Creating Confidence with Heather Monahan - New Year, New Foods with Arthur Agatston Episode 36
Episode Date: January 7, 2020In a must-listen episode to ring in the new year, author of the revolutionary South Beach Diet Arthur Agatston joins Heather to enlighten listeners about the massive (and often misunderstood) role tha...t food plays in health, happiness and productivity. See acast.com/privacy for privacy and opt-out information. Learn more about your ad choices. Visit megaphone.fm/adchoices
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Participating locations plus tax limited time offer prices may vary for delivery. So this week is a little different in that my guest has really gotten me to think about something I
rarely think about my entire life. I have been into fitness working out and I love working out. It's definitely a stress relief me as well as it helps to ensure I stay healthy and don't gain too much weight. However, I've
traveled for my entire career the past two decades constantly on airplanes, which is really
challenging in regards to being able to work out. And you know, with your meeting schedule
when you travel oftentimes, I'll be in LA this week and there's four days, I'm in back-to-back meetings, I won't be able to work out. So I have this swing with my weight
from anywhere from five to ten pounds that I can go up and down. When, typically, when I'm home
and I'm at the gym every day, I'm able to bounce things out a little easier, but I've never been one that's gotten that much into what is eating healthy.
I just figured eating healthy is eating apples, eating proteins, eating salad, whatever.
Well, I am with an expert this week, and it's so interesting because the basis of food,
food as medicine is really new to me,
and that's really what we talk about today,
so much more than just weight.
I've just thought about food in the role it plays with,
if I liked the way something tastes,
or if it made me fat or made me skinny.
And today we're diving into the conversation
where food is so beyond that,
and it really opened my mind to, if I want to be really successful in 2020, if I want
to do things differently, go bigger, I need to do things differently to prepare myself
for that.
And one of the ways that I can do it is to eat differently and eat with the goal of
having food as medicine to help me and optimize me and
give me more energy instead of just focusing on what a scale says or how my
pants fit, which up until now that really is the only way that I looked at food.
So it's really, I'm blown away, I'm consumed by this and you'll see on my
social media, I did a video the second I got out of this interview, I mean I'm blown away. I'm consumed by this and you'll see on my social media. I Did a video the second I got out of this interview. I mean, I'm just as soon as I got home
I started watching all these videos
I'm obsessed with this concept of food as medicine and
Working with an expert and having this amazing opportunity that I did today, you know
The person I'm gonna interview
is the author of the South Beach Diet.
And just to give you a little insight,
he has sold more than 25 million copies of his book.
Do you understand what how big that is,
how much success this man has achieved?
This is mind-blowing.
He clearly does not have to work ever again a day in his life.
If you sell 25 million books
Let me just put it this way. You are sitting pretty happy financially
So but it's very clear. That's not why he works it
He spent so much time with me. I actually missed my next meeting which was terrible
But it was so worth it because he's such a loving and kind and wonderful doctor and expert in helping people care for
themselves, which it's not something a lot of us think about, right? We're so busy, we're living
these fast-paced lives and to take a step back and access the information of someone who's dedicated
their life to helping to address the issue of heart attacks and solving how can we make people
healthier so they don't have them and you know really this journey in through medicine that this
my my guest has been on it's just it's eye opening to me to see the massive role that food plays
in all of this so once again into some of the takeaways that I take in the most simplistic way
possible to tee you up, you know, to obviously I'm not going to be the I'm not by far the expert on
this topic. I'm be on a rookie, but I think I had shared with you. I watched the movie The Game
Changer on Netflix a couple of months ago and I wanted to go plant-based. And I made a run for it and was really focusing
on eating plant-based.
What's interesting is that I ended up gaining weight.
And yes, it was over the holiday.
So of course, I definitely had more junk-type food,
more desserts.
I wasn't eating the way that I typically would eat,
so that could be part of it.
But the other part was, and I learned this from my guest today
because I shared with him what I was eating and what happened.
I really was eating a lot of processed carbohydrates.
And there's so much in the plant-based food world,
you know, fake chicken strips, fake chicken patties,
fake crab cake, fake veggie dumplings.
I did all these different things, but it's essentially all carbohydrates and sugar.
And I'm sure there's plenty of people that do the plant-based diet that don't do it the way
that I did with so much of an artificial focus, but that's how I did it.
And that's how I found it easiest to do.
But that's how I did it and that's how I found it easiest to do. However, that did not work for my body and basically my guest today explained to me why.
I was shutting off my body's ability to burn fat.
I was making it easy for my body to gain weight and hard for my body to maintain or lose
essentially impossible. And I didn't realize that the time that we eat
and the calories that we choose
have a massive impact on how efficient our bodies can be,
our mood, our skin, so many different elements,
it's mind blowing.
So it wasn't a surprise to him at all
that I gained weight on the diet that I was on.
He was not blown away, but he told me, listen, if you want to be able to get back into your regular
clothes, I would suggest you reading my new book, which is the updated version of the South Beach
Diet. It's the new keto-friendly South Beach Diet, which is adding all of the elements of research
that he's accessed in the past decade. Since the South Beach Diet came out, he is adding all of the elements of research that he's accessed in the past decade.
Since the South Beach Diet came out, he's put all that research, all that information into
this new book plus 75 full-color recipes, plus testimonials, plus it's unbelievable. Plus
the work that he did in school systems with children and the results that he had not only
with their weight and health,
but with their test scores because what you eat affects your brain in a massive way.
So he's doing work with Alzheimer's patients to improve memory by food choices.
It just, it really has blown me away.
I'm all in and I always figure I can do anything for 30 days, you know, what you can't be hurt by this
So I'm going all in for 30 days if I'm going to feel the way that I anticipate I am if I'm going to lose weight and feel better and not have to go in this
Yo-yo up and down just because I travel one week versus another
Then I don't have to rely so heavily on the gym and get frustrated with my schedule
I'm I'm all in and I actually
remembered the last time I was at my leanest was five years ago and I went back
and looked at some pictures online to see I was eating an extremely low carb
diet and I did that for over a year. I don't know why I stopped but it's so
funny I look back at how happy I was and how lean I was and I did that for over a year. I don't know why I stopped, but it's so funny, I look back at how happy I was
and how lean I was,
and I actually worked out less than
because I didn't have to,
but I didn't realize,
and this is what worked for me,
and again, I'm not pushing this on anybody.
