and Dr. Patel discuss the power of plant medicines. Dr. Patel had a patient who had a 30% permanent improvement in their HRV score after a psilocybin ceremony.

(50:55) In Dave’s personal experience, if his HRV numbers are in the 50s, he feels there is nothing that he can’t accomplish. He also makes sure that he doesn’t overtrain.

(53:04) Dr. Patel looks at how long it takes him to sink into resting heart rate and calibrates his day accordingly. Sometimes our body will tell us one thing, but our mind can always tell us something else. He gives himself permission to override the data and choose how he feels about the day.

(55:40) Dr. Patel gives insight into how patients respond to remote patient monitoring. When he tells people that they offer remote patient monitoring, it serves as a filtration process. People who don’t like to be measured won’t want to sign up.

(57:03) Dave likes wearable technology and biometric data in the clinical setting because it holds both the patient and the practitioner accountable.

(58:40) Remote patient monitoring validates practitioners’ processes. It is evidence that their program works. There are practitioners that make big claims, but don’t have evidence to back that up. There are patients who say they’re doing certain things that may not be.

(1:01:23) The top three metrics that Dr. Patel personally lives by are HRV, fasting insulin, and high sensitivity CRP. HRV is instant biofeedback. Insulin resistance is a major predictor of many issues in your body or longevity. Fasting insulin shows how someone’s managing their metabolism, blood sugar. High sensitivity CRP is an inflammation marker.


Living Proof Institute

Perfect Practice Mentorship Program

Harpreet Rai

Dr. Bob Rakowski


Sign Up For The Future Webinar With Dr. Patel & The Heads Up Health Team

Ep. 59 – Integrative and Functional Nutrition with Dr. Sheila Dean from the IFNA

Ep. 59 – Integrative and Functional Nutrition with Dr. Sheila Dean from the IFNA

Dr. Sheila Dean of the Integrative and Functional Nutrition Academy dives into how she started IFNA, what the academy’s courses teach, functional nutrition, becoming a VA vendor,  and where conventional and integrative medicine differ. She covers all this and more with Heads Up founder Dave Korsunsky.

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


“It’s not just about Sheila Dean in private practice, but it’s about empowering and educating as many nutrition healthcare professionals as possible to get out there and to do this.” – Dr. Sheila Dean

Integrative and Functional Nutrition Academy

The Integrative and Functional Nutrition Academy (IFNA) is one of the most respected online functional nutrition training and mentoring programs in the industry. It was founded by two of the nation’s premier integrative medicine nutritionists, Dr. Dean and Kathie Swift MS.

Consisting of 5 tracks with 33 modules, the IFNA program teaches leading-edge, evidence-based, whole systems approaches to patient care.  This emerging medical nutrition model focuses on identifying root causes and imbalances to significantly improve health outcomes and combines the very best of modern science, clinical wisdom, and critical thinking.

Click to enroll in IFNA


Dr. Sheila Dean

Dr. Sheila Dean, DSc, RDN, LDN, IFMCP is a registered and licensed dietitian nutritionist, board certified integrative and functional medicine certified practitioner, clinical nutritionist, and exercise physiologist. She was a Certified Diabetes Educator with the NCDBE for 15 years.

She received her undergraduate training through Rutgers University, completed her internship and graduate training with University of Rhode Island and Brown University’s teaching hospitals, received doctoral training in nutritional genomics and pharmacology through the University of Medicine and Dentistry of New Jersey (UMDNJ) and completed her Doctorate of Science degree through Hawthorn University. 

Dr. Dean has received advanced training in functional medicine and nutritional biochemistry through the Institute for Functional Medicine and is a board certified IFM practitioner. She has also worked with the Duke University Medical Center’s Endocrinology and Metabolism Disorders Clinic and the Joslin Center for Diabetes as a certified diabetes educator.

