Show notes
Send us Fan MailA doctor with 27 years in family medicine doesn’t usually shut the clinic doors and start again from scratch. Dr Malea Jensen did exactly that, moving from a traditional, insurance-driven model to fully online consultations built around patient education, physiology and prevention. The thread running through our chat is simple but uncomfortable: the system often rewards speed, documentation and prescribing, while real preventative medicine demands time, curiosity and honest informed consent.We talk about what changed her thinking, including the pressure of performance targets, the limits of seven to ten minute appointments, and the nagging sense that chronic disease care too often starts when metabolic dysfunction is already entrenched. Dr Jensen shares how her new model lets her take a detailed lifestyle history and then go line by line through lab results, helping people understand what “normal ranges” may hide, when insulin resistance is brewing, and how sleep, stress, training, nutrition and even environmental exposures can matter. She also explains why she now does more deprescribing than prescribing, and what it looks like to help patients think clearly when they feel stuck between conflicting medical advice.One of the most striking stories is the tipping point that forced her to re-open the evidence for herself: patients refusing statins, and one man handing her seven books to read. We explore how reading, questioning and self-education can turn patients into active participants, not passive recipients, and why that same independence matters for clinicians too.If you care about root-cause medicine, metabolic health, patient empowerment and the future of telemedicine, press play and join us. Subscribe, share with a colleague or friend, and leave a review: what’s one health question you wish your clinician would actually take time to explain?Guest Biography Dr. Malea Jensen, DO is an osteopathic physician and family practice doctor with nearly three decades of experience in medicine. After many years working within both corporate and independent family practice, Dr. Jensen closed her physical practice in 2025 and transitioned to an online educational consultation model. Her current work focuses heavily on health education, detailed patient histories and helping individuals better understand laboratory results and the physiology underlying their health. Known online as Ironladydoc, Dr. Jensen is passionate about prevention, health literacy, informed decision-making and encouraging patients to ask deeper questions about their healthcare. She is associated with Center Stage Primary Care and shares health education through her online content under Dr. J's Prescription for Health.Contact DetailsWebsite: https://ironladydoc-shop.fourthwall.com/en-gbpLinkedIn: https://www.linkedin.com/in/maleajensendo/Instagram: instagram.com/ironladydoc Subscribe on SubstackVoices in Health and Wellness is published on Substack, as part of The Diagnostician. Every episode lands there with written notes and reflections you won't find in the podcast feed. Free to subscribe.👉 https://thediagnostician.substack.com/s/voices-in-health-and-wellnessAbout the podcastVoices in Health and Wellness features conversations at the intersection of medicine, lifestyle, and human potential, with clinicians, scientists, and thinkers shaping the future of care.About Dr Andrew GreenlandUK-based medical doctor and founder of Greenland Medical, specialising in Integrative and Functional Medicine. Trained in both conventional and root-cause approaches, Andrew helps people optimise health, performance, and longevity, with a focus on cognitive resilience and healthy ageing.