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Voyage Clinics Podcast
John Sanders
65 episodes
1 week ago
Welcome to the Voyage Clinics Podcast, where curiosity meets medical expertise. Join your host, Dr. John Sanders, a compassionate family physician, as he embarks on a journey through the intricacies of healthcare and wellness.

In each episode, lasting approximately one hour, Dr. Sanders delves into a myriad of medical and mental health topics, ranging from common ailments to complex conditions. Whether he's flying solo or engaging in enlightening conversations with fellow physicians across various specialties, Dr. Sanders brings clarity and understanding to the forefront.

Through insightful discussions and thoughtful questioning, Dr. Sanders makes technical medical information accessible to all listeners. From deciphering diagnostic procedures to exploring treatment options, the Voyage Clinics Podcast serves as a beacon of knowledge and empowerment in the realm of healthcare.

Join us as we navigate the seas of medicine, one episode at a time. Tune in, learn, and embark on your own journey to better health with the Voyage Clinics Podcast.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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Alternative Health
Health & Fitness,
Mental Health
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All content for Voyage Clinics Podcast is the property of John Sanders and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Welcome to the Voyage Clinics Podcast, where curiosity meets medical expertise. Join your host, Dr. John Sanders, a compassionate family physician, as he embarks on a journey through the intricacies of healthcare and wellness.

In each episode, lasting approximately one hour, Dr. Sanders delves into a myriad of medical and mental health topics, ranging from common ailments to complex conditions. Whether he's flying solo or engaging in enlightening conversations with fellow physicians across various specialties, Dr. Sanders brings clarity and understanding to the forefront.

Through insightful discussions and thoughtful questioning, Dr. Sanders makes technical medical information accessible to all listeners. From deciphering diagnostic procedures to exploring treatment options, the Voyage Clinics Podcast serves as a beacon of knowledge and empowerment in the realm of healthcare.

Join us as we navigate the seas of medicine, one episode at a time. Tune in, learn, and embark on your own journey to better health with the Voyage Clinics Podcast.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
Show more...
Alternative Health
Health & Fitness,
Mental Health
Episodes (20/65)
Voyage Clinics Podcast
Dr. John and Shaunna with Dr. Amanda | Martyrs and Saints: Rewriting Motherhood and Medicine
This episode of the Voyage Clinics Podcast opens with a powerful and intimate poem by Shaunna Sanders, “Martyrs and Saints,” which reframes motherhood away from exhaustion, self-denial, and moralized sacrifice. The poem challenges cultural and religious narratives that equate worthiness with sleeplessness, constant service, and self-erasure, offering instead a vision of womanhood rooted in rest, boundaries, self-awareness, and divine reflection. It serves as the emotional foundation for a broader conversation about motherhood, identity, and calling.

Dr. Amanda Primensberger joins Dr. John Sanders and Shaunna to explore the realities of navigating motherhood alongside demanding professional roles in medicine. They reflect on generational expectations of “doing it all,” the loss of self that can occur in both traditional and professional paths, and the pressure placed on women to sacrifice without limits. Dr. Primensberger shares personal stories from medical training and early motherhood that highlight the moral injury, burnout, and family strain caused by rigid healthcare systems that prioritize productivity over humanity.

The conversation culminates in Dr. Primensberger’s decision to leave traditional healthcare and build a Direct Primary Care practice aligned with her values. By choosing flexibility, transparency, and relational care, she reclaimed presence at home and meaning at work, while modeling courage and sacrifice for her children. The episode ultimately affirms that choosing boundaries, embracing seasons of life, and pursuing alignment over martyrdom can lead to deeper connection, better care, and a more sustainable, integrated life.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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1 week ago
57 minutes

Voyage Clinics Podcast
Dr John and Sam Crane | Intentional Health: From Burnout to Biopsychosocial Wellness
Dr. John talks with longtime friend Samuel Crane, a credit union CEO and entrepreneur from Moab, about Sam’s multi-year health journey from burnout, brain fog, and obesity to intentional, sustainable wellness. Sam describes hitting a breaking point when he couldn’t remember the word “cucumber” at Subway, realizing that his stress, extra weight, and poor diet were threatening his future with his family. That wake-up call led Sam to start with exercise, mountain biking with an “accountability buddy,” and then move into a strict whole-food “cleanse” of meat and vegetables, which brought intense sugar/carb withdrawals but meaningful progress.

