Medicine Redefined
Medicine Redefined

Medicine Redefined

Altamash Raja, DO and Darsh Shah, DO

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Episodes

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Medicine Redefined challenges outdated conventions by elevating conversations around what health truly means.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

Recent Episodes

189. Creatine as Medicine: Brain Health, Bone, & Longevity | Darren Candow, PhD
DEC 8, 2025
189. Creatine as Medicine: Brain Health, Bone, & Longevity | Darren Candow, PhD
Join Dr. Altamash Raja and Dr. Darsh Shah on Medicine Redefined as they introduce Dr. Darren Candow, a leading researcher on creatine supplementation. The episode dives into the benefits of creatine, not just for muscle performance, but also for brain health, bone density, and cardiovascular health. Addressing myths and misconceptions, the conversation highlights creatine's potential role in cognitive function, aging, cancer prevention, and post-concussion recovery.Brain Health, TBI & Sleep DeprivationThe "Germany Study" on Sleep Deprivation (30g Dose):Reference: Gordji-Nejad, A., et al. (2024). Single dose creatine improves cognitive performance and induces changes in cerebral high energy phosphates during sleep deprivation. Scientific Reports.Brain Creatine in Vegans vs. Omnivores (The "Brazil Study"):Reference: Solis, M. Y., et al. (2013). Brain creatine depletion in vegetarians? A cross-sectional 1H-magnetic resonance spectroscopy (1H-MRS) study. British Journal of Nutrition.Creatine for TBI in Children:Reference: Sakellaris, G., et al. (2006). Prevention of traumatic headache, dizziness and fatigue with creatine administration. A pilot study. Acta Paediatrica.Creatine for Depression (The "Utah Studies"):Reference: Kondo, D. G., et al. (2011). Open-label adjunctive creatine for female adolescents with SSRI-resistant major depressive disorder. Journal of Clinical Psychiatry.Reference: Roitman, S., et al. (2007). Creatine monohydrate in resistant depression: a preliminary study. Bipolar Disorders.Bone Health, Aging & Long COVIDCreatine for Long COVID:Reference: Slankamenac, J., Ostojic, S. M., et al. (2023). Creatine supplementation combined with breathing exercises reduces respiratory discomfort and improves creatine status in patients with long-COVID. Journal of Postgraduate Medicine.Creatine & Bone Health (Post-Menopausal Females):Reference: Chilibeck, P. D., Candow, D. G., et al. (2015). Effects of creatine and resistance training on bone health in postmenopausal women. Medicine & Science in Sports & Exercise.Alzheimer’s Disease (The 2024 Study):Reference: Fairman, C. M., et al. (2024). Eight weeks of creatine monohydrate supplementation is associated with increased muscle strength and size in Alzheimer's disease. Frontiers in Aging Neuroscience. (Note: This is likely the "groundbreaker" he mentioned from this year).Bioavailability & DosingThe Original "Big Paper" (1992):Reference: Harris, R. C., et al. (1992). Elevation of creatine in resting and exercised muscle of normal subjects by creatine supplementation. Clinical Science.Meat vs. Solution vs. Candy (Gummies):Reference: Harris, R. C., et al. (2002). Absorption of creatine supplied as a drink, in meat or in solid form. Journal of Sports Sciences.Note: This is the study confirming that creatine in solid forms (like gummies/candy) is bioavailable.Caffeine Interference (The "350mg" Threshold):Reference: Vandenberghe, K., et al. (1996). Caffeine counteracts the ergogenic action of muscle creatine loading. Journal of Applied Physiology.Reference: Trexler, E. T., & Smith-Ryan, A. E. (2015). Creatine and Caffeine: A Brief Review of Concurrent Use. ACSM's Health & Fitness Journal.People MentionedDr. Sergej Ostojic: Leading researcher on creatine for Long COVID and clinical applications (University of Novi Sad).Dr. Scott Forbes: Frequent collaborator with Dr. Candow on brain and bone health.Dr. Chad Kerksick & Dr. Andrew Jagim: Cited for their reviews on creatine safety in children.
