2822: The Truth About Insulin Sensitivity & Muscle Growth

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You just found the most downloaded fitness health and entertainment podcast. This is Mind Pump today. We talk about the power of insulin sensitivity. How you can improve it for better muscle building and fat loss. This is with Dr. Rhett Langley. By the way, this episode is brought to you by Nutricent. So they have continual glucose monitors.

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That's it. Joy the rest of the show. Welcome to the show, Rhett. Thanks for having me. Yeah, so tell us a little bit about what you do your background. So the audience can kind of know where you're coming from. Yeah, so primarily I run a clinic in Houston, Texas. It's called Thrive Medicine. And we specialize in metabolic health, sexual health. You know, I'm boarded in

anesthesia and pain medicine. That's my traditional training. Okay. And then I spent the last seven years after Dr. training really learning how to actually, you know, make people well. Okay. Explain metabolic health and what that, because that's, you're here that a lot now. Like this is like a big thing now in medicine or treatment or in a wellness space. Like what is that exactly? Yeah, so when you go on this true say to try to help people and you

look at, let's just say this is large list of symptoms that people have, whether it's, you know, and I break it down into like two large factions. There's sick people and there's people with problems that may not be determined as sick by the medical community, right? So sick people could be like, hey, I have cancer dementia, sexual dysfunction, cardiovascular disease. And then over here is this, you know, esoteric, not otherwise specified to have fatigue, brain fog. I have,

you know, skin inflammation, sleep disorder, et cetera, mood mobility. When you look at all of that stuff, the really at the bottom of that rabbit hole is the, is the term metabolic dysfunction, right? And real simple definition of that is the physiologic processes in the body are not functioning properly, right? And it starts with looking at glucose, looking at fat, and then that translates into worse things like cardiovascular disease. And like we said, sexual dysfunction issues

with the brain, so on and so forth. So. Okay. So it's essentially the, you're looking at taking what you consume and turning it into energy in that process, although I simplify it, it's a very like the complex process. We're talking about the metabolism, there's a lot of things that are happening. Yeah. Yeah. Okay. Yeah. I mean, if I said to you like, hey, food is fuel, you'd say, okay,

“cool podcast broke great, but essentially, you know, that's what it is. We're talking about like”

exchanging oxygen to CO2, taking in stuff, you know, having your body utilize that, appropriately, and making sure that that physiologic process is dialed in. How much can this really affect someone's ability to build muscle or burn body fat, officially? I mean, in our experience, training tons of people, I've experienced this where, you know, you know, you've got them on a good diet, you're exercising correctly, and then their body is just not responding,

and it's not adding up. And many times there's other root causes. So like how significantly can it impact that ability to build muscle or burn body fat? Yeah. I think it's a huge impact,

right? They utilize insulin also to put on muscle, right? And they also know, like I even saw,

you know, of course, the algorithm has, has control of me, but I saw the other day. When guy was touting, he's like, hey, if you're, if you're fat or ready, if you can't see your abs, don't try to put on muscle. So they're already catching on to the fact that it's not just calories and calories out. You know, that, you know, how much we eat and what we eat is really, really important. But when we look at what's going on underneath the surface, it has a huge effect on our performance,

whether we're putting on holding onto fat or adding that to muscle. And then all the other problems that come from that process, not being dialed in. Now, doesn't exercise apply to appropriately and improve the metabolic health of somebody. Like, those are also methods that can help with that, right? Yeah, 1,000%. I mean, even, so I would say, like, that's hate to get to the point, but that's the overarching theme, right? Life-style modification. And if you look

at, so you're going to hear me talk about these studies a lot, but some of the really, really large behavioral modifications studies, one of them was diabetes prevention program, the look ahead trial, those were behavioral modification. Those studies were RCTs, right? And we're talking 5,000 people showing that behavioral modification most likely beat out other interventions, right? And what was that? It was looking at calorie intake, looking at physical activity, right?

And then the other major thing here, the major thing, especially when we're talking about CGMs or what we do in our clinic, is they had a structured program. So they put these people through a structured program, right? You just can't give someone data or tell them, like, hey, eat more

“move less, like, cool. You have to spend time with these people and teach them and, uh, you know,”

modify that as you go along. So what made you move from, so you were in anesthesiologist or trained as one? Did you practice? No, yeah, yeah, no, I mean, I still do some anesthesia. Okay, so what made you move from there to this space? I was so different, uh, in the sense that, like, you know, in anesthesia, you're, you know, you're titrating people's anesthesia, making sure of things okay during surgery, what you do. Now you're like, cool, let's look at your whole life. Yeah. Let's look at your lifestyle,

let's look at your diet. Like, what made you move into that space? Was there something that happened? Oftentimes, they talk to doctors or do that. They either have their own health issue or a family

health issue? Right. Was it something like that? Yeah, I mean, you know, to answer the question first,

and then back up until the story, it was subtle. And I think people relate to this. I thought I was healthy and felt bad and didn't know that, right? And, you know, maybe you guys can relate. I was like, I was 90s fit, bro, right? So I was, this was prior to my awakening where I thought I was doing a bunch of stuff. It was going to the gym twice a day, you know, and back in the day, maybe you can relate. It was, you know, explode, muscle mill, cell test. Yeah,

roll the same age. I'm dating myself, right? Yeah, roll the same age. Uh, you know, men's health magazine was my Bible and, you know, at that time, don't judge me. This was like dial-up. So checking the sources was not a thing, right? So men's health told me, like, hey, to Kila, to Kila stimulates metabolism, like, all right, cool, like, through the right. You know, calming and nervous system or mental fitness was two drinks, lion bed, negative feedback,

“like, you suck, bro. Yeah, that's how I was taught. That's how we grew up. And then, you know,”

choosing the wrong relationships, right? So it wasn't until, and again, you know, let's just,

yeah, I'll stop joking just for a second. So going through doctor school,

and doctors get hazed a lot a lot about, like, oh, it's not appropriate training or that it's out of context. And I will totally say on this podcast that there's an indoctrination in every professional school, right? However, doctor school broke my ass to be a really, really bad ass doctor, right? Like, it will turn you into a warrior. And when you do procedural medicine, like anesthesia, you have to, you do one, you suck, you do 10,000, you're badass, right? I don't say that

arrogantly, but, you know, back to the story, like, when I met my wife, she was like, hey, you know, are those dark circles under your eyes? Is that like a birthmark? And I was like, no, that's probably something else that's really, really bad, right? I was irritable, moody,

“and because of doctor school, like, I knew how to sleep four hours and get it all done, right?”

Drink late at night to help myself go to sleep, wake up at six. I can handle it all, right? So that was just a wake-up call, right? I was like, okay, I feel good, but something else is going on.

that to you. It was like puffy fit, right? And so I knew how to do something. I was like, okay,

well, this isn't working, um, Sarah, my wife kind of jolted me into action, like, hey, you don't look good either. I was like, well, I don't know. I'm hitting the gym twice a day. It's great. And I realized

“all my other friends who were doctors also had no idea how to take care of themselves, right?”

