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Hello everyone. This is Mc glory with the

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Becker health care podcast. Thank you so much

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for tuning in. This episode explores the link

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between cardiovascular

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Health and Alzheimer's disease.

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We hear from doctor Michael T, a heart

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attack prevention expert, the founder of Apollo cardiology

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and a board certified cardiologist.

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A decorated veteran, doctor T served as medical

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Corp physician in the navy and was appointed

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department head of internal medicine.

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Following his military career, he continued his path

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in cardiovascular

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medicine, which led him back to his hometown

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of Saint. Louis.

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Doctor Trim now serves in the role of

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cardiovascular

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director for the Institute of muscle centric Medicine,

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and as a faculty member for the quantum

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biology Collective.

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This episode conversation is moderated by Mis misha

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Dug, the Ceo, c founder and Director of

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Cardio Diagnostics.

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At Ai driven

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precision cardiovascular

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medicine based company

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based in Chicago.

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Hello, everyone, and welcome to Becker cardiology podcast.

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I'm Doug, your host for today. I am

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the Ceo and cofounder of Cardio diagnostics, cardiology

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a precision cardiovascular

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medicine company.

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I am excited for today's conversation, which I

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think is also very timely

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on the heart brain axis, the link between

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cardiovascular

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health and alzheimer's disease with doctor Michael T.

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A heart attack prevention expert, the founder of

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Apollo cardiology

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and a board certified cardiologist.

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Our conversation today will explore the fascinating

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and complex

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connection between cardiovascular

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health. And Alzheimer's disease, which is the most

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common form of dementia. Doctor T. Thank you

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for being here. Thank you for the opportunity.

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Wonderful.

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I'd love to start off with,

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the data and scientific evidence.

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So it's no secret that cardiovascular

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disease remains the leading cause of death in

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the Us and around the world.

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But recently, we've started seeing increasing evidence, linking,

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cardiovascular

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health, cardiovascular

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disease risk factors to alzheimer's disease. So for

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instance, that was a study from over 430000

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individuals from the Uk Bio bank that was

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published.

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In the Journal of American Heart Association, and

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they found that,

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for those who had coronary heart disease before

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the age of 45

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they had a 13 percent increase risk of

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developing Alzheimer's disease compared to those who did

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not have coronary heart disease. Could you kick

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off

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and and help elaborate on the scientific evidence

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that is increasingly showing the significant link.

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So as you noted, you know, vascular disease

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is still the number 1 thing that kills

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people. You know, every 40 seconds in the

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United States, somebody has a heart attack.

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And metabolic syndrome is 1 of the number

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1 things that damages the lining of the

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arteries that leads to this process.

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And so the things that help reduce the

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risk of heart attack are very much the

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same things I've reduced the risk of cancer

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in alzheimer's. So when I work with patients,

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you know, I'm definitely trying to reduce our

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risk grabbing having a heart attack or stroke,

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but many people, once actually understand it, you

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know, the game is Health band, not just

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longevity, and that health band needs to include

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brain function. And many patients are definitely concerned

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about the risk of alzheimer's. And sometimes there's

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some genetic pre position, You know, if somebody

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has an For allele does increase a risk.

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My tom, it's not like where it's like

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Huntington's where, like, you have 1 gene, you're

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absolutely going to get the disease Just put

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you into that high risk category.

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So vascular disease, micro disease in the brain

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is 1 of the contributors to alzheimer's disease,

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but also,

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talk about it is sort of like, diabetes

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type 3. You know, if you're insulin resistant

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in your skeletal muscle, there's more risk that

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you're be insulin resistant in your brain. And

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so that's how I kind of coach with

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the patients is that there's a concern change

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in hair for mom and dad, and this

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it can be your environment that determines if

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those genes are turned on or not. But

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you have to look at it your healthy

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metabolically, so you're not in insulin resistant and

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that you have your cardio

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metabolic risk factors under control, your lipoprotein controlled.

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Your hypertension control. You're much less at risk

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in developing alzheimer's then.

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I have found this

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interconnectedness

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between cardiovascular

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disease and alzheimer's disease to be absolutely fascinating.

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And lately, I would say in my conversations

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with health care providers and leaders,

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I find that there is a greater sense

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urgency when they're thinking about the prevention and

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management of cardiovascular

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disease.

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Because it is a way to help reduce

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the risk of alzheimer's.

