 What's up ladies and gentlemen special treat today? I have a new podcast with the one and only Jim McD. We call it 50% Facts each episode. We take one topic one question We dive in and in the first part of that episode me and Jim explore that question without doing any research Second half of each episode we bring in one of the world's leading experts to give us the facts Give us the answers and today we got a little sample for it If you guys like it be sure to give this thing a thumbs up subscribe Check out 50% facts on YouTube here at the Jim McD and also on all platforms iTunes Spotify anything you want link in the bio Appreciate you. Have a great day. Is this you always see the the caveat Before starting any exercise or nutrition program see your doctor see your physician whatever if people do that like Number one Where is that coming from and number two if they actually come and see you and say hey? I want to start a program then what what are you looking for? What kind of tests? Are you running? What are you expecting to see and then what do you what are you trying to improve? Yeah, it's funny things. I was actually Thinking about this the other day about how and we live in you know a sue happier Litigious or litigious whatever the word is world. So everybody's trying to sue somebody and so companies are very careful about the wording You know when it comes to exercise programs and you know even on exercise equipment It says ask your doctor before starting any exercise plan, right? But like really the risk is extremely low. You see these park you questionnaires when trainers get individuals and Basically, the the main thing is making sure somebody doesn't have like an unstable cardiovascular disease where They're gonna drop dead in the middle of a of a set but the risk is extremely low down I actually think that I think that may end They may end up doing more harm than good when they when they say these types of things But it's just it's because you know people don't want to get sued. I'm very careful, too I don't give You know recommendations out lightly. I have lots of disclaimers when I do Training programs and things like that but in the reality the risks is very low that so yeah The biggest thing is making sure somebody doesn't have Coronary artery disease that's unstable and not treated or even Untreated Scream the hot blood pressure and you know you can get a cute you can get acute rises in blood pressure when you Do you know vigorous activity or weight lifting? Just in that in that moment There are other things like lung disease Shortness of breath things like shortness of breath chest pain. Those are obvious though You should have seen your doctor and so when people say yeah, you better see a doctor before doing this It's literally just to make sure they're not going to drop dead doing it, but In general It's it's pretty low risk Let's maybe turn the question then just a hair and when people are always are talking about health markers There's a lot of you know keto Podcasts on the internet Carnivore diet paleo diet this type of exercise high intensity this low intensity that and everyone says Oh, I did it for six weeks and my health markers improved What are these people bragging about that they actually don't know what they're talking about? Yeah that what they're Likely talking about or as if I had a patient that said that it would have to be blood pressure blood sugar maybe even triglyceride levels Because those are the ones the things that are easily or more readily improved with Around you know even three to five percent of your weight loss, which is doable within six weeks So if they're talking about their health markers improving it, it's probably those And are those pretty substantial in your opinion to actually gauge someone's health perhaps cuz um, I mean obviously life is weird There's some medical things that no one knows about and people die for crazy reasons Even maybe their health markers are good But are those kind of the gold standard of what a human should they maybe be looking at if they consider themselves a healthy individual? There's some of the major ones. That's why we screen for those things because they're We want to pick up blood pressure issues early It's you know, they call it the silent killer because you can have higher blood pressure not even know Some people say they feel like they have headaches or whatever from high blood pressure But you know in general people with running around with high blood pressure just don't even know that's why we screen for it And it is a mark. I mean you have an elevated risk of cardiovascular disease and strokes with high blood pressure and blood sugar To you know, obviously if you're blood sugars elevated it can put you at risk for type 2 diabetes Obviously, that's really elevated. You already have type 2 diabetes or type 1 but that's an autoimmune disease but And then triglycerides and cholesterol levels, you know again another risk factor for cardiovascular disease, so those are the main things that are lifestyle related usually and They are good markers. We have lots of other markers But those are the big ones and yes, you can have elevations in those and live a perfectly healthy happy life It just puts you at an elevated risk for Those things I talked about so What do you have specific diet recommendations for certain people in certain situations like if you were actually to to to run their Do some blood work on them and say oh, yeah, your triglycerides are high or Your cholesterol sucks or or your a1c is running a little high or whatever Do you have specific recommendations you give them or just basically eat less, you know lose weight and these will improve Yeah, there there can be more specific recommendations based on The condition a lot of times weight loss will improve all of it So weight loss will improve blood pressure. It will improve blood sugars. It will improve triglycerides If you are indeed like insulin resistant and that's the reason your triglycerides and cholesterol is high But there are there can be more specific Prescriptions so for instance blood pressure can improve With without weight loss with just some dietary pattern changes. So like a dash like diet So it's just a lot of fruits and vegetables and lean dairy and whole grains That type of thing but that usually leads to a little bit of weight loss I like to do kind of a improved dietary pattern along with the Chloric deficit to help them with weight loss and with dietary pattern. That's usually how you Kill two birds with one stone and kind of shotgun approach it and then for cholesterol You know, some people can have just elevated cholesterol just from dietary Changes so they can actually change it through a different pattern Where the cholesterol and that because Cholesterol itself is actually hard to change with weight loss only unless it's triglycerides So yeah, usually there's a different prescription for that and then blood sugar a lot of times weight loss by itself will work But you can do a lower carbohydrate diet Which can lower your blood sugars regardless of weight loss, you know, there's a lot of back and forth and controversy in On that but in general, that's the that's the key Just real quick. Can you give us a capsule on on your practice? Yeah, so I actually switched from clinic only to telemedicine only so I have patients all across the country and I'm very lifestyle focused although I'm still I'm not anti-bid pharma In fact, I have a lot of pride in my pharmacology knowledge because I do think that, you know, obviously people are gonna need To augment their lifestyle choices sometimes with pharmaceutical medicines as needed, you know, you can't just say no I'm not using any drugs because I don't natural only no people will need them but So I heavy focus on lifestyle medicine and then using telemedicine I'm able to monitor people more proactively as opposed to just Coming back to the clinic in three months and then you miss things and it's more of a retroactive inefficient type of Practice whereas I try to be more proactive That's kind of my approach and so it's It's it's more of a we call it a direct primary care where they pay a subscription hundred dollars a month Get you access and I don't use insurance. So There's not all the headaches with Getting reimbursed and all that type of thing. So it's better for everybody as far as I can see Well, it does actually I think it helps a lot of people find somebody that Maybe Understands like what they're what their goals are particularly like those of us in the in the industry It's hard to find a doctor that understands Lifting weights or just fitness in general and for whatever reason it just seems to be the case It's and it's hard to find if you're in an HMO model. It's hard to find Really good primary care physician anyway So being able to actually have that choice so like so if you have to prescribe drugs like how does that work with somebody's insurance? Just out of curiosity Yeah, sometimes it makes it really difficult. I mean I can send in what I think I mean not what I think But based on the current data is probably the best for that patient and insurance They will you know, they will say nope you got to go this alternative And it's they're basically practicing the medicine for you and then you have to go through an appeals process And they can end up denying me anyway, which is interesting. So It can be a real hassle but you know in general I send in what is the best drug for that person based on So literature and hopefully it gets approved Cool makes sense ladies and gentlemen. Hopefully you enjoyed the podcast if you do please share with your friends It helps us grow a lot and we really appreciate it. Give us a rating or review You can find me a solid Michael 2k's Instagram Twitter 50% facts on Instagram give it a follow for all updates on the show I am at the Jim McD on all the social media and we will get you next time