So to put it back into context with doctor school, like, you know, if your arm fell off, I was your guy, you know, if you got impaled by a fence, I'm your guy, right? If you have an athletic reaction, I can help you fatigue. My penis doesn't work. You know, hey, my, have some skin inflammation and brain fog, no idea. So that kind of took me on the course of, like, okay, well, we need to figure this out, right? I've got to do something different because I

spent all of my life trying to become this thing, and we need great doctors, and I can save a life for sure, but can I save a life on the other end? What I really appreciate, uh, when doctors move into the space, because you guys have, some of the best training I've ever seen on how to go through and decipher through studies, data, how this, you're training that way, you're trained to look at things in that way, and so when you get pointed in the right direction, um, some of the best,

my experience, uh, working with doctors, doing what you do, uh, some of the best results happen,

because you've got that training. What was the first place you looked, or what were the first things

you did for yourself, uh, to kind of move things in a different direction? Yeah, for me, it was, you know, just personal, it was sleep, right? So, um, sleep is a super power. I thought that five hours of sleep was just what we did, right? And honestly, um, after I decided, like, hey, this is something I need to work and at least give myself a sleep window, like it's also like my brain woke up. Um, but the other thing that I started looking into is like, okay, well,

what am I eating, you know, who are the people in my life? All of the things that seem really, really basic, you know, if I said them on the podcast, you're like, yeah, of course, like that's

“how you fix yourself. But you have to understand and apply into your life and then do it over a long”

period of time, right? So at the time, I was, it's period of discovery. I was literally just looking at stuff, and then I would dive at right in and that's how I got connected to nutrients, right? If you really want me to tell that story, I was at the time, nutrientsense was new. And now that I'm even telling the story, it was really new because I was like, hey, you know, what are these CGMs, and in fact, full disclosure, I was like, metabolic dysfunction was not talked to me in medical school, that term.

And I don't even know. I mean, I've been through a lot of stuff, even war, so I'm not sure if even someone even said it. But at the time that I was trying to get healthy, it had just started to become popular, at least in my world. And so I was like, okay, well, you know, what is this CGM? You know, what is this company, nutrientsense? So I called the company. Oh, so you called them? I called them. Oh, well. And that's how I did everything else. I mean, that's how I learned about

“peptides and that's how I learned about. I would just find something and call the person. And at the time,”

it was new. So usually, I would get the person on the phone. So when I called nutrientsense, I was like, hey, I'm interested in my doctor. And this guy Dan jumped on. He talks faster than I do. And so he was like, yeah, I don't know the company is like, well, where do I get more information? He's like, I own the company. It's not me. He's like, did you not hear what I said? So anyways, that's how, and again, that's how I learned. I would just find something that I was interested in,

figure out if it was going to have an impact in health and then just do right in. Well, tell me more about that process with Dan and like asking him. So you get him. You start asking questions. Are you instantly like, oh, I believe in this? Or it's like, what starts? What peaks your interest in it? Do you order one and start testing it yourself? Like, tell me about the evolution

of that and how that unfolds for you? Yeah. Well, even that first conversation was like an hour

conversation that was just talking about, you know, whatever business life and how this CGM impacts people's lives and you know, I'm going to be honest when it first came out. There was a lot of heat. Like, oh, yeah, it's just a gimmick and blah, blah, blah. Yeah. So of course, I was also trying to start my clinic and mind you. This was, I don't know, it was late 2019 and like right before COVID hit. So there's a lot of other stuff going on. But I started, I was like, okay, let me order a few of these.

I had a few clients, right? And I was like, oh, this is it. I'm going to put everybody on the CGM. We're going to start learning about metabolic health. And by the way, I'm also going to learn about metabolic health, right? So I started trying it and the app was new. But the biggest difference even for me and I know, I have no problem saying this was a doctor as I was learning

lifestyle dietitian. So she was in her residency, finishing dietetics. So just even getting on the,

even getting on the, a call or a zoom with these dietitians. And I was, I was special. I was like, hey, I want to talk to your dietitians. I was constantly wanting to talk to these people like, teach me, teach me what do you do here? What do you do here? What do you do there? So for me, it was an awesome period of discovery. And I could tell that this was a different tool because it was helping me understand how to change my behavior. Yeah. Right. So I love like some, there's been some cool

“CGM stories like, or CG. When you, do you remember the first like, aha or like, well, that's”

weird. Because I've seen times where you see somebody who, one person eats a food and they react to certain way. And then another person eats that food, reacts completely different. Do you remember

the first time you had kind of liked that for yourself or for a client? Yeah, absolutely. And

again, like I said, we're just going to get wrong. This podcast around the time it was carnivore was really, really popular. Right. So of course, I'm trying to learn like, oh carnivore, this has to be it. Like, let's try this. And it was the same time that I was doing the CGM. So you're eating just me and you put on a glucose monitor? Yeah. And you're expecting zero. Yeah, but I mean, even me, like, is, you know, my wife knows how extreme I am. I'm going to be flat, dude. I'm just trying

we want no glucose spikes, right? Let's be flat. But do we pause for a second? Your wife's in residency is a dietitian. And she knows you're just going to eat me. Yeah. Like, what was that like at home?

I am dying because when she hears this, she's going to be like, he knows.

Because I would be like, no, no, that's it. I would hear something be like, that's it. Plants are going to kill you. She's like, you're dumb. I'm not doing any plan. She's like, dumb. And of course,

“it's fine for me telling that because you have to, you have to do this stuff to figure it out,”

right? So I guess I went through a carnivore phase and I was like, yeah, that was dumb. But no, yeah, I mean, but the expectation is, I'm eating no glucose. I'm having no carbs, no sugar. Yeah. No fiber. Right. And so I should have flat. Yeah, what do you actually see you though? Yeah, well, what you see is, and the longer again, you know, I don't recommend carnivore. The longer you take it out, the more variability potentially you have. Right. Right. Right. So even eating

protein, you're going to have an insulin response. That's right. And so, of course, think about me, you know, I'm trying to teach people and learn. And I'm like, okay, this is not making sense. Maybe I should eat some plants. And she's like, yeah, you're dumb. Yeah. So I explain some because my favorite aspect of the of CGMs and now that they're more popular is just something that we noticed as trainers. Now, we couldn't, I couldn't put, I couldn't give you, you know,

a blood marker or measurement, but I just trained enough people to know like, everybody responds to different. It's really weird. Yeah. She could eat this for the morning. And in this guy, it's the same thing. And it's appropriate calories, macros, or, you know, appropriate. But he just feels like crap. We need the same thing that she does. And you just see this enough times as a trainer to go, there's a big individual variance. I can't explain it. I didn't even, I didn't even know how

to explain it back then. But then you get CGMs that confirm, oh, yeah. Like, this guy eats a potato. She eats a potato. He has a crazy response. She seems to be, okay, explain, why do we think that happens? Like, what's going on there? Yeah. I mean, when you look at variability and, you know, when I'm working with clients, the number one thing people do is they say, okay, well, I had a potato and then I have this response. Or let's say they have a response like, oh, yeah, I was definitely

the potato. And I was like, well, let's think about it. Let's look at all these data points. Because you're a human. You have a complex complex question, complex answer. Right? So instead of just saying, like, hey, you had the potato, let's look at what happened in the last five days. Was your sleep bed? Did you get in a couple of arguments with your significant other? How was your hydration? Did you work out that day? Right? So even looking at lifestyle and also looking at the

physiology of the human, right? How much fat are you carrying? Right? What else are you eating with the potato or around the time of the potato? So it helps us kind of decipher what else

“will work out. This individualizes it can get. And even more important, and I think the bigger”

conversation here is, and I remember unlocking this with clients, was like, because one might say, well, who cares? Who cares if it's got this risk? Who cares? Yeah. It gets a little bit. If it's the same amount of calories, and I stay within my calories, but what I started to connect with

other things when when you see these huge swings. And that to me is the important conversation.