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I'm curious if it's something your patience often

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ask you about this connection or is it

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generally a topic that

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you tend to bring up during

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consultations?

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It tends to be more

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my... Bringing it up when I'm going through

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an advanced, you know, lipoprotein analysis with them.

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You know, I will also have it in

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their intake account. They have a family history

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of Alzheimer's or other

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neuro cognitive disorders, I will then link it

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into the, like, you. They're coming to me

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because they got quote, high cholesterol, and we're

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like, well, yeah have high cholesterol, but it's

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because you have an 4 allele affecting all

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receptor, but I know you have the same

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history of alzheimer's. We're gonna fix both problems

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and try to lower the risk for both

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issues.

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You know, I couldn't agree more about sort

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of the complex nature taking into various aspects

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into account when when

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educating and talking to to patients.

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Speaking of

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prevention specifically,

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what are some ways

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you are encouraging your patients to stay heart

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healthy and prevent alzheimer's disease. And if we're

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thinking of your patients, who maybe already have

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some form of cardiovascular

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disease like coronary heart disease, what steps are

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you specifically

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recommending, they take take to better prevent alzheimer's.

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So I talk with patients about how disease

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actually develops.

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It's, it's much more complicated than having quote

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high cholesterol.

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So it really starts as un called endothelial

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dysfunction. It's when the inner inter lining of

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your arteries,

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aren't able to release sufficient levels of nitric

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oxide to dilate the arteries. That'll show up

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as high blood pressure assure stiff arteries on

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pulse wave analysis testing,

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and this can happen in 20 years before

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you develop significant plaque in the arteries.

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So while atherosclerosis is common,

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and it typically presents in mid to late

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life, it's actually starting in your teens and

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twenties.

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So healthy lifestyle interventions in your teens and

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twenties really reduces the risk that you go

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to having basket disease. But while we have

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great treatments for vascular

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disease, we don't have that many great options

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for patients once to develop alzheimer's. So it's

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all about prevention. And most of it it's

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going to be life lifestyle induced. You know,

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it's how you move the body.

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Exercise probably the number 1 drug to reduce

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the risk of alzheimer's. You know, nutrition. Now,

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probably a meta mediterranean templates is probably a

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good starting point for most people.

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Stress management.

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If you don't manage your stress wall, you're

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gonna age faster,

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and then the big health in the room

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for many people, is their sleep quality. It's

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those 4 pillars, nutrition, exercise, stressed, but sleep

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is the biggest 1. If they don't sleep

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well, we're gonna age much faster because when

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you sleep, the mitochondria are gonna be repairing

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themselves. You know, I tell patients think about

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mitochondria engines,

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If you don't tune up your engines, it

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doesn't matter how much healthy gas you're putting

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in it throughout the day, you have to

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get the engines right. And there's definitely studies

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that if you short sleeping yourself, you know,

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giving 4 or 5 hours an Night of

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sleep, your risk of dementia it goes up

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relatively significantly.

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I'm curious based on that conversation with your

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patience, how how receptive are they and and

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how much

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do you think

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they're accepting or their their willingness if you

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will to to incorporate those life's style changes,

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And I'm assuming it's probably also more gradual.

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Right?

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It is all gradual. You know, and I

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think I might be a little bit of

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a

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a biased population that, like, many of my

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newer patients, they're coming in

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already seeing me talk on different podcast about

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these topics. And like, okay, I'm interested in

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this type of, you know, testing to look

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at my vascular age now or, you know,

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I went to look at my genetic risk.

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I wanna look at my advanced lipoprotein through

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a different lens than just stands for quote,

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high cholesterol. So I think Patients already coming

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in with these ideas, but they may or

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don't understand which lever that they're really kind

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of deficient on until we really start diving

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into, you know, kind of the discussion.

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I I think you'd make a very good

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point about the levers, and and I think

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when we're talking about levers. Start it's very

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hard to to get away from talking about

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the different tasks or technologies, or different ways

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to to get the necessary data and insights.

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About the specific patients, so we can know

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what levers to pull.

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So along those lines, you know, we've seen

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advancements in medical technology, we've seen that respect

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to cardiovascular

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disease. We've seen that with respect to Alzheimer's

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disease,

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although probably more so on the cardiovascular

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side than the Alzheimer's side with I'm curious

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what's your take on,

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the role of new technologies

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and biomarkers

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in being able to better understand... Stand and

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address the interconnectedness

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between cardiovascular

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disease and alzheimer's.

