Welcome! and Thank you for listening. Autoimmune diseases are often thought to be genetic. However, there are many people with at risk DNA that never develop the disease. DNA does not turn on by itself. There has to be a stimulus and often it is a protein that is the trigger. Type 1 Diabetes occurs mainly in young children and is the result of pancreatic islet cell destruction by an autoimmune process. One's own body produces antibodies directed against the islet cells and insulin precursors. Ho...
Sep 27, 2024•52 min•Ep. 376
Welcome! and Thank you for listening. It works. It really does. Plant based nutrition and exercise reverses lifestyle diseases and people can achieve a normal BMI. However, it only works if you do it and do it consistently. Congratulations David R for achieving some major health goals. The struggle is real but once you commit nothing can stand in your way. Living a healthy lifestyle amongst people striving for a quick fix or plainly trying to keep you from changing is a real struggle. My wellnes...
Sep 19, 2024•40 min•Ep. 375
Welcome! and Thank you for listening. What does it mean if you are in that 25% of the population than has an abnormally high Lp(a)? Is it worth loosing sleep over? I can assure you that will not fix the problem. So many studies correlate numbers with potential outcomes. It seems logical, but it often is not the case. Just ask a 90 year old Italian with a high Lp(a). Even worry is treated with a medication, and there is no known biochemical pathway that correlates with worry. The treatment effect...
Sep 12, 2024•32 min•Ep. 374
Welcome! and Thank you for listening. 48% of adults carry the diagnosis of hypertension. They are diagnosed and placed on medication usually based on protocols. Very rarely are people assessed for why they have hypertension. Certainly, nutrition is a large contributor to elevations in blood pressure both from excessive sodium intake and vascular damage from a high fat diet. But the reaction to stressful situations also plays a role. Stress is perceived by the individual and the reaction is also ...
Sep 06, 2024•31 min•Ep. 373
Welcome! and Thank you for listening. Today I have a plant based strong man on the podcast. Nathan Majnaric, SCCC, CSCS. Most plant based athletes lean toward the endurance world so it is great to have the opportunity to speak with a powerlifter, strength coach, and a blue belt in jujitsu that is not only fueled by plants, but has improved on plants. It was not a compromise but an asset to fuel plant based while continuing to advance in his chosen sports but also from a basic health standpoint. ...
Aug 29, 2024•57 min•Ep. 372
Welcome! and Thank you for listening. A New England Journal of Medicine Study looked at how much energy people thought they consumed, and how much energy they actually burned. They compared two groups of overweight individuals based on reported energy consumption. Group one had difficulty loosing weight despite a reported 1200 kcal or less consumption of food and vigorous exercise. There were some surprising findings and some consistent findings that I think you will find interesting. Nutrition ...
Aug 22, 2024•32 min•Ep. 371
Welcome! and Thank you for listening. What are your health goals? Do you have a bucket list? My grandmother used to say that if wishes were horses, beggars would ride. I think there is a lot of confusion between wishing we were healthy and having a plan to do something about it. We wish there was a magic pill or supplement that would make us young, healthy, energetic, and happy. It would be even better in the form of a gummy that tasted like candy. Sorry, that is not an option. I think it is imp...
Aug 09, 2024•30 min•Ep. 370
Welcome! and Thank you for listening. When things are going well, there is a flow state. We are in "The Zone". Funny how it does not happen too often. But when it does, we seem to accomplish our goals with minimal efforts. The other times we are trouble shooting. Try anything to make things better. Force the right gait, the right swing, the right nutrition plan. We buy hundreds of dollars of groceries that go to waste because we have no idea how to use them. We try six different swing mechanics ...
Aug 02, 2024•31 min•Ep. 369
Welcome! Thank you for listening. What is a whole food? What is a clean food? Those terms are thrown around with authority and ultimately blend into just food. If you ask most people on a diet, they will throw out that they are eating 1200 calories a day. That seems to be the magic number that has stuck in the diet world. Apps are available that helps one to prove a point. They are only as good as what is entered. I have never had a person tell me that they consumed 3000 calories in a day, but I...
Jul 26, 2024•32 min•Ep. 368
Welcome! and Thank you for listening. What will you do with the results of a test? How will you react? I was very happy to see normal bones and joints on a recent CT scan of my leg, but it did not show the source of my ankle pain. Good news! Nothing bad. I can return to training. It could also be interpreted as I am still in pain and don’t know why. I am taking the win and I am grateful. It is good to exclude bad things even if you do not know exactly what the problem is. The odds are in your fa...