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188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD
NOV 24, 2025
188. The Hip Expert's Blueprint: FAI, Load Management, Strength & Hormones | Alison Grimaldi, PhD
Join Dr. Altamash Raja and Dr. Darsh Shah in a comprehensive discussion with Dr. Allison Grimaldi on femoral acetabular impingement (FAI) and hip health. This episode of Medicine Redefined dives into part two of the hip-focused conversation. Dr. Grimaldi provides a deep dive into FAI, discussing types of impingement, symptoms, and the importance of accurate diagnosis and individualized treatment. The conversation also touches on advances in hip arthroscopy, metabolic health, and the role of systemic inflammation in joint conditions. Tune in for valuable insights into hip pathology, patient care, and the future of hip health.00:00 Introduction and Exciting Update00:40 Recap of Part One and Introduction to FAI01:04 Understanding Femoral Acetabular Impingement (FAI)03:49 Imaging and Diagnosis of FAI07:53 Development and Risk Factors of FAI12:05 Weightlifting and FAI in Adolescents16:07 Surgical Interventions and Outcomes24:53 Non-Surgical Management and Rehabilitation29:48 Post-Surgery Expectations and Long-Term Management41:15 Micro Instability and Dysplasia45:02 Understanding Hip Dysplasia and Instability46:44 Clinical Tests and Imaging for Hip Dysplasia49:29 Rehabilitation Approaches for Hip Instability53:47 Exercises for Deep Muscle Recruitment01:02:23 Metabolic Health and Tendon Pathology01:09:41 Considerations for Aging Athletes01:14:18 Future of Hip and Pelvic Pain Care01:19:51 Shifts in Understanding Hip Impingement01:22:28 Final Thoughts and Advice for PractitionersResources & citations2016 Warwick Agreement on FAIS (consensus statement). UK FASHIoN RCT: arthroscopy vs physio for FAIS (BMJ 2019). Australian FASHIoN trial: cartilage imaging & outcomes (BMC 2021). Hip microinstability: international consensus diagnostic criteria. Post-arthroscopy effusion/synovitis and outcomes: overview blog + PubMed. Modern Hip Arthroscopy for FAIS May Delay the Natural History of Osteoarthritis in 25% of Patients: A 12-Year Follow-up Analysis. - PubMedConnect with Dr. GrimaldiWebsite: dralisongrimaldi.com. Hip Academy: Program & membership. Instagram: @dralisongrimaldi. X (Twitter): @alisongrimaldi. 
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187. What We Get Wrong About Lateral Hip Pain | Alison Grimaldi, PhD
NOV 20, 2025
187. What We Get Wrong About Lateral Hip Pain | Alison Grimaldi, PhD
Join hosts Darsh and Altamash as they sit down with Dr. Allison Grimaldi to dive deep into the complexities of hip pain and the latest research in the field. In this episode, Dr. Grimaldi sheds light on the challenges of diagnosing and treating hip issues, the anatomy of the hip joint, and the critical role of gluteal tendinopathy. Learn how significant lifestyle changes and thorough education can alleviate symptoms more effectively than traditional corticosteroid treatments. Don't miss this enlightening discussion aimed at both clinicians and patients who are eager to better understand their bodies.TIME STAMPS00:00 Introduction to Postpartum Health Challenges00:27 Welcome to Medicine Redefined01:05 Exciting Update: New Practice Launch01:34 Introducing Dr. Allison Grimaldi01:46 Why Focus on the Hip?06:18 Understanding Hip Anatomy08:44 Lateral Hip Pain and Its Complexities22:55 Diagnosing Gluteal Tendinopathy27:16 Identifying Hip Pain: Key Questions and Symptoms27:52 Differentiating Gluteal Tendinopathy from Other Conditions29:19 Common Presentations and Misdiagnoses31:14 Effective Sleep Positions for Hip Pain Relief36:07 Diagnostic Tests for Gluteal Tendinopathy39:31 Insights from the LEAP Study44:16 Balancing Short-term Relief and Long-term Solutions46:11 The Role of PRP in Treatment50:13 Concluding Thoughts and Next StepsSOURCESLEAP Trial: https://www.bmj.com/content/361/bmj.k1662Gluteal Masterclass: https://pubmed.ncbi.nlm.nih.gov/39854929/