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You know, that's a great point. I mean,

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I'm trying to stay at tip the spear

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in finding the best technologies to how my

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patients reduce the risk of having heart attacks

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and strokes.

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And I know, you know, your company is

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very much at the forefront of using Ai

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technologies to help with this. I mean, that's

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sometimes a challenge of medicine that there's just

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this overwhelming, you know, data dump that we're

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trying to, you know, find they need dom

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haystack

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Ai is just helping us trying to kind

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of c that data And I'd be like,

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oh, we need to focus here.

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In my own practice, you know, we've been

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using Ai,

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with the clearly analysis for the past 3

272
00:10:01,860 --> 00:10:04,566
years to look at patients, total plaque volumes

273
00:10:04,566 --> 00:10:05,681
in their coronary arteries.

274
00:10:06,397 --> 00:10:07,512
You know, the more plaque you have in

275
00:10:07,512 --> 00:10:09,992
your arteries the more cardiovascular are likely to

276
00:10:09,992 --> 00:10:12,321
have. So it's been a game changer because

277
00:10:12,696 --> 00:10:15,001
patients are gonna test normal on traditional testing,

278
00:10:15,320 --> 00:10:18,118
even including Ct coronary calcium scans, the My

279
00:10:18,118 --> 00:10:19,871
own scan included it. My calcium score is

280
00:10:19,871 --> 00:10:20,190
0.

281
00:10:20,907 --> 00:10:23,297
My Ct read by a human radio is

282
00:10:23,297 --> 00:10:25,847
completely normal, but send images to the clearly

283
00:10:25,847 --> 00:10:27,654
analysis and I have some small amount of

284
00:10:28,011 --> 00:10:30,150
salt plaque in the arteries. And I'm aggressively

285
00:10:30,150 --> 00:10:32,210
managing that rest. So I think Ai is

286
00:10:32,210 --> 00:10:33,795
gonna be a real kind of game changer

287
00:10:33,795 --> 00:10:36,030
at helping people focus in on what it

288
00:10:36,030 --> 00:10:37,856
really is going on with their vascular systems.

289
00:10:38,253 --> 00:10:39,284
And I really really like, you can get

290
00:10:39,284 --> 00:10:41,507
the vascular system right, you're really gonna lower

291
00:10:41,507 --> 00:10:42,166
the risk

292
00:10:42,554 --> 00:10:44,701
or these neuro cognitive disorders because you're able

293
00:10:44,701 --> 00:10:46,451
to get an oxygen nutrients into the brain

294
00:10:46,451 --> 00:10:47,963
tissue and get the waste products out.

295
00:10:50,047 --> 00:10:51,503
I'm curious to learn

296
00:10:52,517 --> 00:10:54,350
when you talk to your peers when you

297
00:10:54,350 --> 00:10:55,488
talk to your colleagues,

298
00:10:56,263 --> 00:10:56,900
we're also...

299
00:10:57,393 --> 00:10:58,769
Providing care for

300
00:10:59,703 --> 00:11:02,094
maybe more elderly patients just because, again, we

301
00:11:02,094 --> 00:11:05,440
see largely alzheimer's being present in those 65

302
00:11:05,440 --> 00:11:07,309
or older into their seventies.

303
00:11:08,404 --> 00:11:09,760
What kinds of,

304
00:11:10,557 --> 00:11:12,391
areas are they focusing on,

305
00:11:13,269 --> 00:11:15,103
does it also tend to be heavy on

306
00:11:15,103 --> 00:11:17,347
the technology side? Of things? Are they using

307
00:11:17,347 --> 00:11:19,040
more traditional biomarkers

308
00:11:19,495 --> 00:11:21,267
coupled to more newer

309
00:11:21,642 --> 00:11:22,675
advanced technologies.

310
00:11:23,073 --> 00:11:24,981
I'm curious what you're hearing from your peers?