However, the research shows that this works
and the science is behind it.
I was feeling great.
I'm giving the same plan a shot now,
especially after meeting with my guest today to see
this is proven through medicine,
through so much research,
through so many testimonials of patients,
and it really opened my mind to so many things.
Here's some of the keys that I took away.
Sugar, it's a killer.
I didn't realize that it's more addictive
than any drug that's out there.
Grazing is a failed strategy.
That's how I used to eat.
I would just eat bits and snacks all day long.
I thought that was the right thing.
No, intermittent fasting was the right thing? No. Intermittent fasting is the right thing.
And I just started yesterday not eating breakfast and not eating at least until noon if not later.
And it wasn't actually that hard to do. I also learned that a lot of self-doubt happens to people
when they gain weight because they think, oh gosh, I don't have self-control,
I don't have willpower when that's actually not the case.
So your confidence can be affected by your weight,
which is actually being driven by your food choices.
So let's say it's the holidays and you eat more sugar,
base products and foods, your body is gonna crave more sugar
and it's not gonna to have an ability.
It's going to shut off the ability to burn fat and burn these, burn the sugar off and
you're going to start craving it.
You're going to get hungrier versus if you make different food choices, eliminating process
carbohydrates, eliminating sugar and choosing different foods that, you know, we'll get
into the buckets into in detail with specific recipes.
You know, it's healthy fats, proteins, green leafy vegetables, low, very, very low carb vegetables.
So when you lean into that food plant, you don't feel hungry and you are able to constantly burn fat.
So the real eye openers for me were sugar.
Sugar is in everything.
And if you think it's easy to eliminate, it's not because now I am so dialed in and looking
where it is in every food, but doing all that you can to eliminate sugar from your diet,
ending grazing, ending snacking, instead looking into intermittent fasting. Some people fast
for a day or two a month just to reset their metabolism. I have not tried that yet. That
sounds a little aggressive. However, I guess there's benefits there too. Getting rid of process
carbohydrates, getting rid of fruit. He gives a great analogy of grizzly bears as to why high sugar fruit is not helpful.
And the impact that this has had on people this diet has had on people is not only weight.
It's helping to eliminate anxiety, depression, heart attacks, improve mood, improve sleep,
improve energy levels, and so many other amazing things, specifically brain
function, and it's been reflected in grades with students.
So I'm blown away by the research that I was exposed to.
I'm blown away by my guest today, who's such an amazing human being person and doctor.
So let me give you a little bit about our guest today. Our guest is
Dr. Arthur Agustin. He is an internationally recognized pioneer in cardiac
disease prevention. Dr. Agustin worked with Dr. Warren to develop the Agustin
score also known as the calcium score, a method of screening for coronary
calcium as an indicator of atherosolaris that is used at medical centers
throughout the world.
Dr. Aguizen and colleagues initiated the Healthy Options in Public Schools study, which
demonstrated that by providing healthy school lunches combined with an innovative education
program, pre-K through grade six, you can encourage healthy weights and improve blood
pressures and standardized test scores in children.
This project continues through the Agustin Urban
Nutritional Initiative at the University of Pennsylvania.
This is so amazing.
And that's getting rid of sugar, getting rid of process carbs,
healthy fats, healthy proteins, and vegetables.
Dr. Agustin is an associate professor of medicine
at the University of Miami Miller School of Medicine
and a clinical professor of medicine
at Florida International University,
Herbert Worthyme College of Medicine.
He's a member of the American College of Cardiology.
He is the medical director of the Agiston Center
for Private Medicine.
He's known as the author of the internationally best-selling
book, over 25 million copy sold, The South Beach Diet,
his first non-academic work.
Dr. Agiston created his balanced approach
to healthy eating, to help his patients
improve their blood chemistry,
lose weight, and prevent diabetes, and heart disease.
Today, the South Beach Diet remains a trusted choice
of millions with more than 23 millions copies of.
The book are sold.
Dr. Agustin's most recent book, The South Beach Diet,
gluten solution was published in 2013,
but his newest book actually just came
out in 2019, and that's the one that we're talking about today. Dr. Aguizen has published more than
200 scientific articles and abstracts in medical journals and is a frequent lecturer across the US
and around the world on diet, cardiac imaging, and the prevention of heart disease. All of these
things go hand in hand. In recognition of his contributions to cardiac prevention, the Society of Cardiovascular Computed tomography created the prestigious
Arthur Aguist and Cardiovascular Disease Prevention Award, which is given annually to pioneers
in cardiac prevention. He was named one of the Times 100 Most Influential People in 2004
among his many television appearances. Dr. Agaton was featured along with President Bill Clinton on Sanjay Gupta's 2011 CNN special,
The Last Heart Attack. So to say that my guest today is an expert is an understatement,
but to let you know what a really sweet, nice caring person he is. He really is. He's fantastic.
He's a wealth of knowledge.
And I'm so excited that I got the chance to sit with him
and spend hours with him, learning from him.
Some of the information you're about here
is going to blow you away.
But I figured if I really want to go to the next level in 2020,
this is definitely a difference maker that can set me up to do it.
And it can set you up to do it too. So I'm really hoping that you give this a shot.
It's I'm going all in and you can keep up with me on it. Before we get there,
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And in five, four, three, two, one, I'm at a time.
I'll be right back. America and frankly the world now is becoming fat,
error and sicker on what were the national recommendations.
And we have a very good handle on what happened.
But the main thing is people blame themselves.
They say, I thought I was following the guidelines.
I must be doing something
wrong. And since nutrition has not really taught at medical schools, it may be just beginning
now that doctors aren't very, aren't very helpful.
Which is really perplexing to me. And as you know, it's challenging because we have to wonder
as end users, who do you trust? There are so many different messages out there from plant-based to intermittent fasting
diets, to like you said, low fat or now low carb.
