Forever Chemicals & Autoimmunity: What Your Fat Cells Are Hiding

Forever Chemicals & Autoimmunity: What Your Fat Cells Are Hiding

Dr. Tamiko Katsumoto is a Stanford rheumatologist who also runs a rare Rheumatology Oncology Clinic, treating patients whose cancer drugs trigger autoimmune flares. We break down why fiber is her #1 prescription, how forever chemicals hide in your fat for decades, and the simple gut hacks she uses with her own patients.

Chapters & Time-Stamps

00:40 Meet Dr Katsumoto

01:58 Why Lifestyle Medicine

03:24 Cancer Immunotherapy Basics

06:07 Fiber Microbiome Link

07:23 Diet Counseling in Clinic

08:59 Whole Food Plant Predominant

10:54 Practical Patient Resources

14:17 Lifestyle Trials for Arthritis

18:39 Leaky Gut Explained

20:07 ZOE Microbiome Mega Studies

23:30 Keto Carnivore Debate

25:46 Microbial Diversity Tips

27:19 Tracking 30 Plants Weekly

28:24 Food Scanning Apps

29:18 Yuka For Products

30:17 Microbiome Testing Debate

31:36 Fiber And Crucifers

32:23 Broccoli Sprouts Hack

34:15 Toxins And Plastics

35:54 Forever Chemicals PFAS

37:17 Legacy POPs Explained

43:59 Pesticides And EWG

47:12 Lowering Toxic Load

48:28 When Fiber Hurts

51:19 Wrap Up And Where To Find

Key Takeaways

  • Cancer immunotherapy can trigger autoimmune arthritis as a side effect
  • High-fiber, plant-forward eating improves both cancer and autoimmune outcomes
  • Forever chemicals (PFAS, dioxins) accumulate in fat — especially animal fat
  • Broccoli sprouts pack more detoxifying power than broccoli itself
  • Apps like ZOE and Yuka make tracking food quality effortless

Guest Details & Links

Tamiko Katsumoto, MD, DipABLM is a Clinical Associate Professor in the Division of Immunology and Rheumatology at Stanford University, board-certified in lifestyle medicine. She directs Stanford's Rheumatology Oncology Clinic, co-chairs the ACR Climate Change Task Force, and co-leads the Food Systems, Health and Environment Working Group at Stanford's Center for Human and Planetary Health.


About Your Hosts

Micah Yu, MD, MHA, MS, ABOIM, DipABLM, IFMCP

Dr. Micah Yu is a triple board-certified integrative rheumatologist who blends conventional medicine with holistic, nutrition-based healing to treat autoimmune and chronic inflammatory conditions. A patient himself, Dr. Yu brings a deeply personal perspective to his work, having reversed his own autoimmune arthritis through lifestyle and integrative medicine. He is certified in internal medicine, rheumatology, integrative medicine, lifestyle medicine, and functional medicine. As the founder of MyAutoimmuneMD and co-founder of Dr. Lifestyle Clinic, Dr. Yu empowers patients to address the root causes of illness and reclaim their health from the inside out.

Melissa Mondala, MD, MHA, MS, DipABLM

Dr. Melissa Mondala is a dual board-certified physician in Family and Lifestyle Medicine, with advanced training in Integrative Psychiatry and Integrative Medicine. As President of Dr. Lifestyle Clinic in Newport Beach—recognized by UC Irvine as a Public Health Site of Excellence—she pioneers a holistic, patient-centered approach to chronic disease. Dr. Mondala is a nationally recognized Lifestyle Medicine Intensivist, core faculty at Loma Linda University's Preventive Medicine Department, and a passionate advocate for plant-based nutrition, mental health, and women's wellness. A sought-after speaker and educator, she combines cutting-edge science with deep compassion to empower lasting healing, especially for those silently suffering from autoimmune, mental health, and long COVID conditions. She shares practical inspiration for healthy living and cooking at @drmelissaskitchen.

About AutoImmune Alchemy Podcast

Mission: Blending science with soul to transform autoimmune struggles into healing alchemy

AutoImmune Alchemy is a podcast dedicated to the autoimmune community, offering hope, validation, and evidence-based solutions for those struggling with complex autoimmune conditions. Hosted by the dynamic duo Dr. Melissa Mondala and Dr. Micah Yu, the show features expert interviews exploring root causes like hormonal imbalances, leaky gut, and inflammation that traditional medicine often overlooks. Each episode empowers listeners to take proactive control of their health through lifestyle medicine, nutrition, and integrative approaches.

Connect with AutoImmune Alchemy


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