On Purpose with Jay Shetty - Dr. Darshan Shah ON: 3 Step Process to Reset Your Gut Health and Reduce Inflammation & Why Sitting is Increasing Your Mortality Rate by 10%

Episode Date: December 4, 2023

How do you reset your gut health? How can you reduce inflammation in your body? Today, we welcome Dr. Darshan Shah. Dr. Shah is a health and wellness specialist, board certified surgeon, published aut...hor, entrepreneur, and founder of Next Health, the world's first and largest health optimization and longevity clinic. With expertise in all body systems, Dr. Shah has performed over 15, 000 surgical procedures, including trauma surgery, general surgery, and reconstructive procedures. As a health and wellness specialist, he has advised thousands of patients on how to optimize their well being and extend their lifespan.  Dr. Shah talks about the three-step process that empowers you to take charge of your health, examine the changing landscape of our food intake, and learn four essential ways to eat right. He emphasizes the importance of plant-based protein sources and the incredible benefits of vegetables, and dives deep into consequences of low vitamin D levels. The conversation takes a turn towards the power of social activity and how to break free from sedentary behavior. Uncover valuable insights on escaping the clutches of perfectionism and how to prepare for old age. Dr. Shah sheds light on the benefits of sleep tracking and shares best practices to ensure a good night's rest. Together, let's gain a deeper understanding of how inflammation affects your gut health, learn how to take care of your heart, and explore the technological evolution of cancer testing.  In this interview, you’ll learn: How to eat healthy How to change your diet effectively How to exercise properly How to be more active at home The benefits of good sleep How to take care of your gut How to take care of your body There is so much to learn and so much information to process, but this conversation will surely lead you to a better, healthier lifestyle.   With Love and Gratitude, Jay Shetty What We Discuss: 00:00 Intro 03:06 Why Was There a Need to Build Next Health? 09:11 The Three-Step Process to Stay Healthy 13:19 What Has Changed With Our Food Intake? 16:16 4 Ways to Eat Right 24:36 Plant-Based Sources of Protein 26:11 How Vegetables Can Greatly Help Your Body 30:44 This Happens When Your Vitamin D Level is Low 34:12 Know What is the Blood Work Optimal Range 36:51 You Need to Invest in Social Activity 39:19 How to Break Sedentary Behavior? 46:46 How Do You Get Out of the Perfectionist Mentality? 48:32 How Do You Prepare for Old Age? 50:21 The Benefits of Sleep Tracking 57:24 Best Practices to Help You Sleep Through the Night 01:03:52 Inflammation Affects Your Gut Health 01:09:10 How to Take Care of Your Heart 01:14:23 Technological Evolution of Testing Cancer 01:18:24 How Do We Prevent Cancer? 01:22:28 Conclusion Episode Resources: Darshan Shah | Website Darshan Shah | Instagram Darshan Shah | LinkedIn Darshan Shah | Facebook Darshan Shah | YouTube Next Health Want to be a Jay Shetty Certified Life Coach? Get the Digital Guide and Workbook from Jay Shetty https://jayshettypurpose.com/fb-getting-started-as-a-life-coach-podcast/See omnystudio.com/listener for privacy information.

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Starting point is 00:00:00 Our 20s are often seen as this golden decade. Our time to be carefree, make mistakes, and figure out our lives. But what can psychology teach us about this time? I'm Gemma Speg, the host of the psychology of your 20s. Each week we take a deep dive into a unique aspect of our 20s, from career anxiety, mental health, heartbreak, money, and much more to explore the science behind our experiences. The psychology of your 20s hosted by me, Gemma Speg, listen now on the I Heart Radio Amp Apple Podcast or wherever you get your podcasts. Hi, I'm David Eagleman.
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Starting point is 00:03:05 Yeah, sitting for more than an hour at a time is literally what's killing most of us right now. He's a world-renowned surgeon, entrepreneur, and founder of Next Health. Doctor Dasha and Shof. Western medicine is so disease-focused and so reactive that unless things are really bad, there's nothing they can offer you. The patients I was seeing, they're like, how come no one told me this? I love your support, it's incredible to see all your comments and we're just getting started. I can't wait to go on this journey with you. Thank you so much for subscribing, it means the world to me.
Starting point is 00:03:49 The best selling author and host. The number one health and wellness podcast. The purpose with Jay Shetty. Hey everyone, welcome back to On Purpose, the number one health and wellness podcast in the world. Thanks to each and every one of you that come back every week to listen, learn and grow. Our mission here is to make the world happier, healthier and more healed.
Starting point is 00:04:10 And we do that through introducing you to expert stories, scientists, researchers and doctors who have insights that we can all apply and improve our day-to-day life, or maybe even the way we think and live. Now today's guest is someone that I've been working with personally for quite a few months now if not a bit longer than that and he's someone that I'm excited to introduce you to because he has so much great insight and I love the way he approaches some of the challenges that we're all facing in our daily lives with our health and wellness. Today's guest is Dr. Shah, Darshan Shah, MD, a health and wellness specialist board certified
Starting point is 00:04:45 surgeon, published author, entrepreneur, and founder of Next Health, the world's first and largest health optimization and longevity clinic. With expertise in all body systems, Dr. Shah has performed over 15,000 surgical procedures, including trauma surgery, general surgery, and reconstructive procedures. As a health and one specialist, Darshan has advised thousands of patients on how to optimize their well-being and extend their lifespan. Please welcome to the show, Dr. Shah. Dr. Shah.
Starting point is 00:05:17 Thank you so much, Ravi. It's good to have you here. Yes, yes. I was thinking about it. I think we started working together probably just under a year ago. It feels like about a year. About a year. Yeah like about a year. About a year.
Starting point is 00:05:26 Yeah, about a year. Yeah, about a year. And I remember we got introduced through my health coach, I believe. I'm trying to, now I'm like, trying to piece it together. Yeah, connect the dots. Yeah, sure. To give you your health coach, right?
Starting point is 00:05:37 So, Mata Sharma, who I've worked with for quite a few years now, she introduced us. Right. You have this incredible facility. I know it's definitely in LA because that's where I go. Where else do you have it? So yeah, we have three locations in LA, one in New York, and one also in Hawaii right now, and Maui, which is sadly right now, they're going through a lot. But, and now we're actually franchising all over the world. So we'll be in Dubai.
Starting point is 00:05:59 We will be in Canada, Australia, and all over the United States here, pretty soon. And talk to me about this transition that you made very early on in your journey, or not early on actually, sorry, more recently, yeah. More recently, you made a shift in your career, because you went from practicing as a doctor traditionally to now building next health,
Starting point is 00:06:20 talk to me about that transition, and us to about why you did that, and what was the reasoning behind it? Yeah, I think you know most physicians never anticipated a complete 180 transition in their career Especially after you've like dedicated 25 plus years, but I felt a real need to do that and it was mainly because of my own personal health So what happened was I started off as a surgeon I then also ended the entrepreneurial side of surgery.
Starting point is 00:06:45 I brought surgery centers and I started hiring doctors as well. I was spending half my life being a surgeon, treating patients in the operating room. The other half my life running the business and the other half of my life trying to maintain my own health and my own sanity. And unfortunately, that last part of my life just kind of fell through the cracks, right? And so what happened was I found myself 15 plus years into my career as probably the most unhealthy person in the building that I was working in. I was 40 pounds overweight and you know, weight doesn't really matter for everything, but for me that really led to a tons of health challenges such as I had high blood pressure and that blood pressure was not getting any better despite being on two medications.
Starting point is 00:07:33 I was pre-diabetic on diabetes medications and I was not able to move very well like all my joints ached because of an autoimmune disease starting. So you know, I was 15, 16 years into my career and I was like, I'm getting really, really sick. And at that point in time as well, I had my first child. And, you know, having your first child is often like a time in your life where you sit and reflect. And I was actually doing the math, utilizing studies that say like if you have this hemoglobin A1C,
Starting point is 00:08:04 this level of high blood pressure, this level of obesity, how long you're going to live? And that's how I was doing the math. And I came quickly to the realization, I was a little bit older when I had my first child, I was 40, that I would not live to see him potentially graduate from college. And to me, like, that was a major kind of punch in the gut, right? Like, what am I doing to myself? And so that kind of started this thought process and this transition in my life where I said, I need to make some massive changes here. And I need to do a quick because I need to be alive for this kid, you know?
Starting point is 00:08:36 I did what a lot of people do. I said, you know, I need to find the best of the best doctors. So I went to Beverly Hills. I researched all the best concierge medicine doctors. You know, I hired an expensive concierge medicine doctor. I said, your job is to get me healthy. Went to his office and you know, paid a pretty penny for this too. He wasn't cheap. He did a bunch of tests on me and he found out that, yeah, I was pretty diabetic and it was getting a little bit worse.
Starting point is 00:09:00 And I was hypertensive and I need to be another blood pressure medication. And probably the reason I was having difficulty moving and, you know, being performing all the activities of my life that I wanted to perform with vitality was because I was depressed. So then he added an anti-depression medication to my list of meds. So my list of meds grew from eight medications to 12 medications. And that's all he told me. He just prescribed me four or five more things. There wasn't even a mention of, do you go to the gym?
Starting point is 00:09:33 Do you, how do you sleep? What's your stress level like? Not even a question about that. And I talked to myself, like, there is something really wrong here. And this is the world that I grew up in, right? This is the medical training that I grew up in, in medical This is the medical training that I grew up in the medical school. When I did med school back in the 1990s, you spent one day of one class talking about nutrition, maybe half a day of another class talking about sleep,
Starting point is 00:09:56 but it was mostly about sleep disorders, right? Like sleep apnea and things like that. I did not have the knowledge. So how can I expect this guy to have the knowledge, right? I mean, Western medicine is so disease-focused and so reactive that unless things are really bad and we can't prescribe you a pill or a surgery, there's nothing they can offer you, really, right? And so I saw like a massive flaw here and I decided that moment in time,
Starting point is 00:10:22 like I need to learn for myself how to do this right. So, decided to hire someone else to take position in my office that I had, and just take some time off and educate myself. And so, that led to six months to a year of going to every conference I could find, and this was like eight, nine years ago. When I have a struggle, my first instinct is to educate myself. Learn, learn, learn. And so, I went to every conference I could find.
Starting point is 00:10:47 I went to physical therapy conferences. I went to how to become a personal trainer, register dietitian courses. I went to all these conferences. And I learned so much. And then I kind of stumbled into the field of functional medicine. Have you heard of functional medicine? And I'm sure you have.
Starting point is 00:11:03 Yeah, Dr. Hymanon here is one of the fathers of functional medicine. Have you heard of functional medicine? And I'm sure you have. Yeah, Dr. Hymanon here is one of the fathers of functional medicine, my favorite people in the whole world. But learn from him and others about the root cause of illness. And it was incredible. Like within eight months, I was able to like completely turn my health around. And as I was doing this, the patients I was seeing, I was helping them do the same thing.