Is that, you know, because that's where someone, well, if I just follow the calories, who cares if these foods make me go up or down? But when you talk about behavior modification and how important that is in this whole process, if you didn't realize that you have this reaction to a certain food, it makes it that much more difficult for you to stay on track. So talk a little bit about that, because I think that's the bigger conversation. More so than the variability

of a client spiking or not spiking. Yeah. Yeah. Absolutely. I think honestly that that's the take on message is when you are a good practitioner or trainer or doctor or whatever,

“if you want to make it impact in someone's life, it's going to be behavioral modification. And”

there's randomized control trials that show that, right? So it's easy for me, this is an amazing

tool because when someone looks at a glucose spike and they say, who cares? For me, I can put it in context. I could say, okay, well, you know, you're a busy executive and we know that glucose variability is going to have an impact on a cognitive function or executive function, right? When someone, when a client comes to me and they're like, hey, when I say, okay, what are your goals? They go, I want to feel better. I'm like, okay. Well, when you unpack that, it's different.

Yeah, it's mental resiliency. So cool. Like, you want to feel better in your body or no. You want to be James Bond, right? I want to, I want to make a decision and then have a plan to kill everybody in the room, right? So, so that's executive function. If I said, hey, who cares, but also when when you're having all these spikes all day, it's going to lower, it's going to lower your executive function, your ability to make decisions, right? The highest form of thinking is thinking

about what you're thinking. Yeah, I'm talking to you. Yeah. So, it puts it in a different context

“for that client. And hopefully, and again, you have to work on that over time. So, not just like having”

one instance with the client, let's work on it over 300 days or 600 days, right? How hard or easy was this transition for you because coming from someone who's a doctor, so you, you, you, you're one of these, but you're probably the kind of guy that's like, I'm going to make a change, I'm just going to do it. So you decide, I'm just going to do it. Then you also work on a medical system, which is like, you know, you show up, someone has something wrong, do this, do that, and you're

gone. Now you're working with people on behavior change. Do you ever have frustrated? Because it's really hard to change behaviors. Yeah. Yeah. I mean, what I would say is, it wasn't as hard for me because that's what I like to do, right? That, I mean, I was in the military. So if you tell me, like, hey, you suck, do more, I'm like, okay, sorry, that's certainly cool. That's how I respond, right? I want someone to tell me, and again, you know, your circle is the collection of, you

are the collection of the five people you hang out with, right? So, in fact, that's where I shine, and in everybody at the end of the day, the best doctors, they become a coach, the good ones become a life coach, on top of taking the data, on top of prescribing the medicine, right? You sit down at the patient and you over and over again. But it was awesome perspective because I would go over here and try to make someone well, right? And train them on doing XYZ, and then go over here

to conventional medicine where people are dying. And yes, save some lives, but having that dichotomy helped me understand, like, if you don't change, you're going to get to this side of it. Yeah, I had, I had some really interesting experiences early on as a trainer that really just defined my knowledge of blood sugar and all that stuff, just because, you know, I understood very basic things. But I remember once at a client's pre-diabetics, we had to test his blood sugar

“off, and now I never forget, we had a really hard leg workout. And his diet at this point was good,”

because he was trying to get out of pre-diabetics stage. And he went home and he calls me up, they do my blood sugar through the roof. I'm like, we just worked out. That doesn't make any sense.

It was the first time I understood how stress, because a dramatic ride just caused your

liver to dump a bunch of glucose in your system. I remember when I first got that call, they can't be right, test yourself again. He's like, no dude, it's real high. And I'm like, oh, like, what do we do wrong? And I just had no idea that stress could cause that. Yeah, yeah, that's, um, that's actually one of my platforms. You know, it's like 2026, right? You can't just be a husband. You can't be a father and have a nine to five. You've got to

now have a five to nine, like a 10 to two. You've got to know how to day trade crypto. So like, all day, we are literally in fighter flight. Okay. So and everyone understands, like, that there's a reason, there is a physiological reason for that, right? Blue light hits your eyes, cortisol rises, you wake up and you hunt or gather, right? Again, that's a simplistic turn. We, it gets towards the night, lowers, you go to bed, staying in that all day is a problem. And

and teaching clients that like, hey, I can make your labs look beautiful. We can make your body

But if you, if you stay in this high nervous system activity state, it is going to kill you. And we even see that in glucose, right? One of the interesting studies that I like to talk about with the clients is like, you might not see even with stress. You might not see that cortisol effect with fasting glucose. And when you go to a conventional doctor's office, they're going to check

a fasting glucose, right? But we do see it in post-prandial. So we see it after you eat. And I always

referenced this one study where they are, they artificially created like a stress test. It was like a social stress test because this is a straight nightmare fuel. And I'm saying this as I'm sitting in front of three people. But they would have you eat. So you eat your oatmeal. And then within the hour, you immediately go to another room and you have a mock panel job interview. And so then they would measure like glucose, right? Or the other option is you would eat. And then

you would go into a live audience and do math equations, right? If you messed up, you had to start over. So, I mean, in think about that, right? You might have, again, you had a close deals, right? It's business, what you're having your meal in a high stress situation. Not to mention all the other

stuff that we have to deal with in today's world. And I always tell a class, I'm like,

“you get what you practice. And I'm not immune to this stuff, right? My wife, the best thing she ever”

said to me was, uh, you love putting yourself in a constant state of shading your pants. And I was like, you know, like, you, despite your best efforts, that's something really cool. You know, I'm not immune to this stuff. Like, we, I deal with stress all the time. I'm a business owner. It is like this all day. And then we're expected to come home and lower our nervous system. But that's slowly killing you, right? And so the CGM is a good way to show people, like, hey, if you do this,

this is not good. So we need to do something to help. All of those lines. We're some of the practices you've applied with clients to help them with that part of it. Yeah. Yeah.

Yeah. Well, and what's interesting, too, is when I ask them, like, hey, what do you do for

stress? They'll say something like, okay, well, uh, I listen to music. And I'll push them a little heart of like, no, no, no. Which is fine, music helps you. But what do you do to lower your nervous system activity, lower your heart rate, lower the sympathetic activity, you know, uh, and one of the biggest takes take away is I have for stress. I learned while I was in the military, you know, as deployed for a year in Afghanistan with special forces. And you have that constant

high level of stress of, I don't know, whatever, getting getting blown up. And I learned from special forces. So, you know, where's it's coming from our limbic system, right? Lemic system wants us to be safe, routine, a routine, your brain notices routine as safe, predictable. Yeah. So even in, even in war, what do we do? We clean our weapon, we go get a haircut, we make our beds, right? We prepare, whatever, your, the bullets, right? So sticking to a routine, we'll make your

“brain feel safe. And that's why some people think like, oh, that's a very boring lifestyle,”

but actually the brain does like routine. Was that strategically put in by the military? For that. Absolutely. Did you know that while you were going through it, like, were you aware of that, was this you're reflecting, you know? No, no, I was, I, like, told you, I was just a fitness bro, like, okay, cool, this is what we do, you know. But also, and I don't mean this to sound arrogant, I, my mind was not constantly on, you know, whether a rocket was going to come over

and hit us, especially when one of them hit your friend, you know. I was just, it was a very peaceful time surprisingly, because we had one place to eat, one place to get a haircut. There was also just one haircut. He didn't have to tell him what hair got ready to get. One place to work out, you know, in one job to do. Yeah. So that routine, you know, I would go as far as to say there's times where I'm experiencing more stress in this chaotic environment than I did on deployment.

