June 10, 2025 • 45 mins
Join Matt Tack and Dr. Alfred Alessi as they discuss the shift from reactive to proactive healthcare. Explore the role of functional medicine and health span with examples of proactive care. Discover the importance of comprehensive lab work, including blood sugar, hormones, inflammation, gut health markers, and nutrient testing. Learn about personalized health protocols for root cause resolution and phased healing. The episode emphasizes lifestyle medicine, nutrition, movement, and optimizing sleep through circadian rhythms. Concluding with key takeaways, it encourages exploring proactive health approaches and insights into the Total Care program.
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
That's the truth that most people overlook atthe end of the day.
(00:03):
And we could have run all the fancy labs andprescribe all the targeted nutraceuticals and
give you the most customized plan on earth.
But if your day to day lifestyle is a just justa complete dumpster fire, none of that at the
end of the day matters.
Welcome to Health Decode, your number onesource for real health information with your
host, doctor Alessi and Matt Tack.
(00:28):
Hey, Health Decoded listeners.
Doctor Alece here.
Let me ask you a serious question.
Are you tired of waiting until something goeswrong to finally see a doctor?
At Alece Functional Health, we take a differentapproach, the right approach.
We believe true health care isn't about chasingsymptoms.
It's about preventing them in the first place.
(00:48):
That's why we created the Allesi Total CareProgram.
This is a functional medicine based membershipthat gives you proactive, personalized care
year round.
You'll get access to comprehensive blood workand functional testing, custom doctor grade
nutraceuticals, deep discounts on labs,protocols, and follow ups, as well as twenty
(01:11):
four seven direct access to your doctor, notjust a 10 checkup that ends with another
prescription.
And here's the best part.
As a Health Decoded listener, you'll get yourfirst three months completely free when you
sign up for an annual membership.
That's on top of hundreds in savings alreadybuilt into the program.
(01:32):
This is your chance to take responsibility foryour health and join a movement that's
redefining what primary care should look like.
Head on over to alessifunctionalhealth.com,click on our services tab, and go to Total
Care.
Learn more about this program and claim yourexclusive podcast listener offer.
Your health is your greatest asset.
(01:52):
Let's protect it proactively.
Welcome back to another episode of HealthDecoded.
I am your host, doctor Alessi.
And your cohost, Matt Tack.
Matt Tack.
Good to see you, my guy.
It's always good to do these, man.
Good to see you.
Yeah, man.
Excited about today's episode.
(02:15):
How you been?
What's new?
What's new, man?
It's always it's always something new.
Too many things, I think.
Right?
Too many things.
Too many things.
We're always on working on something.
But one really cool thing that's, going onright now is our challenge.
We got a lot
of Yeah.
In the game, and, they've been doing reallywell.
(02:37):
And so we're just excited to see that feedback,of how, like, utilization of what people are
utilizing.
And so that's been that's been something that'simmediate on the radar over the past couple
weeks that we've been really investing intosome people throughout this challenge.
Yeah.
You did an awesome job with the app and reallybuilding out the whole kind of program there,
(02:58):
man.
I I I'm going through it too.
And I'll be honest, I have not been as goodabout like taking pictures and logging the
meals and stuff.
I'm more on the on the fitness tracking side,but the accountability is good.
Getting the message from you.
And I'm like, oh, man.
I've I've messed up there.
So yeah.
It's awesome, man.
Well, good stuff.
Well, excited for today.
This episode is something we were talking aboutwanting to do because it's gonna really kind of
(03:23):
highlight the purpose of everything we're doingwithin our clinics and within the mission.
Right?
Like if we talk about like what's the the broadmission of why we're doing this?
Why are we doing this podcast?
It's to empower, right?
To give people, listeners, patients, whoever,an understanding that ultimately, you have to
be your doctor.
Like, yeah, I'm a doctor and I can help you.
(03:44):
And there's other doctors out there, but likewe can't do it for you and we can't want it
more than you want it, right?
And so like empowering people to like, takethat responsibility, take action, and set
themselves up for like long term health.
So we really want to pull back the curtain onone of the biggest problems in healthcare
today.
And that's the concept that it's reactive, notproactive.
(04:07):
So, real quick, let me paint a picture, right?
You walk into your doctor's office, you havefatigue, brain fog, weight gain, maybe you have
high blood pressure.
And what do you get?
You're going to get some pills when you leavemaybe two, maybe five, right?
That's very reactive.
They wait until something happens until thefire is basically full blown before they do
(04:29):
anything.
Yeah, exactly.
The system isn't really good at crisismanagement, right?
But terrible at the prevention side of things.
And you don't get support until there's adiagnosis code, until something breaks hard
enough and fit into a billing category, right?
Yeah.
So, but functional medicine flips that scripton what we're focusing on.
(04:50):
We don't wait until the engine seizes up.
We check the oil and make sure we're operating.
Right?
We look at the patterns in your labs, yourlifestyle and your symptoms, and even your
stress levels.
We're asking where is the dysfunction starting?
And how can we stop it from becoming thedisease, that proactive element?
(05:12):
So a few things we want to touch on here, thedifference between proactive and reactive based
medicine.