As Sam shares his journey, the friends dive into how modern processed food and constant overextension create a “metabolic syndrome” culture, people who are technically “well” but tired, foggy, overweight, and inflamed. Dr. John explains the science of mitochondrial function, inflammation, cortisol, and the benefits of morning exercise and intermittent fasting (eating in a shorter window, especially earlier in the day). Sam shares how he used intermittent fasting, periodic prolonged fasts, and ongoing tweaks (guided by DEXA scans and labs) to lose weight, preserve muscle, and reset cravings. Over time, his example, without forcing anyone, shifted his family’s and coworkers’ habits, improved his leadership and energy at work, and helped his kids become more interested in exercise and nutrition.

The episode ends with a practical takeaway: shop the perimeter of the grocery store, reduce processed foods, find movement you actually enjoy with a community, and be “intentionally imperfect”, course-correct when you slip, rather than giving up.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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2 weeks ago
49 minutes

Voyage Clinics Podcast
Dr. John and Justin Olsen | Stress, Resilience, and the Power of Reframing
Dr. John sits down with therapist Justin Olsen, a licensed clinical mental health counselor, to talk about stress, resilience, and mental health. Justin explains that stress is unavoidable, and actually necessary in healthy amounts. Too little stress can lead to lack of purpose and depression, while too much overwhelms us. The key difference between “good stress” (eustress) and “bad stress” (distress) is how we frame it in our minds. Using ideas from cognitive behavioral therapy, Justin describes how situations trigger thoughts, which create emotions, which drive our actions, and how we can reclaim power by examining and reshaping those thoughts. They also discuss grief and loss, acknowledging that some pain should hurt, and that time, meaning-making, and reframing help us move from being consumed by the “black hole” of loss to living alongside it.

Human connection comes up as a major buffer against stress. Justin and Dr. John talk about the power of small, consistent acts of kindness, texting a loved one, thanking someone, opening a door, as well as intentionally reaching out instead of waiting to be noticed. They highlight research showing that believing your body can handle stress and staying connected to others is more protective than trying to avoid stress altogether. From a resilience standpoint, Justin uses the metaphor of a reservoir: life’s hardships constantly drain water, so we must actively refill it. He focuses on five core practices, adequate sleep, reasonably healthy eating, regular exercise, supportive relationships, and doing things that genuinely make you happy.

To build resilience, they emphasize simple, repeatable habits rather than dramatic life overhauls, date nights, boundaries at work, hobbies like pickleball or guitar, and movement that boosts brain chemistry and neuroplasticity. They suggest that therapy is especially helpful when stress, grief, or habits are clearly interfering with daily life, work, relationships, motivation, or health. Justin closes with a powerful question from resilience research: “Is what I’m doing right now helping me or hurting me?” If it’s helping, lean in; if it’s hurting, gently choose something kinder for yourself.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 weeks ago
46 minutes

Voyage Clinics Podcast
Dr. John and John Hermans | A Physical Therapist’s Guide to Staying Strong for Life
In this episode, Dr. John Senager speaks with physical therapist John Hermans, clinical director at Rise Up Rehab in Provo. Hermans begins by sharing his international journey into physical therapy, beginning with pre-med studies, training across Europe, and eventually specializing in biomechanics and manual therapy. The two discuss their shared appreciation for language, movement, and patient-centered care.

They shift next to the state of healthcare and physical therapy, emphasizing how insurance limitations and bureaucratic requirements often obstruct high-quality, preventative care. Both highlight the value of collaboration between physicians and PTs and the importance of proactive wellness programs that strengthen the body before injury occurs. Hermans describes his clinic’s conservative, evidence-based approach focusing on biomechanics, isometric strengthening, proprioceptive training, and one-on-one care, in contrast to high-volume clinics relying heavily on assistants.

Finally, they explore the most common injuries Hermans sees in his clinic, including low back pain, workplace-related injuries, motor vehicle trauma, and the now-infamous “pickleball injuries.” They discuss practical ergonomic advice, dynamic warmups, and the need for balanced strength in aging adults, especially the core, hip flexors, and stabilizing muscle chains. Hermans notes that Rise Up Rehab emphasizes individualized attention and consistent care from licensed PTs, setting them apart in the community.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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1 month ago
39 minutes

Voyage Clinics Podcast
Dr. John and Dennis Walker | Fixing Employer Healthcare Through DPC
In this episode of the Voyage Clinics podcast, John sits down with Dennis Walker, a business administration graduate who made his way into insurance about a decade ago. The episode begins with Dennis outlining how the Affordable Care Act (ACA) changed the market.