Starting point is 00:11:22 And they were like, how come no one told me this? And so that's what kind of started my new career in medicine. I said, you know, medicine is fantastic. If you're helping sick people become un sick, you're treating cancer, you're treating diabetes, but it's also, to me, exponentially more fantastic when you're helping the other 90% of people who aren't sick stay healthy and
Starting point is 00:11:45 never get to that point in the first place. And so for me it was just kind of bringing all that together and really providing a place for people to go when you're not yet sick, like when you're not yet need to go to the doctor, the hospital, where do you go? It's not just the gym, right? There's much more you need to do. It's a lot more work to be done. And that's what I then dedicated my new kind dedicated my new life at medicine to is creating that place. What are those key pillars or the core areas of next health based on functional medicine
Starting point is 00:12:14 that you're measuring and that you think we all need to be aware of when we're looking at that 360 degree look at our health. Right, right. So this is where I think I have this conversation with all my patients. We sit down and we say, look, there's an overwhelming amount of health information out there, and a lot of it is not based in science.
Starting point is 00:12:33 There's a lot of like majoring in minor things, right? There's a lot of focus on like, what's the best super food? Or, you know, what's the, how much caffeine should I have per day? But like, in reality, what I tell people is, let's break this down for you into the main components. And over time, let me educate you on the main components of health. But let's not major in the minor things. Let's focus on the 20% of the information that's going to give you the 80% of the result. Like what are the key two or three things you need to know on each aspect of your health to create a major difference?
Starting point is 00:13:05 And that's the Pareto principle, which is where can you expand the least amount of energy to get the most amount of results? And once you give that right, you can absolutely go down the rabbit hole further if you want to. So we start off, I have this thing called a wellness wheel, I call it, there are 12 points in the wellness wheel.
Starting point is 00:13:21 We start off with the basics, nutrition, sleep, and exercise, but then we move on to gut health, immune system health, hormone health, hard health, and brain health. So then we spend a lot of time talking about each one of those individually. And in each one of these categories, what I do is I try to frame it as, this is a three step process. And the first step is number one, how do we make sure you're not dying from this, right? How do we make sure your nutrition is not killing you like you're becoming a metabolic
Starting point is 00:13:49 disaster with diabetes? Or how do we make sure that your immune system is healthy enough to prevent cancer? How do not die basically? The second part of it is how do we improve your health span? How do we keep you as healthy as possible for as long as possible? And then the last part is, what's the advanced science out there in the longevity world that we can implement into your life? Once we make sure you're not in trouble and then you've mastered how to take care
Starting point is 00:14:14 of your health span yourself, how do we then start applying these new techniques, this new science? So a lot of people come to us and they wanna jump straight to like, how do I do NADIV? How do I do hyperberecoxygen therapy? I'm like, no, no, no, let's hold on a second.
Starting point is 00:14:29 Let's make sure you're not eating ultra-process food first because that's what's going to make the biggest difference, right? So that's kind of how we frame it. And it's, we go down each one of these categories and talk about what's going to make the biggest difference for people. Fantastic. I think this is, I wanted to lay that out for people because I want to be able to understand,
Starting point is 00:14:47 A, you've been on this personal journey yourself, there's a professional shift here as well because you can see the kind of challenges that come with traditional medicine and how functional medicine is the future, even though it seems like it's rooted in ancient times or an older method that's coming back. And then looking at these key areas,
Starting point is 00:15:06 and that's what I wanna dive into with you today, if that's okay. I'd love to touch on all these areas, because I'd love to give people, whoever listens to this episode, whether you're watching at home or whether you're cooking right now, whether you're listening with a partner
Starting point is 00:15:19 or whatever it may be, I want this to be the episode that you come back to to learn about these areas of your health So you can become more proactive not reactive and get focused on the areas that need help. So yeah, let's dive in to Let's first start with nutrition because I think that it's such a big Area of our lives and I think it's one of those ones that everyone will say, hey, I was put in for surgery, but I was never really told to change my diet. Or even even when I went last year, you helped me through my, you didn't
Starting point is 00:15:54 perform the surgery, but you helped me through my earlier surgery. And I've spoken that on the podcast a couple of times. And I was never told to change my diet. However, by by the doctors, you did tell me in certain Mona, if you had not told me that, it would have been a lot harder to even recover. So even though it wasn't integral to the surgery, it did affect the recovery. And so let's talk about nutrition.
Starting point is 00:16:18 It's such a big part of our life. Let's start with what has gone wrong with our food. Like what has changed about our food that it's almost like a surprise to us today that what we eat is affecting how we feel? Yeah, it's really multifactorial, but it's all happened in the last 50 or 60 years. You look at obesity rates, heart attack rates, diabetes rates in the last 50 years, just exponentially increasing. And I think it's a few things that happened.
Starting point is 00:16:45 One was there was a little bit of a panic back in the 50s that we weren't gonna have enough food to feed everybody. So the government start putting into place subsidies and laws and bringing corporations together to start mass producing food. And that mass production of food led to over farming of soil, packaging foods to make them last longer, but then also, you know, you have these packaged foods and not that
Starting point is 00:17:09 inspiring. So how do you make them taste better? You make them hyper-palatable. And then whenever you involve corporate America in anything, right, what's the goal of corporations to make a profit? How do you do that? By making things cheaper and making more of them, right? So now you have these giant food conglomerates, like making tons and tons of food as cheaply as possible. And that means using chemicals, it means using dyes, it means hiring scientists to make it hyper-palatable.
Starting point is 00:17:38 So even though normally you would eat this thing and your body would be like, what is this? This is horrible. And your body would have like, what is this? This is horrible. And your body would have a sense how bad it is for you. Now you can't, because the scientists have made it taste good. Right? And so you have this massive kind of explosion
Starting point is 00:17:55 of ultra-process food. An entire supermarket, you look at the square footage of a supermarket, only the outside of it is dedicated to fresh food. The entire middle is frozen processed boxed canned food, right? And we have so much of it in our society right now that that's really what's caused a lot of the problems. In addition to that, we have food coming from all over the world to us. So as being shipped to us, as being stored,
Starting point is 00:18:23 as being preserved, as being grown, it's being grown in soil that's over-farmed. And so we kind of come to this disaster point where most of the food that we see that is being supplied to our population has become full of toxins and basically not healthy for you. So really, we have to really, really look at
Starting point is 00:18:42 and take a step back. How do we eat 50 years ago? And how can we go back to that type of heating pattern? Mental health is now talked about more than ever, which is awesome. I mean, I don't have to tell you that it's a primary focus of on purpose. But on a day-to-day basis, many people don't know where to turn or which tools can help. Over the past couple of years, I've been working with Calm to make mental wellness accessible and enjoyable. Or as I like to say, fun and easy.
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Starting point is 00:19:45 Calm your mind, change your life. I think that's the hard part, right? Like you just said that when you go into a grocery store, you're seeing that the majority of it is taken up by processed foods. People are thinking, well, how do I, what do I eat? Because it's almost like we've got so used to eating out
Starting point is 00:20:02 of 10 scans, boxes, packets. It almost even takes a second to think of what food isn't in one of those or isn't refrigerated or isn't frozen or whatever it may be. Like what would you say taking your 80, 20 principles you were mentioning referring to before, what is that thing that we can do 20% because I think when we think about food,
Starting point is 00:20:22 it just feels so big and overwhelming. And then the stress of cooking with our busy lives and working and coming home late from work and trying to eat something quickly, like, what's the, what's the quick win or what's the small win that we can make? Yes, absolutely. So the 20% here is working really hard to eliminate that ultra-process food, okay? So really focusing on how do you get fresh organic food into your body as much as possible. And I could tell you, if you only make this one change, that's all you need to worry about.
Starting point is 00:20:52 You don't need to worry about your protein content and your micronutrients, like all of that will come with just switching from ultra-process food to organic fresh whole foods. And then if that's the only one thing that you do, you've had a massive win. That's gonna give you the 80% of the result because it will force you to learn
Starting point is 00:21:12 how to make good food quickly, because we're all busy, right? So how do we make a quick protein shake or how do we make a quick salad and still get the nutrients in that we need to and not feel hungry? Once you start doing that, you find that your hunger goes down just exponentially. You don we need to and not feel hungry. Once you start doing that, you find that your hunger
Starting point is 00:21:25 goes down just exponentially. You don't need to eat as often. And you kind of eliminate snacking as such a huge thing now. It's almost like we're taught that if you're not snacking, you're not gonna have enough energy for the day. And that's only because we're snacking on processed food in between eating processed food, right?
Starting point is 00:21:43 So really once you start eating whole food again, you can even, a lot of people just stop even eating one meal a day. They go straight into lunch and dinner. I protein every morning for my meals. I need to have protein in the morning. Most people do. And we could talk about fasting later too and kind of the change in thought around that. But making that one change is going to give you 80% of the results.
Starting point is 00:22:05 In my opinion, and my experience talking to hundreds of people about this over the last year or two. And then there's two or three things you can do after that. Once you got that down, but that would be number one, for sure. What are two and three? Okay, so number two is managing your glucose response curve. Yeah, exactly. Yeah, exactly.
Starting point is 00:22:22 So, the sciences come extremely far in this. And what we know for a fact is, first of all, we know for a fact that metabolic syndrome diabetes is rampant, and it's just getting into more and more communities throughout America all the time. And that's because of things like we talked about snacking, ultra-process food, etc. But it's also just people have forgotten how to eat in a way that keeps your glucose curve under control. Now, when I say glucose curve, that means that I'm talking about like actually
Starting point is 00:22:52 measuring your glucose all the time and seeing when it goes up and when it goes down. And so there's a device now that you can buy, it's called a continuous glucose monitor. Have you worn one of these yet? I haven't been passing them, yeah. I think my Wi-Fi'd one. Ah, fantastic.
Starting point is 00:23:05 It is a game changer as far as I'm concerned. I mean, I don't recommend a lot of like technology and things until it's like really proven and vetted, but I really feel, this is something we've used for diabetics for years now, but finally people are starting to use it in their regular day life. And you don't have to wear it forever.
Starting point is 00:23:22 I just wear mine for like six weeks, and I found incredible amounts of information about how to eat. So for example, one thing is, you know, we all sit down and we start with chips or bread, right? It's the absolute worst thing you can do. You want to start with your vegetables first. That puts fiber into your body and slows your digestive tract. And then you do your protein and fats, and last is the carbs. Okay, because that will slow the release of glucose from the carbs. That's one of the things you learn from wearing a continuous glucose monitor. You also learn from wearing continuous glucose monitor. What foods shoot your glucose through the roof versus, you know, rad, these or anybody else's
Starting point is 00:24:01 right? And it's different. Like if you eat a banana, it could shoot your glucose with a roof and your friend, no problem at all. And that's because your microbiome, your metabolism is different than every single other person. So you can personalize the foods that you eat to keep your glucose level steady. And if you keep your glucose level as steady as possible day after day after day,
Starting point is 00:24:21 and you know, you can cheat. It's not like people don't cheat. We all like to eat a dessert every once in a while or cook you, but it really makes you cognizant of what's happening internally. And you know, we live our life not being cognizant of what's happening internally until we feel really, really bad.
Starting point is 00:24:36 This really teaches you like how your body is reacting to the food that you eat. So I recommend all my patients, you know, six weeks of a continuous glucose monitor, really learn how your glucose curves react to certain foods. There's a really good book out there. It's called The Glucose Revolution. It's very well written. You can read it in like three, four hours about how to manage your glucose curve. I love that book. I give it to all my patients as well. And I think you learn a lot. So number two is managing your glucose curve. Well, that's fantastic. You know what?