Keto, it's very hard as a parent and as someone who wants to live within a healthy diet,
how there's countless movies out there.
And I know we discuss some people without credibility,
without research and without experience telling us what to do,
how do we figure out what that right approach is?
Yeah, and I mean, I think the evidence is overwhelming.
So, and more and more doctors, in fact, you know,
a cardiologist and cardiologist,
one of the reasons they didn't teach the low fat approach
was it just didn't work.
And by the way, I'm not saying you can be a healthy vegan.
There's a big variety of diets.
They talk about the French paradox,
because here they're eating all the cream and cheese
and good stuff and they never had heart disease.
But then, if you say, well, I'm just a low carb advocate.
Well, what about the Asian paradox
that they were having all rice and the Okinawa?
They were having a lot of sweet potatoes.
And they were just fine.
Okinawans were living, there were more sent to genarians there than any place.
And we do know how to put it together.
But the other thing is trying the approaches that we advocate now.
There's no downside and you feel better
in a matter of days, weeks and months
and there's no downside.
And if you wanna try to be a pure vegan, it's tough.
But people can do well if they avoid the bad carbohydrates and the bad
fats.
And so what we always said from the original South Beach diet is it's not low carb versus
low fat, it's the right fats, the right carbs. And we stick to those principles today,
but we've also learned a lot more about nutrition
since 2003, 2005, when we wrote the first books.
And one of the real issues with men and women,
but particularly with women is they said, well, they followed
the rules and it didn't work and they blamed themselves.
And my kind of interesting experience, which led to the current book, was the summer before last, the summer of 2018.
And so I was a cardiologist and diet doctor, but I would do the first phase
of the South Beach diet, which is quite low-carb.
What we call keto friendly.
You don't actually have to be in ketosis and we can discuss what that is.
actually have to be in ketosis and we can discuss what that is. But as soon as I went to the second phase and added back particular fruits and whole grains, I
would begin to put on weight and put on a belly. And my wife would say author, no more TV for you, only radio, because you know, here's a
doctor putting on a belly. I could hide it pretty well with a suit, but it was frustrating.
And so it was last summer. I was actually reading a great book by a friend, Dr. Robert
Lustig.
He's a pediatric intercranologist.
He's one of the foremost really educators about sugar
is really our primary enemy.
And he also wrote a book, Howe.
It was called The Hacking of the American Mind
and how so many of us are truly addicted to sugar.
And it's a real addiction.
It lights up the same area in your brain called
the Neucreus Accompanes.
As is lit up, if you're an alcoholic,
you're addicted to cigarettes, to gambling,
to video games with kids.
Vaping is a total disaster because it's very addictive.
But when you do an MRI, the same area of the brain lights up.
And I was reading a book and we were on vacation
with the family, both my boys were visiting
and we had a good healthy dinner,
salmon and broccoli, and then brought out dessert
from a favorite local farm, farm stand,
which was a blueberry pie.
And so after eating the good healthy usual dinner,
inhaling the blueberry pie as I tend to. And my wife says, you know,
author slow up. And my son says, Dan, like, what are you doing? I say, okay, okay, I stop.
And then the family clears out of the dining here in kitchen. I sneak back, I finish the entire blueberry pie.
Telling myself, Mr. Diet Doctor,
your blueberries, their antioxidants, they're good for you.
Which, and then I'm reading the book,
and there's more and more about addiction.
It's just recent years with much better science,
we call functional MRI, where you can really see
the pathways of the brain.
And one of the interesting things was in studies in rats,
when they were made addicted to both cocaine and sugar,
and they could hit the sugar bar or the cocaine bar, they hit
the sugar bar more than the cocaine bar.
And so I realized and I thought it was lack of discipline.
My wife and kids are not addicted.
At least not now. I mean, my wife, I think it's too late. She's not addicted, at least not now.
I mean, my wife, I think it's too late,
she's not addicted.
She could have scoops of a dessert,
but if here we were in Jo's
and having a key lime pie for dessert,
I would finish a thing before anybody else
got a more shared desserts before anybody else had a chance.
So once I realized I was truly addicted,
not to mention, you know, patients,
I always said, oh, I'm a chocolate,
which I am and was, but it was almost half,
you know, kidding around, now I realize
this had really happened.
So I set August 1st of 2018 is my D-Day
and really went cold turkey from sugar which I had done this anytime I went back to phase one
of this out of beach diet. It worked like a charm but our first phase was only two weeks
Our first phase was only two weeks for a bunch of what seemed like good reasons at the time. And so now I realize I couldn't go back to these, some of the phase two fruits and what seemed like whole grain bread.
But our whole grain bread is not really like what our grandparents and great grandparents were
eating years ago. And so with the knowledge I insist in prolonging the phase one
diet, the really low carb approach and no sugar at all and no processed carbohydrates, which are the carbohydrates that turn to sugar quickly when you consume them.
And I lost my cravings and my belly as I usually did with the first phase,
but now I sustained it.
And what makes me sustain it today, now it's a year and a half, is that I just feel so
good.
I mean, people say I look younger, I look better, skin improves for sure.
I mean, there's so many things that improve that I won't go back just because I feel so good.
I feel mentally much better focused.
And my, well, one reason we extend the first phase of diet is it takes time to get what
we call fat adapted.
And this one thing we didn't understand and know
when we did the first book. So, if you were runner, I forget you. And some long distance
running. I used to do long distance until I had problems with my knees, but yes. But anyway, so in marathons, you carb load and the idea is you load up as much sugar,
carbohydrates in the form of glycogen in your liver and your muscles.
You have the pasta parties a night before, so that it takes longer to burn through all that starch,
the glycogen carbohydrate.
And because once you did burn through that,
it was called hitting the wall.
You'd run out of the starch and you'd have to begin to burn fat.
And none of the storage and you'd have to begin to burn fat.
And none of the marathoners ever practiced, they ran, but did not train hitting the wall.
And I recalled in this fat adaption, I actually went to the very first international meeting
on the marathon in 1976 in New York when I was a resident.