311
00:11:26,269 --> 00:11:28,438
So I don't know too much what technology

312
00:11:28,494 --> 00:11:31,538
they're looking at for just looking for Alzheimer's

313
00:11:32,071 --> 00:11:34,456
risk, but, you know, hypertension is going to

314
00:11:34,456 --> 00:11:35,985
be 1 of the biggest. Things. And that's

315
00:11:35,985 --> 00:11:36,785
where you do have to be a little

316
00:11:36,785 --> 00:11:38,785
bit careful as patients are over age 65

317
00:11:38,785 --> 00:11:40,705
is that you don't become overly aggressive at

318
00:11:40,785 --> 00:11:43,504
Lowering the blood pressure and introducing falls because

319
00:11:43,504 --> 00:11:45,279
if you break your hip, know, the mortality

320
00:11:45,279 --> 00:11:47,919
is nearly 50 percent at a year. So,

321
00:11:48,080 --> 00:11:50,559
you know, looking at hypertension is something that

322
00:11:50,559 --> 00:11:53,200
every primary care doctor can do very well.

323
00:11:53,694 --> 00:11:55,370
And generally, you do want to keep people

324
00:11:55,370 --> 00:11:57,365
near 01:20 80 as long as are not

325
00:11:57,365 --> 00:11:59,600
dizzy or light headed with those 7 activities.

326
00:12:00,319 --> 00:12:02,568
But goes back to the sleep. Now, as

327
00:12:02,568 --> 00:12:04,404
you age, people tend not to sleep as

328
00:12:04,404 --> 00:12:06,319
well. And so just really I see is

329
00:12:06,319 --> 00:12:09,191
there, you, sleep disordered breathing, Do they have

330
00:12:09,191 --> 00:12:10,877
apnea? It did treat it, you know, do

331
00:12:10,877 --> 00:12:12,944
they rest legs because they bow and iron,

332
00:12:13,182 --> 00:12:15,328
treat their iron deficiency. So just trying to

333
00:12:15,328 --> 00:12:17,473
help people get their sleep probably dialed in

334
00:12:17,473 --> 00:12:18,799
as best they can because

335
00:12:19,239 --> 00:12:21,474
It really starts with, you know, healthy mitochondria,

336
00:12:22,033 --> 00:12:25,167
and it's light water magnet. So the light

337
00:12:25,625 --> 00:12:27,700
circadian rhythms, it's your sunlight exposure,

338
00:12:28,274 --> 00:12:30,507
You know, they... You, the way that mitochondria

339
00:12:30,507 --> 00:12:33,379
repair is when you sleep. So, yeah, while

340
00:12:33,379 --> 00:12:35,772
alzheimer's isn't that completely, a mitochondria disorder, there's

341
00:12:35,772 --> 00:12:37,925
a large component to it because without energy,

342
00:12:38,259 --> 00:12:40,011
cells don't work well. So you have to

343
00:12:40,011 --> 00:12:41,047
tune up the mitochondria.

344
00:12:42,561 --> 00:12:44,574
If I'm a patient listening

345
00:12:44,951 --> 00:12:45,849
to this

346
00:12:46,225 --> 00:12:49,293
conversation and I'm interested... Stood in bro,

347
00:12:49,831 --> 00:12:53,906
the the conversation around Alzheimer's disease and maybe

348
00:12:53,906 --> 00:12:56,313
my risk for it and how that relates

349
00:12:56,313 --> 00:12:57,848
to my risk for cardiovascular

350
00:12:58,382 --> 00:12:58,621
disease.

351
00:12:59,258 --> 00:13:01,884
What are some questions do you think they

352
00:13:01,884 --> 00:13:04,445
could ask there are... Primary care provider, they're

353
00:13:04,445 --> 00:13:04,945
cardiologist,

354
00:13:06,194 --> 00:13:08,500
or just a provider, the family medicine provider,

355
00:13:09,136 --> 00:13:11,283
who they're seeing. What are some questions you

356
00:13:11,283 --> 00:13:12,658
would recommend they ask

357
00:13:13,926 --> 00:13:15,761
So start first with just a good family

358
00:13:15,761 --> 00:13:17,994
history. Now does... Do your grandparents or great

359
00:13:17,994 --> 00:13:20,387
grandparents that anybody have any levels of dementia.

360
00:13:20,546 --> 00:13:22,062
They may not have been called alzheimer's.

361
00:13:22,875 --> 00:13:23,835
Nope. Then,

362
00:13:24,475 --> 00:13:26,475
genetically, the most common 1 is this gonna

363
00:13:26,475 --> 00:13:28,875
be Ap ear as an echo. If you

364
00:13:28,875 --> 00:13:30,235
have an Ap 4 Allele,

365
00:13:30,969 --> 00:13:32,887
Now, you increase your risk. If you have

366
00:13:32,887 --> 00:13:36,003
2 copies at Ap before Allele, it's, nearly

367
00:13:36,003 --> 00:13:38,560
11 to 12 increase risk of developing alzheimer's.