Starting point is 00:25:05 I love talking to you because you make it sound so simple and accessible. Like whenever I talk to you, I find it so easy to understand what I need to do, why I need to do it, why it makes sense. And I don't need to be as well versed in what you're talking about as you are. And it's not overly technical in a way that I can't wrap my head around it. So I love how practical you just made that, especially how we eat what's on our plate. Because I think so many of us spend so long
Starting point is 00:25:33 trying to figure out like, oh, maybe I shouldn't eat that, and I shouldn't have that. And it's actually the order can make all the difference. And now everyone who's listening or watching make sure that you don't go and start with the bread or the chips, and that's- Get the cruditain, stay right?
Starting point is 00:25:47 Exactly, exactly. That's why they serve it first. Well, now I guess they serve chips and guac first too. But what was the number three? So number three, and number three and number four, it can be switched around based on your particular dietary pattern, but I would say number three is making sure you have adequate protein intake.
Starting point is 00:26:04 And a lot of people They diet and they not just cut back on the you know the carbs they eat the fats They but they also cut back on the amount of protein they eat and you lose weight on the skill But you're losing more muscle mass and you're losing fat and that's a Travesty because you need your muscle mass to support, not just support your bones and give you strength, but it's also one of the biggest organs in your body that's preventing you from going into diabetes, cancer, and dementia.
Starting point is 00:26:32 So preserving muscle mass is key. So I have all of my patients buy this really cool scale that I like is called the inbody H2N scale, H20N scale. And it's a scale that you step on, but you also grab under these handlebars and it tells you your skeletal muscle mass, okay? So you can not just track your body fat percentage but also your skeletal muscle mass.
Starting point is 00:26:54 And obviously you wanna maintain your skeletal muscle mass especially the older you get. So the closer you get to 40 and 50, you need to have a big store of skeletal muscle mass because it's going to decline. We all start declining after the age of 50 and it takes a lot of protein and a lot of strength training to make up for that decline. And you want to maintain that skeletal muscle mass.
Starting point is 00:27:16 Number one thing to do is have one gram per pound of body weight of protein per day broken up into three to four divided doses. Okay, so you do that, you step on the scale. I like weighing myself every day. It gives you that accountability factor, and you can track the data, and make sure you're maintaining skeletal muscle mass, and if you need to decreasing fat mass.
Starting point is 00:27:37 Now, one gram per pound of body weight, like people don't really know, like, what is that really? So look it up. Most people weigh, you know like what is that really. So look it up. Most people weigh, you know, somewhere around 150 pounds, look up 150 grams of protein, look that up on Google and you'll see all sorts of infographics. And it's a lot of protein. It's not a small amount of protein. And if you're vegetarian or vegan, you can still do this, but you're going to probably need a little bit more because only about 80% of that is bioavailable protein. So you want to maybe even increase a little bit more.
Starting point is 00:28:07 And once you see that infographic, once you see, or just even like, buy a little scale and measure out 150 grams of protein, see what it is. You're like, oh wow, I am really not getting enough protein in the end of the day. I've been thinking about that a lot lately myself. I've been looking at that. And brother and I were talking about it.
Starting point is 00:28:23 I was like, yeah, I'm not sure I'm getting as much protein as I need to be getting and I'm obviously plant based. So that was something that we were diving into. What are the best plant based sources of protein that you're seeing and that actually add up to that amount? Not, I know what the sources are, but it's almost like how do you get that much of it? Yeah, I mean, you know what the sources are,
Starting point is 00:28:42 like beans and grains and all that, but also I Myself and all my vegetarian and vegan friends. I recommend you know P protein powder. It's really good. It goes down easily Put it put it like you need added to like your oatmeal and other other things are you eating and you'll you'll start building up You know and look the idea is not to get from like 10 grams of protein a day all the way to 150 grams, you build up slowly over time
Starting point is 00:29:09 and you see what kind of works for you. All of this needs to be individualized and that's why I like having like that data point which is the bio-impotent scale, that in-body scale, because you can see like, oh wow, my scale and muscle mass is going up. I'm doing good now. Like here's where I need to be, right?
Starting point is 00:29:25 So you can really personalize it for yourself. Okay, fantastic. This is already helping me. I'm like, I'm listening to everything you're saying. This is, it's so relatable and so, so actionable immediately, which is fantastic. And I love the, and I keep, keep, please keep sharing, like, the tools or the gadgets that we can have
Starting point is 00:29:43 or websites or books, because I want all of our community to feel really supportive and go okay that's what I haven't read yet or yeah absolutely and I have no financial like hook up with any of these companies I'll tell you if I do but this is the stuff that I love and I've seen my patients really take too as well so I'm gonna I'm gonna, I'm gonna blur them out and, I guess, I guess. I guess, do your research. You know, but, yeah. Let's talk a bit about supplements and vitamins because I think that there's a lot of like mixed messaging out there about what's needed, how much of it's needed.
Starting point is 00:30:16 Some people are like, well, none of it really gets absorbed and doesn't make a difference. And there's always a debate about it. How do you go about figuring out what someone needs as an individual as opposed to just taking what everyone's taking because you keep hearing about it? Yeah, that's such a great question. And we can't even talk about that, Jay,
Starting point is 00:30:34 without talking about number four on the list, which was vegetables, all right? And I'll tell you why. So the fourth thing which is as important as protein is getting enough vegetables in your diet on a daily basis. So do you know how much that is by chance? I don't. I mean, I have a lot of vegetables. Right, but I have no idea. So you're gonna have to tell me.
Starting point is 00:30:54 Right, and so a lot of people really know like what's the right amount. And really, the amount of vegetables you eat has a lot to do with the amount of fiber intake you need, which 90% of America doesn't get enough fiber and fiber is a critical ingredient of our diet. Secondly, that's where most of our micronutrients and phytonutrients are as in those vegetables. Thirdly, they just keep you full and satiated all the time as well.
Starting point is 00:31:17 So getting enough vegetables in your diet is extremely important. The number that I've seen in a lot of fitness and nutrition gurus talk about is it's a big number. It's like 800 grams of vegetables. It's about a quart of vegetables, right? So once again, get your scale and measure this out and see what it is. It's not a small amount. It's like two full salads a day, but that's kind of what we need to work up to. So full salads a day, but that's kind of what we need to work up to. So if you're doing that, the need for supplementation is minimal to none. Actually, I'm not a big supplement pusher. I'd much rather people get it in your diet. The reality of the situation is, however,
Starting point is 00:31:55 it's really hard to get that much protein and that much vegetable product into your diet, right? And of course, we can't talk about vegetables, but I'll talk to you about making sure you're buying organic, you know, you're buying as local as possible. And if you can't go to ewg.org, environmental working groups website, they'll give you a list of what are the most toxic vegetables and the least toxic out there right now. So look at that website, I'll give you the list.
Starting point is 00:32:22 So if you're not getting enough vegetable intake into your diet, the next step is to add some supplementation to that. The most common supplements I recommend for people are vitamin D. We don't get enough sunlight to produce it, we're not getting enough in our diet. So most people do need some vitamin D. It needs to be dialed in based on a blood test. So you do a blood test. I like the vitamin D level to be around 50 to 80. And the vitamin D form that I like people to take is vitamin D3K2. The K2 is also another vitamin added in. It prevents overabsorption
Starting point is 00:32:57 of calcium with the vitamin D and deposition of calcium in your blood vessels. So vitamin D3K2 then fish oil supplement as well. For the vegetarians of vegans out there, there's some great non fish sources of fish oil as well. So I would do that as well. Magnesium is something that we're all very deficient in. So I would do magnesium as well. And then creatine, believe it or not, is amino acid. That has a lot of research behind it. Do you do creatine? Yes, yes, yes, yes. Fantastic.
Starting point is 00:33:26 Yeah, five to eight milligrams every morning, you just put a scoop in your coffee, a mix of in with anything. I think that's another really interesting, good one. And then I kind of then, you know, kind of do it based on what I ate the day before, right? So if I got a couple of good salads in, fine. I don't need to do anything else.
Starting point is 00:33:44 If I didn't, I'll take a packet of AG1, which is like a phytonutrient powder, which I really like and or a multivitamin, sometimes as well. I'll do that too. And then protein powders are pretty much always a staple for me as well. That's the other supplement that I use. You're just putting that onto other stuff. Yeah, putting that onto other stuff, putting that into a shake, you know, shakes are very convenient. There's a really good protein powder I like,
Starting point is 00:34:06 called Super Gut. It's actually a resistance starch and a protein powder and fiber all in one like bag. So Super Gut is a fantastic rescue product. I have, like if I've been on a plane for eight hours or something, and I just come home and just take down and I get my nutrition in. And that's pretty much it.
Starting point is 00:34:23 There's other things you can do, like if you're having trouble sleeping, there's ashruganda, there's glycine. If you're having trouble with stress, ashruganda's another good one for that. But then I'm really selective about which ones to use. Yeah, yeah. Great, those are fantastic.
Starting point is 00:34:38 That's a really good breakdown for anyone. I mean, I remember when I first started measuring that with Mona, it's like my vitamin D, which you would never have known if you met me or saw me with 10. Oh, yeah. And it was just like, I was living my life, like I was on planes, I was giving keynotes,
Starting point is 00:34:53 I was healthy, I was energetic, whatever. And she was just like, I don't even know how you function. I was out of 10, it was like, and I was unaware. How old are you when you do this? This is, oh, this is like a year and a half. Oh, okay. It was just interesting to me because the only thing I could feel is like,
Starting point is 00:35:12 I was feeling a bit of fatigue. And that was the only thing. And that's why I think that the reason why I'm raising that for my audience and community here today is don't take it for granted and don't assume that you might be like, I don't need any of these vitamin supplements. It's like, it could be the tiniest thing that you're experiencing as a symptom.
Starting point is 00:35:29 It's important to take it seriously because you don't want to be at a 10. You bring up an extremely good point. Couple of points I want to make here. One is you have to become the CEO of your own health. And what I mean by that is a CEO manages a business by looking at numbers on a daily basis, right? Most people manage their health based on a feeling that they have, symptoms that they
Starting point is 00:35:51 have. They're not looking at numbers. So becoming the CEO of your own health means knowing what are the key KPIs of your health. There's only about 10 of them, skeletal muscle mass being one of them, body fat percentage being another, vitamin D level being another. You've got to keep that dialed in, right? Because the other point I want to make with you is that when your vitamin D level is low like this age and you don't take care of it for 20 to 30 years, that's when the lack
Starting point is 00:36:18 of vitamin D leads to the higher risk of Alzheimer's, leads to the higher risk of heart attack, leads to the higher risk of Alzheimer's, least the higher risk of heart attack, least the higher risk of hormone problems. It all started 20 to 30 years before when you barely felt it. You see what I mean? So looking at those numbers, 20 to 30 years ahead of becoming sick is the key to becoming seat you over your own health
Starting point is 00:36:38 and then making all those diseases a non-issue, making all the things that people die of a non-issue. Fantastic. Yeah, no, I couldn't agree more. And I'm so glad you made that connection because I think it often when you find it out long term, you then feels like a surprise. Right. But actually it is. And if you're looking at the numbers, and I think we just haven't been trained to look at our health in terms of numbers, like you'd measure your height growing up or you'd measure your weight growing up, but those are such poor indicators of health in and of themselves,
Starting point is 00:37:10 without looking at all of these other metrics that we're talking about here today, whether it's your glucose levels, whether it's your vitamin D levels, magnesium etsytri, you mentioned so many other vitamins and supplements. I just don't think we're trained to know where to look and what to look at.
