If you have been told you have “chronic inflammation” or an autoimmune disease and handed a lifetime of drugs with no real explanation of why you are sick, this conversation is meant to give you clarity and options. Dr. Stillman sits down with his mentor, Dr. Russell Jaffe, an NIH trained physician and biochemist who helped pioneer integrative medicine, to explain why he believes inflammation is really a “repair deficit” and how that lens can help you understand your symptoms, make sense of your labs, and know what to ask for before accepting “this is just how it is.”
Dr. Jaffe shares how decades of work on collagen, elastin, platelets, and connective tissue repair led him to rethink almost every inflammatory disease as a failure of the body to complete repair. They walk through how this repair‑deficit model applies across arthritis, cardiovascular disease, gut issues, and autoimmune conditions, and why simply “fighting inflammation” misses the point. They then discuss toxic burden, supplement quality, dietary recommendations, and how Dr. Stillman uses Jaffe’s work in his own clinic, including his upcoming book The End of Autoimmunity.
Here’s exactly what they cover
00:00 – Why autoimmunity is the real civilizational threat, why “The End of Autoimmunity” matters, and how collapsing repair capacity can take down a society
01:30 – Dr. Jaffe’s background: triple‑degree day at Boston University, NIH lab medicine, half a century in integrative and conventional medicine, and lifelong mindfulness practice
04:30 – Inflammation, autoimmunity, and why almost every chronic “‑itis” sits on the same biology of immune defense and repair gone off track
06:30 – How Jaffe’s early research on collagen and elastin cross‑links, platelets, and cholesterol delivery led him to see inflammation as a chronic repair problem, not just “fire”
09:00 – The “repair deficit” reframing: why the body keeps calling for repair, what blocks platelets and immune cells from finishing the job, and how that shows up as chronic illness
12:00 – Building PERQUE supplements around that model: bioavailability, nitrogen‑blanketed vitamin C, and why most products are damaged or contaminated before you ever take them
15:30 – Dr. Stillman’s clinic experience: switching patients off low‑quality supplements, seeing better results on fewer products, and why he chose to stock Jaffe’s formulas
19:00 – How poor‑quality supplements and lax manufacturing can actually add toxin burden (heavy metals, PFAS, other contaminants) and deepen repair deficit instead of helping
22:00 – “More of the good, less of the bad”: Jaffe’s simple rule for nutrients that truly support repair, and how this ties back into autoimmunity and chronic inflammation
25:00 – Coming back to autoimmunity: how uncorrected repair deficit becomes chronic inflammation, then self‑attack, and why solving this is the real path out of the autoimmune epidemic
You’ll walk away with a simple lens for thinking about almost every chronic diagnosis you’ve heard of, why “fighting inflammation” is not enough, and what it looks like to actually feed the body’s repair systems instead.
Want to explore more of Dr. Jaffe’s work, books, and philosophy? Visit drrusselljaffe.com or check out his full catalog on Amazon.
Additional Resources
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This podcast is for educational purposes only and does not constitute medical advice.