368
00:13:39,294 --> 00:13:41,050
Again, it's not deter. If you have an

369
00:13:41,130 --> 00:13:42,806
Ap 4 allele. I don't want people to

370
00:13:42,806 --> 00:13:44,721
be too concerned that that means you automatically

371
00:13:44,721 --> 00:13:47,115
gonna get alzheimer's. It's just a risk factor

372
00:13:47,115 --> 00:13:48,723
for it. But the people would tend to

373
00:13:48,723 --> 00:13:49,780
go on to having

374
00:13:50,155 --> 00:13:52,144
alzheimer's are likely to be in some resistant.

375
00:13:52,621 --> 00:13:55,343
So you don't wanna wait until human hemoglobin

376
00:13:55,662 --> 00:13:56,938
A1c is 5.7

377
00:13:56,938 --> 00:13:59,410
you're called pre diabetic. That's been smoking for

378
00:13:59,410 --> 00:14:01,245
count many years before that process happened.

379
00:14:01,803 --> 00:14:04,196
So you should ask for a fasting insulin

380
00:14:04,196 --> 00:14:04,435
level.

381
00:14:05,087 --> 00:14:06,758
Your insulin bubbles generally should be less than

382
00:14:06,758 --> 00:14:09,702
8. If you're having high insulin bubbles, then

383
00:14:09,702 --> 00:14:11,850
it means there's insulin resistance generally at the

384
00:14:11,850 --> 00:14:14,731
skeletal muscle level. And know, if you can

385
00:14:14,731 --> 00:14:17,783
get into a resistance training routine, getting adequate

386
00:14:17,841 --> 00:14:20,153
factor protein to maintain your muscle mass, you

387
00:14:20,153 --> 00:14:22,226
can potentially reverse that instant resistance before wears

388
00:14:22,226 --> 00:14:25,049
on. You to start damaging your cardiovascular system

389
00:14:25,106 --> 00:14:25,844
or damaging

390
00:14:26,220 --> 00:14:26,958
the brain

391
00:14:27,493 --> 00:14:27,970
neurons.

392
00:14:28,527 --> 00:14:31,311
So, you know, all those metabolic markers for

393
00:14:31,311 --> 00:14:34,181
glucose know, so a1c glucose insulin. Mh.

394
00:14:34,815 --> 00:14:35,370
Blood pressure.

395
00:14:35,925 --> 00:14:38,065
Again, ideally, 01:20 over 80, you know,

396
00:14:39,016 --> 00:14:40,790
you be careful if somebody has a history

397
00:14:40,790 --> 00:14:42,230
of Sync to be or passing out, it

398
00:14:42,230 --> 00:14:44,230
maybe have a little bit, you know, kind

399
00:14:44,230 --> 00:14:46,309
of higher goals for those people.

400
00:14:47,677 --> 00:14:50,296
And then looking at their lipoprotein. You know,

401
00:14:50,376 --> 00:14:52,146
if you're gonna simplify it, look at

402
00:14:52,519 --> 00:14:54,027
lipoprotein b ap b for short,

403
00:14:54,677 --> 00:14:56,507
Generally, Ap b should be less than 70,

404
00:14:56,746 --> 00:14:58,655
really decrease the risk of as disease when

405
00:14:58,655 --> 00:15:00,087
your Ap april b is less than 70.

406
00:15:01,613 --> 00:15:03,440
You make a very good point about not

407
00:15:03,440 --> 00:15:06,379
waiting. Right? That's that's really what the the

408
00:15:06,379 --> 00:15:09,080
premise they're on prevention is. It's it's don't

409
00:15:09,080 --> 00:15:09,398
wait.

410
00:15:09,969 --> 00:15:12,277
So thinking about that, you know, we talked

411
00:15:12,277 --> 00:15:13,471
about the patient side,

412
00:15:14,506 --> 00:15:16,336
and to flip it around,

413
00:15:17,292 --> 00:15:18,428
I'm curious what

414
00:15:18,804 --> 00:15:20,490
recommendations do you have have for,

415
00:15:21,206 --> 00:15:23,355
your peers and other healthcare care providers,

416
00:15:24,231 --> 00:15:26,083
who would like to take a more holistic

417
00:15:26,220 --> 00:15:29,165
look at both cardiovascular disease and Alzheimer's disease

418
00:15:29,165 --> 00:15:29,918
have what

419
00:15:30,372 --> 00:15:33,233
recommendations would you help have for them so

420
00:15:33,233 --> 00:15:36,833
they could better help their patients, manage both

421
00:15:36,969 --> 00:15:37,287
conditions.