Starting point is 00:37:24 And therefore we're basing it on, I feel tired today. I feel, and I think this is something I want to mention as well, that the mind and the body are so connected, but I think so often our physical challenges, we think are a mental challenge. So we think we're tired because we're not focused enough or we're not excited enough or we're not motivated enough. We make the physical issue a mental issue, but it isn't. It's purely a physical and I know that because I feel so purposeful and love what I do and
Starting point is 00:37:52 I'm so joyful about it and I'm so excited about it. So if my body's not working to the degree I want it to, I'm very clear that you can have all the mental stuff down, but if you're not taking care of your body, it doesn't just, you can push it a bit further, but that's not gonna get you up the hill. So, you're absolutely right. When your brain starts feeling it, usually your body is in big trouble. That's when you start feeling it.
Starting point is 00:38:16 So, I think your point about the numbers is so it resonates with me, because that's what happened to me when I became sick. I outsourced my numbers to my primary care doctor and my Conscious medicine doctor and they got my numbers back They looked at them and you know you get these if you've ever seen your blood work sheet Like if something is out of range it turns red otherwise is all black. It's all like a bunch of numbers, right? And so because things were like barely in the red and not moving, they decided
Starting point is 00:38:46 not to even talk to me about them, right? But in reality, things were changing for a long time and going in the wrong direction. And that's because Western medicine can't really do anything about that number until they can prescribe you a pill for it. And that pill only comes when it's a disease time. That's the problem. And I also think people get overwhelmed with the numbers because most people don't know what these numbers mean. So what I really try to do with my patients is give them like 10 numbers.
Starting point is 00:39:14 These are the 10 numbers you need to watch and why. And I think that makes it a lot easier for them. So I give them a spreadsheet, I let them watch their own numbers. And I think it's important for them to watch their own numbers rather than outsourced their health to their physician because they need to know what the optimal range is. Not just a disease range, right?
Starting point is 00:39:31 So let me just give you one more real quick on the glucose. Please. Yeah. It's a really important one. It's a hemoglobin A1C. And you probably heard of this before too. It's a measure of your last three months average of glucose. And you're pre diabetic when this number is 5.7
Starting point is 00:39:49 and you're diabetic when it's 6.5 or above. My number was 5.7 and he just put me on a medication. But five years ago, I had measured this with my doctor and it had gone from 4.7 to 5.0 to 5.2 to 5.3 to 5.4 and no one said anything to me, you know. And I could have done something about it back then before I had to, now it's an emergency, right. So I think that's another number people should watch nutrition wise is that hemoglobin
Starting point is 00:40:18 A1C number. And I guarantee you, if people call their doctors and ask for their latest blood work result, it's on there. Or it should be. If it's not on there, you have a bigger problem. But it should be on there and you'll see kind of where you're at, you know. This is fantastic, Dr. Schott. Thank you so much. All right. I want to dive into, let's do exercise next. Wow. You brought that up. I want to dive into it. And if there's any, every time when you want to go back or share something, feel free. Okay. This is all about giving the most value to everyone
Starting point is 00:40:45 who's listening, watching. Right. When we talk about exercise, I think everyone's kind of always known they need to exercise. One of the things I love before we start talking about the technicality of it, you talk a lot about the need for social exercising, which I love that because recently, I've been playing so much pickleball with friends.
Starting point is 00:41:05 I don't know if you've been playing as well. I got to play pickleball with you. I love pickleball. And it's just it is like I have played at this point today. I don't know playing today. I played the last five days. I made a row every day. I probably played for an average of two hours a day on average.
Starting point is 00:41:22 Some days with three, some days with one. And it is such an easy workout because you're just running around, you're sweating, you have a good time with friends, you're outdoors. And I've made it a priority in my life that all of my friendships this year, we're going to do something active together. So instead of getting together and sitting down and eating dinner, even though I love doing that, where are you going gonna go on a hike instead? Or we're gonna go on a walk.
Starting point is 00:41:46 And if I don't feel like going on a hike or a walk, then at least we're just gonna do something active, whether it be an escape room, so that we're moving around, or if it is that I have enough energy to play pickleball, we're doing that. The idea is how can every friendship be based on fitness? That is also fun.
Starting point is 00:42:02 Rather than friendship, which is based on us sitting on a couch, watching Rather than friendship, which is based on us sitting on a couch watching a movie together, which by the way I still do as well, but that can't be the primary way to hang out. turns out to be someone else entirely. And in a world where everyone is trying to fix themselves, fix their minds, fix their bodies, what does it look like when we settle into the reality of what it might mean to be unfixed? And what if you were kidnapped by your own grandparents
Starting point is 00:42:36 and left with an endless well of mysteries about yourself and those around you? These are just a few extraordinary puzzles will be exploring in our ninth season of Family Secrets. With over 32 million downloads and nearly 100 unique stories in our feed, we continue to be in awe of our guests, whose stories of courage and tenacity about breaking through the walls of secrecy never fail to amaze. I hope you'll join me and my astonishing guests for this new season of Family Secrets.
Starting point is 00:43:06 On the iHeart Radio app, Apple Podcasts, or wherever you'll get your podcasts. Welcome to the Overcomfort Podcast with Jenna Calopes. Yup, that's me. You may know my late mom, Jenny Rivera, my queen. She's been my guiding light as I bring you a new season of Overcomfort Podcast. This season, I'll continue to discover and encourage you and me to get out of our comfort zones
Starting point is 00:43:28 and choose our calling. Join me as I dive into conversations that will inspire you, challenge you, and bring you healing. We're on this journey together. I'm opening up about my life and telling my story in my own words. Yes, you'll hear it from me first before the Cheezman lands on your social media food. If you thought you knew everything, guess again. So I took another test with ancestry and it told me a lot about who I am and it led me to my biological father and everyone here, my friends laugh but I'm Puerto Rican! Listen to the Overcome for Podcasts with Jenna Calopas as part of Michael Duran Podcasts Network available on the iHeartRadio app Apple Podcast or wherever you get your podcast.
Starting point is 00:44:13 Something about Mary Poppins? Something about Mary Poppins. Exactly. Oh man, this is fun. I'm AJ Jacobs and I am an author and a journalist and I tend to get obsessed with stuff. And my current obsession is puzzles. And that has given birth to my new podcast, The Puzzler, Dressing. Dressing.
Starting point is 00:44:34 Oh, French dressing. Exactly. That's good. That's good. We are living in the golden age of puzzles. And now you can get your daily puzzle nuggets delivered straight to your ears for 10 minutes or less. Every day on the puzzler, short and sweet. I thought to myself, I bet I know what this is.
Starting point is 00:44:57 And now I definitely know what this is. This is so weird. This is fun. Let's try this one. Listen to the puzzler every day on the I heart radio app, Apple podcasts, or wherever you get your podcasts. That's awful. And I should have seen it coming. Such an incredibly good point. And I just spend the last week in Ohio with the with some of my friends. And literally like we would not sit down until we all hit 10,000 steps for the day. And Pickleball was part of it, hiking was part of it.
Starting point is 00:45:33 And the old adage is so true. You become the average of the eight people you surround yourself with. And so the eight people you're friends with, like my community of friends, we work out together. That is our social activity, and it's so much fun. We find different things to do. You know, we're lucky. We live in the hills, and we can hike together. We can go to these really fun gyms together. But it makes exercise, not exercise. I think what happens and why people don't get enough exercise is because exercise
Starting point is 00:46:03 is literally like going to the gym by yourself, and it's not inspiring a lot of times when you go to the gym, especially if you don't have a trainer, you know. And social exercise for me was the cure to not getting enough movement in my day. Absolutely. Yeah, it's huge. Tell us about, let's talk about what type of movement is needed,
Starting point is 00:46:23 because I think again, we have so many preconceived notions. Exercise in someone's head could be like weightlifting. That's what it looks like. Exercise could be doing a high intensity workout at a gym. Exercise could mean a sport. What movement do we actually need to genuinely be healthy in a real way? Because you could be doing any or none of these things
Starting point is 00:46:45 and you could or could not be healthy. So what is that? What do we actually need? What do our bodies need? I love this question because it's counterintuitive. Okay, so people are always like, what do I need to do? Go to the gym.
Starting point is 00:46:56 How many sets and reps and minutes on the treadmill? Do I need? And I tell them, wait, once again, Prado principle, all you have to do is move all day long. So set in Terry behavior, which means sitting for more than an hour at a time for eight hours a day, is literally what's killing most of us right now. And so what happens is most people have an eight hour job,
Starting point is 00:47:19 right? Out of that eight hour job, they'll sit for two hours, maybe get up to go to the bathroom, sit down for two or three hours again, have lunch with their sitting. So just sitting for long periods of time, increases your rate of mortality exponentially. So for every 10% additional time you spend sitting,
Starting point is 00:47:37 you have an increase of 10% in your all cause mortality. And it's like linear. Wait, sit that again? Yeah, for every 10% of time that you spend sitting over a baseline, you have a 10% increase in all cause mortality. That's crazy. Yeah, it's crazy how much sitting or just moving changes the entire equation. So once you go from being sedentary to not sedentary, your rate of death from heart attacks, from Alzheimer's and dementia, from stroke, from anything goes down exponentially. So what I tell people is no matter what, every 45 minutes you can take an exercise snack and this has been proven in
Starting point is 00:48:16 research as well. Every 45 minutes spend 10 minutes getting up and walking around a little bit. And if you do that, you've broken the cycle of sedentary behavior completely. So what I do is I have my patients by like a little egg timer, like a little metal, it looks like an egg, and we just set it to 45, put it down, and when it rings, you get up, walk around. And guess what, that's the same amount of time needed
Starting point is 00:48:41 to break the strain on your eyes, to break the stress cycle as well. So it's a really good idea to take these exercise snacks when you're at home. I'm sorry, when you're at work, but then also when you're at home, people sit down and watch TV for two hours. So what happens again, so that step one is don't be sedentary. Even athletes, there's so many athletes that are sedentary during the day, like or during the evening, that they're affected by this as well.
Starting point is 00:49:06 So focus on that first, don't be sedentary. Then step two on exercise is now, what kind of activity can we put in to really start like moving the needle with how exercise can improve your longevity and health span? So do you want me to talk about that a little bit too? Yeah, before you dive into that, there's something that I'm really glad to hear that
Starting point is 00:49:24 because one thing I've been recommending to a lot of my corporate clients is I don't know who invented 30 minute and 60 minute meetings. I just don't know where that came from. We just invent these things where they have to be that long. And I've started saying to so many of my clients who are living like I don't live a meeting to meeting life anymore.