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And it was so much about car loading, but there was a group from the University of Florida and he took his endurance athletes and he trained them on super low carb and this was before
any low carb was popular. And he actually thought if he trained them,
when they had hit the wall and had to burn fat,
they would do better, and they did.
And so now we actually know that you can train yourself
to burn fat much more efficiently.
So today endurance athletes, the triathletes,
the super endurance runners who do 50 mile races,
more and more marathoners are going low carb
where they're training, you have enough fat
to last for, you know, really for months to burn.
Whereas, I mean, if you're running,
you run through your starch in a couple hours,
otherwise depending it stays before you run out of the starch,
and then you often feel weak,
because you're not so good at metabolizing your fat.
But when you stick with it, you get better and better.
And so, you know, for me, I came back after the summer vacation.
And I, one of my favorite sports now, is boxing.
And don't worry, they can't hit me.
I only hit them with the, sometimes it's me, but not hard.
And I did with my trainer who was never easy on me.
It was a Tuesday morning when I trained.
The end of September was hot.
And I used to have to sit out around or two,
depending on the heat and how much I ate the night before,
I guess.
And so I felt fantastic from the time I woke up,
and I didn't take any rounds off.
And I said, boy, I've now been on the low carb long enough
to become fat, adapted.
And now we've seen that the studies have been done about fat
adaption and it's really important.
And unless your low carb and get rid of all those starts,
glycogen stores, you will never efficiently metabolize
and burn your fat.
And how long does that take?
That takes a month to some time several months.
And many people improve.
One of the interesting studies was done with a majorly,
American majorly soccer team,
where they went low-carb and they wore GPSs.
And they found that they ran further
during the soccer match and faster with low carb and once they were fat adapted.
And there are a lot of good studies.
The only question with that is if you're doing speed work, there's an argument that you may need some starch.
And what kind of carbs are you saying that you can eat during that period?
Well, if you're the cars we recommend are the vegetables that are low in starch and they're all low in sugar.
So it'sparagus, broccoli,
cauliflower, all the leafy greens, spinach,
and brussel sprouts, one of my favorites.
And so that's where those are healthy.
And we always lump vegetables or fruits and vegetables together.
And vegetables were really made to ripen in the fall.
And that's when it was good to get some sugar, to build up some fat in your belly
for winter famine. And you know, it's my best example I use in the book is with Grizzly Bears.
And so what happens at the end of the summer,
they naturally have their insulin levels
and be important to talk about insulin,
the insulin levels go up
because they have to begin storing fat
for their winter hibernation.
And insulin is the fat storage hormone. As we can talk about, we're always in either
a fat storage mode or a fat burning mode.
And if you're heading towards a winter hibernation or for early man, which we are no longer, which
we are no longer, and it's important to store a lot of fat and calories.
So the grizzly bear, they first, their insulin natural goes up.
In humans, it goes up before with pregnancy,
because you have to store enough fat for you and for the baby.
And you may have run into women who are marathoners,
who they no longer menstruate because they have very little fat.
And if you're exercising that much or if you're dieting that severely that you don't have enough fat, then you don't have enough fat to carry the pregnancy.
And so naturally at the beginning of pregnancy,
your insulin levels go up and that's why with women today,
they always do a glucose tolerance test.
It should be an insulin tolerance test,
but they have a tendency and often,
if they're heading for diabetes, it's unmasked
during pregnancy because of the higher insulin levels.
And the other is adolescents who they need a lot of energy for the growth spurt and their
insulin levels go up.
So with the grizzly bears, they get that head start, and then the fruit ripens.
And the Grizzlies, they completely defeat,
to plead berries and fruit from the forest
where they're living.
They have up to like 10,000 berries a day.
It's been looked at.
And they are storing fat.
And now they have already 400, 600 pounds in the
late fall turning winter of extra fat. So why are they ravenously hungry? It's because
their insulin levels have gotten higher and higher from the fructose, the sugar in the fruit.
And that blocks the access to all that stored fat.
The first, what insulin does is it stimulates, activates enzymes that build up the fat and it blocks enzymes that break it down.
So if you sit at the airport and I talk about where I do a lot of my research while I'm waiting for a plane
and you see, you're frankly overweight or just people with little bellies coming out of fast food
with the cogs and they look like they're starving and
don't they have any self-discipline and there's all that energy. They do feel
like they're starving because their insulin levels are high and that blocks
access to the fat in their bellies and even to the starch in their in their liver. So, you know, when people who have pre-diabetes,
what I call pre-pre-diabetes, high insulin levels, they wake up in the middle of the night,
really starving. And that's because at night, normally you eat during the day, and when you eat, you increase insulin levels.
That's what gets the blood sugar and energy from your bloodstream into your cells when you
need it, and some of the excess is stored as fat and as starch in your liver.
And then when you're not, when you're doing an overnight fast, your insulin levels go down
and you have access to the starch and to the fat.
And that's why you don't die in the middle of the night and you normally sleep through the night.
But when you've had so much sugar and bad carbohydrates, your insulin level doesn't drop down during the night.
So it's blocking access to that starch and to that fat.
So you wake up in the middle of the night, and even though you've got plenty of starch
and fat, you don't have access to it.
And so you go down and hit the refrigerator.
And so, the role of insulin is so important.
I caught the invisible killer because we always call, you know, hypertension the silent killer,
because you can measure your blood pressure, but pressure, but it doesn't cause symptoms.
I mean, high blood pressure where it is today just doesn't cause headaches, it doesn't
cause symptoms.
It's kind of a myth.
But insulin is way before your blood sugars are elevated.
That's why we should be measuring insulin levels
which we can describe.
It's a pretty simple, inexpensive test.
But your insulin levels are high for many, many years
before your blood sugar goes up in your diagnosed
as prediabetes or diabetes.
And that's seen in teenagers, they're bad,
they're excess sugar, and they're bad carbohydrates,
the white, red, white, white rice.
Or that bad diet is turning the sugar and bad carbohydrates into fat.
And the fat is in their liver.
That's the first place it goes.
