Avsnitt
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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 also have side effects and substantial costs. Since we all age, should everyone start these medications or do we wait until there is a problem like diabetes, Alzheimers, or vascular disease? Another alternative might be to decrease the amount of zombie cells in the first place or protect our immune system so it functions longer.
You guest it. Nutrition and exercise play a key role as an alternative to decrease zombie cell accumulation.
Thanks for listening.
If you want help preventing zombie cell accumulation or to enhance your health span, check out our website at doctordulaney.com
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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 Appalachian trail. People on the trail give other hikers trail names. I had a trail angel this weekend. I gave him the name of Russ Angel because of time he gave to rescue me and others after we pulled the white flag. I hope you enjoy my trail tails. It was a great weekend despite coming up short.
Ultra running and life are so much alike. You need a plan and you need to work the plan. When it does not work, you need to adjust the plan. The bottom line is forward progress. Maybe not that day, but the next day it is time to get back on the journey whether it is trail or health. If you would like some help with your health journey, visit our website to fine out how you can join our practice.
Thank you to Russ Marlowe and Sandy Geisel for your support. Shout out to Rich and Tony and the swanky red pick-up. Thank you to Sarah Snyder and her staff as the race director. Like Sarah says, poor decisions make for better stories. She is most famous for saying, try not to be an asshole. Words to live by. Thank you.
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Saknas det avsnitt?
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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 basic molecular changes with endurance training that affects a multitude of processes that have the potential to impact the health of the immune system, and organs such as the heart, kidneys, colon, brain and liver. There were positive changes at the genetic level with endurance training of just 8 weeks. What are you waiting for? That was not the case with omega 3 supplements or a fat pad around the heart.
Enjoy the episode and then plan for an active future. Need more guidance, then check our our website to see how we can guide you to your next adventure.
Thank you for listening.
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Https://doi.org.10.1038/s41586-023-6877-whttps://jamanetwork.com/journals/jamacardiology/fullarticle/2816316
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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 bucket list? Do you think people even realize how bad they feel, if they can feel, on the handful of medications that they take everyday? How do you stay young at heart while keeping your heart young?
I believe life is full of challenges, and age should not stop you from living life fully. Doing the bucket list requires more training as we age. Notice I did not say it requires more testing or procedures. If you want to be excited about the possibilities ahead, listen to this episode and check our our website for information on how you can age robustly.
Thanks for listening.
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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 development of lifestyle diseases.
Studies claiming that cholesterol is not bad often look towards a young population with no other risk factors. They may not manifest disease as quickly and it is assumed that they never will. Some may not but we just don't know. Often, we hang onto studies that support our nutritional choices even though we may not have anything in common with the study population. Risk factors are there and cumulative. Work on eliminating them and you might just avoid a lifestyle disease.
If you are interested in getting healthy by adopting a plant based lifestyle and daily exercise, give us a shout. We can get you on track.
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https://www.americaoutloud.news/avian-influenza-a-threat-to-poultry-worsened-by-vaccine-hubris/
https://www.healthday.com/health-news/cardiovascular-diseases/a-fib-more-common-in-middle-aged-folk-than-thought
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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. Finally, I will finish with the controversial topic of Vitamin D.
Check out the website to up your health gain with membership opportunities and sign up for our newsletter and blogposts. Thanks for listening.
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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.
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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 plant based nutrition. After doing a deep dive MamaSezz was founded.
Enjoy a recap of her story and how the company has transitioned. We talk about our vivacious moms who set so many great life examples as well as the obstacles to a healthy life from a nutrition and movement challenges. I
Listen to the end for a discount code for MamaSezz products.
MamaSezz.com
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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
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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 change people's story. Perhaps you were active then had an accident. The doctor said you have bad knees. You rewrite your story to fit your bad knees. You cannot run, walk, or do sports. You gain weight because of your bad knees. You no longer enjoy travel because of your knees. Your story totally changes because of what your doctor said about your knees.
Today's episode is about changing your story. It certainly is not easy. But the joy of becoming the Real You is worth a little suffering. It is not a kick start or quick fix, it is a change in focus. A change in your story that can lead your to a healthier life. Have a listen. Thank you.
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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 colon cancer. Detecting advanced cancers is pretty good. It is not so good at detecting early treatable cancers. It is just a blood test. However, it is not perfect so what will you do with the results.
