Creating a New Healthcare

Welcome to a new season of Creating a New Healthcare! 

This season, we’re diving into primary care. That’s right, primary care. Because right now, we are sucking at primary care, and the problem has reached critical mass. AND, we are sitting on the precipice of a revolution in primary care – the ability to provide contextual care, the ability to assess precursors to disease, and the ability to treat those conditions far more effectively – they are all on our doorstep.

So, in this first episode, I sit down with my Producer, Jess Greenwood, to share my rationale on focusing this season on the revolution in primary care and what you, the audience, should be listening for with this season’s guests.

We’re quick to blame genetics for our health and wellness issues, but the reality is that genetics only makes up 18% of our health destiny. That means the rest is up to us. 

Our guest today, Dr. Grant Zarzour, has seen that first hand in his own family. When his son was diagnosed with moderate autism, he and his wife refused to accept the predictions for his future. They dove head first into the data and in so doing, revolutionized not just their son’s life, but their own. Now a relentless proponent of diet, sleep, and exercise for physical and mental health, Dr. Zarzour feels like we all have a hand in our own destiny. We just have to commit. 

Dr. Zarzour is a practicing hip and knee surgeon in Mobile, AL.  He is the president of the largest orthopaedic practice in Alabama. While treating thousands of patients a year, Grant has developed a passion for preventive medicine. In 2024, he founded Sperity Health, which offers personalized longevity coaching to help its members improve their diet, exercise, and sleep with expert MD guidance. Sperity Health’s mission is to lower its member’s risk of cancer, cardiovascular disease, and dementia by up to 50% based on data and science.

With the recent explosion of GLP-1 drugs, the war on obesity seems to have taken a new and potent turn, but many are concerned about the recidivism, the side effects, and our reenergized obsession with being thin.

Our guest today, Dr. Laure DeMattia, is a board certified family medicine physician and obesity specialist. For her, obesity is personal, as she has struggled her entire life with this chronic condition. In this episode, Dr. DeMattia breaks down for us how GLP-1 drugs work to hyperdrive weight loss, why that loss is rarely sustainable without long term use of the drugs, and her own philosophy outside of medication that helps her patients feel seen, heard, and safe. It’s both an educational conversation and a behind-the-curtains look at the obesity epidemic from someone on the front lines. 

Dr. Laure DeMattia helps women stop blaming themselves for their physiology and find lasting health for over 20 years. Her dual perspective as both a doctor and a patient makes her uniquely compassionate, challenging the myth that willpower is the solution. Author of the book, The 4 Food Cues, Dr. DeMattia hosts her own YouTube channel, Navigating Obesity with Dr. D, where she offers a compassionate, realistic viewpoint about weight and weight loss.

How many grams of protein do you need to be healthy? What about fiber? Supplements? It feels like we’re changing our diets daily to adhere to constantly shifting recommendations and none of it is really working to optimize our health.

Christopher Gardner, Professor of Medicine in Nutrition Science at Stanford University, and featured advisor on the Netflix show, “You Are What You Eat: A Twin Experiment”, joins us today to talk about how the industry is stacked against us and why the solution to our diet woes is as simple as beans, peas, and lentils.

For more than 30 years Christopher Gardner, PhD, has studied what to consume and to avoid for optimal health, and how best to motivate individuals to achieve healthy dietary behaviors. He recently completed a two-year term serving on the US Dietary Guidelines Advisory Committee and is the past chair of the American Heart Association’s Nutrition Committee. He has conducted and published dozens of human nutrition intervention trials, including trials of Mediterranean, Ketogenic, Vegan, Low-Fat and Low-Carb diets and their effects on cardiometabolic health. Some of his current interests include Stealth Nutrition, Unapologetic Deliciousness and Institutional Food Settings. He is currently working on personalized nutrition explorations with several colleagues, with particular focus on the gut microbiome.

As a society, and as an industrial complex, we’ve made health complicated…and expensive. But, epidemiology suggests that what we need to do to achieve and maintain personal health is really quite simple.

Dr. Tom Frieden returns to the show to talk about the second half of his book, The Formula for Your Health. Through extensive research and review of hundreds of epidemiological studies, he distills the findings down to six basic things we need to be doing in order to be healthy. Dr. Frieden acknowledges that there is nuance, but he also affirms that history is clear. There are other societies in the world that were and are far healthier than the US population, and NOT because they had wearables, packaged food, home massagers, or Pelotons. 

Dr. Frieden is author of the book, The Formula for Better Health: How to Save Millions of Lives—Including Your Own. He is also the founder and CEO of Resolve to Save Lives, a global health organization that accelerates action against the world’s deadliest health threats. Resolve to Save Lives has worked with governments and other partners in more than 60 countries to save millions of lives. Dr. Frieden previously served as director of the U.S. Centers for Disease Control and Prevention (CDC) and New York City Health Commissioner, where he led efforts that increased life expectancy by 3 years and helped end major health crises including the largest US outbreak of multidrug-resistant tuberculosis, the 2014 West Africa Ebola epidemic, and responses to H1N1, Zika, and other threats.