Avsnitt

  • 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, like most psychiatric medications, is just to dull awareness. What a great quality of life that must be. Most people want to avoid dementia but think nothing of medications that dull your cognitive abilities. Hence, don't operate heavy machinery which should include a car. If they said car, less people might opt out of taking said mind dulling medications.

    It all gets back to the root cause of not feeling well. Do you have a disease or a side effect of medication. Perhaps you are suffering from a lack of exercise induced mitochondrial dysfunction. I hope you enjoy the rant and thank you for listening.

    Fear not we can help. Check out our website at https://doctordulaney.com/membership/join-us/

    Email me at [email protected]

    For dietary consultations: email [email protected]

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  • 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 controlled by the individual. The emphasis is on eliminating stress, but that is not a realistic option because it is the perception of the individual about what defines stress. We all possess the ability to choose our reactions. It is easier said than done but certainly beat the health consequences of ignoring the problem.

    Does eating meat help with low Testosterone?

    Can older women improve heart function with resistance training?

    Are plant oils better than animal oils? Is better an acceptable option?

    I hope you enjoy the episode. Thank you for listening.

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  • 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.

    Most lifestyle diseases are a result of impaired metabolism. Our muscles are a major user of energy, and the organelle that is the power plant of the cell is the mitochondria. As we lose muscle mass, we lose mitochondria. This leads to impaired energy utilization as well as the risks of falls and brain perfusion of nutrients. Bottom line, we all need to train to maintain our muscle mass or regain muscle mass if lost through inactivity. It can be the difference in living independently or the ability to participate actively in life.

    We will discuss approaches to strength training as well as fueling for recovery. How much and how often or is anything better than nothing are often topics of concern.

    Given Nathan’s diverse training experience, we feel comfortable of offering online training programs specifically designed for an individual’s goal. We will also begin to offer limited personal instruction for those with specific needs and the desire to have a someone that can interact with them to achieve a specific goal.

    If you have interest, you can email the practice at [email protected],

    [email protected], [email protected] or [email protected] for more information.

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  • 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 is one of the biggest contributors to a healthy life span yet we ignore it's significance and celebrate eating poorly. We are made to believe that overindulgence is necessary for true happiness. We look at food restrictions as a form of punishment.

    We would like to help turn this around by promoting mindful healthy eating that is enjoyable. We also celebrate movement to preserve lean muscle mass and mobility. Check our our website to see what we can do to make you achieve your health goals to insure a healthy life span.

    Thanks for listening

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    https://www.nejm.org/doi/full/10.1056/NEJM199212313272701

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  • 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 important to see or imagine yourself as you would like to be, and then initiate the step to complete that journey. It is not wishing. It is action.

    I just turned 62, and I am walking and running better than I did the last half of 61. I am working the plan to achieve my bucket list. And as I empty the list, I am filling it up.

    We would be honored to help you visualize your health journey and take the steps needed to work on your bucket list. Email me at [email protected] with questions.

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    Thanks for listening.

  • 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 at once. We change shoes, gait, and arm movements all at the same time. How do we stop the music!

    Pause. . . .

    What is the frustrating event. What are the facts and what is our mind interpreting as reality?

    Pause. Assess. Make a decision. Follow the plan. We would love to help you assess your frustrating events and impediments to a healthy life. We can help you formulate a plan to achieve your desired goals and help you take the chaos out of your day to day struggles. Email me a [email protected] for a free consultation.

    Check out our website to see if being healthy is the choice you are ready to make.

    Thank you for listening.

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  • 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 am sure it happens on a regular basis and more often than 1200 calories. What about the weight of food? Does a pound of chips have the same amount of energy as a pound of potatoes? What about a pound of carrots.

    It turns out that vegetables, tubers, and fruit contain about the right amount of calories per pound for humans to consume and maintain a healthy weight. It also turns out that we as a society do not burn near the calories as a typical hunter-gatherer society. It is also true that men burn more calories per pound of body weight than women.

    I hope you enjoy the episode. It you would like help matching your energy consumption with your energy usage, email me at [email protected].

    Thanks for listening.