On the one hand, the passing of the ACA meant that preexisting conditions must now be covered (a big win for patients), but premiums have risen dramatically, often doubling for healthy groups and skyrocketing for unhealthy ones. In addition, the ACA profit caps (insurers can only keep about 20% of expenditures) unintentionally reward higher spending, since 20% of a larger total is more profit. Pharma is often handled outside those caps, allowing insurers and PBMs to inflate drug costs through opaque pricing and rebates, driving up claims and profits without transparency.


Dennis identifies five kinds of brokers, from captive agents and “spreadsheet-only” brokers to true innovators. The “innovator” broker uses data, underwriting, and creative plan design to push back on carriers and build smarter plans. He and John collaborate on the idea that the best plans center around direct primary care (DPC), reference-based pricing tied to Medicare, transparent pharmacy strategies, and smart self-funded or level-funded structures, especially for employers with 50+ employees. Their core message is that CEOs must “own” healthcare for their companies, choose brokers who truly advocate for them, and pair that with a strong DPC partner to make healthcare more affordable, transparent, and sustainable.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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1 month ago
1 hour 5 minutes

Voyage Clinics Podcast
Dr. John and Jarom Ball | Nature, Neuroplasticity, and Navigating Trauma
​​In this episode, Dr. John sits down with marriage and family therapist Jarom Ball to explore the profound ways trauma shapes our emotional and physiological responses. Jarom discusses how early experiences of rejection and unworthiness can create deeply ingrained automatic reactions, impacting relationships and self-perception. He explains how traditional therapy methods, such as EMDR, can help regulate these responses but may not fully address all aspects of trauma. Psychedelics like ketamine and psilocybin, by promoting neuroplasticity through BDNF and mTOR activation, provide a unique window for transformation, especially when combined with intentional therapeutic integration.

Jarom delves into different therapeutic approaches, highlighting Internal Family Systems, which engages the protective parts of the psyche, versus EMDR, which primarily bypasses them. He emphasizes that growth doesn’t always require confronting every traumatic memory at once; even incremental progress in emotional regulation and coping strategies can significantly enhance life quality. Jarom notes that unresolved trauma often manifests as autonomic dysregulation, where the body overreacts to triggers. Integrating therapy with psychedelic-assisted experiences, when accessible, can help rewire these patterns and create lasting change.

The conversation also examines the impact of modern life and environmental factors on mental well-being. Dr. John and Jarom discuss how constant exposure to digital media and global stressors overwhelms our nervous systems, contrasting this with the benefits of reconnecting with nature, foraging, and direct contact with the earth. Such practices enhance intuition, emotional sensitivity, and overall well-being, offering a grounding balance to the high-tech, high-stress modern world. The episode ultimately emphasizes a holistic approach to healing, combining trauma-informed therapy, neuroplasticity through psychedelics, and reconnection with nature to cultivate resilience, growth, and human flourishing.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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1 month ago
1 hour 4 minutes

Voyage Clinics Podcast
Dr. John and Neer Patel | Breaking the Chains of Healthcare with DPC-Centered Plans
In this episode of the Voyage Clinics Podcast, Dr. John Sanders sits down with Neer Patel, a former engineer turned benefits innovator, whose wife, like Dr. Sanders, a Direct Primary Care physician. Together, they explore how their families have become advocates for a more transparent and values-driven healthcare system. Neer shares his journey from corporate America into healthcare entrepreneurship, explaining how his background in sales and marketing helped grow his wife’s DPC practice by educating both patients and business owners about the real costs of care and the power of the DPC model.


As their conversation deepens, Neer explains how repeated talks with business owners exposed a common problem: unsustainable insurance premiums that prevented employers from offering DPC memberships to their teams. Determined to solve it, he dove into the health insurance world and discovered how hidden network contracts and inflated claims drive up costs. That realization led him to co-found a company that removes traditional network contracts, brings transparency to pricing, and integrates DPC at the core of employer health plans, all designed to eliminate waste and return advocacy to the heart of healthcare.