422
00:15:38,654 --> 00:15:40,251
So back to the kind of 4 pillars,

423
00:15:40,410 --> 00:15:40,730
you know,

424
00:15:41,448 --> 00:15:43,923
it's not all about pills and procedures. It's

425
00:15:43,923 --> 00:15:46,317
really hammering in on these lifestyle interventions.

426
00:15:47,036 --> 00:15:47,536
So

427
00:15:48,087 --> 00:15:50,554
nutrition. I mostly talked about it in terms

428
00:15:50,554 --> 00:15:52,863
of, you know, timing of meals is important.

429
00:15:53,260 --> 00:15:54,932
You know, the the meal timing is can

430
00:15:54,932 --> 00:15:56,922
tell your mitochondria is it daytime or nighttime.

431
00:15:57,493 --> 00:15:59,555
So most people ideally should eat during daylight

432
00:15:59,555 --> 00:15:59,872
hours.

433
00:16:00,745 --> 00:16:02,965
You should get adequate dietary protein,

434
00:16:03,441 --> 00:16:06,236
generally, at least 1 gram. So of protein

435
00:16:06,236 --> 00:16:07,910
for pound of body weight would be ideal.

436
00:16:08,389 --> 00:16:10,143
So that you have the skeletal muscle mass

437
00:16:10,143 --> 00:16:11,498
to help maintain your metabolism,

438
00:16:12,375 --> 00:16:15,496
eating high levels of omega 3 fatty acid

439
00:16:15,496 --> 00:16:18,043
foods, You know, think of Dha is like

440
00:16:18,043 --> 00:16:19,873
the cell phone charge for your brain, the

441
00:16:19,873 --> 00:16:21,067
higher levels of Dha,

442
00:16:21,799 --> 00:16:24,109
better that neurons can communicate amongst themselves.

443
00:16:25,303 --> 00:16:27,693
So again, mostly kind of a mediterranean type

444
00:16:27,693 --> 00:16:29,286
of template for most people probably is a

445
00:16:29,286 --> 00:16:31,473
good starting point. The then

446
00:16:32,162 --> 00:16:32,399
exercise,

447
00:16:33,271 --> 00:16:35,332
combination of resistance training and, you know, cardio

448
00:16:35,332 --> 00:16:35,832
respiratory

449
00:16:36,204 --> 00:16:37,892
fitness, training. So

450
00:16:38,439 --> 00:16:40,271
lift weights or body weight exercises at least

451
00:16:40,271 --> 00:16:40,909
2 times a week.

452
00:16:41,626 --> 00:16:42,821
And then ideally, at least a hundred and

453
00:16:42,821 --> 00:16:45,552
50 minutes, of moderate aerobic activity. So

454
00:16:46,105 --> 00:16:49,544
biking running treadmill growing, whatever of activity can

455
00:16:49,544 --> 00:16:52,524
routinely do. And generally, in they zone 2

456
00:16:52,665 --> 00:16:54,504
have a pattern, probably at least 80 percent

457
00:16:54,504 --> 00:16:56,117
of the time, So that's a kind of

458
00:16:56,117 --> 00:16:58,191
a lower and slower type of activity so

459
00:16:58,191 --> 00:17:00,264
that your maximum fat burning capacity.

460
00:17:01,061 --> 00:17:03,635
So that's the nutrition exercise kind of

461
00:17:04,172 --> 00:17:04,491
levers.

462
00:17:04,984 --> 00:17:06,813
The stress management 1, you know, I'm wearing

463
00:17:06,813 --> 00:17:09,517
an uber ring. You know, there's other devices

464
00:17:09,517 --> 00:17:11,107
that can measure your heart rate durability, which

465
00:17:11,107 --> 00:17:12,697
is just the instantaneous amount of stress your

466
00:17:12,697 --> 00:17:13,413
body is sensing.