She’s served as the consulting sports nutritionist for the Philadelphia Phillies, has consulted for the Tampa Bay Buccaneers, the Toronto Blue Jays and was the media spokesperson and columnist for the Ironman Institute and is the author of Nutrition & Endurance: Where Do I Begin? (Meyer & Meyer Publishing).


In this episode:

(2:13) Dr. Dean discusses her background being a dietician for 30 years. Around 2000, she became disillusioned with the field and was exposed to functional medicine. After her research, she concluded that this was a field she was excited to join.

(4:29) Dr. Dean started incorporating her functional medicine knowledge into her practice. The types of patients who went to see her began to expand.

(5:26) Dr. Dean and Kathie Swift were constantly being called and texted by people asking for training. IFNA launched in 2015.

(6:54) Dave reflects on Dr. Dean’s journey and how she created her functional nutrition business.

(8:04) Dr. Dean and Kathie felt that dieticians were pretty ignored. They wanted to create a program for dieticians.

(9:30) Dr. Dean dives into her functional nutrition program and what people will learn from it. IFNA teaches people a specialized area. There are 33 modules and it takes about a year to finish. There are nine components. Track 1 covers everything from food is medicine, conventional labs, functional blood chemistry interpretation, dietary supplements, the science, and the art. Track 2 gets into all the different systems areas. Track 3 is about the application and building your own private practice. There is a track dedicated to therapeutic elimination diets. The final track, Track 5, is dedicated to case studies.

(15:35) Dr. Dean says the ideal scenario for her students is for them to setup an integrative-based practice. IFNA are VA vendors, so they have a contract with the government that pays for the all the programs that their VA dieticians go through.

(17:59) Dr. Dean believes that asking questions about root cause analysis is the foundation of trying to understand how to restore health and function.

(19:20) Dave narrows in on the issues with the standard American diet and lack of education for children.

(21:01) Dr. Dean and Kathie are focused on empowering as many functional nutrition healthcare professionals as possible. Heads Up Health’s mission is to give certified professionals the remote ability to measure and analyze how patients are doing.

(25:19) Conventional and integrative communities agree that autoimmunity is a condition where the immune system is hyper vigilant and maybe attacking its own tissue. The difference in the communities lies in the way the issue is handled. Once the patient is stabilizied, Dr. Dean thinks the physician should figure out or outsource the patient to somebody who will figure out the underlying issue.

(29:39) Dr. Dean cautions practitioners not to replace a drug with a supplement.

(31:51) If you take a personalized approach, there isn’t one or two panels that you need take. But, a really good overall panel is a nutra eval. It looks at many different biomarkers related to nutritional status.

(34:05) STAIN is an acronym used by IFNA. Stress, Toxins, Adverse food reaction, Infection, and Nutritional deficiency. Dr. Dean gives examples for each type. 

(37:52) Dave shares how he discovered an infection in his microbiome that showed up in a test once he started working with a functional doctor.

(40:06) Medications can cause nutritional deficiencies. Magnesium and CoQ10 can typically be depleted by medications.

(43:48) Dr. Dean says it is key for functional nutrition practitioners to track data and stay organized.



Dr. Sheila Dean: LinkedIn | IFNA 

Kathie Swift

Ep. 58 – Designing Functional Health Protocols with Dr. Alex Keller from Fullscript

Ep. 58 – Designing Functional Health Protocols with Dr. Alex Keller from Fullscript

By using artificial intelligence with a human element, practitioners can design a functional health protocol that will allow patients to maintain their treatment plans.

Fullscript’s Dr. Alex Keller and Heads Up Founder Dave Korsunsky discuss how to deliver an entertaining and informative patient healthcare experience. Allowing patients to interact with and understand their data from their remote patient monitoring tools will drive them to stick to treatment plans long-term.

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


Dr. Alex Keller

Dr. Alex Keller is a practicing naturopathic doctor in Ottawa, Canada and the Medical Director at Fullscript. As Medical Director, he oversees the Integrative Medical Advisory team (IMAT) and the development of educational content for practitioners across North America.