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186. Stop Overpaying for Your Health Insurance: EOBs, Tiers & Avoiding Bad Bills
NOV 11, 2025
186. Stop Overpaying for Your Health Insurance: EOBs, Tiers & Avoiding Bad Bills
Ever felt like your insurance company is gaslighting you? Dr. Altamash Raja shares a real story that turned a routine billing error into a masterclass on how to actually navigate health insurance. From copays and deductibles to hidden tiers and the fine print that drains your wallet - this Progress Note breaks it all down. Join hosts Dr. Darsh Shah and Dr. Altamash Raja as they cut through the noise, explain the system in plain English, and arm you with the knowledge to advocate for yourself next time your claim gets “lost”.TIMESTAMPS00:36 Insurance Negotiations Frustrations06:33 Understanding Health Insurance Terms17:26 Navigating Insurance Plans and Benefits23:56 Navigating Insurance Verification25:52 The Business Side of Healthcare26:37 Challenges in Inpatient Rehab28:41 Understanding Healthcare Metrics31:59 Emergency Visits and Insurance34:10 Planning for Medical Emergencies37:14 Insurance Tiers Explained40:01 Practical Tips for Managing Insurance46:20 Final Thoughts and Recap48:10 Outro and DisclaimerSOURCES[00:06:00] — Premiums, Deductibles, Coinsurance & Copays Explained – Aetna[00:17:00] — HMO vs. PPO: Which Is Right for You? – Humana[00:34:00] — What Is a “Surprise Medical Bill” and What Should I Know About the No Surprises Act? – Consumer Financial Protection Bureau[00:34:00] — No Surprises Act: Balance Billing Rules for Emergency and Air Ambulance Services – Centers for Medicare & Medicaid Services[00:40:00] — Navigating the Insurance Appeals Process –Patient Advocate Foundation
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186. Stop Overpaying for Your Health Insurance: EOBs, Tiers & Avoiding Bad Bills
NOV 4, 2025
186. Stop Overpaying for Your Health Insurance: EOBs, Tiers & Avoiding Bad Bills
Ever felt like your insurance company is gaslighting you? Dr. Altamash Raja shares a real story that turned a routine billing error into a masterclass on how to actually navigate health insurance. From copays and deductibles to hidden tiers and the fine print that drains your wallet - this Progress Note breaks it all down. Join hosts Dr. Darsh Shah and Dr. Altamash Raja as they cut through the noise, explain the system in plain English, and arm you with the knowledge to advocate for yourself next time your claim gets “lost”.TIMESTAMPS00:36 Insurance Negotiations Frustrations06:33 Understanding Health Insurance Terms17:26 Navigating Insurance Plans and Benefits23:56 Navigating Insurance Verification25:52 The Business Side of Healthcare26:37 Challenges in Inpatient Rehab28:41 Understanding Healthcare Metrics31:59 Emergency Visits and Insurance34:10 Planning for Medical Emergencies37:14 Insurance Tiers Explained40:01 Practical Tips for Managing Insurance46:20 Final Thoughts and Recap48:10 Outro and DisclaimerSOURCES[00:06:00] — Premiums, Deductibles, Coinsurance & Copays Explained – Aetna[00:17:00] — HMO vs. PPO: Which Is Right for You? – Humana[00:34:00] — What Is a “Surprise Medical Bill” and What Should I Know About the No Surprises Act? – Consumer Financial Protection Bureau[00:34:00] — No Surprises Act: Balance Billing Rules for Emergency and Air Ambulance Services – Centers for Medicare & Medicaid Services[00:40:00] — Navigating the Insurance Appeals Process –Patient Advocate Foundation
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