Medicine Redefined
Dr. Darsh Shah, DO & Dr. Altamash Raja, DO interview practitioners who challenge the norm and promote health during a time when the healthcare system feels broken. Find out how experts in the fields of sleep, nutrition, exercise, stress resilience, rehabilitation, precision & performance medicine, and so many more are using "unconventional" approaches to move the needle forward and redefine medicine as we know it.
Latest Episode
213. Power Fades Faster Than Strength: How to Test It and Train It (Training Series, Part 4)
EPISODE DESCRIPTION
Strength is how much force you can make. Power is how fast you make it, and it fades roughly twice as fast with age. In part four of the training series, Dr. Altamash Raja and Dr. Darsh Shah explain why most of that loss isn't about muscle size, how to train power with moderate loads moved fast, and why you stop a set while the reps are still fast. They close with how to get back to sprinting without a hamstring strain.
TOPICS COVERED
Strength, power, speed, and rate of forc
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Recent Episodes
Oct. 19, 2026
213. Power Fades Faster Than Strength: How to Test It and Train It (Training Series, Part 4)
EPISODE DESCRIPTION Strength is how much force you can make. Power is how fast you make it, and it fades roughly twice as fast with age. In part four of the training series, Dr. Altamash Raja and Dr. Darsh Shah explain why most of that loss isn't about muscle size, how to train power with moderate loads moved fast, and why you stop a set while the reps are still fast. They close with how to get back to sprinting without a hamstring strain. TOPICS COVERED Strength, power, speed, and rate of forc
Oct. 12, 2026
212. How Much Cardio Do You Really Need? Zone 2, VO2 Max, HIIT, and the Minimum Effective Dose (Training Series, Part 3)
EPISODE DESCRIPTION Is zone 2 really the secret to longevity? In part three of the training series, Dr. Altamash Raja and Dr. Darsh Shah dig into the cardio evidence: why the biggest drop in mortality comes from going from nothing to something, how much benefit sits beyond 150 minutes a week, and what the J-curve and athlete AFib data actually show. They question the zone 2 and Norwegian 4x4 hype, test wearable VO2 max estimates, and share a single-run rule for avoiding running injuries. TOPICS
Oct. 5, 2026
211. Strength vs. Hypertrophy: Load, Weekly Sets, Training to Failure, and the Minimum Effective Dose (Training Series, Part 2)
EPISODE DESCRIPTION How many hard sets does muscle actually need, and does the weight on the bar matter? In part two of the training series, Dr. Altamash Raja and Dr. Darsh Shah work through the 2026 ACSM position stand: strength and size as two goals with two prescriptions, why effort matters more than load for growth, and how little it takes to maintain what you've built. They audit their own programs live, then make the case for building a training floor around your real constraints before ad
Sept. 28, 2026
210. How to Build a Training Week You'll Actually Repeat (Training Series, Part 1)
Is your training week built on evidence, or on habit? In part one of a five-part series, Dr. Altamash Raja and Dr. Darsh Shah unpack the American College of Sports Medicine's 2026 resistance training position stand: what didn't consistently matter (training to failure, machines versus free weights, complex periodization) and what did, depending on the goal. They lay out four training qualities, three questions to ask before writing a program, and a realistic week for people who already train, pl
Sept. 14, 2026
209. What Actually Matters for Longevity: Visceral Fat, VO2 Max, Muscle Mass, and Insulin Resistance | Sam Robinson, DO
EPISODE DESCRIPTION Should doctors be worried about AI, or should administrators? Family physician Dr. Sam Robinson left a 2,200-patient insurance panel with a 13-week waitlist to build Altaura Health, a direct primary care longevity practice outside Sacramento. He joins Drs. Raja and Shah on the four pillars he actually measures, the routine panel that caught a diagnosis nobody was looking for, and why the physicians automating their administration, not their judgment, will define the next era
Aug. 31, 2026
208. Acid Reflux Isn’t Just an Acid Problem: PPIs, Rebound, and Deprescribing | Badal Shah, DO
EPISODE DESCRIPTION Acid reflux isn't a problem of too much acid. Gastroenterologist Dr. Badal Shah joins Drs. Raja and Shah to break down what's actually failing (the lower esophageal sphincter), how patients end up on PPIs for decades, and how to wean off without rebound. They cover the long-term risks of acid suppression, fiber as the most underrated GI intervention, SIBO vs. leaky gut, what probiotics can and can't do, and why fecal transplants cure recurrent C. diff more than 95% of the tim
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