So you have your conventional approach, or yourreactive medicine, which is based on acute and
acute care model, designed for emergencies,trauma, infection, surgeries, all those things,
right?
Focuses on symptoms, symptom suppression anddiagnosing coding.
(05:36):
So very reactive approach.
So, uses standard labs with a wide referenceranges, offering missing early dysfunction.
And honestly, what you see a lot of times isthat you might be measured getting measured
somebody against that 60 years old, you mightbe a 30, 30 five year old human, right?
(05:59):
So the algorithm isn't associated to thedemographic that you need to see.
So it's very reactive disease care, nothealthcare.
Yeah.
And I always say, if you get hit by a bus andyou go to the ER, but if you're slowly
developing pre diabetes, autoimmune issues,excuse me, or burnout, that same system won't
(06:20):
help until it's too late and the interventionsthey use often make the issue worse, right?
So let's dive into a little bit more.
Functional or proactive medicine looks at thepattern recognition or the root cause
resolution.
So this focuses on prevention, early preventionat that, and systems biology, looking at why
(06:41):
things are happening, not just the what in theacute topical surface.
We look at the root cause, use advanced testingin narrow optimal lab ranges, meaning you are
going to be measured in the age range that youneed to be measured at, right?
So consider environment, lifestyles, genetics,and stress as part of the equation.
(07:04):
And we're not just about treating like the highblood pressure side of things.
We're asking if blood sugar, is itinflammation?
Is it the blood sugar?
Is it poor sleep?
Is it high cortisol?
That's the proactive and it's completelypersonalized to you.
So here's a real world example and somethingthat we've seen.
(07:26):
So we had a patient in his 30s labs for his,primary care said everything was completely
normal.
But we ran a functional panel, his fastinginsulin was 17.
His cortisol was high in the morning andflatlined by the afternoon.
So what did Doctor.
Alessi do?
He was able to catch the metabolic dysfunctionand the HPA access burnout before he ever
(07:50):
developed diabetes or what we call adrenalfatigue.
So now here's the proactive care works for thelong term, right?
That's what we're always thinking of is longterm, like something that you're doing today
will impact you thirty, forty years down theroad.
Chronic disease is the leading cause of deathglobally and mostly preventable at the end of
(08:15):
the day.
So proactive care reduces healthcare cost,improves energy, quality of life, and
potentially your overall lifespan.
Although we tend to focus on health span versuslifespan, right?
The quality of your years, no matter how manyyears you actually get out, right?
So health span over lifespan is always what wefocus on.
(08:38):
So patients become empowered and informedparticipants in their own health.
That's why we do this podcast, is to drive youvalue, and so that you can take ownership of
your own health.
So here's a relevant study that we wanted tobring in from the Journal of Prevention
Medicine in 2021.
So preventative personal care personalized caremodels reduce the burden of chronic disease and
(09:03):
improve a quality adjusted life years.
That's what we're talking about, that healthspan over lifespan.
So quality adjusted life years.
The truth is most people don't know how goodthey can feel.
They just live in pain because they never hadanyone look at their health from a proactive
(09:25):
lens.
And that's the goal of this Alessi Total Care,right, is to give people that edge, that
clarity, and that energy back.
So when you're proactive, you don't just avoidthe disease.
You thrive from being a human.
And once you've experienced that, you never goback.
So let's stop waiting for the fire.
(09:48):
Let's start building a fireproof life, throughproactive medicine, the proper supplementation
of blood work and getting that data back.
So now we want to talk about how we do that andthe model we've created for that level of
sustainability.
Yeah, that's such a good point.
(10:08):
And basically everything you touched on, I lovethe the fireproof life thing, right?
It's like, don't wait for a fire.
Prevent the fire.
Right?
Like, oh, like, we've got all theseextinguishers.
We have all these measures to put out the firewhen it happens.
It's like, how about we just never let there bea fire?
Right?
That's a that sounds better to me.
Yeah.
Because the damage that comes from thatobviously can, you know, be sometimes very long
(10:28):
lasting as well.
So, you know, let's get into let's get intosome details as we always do talk about how we
do this.
And then at the end, you know, we'll have a Iwant you to kind of get more into the
implementation side and what people can do.
So, you know, one thing we hear all the time inthe clinic is, oh, my doctor ran blood work and
they said I'm fine.
(10:50):
Now, but then the patient meanwhile isexhausted.
They can't lose weight.
They feel like they can't form thoughts.
They have mood swings.
They can't sleep, gut issues, whatever.
They know something's wrong.
They're not stupid.
They have this intuition.
They've just been dismissed because thedoctor's looking at a piece of paper with
numbers, not the patient.
Right?
(11:10):
And so, here's the truth.
In conventional medicine, standard lab work isjust scratching the surface.
It's not deep enough, and we've discussed thisbefore, but most doctors are going to run like
a basic metabolic panel.
They're going to run a blood count, And thenmaybe if they're generous, they'll run like a
thyroid stimulating hormone test, right?
But it's not enough.
(11:31):
You need to go deeper because you're justscratching the surface with those tests, and
they don't paint you enough of a picture.
It's like a snapshot, not the whole movie,right?