Interesting. What are some of the, the practices that you've noticed that have the biggest impact on somebody's measurements, the variability? Yeah. Is it, is it exercise, if so, what type of

“exercise is it, the diet, probably sleep routine? Sleep, like what are the ones that you notice most?”

Yeah, I mean, the obvious ones are sleep, you know, sleep is a super, super power. We, I think you guys have talked about the studies on those, but even if you look at studies on sleep, independent of obesity, having a regular sleep schedule is going to make your glucose more stable, right? Going to bed at the same time, that's another one I had to learn, right? Because I don't know what you guys, and my wife's probably going to kill me, but she goes to bed late. I go to bed. I'm

Grandpa Langley, right? I go to, I try to go to bed between 9 and 10. She's more after midnight. And so of course, I want to spend time with her when I, when that, even if I get an eight-hour window,

like your soul. Yeah. Um, I mean, obviously body composition. So what I, what I tell my clients,

I understand when they leave the clinic, you know, our, our overlords have set up the system that's going to attack you, right? Toxic people, toxic water, toxic air, toxic foods, etc. So we work on making the body more resilient, and that's lean mass to fat mass. So obviously the lever there is

“resistance training. Yes, you should do some cardio, but trying to get that fat level down,”

right? Change of body composition. I love, you know, years ago I did research on insulin sensitivity and how exercise, different modes of exercise affect insulin sensitivity. And now this is what I thought I would see, but to see the studies back it up and, and just how much was pretty cool to see

that strength training of all the forms of actually, you know, it's, it doesn't burn a tonic,

our traditional strength training doesn't burn a tonic calories. You'll burn way more calories doing zumba or running than you will, lifting weights for the same time. But the insulin sensitivity was like, in gaining lean body mass was huge. I remember reading one study with obese individuals who lost no weight. They just gained a little bit of muscle. Yep. And they sell these huge improvements in insulin sensitivity. What's happening there? Why is it such a big gain changer? Why is it not just

burn calories? What is it about building muscle that does this? Yes, so if you look at those studies

“for every, I think it was for every 4% in lean mass, it was a 4% decrease in hemoglobin A1C,”

which is obviously a conventional test they used to do, like blood sugar, then 6% decrease in fast and glucose. But the idea is that muscle is your biggest sink for glucose, right? So 80% of that glucose that's circulating is going to go into muscle and be stored as glycogen would be utilized, right? So that's step one. And then also muscle is a neuroindocrine organ. So it's going to also secrete myocines that would assist with not only brain power, right, allowing you to make

better decisions. But also just make you feel better in general. Yeah. I do as one study I read out of, I want to say it was Australia where they were looking at the impact of exercise on Alzheimer's. And they were, they were looking at the beta amyloid plaque. Yep. And the strength training was the only intervention they found to halt the progression. And might have even looked like it was starting to reverse. And they compared to other forms of exercise. And my theory is it

had to do with the insulin sensitivity, because cognitive decline Alzheimer's dementia, some researchers will call it type 3 diabetes. Absolutely. So yeah, so talk about the brain health benefits of having improved sensitivity to insulin. Yeah, 1,000%. We just talked about more time above range or let's say glucose variability, less executive functioning. But when you take that out over time, obviously Alzheimer's and/or dementia has a metabolic component. And

the other thing, other association I'll make is when you have metabolic disease, you have basket of disease. So one of the issues with the brain is highly sensitive to changes in energy, right? Glucose requires a lot of energy, right? I think they're clocking the optic nerve as one of the levels that requires the most oxygen. So requires a lot of oxygen and energy glucose very sensitive. If you look at people who have insulin resistance, you're going to increase your

risk of dementia, almost 70%, and then vascular dementia is higher than that, right? And for me, you know, this is my personal sentiment, but if you look at all these, the problems that humans have,

“one component is always going to be blood flow, right? That's how the body talks. That's how it brings”

in oxygen. That's how it brings in nutrients, and that's how it takes out toxins. You know, so dementia's on the rise, Alzheimer's on the right, the rise, and that pathophysiology is very, very, very similar. The whole point of this talk is like, how can I take a look at someone who's sick and try to not do stuff to get to that point, right? So someone who has dementia, I mean, that there's nothing worse than losing your mind, especially if you're able-bodied.

So those are very, very, very, very, there's correlate strongly. I always found it interesting

when people would debate or question whether or not cognitive decline was a result of metabolic dysfunction when we've had studies been around for a long time. We've known this for a long time that if you put a person with Alzheimer's or dementia on a ketogenic diet, we see improvements in cognitive function, not that that's a cure, but obviously, yeah, something's going on there because we're switching energy sources, and suddenly there scores move in the opposite direction of

where they've been moving for the last 10 years. So to me, that seems like a very obvious, like,

brain is to neuro-information, right? Yeah. So when you have impaired glucose, you have impaired fat

deposition, and that sugar that's circulating around the brain is going to cause inflammatory products, and you can even have acute cognitive changes while your sugar's high. Well, I'm curious to ask you about the rise of GOP ones and what you found in your own practice or if you prescribe or if you've combined that with these glucose monitors and like what kind of data and results you've seen from that. Yeah, you know, when something gains popularity, we all win because we,

everyone starts using it, especially if they can make money on it off of it, right? Then we all get all these studies and we see how safe it is and all the other stuff it can do. We used GOP ones,

and I was using GOP ones for a long time before it kind of got popular. And so I love them.

“I think they have profoundly positive effects and I'll tell you the context of how you need to use them,”

but it does two things. And I talked about those behavioral studies where people were watching what they ate and they had a structured program. So the way I look at GOP ones is it is chemical boot camp, right? So when you put this in your body, it's going to be really hard, not until the client's like it is really hard to eat poorly because you get really sick, right? That's what I've seen in my clinic, right? And what do I mean? Well, if you have two glasses of wine in a piece of

pizza pizza and some ice cream, you're going to have a bad night. And so it becomes chemical boot camp,

right? So even if I can't be within there all the whole time and I'll even tell them, I'm like, hey,

you're going to get sick. Not that I want you to get sick, but you won't do it again, right? And so that medication has really, really two large benefits. One, it's going to lower appetite and lower gastric emptying. So people are going to eat less, chloric restriction. And then boom, it's going to fix insulin sensitivity or let's say enhance insulin sensitivity. And so you even see like the FDA is now approved for cardiovascular risk, right? Less hospital admissions,

lower cardiovascular events, and then even kidney protection. So chronic kidney disease, they're using it's FDA approved and kidney disease is a vascular disease, right? Those go hand in hand. Is this, are we seeing improvements in insulin sensitivity from GLP ones, independent, just exclusively? Of the weight loss? Like are you like, if someone has a CGM using GLP one, how do you, how do you, how do you, you see it right away? I guess you would use it and you'd see. Well,

essentially you also, yeah, you can see that away right away in the CGM, but they have studied the medication, they know the mechanism of action, right? So even before we're, again remember, they're using this in diabetics before it got popular. Yeah, 20 or 20 points. You're right. So we already know that it makes the periphery more sensitive to insulin or improves glucose control within the body. So side question, maybe you don't know the answer to this, but I'm now seeing a lot of talk

around P.D. five inhibitors like Sialis, not for what you typically were prescribed for, which is erected as function, but for longevity. They're showing now that it doesn't present. There's reductions in stroke and heart disease. Do you see any different, when people use the CGM, do you see a reduction in improvement in insulin response or blood sugar response from them? How are you asking