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    Trevor Kashey: podcast Coffee with Dr. Kashey

    The Comfort Crisis by Micheal Easter

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  • 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 favor for a good outcome. Testing and procedures are a game of risk and reward. Having a plan for the outcome before diving in is always a good idea.

    Walking an hour a day is good, but how fast do you need to go? However, how fast your heart rate goes up is also important.

    I take a little dive into these topics as well as some tropical fruit suggestions.

    Email me at [email protected] with questions.

    Thanks for listening.

    Website:https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    https://pubmed.ncbi.nlm.nih.gov/31448349/

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  • 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 complicated than it originally seemed. My latest running injury is such an example. Insoles or a shoe change for instant relief, running hard to clear the cobwebs that might be the issue, bounce house jumping to better mobility, or sand dune running perhaps.

    In the end we realize there is no quick fix. But there is the opportunity to learn and do the work it takes to really make a change. They don't say patience is a virtue for no good reason.

    Eating an plant based diet and getting stronger can only help. It is not quick, but the rewards are many. I will share a few reasons on this podcast. Add another box of tofu to the basket, and I hope you enjoy the podcast. We would love to help you and your family tradition to become healthier and stronger. Check out our website at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    Email me at [email protected]

    Thanks for listening.

    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

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  • 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 going gets tough. There is constant input for "the best" diet that has no way of knowing your nutritional needs or why.

    Be aware of headlines beginning with "study shows" or "experts suggest". It becomes a slippery slop to find what is actually behind the headlines.

    I think the best place to start is to clearly define your goals and the reason or why you have chosen them. Nutrition needs change over time. Growing children need different amounts of nutrients that adults. Nursing and pregnant women have different needs. So do people recovering from injury or surgeries. The problem is that nutritional choices don't always show up immediately. People blame high school and college sports injuries for joint pain 25 years later but never implement their nutritional choices.

    Today, I reflect on my nutrition choices and how my life might have been different following a plan of moderation. If you would like some help guiding nutritional changes to meet your health goals, check out our website at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    Email me at [email protected]

    Thank you for listening.

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  • 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. Those risk factors need to be reversed not medicated. One thing for sure is that grass fed butter is not the answer.

    If you would like to decrease your cardiovascular risk, check out our website at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    Thank you for listening.

    https://professional.heart.org/en/guidelines-and-statements/prevent-calculator

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    https://leadville.com/a-time-line-of-leadvilles-history/

  • 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 results in a longer period to worry about the future. Most people believe it is genetics and bad luck. Dean Ornish, MD recently published a randomized controlled trial showing improvement in early dementia symptoms and biomarkers using a plant based diet along with exercise and stress management. This preliminary study is wonderful news to support a basic whole foods plant based diet. No gimmicks or need for specialized foods. No fancy exercise protocols. Just basic good nutrition and movement with attention to mindfulness.

    The bottom line is the more effort you make, the better the results. Consistency is key just like in any other lifestyle change. That is the hard part because so many people are looking for a quick fix that requires no changes on their part. However, if you would like to take control of your healthspan, check out our website.

    https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

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    https://alzres.biomedcentral.com/articles/10.1186/s13195-024-01482-z

  • 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 don't believe your keto doctor if he tells you he is getting adequate fiber.

    Finally, thank you to my 90 year old patients. You have always been the most loyal and humble group of people I have had the pleasure to learn from. As a song once said human kindness is overflowing. I think it might rain today.

    https://academic.oup.com/cardiovascres/advance-article/doi/10.1093/cvr/cvae120/7687589

    https://www.sciencedaily.com/releases/2021/04/210421200133.htmhttps://www.science.org/doi/10.1126/sciadv.adm9481

    https://youtu.be/_OzYJ4_ikiE?si=6ccphrap5fYkozDN

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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

    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

    https://mypurewater.com/?sld=jdulaneyhttps://www.nature.com/articles/d41586-024-01370-4

  • 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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  • 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.

    https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    Https://doi.org.10.1038/s41586-023-6877-whttps://jamanetwork.com/journals/jamacardiology/fullarticle/2816316

    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

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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.

    Website: https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

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    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

  • 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.

    Website: https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

    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

    https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

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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.

  • 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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