So, let's talk about what we do in our office.
And this is a part of the program we've createdcalled Alessi Total Care, where we're going to
use comprehensive functional lab panels thatare going to catch dysfunction before it
(11:51):
becomes disease.
So, we're not just chasing symptoms.
Obviously, symptoms are a good tell for us aswhere to focus, but we're trying to decode the
early signs that your body is giving off thatsomething's going wrong.
So, let's just go through some of the corecategories and kind of what we have built in as
almost like a staple to look for.
And when you touch each one of these bases,you're basically getting a global picture of
(12:16):
health.
And then you can pinpoint, okay, it's low here.
This is high.
Now, start to, you know, pull some strings,right?
We're all about that pulling levers thing.
So, number one is definitely a complete thyroidpanel.
So, most doctors are just going to run TSH, andthen maybe T4 and T3.
It's, it's, I like saying this because it'slike, that's like judging the football team by
(12:36):
the kicker, Right?
You're like, you're like one guy.
Right?
You can't make a decision based on that.
So we look at TSH, free t three, free t four,reverse t three, and then always, I wanna look
at TPO and TG antibodies.
These are going to tell me if there's anyautoimmune thyroid dysfunction like
Hashimoto's.
Now, why?
(12:57):
Why do we do that?
Because you can have a normal TSH and stillhave a terrible conversion of T four to T
three, which is the active hormone.
Or, you could completely miss an autoimmunething that could be attacking your thyroid.
And then that goes undiagnosed for years untilyou become low thyroid, at which point it's
often very tough to correct and you're onmedicine for the rest of your life.
(13:19):
So, the next thing we're going to definitelylook at, and we discussed this before in a
previous episode is blood sugar markers, right?
And why this is so important.
Because getting that entire metabolic picturecan prevent an onslaught of chronic disease.
Most diseases are metabolic in nature, or beginwith some type of metabolic precursor.
(13:40):
So,
we're
gonna look at fasting insulin.
We're gonna look at the hemoglobin A1C,glucose, C peptide, and then we'll even look at
like leptin and adiponectin which are thehormones that can help with your hunger and
satiety as well.
And this also is how we assess that fatsignaling and metabolic resistance.
So, your doctor might tell you your glucose isfine at 99, but functionally that's actually
(14:05):
yet what we call a yellow flag, right?
It's getting there.
And so, we see insulin resistance actuallystarting in the 80s of blood sugar.
So, if you're two points below that referencerange high, you're bordering on it becoming a
crisis, right?
The next thing is we definitely look athormones.
So, we can either look at serum or we run atest called the Dutch test, which is a urine
(14:29):
and also salivary hormone panel.
And so, we're going to look at cortisol rhythmthroughout the day.
We're going to look at DHEA, estrogen,progesterone, testosterone, and even melatonin,
right?
And these are all critical for patients thatcould be dealing with things like burnout,
adrenal fatigue, things like PCOS, infertility,low libido, that's one that we see all the
(14:53):
time.
People don't want to talk about this and theyget, I want to say maybe a little embarrassed
or kind of they kind of hold these kind ofthings back and they want don't want to discuss
it with the doctor because they think they'rejust going to get put on some kind of pill and
then now all of a sudden there's thepsychological aspect to that right like oh man,
I'm on this thing now.
And so, basically you can't treat what youdon't measure.
(15:13):
And that's why we need to know these numbers.
The next thing and this is a huge one andsomething that will sometimes just run this
like alone for patients too, but is ourinflammation panel.
And there's a bunch of things in this that mostdocs don't even know what they are.
And so, we already know is basically at it's atthe root of nearly every chronic disease.
(15:34):
And so, we're going to look at your HSCRP,which is a C reactive protein.
We're looking at homocysteine.
We're going look at ferritin, which is storediron.
We're going to look at ESR, which iserythrocyte sedimentation rate.
This basically tells us kind of what the redblood cells are doing.
And then another few that we look for, and thatwe will often catch issues with this, that say
(15:57):
another cardiologist said, You're good, quoteunquote, right?
And then we see somebody has a high oxidizedLDL, a high MPO, which is myeloperoxidase.
This is basically a plaquing signaler, and thena PLA C and when we see either one or two of
those elevated markers, we're like, Okay, hey,you're on your way to a heart attack.
(16:17):
It's just it's not if it's when, right?
But again, these things don't get looked at inconventional medicine.
And then it's like, okay, let's just wait forthe person to have a heart attack for us to do
something.
That doesn't sound like a great idea to me.
So, it's like how can we get ahead of this?
Because we often see this and you have you andI have seen this in like healthy young males,
right?
Guys in their 30s.
(16:38):
Oh, I work out all the time I do CrossFit.
I'm jacked, right?
They look great.
It's like dude, your cardiac inflammationmarkers are nuts.
Like how do we get ahead of this before youhave full blown cardiac event?
That was me.
I mean, I was.
Yeah, that's true.
Yeah.
Yeah, you don't mind sharing that.
That's
why we get blood work done quarterly is becausethose those tracers can happen within a
(17:03):
quarter's timeframe, right?