Jul 19, 2024•45 min•Ep. 367
Welcome! and Thank you for listening. Pills, potions and procedures aimed at curing ailments. The web is full of devices and programs that promise pain relief, younger bodies, and happier lives. Miracles by definition are not a common occurrences, yet they are promised daily. It is hard not to give them a try. Nothing to loose they say, but often the disappointment is not too long thereafter. I have gone down that road as well many times. A little glimmer of hope to a solution that is much more ...
Jul 12, 2024•35 min•Ep. 366
Welcome! and Thank you for listening. The new word is extreme with regard to diet choice. Moderation is out! The reality is, it was never in. The abundance of food choices has grown making moderation only an imaginable concept. I think it is good to always be open to change that supports your goals. Perhaps your goals change requiring nutritional changes, or change is needed to support your existing goals. None the less, you need to be mindful of your why in order to achieve those goals when the...
Jul 03, 2024•31 min•Ep. 365
Welcome! and Thank you for listening. This episode gives you a glimpse into running in the mountains of Leadville. I like hard things and I believe we can do just about anything we put our minds to. You can do more than you think you can is the motto of the Leadville Race Founder Ken Chlouber. Why not me? Why not you? I believe the key to a long health span is staying strong and eating plant based. The Prevent study looks at a formula to calculate the 10 year risk of having a cardiac event. Thos...
Jun 27, 2024•46 min•Ep. 364
Welcome! and Thank you for listening. We have been conditioned to believe that discomfort or an illness can only be fixed by a procedure or medication. It is out of our hands. Allopathic reductionist medicine created that concept making us dependent. Our only hope is early detection of illnesses sure to happen. Dementia is another issue all together. It is all to familiar and there appears to be no stopping the progression once it starts. That holds true for medications at least. Early testing r...
Jun 14, 2024•44 min•Ep. 363
Welcome! and Thank you for listening. Can you bank longevity? What about fitness? Improving fitness at any age will help to increase your health span which may translate into more time living an active and independent life. This is not just for seniors because heart muscle starts to deteriorate in the early forties along with heart function. Blood vessels stiffness while you are eating at your favorite fast food restaurant. More worrisome news about GLp-1 agonists and the ketogenic diet. Oh and ...
Jun 07, 2024•29 min•Ep. 362
Welcome! and Thank you for listening. We age and our cells age. About every three months our red blood cells turn over for example. What happens to the old cells? How do we eliminate them? Our immune system plays a vital role in eliminating old cells or senescent cells. Unfortunately, our immune system also slows down so we start to accumulate these "zombie" senescent cells. This month Nature magazine discusses new drugs and repurposed drugs to eliminate these cells. However, these medications a...
May 31, 2024•37 min•Ep. 361
Welcome! and Thank you for listening. I was fortunate to go to Blue Ridge and Blairsville Georgia this past weekend to toe the line at the Cruel Jewel 50 mile ultra race. The ultra running community are my people. Tenacious, positive, and tremendous athletes all humble at the same time. It did not goes as I would have wished for, but it did go for how I was trained. I got to see where I was at a fitness level and experience some of the most beautiful and peaceful forests. That area crosses the A...
May 22, 2024•37 min•Ep. 360
Welcome ! and Thank you for listening. Are you planning for your decline or planning your next adventure? That adventure might mean a great day at the beach with your grandchildren or other adventures that require you to be active and mobile. Today's podcast will give you some insight on things that may help or hinder those plans. Why be secluded to the sidelines when you could be an active participant in life? In the Journal of Nature on May 2, 2024 there was an article discussing the most basi...
May 14, 2024•36 min•Ep. 359
Welcome! and Thank you for listening. Have you ever heard someone say, what would you tell your thirty year old self? It is something like hind sight is 20:20. My perspective on the practice of cardiology and medicine has changed over the past 30 years because of experience but more so being able to relate to my patients life experiences. Do you prefer to age gracefully or go full speed ahead into the unknown? Do you remember how alive the fellas in the movie felt doing the things on their bucke...
May 03, 2024•30 min•Ep. 358
Welcome! and Thank you for listening. Risk factors for Lifestyle diseases are increased BMI, hypertension, hyperlipidemia, smoking, sedentary lifestyle and metabolic dysfunction ranging from glucose intolerance to diabetes. Traditionally, younger people do not get lifestyle diseases because they may either have no risk factors or only have one. More and more younger people now have multiple risk factors in the presence of glucose intolerance. This places them at increased risk for the early deve...