“me for a script of the CGM? Yeah, and honestly, that's how we use it, too. And you know a lot of”

guys in GEM use it for the BAM's performance. They've been doing that since we were all kids. Whether that helps for performance or not, that's what they're using it for. So, and I can easily relate this to stuff that kills you. So the in product of phosphodiocytes inhibitor is nitric oxide. Nitric oxide, your body makes nitric oxide, and you need nitric oxide for auto-regulation, which is just a fancy term for the blood vessels, relaxing and squeezing in relation to the amount of oxygen

you need, right? So, yeah, absolutely. They're using it on the regular to improve blood flow. And as I told you, like for me, the whole discovery of me becoming this wellness doctor is realizing like I'm a blood flow doctor. When Oregon's died, it's blood flow. And that's what people die of. It's cardiovascular, heart attack, and stroke, right? You don't die of diabetes. It's the same thing with sexual dysfunction, right? The same vessels in your penis or of a giant

out are the same vessels in your heart, and they work the same way. Yeah, and so we see if somebody

“uses a PD-5 inhibitor, do we automatically, are you seeing immediate changes in their CGM?”

Readings, is it showing up in that way or is it taking longer? Yeah, the context for me is more of

is essentially the vascular system, relaxing contracting. Yeah, in the familial. Yeah, and also when you

have metabolic dysfunction, the biggest issue is vascular dysfunction. Right? Vascular inflammation, right? That process, that cascade of, you've heard that, that term or heard a couple of people say, like the difference between a sick person and a healthy person is a teaspoon of sugar in your blood. Yeah. The major insult is insult to the endothelium, the inner that glyco, okay, looks that's slimy layer of the vessel, right? And, you know, even if you look at,

let's just talk about like sexual dysfunction in men, across the general population, it's like 25%

“which I think is still kind of ridiculous, right? That's one and four. Yeah. When you look at someone”

with metabolic resistance, that jumps to like 50%, it's like half. So clearly, that's a vascular

issue, clearly heart attack and stroke is a vascular issue, right? That's the problem. So when you have diabetes, you have high blood pressure, right? The diabetes is causing high blood pressure. What percentage of your clients that you're helping battle with sexual dysfunction? I mean, anecdotally, like, in my opinion, it's an epidemic. It's a lot. I mean, probably half of my clinic is sexual dysfunction. And this is also, this is also jaw dropping, this is the

miraculous world. Like, the people with metabolic risk, or excuse me, when you have obesity, up to a 13-fold increase in hypogonautism. And I'm not saying sexual dysfunction is just testosterone. Right. It's blood flow. It's multifactorial. You know, it's all connected. Yeah. If a guy comes to me and he's like, hey, I hate my wife and, you know, she insults me and I don't get an interaction. I'm not going to say, hey, it's your metabolic health, right? So our brain is

our biggest sexual organ. Right. So we're going to impact that a little bit, but I'm going to say,

“like, hey, let's look at some labs. Let's check the physiology. But I think it is an epidemic. Like,”

it is not only on the rise, but it's ridiculous. And the other thing I'll talk about real quick is women. The, and this, this shocked me. The percentage of women across the population and have sexual dysfunction is 43%. General population. Yeah. So how do they measure sexual dysfunction for women? Because you're not measuring your, you know, a rectal. Yeah. Yeah. And that's a good question. Right. Yeah. That's a good question. Because passive pathophysiology is the same. It's still blood flow

of the sexual organs. So desire, dryness, pain, right? libido, orgasm, right? And one interesting connection I will make from that, the behavioral modification, the look ahead trial, such a prolific trial that they had these spinoff studies and one of them was women's sexual dysfunction. And so in that trial of the people who had metabolic resistance, where had obesity, 50% had sexual dysfunction, with the modification or the structured program, 30% went into

remission. So again, you know, that statistic is shocking 43%, it's higher with people in women. But it's, you know, we see a man who's like, okay, I can't get an interaction. It's obviously that's a good issue. Right. But women struggle with this too. Interesting. How are CGMs being used now for behavioral modification? Because CGMs measure your glucose in real time. How do you combine that with a coaching or, you know, behavior to like, what are you looking at and how are you using

that as a tool to help somebody? Yeah. I'd like you to take me through a week one. I just signed up with you. I've got metabolic dysfunction. Yeah. What do you, do you just let me eat what I normally eat?

Modern me first? Do you give me stuff like tell me what a week looks like when we get together?

Yeah. I also, you know, again, opera out of the clinic too. So I have the benefit of taking comprehensive labs. Right. So it's even even more interesting when I can show them the labs and then show them the CGM, which is the speed to beat look at their glucose. And then give them the context of like, hey, if you don't do this, these are the problems. But week one is really just why I want to do is I want to get there baseline. Right. So you're doing your thing. I'm like,

don't, because you know what people do. Of course, in the space. You know, and even when you ask that, you know, the 90% clean bros, I eat 90% clean. Right. I'm like, okay, well, it's like tested. And that's also like the biggest takeaway is I get clowns sometimes by clients from like,

“hey, you should, you should fit how's your sleep. Oh, sleep hygiene. They're like, yeah,”

don't even go, I know that. And I do it. I'm like, okay, well, it's unpack that. Well, there's

and three, 10% of the time. Right. It's the same thing with all of the other lifestyle modifications.

They're doing some of it, not all the time. So week one, I'm like, don't change anything. And they still will, right? Yeah. I actually have to make an appointment to like listen, if you every occasionally have a smickers, it let have that. I want you to do that thing. Yeah, you gotta be, give you a week. And that's, that's also the problem with other companies that don't have that one-on-one dietitian contact or even in my clinic. If someone puts something just the bias of checking,

you're going to be living a lot better than you. Yeah. Yeah. Right. Sure, you're like, oh, I'm good. They're just having a perfect take this thing off and go back to what I'm doing. Yeah. And so that's what I told you. The biggest impact is this stuff is if I told you, hey, move more eat less, you're like, cool podcast bro. But you need to do that over a long period of time. All of these little nuances that add up. Yeah. Okay. How have you gotten to the place where the more you look

at the stuff? Because I'm sure you get some of this pushback. I get a plan. My sleep. I got to do all these steps. I got to look at this, that the other. Um, it's, have you got to the place where