If you can be ahead of the game, which like I'mahead of the game, alright, well, how do I put
in the daily supplementation in order to kindof reactivate, and pull that back, right?
So, putting those things in place are reallycritical.
And that's why I am part of the Total Careprogram myself, because I want to get ahead of
(17:28):
the game, right?
So those are just extremely critical things.
My plaque markers, three to six months ago werenot what they were today, right?
Yeah.
And so it's constantly evaluating, adding newsupplementation, but getting that blood work
done so that we can provide data back.
Hey, my NPO is high, my LDL O wasn't reallythat high, but at the same time, I want to be
(17:51):
cognizant of it, and start getting the propersupplementation, like methyl, vitamins.
I think we incorporated a little bit uptick inmy vitamin D intake, as well as we
incorporated, our omegas across the board.
So I'm really high on omegas right now as antiinflammatory markers.
(18:13):
Yeah, and that's a really good kind of a littlesegue here is, you know, we it's not do what I
say, do what I do, right?
Like we and we're very transparent, you and I,about our sharing these kind of things because
it's like that was my story as well.
I had basically Hashimoto's disease of thethyroid autoimmune building up for who knows
(18:34):
how long, right?
And it and I knew nothing until I took I ran afunctional test on myself.
And I didn't have symptoms.
Wasn't having anything crazy.
I was a new dad.
I was in a busy new job.
And so just I thought I was tired, right?
And then I took some functional lab testing andI like wow I have full blown autoimmune in my
thyroid.
I was able to reverse that because I caught itearly enough and was able to put in the
(18:56):
interventions and now I've created a basicallya lifestyle that I live that supports that and
not allowing me to get back to that position,right?
Because once you've gotten there, your body'sobviously leaning towards that.
So well, I appreciate you sharing that.
That's good man because it gives it just showspeople that you can.
You can look phenomenal on the outside.
Obviously, you're a specimen of a human, right?
(19:16):
Your Jack, you're cut up, but you know what'sgoing on on the inside is very important.
So yeah, that's really good.
The next thing that we look for a lot is guthealth, right?
We're very focused on the gut is number one.
If you if your guts off, everything's going tobe off.
So we use like advanced stool tests like a GImap to check for things like dysbiosis, which
(19:38):
is basically when you have an overgrowth of thepathogenic bacteria compared to the, you know,
the beneficial flora.
We can find parasites often, very common.
Leaky gut markers like zonulin and antizonulin.
Calprotectin which checks for gut inflammation.
And then we can look at like pancreatic enzymeas well, because that is what supports that
digestive process.
(19:59):
And so your immune system lives in the gut.
And so if you're constantly sick, or you feellike you're battling stuff, have to heal the
gut first.
So we've discussed this actually in a previousepisode, you should go listen if you want more
information on gut.
And then another one that we test all the timeis nutrients, right?
We want to see B12, we want to see vitamin D,magnesium, zinc, and then an omega three to
(20:22):
omega six ratio kind of index.
These things basically tell us how your body ismanaging a lot of inflammatory things.
And so, you know, most people are walkingaround with fatigue or brain fog or they it's
low nutrients, right?
They just have never checked it so they don'tknow what that is.
And so, the concept again is like thefunctional ranges versus the standard ranges.
(20:45):
Right?
I hate the word standard because it's like, whois that for?
You even touched on this.
Is it for us in our thirties?
Is it for 50 year olds, 60 year olds?
How are we all within the same reference range?
Makes no sense actually.
And so something no one talks about enough isthat exactly that, right?
Like the ranges are set for like a populationbut not for optimal health.
And they're so broad that it's like you couldbe anywhere, right?
(21:08):
What is the reference range for testosterone isbetween about 300 to like 900.
And so it's like you could be in like the fourhundreds that doesn't mean you're optimal.
You're actually relatively low.
And if you look at what ranges used to be,they've actually like lowered the bar.
So it's like as we've gotten less healthy as acountry, they're like, let's just lower the
standards here a little bit to keep up with howunhealthy people are becoming.
(21:32):
So it's actually it's it's dysfunctional.
So a couple examples would be like if a TSH,you know, lab says normal is between point five
to 4.5.
You know, optimal is going to be above, right?
Like above a 2.5.
And so, if it's in the lower range around likea one, you're getting kind of sluggish thyroid.
(21:52):
And then also things like vitamin D.
Like your doctor says oh, you're fine at 30.
Honestly, we should be shooting for like 70 to80, right?
You want to be higher on that vitamin D.
That's a steroid hormone precursor that isvital for immune function, bone health, so many
things.
And so, you know, scientific supports thisbecause the Journal of Integrative Medicine in
(22:14):
2019 said functional reference ranges candetect subclinical imbalances often missed by
conventional diagnostics.
And so that that points it out right there islike we're often missing the whole picture.
So if you're told your labs are normal, but youdon't feel normal, you need to trust your body
because there's a reason we call it functionalmedicine.
(22:34):
It's about helping your body to functionbetter, not just chase a bunch of numbers on a
page.
So, now, we have an idea of how we use thetests to obviously, you know, find things and
figure out where's the dysfunction.