Starting point is 00:49:44 So I get a lot of movement. I'll stand up, I walk over there, I'll walk back, I'll walk next door, I'll jump in a car, we'll walk to the meeting. So I thankfully have a lot of movement in my day, but when I used to work in the corporate world, I used to always tell everyone, have a 55 minute meeting or have a 25 minute meeting.
Starting point is 00:50:00 That then gives you an extra five minutes to stand up, to walk, to get hydrated, to look out of a window or maybe get some fresh air, and then to look out into the distance so that you're not constantly short-sighted. I feel today we're constantly looking at our phone and our laptop and on iPad and we're becoming more and more short-sighted, and that's why it kind of feels like our mind can feel a bit crowded and clouded. And to me, just going outside and looking out into the distance, maybe spotting a bird,
Starting point is 00:50:28 a cloud, a distant building, it just opens up the mind a little bit. And I feel like just shifting it from having five minutes off every hour, which isn't going to negatively impact a meeting. You're not going to achieve anything more in that extra five minutes. And same with if you took 15 minutes off a meeting, maybe a meeting shifted to being 45, not an hour, I think you'd achieve so much more in the meeting too because now you have less time. And so I just think there's so much there and I just want to give people more value on
Starting point is 00:50:56 that. That it's so easy and practical to implement some of this. And a lot of it's just breaking these old rules that have just lost it for far too long. Yeah, I'm so true. And you must have talked to Google about this because on Google Calendar, you can program 25-minute meetings. Do you know that? Or I didn't know that. Yeah, or 55-minute meetings. So every meeting is automatically like cut short by five or 10 minutes. Oh, I didn't know that. Yeah. And then what I tell people to do too is switch from a regular Zoom account to the Free Zoom account because it kicks you off in 40 minutes. That's not it.
Starting point is 00:51:27 It's like, sorry guys, I gotta go, but I'm running out of time here. Yeah, you might look cheap, but you'll save your health. Yeah. But on that one more double click on that point too, is that if you do have a life where you have to spend a lot of time at your desk on the computer on meetings,
Starting point is 00:51:41 really consider getting a treadmill desk or a walking desk. That's been a game changer for me too. I'll get 25, 30,000 steps in after three hours of meetings. It's pretty incredible amount of steps. That's amazing. All right, so go to number two. Okay, so number two, I was think the most important thing that you can first start doing in an exercise routine is strength training, especially after the age of 40. Muscle breakdown is a root of all physical problems and frailty as we age. And so really getting into a good strength training routine is key.
Starting point is 00:52:15 And then secondly, you want to work on your cardio, right? And cardio really, and you think about it in two prongs. There's anaerobic and aerobic. And anaerobic is basically, you know, working really hard. And then you have the aerobic where you're not working as hard and you're utilizing oxygen to make energy. So the way you do your anaerobic, I like using head exercises, there's anaerobic training protocols, sports, I get sports, right? Exactly. We're working really hard. You don't have to do a lot of that every week, but you do need to get some of that in every every week. And then I really like what Peter Atio says about zone two aerobic exercise,
Starting point is 00:52:51 like getting 30 to 45 minutes a day into start every other day or so. I think that's important. But look, it's so hard for people to fit all this into their life, right? So you got to make it as easy as possible. So there's like these seven minute routine apps that you can do, which are fantastic. Getting a set of barbells and putting them in your closet or your bedroom. So every time you go there, you do 15, 20, like Arnold presses or something. Even that, as long as it's consistent
Starting point is 00:53:18 and done in a daily basis for busy people, it's gonna be extremely helpful. I think a lot of people think like, it's either go to the gym for an hour, three to four days a week, or just give up completely. Yeah. And nothing can be farther from the truth, right?
Starting point is 00:53:31 Yeah, and you're saying literally having something at your office desk, having something in your bedroom, just that little bit of addition to your already busy life is going to make a difference. And we need to stop having this glorified view of going to the gym and having the perfect workout routine. Right. How do we get, how have you found people get rid of that perfectionist mentality when it
Starting point is 00:53:52 comes to health? Because I feel like we also have it with food, we have it, we're on, we talked about nutrition, we have it with exercise where it's like, I'm going to eat really healthy or I'm going to eat really bad. Like if I had a pizza too many days in a row, I might as well just carry on eating pizza because oh, it's not gonna matter that I had vegetables for one day, although you would argue it does matter.
Starting point is 00:54:11 And that one day of breaking the cycle is probably useful. How have you worked with clients on that mental aspect of it? Because that's obviously what I focus on in my work so much. I'd love to hear about it from yours. Yeah, you know, there's a lot of science around habit
Starting point is 00:54:25 building and routine building. Atomic Habits is a great book that I read. There's a couple others that I really like. It is this kind of like this reward and cycle that you reward yourself over. You have to consistently reward yourself on a daily basis for doing the right things and then not punish yourself for doing the wrong things.
Starting point is 00:54:43 And so I think there's a lot of psychology around that. It's honestly, it's really hard. I mean, we find it hard for ourselves too, right? But I really believe in having a positive attitude about it. I think if you come at it with positivity and say, you know what, it's fine, I messed up, but I'm gonna do it. And you just positive about it. That in itself is a psychological barrier broken into
Starting point is 00:55:07 starting today as a first day of your life to start building new habits again. Absolutely, right? Absolutely. Yeah. It's, I think, I can't remember who said it, but I've heard the rock say it plenty of times. He's like, it's either one day or day one. Right? And you know it's quite that, right? It's a mindset. Like, it's either one day, we'll get through it one day, I'll do it one day, or it's like, no, today's day one. Like, it's either one day, we'll get through it one day, I'll do it one day, or it's like, no, today's day one. This is the day that I'm gonna solve it and start it. And I think that's that positive mindset you're speaking.
Starting point is 00:55:32 Yeah, exactly. Was there a point through and exercise that you wanted to make? I'm sure there's a point seven, but. Yeah, there's another one you wanted to kind of. We should probably stop there on exercises. There's absolutely more you can do. As you get older, your audience spans all ages and everyone. As you get older, you really want to look at stability and balance.
Starting point is 00:55:52 So I try to do stability and balance exercises on a daily basis as well. Things like standing on one foot, believe it or not. Yeah, just things like that. As we get older, we lose that. And if you're not training it, especially after the age of 50, you're gonna keep losing it. And then the number one killer of older people is becoming frail, falling,
Starting point is 00:56:13 cause they lose their balance and breaking a hip or a bone. That's what usually takes out most older people. And so you can avoid that by incorporating some stability balance routines in your life. I really appreciate you also looking at it from the perspective of like, let's stop there because I think so often people listen to podcasts or read books and there's just so much information
Starting point is 00:56:34 and then that makes us go our add-on-a-weta start. And so I love the fact that you're like, well, wait a minute, let's just, there's a step one, there's a stage two. I love that very curriculum systematic based approach to mastering our health, rather than starting on point number seven and then figuring it out. And like what I do with my patients is like we're having this conversation about everything,
Starting point is 00:56:54 but I'll only give them one thing to do, right? And like we'll change two or three things and then you come back and we'll do the next thing and then the next thing. So let's not worry about how much protein you have in your diet until you clean out your pantry and get rid of all the crap in your pantry. Let's do that first and then let's talk again next week.
Starting point is 00:57:12 And so we take you to this stepwise approach. But if whoever's listening to this, you know, if you're taking notes, don't try to implement all of it at the same time. You're going to get overwhelmed and quit. Yeah, absolutely. Absolutely. All right, let's talk about sleep. Mm-hmm. So I've generally been a good sleep of my whole life
Starting point is 00:57:28 and very grateful for that. How do you know? By measuring. As you know, I was going to say, yeah, by measuring. Not by how I feel. By measuring. I wanted to talk about an experience that I had that was bad, which was surprising for me.
Starting point is 00:57:40 So I was wearing the aurora ring for a long time measuring my sleep, and I was scoring really well and then during the pandemic we moved home and we were renting a place that was Really disruptive at night We'd get real animals and the floorboards in the walls There was lots of noises outside I often because of where we were and there were certain things about it that I was worried that what if someone broke in and you know there were these other anxieties that I had around it.
Starting point is 00:58:13 And it was the first time in my life that I think I consecutively had one and a half years of bad sleep during the pandemic. And it was really interesting because I was doing my supplements, I was eating right, I've always meditated, I was doing everything and just this one undercurrent, when I was fatigued, I was exhausted, I was irritable, it was so intense because I just wasn't sleeping deeply
Starting point is 00:58:38 and I'd often wake up multiple times per night and that wasn't normal for me. And I also was running the ororing at that time and it was, my sleep score was just not great. And that was actually what forced me to move to this place and get this home because I was just like, I was telling Rady, I was like, I need to leave. Like it was that bad.
Starting point is 00:58:56 And so I know what it feels like to have good sleep and bad sleep. And I think that sleep is one of those areas of our health that we underestimate in terms of how great it can be. But I think so many of us struggle with sleep, whether it be anxiety, whether it be insomnia, whether it be stress. And so I want to start off by talking about tracking your sleep and improving the environment that we sleep in, at least as a starting point.
Starting point is 00:59:24 But I do want to get to two and three with you today on your list because I do think there are people who are trying to do all that stuff, but there's still something not clicking, and I'm sure you've experienced this a million times a client. So let's start at step one and then see where we go from there. Right, so I agree with you. Like tracking is a game changer, but I can also tell you that I've had a lot of patients that get super anxious Tracking and they live and die by those numbers, right? So if you're one of those people that the Overtracking of sleep kind of changes your day and changes your perspective on your day only use tracking for a very
Starting point is 00:59:59 Specified amount of time use it for when you are very mindfully Changing your sleep habits and your routines. And then stop worrying it once you got your sleep score up to a score that you like, right? I personally, I like tracking my sleep all the time. I'm just a real data guy. So I like to see it. But when I go on vacation now, I don't wear my aura ring because I know that the sleep's not going to be as good sometimes, right? So, you know, I use it for when I'm being mindful about trying to get better sleep. Or if something's changed, right? So, you know, I use it for when I'm being mindful about trying to get better sleep,
Starting point is 01:00:26 or if something's changed, like I noticed, I had COVID, and right after COVID, I had long COVID, and my heart rate was racing for months. Oh, I'm sorry, yeah. It was horrible, and it really affected my sleep, but my aura ring told me that this is what's happening, this is why you're not sleeping while your heart rate is racing. So I think the benefit of sleep tracking is really understanding,
Starting point is 01:00:49 is not just the number of hours you're sleeping. It's really the sleep pattern and educating yourself on that sleep pattern. aura does a good job, whoop does a good job. The eight sleep mattress has a phenomenal tracker. eight sleep is great. It's great. I love it. Yeah. And understanding how much deep sleep you need, where that deep sleep needs to be in your sleep night, and understanding things like heart rate variability, and an average heart rate at night, is a game changer, right?
Starting point is 01:01:16 While you're modifying your sleep environment and you're routine. So once we get that in place, then the second thing we do is we absolutely make sure the person doesn't have sleep apnea. All right. So for those of you who don't know sleep apnea, that's when you stop breathing in night, your body physically stops taking an oxygen. You don't have oxygen in your body for a few seconds at a time, but all night long, that affects your brain, your heart, virtually every organ in your body.
