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June 2, 2025 12 mins

Meet the medical unicorn who's reversing type 2 diabetes with lifestyle. Dr. Gebre Nida, an endocrinologist who grew up in Ethiopia where diabetes was rare, found himself overwhelmed treating the condition when he began practicing in the United States. Despite excellent training in diagnosis and medication management, he lacked tools to actually reverse the disease—until he discovered lifestyle medicine.

What happened next is extraordinary. By creating simple educational packets and dedicating extra time to selected patients, Dr. Abraha documented remarkable outcomes: average A1C reductions of 3.4 points, LDL cholesterol drops of 61 points, and weight loss averaging 26 pounds—all between just two visits approximately three months apart. These weren't temporary improvements; follow-up data showed sustained benefits at one year. Perhaps most impressive, ten patients who arrived with double-digit A1C levels now require no diabetes medications whatsoever.

The economic implications are profound. With NIH data showing that each one-point A1C reduction saves 13% in diabetes-related costs, the financial case for lifestyle medicine is compelling. Yet our healthcare system remains structurally misaligned with these incentives, treating lifestyle interventions as expenses rather than investments. Dr. Nida's most powerful insight might be his observation that "type 2 diabetes doesn't happen in the clinic—it develops in the kitchen, where people live, where people work." His success demonstrates that by addressing disease at its source, we can achieve outcomes that medications alone cannot match. Ready to transform your approach to chronic disease? Listen now and discover how the simplest interventions often yield the most powerful results.

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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Justin Politti (00:02):
Welcome to the Reverse Mullet Healthcare
Podcast from BP2 Health.
We are live at the ACLMConference in Orlando, florida
2024.
I'm your host, justin Politti.
I'm Dave Pavlik.

Ellen Brown (00:13):
And I'm Ellen Brown .

Gebre Nida (00:14):
I'm Gabriela Ciannida.

Ellen Brown (00:15):
Tell us about.

Gebre Nida (00:16):
Thank you for joining us.
Yes.

Ellen Brown (00:18):
And so on our journey with outcomes-based
payment transformation and thelinkage with lifestyle medicine,
you were the probably one ofthree or four people that just
immediately popped up as legendsin success and in tracking
clinical outcomes, and just yourprogram is just the perfect

(00:39):
example of the power oflifestyle medicine economically
right, and I mean also for yourpatients, but so yeah tell us
about so a unicorn, and I wastrying to find our unicorn.
I don't know where our unicornwere.
You are the absolute.
He is an absolute unicorn.

Justin Politti (00:54):
Yeah, so I needed the.
It's gone, that's all right.
We had a unicorn.
I think somebody lifted it.

Ellen Brown (00:59):
Yeah, so tell us, tell us about your program and
your successes.
And yeah, I so tell us, tell usabout your program and your
successes.

Gebre Nida (01:04):
I was born and raised in Ethiopia, about 9,000
miles away Before I came.
Diabetes was a rare thing inEthiopia because you have to
afford the extra calories thatlead to type 2 diabetes.
We would see rare type 1diabetes and there is this rare
kind of famine-associateddiabetes.
And then I had a chance to cometo the US with MD degree

(01:26):
specialized in internal medicineand endocrinology and joined
the US Medical Force in 2009.
In Greensboro area, I'm theonly endocrinologist in one
county and then, as soon as theshop was open, flat gate of type
2 diabetes.
Not to mention that I didn'thave experience during residency
and fellowship.

(01:47):
I saw, you know, lots ofpatients with type 2 diabetes in
Detroit, but I did not expectmyself to spend 75 or 80% of my
time spending treating type 2diabetes.
You know the training was notvery good about reversing
diabetes, but it was very goodin diagnosing and treating it.

Ellen Brown (02:05):
Exactly.

Gebre Nida (02:06):
Pathology and pharmacology.
So you know, for the first 10years I thought I was doing a
good job, following guidelines,you know, prescribing this,
prescribing that for my patients.
And then, by sheer accident,three years ago, I knew about
the existence of LifetimeMedicine and American College of
Lifetime Medicine Long story.
But right after I knew about it, I downloaded some resources

(02:30):
from the SLM and created apackage and started to give it
to some of my patients.
And then, sure enough, patientswere actually ready for an
option.
They were ready to accepttreatment alternative instead of
expensive medication likeinsulin, because by the time
they hit my door it means thatthe A1C is through the roof.
They have been dealing withdiabetes for 10, 15 years and

(02:53):
they have no other choice otherthan getting on insulin or some
expensive elaborate regimen.
So when I start to give thispackage to these patients, some
of them would come back in acouple of weeks with a
remarkable result.
And after I missed the first few, I started to document some
tally patients coming with A1Cof three point drop from 10 to 7

(03:16):
and LDL dropping by 50 points.
They're losing 20 poundsbetween two visits three months
apart.
And then I wrote an abstract onmy first 45 patients and I
presented the poster ASLMconference.
That's what you saw, probably.
So after that it caught theattention of my system.
They tend to support me.