Now, how do we use that to create advancedprotocols where we combine nutraceuticals,
detoxification, and lifestyle medicine toactually fix the problem at the root.
(22:59):
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Now back to the episode.
Alright.
So welcome back.
Now that we've dug into the labs and uncoveredwhat's actually going on under the surface, the
(24:32):
next question is what do you do with thatinformation?
So it's definitely not just throwing amultivitamin at it and hoping for the best.
That's old school.
Hey, look, cover all your bases.
Here's a multi.
The multivitamin can be beneficial, don't getme wrong.
But this is where we go from diagnosis toprecision, right?
Because the power of functional medicine isn'tjust the testing, it's in the protocols we use
(24:53):
based on the tests.
So, we're going to use doctor gradenutraceuticals.
When we build a care plan for our total carepatients, we're not just pulling random
supplements off an Instagram ad or even worseoff of Amazon.
Right?
We're using clinical grade nutraceuticals thatare chosen specifically to match your unique
lab results.
(25:13):
We custom create these med packs protocols thatcome in the little tearaway strips that you
know what to take, what time of day, when it'sbest.
And it's it's evidence based.
So it's not just guessing.
They're very high potency as well.
So, there is overkill sometimes we need to dialit back, right?
We don't need to use as much as you think.
Where you get some supplement from CVS orAmazon, you could take three, four or five of
(25:36):
them and not really feel the effects.
You take one of these more potent, you know,B12 vitamins, you might feel a little bit
stimulated.
So, they're definitely a lot more effective.
And so, we kind of have this phased approach,right?
We're like, we're going to start with detox.
We always want to make sure we reset andrebalance the system, make sure the liver which
is your filter and your gut are functioning,then we're going to phase into focusing on the
(25:59):
gut health, then obviously hormones which isenergy and vitality, and then the long term
support and maintenance.
And so, you can't just jump straight to hormoneoptimization if someone has a sluggish liver or
if their gut is inflamed.
And so, that's where we have to focus on thephases of healing.
And so, phase one, supporting detox pathways.
(26:21):
We're going to start with a liver and cellulardetox, especially if people have high
inflammation or a high toxin load.
So, using things like glutathione and NAC, milkthistle, and then you know supporting
methylation and sulfation in these glutathionepathways.
We have a really awesome protocol we use forthe detox where we kind of base it on, you
(26:43):
know, someone's like categories, right?
Like they take a little test and it gives us acategory, are you mild, moderate, severe?
And then that tells us how much of a detox weneed to push.
And it's actually very accurate.
Then phase two, we go into the gut repair andresetting the microbiome.
We're going to use antimicrobials, things likeberberine, oregano to kill off the dys biosis
(27:04):
or that bad bacteria.
We're going to rebuild with spore basedprobiotics, digestive enzymes to support
stomach acid and then ultimately healing thegut using things like L glutamine and different
herbs as well.
And people are often shocked.
You start getting your gut health back, yourmood changes, your skin, people get better skin
(27:24):
energy once the gut is actually healed.
Then we phase into the hormone balancing.
So once you've detoxed and addressed the gut,now let's look at the endocrine system.
And so we're going to focus on insulinresistance, obviously, number one, using things
like berberine to balance that the body's bloodsugar.
We're going to focus on thyroid health, theestrogen dominance if there is any, and then
(27:47):
adrenal fatigue, and then obviously lowtestosterone as well.
And so, it's a it's an axis we talked aboutthis in a previous episode, the axis of how
your body creates hormones and you have tostart from the top.
And then phase four is obviously replenishingnutrients and building up that resilience.
So then that's when you get into, Okay, I'mhealed.
(28:08):
I'm not in crisis mode.
I'm good.
What are the main things you need for support?
And we did an episode on this too, like whatare the main supplements you need to be using
just in general because the body's depleted,our nutrition that we get from the store is not
what it used to be.
And so things like magnesium, vitamin D3, Bcomplexes and omegas are fantastic, as well as
(28:30):
like a probiotic.
And so everything we do is based on ourpatient, not just what's good for you, but
what's for you, right?
And so everyone is at a different point intheir journey.
Sometimes people are their guts fine, right?
And we go straight into the hormone.
Sometimes they're a little bit further back andthey need that detox and support.
(28:50):
So it's all about, you know, the patient andkind of their position.
And so that's the best part is every singleprotocol is built on them, their labs, their
history, their life, their goals, all of it.
And not no two patients are going to get theexact same combination.
And we're constantly checking in veryfrequently.
We track symptoms.
We're going to retest markers and adjust as thebody heals.
(29:15):
And the cool thing is, through this, we areteaching and educating and empowering.
And so eventually, I want my patients to beable to read their blood work.
I want to teach them like hey, when you startseeing this dipping low and this going high,
what does that mean?
Oh, that means I'm stressed.
Should do this right and so they know how toread their own blood work and then support it.
(29:35):
And so, you know, it's real science.
It's not.
We're not anti medication.
We're just pro mechanism, right?
The body, we're meant to we want to work withthe biology and not just try to override it and
hack it with medication.
So, think of this the next time someone tellsyou that supplements don't work, ask these
questions.
(29:55):
Were you taking the right ones in the rightdose at the right time for the right reason for
your biology?