Starting point is 01:01:45 So many people have sleep apnea and don't recognize it. And it's really sad because it's causing, basically I tell them, it's causing a slow death, believe it or not. If you have sleep apnea, you have to get it treated right away. There's lots of different ways of treating it. There's dental appliances. There's, you know, the CPAP mask you can wear, there's surgery, but you got to figure it out because no matter what you do, it's not going to go away.
Starting point is 01:02:06 What is the symptom that people could notice? Right. So the symptoms of sleep apnea are number one, you wake up gasping for air in the middle of the night or your significant other you're sleeping with, tells you that. Secondly, you wake up really tired every morning and you have daytime sawmelons or you're just kind of falling asleep a few hours after you've woken up. Even snoring very loudly can indicate sleep apnea as well. So, you know, your spouse whoever tells you snoring really a lot. And then there's a questionnaire you can take online. It's a very simple questionnaire called a stop bang questionnaire, STOP, B-A-N-J. Just google that. And you take the questionnaire, or give you a score, and it'll tell you if you need to be evaluated
Starting point is 01:02:45 for sleep apnea. So being evaluated for sleep apnea analysis, much easier, people use a dread going to a sleep lab and getting all the wires put on them. Now you just wear like a little device on your finger overnight at home, and we can get a good idea if you have sleep apnea or not. Wow.
Starting point is 01:03:00 And the sleep doctors are very good at treating this now as well. Wow. And you're saying there's different types of therapy or there's different types of treatments for sleep. I'm sorry, a treatment. Yeah, yeah. There's stuff you can get from your dentist, like a little dental appliance that pulls your jaw forward. There's a CPAP mask.
Starting point is 01:03:17 There's also surgeries that you can do as well. Losing weight, special pillows, propping your bed. There's lots of things you can do. Wow, okay, yeah, I can't believe that. It's so fascinating, right? Again, because these things haven't been measured since we were young, and because we don't know what to look out for, you could be sitting there
Starting point is 01:03:33 for months or years going, why do I wake up feeling like this? Maybe I'm anxious, maybe I'm stressed, and that could be a part of it, but there's something else going on as well. Yeah, I can tell you how many people that I simply asked a few questions I just asked you else going on as well. Yeah, I can tell you how many people that I simply asked the few questions I just asked you.
Starting point is 01:03:48 And they're like, yeah, I have that. I have that. It's like a revelation. And they're 55 years old. And they have sleep apnea. They've had it for 25 years. So it's really sad how underdiagnositis and how incredibly treatable it is.
Starting point is 01:03:59 And I could change the trajectory of your life, you know, because once you treat sleep apnea, your metabolism actually gets under control and you start losing weight. You start having less glucose spikes. You start eating better. You feel less brain fog. And then you also prevent sleep apnea
Starting point is 01:04:18 as one of the main risk factors for Alzheimer's disease. So you prevent Alzheimer's too. So once again, it's knowing early and treating things early. What if someone's, they're okay just about getting to sleep, but that they wake up multiple times when they're sleeping? What have you found to be useful for someone in that scenario of you who had treated work to anyone who has that? I've just met so many more people these days
Starting point is 01:04:41 that not telling me they can't sleep, they're saying I can sleep, but then I'm waking up and then waking up. And these aren't people with kids or anything. So this is like, you know, it's just how they're feeling. Three main reasons for it. I normally see one is nocturia where they have to get up in the morning and they go to the bathroom. And so there's medications and exercises you can do to treat that.
Starting point is 01:04:59 The second reason is going to bed with anxiety and stresses on your mind. So what I tell people to do is number one, no electronics, and maybe even no TV before going to bed because that can keep you thinking. But keep a notebook by the side of your bed. If you're one of these busy people that you have so many things going through your head, write them all down. And then you'll at least, you know, download that onto a piece of paper and hopefully get it out of your head. But the third thing that I find that really does this too is eating or drinking a little bit too
Starting point is 01:05:30 close to your sleep. You have this kind of glucose surge that happens after you get to bed and it just wakes you up. So really making sure there's three to four hours between your last meal and going going to bed is key. Yeah, and I'm so glad you brought up the devices and conversation because I was talking to a lot of people when people have been saying to me, Jeremy, experiencing anxiety, one question that I often ask people is, what did you watch last night? And there are some people in the world who can watch the craziest, scariest, eeriest things and not feel anything. And there are people who watch those things and it puts these cliffhanger chemicals
Starting point is 01:06:08 as I like to pull them into your body, which constantly puts you on that cliffhanger, which keeps you up that makes you wake up with this state of fright. I was just, we went to watch Oppenheimer a couple of weeks ago and we were watching the trailers and the exorcist trailer came out. There's another exorcist. Oh my God.
Starting point is 01:06:25 And rather you just sat there like this, if you're not, if you're watching, sorry, if you're listening, then I'm closing my eyes and my ears. And rather you literally sat there like that, big, and she was like, just tell me when it's done, because she doesn't want to watch it. And that trailer was far too long for a trailer.
Starting point is 01:06:39 I felt like, it told me that all movies are on the list of trailers. Oh no. So for Rade, she knows that she's aware of that and so she won't watch and it consume content like that. I can watch it and laugh it off and be fine and it won't affect me unless I'm watching it every day. And I think it's so important that we we check ourselves that way because you're just making it harder for yourself in a way you don't need to.
Starting point is 01:06:59 Right, absolutely. I'm one of those people I can't watch horror movies anymore. It just affects me way too. I just digs in my head. I actually become a scaredy cat at night and I can't sleep. Yeah. So I just don't even entertain the thought of watching. Like even a trailer. I'd probably close my eyes with that trailer. That trailer was haunted.
Starting point is 01:07:14 That was like, do not watch the new X-Strela. If you want to sleep and that, down in light, it's dated me for a while. So fun. No, that's great. Anything else on sleep that you feel as that one, two, three is what going in with. Yeah, so number one is sleep apnea.
Starting point is 01:07:29 Make sure you don't have it. As you're tracking your sleep, two and three are fixture sleep environment and fixture sleep routine. So your sleep environment needs to be like our ancestors slept when they were cavemen, a cold, dark cave, right? So turn the temperature down in your room. It's even better than turning it down in your room
Starting point is 01:07:47 as buying like an eight sleep or something that keeps your bed cool itself, but it should be somewhere around 65 degrees. Dark, like totally dark, like even the little red lights and alarm clock cover them with black electrical tape and put them in a different room, and then quiet.
Starting point is 01:08:02 And most people can't get it fully quiet, or some people like the quiet even becomes, like it becomes noise to them. So a sound machine, like a white noise machine, is very, very effective in improving your sleep. And what's really cool about doing these things is you can do like one thing and see how it affects your sleep score.
Starting point is 01:08:21 And then a week later, buy a white noise machine and see what happens to your sleep score. Like you might not feel it physically the next day, but your tracker will tell you, you went up from 85 to 95 just by buying a white noise machine. And I've seen it happen over and over again. So your sleep routine, what I like to tell people is your sleep routine actually starts the moment you wake up. And there's probably like only 3% of people that the moment they wake up, they actually go outside to expose themselves to sun. Right? Most people just, they go from being inside to going in their garage, getting in their car, going to work, parking in the garage. Right? Like no one goes outside anymore in the morning. I make it a point to take me and my kids outside first thing in the morning, expose yourself to sunlight. That sets your circadian rhythm.
Starting point is 01:09:06 Your melatonin is going to start secreting like 14 hours afterwards. That's key. Sleep routine starts first thing in the morning. And then, you know, how the iPhone now has like a sleep alarm, right? So like, it's not an alarm clock to wake you up. It's one you need to start preparing for sleep. So when that alarm goes off, two hours before sleep, all the lights turn off as much as possible, switch on some soft orange colored bulbs instead,
Starting point is 01:09:29 and just start winding down your brain. Big part of that is avoiding electronic devices. Absolutely. Yeah, great advice. No, great, great advice. And all things that I've been practicing, I used to worry about sleeping at 65 degrees, because I think it would feel cold.
Starting point is 01:09:44 And what I always remind people is, you still have your dovet, you still have your blanket over you. Like, you don't have to be cold. You can still wear pajamas, right? Like, it's just cooler in the room. And that's been done wonders for my sleep, even for sleeping in longer,
Starting point is 01:10:00 and being more comfortable. The cave like darkness has always been a big win for me and huge. And I think that the, we've always tried to have very early dinners and that's been such a huge thing of like, we try and eat dinner like 6, 6, 30 PM, just so that when you're embedded in 9.30
Starting point is 01:10:17 that it's easier to go to sleep. But all the things we've had to work on over time and adjust and figure out, and it's not always perfect and you know it's yeah Listen to comeback stories. I'm Darren Waller. You may know me best as a tie-in for the New York Giants You may also know me for my story of overcoming addiction and alcoholism You may have heard a few of my tracks as an artist or a producer and you may have seen the work that I've done
Starting point is 01:10:49 through my foundation and you may know my friend and co-host Donny Starkens as well. He's a mindfulness teacher, a yoga instructor, a life coach, a man fully invested in seeing people reach their fullest potential. And we've come to form this platform of comeback stories to really highlight not only our own adversity but adversity in the lives of well-known guests with amazing stories. Catch us every week on comeback stories, on the iHeartRadio app, Apple podcasts, or wherever you get your podcasts. Radio app, Apple podcasts, or wherever you get your podcasts. Craig Ferguson, the grandmaster of the architect of wisdom, Maharishi of Murth goes in search of joy. I'm here to help. You'll be speaking with actors,
Starting point is 01:11:36 doctors, comedians, and scientists, artists, and athletes, and people of faith in search of extreme happiness. United States of America are cram champions of the world. At last, a podcast on a mission, a podcast that wonders what is joy. Is it love, religion, drugs, success, money, revenge? Is it a surge of chemicals or a deeper awakening? Can it be nurtured, cultivated and refined? Find out, as Craig Ferguson explores the countless ways people find joy. The celebrations that dances the science, poetry, laughter, and music of joy.