And it overflows, the cells in the liver causes a fatty liver, which fatty liver is the number one cause of liver failure, cirrhosis of liver
and liver transplants today, and it starts in teenagers.
They're turning sugar from eating too much sugar.
It reverses when they just get rid of sugar for a few weeks.
It begins to reverse.
They're very, very good studies.
This is not controversial at all.
And all gastroenterologists are seeing liver dysfunction.
At the beginning, you don't see the dysfunction liver.
You can only see it if you do a very high resolution MRI,
which is not practical, and it's not being done.
But you can measure the insulin levels.
And so the insulin is turning the sugar in the beta carb hygids into fat.
The fat overflows from your liver.
That's why you get the belly fat.
Anybody you see, again, in the airport with a belly, and people don't think of themselves
as overweight or fat. I mean, the big fat belly is, you know, it's clear, but many others
have it and don't realize it. But if you see belly fat, you don't have to do an MRI. You have fat in your liver.
And the way the fat is metabolized,
because the fat is overwhelming our storage mechanisms,
some of that fat turns into small cholesterol particles,
which are the particles that get into our vessel walls
and cause heart attacks.
And one of the big problems, you know, the full fat dairy, saturated fat meat will increase
our total cholesterol, but it's increasing mainly big cholesterol.
It's only little small cholesterol particles
that stick to our vessel walls like Velcro
and get in and cause the plaque buildup.
So that was one of the reasons
for a lot of misunderstanding about saturated fat,
full of that dairy in meats.
And it doesn't cause part disease and it also doesn't cause cancer.
The other interesting part about insulin is the high insulin levels are associated not
just with obesity or diabetes but with heart attacks as well, but also cancer,
autoimmune disease, which affects your skin,
affects your whole body.
And this is when I talk about all the things
it can cause, you know, I sometimes feel like
a snake or all salesman because I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll say, I'll, I'll say, I'll we know the reason for most of this. So high
insulin levels will cause what I call the big five obesity, diabetes your head down, headaches, dizziness, you know, ringing in the
ears, asthma, irritable bowel, reflux. So many of these complaints, anxiety, depression,
even schizophrenia. It's all associated with our blood
sugars bouncing around all day because of bad insulin levels and it's causing
us to be sick and the other thing is we're walking around hungry all day
because our blood sugars are on a roller coaster.
They're going up and down,
and that's part of what makes us anxious and sick,
but also snacking all day.
And so compared to 1970s, when we have three meals,
maybe a snack, they're very good studies now where most people are
what we call grazing. I mean when I grew up, I mean we never heard of that, they
are sort of eating around the clock and that doesn't give time and your insulin levels stay high and you so you can't access your fat
day or night and that's why frequent frequent meals can put it this way. If you eat a given number of the same food in one meal
at the evening versus six, seven feedings during the day, when you do time
restricted feeding, you do lose weight and you feel better because your
instant levels aren't being jacked up all day.
And that's the intermittent fasting that you talked about in the book.
That's the reason for intermittent fasting.
How many hours is there a recipe for success with it?
You know, should you only eat once a day or twice?
Well, it depends.
The higher your insulin levels, which has to do a lot with genetics.
If there's type 2 diabetes in the family, then you have some of the gene.
If you have a history of putting on weight, particularly in your belly, and a lot of,
by the way, yo-yo dieting is a sign of pre-diabetes. Some people
are what we call fat and fit. Their skin, their fat is under the skin, but not in the belly.
And that's safe fat. You can be extremely overweight. And that, well, the good news
is you won't get heart disease or diabetes or cancer, the bad news is it's tougher
to get rid of that fat.
And that's when you don't have belly fat.
And that's when you don't have belly fat.
And you really sort of have diffuse fat.
And to the degree, Americans in general
can store a lot more fat under the skin than Asians.
So if you're in Mumbai, they're in Mumbai, Beijing, Dubai.
Their incidence of diabetes is pretty much the same as it is in the US now, but less obesity,
because they're not able to store their fat,
we call subcutaneously, under the skin.
It goes right to the belly.
And the belly fat is what overflows the liver
and causes a lot of disease that way.
And fat under the skin,
when depending somewhat on genetics also,
as you add more fat, you develop more fat cells.
So the individual fat cells are never overwhelmed.
In your belly, you can't divide the fat cells.
So the individual cells gets bigger and bigger
what we call hypertrophy,
until it disrupts the structure of the cell
and it causes inflammation.
So inflammatory cells come in and anybody with a belly
will also have markers of inflammation and more likely to have
joint pains and again all kinds of symptoms from inflammation.
And it's too much belly fat.
Sometimes we call people tofies that on the outside, fat on the inside.
We do imaging and we can see a lot of excess belly fat and they don't think of themselves as fat at all.
So there is a whole spectrum but we know certain populations, particularly Asians, who were living
in with a lot of famine up until recent decades. And the ability to store belly fat
is what helped them survive the inevitable famines.
And so it's a little bit different
than other Western groups.
So what do you suggest now for us for intermittent fasting?
So that's,
so it depends on individuals. I would start in general by skipping breakfast in the morning
when you get up.
Hormones, your cortisol, your adrenaline
starts firing to get you ready for the day.
And that also causes you to burn some carbohydrates, the
storage, and the fat. So you're usually less hungry because you're feeding off
your own energy stores. And so skipping that and then having a good lunch.
And you know, we prefer certainly that it is,
we call low glycemic, low sugar lunch.
If you want eggs for lunch, eggs are great.
They rarely increase your cholesterol,
and if they do, it won't hurt you.
And then you can extend the fast.
So eating within from an A to a 6 or even 4 hour window is,
I didn't have lunch today.
I didn't have breakfast.
And I exercise fasting, which helps you burn whatever starts you have left over
and burn fat.
And you just, you do have to keep up with salt and fluids.
And we should talk a little bit about that.