Dr. Sanders and Neer discuss how Neer’s approach parallels the DPC movement itself, cutting out middlemen, focusing on real relationships, and giving patients and employers control over their healthcare dollars. By combining DPC’s personalized care with an actively managed, transparent coverage model, they demonstrate how businesses can provide better healthcare at lower costs while restoring trust, clarity, and compassion to the system.


Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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1 month ago
55 minutes

Voyage Clinics Podcast
Dr. John | From BRCA to Liquid Biopsies: A Doctor’s Guide to DNA Screening
Dr. John Sanders explores the evolving world of genetic screening — from traditional genome sequencing for inherited risks like BRCA, Lynch syndrome, and clotting disorders, to newer technologies like liquid biopsies and pharmacogenomics. He explains how genetics can guide prevention, but also how complex the interpretation is, especially when epigenetics — the environmental “on/off switches” for genes — plays a massive role in actual disease expression.

He highlights both the promise and limitations of current tools. Liquid biopsies, for example, can screen for dozens of cancers via blood, but are expensive, not insurance-covered, and may detect cancers too late to change outcomes meaningfully. Pharmacogenomics — using genetic testing to guide medication choices — is fascinating in theory, but in real life doesn’t always align with clinical response, and rarely justifies its current out-of-pocket cost. Much of this technology is still ahead of its evidence.

Dr. Sanders urges a thoughtful, ethical approach: screening can be empowering — but can also create unnecessary fear and possibly even trigger disease expression via stress. He stresses staying grounded in data, preserving patient peace of mind, and remembering the most powerful epigenetic “medicine” is still lifestyle — sleep, exercise, low stress. It’s innovation with responsibility, not blind adoption.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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2 months ago
24 minutes

Voyage Clinics Podcast
Dr. John and Dr. Kyle Bills | Intention, Neuroplasticity, and the Science of Change
In this in-depth discussion, Dr. John and neuroscientist Dr. Kyle Bills explore the concept of neuroplasticity—the brain’s remarkable ability to rewire and change through intention, experience, and biological modulation. They connect spiritual and scientific perspectives, noting that practices like repentance, reframing thoughts, and setting clear intentions align with measurable neurological mechanisms such as BDNF spikes, dopamine release, and mTOR activation. The conversation emphasizes that our mindset and the stories we tell ourselves (“I am” statements) can either limit or liberate our potential to change.

Dr. Bills expands on the science of neuroplasticity by describing how activities like exercise, cold plunges, and intentional therapy stimulate neurochemical changes that reshape brain circuitry. However, he cautions that neurochemical boosts alone—whether from exercise or ketamine therapy—are not inherently beneficial unless paired with positive context and deliberate action. The two discuss the role of intention-setting in clinical treatments, sharing moving examples of how combining ketamine-assisted therapy with purposeful goals, like becoming a more patient parent, can lead to real behavioral transformation.

The conversation culminates with Dr. Bills’ groundbreaking research into mechanical neurostimulation. He explains how specific vibrational frequencies applied to the spine can modulate dopamine circuits, producing measurable reductions in anxiety and improved cognitive function—without drugs or surgery. His NIH-funded trials using a noninvasive “vibration chair” show promise for treating conditions like opioid withdrawal, anxiety, and potentially even sleep disorders and Parkinson’s disease. Both doctors close with gratitude for science’s role in helping humanity refine itself, bridge mind and body, and grow closer to divine potential through understanding and intentional change.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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2 months ago
1 hour 5 minutes

Voyage Clinics Podcast
Dr. John Sanders | How DPC is Changing the Game for Families and Businesses
In this podcast episode, Dr. John from Voyage Clinics, a Utah county direct primary care, provides an overview of the growing direct primary care (DPC) movement and its potential to reshape healthcare in the U.S. 
John begins by highlighting the challenges American families and businesses face navigating a complex, expensive, and often inefficient healthcare system. After defining direct primary care, he explains how its structure allows patients to receive guidance, advocacy, and personalized care without being beholden to traditional insurance constraints. He emphasizes the practical benefits of this model, sharing real-world examples of cost-effective, high-quality care. 
Case studies shared in the episode underscore how even families with insurance benefit from DPC because membership often costs less than a single family member’s deductible while offering unlimited access to care. Dr. John positions DPC as a growing national movement with over 2,000 physicians now practicing this model, up from just a few hundred when he started seven and a half years ago. The podcast closes with a call for families and businesses to explore DPC as an alternative that delivers accessible, high-quality healthcare while reducing costs and simplifying navigation in an otherwise complex system.
Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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2 months ago
5 minutes