Starting point is 01:12:13 Don't miss it! Joy! With Craig Ferguson! Here it is! On the I-Hart Radio App, Apple Podcasts or wherever you get your podcasts. Apple podcasts or wherever you get your podcasts. And part of like the eating dinner earlier thing too is our caveman ancestor did an eat after it became dark right. And so it's really food is another item that sets your circadian clock almost as much as light does as well. So that's that's a key factor eating earlier. But yeah, it's all little things and one at a time and you know, you're not going to change everything overnight. It might take a year, but it benefits you for the next 50. Yeah, absolutely. Absolutely. I want to dive into. So there's a few areas left. And I want to take bits and pieces of all of them. I don't want to do all of
Starting point is 01:12:56 them. But I want to dive into gut health just because it's so I didn't realize for years I was having gut issues because I just didn't know what they even meant. I didn't realize for years I was having gut issues because I just didn't know what they even meant I didn't know how to know I think today now people are much more informed I'm talking about like 10, 13, 15 years ago when I didn't feel it was in the site guys to the conversation as much How can someone be conscious and aware if they're not already that they may have leaky gut that they may have aware if they're not already that they may have leaky gut that they may have gut issues that they're not fully conscious or aware of or they're being negligent. I was one of those people who even if there was some discomfort, I would just write it off because you're young and you're fit and you're healthy and you don't care about it too much. What should people be looking out for? Yeah, no,
Starting point is 01:13:38 that's a really good point. And once again, you know, by the time you become symptomatic from some of this stuff, a lot of damage has already been done for a long period of time, right? And so what I look at here is another one of those biomarkers, one of those CO of your own health type of things, which is a biomarker called HSCRP, highly sensitive, C reactive protein. This is a marker of inflammation. It's a very simple test that every doctor
Starting point is 01:14:06 lab can do. We've been doing it for like 50, 60 years in medicine, but it's a marker of inflammation. You want this number as close as zero as possible, but a lot of times it'll go up to one, two, three, or four. And usually that comes from some sort of situation going on your gut. So your gut is the biggest organ in your body, protecting you from the outside environment. Most people think it's your skin, but your gut actually has four or five times a surface area of your skin does. And so when that barrier to the outside environment is disrupted, toxins from the outside environment filter into your bloodstream, causing inflammation. Inflammation is when your immune system is overactive and you not only destroy the toxins,
Starting point is 01:14:46 but you start destroying your normal brain, heart, muscle, bone cells, all of it. So you need to know when you have inflammation going on in your body, the first way to tell is by this blood test. And then probably after that blood test has been elevated for months and years, is you finally start feeling it in your gut. So if you get this measured and you have this a little bit too high, then you start looking at your gut as a primary source. Secondary source would be your oral health, believe it or not.
Starting point is 01:15:14 Yeah, I talked about that. That was good for it. Yeah, there's a huge association between poor oral health, dementia, and heart attacks as well. And that's because a lot of inflammation takes place in your mouth if you have cavities, if you have gingivitis, et cetera. So, if your inflammation levels are high,
Starting point is 01:15:33 you need to go see the dentist, make sure your oral health is okay, but then you need to start treating your gut. Here's where a functional medicine doctor can be extremely helpful, because they can really sort through like what is going on with your gut? Do you have leaky gut? Why do you have leaky gut? You know, 10% of the
Starting point is 01:15:50 population has gluten sensitivities, 7% is dairy sensitive, or probably even more. These are just estimates. And once you start eliminating those inflammatory foods, the toxins in your food from your diet, your gut starts to heal and we can put you on a gut healing protocol, reduces inflammation and inflammation is a root cause of all the major diseases. Once you treat inflammation, your chance of getting all the other diseases are much less, right? So you've got to focus on your gut. And so this is where, you know, I tell my patients, like, look, it's not just about
Starting point is 01:16:23 sleep, exercise, and diet. Now we need to start talking about gut health. Like, that's another thing we need to talk about. And so, HSCRP is the biomarker for that. Measure that. And then, of course, if you're having symptoms, bloating, diarrhea, constipation, definitely need to go get that checked out. Yeah, it can be so easy to just kind of feel embarrassed about it, or be negligent of it, or to just kind of brush it off to the side. But I can't tell you the number of like men and women that I see that are like, don't want to talk about it because they're just like, you know, like I have a lot of gas.
Starting point is 01:16:56 Yeah. There's someone embarrassed about it. But it's like, less double click on that. We need to figure that out, right? Yeah. And it's just, it's almost like, it's weird what we've been taught to be ashamed of in society when these are like really normal, natural things that we all need to be massively aware of.
Starting point is 01:17:14 It's interesting how the most important things in society become the most taboo to talk about. You know, we're talking about health right now, money's another one in a different way, or like even like relationship challenges, or things that are vulnerable have become this thing of like don't talk about it. It's weird. It's sad, right? Yeah, it's really sad.
Starting point is 01:17:31 Yeah, it's really sad, like so. Well, hopefully, I mean, stuff like this podcast, you bring it to light, people start talking about it and bringing it more into mainstream conversation is so important. Yeah, I think that's what's needed. I mean, I know for a long time, like, I didn't know who to talk to about things because you just don't hear it. Right. And I think when people are talking to their doctors, also having physicians who we feel
Starting point is 01:17:53 understand this language. And that's what I think with you saying that we need to become the CEO of our own health. I think we've always wanted to outsource it to a doctor or to a healthcare professional whatever it may be. And the truth is, no one's gonna care about it as much as you. Absolutely. And so it has to start there.
Starting point is 01:18:09 So I wanna focus on this one because it's so interesting. So you obviously talk about heart health as one part of your wellness wheel. And it fascinates me because even when I've seen it on your wellness wheel a million times when I've been in, and when we know how important the heart is, me because even when I've seen it on your wellness wheel a million times when I've been in and when we know how important the heart is, we rarely talk about heart health. And if we do, we kind of do it in a soft way. We don't really talk about it from a scientific point of view. And you talk
Starting point is 01:18:37 about how important it is to know our levels at 25 years old. Is it APOAPOB? Yep, it will be, right? Yeah, so walk us through that and understanding what that is, what it means and how do we know? Right, exactly. So I think everyone's heard about like watching a cholesterol levels, right? Okay, so right now what happens is
Starting point is 01:18:58 you get your cholesterol levels measured sometimes in your 30s, if you're lucky, and you usually doctorate to your 40. And unless it's like over a really high number, no one's really gonna do anything about it. And then people will start talking to you about your diet and managing your exercise, exercise more, eat better, eat less fat, eat less cholesterol.
Starting point is 01:19:18 Then you just kinda let it go until all of a sudden it's an emergency for you to get on a stand. You know, and I think it's kind of 10, 15, 20 years too late at that point in time, right? The damage has already been done. If you do cardiac testing, you'll see that there's already blockages and blood vessels at that point in time. And most of the time these are not diagnosed until people have their first heart attack.
Starting point is 01:19:43 No one even looks at the blood vessels until you've had a heart attack. And it's really sad the way this whole thing goes. And it's especially sad because heart attacks and strokes can become like an orphan disease, like a disease that never affects us if we just do it right. And this is where I think medicine has made like a tremendous incredible amount of knowledge has been gained. And this is where I try to really encourage my patients to really partner with their medical doctors
Starting point is 01:20:11 and really get this treated. So when I say know your APOB level, I love APOB. It's a new type of cholesterol measurement. It kind of lumps together all the bad forms of cholesterol, which I even hate saying bad cholesterol, but it lumps that together, the dangerous forms, and knowing what your APOB level is when you're 2025, that's kind of the baseline where you want it to be, right? So as it starts creeping up, you want to start doing things about it with your exercise, diet, sleep, gut health, all of that matters. But then when it gets to a certain level, that's a little bit too high. That's when you want to start doing cardiac testing and diagnosis. So this really great test that can be done now, cat scans of your heart that can tell you 20, 30 years ahead of time
Starting point is 01:20:54 before you have a heart attack, if you have a blockage. And we have great therapeutics now to turn back the time on these blockages to get rid of these blockages to prevent you from having a heart attack. I can't tell you the number of patients that we've had in our clinics that we've done the scan on preventatively and how many of them actually had to go straight to the emergency room to get a blood vessel opened up. Double clicking on this just because I think it's really important for your audience to know. APOB and there's another one. Everyone needs to get measured when they're young is LP little A or even younger old. If you've never had it done, got to measure LP little A. LP little A is a genetic form
Starting point is 01:21:32 of cholesterol that can't be treated with diet, nutrition and exercise or cholesterol lowering medication, traditional ones. And if you're one of the few percentage of people that have it you'll still get Massive blockages in your arteries at a very young age So most people don't check that until as too late as well and we can treat that now as well So I'll be a little a and April B two tests everyone need to ask their doctor about that's fantastic I'm so glad you're like giving us a vocabulary of knowing what to check because I think otherwise You know, I know I just got to my doctor and be like, well, how healthy is my heart?
Starting point is 01:22:07 And they're gonna be like, you're fine. And I think that's the challenge. We don't really have a vocabulary or we don't know the exact tests and checks that need to happen. And again, I think you've given us so many across the board and I just hope everyone is listening or watching. Please, please, please go and check these things out
Starting point is 01:22:24 because I just want you to live a healthier, longer, happier life and, you know, so much of this could either make it easier or harder. Right. Absolutely. And I think, you know, there's different types of people. Some people like you, like you want to know and you want to know as soon as possible because you want to make sure you get it treated or take care of it before it becomes a big problem.
Starting point is 01:22:45 And so those are the type of people, I think we'll take this information and really run with it. Then there's another type of people that will take this information, bring their notes to their doctor. Some of their doctors say, okay, let's check it. Some will be like, no, you don't need to do that.
Starting point is 01:22:58 And they'll be like, okay, I'll just leave it. Which, you know, it's fine. But I really encourage people to become the CEO of their own health, become more aggressive, and proactive, and learning, and tracking these things, and pushing your doctor on some of this stuff. And then you have a group of people that just like, they want their head in their sand, like, I don't want to know until it's a problem, tell me then, which there's not much you can do about that, except, you know, take care of them.
Starting point is 01:23:20 Yeah, absolutely. Right, absolutely. We've talked about brain health before on the show, but I wanted to talk about cancer. And the reason I want to touch on that, obviously, is because I think the rates are just going up and up and up. I've lost two people in the last four years, three people in my entire life, people that I'm like very close to, this does not include your auntie, your mom's friend, like, you know, not even just like looking around the whole space, but like people that I'm directly close to and all from different causes, all from different reasons, it's something that I think, you know, that we all have a fear around because you just hear it
Starting point is 01:23:55 so often and everyone's going through something like, you talk about cancer's biggest enemy is being diagnosed at stage one, but that whenever I've had friends or people I love, we always find out it's stage three or four. So how do we get that? What are you going to do? So cancer diagnostics literally in the last five years has become incredibly revolutionized. And there's two tests that have done this. One is a test called the full body MRI, like the Pernuvo scan, which is what we did when I think, right, exactly, yep, you did the
Starting point is 01:24:29 full body MRI. And that happened because we've always had MRI scanners, but now MRIs are becoming more ubiquitous and cheaper. These are no radiation scans of your entire body and they're getting quicker too. So we can do the whole body in like under an hour. I always say, Steve Jobs, I wanted to be still be alive today, you know? So it's a scan that scans your whole body in like under an hour. I always say, Steve Jobs, I want to these, he'd still be alive today, you know? So it's a scan that scans your whole body for not just tumors, but also other anatomical abnormalities that can kill you like aneurysms in your brain or your aorta.
Starting point is 01:24:55 So I think this a very useful test is controversial because you do find a lot of us called incidentalomas. These are incidentals that you end up chasing down a rabbit hole as far as what is that thing over there. But if you can tolerate a little bit of, you know, having diagnostics done and a little bit of stress while you figure out what those things are, you'll know a lot more about your body in enough time to take care of an issue. So that's one technology. The second technology which is truly revolutionary is the liquid biopsy. This is the gallery, the gallery grale test.
Starting point is 01:25:28 And this is a blood test that you can do. And you just send in a vial blood. They check it for little fragments of DNA from active tumors in your body. Okay. And so it can diagnose 50 of the most hard to diagnose tumors at very early stages. And right now, unfortunately, this test is expensive and not covered by insurance. My feeling is as a technology evolves, it'll become cheaper and cheaper, of course.
