Fortunately, we’re entering a new era of medicine. Doctors no longer need to serve as the middlemen for interpreting lab results. This new era will benefit patients profoundly. Levels CEO Sam Corcos calls this concept “bio-observability” — the ability to observe your own biology through technologies like wearables, continuous monitors, and direct-to-consumer (DTC) lab testing. Let me be clear: bio-observability is one of the most disruptive trends our health care industry faces. You should not blindly trust your doctor and you should not blindly trust me. You should trust your own body. Your body can “speak” to you through accessible testing and real-time data from wearable sensors that help you understand how individual symptoms are connected to overall metabolic health.
GOOD ENERGY BIOMARKERS AND MOVEMENT When you’re striving to be part of the 6.8 percent of metabolically healthy Americans, regular movement will help you get there. Research shows that exercise improves all five of the following basic biomarkers of metabolism: Glucose Levels Above 100 mg/dL: Twelve-week exercise programs of either high-intensity running (40 minutes per week) or low-intensity running (150 minutes per week) both brought participants’ blood sugar from the prediabetic range (100 mg/dL or greater) to the nondiabetic range (<100 mg/dL). HDL Cholesterol Less Than 40 mg/dL: A 2019 review of the literature showed that exercise increased HDL cholesterol, “with exercise volume, rather than intensity, having a greater influence.” Meanwhile, “raising HDL levels pharmacologically has not shown convincing clinical benefits.” Triglycerides Above 150 mg/dL: Numerous studies have demonstrated that physical activity effectively lowers triglyceride levels. In a 2019 study, an eight-week moderate aerobic exercise program significantly reduced triglyceride levels in participants. Furthermore, even a single session of intense aerobic exercise has been found to decrease triglyceride levels the following day. This positive effect could be due to the increased activity of hepatic lipase in the liver, an enzyme that facilitates the absorption of triglyceride from the bloodstream. Blood Pressure of 130/85 mmHg or Higher: Research has shown the effects of exercise among populations with high blood pressure were similar to the effects of commonly used medications. A Waistline of More Than 35 Inches for Women and 40 Inches for Men: Not surprisingly, regular exercise can help decrease obesity by increasing energy expenditure and promoting weight loss. Research shows a clear inverse relationship between the amount of movement people do each week and the size of their waistline: more movement, smaller waist circumference. What’s more, lower activity (fewer than 5,100 steps per day)
If a medication could slash Alzheimer’s risk by 50 percent, it would be front-page news and prescribed to every patient. But this “drug” does exist — it’s walking! Yet less than 16 percent of doctors prescribe movement to their patients, and 85 percent of practitioners report zero training in prescribing exercise.
Other Childhood Metabolic Conditions Epidemic levels of obesity, liver dysfunction, and brain dysfunction demonstrate a cellular energy epidemic. And our children’s small, not fully developed bodies are being set up to fail at an early age because our culture and daily lives have been co-opted by processed foods and the other factors that damage mitochondria and cellular energy production.
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At the start of my residency, the Affordable Care Act (ACA) was passed and all doctors had to get up to speed on the Merit-Based Incentive Payment System (MIPS), a new program under the Quality Payment Program (QPP), where a physician would now receive substantial adjustments to payments from Medicare if they met specific quality-of-care criteria. One would think that “quality” and “merit” in medicine would mean that the patient was actually getting better. But when I dug deep through the MIPS website to find the specific quality metrics for each specialty, I was shocked to see that these quality criteria were primarily based on whether doctors prescribed drugs regularly or did more interventions. Yes, a government incentive program focused less on actual patient outcomes (i.e., Did the patient get healthier?) and more on whether doctors prescribed long-term pharmaceuticals.
By simply noting the thought, you get off the “train of thought” and back to the present moment. In doing this, you solidify the understanding that your identity is separate from the rush of stressful thoughts running through your brain. Most of us spend the entirety of our life jumping from thought to thought, never getting off the “train,” thinking that this is “reality” or “you.
On my mom’s final day of consciousness, she woke up weak and started to lose control of her speech. Later in the day, in a burst of energy, she urged us to take her to the place where she would soon be buried — a rustic forest grove overlooking fields and ocean, just three minutes from her house. We quickly drove her there and took her in a wheelchair to the natural burial site. My mom expressed amazement at the beauty of the ocean view and the trees she would soon be buried under, and we hugged as a family. She asked my dad to kneel beside her in the wheelchair and cupped his face in her hands. She looked at him and talked about how magical their life was together. On this small patch of earth with the Pacific Ocean behind them, they exchanged silent looks that expressed emotion and gratitude for each other that are impossible to fully convey in words. The awe and connection they shared as they exchanged their final embrace will forever be my definition of the meaning of life. “It’s just . . . so perfect and beautiful,” my mom burst out as she looked at her family embracing her at her final resting site. Minutes later, she lost consciousness. Two days later, surrounded by her family holding hands around her, she died. The final thirteen days I shared with my mom were the most meaningful of my life. If we had taken the advice of the medical system, they wouldn’t have happened.
Another way to practice mindfulness at any moment is to close your eyes and scan every sensation in your body: your heartbeat, your butt on the chair, any areas of warmth or cold, your toes on the ground, the air moving into your nose and lungs. Because this body scan forces you into the present moment, it takes you away from mental states of anxiety or stress.
Meditation can be as simple as sitting quietly and just mentally noting whenever a thought pops into your head. As each thought emerges, notice it, note thought in your head, let it go, and reset. In doing that, you flex the muscle of returning to the “present moment.” In a ten-minute session, you might have one hundred thoughts pop into your head. Having so many thoughts pop up might seem like a failure, but noticing them is actually the work. The alternative is that you don’t notice
Your doctor, and the entire system they work within, directly and unequivocably benefits from your continued suffering, symptoms, and sickness. Your doctor also likely doesn’t understand the role they play in this medical billing industrial complex. Or the economic and political puppet strings controlling their educational curriculum, the research literature around nutrition, and their decision-making.
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Keep It Simple With food, we covered three simple rules that get you quite far: don’t eat added sugar, don’t eat industrially processed vegetable and seed oils, and don’t eat highly processed grains. With fitness, I also suggest three simple rules. Walk at least 7,000 steps per day and space these steps out throughout the day. Work up to 10,000 per day. Get your heart rate above 60 percent of your maximum for at least 150 minutes a week. (That’s 30 minutes, five days a week.) Lift heavy things multiple times per week in a way that hits every major muscle group.