If a breast cancer tumor expresses estrogen receptors then inhibiting estrogen should decrease the cancer growth. How much is enough?
All of the above sound like reasonable tests and solutions. But do they prolong survival ? Very few studies actually look at overall survival resulting from an intervention. They look at disease free survival, or tumor regression, or ability to diagnosis a cancer. It seems as though a diagnosis could lead to more rapid treatment or more aggressive treatment would lead to a better outcome. But what are the downsides of a therapy or early diagnosis that might ultimately lead to side effects that shorten lifespan or decrease quality of lifespan.
Doing something and being aggressive are seen as positive interventions. Why don't we view lifestyle changes in the same way?
Aerobic exercise and strength training positively affects muscle mass, mitochondrial function, mental well being, and lifespan with very few side effects. If you are interested in learning how you can positively affect your healthspan, check out our websites at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing
Email me with questions at [email protected]
A Cell-free DNA Blood-Based Test for Colorectal Cancer screening. NEJM March 14, 2024. p 973.
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2816030
https://jamanetwork.com/journals/jamacardiology/fullarticle/2813486
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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 sessions by a drill master that is trying to whip everyone in shape. They get injured and never go back, and reinforce why they are not cut out for the change. Some people are over the top and need a coach to actually slow them down before they hurt themselves. Finally, there are those that continue steady forward progress completing step after step with a continued eye on the goal. Knowing which type you are is important when you decide to embark on lifestyle changes.
There are multiple ways to make healthy lifestyle improvements. Check out our website at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing
Enjoy the episode and do the fitness test to see where you are with regard to a healthy lifestyle.
Thanks for listening.
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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 following disease progression. I even heard from a patient that was told by a cardiologist that he will know when he needs him. Why wait until you already have disease? The only preventative therapy is medication in the world of sick care. Take as much as you can tolerate before side effects become intolerable.
One such example is the release of new medications that become part of protocols that everyone with a diagnosis receives. No individual evaluation. One size fits all. A pharmaceutical representative educates providers with the study results. There is only time for the conclusion. There is no discussion of the actual patients studied or of the patients that were rejected from the study because of intolerances. Just prescribe the new drug and eat a free lunch.
However, you can greatly influence your longevity through nutrition and exercise. Start the journey and continue to grow and build your comfort levels. Track your wins or progress. Note how you feel after exercise or eating well. And if you would like some guidance or support, check out our website to see how you can become a member of our practice.
https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricinghttps://www.acc.org/About-ACC/Press-Releases/2023/07/26/17/57/People-With-Heart-Failure-Can-Step-Their-Way-to-Better
https://youtu.be/HkDMn_QP0Uk?si=rMgWCxsc4sg1HIBk
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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 fairly young and I wished I had more time with them. For the last several years of their lives, they were not that mobile and limited in their activities. It does not have to be that way. But you cannot rely on luck. How do you get to be the cool grandparent that does not hold anyone back and encourages living life to the fullest.
Today's episode is a grandparent want a be training boot camp. Join me in living life to the fullest. After you finish the episode, slide on over to
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and check out our practice opportunities. We will get you in shape through a varieties of plans.
Today's study references:
https://www.bhf.org.uk/informationsupport/heart-matters-magazine/news/behind-the-headlines/can-planks-lower-blood-pressure#:~:text=New%20research%20published%20in%20the,for%20set%20periods%20of%20time.
https://www.nature.com/articles/s42255-024-00984-2
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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 make us well. We are at the mercy of the latest technology.
Optimism and a positive mental attitude can lower the incidence of cardiovascular disease and mortality significantly. Our thoughts are very much tied to our autonomic nervous system which affects blood pressure, inflammation, and even our DNA. There are no side effect to administering or training our minds to be more positive. Why not you?
You have to start training. Why not start with breakfast. Enjoy this episodes and get your PMA going.
Thanks for listening.
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Welcome! and Thank you for listening.
You had better be careful eating that plant based diet. You could be deficient in all kinds of things. You could even be anemic? Are you tired? Perhaps you suffer from iron deficiency. These statements are all possible; if you eat a vegan diet of Oreos and vegan deli slices.
Iron is vital to a whole host of reactions in and out of the body. Have you ever seen rust? It is vital to make red blood cells, repair DNA and metabolize nutrients. It is also very hard to get rid of especially if you are a male. So before your health care provider starts to worry you, listen to this podcast and find out if your are at risk.