Voyage Clinics Podcast
Dr. John and Darrell Moon | Trust, Relationships, and the Direct Primary Care Revolution
In this episode, Dr. John sits down with Darrell Moon, a nationally recognized advocate for direct primary care (DPC), to explore the transformative potential of relationship-driven healthcare. Darrell shares his professional journey, from starting as a student helping run a small hospital in Utah to leading multiple hospitals and eventually focusing on healthcare reform. He emphasizes the importance of aligning healthcare delivery with the true customer—business leaders and patients—rather than the traditional system’s incentives, which often reward keeping hospitals full rather than improving patient outcomes. 

The conversation considers the innovative NUCA healthcare system in Alaska, which prioritizes trust, long-term relationships, and a holistic approach to patient care, focusing on individuals’ life goals rather than just treating disease. The NUCA healthcare system divides patients into manageable groups and embeds a dedicated care team within each group in its efforts to foster deep relationships and deliver better outcomes at lower cost. Dr. John parallels this model to his own direct primary care clinics, emphasizing trust-building, long-term relationships, and a patient-centered approach that improves both outcomes and satisfaction.

Finally, the podcast addresses the broader implications of DPC for employers and employees. By placing direct primary care at the center of self-funded insurance plans, companies can reduce costs, improve employee health, and foster loyalty. The conversation underscores how transparency, high-quality referrals, and data-driven decision-making can reshape healthcare delivery, offering accessible, affordable, and trustworthy care while enhancing overall workforce wellbeing.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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2 months ago
48 minutes

Voyage Clinics Podcast
Dr. John and Johnathan Bartholomew | Sorting Science from Sensationalism
In this episode, Dr. Sanders visits again with Dr. Bartholomew, covering several timely pediatric health topics, including measles, RSV, COVID-19, and Tylenol. After highlighting the importance of vaccination for measles and identifying populations that are most vulnerable to RSV, the discussion pivots to COVID-19, where the doctors review evolving data and policy decisions around vaccines. 
Their conversation stresses the importance of balancing risks and benefits across different age groups, rather than applying a one-size-fits-all approach, arguing that current recommendations should be revisited in light of herd immunity, viral mutations, and reduced severity of illness. They encourage families to have open conversations with their providers about personal risk factors like obesity, diabetes, or heart disease when deciding whether vaccination is appropriate.Finally, the episode addresses the recent study linking Tylenol (acetaminophen) in pregnancy to autism. The doctors carefully explain the difference between association and causation, noting that current evidence does not support a causal link. They warn against sensationalized headlines that unnecessarily increase guilt among mothers, and point out that genetic factors are a much stronger contributor to autism. They also highlight ongoing genetic research at the University of Utah and supportive therapies, including innovative approaches like equine therapy. The episode closes with a reminder that science is dynamic, always open to new data, and that families should lean on trusted providers for evidence-based guidance.Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 months ago
57 minutes

Voyage Clinics Podcast
Dr. John and Zak Hazlett | Healing Through Nature and Authenticity
Join Dr. Sanders with Zak Hazlett, a licensed marriage and family therapist and experienced river guide in their discussion of health and healing through nature. John and Zak begin the conversation discussing metaphorical “baggage” and the importance of unpacking it alongside others. The speakers stress that real growth and friendship come through vulnerability—sharing our struggles rather than hiding them behind a polished façade. The key message is that we can’t unpack someone else’s baggage for them, but we can unpack together, side by side.

The discussion then shifts into the role of self-awareness, accountability, and the small steps required for growth. Instead of waiting for a big breakthrough, showing up consistently for yourself—much like you would for a close friend—leads to progress. Parenting examples highlight the power of teaching children to own mistakes without shame, reinforcing the idea that accountability fosters resilience and healing. This ties into how relationships and safe environments provide the container we need to reprogram unhealthy patterns from the past.