“you're like, well, I think the world is just designed to make us really unhealthy. So that's what we”

have to do. Well, we weren't really supposed to. Wait, I want to, because I know it doesn't end where, take me step by step, because it links to what you're going, where you're going right now. Like, okay. So the client, here's my week. Yeah. I'm assuming he's got similar advice, like how we take someone. It's not like do all these things. Yeah. Right. Because I'm sure you've already learned that it doesn't work very well either when you give them all the answers. Yeah. So I do this week

and you see all the shit that jumps out at you. And we, and so what, what does it look like? Do you choose one big rock? Do you like, this is the first level we're going to pull? Like, how do you coach me through that after you get my shit labs and shit week that I give you? Because that's probably what it is for most people. Right? Let's be honest. Yeah. Well, the first thing I do is set expectations and not, and I'll even say this, you know, I'm giving away all my little secrets,

but I'll be like, look, you will know what I'm saying. Don't believe me. You believe it when you see it, but you'll know what I'm saying is true. You, when you feel better. What I was like, this is not going to change in 30 or 60 days. It may change in 300 or 400 days and we are going to work through it step by step, right? And I will give, you know, our slogan that thrives called empowering

your health. So I'll tell the client, like, here's what I think the biggest levers are and I'll give

“them a choice. I'm like, you should start with one of these three, but only start with one”

at a time, right? Because I want you to see on the CGM, what impact that has or the way you feel, or, you know, your behaviors, you know, and that's also what the app will do as it gives you context. When did you eat? How are you feeling? What did you do? Who did you talk to, right? Because I told you people will automatically associate something. I felt like shit today. It's probably because I had the tacos, like, well, it's probably the taco and also the stress with your, you know,

friend. I don't know. Yeah, right? Yeah. You got to bring all that stuff into context. And what I also call it is your health circle. And again, I am not immune to this as you say, like the, the overlords have us all under this distraction and things that are killing us. So I'm not immune to that, but when I'm feeling bad, I go and data check myself and go, oh, you know, I didn't take, I didn't, uh, I was not on my sleep game, you know, or I changed my diet a little bit, or something was off. And so then

the client learns, put these pieces of the puzzle back in the place, they start feeling better. How do you discern between what you know is the three biggest levers, and then also what you've probably piece together as the easiest for adherence? So this is something that over decades of coaching people, um, I sure have the math equation to get this person in the great, best shape of their life. But I also know, and I know that this is the biggest lever, but also know two that could be a big

step for a lot of people. And so sometimes I don't always advise the biggest lever or the best thing. So how do you, like, first of all, give me what those kind of levers are and then how do you

discern where you go first with the client? Is it always the same or is it you notice based off

“of the conversation, like, this guy's going to have struggle doing that pull in this lever?”

Yeah, for, well, for me, the biggest levers personally that I work with and clients are got to be, they have to be resistant training followed by food, right? You know, and specifically, let's just say that, you know, for me, I told you it's, we want to make the body resilient. Yeah. Right. I want to get their body composition better to make them this well-oiled machine and go out in the world and handle toxins, whatever that is. So we know that that's resistance

training and also probably is going to be a caloric deficit, which means we've got to stick with

going to build trust. And generally when people start losing weight and they feel maybe they have a

little bit better, better body image so that it puts them in a positive state of mind. You know, that one of the ways the brain works is error correction. So everyone thinks like, okay, cool, you know, dopamine is a reward, molecule, and it is, and it's all about anticipation, but it's error correction. So if you look at high performers, they're in this range where it's not too hard and not too little, right? You don't want to make it too hard or too little, just right,

where you make a mistake, fix it, and the CGM can show you. Like, hey, you did great all week. And then Friday, you just, I don't know, you shit the bed and then boom, you feel bad.

“Correct and get bad. That's, you get dopamine in your brain so that's how you actually”

re-riar. It's so cool to hear you answer that, and that way coming from your profession and you're angry because I feel like although we're in similar fields, we come at different angles.

And those are the first two things that we tell people. And it's, it's, can I get them to the gym

once or twice a week, full body, strange training routine, and can I get them to eat high protein? Yeah. And those two things are such big rocks and levers that it does tend to fix a lot of other things, and if I can just get them to commit to that, then I could start to build off of that. So to hear you say that from, you know, where you're standing and all the, like, that just shows how many people you've probably helped in your career because that's what we talk all about

all the time. And people kind of mock or, you know, make fun of or scoff at that, that's like what we, we simplify down to. But it's like, man, those are such big rocks that if someone consistently hits high protein and take, we know that it's going to actually start to modify the cravings and their calories. And if they just do two full body workouts a week, the amount of muscle and strength that they can build and what that will do metabolically for them. Strength, why show them

a lot of times it even improves some sleep and energy. So it's, it's cool to hear that that's what you distill it down to. Yeah, and we've got the studies to prove that, right? You know, I'll just to follow up on them. It's cool that you said that too, because I think that having diagnostics and advanced medicine is great. It's awesome. You know, I studied in text medical center in the industry and there's all this stuff. But I think what happens is we

scoff at, so we have a bunch of advanced diagnostics in the treatment may still be very coarse, right? So it may just tell the guy, like the in the bottom of the boat, like, hey, we need more coal. You know, all right, less coal, less coal. And people look at that and they're like,

“that's basic, dude. Like, really, that's what's going to change. And it goes back to what I'm saying”

that if you did that, and yes, I'm not saying only that there nuances for a long period of time, you would win over time, metabolically chronic illness, et cetera. What I find interesting about CGMs is that watching someone's glucose in real time, you can actually diagnose rarely disappoints you in a lot of different directions, not just food. For example, how many times have you seen someone's CGM spike in the middle of the night and say,

ah, you might have sleep apnea. Yeah. Let's look at your sleep and see if you're snoring or what the deal is. It's interesting. It points to a lot of different things because a lot of things can cause a spike. Yep, and that's the the benefit of continuous data because before that, how would you know? Yeah, you wouldn't know if anything that's going on and go ahead. How do you use this data to coach someone? Is it questions? Like, hey, we're noticing this

that what's going on? What happened at that time? Yeah, I mean, again, the platform that I like to

use is let the client figure it out themselves with my guidance, right? So it always starts with

asking like, hey, you know, one, just the thought of them putting the CGM on, they start taking more data points and you check your own health journey like without the CGM, you're maybe not thinking about like, oh, man, I feel bad. It must be, you know, again, this, you know, whatever, at the morning, it's probably a collection of stuff. So with continuous data, we can go back and look at it. The other thing that nutrients sense is doing right now is leveraging AI. So they have

“this Nora, right? That will put this stuff in front of your face. So again, we know the best way”

to went with the client is touch points, right? You honestly just flood them with interaction. And so Nora will bring up trends and bring up data, even data that looks the same across weeks or like when you're putting an inputs, it'll show you help puts, right? So it bridges the gap between your meetings with either the physician or the dietitian. Any supplements that actually make a difference with, uh, you see on the CGM, like burbering, I hear about burbering all the time.

see it. You'll be able to measure it. Yeah, the difference though is that just remember that the

all in context, so burbering is not instantaneous, right? And that's because also bioavailability.

“So you need to take it over a long period of time. Um, another one is like my one also tall,”

that one's awesome. So it's also usually like PCOS. So like, you know, that's a great one, but we're just working on basic deficiencies, iron, uh, vitamin D, magnesium, zinc. Um, but yes, I mean, you know, again, it's complex extra answers, complex questions, right? You got to take burbering for a long time. It's our hard to just say, hey, I took burbering and then I saw the effects. Got it. What about the GMO product that Zibotic makes? Oh, you know, there are usually a great

person asking it. Yeah. So, um, they made a product that, uh, this bacteria is modified to convert unused sugar into fiber. Accumansia? Uh, good question. I'm not sure. Okay. Uh, but I know they they modified the bacteria. So it's their own patented, whatever. Um, that theoretically should make a difference, right? Because it goes from house number cent. Okay. Okay. Yeah, and I'm going to love you a fun test then. Yeah, so cool. They give you something. Yeah. Yeah. And again, extend the study over time.

