What if the real action in cancer isn’t in the genome, but upstream in the mitochondria and the metabolic “terrain” that shapes every signal your cells send and receive? We sit down with Dr Nasha Winters to rethink cancer as an ecologic disease and explore how shifting the terrain can change outcomes without rejecting standard care. We dig into why ketones are more than fuel. Nasha explains how a therapeutic ketotic state—reached through fasting, carb restriction, or exogenous support—can lower inflammatory cytokines, dial down insulin and IGF-1, reduce angiogenic drive, and directly influence the vagus nerve to move the body into a healing state. You’ll hear practical ways to pair ketosis with radiation, hyperbaric oxygen, and hyperthermia to both enhance efficacy and protect healthy tissue, plus real markers to track progress, from GKI and CRP to LDH and organic acids. Skeptical about “alternative” claims? So is Nasha—until the data line up. We talk pharmacogenomics, validated drug-sensitivity testing, and the smart use of repurposed meds like metformin, low-dose naltrexone, and mebendazole when the biology says they fit. We also connect longevity and cancer prevention through mitochondrial health: strategic fasting, urolithin A, melatonin, vitamin D, circadian repair, and toxin reduction all play a role in building metabolic flexibility. To close, Nasha unveils her vision for a residential, integrative hospital and research institute on a regenerative farm, where tumor experts and terrain experts co-manage under one roof—data first, dogma last. If this conversation expanded your map of what’s possible in oncology and longevity, follow the show, share it with someone who needs options, and leave a review with the biggest insight you’re taking into your own care. https://drnasha.com/ Continue this conversation on SubStack: https://robertlufkinmd.substack.com Get 120 Biomarkers for $99 and CT Calcium scans anywhere in the US. https://www.vitalsvault.com/ Lies I Taught In Medical School: Free sample chapter- https://www.robertlufkinmd.com/lies/ Web: https://robertlufkinmd.com/ X: https://x.com/robertlufkinmd Youtube: https://www.youtube.com/robertLufkinm d Instagram: https://www.instagram.com/robertlufkinmd/ LinkedIn: https://www.linkedin.com/in/robertlufkinmd/ TikTok: https://www.tiktok.com/@robertlufkin Threads: https://www.threads.net/@robertlufkinmd Facebook: https://www.facebook.com/robertlufkinmd Bluesky:...