Right?
Because those are a lot of factors that go intoit.
You can't just throw a blanket multivitamin andexpect to heal.
And so, we don't stop there.
We empower people to take control, takeresponsibility, and ultimately be the doctor in
their own life for themselves and their family.
(30:18):
And so, I think that's honestly the coolestpart of what we built here with the Total Care
Man and kind of you are a lot of theinspiration on this.
So I'd love for you to chat or talk more aboutthis, but that lifestyle medicine blueprint,
right?
And kind of what that looks like for people to,hey, we helped you, but now like here you go.
Here are the keys to your future.
(30:38):
We want you to take control.
So, why don't you get into a little bit of thatlifestyle medicine?
Yeah, for sure.
And one of the things I just want to note, youknow, one thing that you always tell our
patients is, you know, you're with us for onehour a month, but you're with yourself twenty
fourseven, right?
And so that's the truth that most peopleoverlook at the end of the day.
(31:02):
And we could have run all the fancy labs andprescribe all the targeted nutraceuticals and
give you the most customized plan on Earth.
But if your day to day lifestyle is just acomplete dumpster fire, none of that at the end
of the day matters, right?
So healing doesn't happen in a bottle or abinder.
It happens within habits of how you incorporateyour habits throughout the day, right?
(31:26):
So we just are a makeup of our habits.
So that's why Total Care is built aroundlifestyle medicine, right?
Real actionable tools that you can use everysingle day to take your health back.
So let's dive into it a little bit more andwhat you aforementioned was the personalized
nutrition component.
So we like, you know, the real tactical ways ofhow you're starting to incorporate these things
(31:50):
in.
And you can't really out supplement a bad dietat the end of the day.
You need both.
It's everything, right?
But at the same time, you really need a lot ofluck in your diet and what you're doing.
That's what we're doing through this challengeis you're creating a storyboard, taking a
picture of what you're putting into your mouth,right?
Because at the end of the day, like what youput in your mouth is a habit.
(32:13):
Nice.
And so we don't hand out generic meal plans.
We teach you how to eat in a way thatstabilizes number one, your blood sugar, and
then reduces inflammation and works with yourbody.
So it's the anti inflammatory eating approach,no seed oils, no refined sugar, and minimal
processed foods.
(32:34):
Or if it is processed, it's lightly processed,right?
So we wanna look at those.
Blood sugar control.
So we are very much protein forward.
So protein forward, real fiber incorporated inthat, and mindful timing of carbs.
People don't realize, like, how important it isto actually time carbs.
(32:54):
You can eat them actually later at night ifyou're working out in the morning and utilizing
those appropriately.
I think that's like the utilization of carbs isa really, really critical thing of like
actually when, the usage of that occurs.
Right?
And that's why we're such believers in mindfuleating, but targeting it towards what the goal
(33:16):
is, right?
And we do a lot of resistance training here.
We recommend resistance training and carbs canbe utilized in such a great tool, with that.
So gut support is the other thing, right?
Fermented foods, bone broth, elimination ofthose common triggers, which we dial in through
you sit down with Doctor.
Alessi, or one of the members of our team.
(33:39):
And we'd kind of walk you through, all right,what are those mindful triggers based on what
inflammatory responses that you might have,right?
Inflammatory responses.
So, we use food tracking not to restrict you,but to reconnect you with what food does to
your body.
So, food is constantly giving you a feedback.
(34:01):
That's why we call it that gut brain access isconstantly giving you the feedback of like,
hey, this is super inflammatory, and I gottafigure something out here.
So it's constantly telling you things.
And whether we're listening to it or not,right, is one of the important things.
So we want to be more cognizant and consciousof how we're listening to our body after we eat
(34:25):
things.
So let's dive a little bit into the nervoussystem reset because stress isn't just a mental
game, right?
You don't have to just plow through it.
Can there's different ways that you canincorporate new habits.
So the way you breathe, rest and regulate yournervous system affects every single cell in the
body.
(34:45):
Again, your nervous system is constantlytelling you something.
So in total care, we teach a couple differentthings, cold water exposure.
We love the idea of, you know, doing ice bathson a regular basis.
I wouldn't say every day, but getting into acold shower, getting into an uncomfortable
scenario where your body is going in fromsympathetic parasympathetic, right?
(35:09):
We can talk a little bit more about that, bycontrast showers to just build resilience in
your body.
Breath work, breath work goes in combination ofcold water exposure tools like box breathing
and CO2 tolerance training are really, reallycrucial in understanding.
But breath work is just basically, you know,setting a reminder on your phone as a habit of,
(35:32):
Man, let me get some big, deep belly breaths.
So when we can really breathe through ournasal, and fill up our lungs and our stomach
with air, those are the breaths that you needand being conscious of that and building that
as a habit of two to three minutes daily, youknow, of maybe three to four times a day,
(35:54):
right?
Doesn't take very long and it's a simple habit.
Then the mindfulness, parasympatheticactivation, what we talked about in cold water
exposure does the same thing, but the vagusnerve stimulation, grounding, prayer,
meditation, journaling, getting up a little bitearlier so your cortisol levels aren't crazily
spiked.