467
00:17:14,128 --> 00:17:14,628
So

468
00:17:15,018 --> 00:17:17,086
people are under this fight flight response all

469
00:17:17,086 --> 00:17:19,552
the time. You have to teach them meditation

470
00:17:19,552 --> 00:17:22,991
or yoga, deep breathing exercise. Or mindfulness or

471
00:17:22,991 --> 00:17:25,646
whatever they can do to dial back their

472
00:17:25,704 --> 00:17:28,736
autonomic nervous system. The patient's stress is not

473
00:17:28,736 --> 00:17:29,946
bad for you, which just this how well

474
00:17:29,946 --> 00:17:31,215
do you respond to it and get back

475
00:17:31,215 --> 00:17:33,674
down to a baseline where your levels are

476
00:17:33,674 --> 00:17:34,467
back to normal.

477
00:17:35,260 --> 00:17:37,402
And the fourth lever is asleep, you know,

478
00:17:38,053 --> 00:17:40,286
as you've maybe in person, young always wearing

479
00:17:40,286 --> 00:17:42,120
these kind of bow hacker blue bak glasses,

480
00:17:42,598 --> 00:17:44,751
just so that my circadian rhythms are always

481
00:17:44,751 --> 00:17:46,186
gonna be in trained appropriately.

482
00:17:46,839 --> 00:17:49,229
Know, your light really does control, you know,

483
00:17:49,388 --> 00:17:50,106
your metabolism,

484
00:17:50,663 --> 00:17:53,611
your hormones, your neurotransmitters. So I tried to

485
00:17:53,611 --> 00:17:55,534
recreate, you natural wavelengths of life as much

486
00:17:55,534 --> 00:17:56,249
as possible.

487
00:17:56,805 --> 00:17:58,156
So spending time as I either, or I'm

488
00:17:58,156 --> 00:18:00,221
in front of technology where I can't necessarily

489
00:18:00,221 --> 00:18:00,778
control the light,

490
00:18:01,429 --> 00:18:02,624
protecting my eyes with a pair of boot

491
00:18:02,624 --> 00:18:05,014
blocking glasses so that the non receptors don't

492
00:18:05,014 --> 00:18:07,028
get ping with this high intensity boot light

493
00:18:07,085 --> 00:18:08,997
all day long. Because I wanna ensure that

494
00:18:09,157 --> 00:18:10,591
I can sleep as well as possible,

495
00:18:11,003 --> 00:18:12,590
So I shoot to get at least you

496
00:18:12,590 --> 00:18:14,098
know, 7 and half, 8 hours of sleep

497
00:18:14,098 --> 00:18:16,796
every single night. And so figuring out 1

498
00:18:16,796 --> 00:18:18,874
of those 4 levers, So and trying to

499
00:18:18,874 --> 00:18:20,143
pull on them all at the same time

500
00:18:20,143 --> 00:18:20,857
as best you can.

501
00:18:22,603 --> 00:18:24,110
That's amazing. Well,

502
00:18:24,745 --> 00:18:26,570
I I truly wish we had more time.

503
00:18:26,744 --> 00:18:29,372
Time you, to keep going. But doctor T,

504
00:18:29,451 --> 00:18:31,521
and thank you so much for your time

505
00:18:31,521 --> 00:18:34,069
today. Thank you for sharing you valuable insights

506
00:18:34,069 --> 00:18:34,706
with this today.

507
00:18:35,756 --> 00:18:38,324
This has been a truly informative

508
00:18:38,778 --> 00:18:40,608
conversations. And, in fact, I have a few

509
00:18:40,608 --> 00:18:42,517
more things to to add and change to

510
00:18:42,517 --> 00:18:43,631
my lifestyle.

511
00:18:44,044 --> 00:18:47,060
To to keep the prevention aspect going. So

512
00:18:47,060 --> 00:18:48,806
thank you so much for being here. You're

513
00:18:48,806 --> 00:18:49,838
very welcome. Thank you.

514
00:18:50,552 --> 00:18:52,537
Thank you so much, Doctor. Toy and For

515
00:18:52,537 --> 00:18:55,187
your... Time and insights today. We also wanna

516
00:18:55,187 --> 00:18:57,984
thank our podcast sponsor for this episode, Cardio

517
00:18:57,984 --> 00:18:58,484
diagnostics.

518
00:18:59,183 --> 00:19:00,621
You can tune into more podcast podcasts from

519
00:19:00,781 --> 00:19:03,106
Becker Healthcare care by visiting our podcast page

520
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522
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