Why is there a national donut day and not a fruit day? Why are people afraid of fruit? Is eating fruit flavored things the same as eating fruit? That seems to be just fine in mainstream information. No one has blamed donuts for causing cancer. In fact they have a holiday. Why not fruit?
Doctor: you are gaining weight. Patient: It is the fruit. The answer is in the podcast.
If you enjoy this podcast, please leave a review on ITunes so that I can continue to provide it free of charge. I do appreciate it.
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https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricinghttps://nutrition.bmj.com/content/6/2/212#block-system-mainhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8118195/
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Welcome! and Thank you for listening.
There are two very important things to do each day for your mental health, sleep, and cheery disposition. I invite you to listen to find out. 90% of people do not achieve one of theses things on a regular basis. It has nothing to do with nutrition.
Did you know it takes twice as long to raise a steer grass fed versus grain and grass? A year longer to absorb more environmental toxins and concentrate them in the meat that carnivores consume abundant amounts of?
Did you know that Oreos lower cholesterol more than statins? In a study of one it did. I was not the subject. But is was creative science that has received a lot of clicks on the web.
I hope you enjoy the show. If you would like access to our members only content you can join by clicking the link below.
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https://www.nature.com/articles/s44220-023-00135-8
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9964047/
https://www.mdpi.com/2218-1989/14/1/73
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Welcome! and Thank you for listening
I raced the Long Haul 100 Mile Trail Race this past weekend. There were many surprises and challenges over the 31 hours and 5 minutes that it took me to cross the finish line. In fact, there was a time when I did not think I would see or even care to see the finish line.
Ultrarunning is any running event over 26.2 miles. This one was 100 miles. Six times through a 16.7 mile loop at Colt Creek State Park in Florida. It was describes as grassy trails and hard pack jeep roads. Mother nature added water and mud.... Lots of it.
I want to thank my crew: Michael Hubbard, Lynda and Lew Albert, and Timaree Hagenburger. Without them, the story would be much different. They helped me and cared for me selflessly in cold, windy, conditions all day, all night, and into the next afternoon. The best part is that we are all ready to do it again. Just not tomorrow. Thanks to Andy Matthews, the race director for his tireless efforts to put on a race in extreme conditions. I hope he gets the mud out of his jeep wheels someday.
I hope you enjoy my story of the Long Haul 100.
Life is better when we do it together, and even better if we do it outside. Visit a state park with your friends and family and you will see it is the best $3 you will ever spend.
Music: Wake Me Up by Avicii
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https://www.floridastateparks.org/parks-and-trails/colt-creek-state-park
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Welcome! and Thank you for listening. Today I have Sandy Geisel as a guest. She is a long time ultra runner and adventure racer. Sandy just completed 60 marathons in her 60th year of life. Sandy also has a significantly high calcium score. Listen to the episode to find our our approach to an elevated calcium score.
Our practice takes a whole patient approach. We do not just look at numbers and tests. We work to maximize health through lifestyle interventions. Nutrition, mobility and mindset are keys to a healthy life. Sandy sets this example and I hope you enjoy listening to her.
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Welcome! and Thank you for listening. The year is coming to an end, but that does not mean we should ignore our health journey until next year. It matters right now and every day.
Early onset dementia, meaning occurring before 70 years of age, is associated with several risk factors that can be addressed now and prevented. There are 15 risk factors that stand out among many. It may seem obvious that a history of diabetes, previous stroke, heart disease or depression would be among them. But how about hand grip, Vitamin D and social isolation? I will discuss these and the others .
People often say this or that hospital is ranked number one and is the best. Why? Are you falling for purchased endorsements or advertisements? Is bigger better. For profit hospitals and especially Private Equity owned institutions have been associated with more medical errors, increased fall risks, and more blood infections. Are your health care choices motivated by corporate performance or patient care. Choose wisely while you still can.
You will have to listen to the episode to find out what simple exercise will add 3 years to your life and decrease your risk of a stroke by 40%.
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3https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4131752/https://jamanetwork.com/journals/jamaneurology/article-abstract/2813439?&utm_source=BulletinHealthCare&utm_medium=email&utm_term=122723&utm_content=MEMBER&utm_campaign=article_alert-morning_rounds_daily&utm_uid=2593670&utm_effort=MRNRD0
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