Starting point is 01:25:56 And it'll become the new standard in medicine. It's a check everyone for this once a year. Because the reason cancer is so hard to treat is because of being diagnosed with chase three or four when it's sometimes metastatic, right? And then it's almost, you have to go chemo, radiation, surgery, it's so hard. But once you diagnose it as stage one, it's like it's not even had a chance to get there, right?
Starting point is 01:26:19 So this blood test, if you can afford it right now, once a year, I would start doing it for if you can't,, it's going to get cheaper, keep your eye out on it. I think it'll get cheaper really quickly as a lot of technology is becoming right now. It's going to revolutionize the way we diagnose cancer. And then everyone, in addition to those, you can't just do those, each of those detects its own things, right? You've got to get your colonoscopy, do it early, especially if you have a family history of colon cancer.
Starting point is 01:26:46 We had to. Yep, exactly. Yeah. Very important. I was scared for like a week. Yeah, it was like, yeah. Yeah, it is scary, but the nice thing about colonoscopy is not just diagnosing cancer. Like if you go in there and you see a pre-cancer, you can remove it immediately. So it's like treatment as well, right? And then for men, get the PSA test, which is a blood test for your prostate,
Starting point is 01:27:05 for women, make sure you get your mammograms and make sure you get your OBGYN exams. That's kind of like the array of preventative diagnostics you wanna do now in the 21st century to, you know, basically diagnose cancer before it kills you, you know, as soon as possible. And how do we cancercest proof all body? Cancer proofing is done by doing all of the other things
Starting point is 01:27:29 that we talked about today. Getting seven, eight hours of sleep, making sure that your nutrition is comes mostly from whole foods, not processed foods, and exercising and not being sedentary. The other thing is eliminating toxins from your day to day life. And so we can talk
Starting point is 01:27:46 about that a little bit if you like, how to eliminate toxins. So the preta principle on that is realize where do you spend the most time, right? You spend the most time probably at work and sleep in your bed at night. That environment, the air in that environment, you want that to be as clean as possible. So you want to detoxify your air, your water, your food, and chemicals on your skin. So air, by air purifier for each one of those environments, if the air is not perfectly clean, for your water, I recommend getting a undersynch reverse osmosis system in your kitchen, where you get most of your drinking water, drink it out of glass bottles for the most part, and for your food, organic, or go to that website called ewg.org.
Starting point is 01:28:28 And finally, for the cosmetics that you use and the stuff you put on your body, there's a great app called Think Dirty. And you can put any product in there, scan the barcode, it'll tell you the level of toxin and recommend to you the most non-toxic products. You do that, you've covered 80% of the landscape, like you're living in a mostly non-toxic environment. I'm sure there's people that have other things that they do, but that to me are the keys. Yeah, my wife is my thing to, yeah, like she's gonna figure out.
Starting point is 01:28:56 She's like, she's checked every product. She got us to switch to a glass bottle of water. She put the reverse of the system in, like she's just so on top of all this stuff. And I'm like, if I didn't have her in my life, I don't know what I'd be doing right now. And it's incredible how these, and also, you know, when someone recommends these things,
Starting point is 01:29:15 when my wife first came up with this reverse- as most as what I think I was like, come on. Like, do we really need it? Like, you know, and it's interesting, how we have such random resistance to a lot of these things. We kind of overthink it or we underthink it where we just go, oh, well, that can't be that such a big deal.
Starting point is 01:29:30 I think the whole bottled water thing is now blown up when my wife was talking to me about it like four, five years ago. And at the time, it was like, I could have been a bit like, oh, no, it doesn't matter. It's just a plastic water bottle. And now you see the research, right? And so I think it's so interesting how like, if you have someone in your life, your friends, your family,
Starting point is 01:29:49 who are recommending things to you, be open-minded about it. You have no idea when it's finally gonna be proven. And I'm hoping that anyone who's listened to this episode, please, please, please share this episode with friends and family members because I think what Dr. Shaz done beautifully today is, he's laid out step one, step two, and step three.
Starting point is 01:30:07 And so whether you're someone who's just getting started in your journey or whether you're someone who's trying to refine it and improve it and enhance it in a deep way, you know, you've kind of given the pathway for all of those. Well, thank you. And you know, you're right. It's so easy to be skeptical, right? It's hard to be not skeptical and open-minded and do your research and really dive in. But I mean, you do such a good job of, you know, trying to get people to break through that barrier of skepticism,
Starting point is 01:30:31 opening their mind to new possibilities that I think if people were to like just kind of even they pick up one thing and you search it on their own, you're gonna make a positive change, right? I agree. Dr. Shah, you've been incredible today. I mean, you've given us such a wealth of insight. And like I said at the beginning, I want this to be the episode that you come back to to go, if I'm looking at my gut health, what do I need to focus on? If I'm looking at my nutrients, what do I need to focus on? Please, please, please take a screenshot of this episode right now. I want you to make sure that you tag Dr. Shah and I on social media so that he can see
Starting point is 01:31:04 what resonated with you so that I can see what resonated with you. So that I can see, what's that one thing you're trying? What's that thing that is now your day one, not your one day? What is the thing that you're putting into practice that is going to shift how you feel, that is going to shift how you live your life? What is the thing that you've been avoiding measuring, that you're going to measure from now on to make sure that you can start taking the proactive steps in avoiding some of these challenges that you can. Dr. Shaw, I want to ask you the final five, of course, which we do with every guest, but
Starting point is 01:31:32 I want to make sure that I ask where should people find you, where should people follow you, where can people connect with your work to continue to be educated. Yeah, so, you know, I've been doing this course for my patients now for many years and a lot of them want their family and friends to do this But they might be living in different countries. So I recently started putting the entire course on my Instagram page I'm just so at Darshan Shah MD if you go there like it's all kind of an order We're gonna start with nutrition and then move on to sleep and move on to exercise etc And over the course of the year we'll have all the content on there, but in a sequential fashion.
Starting point is 01:32:06 That's fantastic. So Darshan Shah MD on Instagram, right? Is the place to go and follow. We're hoping you're now uploaded to TikTok as well. Yes, yeah. We need Darshan Shah MD on TikTok. I love it. Both of them would be amazing.
Starting point is 01:32:19 Dr. Shah, these are your final five. We ask these to every guest. Sometimes a different mocktail of all of them, but we need one word to one sentence maximum for each question. So question number one, what is the best health advice you've ever received? Get up and start moving.
Starting point is 01:32:36 Nice, all right. Question number two, what is the worst health advice you've ever received? Let your doctor watch your blood markers. All right, well, all right. Question number three, what is something you used to be skeptical about in terms of health and wellness techniques, but now you swear by? Yeah, this whole field of eliminating toxins from your day-to-day environment. I used to think it didn't matter, but it matters so much. Again, yeah, you think,
Starting point is 01:33:02 oh, air purifier, yeah, it's just, yeah. What are they trying to sell me, but it doesn't make a huge difference. Right. Question number four, what is something that you used to swear by for your health and now you actually think, I don't need to focus on that anymore? Intramid and fasting, I know a lot of people
Starting point is 01:33:19 will get upset at that answer, but I think there's a lot of science at the contrary now. Yeah, let's dive into that. Let's segue into that for a second. Yeah, so intermittent fasting is great for people that need to start eating less calories on a day-to-day basis. This is a good way to manage your caloric intake. But like I said earlier, a lot of people end up taking less protein and so they lose skeletal
Starting point is 01:33:43 muscle mass and that's what happened to me. I was intermittent fasting. I started, and my skeletal muscle mass. And that's what happened to me. I was intermittent fasting. I started, and my skeletal muscle mass and my scale started like plummeting. And I was like, what is happening? And it's all because intermittent fasting. So I stopped it. So it's really more about what molecules
Starting point is 01:33:56 you're putting into your body, I think, rather than the timing of it. And I think, you know, you really want to be careful if you are intermittent fasting that you're still getting your protein intake and you are also in the category of people that are either pregnant or breastfeeding or an athlete. I think a lot of athletes actually
Starting point is 01:34:16 cause a lot of damage to their metabolism by intermittent fasting. That's, I mean, I'm not an athlete, but I found that when I was experimenting with it. So I do, I start eating dinner by like 6.30 pm, and I don't eat until the next morning until 9 am. So that's the closest I get to it, but I'm someone who needs to eat three meals a day, and I don't snack a lot.
Starting point is 01:34:35 And so for me, it's like those three meals are my main meals, and I'm very happy with them. So breakfast lunch and dinner. So I eat breakfast at nine, lunch at 12 to one, and then dinner at six. And it's like, for me, that keeps my energy steady. I'm not overeating or under-eating at any point. Like it works for me. And so I've always been interested in that as well
Starting point is 01:34:54 because I've always found myself feel healthier, happier, and stronger when I'm doing that. Yeah, and that's the key. You have to go by how you feel. And I think you said another key, where you don't have to snack during the day. Like you're obviously eating cold foods and eating an adequate quantity,
Starting point is 01:35:10 where you're not having a snack. So that's another key as well. Yeah, absolutely. All right, fifth and final question, Dr. Shaw, which is, if you could create one law that everyone in the world had to follow, what would it be? Get yourself a group of friends that you're so happy and proud to be around that you share common interests in where you want your life to go.
Starting point is 01:35:33 Not just where it's at right now. It's a great answer. Everyone that's Dr. Shah on on purpose, thank you so much for listening and watching. Again, I hope that you take away and practices Dr. Sharp kept saying just one thing from this episode and watch how your life changes. Again, a big thank you, follow Dr. Sharp on Instagram at Darshan Shah MD, on Instagram, and on TikTok, soon to come.
Starting point is 01:35:56 Make sure you do that. And I hope that you stay happy, stay healthy and stay well. Thank you again, Dr. Sharp. Thank you so much. Thank you, Jay. Thank you. If you love this episode, you'll enjoy my interview with Dr. Daniel Aiman on how to change your life by changing your brain.
Starting point is 01:36:12 If we want a healthy mind, it actually starts with a healthy brain. You know, I've had the blessing or the curse to scan over a thousand convicted felons and over a hundred murders and their brains are very damaged. Craig Ferguson goes in search of joy. In talks with actors, doctors, stand-ups, and scientists, everyone. Is it love, religion, drugs, money? Where do you find it? Craig Ferguson, in search of joy, the celebrations, the dances, science, poetry, laughter, and music of joy.
Starting point is 01:36:46 Don't miss it. Joy with Greg Ferguson. Here it is. On the I heart radio app Apple Podcasts or wherever you get your podcasts. I'm here to help. The therapy for Black Girls Podcast is your space to explore mental health,
Starting point is 01:37:03 personal development, and all of the small decisions we can make to become the best possible versions of ourselves. I'm your host, Dr. Joy Harden Bradford, a licensed psychologist in Atlanta, Georgia, and I can't wait for you to join the conversation every Wednesday. Listen to the therapy for Black Girls Podcast on the iHart Radio app, Apple Podcast, or wherever you get your podcast. Take good care. Listen to the therapy for Black Girls podcast on the iHart Radio app, Apple podcast, or wherever
Starting point is 01:37:30 you get your podcast. Take good care.

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