If you get fifteen minutes of just completedowntime before the kids wake up or before your
(36:19):
spouse wakes up, if you can get that earlylaunch period where you're just in a meditative
state, before your cortisol rises, you get thatgradual increase, right?
One thing we recommend is staying away fromcaffeine for anywhere from forty five to ninety
minutes before you wake up to allow thatactivation of your cortisol just gradually
(36:43):
rising in the morning, right?
So when there's a nervous system calmsdigestion, digestion improves, hormonal
imbalance, sleep deepens at the end of the day,and inflammation drops.
So here we go for, a critical piece that I liketalking about specifically because so many
people miss out on the movement prescription,and you don't need a gym to get stronger.
(37:10):
We're not chasing aesthetics.
We're chasing function at the end of the day.
And if you want a little bit of both, I don'tfall to you.
But movement is medicine and our approach isbalanced and sustainable at the end of the day.
And one of the big things, again, I go back toour challenge that we're having right now is
zone two cardio.
Are we maximizing our heart rate?
(37:32):
Are we scaling it up into blue zone activities?
What we're calling in our challenge blue zoneactivities is when you get that heart rate up,
That zone two cardio for metabolic flexibilityand overall mitochondrial health.
So that is a great way to measure.
And if you are measured, we have a heart ratemonitor that gives feedback to our app that
(37:54):
lets you know when you're in that zone twotraining window.
So weight training for muscle mass, bonedensity, and insulin sensitivity.
This is huge.
You know, what we recommend is getting like aDEXA scan to where you're at right now, and
then a measurable of where you can be in threeto six months down the road.
But that's good data to get back as far asweight training and how you're building in, our
(38:19):
resistance training.
Mobility work is another big thing.
And I'll be honestly, I honest with you, thisis something I need to work on more and more.
I typically go to the gym, get it done.
But mobility work is so, so important becausemobility, a lot like the stressors of like
running and launching and sprinting, if youdon't use it, you lose it.
(38:44):
And so we want to make sure we're constantlystaying in that flexible state.
And this also aids in our micro supplementationas well.
So high in omegas allows us to be a little bitmore mobile because we have more joint repair.
Vitamin C supplementation allows us to be moremobile.
And so incorporating mobility for jointlongevity, fascia health, and injury
(39:06):
prevention, right?
So that's just getting those stretches in andtailoring yourself where you're stretching out
those hamstrings, which are a large musclegroups, maximizing core, getting those
stretches in there really, really important.
So we tailor it to your level, no CrossFitstarter pack required at all right here.
(39:29):
So that's not something we advise.
So we would just want to give you basicexercises basically to build your core and the
elasticity of your body.
So let's dive into number four.
Something that I just love talking about is thecircadian rhythm optimization.
So light is absolutely a drug at the end of theday.
What people don't know is that they arebuilding up their melatonin supply throughout
(39:53):
the day in order to get proper sleep.
So most people's energy, the mood and sleep arewrecked because their internal clocks are just
completely broken.
We coach the total care patients on gettingnatural sunlight in the morning to set that
cortisol rhythm.
That's one thing I love about Florida is thatyou can get out early and typically you can get
that sunlight exposure all day every day.
(40:16):
But the earlier the better is when you'rebuilding that vitamin D supply, right?
Getting blue light, cutting out the blue lightat night to protect your melatonin supply is
extremely important as well.
So if you're gonna be on your phone, maybegrayscale it or get those blue light blocker
glasses to actually aid you in that process soyou can protect your melatonin supply.
(40:36):
Sleep hygiene strategies are consistently, wakeup and sleep at the same times.
Try to be really within a half hour window,right?
So like nine to 09:30, nine thirty to 10:00.
You wanna make sure you're within a veryfinite, window of, you protecting your sleep
times of when you're sleeping and when you'regetting up, right?
(40:57):
Temperature and darkness are also crucial.
So a little bit cooler is always better, atnight.
So if you're in the, you know, sixties, maybelow seventies range, but typically in the
sixties, mid sixties to high sixties is reallywhat great temperature to sleep in, as well as
getting darkness, no light surrounded, where,and sound is also another thing that you wanna
(41:20):
eliminate.
So, other things that you can utilize is likered light therapy, magnesium, and glycine to
deepen that sleep quality.
Those are really great tools.
I tend to use the sauna, in the cold plunge andthose things that are something that you don't
want, you wanna get earlier in the day ratherthan later in the day.
So at minimum of four hours before bedtime, ifyou're gonna be doing some cold water exposure
(41:43):
or sauna therapy.
So when your circadian rhythm is aligned at theend the day, everything else, digestion,
hormone output, mental clarity, that stuff juststarts to fall into place.
It's just all in a alignment.
So it's really beneficial for you just to writethose things down and implement one by one.
I know it's a lot, but you can just take one ortwo things that you can start incorporating
(42:06):
over time, right?
So we always want to give you support behindthis.
So here's from the American Journal ofLifestyle Medicine 2021 said that lifestyle
interventions remain the cornerstone of chronicdisease reversal.
It's important.
It's important to really understand that thesesmall implements, these are it, right?