Right. Like, you got to make it almost like a cutout all the other variables. Same meals. Yeah, same time. Of course. But, you know, the gut also their nutrients, they do a gut microbiome test. So we're understanding that gut is very complex. It's a great way that food interacts with the world. And when the bacteria are in proper alignment, they can help your glucose. It's interesting. You brought up my own hospital because that's been promoted forever as an anti-xiety.

So, and I'm wondering now, if the anti-xiety effect is from a regulating of blood sugar. Yeah. Well, and one of the things that does is it helps cellular movement. So like, storage to the end of the cell to the nucleus. So DNA basically enhances mitochondria. It's just like, in anything, anytime you enhance mitochondria, you can have lower inflammation, lower anxiety, better sleep, et cetera. Creatine, your, your record, but so along those lines,

we must recommend creatine quite a bit. Million billion thousand percent. It should be part of your

daily stack. You've even done, have done studies that show. So data that shows when paired with exercise can improve glucose sensitivity. So, and then, of course, we know now that we're

“stacking it for brain effect, too. Right? You just have to do more. Yeah. I think brain absorption”

is a little less. Yeah. So pump your dose. Yeah. You brought up the alarming stat with women, the 43 percent. Anything else in your such a data driven guy? You got all this great, all this great analytics that you can go back to? Anything else that was alarming to you? Like that you've come across that like surprised you or was like, man. In the data? Yeah. Yeah. Just. Yeah. There's another, like, another one that comes to mind, and it just deals with men. It's

prostate. So as we're aging, a lot of people are having prostate issues, right? And I mean, again, even me going up through the medical community, it's like just something that all guys had, right? They just went to pee five times a night. So you see this. So now we're also starting to learn that's also a metabolic component. So the data is now showing that with insulin resistance, and there may it may be a dose response. So the worst it is, the larger the prostate. So it can

increase your risk of BPH hypertrophy threefold. So again, if you talk about the impact on a man's life, sleep, if I'm having to get up five or six times the sleep,

it's going to destroy everything else, right? That was from the first. Yeah. So we fix that in the clinic

and it's life changing. It's something that people overlook. When a guy will come in and be like, I'm only going to pee once a night, changes his life. Yeah. Wow. Not to mention improved blood flow is such a function. What about? So you hear it loud now a lot in regards to cancer. Yeah. One of the driving forces behind cancer is metabolic dysfunction. Are you up to date with some of this research and the cancer is very complex, but yeah, yeah, yeah, and that brings up a good point. So when you

talk about metabolic dysfunction, everyone understands glucose, but the other flip of that coin is fat deposition, right? So when your when this system is impaired, you have a tendency to add fat and not just fat, it's bad fat, ectopic fat. This is a role fat. That's the fat that kills us. And so if you look at the risk of someone having high of this role fat, it increases cancer risk by 44% and I'm talking about colon cancer, pancreas cancer, like the stuff that can kill you.

“And then the other really important statistic of just having visceral fat is increases your mortality”

to fault, right? So so we know there's a connection between metabolic resistance and cancer.

which is killing people, right? It's a big big, makes you big risk factor.

“When you look at just studies and surveys on people that lose weight and the fail rate so high, right?”

It's a net something like 85% or 90% getting the weight back top of you. Do you see greater success rates when people lose weight through using a CGM and a coach versus doing it on the own? What does that look like in comparison? Yeah, I wish I had some cool statistics on that. I can just tell you in reality and you guys are in the same space, right? And what I can point out is those RCTs just really, really large trials as I told you of behavioral modification,

what they were given was coaching. So they had behavioral groups. They were taught what macros are or they were taught and then they had follow-up. And even the effects of positive,

you know, lower depression, lower anxiety and how they thought they had the lower perceived

stress of sticking to a plant. So that take on message is like cool, you can get a CGM cool, you know, you have these companies where you can just go like heck and order my labs. It needs context, it needs follow-up. And even like, you know, it's as a physician, like I can't do

“do it all, you know? So a whole team. And that's how we work in my clinic as well.”

Yeah. Yeah. No, I would have guessed that for sure, just for my experience, I think behavior change is hard. And it takes some time and you need a coach there and then you need some grace and you're going to screw up and then, yeah. But over time, far better success right. Tell me a little bit more about the AI that nutrients sense is using. I haven't, I haven't played with that in a while. And so like, is it, is it giving me like, it starts to pick up on my patterns of like

Saturdays, I tend to do these. Oh, wow. It doesn't give you a notification or something or yes, yes, it has a negative kind of trends. Yes, it puts it in your face. Right. That's kind of hand. And the other thing too is the more inputs, more outputs. Right. So if you're saying, hey, I went to bed at this time. Hey, my day was stressful. Hey, I worked out. It's going to tell you last week you did this. And this is what we saw. And so think about that when we're super cool.

When I can't sit there and harass you and it's, it's, you know, harassing you to like think. Yeah. Well, what's so cool about that is one of the things that we, I talk about a lot in the show is that a lot of what you do with good coaching is really just helping clients connect the dots. Totally. You know, half the time. I mean, and we're all probably all in this room guilty of this at one point in our lives, you know, eating foods that totally didn't agree with us. And just thought that your

stool was normal. That's just, you have a bad day. It's like, it's not going like, no, that's actually because you ate this thing. Right. You felt that way. Also, your sleep was like, it's like, it's just,

there's, we're so, it's amazing to me how disconnected. We are to how food affects us and how

the, and just, so a lot of it's connected. So now having an AI tool that's monitoring you, that's kind of giving you that feedback loop is incredible because it's like an ongoing coach who's just kind of reminding you like, because then they start to connect it. I'm sure they go like, oh, shit, that's the third time that I didn't get to bed at this time. And I also, so one of my favorite things to talk about with the glucose monitors that I noticed, and it was that poor nights

asleep, the cravings on the next day. What, like, that was mind blowing to me. And literally just becoming aware of that may help me combat it in the daytime. So it was just like, if I knew, I got up and it was like, Dan, that was a poor night step. I know what I was in for that day. And because I was aware of that, it made me, it made it easier for me to resist that it was like, why also, and I'm craving this crappy food. I've been on my diet, but it's like, oh, that's right.

“I've got that bad night of sleep. I think things like that, like people just don't realize”

how much of what's going on with their sleep and their habits are connected to all these cravings and other in their moods and all the stuff. And so having an AI tool that is also giving you that feedback, that's that's rad. Yeah, it's huge. It's just like I talked about, you know, when something happens, you correlate it with something that day or maybe the day before. What if it, you know, complex questions, complex? What if it was seven days before? What if it was 15 days before?

So aggregating that data really expands, like, whoa, it's very thought-provoking, right? Yeah. And even if you know, so hey, I had a bad night of sleep. I know when I have bad night of sleep, I have cravings stick to your routine, right? You're like, I am not going to even go over there where the ice cream is or whatever it is, is your goodness, right? Yep. How well or how quickly is Nutrience growing? Because they're one of the best at combining kind of coaching with monitoring.

Is it a growing field in general? And how's Nutrience doing with it? Yeah, Nutrience is crushing.