Finally, the dialogue explores nature as both a reset and antidote to modern overstimulation. Phones and technology create addictive dopamine spikes, whereas spending time outdoors restores balance, helps reset circadian rhythms, and reduces stress. Practical “dopamine detox” tips are shared, such as grayscaling phones, moving apps, and setting intentional barriers. The speakers emphasize that meaningful social connection—hugs, time with friends, shared vulnerability—produces lasting neurochemical benefits like oxytocin. Taken together, the message is clear: unpack your baggage with others, be intentional about your environment, and lean into nature and authentic connection for lasting wellness.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 months ago
58 minutes

Voyage Clinics Podcast
Dr. John Sanders and Marilyn Sorensen, FNP | Hormones, Health, and Quality of Life
A Practical Guide to HRT for Women and Men

Dr. John is joined by nurse practitioner Marilyn to unpack the complexities of hormone use in both women and men, starting with the history of hormone therapy, the legacy of the Women’s Health Initiative, and the persistence of outdated black box warnings. They stress the importance of shared decision-making, noting that while risks like clotting, liver issues, and breast cancer must be considered, the potential benefits for mood, sleep, bone density, and quality of life can be significant when therapy is managed thoughtfully.

In the discussion of female hormone therapy, they review perimenopause, menopause, and post-menopause, explaining when estrogen, progesterone, and testosterone may be appropriate. Marilyn shares practical guidance on lab testing, timing in the menstrual cycle, and tailoring treatment to symptoms. They also highlight the problem of inappropriate hormone use in younger women and caution against hormone “mills” that prescribe pellets or high doses without proper monitoring. Compounded formulations, oral progesterone, and topical or vaginal applications are all discussed as flexible tools when individualized to the patient’s needs.

The conversation then shifts to male hormone therapy. Dr. John highlights the American Urological Association’s clear guidance on hypogonadism, stressing the need for accurate diagnosis and lifestyle interventions before prescribing testosterone. They discuss causes of low testosterone, including obesity, poor sleep, stress, and environmental exposures like plastics and pesticides. Alternatives such as Clomiphene and HCG can support fertility while boosting testosterone in younger men. Both hosts agree that while inappropriate use is common, properly monitored therapy can improve energy, mood, libido, and overall well-being. The episode closes with a reminder that HRT is not about making people 20 again—it’s about improving quality of life and aging with vitality.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 months ago
31 minutes

Voyage Clinics Podcast
Dr. John with Chris Cox | Custom Solutions: Rethinking Pharmacy Through Compounding
This podcast explores the complex and evolving world of compounding pharmacies, with a focus on how they provide customized solutions that go beyond what is commercially available. The conversation begins with the growing interest in peptides like BPC-157 and the lack of clear FDA guidance on their regulation. Practitioners and patients are left navigating uncertain territory where products may be inconsistently sourced or labeled as “not for human use,” raising important safety and trust concerns. The discussion highlights how regulatory oversight, while designed to protect the public, often creates barriers for innovation and patient access to potentially beneficial therapies.

From there, the conversation shifts into the practical and creative role compounding pharmacies play in patient care. Unlike traditional prescriptions, compounding allows for individualized formulations—whether that’s tailoring dermatology creams to reduce side effects, creating specialized GI or ENT preparations, or offering unique dosing options for children, pets, or patients with rare conditions. The art of compounding comes through in solving problems such as ensuring accurate dosing, removing air pockets from creams, or flavoring medications to improve compliance. Collaboration between pharmacists, clinicians, and patients is emphasized as the key to designing effective, “made-to-fit” therapies.

The episode also delves into bioidentical hormone replacement and GLP-1 therapies, both of which demonstrate the flexibility and value of compounding. Bioidentical hormones, though historically controversial, are shown to be chemically identical to natural hormones, offering tailored options that can improve quality of life for both men and women when used responsibly. Similarly, compounded GLP-1 medications provide more dosing flexibility, lower cost, and opportunities to address side effects with supportive add-ins like B12 or glycine. The conversation closes with a call to action for providers to learn more about compounding, embrace its potential, and collaborate with trusted pharmacists to expand patient options and improve outcomes.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 months ago
52 minutes

Voyage Clinics Podcast
Dr. John with Dr. Jeremy Gardner | Seeing the Hidden Connections: Vision, ADHD, and Dyslexia
This podcast episode features Dr. John Sanders in conversation with Dr. Jeremy Gardner, a neurodevelopmental optometrist at Achieve Family Vision. Dr. Gardner explains that vision is far more than just achieving 20/20 eyesight—it's a crucial driver of attention, learning, and development from infancy through adulthood. He highlights how vision therapy, or what he calls “brain therapy through the eyes,” helps children and adults overcome challenges linked to conditions such as ADHD, dyslexia, autism, and even post-concussion recovery. He emphasizes the role of movement, outdoor play, and three-dimensional visual experiences in building strong visual and attentional skills.