He is a graduate of the University of Ottawa with an HBSc in Health Sciences and Psychology. Although originally planning to attend conventional medical school, Alex shifted direction and completed a degree in naturopathic medicine at the Canadian College of Naturopathic Medicine. The shift followed a three-month internship at a rural Kenyan hospital where he worked with doctors who used local food to successfully treat patients, after which he felt compelled to practice a nutrition-oriented system of medicine. Today, he blends an evidence-based functional approach to care with his experience as an organic farmer and a passion for anthropology to serve as an expert in traditional and integrative medicine. 

About Fullscript

Fullscript supports practitioners focusing on prevention and the connected, underlying causes of a patient’s symptoms. Thousands of integrative and functional health professionals are pushing for a shift to a more proactive perspective on lifestyle, patient care, and all of medicine.

These practitioners are on a mission to provide lifelong care that helps people discover and rediscover wellness for the rest of their lives. It’s Fullscript’s mission to support them — to help people get better. From practitioners to patients, partners, and colleagues, we build frictionless technology and personalized experiences to support those on their wellness journeys, whatever that means to them.


In this episode:

(1:50) A discussion around how medical professionals can design a functional health protocol for each patient and how you can track that functional health protocol through remote patient monitoring.

(6:33) Dave talks about taking the funnel concept of running a company and applying that to a medical protocol. Are patients opening the products? Are they even buying them.

(8:59) Providing patients with objective data will help them stick to the recommended treatment plan. 

(11:16) How patients who have not fulfilled the treatment plan got tripped up on simple tasks like opening the plan within the email.

(12:51) Dr. Alex Keller’s team has a human care team to help clients with following the treatment plan. This team helps patients interpret the plan and ensure that patients stick to the functional health protocol.

(14:59) Platforms like Heads Up Health that track biofeedback measures like heart rate variability (HRV) help to motivate patients. Patients can become discouraged if they don’t notice symptoms improving short-term, but seeing the data of the changes happening within the body assists in making the patient maintain compliance.

(16:44) Gamifying the healthcare experience can help facilitate behavioral change. 

(18:27) Blood glucose and HRV are great biofeedback markers to look for in patients within the first week of treatment.

(21:03) Dave gives a step-by-step analysis of how patients can understand their metabolic markers.

Step 1: Give patients an actionable target.

Step 2: Design a functional health protocol and set the second stage of the funnel.

Step 3: Confirm the person actually opens the email.

(22:30) Dr. Alex Keller does not see many integrative practices including a device that can do biofeedback collection (like a continuous glucose monitor). He gives diet, lifestyle, and supplement protocols. He also can tell patients to track blood values, biofeedback, and/or other markers.

(24:19) Dave talks about how patients develop awareness by using CGMs and platforms like Heads Up.

(28:26) Dr. Alex Keller discusses how the challenge in his field is what kind of standardization there will be. There are so many products that it can be overwhelming for somebody looking to track their biomarkers. Tracking the data with platforms like Heads Up can be used for large data-driven studies. Use Fullscript to initiate that process.

(32:49) Developing large data studies can help set treatment plans by aggregating data. The basic standard has been blood tests for the last decade. The next step forward could be much more in-depth.

(37:00) Keeping patients engaged in tracking will help them stay on their functional health protocol. It encourages the patient to maintain behavioral change and the practitioner can call the patient if they start to fall off the path.

(42:25) Dave discusses how using technology and AI could help scale the remote patient monitoring functional health protocol. AI can also be used to flag patients to their practitioners or lifestyle coaches.

(46:23) Dr. Alex Keller believes that AI will never replace humanity, but it can be used to help inform decisions. By including automated reminders in Fullscript, it helps keep patients on their treatment plans. His focus is to arm practitioners with tools to provide better user experiences for patients.

(49:21) Dave agrees that you need to combine AI and the human element. He sees positive change is happening with the new CPT codes and the payer system.