That's called the keto flu when you don't keep up with salt and fluids. But then,
I'm not hungry. I generally break the fast around 3, 4 o'clock, and then I do get hungry, but that's
because you produce a hormone called grellen, which is what makes your stomach growl and makes you
hungry, but it
goes up and down. So I'm sure you've had the experience where you in a sense
work through lunch. You feel a little hungry, but you're busy with a project. You
don't work, and then it's all of a sudden two, three hours later and say, I'm not
hungry anymore. And that's because the Grellen goes up and then goes down, and when
it goes down, you don't feel hungry.
And it's completely safe not to eat
until three or four minutes.
Absolutely, say, the one thing,
and this has to do with ketosis,
when you're burning fat and not getting fluid,
there are several things that happen.
For one thing, when you begin low carb or keto friendly
and the first thing you burn off is the starch
in your liver and in your muscle.
And that is stored with a lot of water, a lot of fluid.
Actually, fat is not. So at the water, a lot of fluid. Actually, fat is not.
So at the beginning, and a lot of diets say,
oh, lose, you know, 12 pounds in one week
or whatever they say, most of that at the beginning
is water weight.
And it's not, you can't really lose more than a pound a day
if you're fasting.
And so you're fasting.
And so you're losing that water weight,
which tends to make you dehydrated.
And then the most common cause, actually,
of high blood pressure today is, again,
high insulin levels, the invisible killer.
We used to call it essential hypertension, which
meant we didn't know it was causing the hypertension. And hypertension doesn't occur in primitive
societies where they don't have sugar or the process carbohydrates that are increasing
their insulin levels. So insulin causes you to retain salt from your kidneys.
And that raises your blood pressure because you have this extra fluid from retaining salt that
keeps fluid in your bloodstream. When you go on low carb and you lower your insulin levels,
and you lower your insulin levels, you no longer retain that salt.
And so you're excreting salt,
and you're losing fluid that way.
And so at the beginning,
it's been called the keto flu or low carb flu,
a patient will come in,
and we always tell them they have to keep up on salt and fluid.
But they'll say, oh, I did the diet for the few days.
And I'm not hungry, but I'm weak.
I'm tired.
My exercise endurance wasn't the same.
And I tell them, that's a very good sign.
Why then I feel lousy and sick?
That's the keto flu.
That means that your insulin levels dropped and you burned up the starch and
you became dehydrated.
Somebody who's fat and fit doesn't have high insulin levels to begin with.
That's a small minority of the overweight people in this country.
The whole epidemic of obesity is from insulin and eating.
And so you should know what that means already.
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I love that idea that it's not self-discipline.
It's the food choices that we're making,
driving how we feel.
Absolutely.
And that's again, that when I realized,
and here I'm a diaddoctor, and I'm coming in,
and if I have a belly and it's not covered up,
you know, well, my wife was always the first one
to point it out.
But I knew it was there, And once I realized it was truly in addiction,
and it wasn't my fault, my lack of discipline, for me,
that did it.
And the first year I was feeling so good,
I didn't the whole first Thanksgiving holiday season,
I did not cheat.
Since then, I have cheated, and I mean over
Thanksgiving this year, I said, yeah, I'm gonna have the pumpkin pie and everything,
and I gained a bunch of weight in one day, and I knew it. Any big swings is fluid.
It went away, I frankly did longer fast, but it all went away also in a few days.
And some people, you know, particularly if you're doing the time restricted feeding or
fasting, can get away with the dessert or they want their glasses of wine and you we see all this all the time and
It's it's an individual choice and there's flexibility
What people can get away with?
when I you know it was it was my first
Joe's key lime pie when you know I took a bite or two and I didn't
Inhale the whole thing. I had lost a lot of that addiction,
but I've already had the experience.
It can come back quickly,
but I know what to do and I'm confident now.
And again, it's been a year and a half
and I feel
too good, I feel it's too important, again, mentally, physically, that I'm just
not. It's more than, wait, it's wellness. It's it's it's wellness. It's absolutely.
Well, I'm going on it. I'm telling you right now. You have sold me. And for people that don't know where can they find your book, your new book that you're talking about.
It's on Amazon. And there's a South Beach diet dot com website. And it's again, it's not your fault. I should say with the fasting that you can prolong and longer fasting can be effective.
And sometimes we do it in type 2 diabetics.
And some people it's all or nothing.
And we want them to feel the benefits. So we'll do a longer fast, but you should only do that
with professional guidance.
I mentioned you lose some salt.
You have to keep up with salt and fluids,
which by the way is a big myth is the super salt,
low salt diets are healthy.
They're not, they're actually dangerous.
And so, now, if some people have salt-sensitive,
high blood pressure, that they're eating fast food
with a lot of salt, I mean, you can certainly
overdo it with a salt.
But we used it when we admitted patients
to the hospital, it was a 2 gram sodium diet, particularly for heart patients.
We now know that when you get below 4 grams a day, which is a teaspoon or so, you actually
do worse.
So we were literally putting patients on a diet,
which was making them more likely to have a heart attack
and stroke.
And that's a bit of a longer story.
We describe it in the book.
But particularly, once you're low carb, you need fluids,
and you need soil. You need to make sure you get enough
magnesium, enough potassium.
And so if we're both at the beginning of a more strict low carb, if you're truly doing
keto, then we measure electrolytes, the potassium and the magnesium.
And that becomes important.
You actually lay out that plan
and you lay out 75 full recipes for the diet within the book.
So everybody needs to check out the new keto-friendly
South Beach diet.
You can find it Amazon or you can find it
on your website, the South Beach Diet. And check it out because Dr. Agatson knows what he's doing. This is his
life's work. He not only is a cardiologist, but he is a diet doctor, and you will read
in the book Testimonials from your patients and experience their journey with weight loss
and just well-being.
We are amazed with the results with our patients. And over the years, we've seen good results.
Everyone would stay on the first phase of the diet
for more than two weeks.
And they were right, we were wrong.
We thought they just enjoyed the fast weight loss,
but they saw psoriasis go away.
They felt headaches go away, reflux,
and that was all the benefits of getting rid of all the
grains and the sugar.
All right, well, they're out at my house and I can't wait to report back.
Okay, we'll look forward to your report.
All right, well, thank you so much for sharing your knowledge with everyone
and for helping us and creating this fantastic book with this step-by-step process.