The discussion moves into how current medical and educational systems tend to overlook these deeper aspects of vision. Pediatricians and schools typically screen only for clarity of sight, missing vision processing, tracking, and coordination issues that can mimic ADHD or dyslexia. Dr. Gardner explains that many children who struggle with reading, attention, or headaches are actually experiencing vision-related challenges, which can be identified through specialized testing. He also points out that vision difficulties can contribute to behavioral frustration, avoidance of reading, and overreliance on screens, as these require less visual effort than traditional learning.

Dr. Gardner shares that his practice uses comprehensive evaluations to uncover underlying causes of learning difficulties, pulling together insights from vision specialists, auditory experts, occupational therapists, speech pathologists, and mental health professionals. Their collaborative goal is to eliminate preventable learning barriers for Utah students by 2035. Importantly, he stresses that dyslexia and attention difficulties are not permanent roadblocks but challenges that can often be retrained and improved with proper intervention. The episode closes with a call for greater awareness among parents, teachers, and medical providers—highlighting that early recognition and a holistic, team-based approach can dramatically improve children’s confidence, learning, and lifelong potential.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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3 months ago
47 minutes

Voyage Clinics Podcast
Dr. John with Shaunna and Chrizelle Ransom | Navigating Medical Misinformation in the Digital Age
Dr. Sanders brings on Shaunna and good friend, Chrizelle Ransom, to discuss the challenges of navigating medical information in the age of social media and algorithms. The discussion covers how attention-driven platforms reward controversy and “rage bait,” leading to viral misinformation that hooks people emotionally rather than logically. Dr. John and guests share personal experiences, such as how simple searches about household problems led to algorithmic spirals, and caution that seemingly harmless engagement can quickly expose users to harmful or misleading medical content.

The conversation also unpacks the psychological forces that make misinformation persuasive, including rhetoric, emotional appeals, and the phenomenon of “anti-expert bias,” where trained professionals are dismissed while influencers with little expertise gain trust simply by being relatable. Shaunna and Chrizelle note how historic failures within medicine and the healthcare system’s time constraints have eroded public trust, making people more vulnerable to misinformation and bias. But John counters that building trust through humility, time, and genuine listening emerges as a critical counterbalance.

Finally, the podcast emphasizes both patient and provider humility. Patients must recognize their own biases and stay open to trustworthy guidance, while providers should communicate transparently and admit uncertainty where it exists. The episode closes by highlighting practical tools, such as examine.com for supplement evidence and Open Evidence AI for accessing peer-reviewed medical data, which can help both providers and patients sift through the noise of online health information to make better, evidence-based decisions.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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4 months ago
1 hour 17 minutes

Voyage Clinics Podcast
Dr. Sanders and Dr. Richard Rasmussen | Understanding the Options: Weight Loss
This podcast episode explores the financial and practical considerations of bariatric (weight loss) surgery, emphasizing the need for transparent pricing in the U.S. healthcare system. Dr. Rasmussen discusses the disparity between what surgeons earn and what surgical facilities charge, pointing out that many components—such as disposable equipment and facility overhead—contribute to the high costs. The conversation also touches on medical tourism, particularly the risks involved when patients seek cheaper surgery abroad, where critical postoperative support and education may be lacking.

Dr. Rasmussen highlights the importance of comprehensive care in surgical weight loss programs. His clinic, Utah Surgical Associates, offers pre- and post-operative support, including consultations with dietitians, psychologists, and social workers, as well as lab monitoring and educational resources. He stresses that surgical weight loss is a tool, not a cure, requiring lasting lifestyle changes and long-term follow-up for success. Medication can also supplement surgery in certain cases to enhance outcomes.