Dr. Alex Keller: LinkedIn | Instagram | Personal Website | Fullscript Website

Ep. 57 – Simplify Functional Lab Testing with Rupa Health

Ep. 57 – Simplify Functional Lab Testing with Rupa Health

Are you a practitioner looking for an easier way to conduct functional medicine lab testing? 

Tara Viswanathan, Co-Founder and CEO of Rupa Health, discusses with Heads Up’s Dave Korsunsky how her company simplifies this process for medical professionals.

Dave and Tara also talk about why they believe root cause medicine will eventually become the standard of care, how Rupa Health and Heads Up are educating practitioners, and the origins of Rupa Health.

Rupa Health is a company that focuses on making the lab testing process easier for practitioners, so they have more time to focus on patient care.

Tara Viswanathan graduated with a Master’s Degree in Management Science and Engineering. She achieved her Bachelor’s Degree in Finance and Operations Management at Pennsylvania University. Tara previously did product consulting for consumer health startups.

Functional Medicine

Functional medicine focuses on the biological systems in the body. A single diagnosis can have multiple causes. Ultimately, the purpose of functional medicine is to identify and treat the root cause of the disease. 

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


“I’ve had complete conviction in the fact that root cause medicine is going to become the standard of care.”

– Tara Viswanathan

Follow Tara:

Twitter @TaraViswanathan

LinkedIn Tara Viswanathan


In this podcast you’ll learn:

(2:25) How Dave and Tara became interested in health through their careers in technology. 

(3:57) How Rupa Health makes functional lab testing easier. The company has over 2,000 different tests that healthcare practitioners can order within minutes. Rupa Health manages the entire patient experience including support with phlebotomy, specialized instructions, and 24-hour customer support.

(5:40) Rupa Health supports everybody from solo, independent acupuncturists to small private practices to large hospital systems. Tara breaks down how a practitioner can enroll and ease the burden of ordering patient tests.

(7:33) Patients have access to 3-month payment plans through Rupa.

(9:13) The benefits of stool testing. Dave jokes about his experience presenting the Bristol Stool Chart at a conference.

(10:12) The information you can learn from checking your urine and stool.

(11:04) Rupa Health began in January 2020. Within months the company spread to clinics in 47 states. The company is continuously releasing new features.

(12:34) Tara believes root cause medicine is going to become the standard of care. Tara wants to enable all practitioners to be able to pursue root cause medicine. Rupa first built a matching service to help pair patients with practitioners. The company then built a clinic, discovered the issues with lab testing, and decided to shut down the clinic and focus solely on lab testing.

(14:50) One of the main issues with functional labs is that many of them do not have any web-based APIs (Application Programming Interface) to pull from. These labs and patients are stuck with a bunch of PDF files. Rupa Health has helped to build services around these facilities’ current systems.

(19:00) Rupa can help doctors process all of their lab tests without having to learn everything step-by-step.

(20:10) Root cause medicine can be the future of medicine. Root causes can be microbiome environment, heavy metal toxin exposure, and more.

(22:23) Remote patient monitoring is becoming widely accepted and there are now reimbursements from the payer system. Commercial insurance covers most microbiome testing.

(24:14) Rupa Health is working on helping educate practitioners through Rupa University. These courses teach practitioners how to understand and interpret lab testing. Heads Up Health has also launched Heads Up University, which aims to serve a similar purpose.

(25:49) Dave and Tara are super involved as patients when interacting with their doctors.

(26:43) Tara’s advice to practitioners is, “It’s not easy, but it’s worth it.” You can reach out to Tara at tarav@rupahealth.com where she can explain Rupa Health to you in more detail.



Rupa Health

Bristol Stool Chart

Rupa University

Electronic Medical Records (EMRs) for Functional Medical Practices

Ep. 56 – How Continuous Glucose Monitoring Can Lead to Health-Conscious Behavioral Change

Ep. 56 – How Continuous Glucose Monitoring Can Lead to Health-Conscious Behavioral Change

Curious how continuous glucose monitoring (CGM) can lead to significant behavioral change? Kara Collier of NutriSense discusses how this happens with Heads Up founder Dave Korsunsky. Constantly being exposed to how your lifestyle affects your blood glucose increases your personal health awareness and motivation for making change.