(03:36):
I have a steering committee, acharter.
A eventual plan is to roll outthis lifetime medicine to a
larger number of patients forthe outcomes.
I have 200 plus patients nowwith similar results and I'm
excited.
I feel like I found the call.

Ellen Brown (03:55):
So tell us the results, some of those results
from that research poster,because it's insane.

Gebre Nida (04:02):
Yeah, so an average drop of A1C of 3.4.
3.4.

Ellen Brown (04:07):
In what period of time?

Gebre Nida (04:08):
Between two visits, like three to four months
Average drop in LDL of 61 pointsfrom 133 average to 72 without
further addition of medicationsno insulin, no statins, nothing
further addition of medications,no insulin, no statins, nothing
.
And then average weight loss of26 pounds between two visits
for the first cohort and then Iexpanded that over a year and

(04:28):
still maintain that changeaverage once you close to three
weight loss of close to 20pounds ldl about 45 points in a
year.
Before that I would see a yo-yo.
You know patients control sometime and they lose it back.
Now that's a durable changebecause patients adapted,
behavior change.
So that's remarkable.

Justin Politti (04:48):
Why isn't this on the front page of the New
York Times, the Washington Post,like every?
Media outlet like name,whatever right.
And why aren't we storming?

Ellen Brown (04:58):
like I know, to get this in every.
That's why casey.

Justin Politti (05:02):
So that is why casey means is making such a
difference, because she's atleast preaching this in a way
that people understand it I mean, when you hear outcomes like
that, it's like why in the worldare we doing things the way
that we're doing it when we havesuch good results?
Yeah, like I don't know.
To me it's.
I know I'm ranting, but'mranting.

Ellen Brown (05:22):
but what other resources are you giving those
patients or tools, aside fromyou know?
You said you give them packetsand send them home, but what's.

Gebre Nida (05:35):
So to go back to his question, I can give you a list
of reasons, but we neededpeople like you to take it to
the public.
So the resources I give to mypatients, the papers and time 10
to 15 minutes of time.
Unfortunately, I cannot give itto every single patient because
I have to see 20 plus patientsevery day.
I select some patients like thelast patient the morning shift,

(05:57):
the last patient the eveningshift.
I sacrifice my exercise time,my lunch time just to see, and
then I didn't have to prove theconcept of lifetime medicine.
But in fact I'm not evenequipped to deliver the six
pillars of lifetime medicine.
My strength is diet, probablysome talk and exercise.
I don't have a mental health, Idon't have sleep study, but can

(06:18):
you imagine if you have a teamready to deploy the six pillars?
These outcomes would bemultiple.
Four like many four.

Ellen Brown (06:25):
So what are your barriers for being able to
deploy all six Time?

Gebre Nida (06:29):
Time.

Ellen Brown (06:30):
Time and also we talked about this last night.
It's health system.

Justin Politti (06:34):
Yeah, the resources right.

Ellen Brown (06:35):
No, the health system doesn't see the economic
value from it.

Justin Politti (06:38):
That's what I'm saying, correct.

Ellen Brown (06:41):
No, the health system doesn't see the economic
value.
That's what I'm saying.
You need the resources, butthey don't want to provide them
because it's a it's a fee forservice.
Rvu based model.

Justin Politti (06:43):
It's like it's an expense as opposed to.

Ellen Brown (06:45):
It's a service line .
Yeah, yeah.

Justin Politti (06:47):
And then eventually there's less volume
on the backend for them, ifyou're healthier Right, so
that's the other threat that'sin this room that you know, like
we've got ourselves to thisstate.

Gebre Nida (06:59):
Yeah, exactly so.
The way I build is not even.
I'm not mentioning lifetime.
I mentioned some concepts oflifetime medicine, but I include
some language in my notes andbuild one level up from level
three, level four, level four,level five.
That's how I survived.
But when we have a platformwhich values lifetime medicine
better, this is the medicine weneed for the 80% of our medical

(07:22):
burden.

Ellen Brown (07:23):
Absolutely, Absolutely.
This is like a full episodeworthy right.

Justin Politti (07:28):
I feel like there's just.

Ellen Brown (07:29):
There's so much here.
I said to we were talking lastnight and Ajay was part of the
conversation and I said we needto sit down and I need to help.
I need to help you asclinicians to better understand
the economic value propositionthat you bring your system so
that you can also, the same waythat we want to be champions,
you have the better verbiage tobe champions as well with your

(07:50):
leadership.
That, to me, is a big void.
Here, not only do you have theburden of, I have to learn to
treat lifestyle medicine, whichisn't something that's taught
through traditional medicalschool.
Now I have to become aneconomist right, I learned all
these different things, but it'sjust An ROI cheat sheet.
Yeah, an ROI cheat sheet.
That's exactly it.
Like I told him, I was, like Isent Ajay an email.