We're all in.
Thanks. My pleasure.
You can enjoy it.
All right, Hank Kite will be right back. I hope you enjoyed meeting Dr. Aguistan as much as I did.
I'd love for you to check out his book.
I'm really impressed with it.
I'm so impressed with the work he's doing.
And I'm going all in.
I definitely know it's going to be tough to completely
remove sugar, but I'm going to make a run for it.
And over the next month, I am anticipating some big health gains, which will set me up
for further success for 2020 and achieving my goals.
And I hope you join me.
But before we get started in my Q&A, I've got to give some podcast one.
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and many of your favorite podcasts listening apps. Oh my gosh, I cannot watch scary things like that because I get nightmares, but I know so many of you
absolutely love them. So I want to talk today about a couple of questions that
I received recently. These are DMs that I received. One was on Instagram and
one was on LinkedIn. So if you ever have any questions, shoot them at me at my
website, Heather Monahan.com, or you can DM me on any social media platform.
Okay, hey Heather, I'm a salesperson.
I'm not going to say in what city in the electronics industry,
big fan of Gary Feet, V, huge entrepreneur at heart and admire your story
and respect your accomplishments.
Wanted to ask about trade shows.
I'm working a booth for a customer of mine. And he tells me about the product.
That's actually me holding the guitar in the picture.
So wondering if you have any advice
on how to find buyers, distributors,
and the big fish to help sell the product
as big, fast, and wide as possible.
So here's the thing.
This is a lot of work.
So I liken that to me getting to Gary Vee,
or I liken that to back when I was in the radio business.
I'll never forget.
I went on a meeting with one of the largest companies in the US,
one of the largest advertising brands in the US.
And I met with the ultimate decision maker.
And I'm not saying who it is because I don't want to call them out.
But I basically said to the client, I said, listen, I'd love to expand our relationship,
grow your business this year.
And I'm committed to showing you, I'll provide you results, the best service.
You know, I was going through the whole list of things I would be able to provide them.
And he said, ah, that stuff doesn't excite me anymore.
I can work with anyone, Heather.
Why should I work with you? I said, well, what matters to you? He said,
I want to eat at this restaurant called Reyes. And that was in New York. And I said, okay,
no problem. Done. I'll get your reservation. He started laughing. He said, you get that done.
And I guarantee you I'll double your business with me. Great. I'll make it happen. I'll be
in touch. Well, little did I know at the time, this is a few years ago, Reo's was incredibly hard to get into. There was only, I think,
10 tables in the whole restaurant. They were actually owned individually by a family, each
family owned a table. And so you'd have to get to someone, it's just impossible. You couldn't
do it. So every one I asked told me, it's impossible, Heather, you can't do it. Well, I like
a challenge. So I, here's how I approached, you can't do it. Well, I like a challenge.
So I hear here's how I approached it. And this is how I would suggest to this message of how do I
get to the big fish. I was relentlessly focused on it. And it took me a month, maybe even two months,
I called American Express and asked them if they had any ends to get into there. I called different
vendors, people who I thought rolled at a real high level, maybe they could get me in.
I called in favors, I posted about it on social media.
I called the restaurant, I planned on going to the restaurant
on my next trip to New York.
I asked every single person I could think of
and every single day, I would ask, you know, 10 or 15 people
if they could help me to get a reservation.
And this went on like I said for a couple of months.
So I was getting no luck, getting no luck, and it was a Friday night, and I was out for dinner
with some friends, and we went up for drinks at this restaurant after dinner, and there
was this huge group of people, and I walked up and introduced myself to them and said,
does anyone here have any way to get a reservation at Raios?
And one guy started laughing.
He said, yeah, my brother-in-law owns a table there.
I said, could you call him right now for me?
And he did.
And I got on the phone with this brother-in-law,
didn't know him, and the guy was so gracious
and super funny.
We hit it off on the phone.
He said, I'm happy to give you my table on such and such
date, it's available. you know, just go there.
It's yours.
So I was able to get something that no one else could get done.
And it wasn't that I had some really tricky approach.
It was that I was relentless and frequent in my messaging, frequent in my asking,
frequent in trying different people, trying different approaches.
So if you want to get to the big fish, Google them. Find out everything that there is to find out
about them. Find out who is in their inner circle, see who they are connected to and reach out
to the people they're connected to. The way I got to Gary Vee, I was DMing him for years on
Instagram. And occasionally he'd messes back, but he'd never commit to meeting with me. And finally when I knew I was launching in this show and I wanted him as the biggest guest to kick off my
podcast, I googled him and saw he had just launched a new business, a wine business with Trowdy.
And so I googled Trowdy, I found information on him, I found him on LinkedIn and and I thought, I bet it's easier to get to this guy,
Trowty than it is to get to GaryVee.
I direct message Trowty and said,
listen, I was in the wine business for years.
I drive hundreds of millions of dollars of revenue
in advertising and media.
I definitely can help you and give you some suggestions
around growing your wine business.
Do you have time for a quick call
so I can share some of my ideas with you?
I was going to him, telling him how I could help him. He took that call. After the call, he said,
hey, Heather, I'd love to help you out sometime and anyway, you can help me move more wine. I said,
how about I'll help you move more wine? Can you get me a meeting with Gary Vee? And he did. And I helped to move wine and he helped get me a meeting.
So, you know, make it about the other person, find everyone in anyone in their circle, be
relentless in your pursuit.
Don't just give up.
Google other ways.
Google different ideas.
Ask different people.
Ask their competitors, you know, just be relentless in your pursuit and you will figure
it out and you will get to that person.
But it's done through frequency, consistency, and trying different approaches. I've had
people say to me, yeah, well, I reached out to this person. I never heard back. I
guess they're not interested. No, I think of it this way. I reached out to this
person. I didn't hear back. I bet they were probably on a plane. My email got
buried amongst 700 others. They received that day. It's on me. I've got to find a way to step out from the crowd and raise my hand.
And, you know, that's exactly what I did with Ed Mylet when I was trying to get Ed Mylet on my show.