And so yeah, there are other CGM companies. Yeah. But the coaching is where it's at or the one on one

“with dietitian experts. And so people want that, right? I mean, I have a bunch of clients that come”

to me that are fall out from, you know, hey, I got my labs, no one helped me, right? Putting in context. So Nutrience is blowing up in that sense. And so yeah, it's really exciting. And then the other thing too is when, as I said, when something gains popularity, we get to study it. So hopefully the, the future forward is continuing to look at this data and then trying to get real world stuff, for example, like, they're looking at CGM and changes in arterial flow,

which would lend itself to like, hey, what, what's going to set you up for death,

cardiovascular disease, right? Right now, I can't say it's a diagnostic tool, but the more data,

the more you can see, the whole point of the talk is how do I not end up over there? One how do I feel better? And two, how do I not end up sick or dead? What do you do for Nutrience exactly, but with Nutrience? Yeah. So I am so currently I'm the medical director. You know, these CGMs are being offered commercially, but if you were to get a CGM back in the day, it would come through me. You might see my name on it. Yeah. I got a lot of phone calls in that day. Hey, Dr. Langley,

I need another CGM. I was like, oh, it's talked to Nutrience. But yeah, no, I mean, I work close ly with the dietitians and the team at Nutrience, you know, my clinic handles stuff complicated situations. You know, a much larger conglomerate of stuff, but we were a can in hand. My clinic is very much like talking to people in Nutrience. We use the dietitians at Nutrience, et cetera. How did that, how did that, you know, I mean, we talked about how that relationship started and

“you were like a customer first. Yeah. How did that develop into the relationship you have now with them?”

Yeah. Well, like I said, and Dan's probably going to kill me for telling this story. But, you know, Dan and I built a relationship because I was just interested. I wanted to know everything. Hey, let me talk to your dietitians. And at the time, I was doing stuff across country, right? So I had all of these medical licenses. And once we built a relationship, he was like, hey, because we're having trouble getting the CGMs out. He's like, hey, I need a doctor who's

willing. He's excited. He talks really fast like me and has some medical licenses. And I was like, cool, I need a CEO that talks faster than me. Like, let's go. So that's really it. Like, that really started the whole relationship. Oh, and a little bit of other truth here. I was more excited. I was like, hey, teach me. Let me use this stuff. And, you know, I'll be your medical director. No payment. Nothing like that. That's just so. So that helped. But it did super charge me into like building my own

clinic and learning more. Now, have you guys become friends or just business? I mean, what's it? If you guys, I mean, imagine you're you're you're bugging on that much. He brought you in. You

guys probably built somewhat of a relationship. Yeah. Yeah. We're bros. Um, we're bros. He's always

trying to get me hang out. And I'm, I know it's telling him like, dude, I have a lot to do. But yes, we'll go to Burning Man at some point. I'm not having a CGM on what we do. How are peptides showing up on CGMs? Are you noticing any changes? I'm assuming the growth hormone releasing ones, you're probably seeing impact. Are you seeing anything with like the, like the BPCs and the. Yeah. That's a good question. Um, haven't specifically studied it. But, you know, again, even with

“peptides, like my opinion, very safe molecules, the longer you take them, the longer you have to”

understand what they do. So some of those growth hormones to create a gogs. If you look at some of the studies, I think it's closer like a week 11, 12. If you're on it, you may have some increase in IGF1, which we know is going to change glucose a little bit. So that's a good question. I haven't really looked at that yet, but honestly, another tool and toolbox to show people. What about, um, a hormone therapy? How is that, how is that changing or improving? So the guy comes in,

low testosterone, doesn't get, doesn't rise from proving behaviors. Put them on testosterone. What do you see, typically? In their overall health? No, they're CGMs. Do you notice anything with, with improvements? Well, downstream for sugars. And they know how to make a built muscle. Yeah. Yeah. Sorry. Yeah. So, so, again, to me, like having normal testosterone, lowers cardiovascular risk. And why? We know it's going to burn this real fat. And that's

the major killer too. It's going to help you add muscle. There's, I've seen one study where it says it may, it may almost add up. We even without working out, you have a change, like, 7 to 8%. Yeah. Really massive. That's wild. That's, that's insane, right? I told you every 4% lowers your

again, having metabolic resistance is going to increase your risk of hypogen as it goes

“out as them up to 9 to 13 fold, which is, like, ridiculous, right? So, it's an epidemic. And”

there are certain things you would want, better sleep, better mood, and better body composition, fixture testosterone. Now, I know you haven't had your clinic for decades, but have you noticed even in the short time you have the rise in, like, young men with, like, epidemic. Yeah. epidemic. In fact, I forgot to say this, but so across the general population, let's say it's 24% but a new study came out last year where they looked at 18 to 34 year olds, and they gestured,

and this was a question year, 34%, which is insane. And also, I personally believe that it's

under-reported, right? Because, you know, you're not, you don't really want to tell someone

at that age, maybe you have problems. I know it's under-reported, because we get DMs and messages from young men all the time that haven't even gone and seen their doctor and talked about it, and so there's not, not everybody's reporting it. Where it gets tricky is, and, you know, as a good clinician understands, it's not an absolute number, right? You know, you may be low and

“not having symptoms, low, or you may be normal in having symptoms, right? You have to look at”

the number and talk to the client. Yeah. So, I would imagine that's due to poor health and probably pornography, which is real common now in young men. At 1,000%. Yeah, so it's quite a good combination of the two. Because, I mean, historically, you would not see any sexual dysfunction in the age group. That's like when you don't have any. Yeah, and that's another thing to point out. It's not all, like I said, it's not all metabolic health. The guy comes in and says, hey, I'm looking

at porn and I'm masturbating like 37 times a day. I'm going to be like, hey, let's unpack that a little bit. Yeah. Yeah. That's probably not healthy. It's not too much. Oh, geez. Right. Justin, wait for me seven. It's a number. You're all getting cialis after the show. Yeah. Well, good deal. Yeah, I do. Well, this would be great, man. Thanks for coming on.

“Well, appreciate it. Yeah, thanks for having me. Kind of breaking this down. I think the future of”

I think far more people now are becoming aware of the value of coaching. I think that GLP ones or GLPs have increased the awareness around it because, yeah, you lose weight, but you also lose muscles and out, you know, your typical doctor saying, you might need a strain frame. And so I think that this is all good. I think we're moving in a better direction than we have in a long time. And you add a, you know, a glucose monitor to that. And you've got this

one. We never had tools like this. Like as a trainer, it was just me and my client. But if I had a

you know, glucose monitor and if I had a GLP one, we're doing some of my clients as far. I think my success rate would have doubled for sure. Yeah. Yeah. And we're going to see that for sure. We're going to see that. This is the future. Very close. I would just say, you know, if you're going to set up a clinic, you're going to have a program. You got to have good coaching. I don't care if you're a doctor or a doctor. You are a good doctor. You got to spend time with these people.

Thank you. Thanks for coming on, man. Yeah, thanks for having fun. Thank you for listening to my pump. If your goal is to build and shape your body, dramatically improve your health and energy and maximize your overall performance, check out our discounted RGB Super Bundle at minepumpmedia.com. The RGB Super Bundle includes maps and a ballad, maps performance and maps aesthetic, nine months of phased expert exercise program designed by SAU Adam and Justin to systematically

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