(08:11):
I'm going to forward it to you,like just some of the facts
that, because we just hadsomebody in here who's all about
pop health, value-based careshe knows that so well and has
implemented that in an IPA thattakes risk, and so they see the
true economic value of this, andit's like, how do we A, get the
virality of this is the way weneed to be practicing medicine,

(08:33):
right, Like, which is why we'rehere to try and help that
message.
But then B, this is the waythat we take 2 trillion out and
then we redeploy it.
It Go into the vapor, right,it's the ether.
It's like we can do somethingwith it.
It's, you know, give peoplechoice again.

Gebre Nida (08:47):
Yeah, so I may go back to the option again.
So I gave this package to 500plus patients.
220 came back with similarresults with my first 45 cohort
Wow.
And then 10 of my patients areno longer on medications and
these people came with doubledigit A1C to my door.
And then a bunch of them are ona minimal dose just one

(09:08):
medication just to maintain.
And then you know the NIH datafrom 57,000 patients one drop in
A1C saves 13% diabetes-relatedcost.

Ellen Brown (09:21):
So there's a whole lot of interesting data and I
think what's beautiful it's ano-brainer, it is, and I think
what I love about the simplicityof this is, you know, we talk
about the power of being able todeploy, like you said, like if
I could have a fully integratedlifestyle medicine clinic right,
I feel like we need to putnumbers on people's t-shirts and
walk around with.

Justin Politti (09:38):
I say like each one, Right I?

Ellen Brown (09:41):
dropped the A1C three points for 500 people in
three months.
Like, yes, I love it.
I think we should Like that'sbut or I saved I saved 13% yeah.

Gebre Nida (09:51):
I saved this many million dollars.
Yeah, yeah, yeah, yeah, yeah.

Ellen Brown (09:54):
But I think thing is, this shows the power of
simple Like.
Not only is lifestyle medicinea simple intervention, but it's
also you haven't even pulled inthe food yet, right?
You're not deploying food asmedicine.
You're not deploying mentalhealth, you're not right.
You're just doing this onelittle component and you've had
wild success, right?
So it's just a demonstration ofthe power of lifestyle medicine

(10:18):
.

Justin Politti (10:18):
It's why we took the time this week to be here
and that people want to get offtheir medications right, Like
who wants to be on medicationfor the rest of your life.
You know what I?
Mean when you have the diseaseburden yeah exactly.

Gebre Nida (10:29):
You know, when I joined medical force in 25 years
ago in the US, one of the firstintriguing questions I have was
why are so many patients on somany medications?
Why 15, 20 medications?
And we still expect them to goto work.
I mean, most of the medicationsare prescribed for a side

(10:51):
effect, for another expensivemedication, oh okay so, and no
one is really willing to sitdown and revisit those plants.
Once you are on a medication,good luck.
You will be only forever,whether you're and it gets auto
filled.

Ellen Brown (11:01):
exactly that's what slays me, like I go to my
parents house and there's likethree new bottles of the same
thing.
He's like, well, they called mefrom the pharmacy and said it
was ready and I'm just like, oh,my gosh Well.

Justin Politti (11:11):
and then the other one is like the nurses
that we worked on in our healthplan.
They'd go and visit and theirpeople have bowls of medic.
Their medication is in bowls,right, and how it gets
complicated especially as youage.

Gebre Nida (11:24):
Yes, 50, 60 is very high risk.
Plus one other thing I have toadd Lifetime Medicine gave me a
chance to address diseases wherethey generate.
You know, type 2 diabetes doesnot happen in the clinic.
That's where we're trying tofix it.
It develops in the kitchen,where people live, where people
work.
So we have to go there.
That's why I love this conceptof community as medicine.

(11:46):
We have to go upstream, severallayers, not just type two
diabetes, cardiovascular disease, dementia, stroke, all.

Ellen Brown (11:53):
Cardiometabolic syndrome.

Gebre Nida (11:55):
Develop where people live.
Yeah, we have to go there if weare serious To meet people
where they are.
Right.

Justin Politti (12:00):
This has been awesome.
Yes, thank you so much forbeing here.
Thank you for the opportunity.
You've always been my hero, soI'm so glad I appreciate it.

Ellen Brown (12:06):
Plus, I always love your Boston.

Gebre Nida (12:08):
Yes.

Ellen Brown (12:09):
Boston Marathon.
He's an amazing runner.
Talk about an amazing physician.

Justin Politti (12:14):
Equally accomplished runner.
I talked to him a couple ofmonths back, right.

Ellen Brown (12:17):
Yeah, yeah, I remember Well, thank you so much
for joining us Great seeing.
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