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January 14, 2026 43 mins

What if the biggest predictors of health aren’t genetics, bad luck, or aging, but the systems we’ve normalized and the questions we’re not encouraged to ask?

In this episode of Health Under the Hood, Dr. Markia Nichols sits down with longtime global health consultant and independent researcher, Emma Tekstra, to unpack an uncomfortable truth: modern healthcare is exceptional at managing symptoms, and remarkably bad at creating health.

With 25 years advising global employers on benefits strategy, and a deeply personal journey sparked by her son’s early neurological and digestive diagnoses, Emma brings both hard data and hard-earned insight. She explains why a system built for acute care now dominates chronic disease, how “standard of care” protects institutions—not patients—and why pharmaceuticals are too often the first (and only) line of defense.

Together, they explore:

  • Why chronic disease is driven by nutrient deficiencies and toxic overload—not inevitability.

  • How women’s health in midlife is misunderstood, undertreated, and over-medicated.

  • What patients (and parents) must do when the white coat doesn’t have the answers.

  • Why food, lifestyle, and environment outperform prescriptions in the long run

  • And how employers and health plans could save money and lives by making root-cause care the default.

Emma doesn’t traffic in wellness trends or wishful thinking. She follows the evidence wherever it leads. Her conclusion is that better health isn’t a mystery. It’s a choice, once you know where to look.

If you’ve ever felt dismissed, overprescribed, or told to “manage” a condition you want to reverse, this conversation will change how you think about health, medicine, and what’s actually possible.


Notes:

How to Be a Healthy Human: What Your Doctor Doesn’t Know About Health and Longevity is available on Amazon, and wherever books are sold.

https://emmatekstra.com/

Follow Emma Tekstra on: 

Instagram 

LinkedIn

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