I DMed him and DMed him. I would comment on his post and ask how I could help.
And then I DMed him and said, I can help you grow your LinkedIn following
because I saw he was rather new on LinkedIn.
You know, I'm relentless in my pursuit
of trying to differentiate myself and raise my hand.
And one day, he just responded back to the DM,
hey, Heather, how are you?
I just landed.
I'm in Vegas.
I'm going to give a speech.
I just heard your message.
Thank you so much.
Yeah, I'd love to be on your show.
So that came from, I don't even know how many
Messages that I have reached out that I have sent how many comments I've made on his post how many times I've shared his post. Oh my gosh
I'm constantly promoting his brand. So you know find ways to help people be relentless in your pursuit of them and do
Not give up because giving up is something Quitters do and we
are not Quitters.
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Okay, so my last question that I'm going to answer today because I do not want to keep you on your podcast forever.
Well, actually, I would like to, but I'm trying to be respectful. Okay. So this, I get a lot of
these questions and I don't talk to you guys about them a lot, but I've got to share this one.
Hey Heather, I just got fired and I had moved out to this new city for my job. It's just crazy.
It's awful. I'm a great asset, but I want you to know bullies are real. I didn't sign the severance offer that I was offered. You're my inspiration
for that. I'm listening to your audio book. I'm weighing out options and I have a few.
I have a story to tell. I want the possibility to branch out on my own and call these people
out for this awful stuff. They did to me. My question is this, how did you navigate the waters of telling your truth while not
being unprofessional or unlawful?
This has happened to me a few times and I am ready to stand up for myself and stand in
my power.
Any advice on if I should negotiate with the CEO to get a larger severance or should I just
walk away and share my story?
Okay, first of all, this is a very personal question. should negotiate with a CEO to get a larger severance, or should I just walk away and share my story?
Okay, first of all, this is a very personal question.
No one can tell you what to do
on something a magnitude of this, right?
Someone's not asking me, I'm happy to answer a question
where someone says, how do I get to the big fish?
I'll give you a million different ideas
on how to do that, right?
And I just shared a couple, but this is a very personal experience and I've been through it. People will tell you, I don't think you should do that, right? And I just shared a couple. But this is a very personal experience. And I've
been through it. People will tell you, I don't think you should do that. I think you should do that.
Whatever. That's about them. They're fears, they're limitations. Only you know your truth when it
comes to something like being fire, being bullied, you know, that's up to you. I can tell you this.
I the past couple of years since I got fired had been super scary because
Of course anyone can sue you for anything
So knowing that in the back of my mind right before my book came out or right before my TED Talk dropped
You know, I would have this resurgence of oh my gosh
What if this is the final straw and they just they try to shut me down and you know they try to sue me and what and what if what if what if I
Whenever I think about that I go back to this James Altoucher podcast that I was on I was on his podcast in
2018 in 2019 he was on my podcast
But I go back to the podcast where I was on his show and I said to him I'm really scared
I'm gonna get sued with my book dropping and he did this whole Q&A with me where he explained,
yeah, anyone can sue you for anything.
However, you can turn that into good publicity and PR for you.
And if they're going to sue you,
they're going to shine a brighter light on your book,
helping you garner more book sales, more press.
The reality is companies want to hide errors that they make.
The company will probably never sue you. he ends it up being absolutely correct.
But I decided to take that risk and make that decision because I had a burning desire
and felt a drive and need to do it.
If you don't feel that really strong desire, even though I felt afraid, don't get me wrong,
I was petrified.
But fear is different than,
you can feel driven to do something
and feel afraid to do it, but if you're not really feeling
driven to do it, it doesn't have that purpose or passion
to you that you really feel there's something bigger
pushing you to do this.
I would say don't do it, because it's not an easy ride
and it definitely is a scary one.
And people close to you, will tell you you're crazy,
and everyone will second-guess you,
and you'll second-guess yourself.
It's definitely a very serious decision to make.
So I would say, get quiet, listen to yourself.
You have that answer, tune everybody else out.
And the other thing is, show up is you.
The more you tell the truth and show up
as the person you really are, the less you have to worry about those other elements. Again, I'm not saying it's easy,
but it is pretty simple. Just tune into your own voice, listen to yourself, and make the best decision
for you. I think back, I would have regretted it so much had I not written my book, had I just
gone back and taken another job in corporate America.
I'm so grateful.
I doubled down on me and took the chance to go to work for myself.
So I'm super grateful for the decisions I made.
However, there have been countless sleepless nights.
There's been so many challenges along the way, navigating, becoming an entrepreneur, becoming
an author, becoming a speaker, becoming a podcast host, being here with you now.
All this stuff is new to me.
And anytime you start off new, you're a beginner,
you're gonna make mistakes, you're gonna fall down,
you're not gonna know the fastest way to grow,
the right things to do, and that can be hard.
So just get ready for it,
you've gotta just jump into it and don't look back.
And that's how I feel about 2020,
on to bigger and better.
I'm setting myself up with this new found information
on how to be as efficient as possible
and use food as medicine to help me get to achieve
my goals and live a better life.
So I'm super excited.
I hope you enjoyed this show today.
I hope it helps you.
If you could please
Leave a review of the show on Apple podcast send me a screenshot. I will buy you my $299
confidence video course as a big thank you It really helps so much when I get reviews
Please share on social media and when you tag me I will retweet. I will repose
I will put it in my stories and I appreciate your support
immensely until next week we will be creating confidence together Retweet, I will repose, I will put it in my stories, and I appreciate your support immensely
until next week we will be creating confidence together.
I hope you're enjoying this episode so far.
I'm Jennifer Cohen, host the top ranking business and entrepreneur podcast, Habits
and Hustle, apart the YAP media network, the number one business and self improvement
podcast network.
So, most people live the life they get and not the life they want.
And I'm here to change all that.
My goal with each episode is to give you the habits and hustle tips you need to show up
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Tune in now, and I'll not only help you answer the questions like
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gone to the top and the advice they have to help you get there too. Head over to
Habitson Hussle once you've done listening to this episode and get one step
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