The discussion concludes with insights into specialized procedures. Dr. Rasmussen also covers nutritional needs following surgery, including the use of bariatric-specific multivitamins and alternative supplementation options like patches. The episode wraps with a broader reflection on cultural habits and the need for grassroots health movements to combat the epidemic of processed food consumption and restore healthier living practices.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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4 months ago
1 hour 5 minutes

Voyage Clinics Podcast
Dr. John | Practical First Aid for Families: No Pain, No Panic
In this episode of the Voyage Clinics podcast, Dr. John Sanders, a family physician, offers practical first aid guidance tailored for families. He discusses real-life experiences and provides actionable tips on managing common emergencies such as choking, fever, febrile seizures, and allergic reactions. Dr. Sanders underscores the importance of prevention, like cutting food into small pieces for children to avoid choking and recognizing early signs of serious issues such as persistent high fevers or febrile seizures in young kids.

The podcast covers an array of topics including nosebleeds, cuts, burns, and environmental injuries. Dr. Sanders explains how to manage bleeding effectively with proper pressure placement, the importance of cleaning wounds thoroughly using tap water, and ways to handle both minor and more complex lacerations using Steri-Strips or professional care. He advises against outdated methods like hydrogen peroxide, advocating for gentler, more effective treatments. For burns, he recommends quick cooling and outlines the degrees of burns and when professional care is necessary.

Finally, Dr. Sanders delves into respiratory issues like croup and asthma, insect bites, and tick-borne illnesses. He highlights how to recognize breathing distress in children, how to react to different severities of allergic reactions, and how to safely remove ticks. The episode is a valuable resource for parents, offering both reassurance and empowerment by teaching when home care is appropriate and when to seek medical help. His approach balances medical expertise with accessible, family-oriented advice.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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5 months ago
40 minutes

Voyage Clinics Podcast
Dr. John and Josh Perry | Breathe, Feel, Heal: A New Path for Men’s Emotional Wellness
In this podcast episode from Voyage Clinics, Dr. John welcomes breathwork specialist Josh Perry for a deep conversation about emotional health, masculinity, and healing. Josh shares his background in psychology and web development and how his personal healing journey led him to breathwork and somatic practices. Both Dr. John and Josh reflect on how societal norms, particularly those taught to boys and men, discourage emotional expression and vulnerability, creating disconnection from one’s own emotions and from others.

Their conversation explores the emotional conditioning men experience, such as suppressing tears or defaulting to sarcasm as a defense mechanism. Dr. John shares personal stories of growth in self-awareness and emotional regulation, particularly in his relationships and parenting. Josh explains how breathwork helped him bypass the thinking mind to connect with buried emotions like shame and grief, which were previously masked by years of internalized beliefs and coping behaviors. They highlight the value of creating safe, supportive spaces for men to reconnect with themselves and others emotionally.

The discussion also touches on the healing power of music, the role of the voice in emotional release, and the need for culturally relevant tools to support men’s mental health. Josh shares stories of guiding breathwork sessions for youth and adults alike and emphasizes the importance of slow, compassionate entry into emotional work—especially for those who’ve never been invited to feel deeply. The episode closes with encouragement for men to know they are not broken, but rather conditioned—and that with the right tools and community, they can heal, connect, and live more wholehearted lives.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the a​​dvice of your physician or other qualified health provider with any questions you may have regarding a medical condition.
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5 months ago
36 minutes

Voyage Clinics Podcast
Welcome to the Voyage Clinics Podcast, where curiosity meets medical expertise. Join your host, Dr. John Sanders, a compassionate family physician, as he embarks on a journey through the intricacies of healthcare and wellness.

In each episode, lasting approximately one hour, Dr. Sanders delves into a myriad of medical and mental health topics, ranging from common ailments to complex conditions. Whether he's flying solo or engaging in enlightening conversations with fellow physicians across various specialties, Dr. Sanders brings clarity and understanding to the forefront.

Through insightful discussions and thoughtful questioning, Dr. Sanders makes technical medical information accessible to all listeners. From deciphering diagnostic procedures to exploring treatment options, the Voyage Clinics Podcast serves as a beacon of knowledge and empowerment in the realm of healthcare.

Join us as we navigate the seas of medicine, one episode at a time. Tune in, learn, and embark on your own journey to better health with the Voyage Clinics Podcast.

Disclaimer: The content provided in this podcast is for informational purposes only and is not intended as medical advice nor as a substitute for professional medical consultation, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.