Kara covers how NutriSense came together, how the company is reducing the barrier for patients to get CGM, and how NutriSense’s apps and services help patients understand their data.

She also talks about how most Intensive Care Unit (ICU) patients are people with immediate complications from lifestyle-related chronic conditions. Kara campaigned to the hospital administration and nutrition department for a year asking them to stop serving sodas to patients because of its negative health effects. When no action was taken, Kara left the hospital, worked at a nutrition software company, and eventually founded NutriSense with two other people.

Kara Collier is a Registered Dietitian Nutritionist (RDN), Licensed Dietitian/Nutritionist (LDN), and Certified Nutrition Support Clinician (CNSC) who specializes in glucose control and metabolism. She graduated from Purdue University and previously worked at Memphis VA Medical Center as a clinical dietitian at Providence Hospital and in a management role at Nutritionix.

Heads Up

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!


Continuous Glucose Monitoring (CGM)

Continuous glucose monitoring is the practice of using a device (like the FreeStyle Libre CGM) that automatically tracks your blood glucose levels. You can view how this data changes throughout the day based on what you eat, how you exercise, and other daily activities that you do.

Habitually viewing and understanding this data can lead to substantial lifestyle changes. This data can also be shared with your practitioner, so they too can monitor your health. Your practitioner can notify you if they think you need to take action on your health.

“When you think about ICU, you expect to see gunshot wounds or car trauma – accident trauma. But more often, what you’re seeing in the ICU is actually immediate complications from lifestyle-related chronic conditions.”

– Kara Collier

In this podcast you’ll learn:

  • (2:19) How Kara started as a dietician primarily in the ICUs and hospitals. She saw more chronic lifestyle conditions as opposed to gunshot wounds or car accident trauma. Those lifestyle conditions included diabetics who didn’t know they were diabetics or people with uncontrolled hypertension.
  • (3:09) Kara details the frustrating layers in the healthcare system. People are reluctant to change after four decades of bad habits. A lot of the traditional dietetic information is antiquated or biased. The hospitals were never addressing the root cause.
  • (4:56) The last straw for Kara was that sodas were served to patients even though they’re supposed to be healing them. Kara campaigned in the hospital to have sodas removed and nothing happened. She then left the hospital.
  • (5:50) Kara worked at a different nutrition software and learned more about start-ups. Her journey led her to research root causes, behavioral change prevention, metabolic health, and continuous glucose monitors.
  • (6:34) How using continuous glucose monitors and seeing the data in real-time will help fix users’ issues early on. CGM will also increase motivation to make behavior changes.
  • (7:25) Kara’s co-founder, Dan, had a sister who was a Type 1 diabetic. Dan was trying to increase profitability while working in healthcare consulting and realized that we keep putting more money into the healthcare system, but people keep getting sicker. He realized his sister’s device might help solve financial problems.
  • (8:18) The third co-founder, Alex, has a tech background and was interested in nutrition and biohacking. He used the devices on himself and built a software and app to showcase the data in a better way. 
  • (8:57) The group came together when Dan and Alex posted on LinkedIn stating that they were starting a company and needed a nutrition or healthcare expert. Kara happened to stumble across the post and moved to Chicago to help build out the company.
  • (9:44) Dave and Kara discuss how surprising it is that chronic lifestyle conditions are the number one thing bringing people to the emergency room. Those cases could have been prevented.
  • (10:48) Part of the chronic lifestyle condition issue is that a lot of people aren’t following up regularly with their primary care until it becomes urgent. There is also a lack of prevention and our society isn’t proactive with our health.
  • (12:43) How Facebook health groups are helping to spread health awareness. People are becoming more aware of their health.
  • (14:47) How Heads Up benefits individuals, healthcare professionals, and practitioners’ client bases.
  • (17:19) NutriSense’s products. Its consumer product comes with a continuous glucose monitor, dietician coaching, and NutriSense’s app.
  • (18:04) Continuous glucose monitors are considered medical devices, so patients need a prescription. If you’re not an insulin-dependent diabetic, most likely, your doctor won’t write you a prescription.
  • (18:48) NutriSense is trying to reduce the barrier to access continuous glucose monitors. You receive two CGM devices per month and access to one-on-one dietician coaching. The coach can see all your data and help you interpret it.
  • (19:57) The human body is very complicated and Kara doesn’t want users to misinterpret the data. 
  • (20:46) In the NutriSense app you can log your meals, stress, and exercise. You have access to analytics, charts, and graphs that break down the information. There is also education in the app.
  • (21:10) NutriSense is currently testing out working with clinics. NutriSense gives clinics access to the software and they can use NutriSense’s dieticians if they want.
  • (22:13) Dave’s experience on the ketogenic diet and using the continuous glucose monitor. He had a lot of success early on and was able to keep himself within his target glucose range.
  • (24:07) Roughly 40% of NutriSense’s customers are relatively healthy. The other 60% have a health condition they’re working on. These conditions include hypertension, PCOS, Hashimoto’s disease, fatty liver, and chronic fatigue syndrome.
  • (25:42) Why Dave and Kara don’t like the word bio-hacker. 
  • (26:11) Continuous glucose monitors made Kara’s experimentation with ketosis much easier. The reduced burden of the process with CGM makes it easier to motivate yourself and form a habit. 
  • (27:41) Continuous glucose monitors give you immediate feedback. They show you the positive and negative effects of what you’re doing in real-time.
  • (28:40) Continuous glucose monitors allow practitioners to engage clients with positive reinforcement.
  • (29:25) Dave enjoys using the CGM with the breath acetone meter so that he can monitor his blood pressure and ketone levels.
  • (30:20) How data from continuous glucose monitors gives people the power to master their metabolism.
  • (31:02) Healthy aging is one of the largest components of longevity. Once you make sure your blood sugar is in check every day, everything starts working better. You start sleeping better, regulating your appetite better, your hormonal systems work better, and your energy levels improve.
  • (32:00) Maximizing the number of healthy years is one of the driving motivations of NutriSense. Being insulin sensitive and having good metabolic health is the core of living a long, healthy life.
  • (33:44) Personalized nutrition and health are going to keep growing. Using continuous glucose monitors allows you to have an enhanced Mind-Body connection where you notice what meals make you feel worse. Connecting subjective experiences to objective data helps people to understand what is going on in their bodies.
  • (36:02) Continuous glucose monitors, NutriSense, medical devices, and digital health devices help people build a mind-body awareness.
  • (37:29) Metabolic disorders are everywhere. Most of the food people put in their bodies is terrible for blood sugar. Food companies use fMRI machines in a lab to see what reward centers are activated in the brain with different foods.
  • (39:11) Dave and Kara talk about how to make CGM more accessible and affordable. People in the healthcare and regulatory systems need to understand the benefits of continuous glucose monitoring. The more there is a demand for these devices, the more there will be a push for the FDA to allow these devices.
  • (41:14) NutriSense writes prescriptions for individuals to use continuous glucose monitors.
  • (42:19) Some common foods that surprisingly spike glucose include Costco rotisserie chicken, smart sweets, and oat milk. A lot of people mean well and are trying to be healthy, but something you eat every day might be having a detrimental effect on your body. You need to know how your most common foods are affecting your ability to live that long, healthy health span.
  • (46:25) The top takeaway from NutriSense clients was that they left the program with more flexibility in their diet than they thought there would be.
  • (47:26) Going on a 20-minute walk and adding MCT Oil can help to burn off some of the excess sugar or blunt the spike. 





Freestyle Libre CGM