Apr 26, 2024•37 min•Ep. 357
Welcome! and Thank you for listening. My favorite lunch is a salad, and not the same salad every day. I like to change things up. Restaurants know that a salad is not exciting so they spruce it up with high calorie toppers and dressings. Often, they have more calories than a sandwich and fries. But, you can still tell the doctor, you just had a salad for lunch. I will let you in on my salad secrets on this episode. I will also give you a some more reasons to lace up your shoes and start walking....
Apr 19, 2024•33 min•Ep. 356
Welcome! and Thank you for listening. This is the weekend of the Masters Golf Tournament. To begin there was an honorary start with Tee shots by Gary Player, Jack Nicklaus, and Tom Watson. Gary is the oldest at 88. He was the most spry and energetic. As a student of the game of golf, I would like to share my takes on the sport and how it relates to health. I believe Gary Player is an outlier, and here is why. If you would like to become a healthy golfer, check out the practice website below. htt...
Apr 12, 2024•29 min•Ep. 355
Welcome! and Thank you for listening. Today I have the founder of MamaSezz healthy food company. As many of you know, MamaSezz began as a plant based whole meal delivery service. Meg had been in the food industry and retired only to discover the need for easy plant based meals for those not able or ready to prepare them for themselves. Her mother had developed congestive heart failure and was told to get her affairs in order. Meg researched how she could help her mom live well and discovered pla...
Apr 05, 2024•1 hr•Ep. 354
Welcome! and Thank you for listening. This episode features Susan Donnelly. She has run more 100 mile races than anyone on the planet! Over 145 one hundred mile races since 1999. She is the definition of an outlier not only with regard to running, but occupation and nutrition. Enjoy learning about how mindset during ultra running and how it applies to lifestyle changes. Susan Donnelly: https://www.susanidonnelly.com https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing https://myp...
Mar 29, 2024•45 min•Ep. 353
Welcome! and Thank you for listening. Who are you? What story do you use to answer that question? Perhaps your story fits who you are but not who you wish to be. Today's podcast is about changing the story to become more healthy. Our story can help us accept our circumstances, but we often forget we are the authors of our future selves. Changing who you are is about changing your story. Did a health crisis change your story? Health care providers are at a very high risk of planting seeds to chan...
Mar 21, 2024•41 min•Ep. 352
Welcome! and Thank you for listening. Telomeres are the end caps on DNA that protect it from unraveling. They can be measure in white blood cells to determine their length. The shorter they become, the more likely for the DNA to start to develop errors. This leads to failure of the bodies organs and functions i.e. aging. It has recently been linked to the risk of developing heart failure. There is another blood test that looks for DNA fragments in the plasma of the blood that is associated with ...
Mar 15, 2024•32 min•Ep. 351
Welcome! and thank you for listening. Burro racers will tell you that a burro needs to feel safe in order to try something new. He will not be lured into a bad situation as he sees it. Horses are much more about pushing to the limits and need a variety of coaching to reach their potential. When we discuss lifestyle changes with people, we need to know how they react to various forms of coaching. Some people join a bootcamp that have not exercised in years only to get beat up in the first few ses...
Mar 08, 2024•39 min•Ep. 350
Welcome! and Thank you for listening. Are we at the mercy of our genetics? Should we just accept our fate as being genetically flawed is some way or another. There is talk about plasticity of the brain or forming new circuits. Body builders change their shape through specific workouts. We can become runners after starting a couch to 5 K program. So why do we think we cannot change our genetic fate when it comes to cancer or cardiovascular disease. Most allopathic physicians focus on testing and ...
Mar 01, 2024•38 min•Ep. 349
Welcome! and Thank you for listening. I had the pleasure of welcoming my second grandchild, Cecelia Joy, into the world last week. It is a blessing getting to experience the world through the eyes of a child, and do be able to do it as a grandparent is even more special. We have time and perspective that allows us to have a special bond different from the parents. The pressure is off. We are the good guys. But how much time, and what is the quality of that time? My grandparents died when I was f...
Feb 23, 2024•29 min•Ep. 348
Welcome! and Thank you for listening. As we approach Super Bowl Weekend, we will hear about how a positive mental attitude and optimism affect high level athletics. Why not me? Anything is possible if you believe. We can win if we execute our game plan. We root for our teams and send them positive vibes believing that it makes a difference. But when it comes to our own health, it seems unlikely that we can have an influence. It is our genes. It is the institution and physicians that we need to m...
Feb 07, 2024•32 min•Ep. 347