(42:27):
This is the solution of what we're explaininghere.
So it's not your supplement.
It's not a drug.
It's not even a doctor.
At the end of the day, the accountability isyou.
Your consistency, your rhythm, your commitmentto showing up for your own body, the only one
we get in this lifetime, every single day.
So, as I wrap things up, here's my finaltakeaway for you is, you don't need to wait
(42:52):
until you're sick to start healing.
Functional medicine gives you the tools andtotal care gives you that map.
So proactive is the future and the future isright now.
Amen, I have nothing to add to that.
That was so well done.
And so you know, to learn more people areinterested in learning more.
(43:13):
How about how we help diagnose reverse healchronic disease within our total care program.
Go to a lesseefunctionalhealth.com schedule aconsultation where you'll meet with either
myself or one of our providers and we willcreate a personalized plan for lifelong health.
Listeners of this podcast will always getexclusive discounts and price reductions on all
(43:36):
of our protocols and lab tests.
Definitely mention that.
And as always, if you found value in today'sshow, please like, subscribe, and share this
episode with someone who needs to hear it.
That's how we can grow this message and changemore lives.
So wanna get in touch with us or be featured onan episode?
(43:56):
Email us at ask@AlessiFXHealth.com.
And as always, visit us at AlessiFXHealth.com.
Sign up for our newsletter and check out ourresources page to learn more about our approach
to nutrition and cutting edge therapies.
And thank you again for tuning in to HealthDecoded where we break down the science, bust
(44:16):
the myths, and help you take control of yourhealth naturally.
Until next time, stay curious, stay empowered,and remember, your health is in your hands.
Thank you for tuning in to Health Decoded,where we break down the truth about all things
health and empower you to take charge of yourwell-being.
(44:37):
If you found value in today's episode, pleasesubscribe, leave a review, and share it with
someone who needs to hear this.
For more resources and personalized support,visit us at alessifunctionalhealth.com and sign
up for our newsletter.
To hear your questions answered live on theshow, send them to ask@AlessiFXHealth.com.
(44:57):
That's ask@alessifxhealth.com.
Until next time, stay curious, stay empowered,and remember, your health is in your hands.
That's the truth that most people overlook atthe end of the day.
(00:03):
And we could have run all the fancy labs andprescribe all the targeted nutraceuticals and
give you the most customized plan on earth.
But if your day to day lifestyle is a just justa complete dumpster fire, none of that at the
end of the day matters.
Welcome to Health Decode, your number onesource for real health information with your
host, doctor Alessi and Matt Tack.
(00:28):
Hey, Health Decoded listeners.
Doctor Alece here.
Let me ask you a serious question.
Are you tired of waiting until something goeswrong to finally see a doctor?
At Alece Functional Health, we take a differentapproach, the right approach.
We believe true health care isn't about chasingsymptoms.
It's about preventing them in the first place.
(00:48):
That's why we created the Allesi Total CareProgram.
This is a functional medicine based membershipthat gives you proactive, personalized care
year round.
You'll get access to comprehensive blood workand functional testing, custom doctor grade
nutraceuticals, deep discounts on labs,protocols, and follow ups, as well as twenty
(01:11):
four seven direct access to your doctor, notjust a 10 checkup that ends with another
prescription.
And here's the best part.
As a Health Decoded listener, you'll get yourfirst three months completely free when you
sign up for an annual membership.
That's on top of hundreds in savings alreadybuilt into the program.
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This is your chance to take responsibility foryour health and join a movement that's
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Head on over to alessifunctionalhealth.com,click on our services tab, and go to Total
Care.
Learn more about this program and claim yourexclusive podcast listener offer.
Your health is your greatest asset.
(01:52):
Let's protect it proactively.
Welcome back to another episode of HealthDecoded.
I am your host, doctor Alessi.
And your cohost, Matt Tack.
Matt Tack.
Good to see you, my guy.
It's always good to do these, man.
Good to see you.
Yeah, man.
Excited about today's episode.
(02:15):
How you been?
What's new?
What's new, man?
It's always it's always something new.
Too many things, I think.
Right?
Too many things.
Too many things.
We're always on working on something.
But one really cool thing that's, going onright now is our challenge.
We got a lot
of Yeah.
In the game, and, they've been doing reallywell.
(02:37):
And so we're just excited to see that feedback,of how, like, utilization of what people are
utilizing.
And so that's been that's been something that'simmediate on the radar over the past couple
weeks that we've been really investing intosome people throughout this challenge.
Yeah.
You did an awesome job with the app and reallybuilding out the whole kind of program there,
(02:58):
man.
I I I'm going through it too.
And I'll be honest, I have not been as goodabout like taking pictures and logging the
meals and stuff.
I'm more on the on the fitness tracking side,but the accountability is good.
Getting the message from you.
And I'm like, oh, man.
I've I've messed up there.
So yeah.
It's awesome, man.
Well, good stuff.
Well, excited for today.
This episode is something we were talking aboutwanting to do because it's gonna really kind of
(03:23):
highlight the purpose of everything we're doingwithin our clinics and within the mission.
Right?
Like if we talk about like what's the the broadmission of why we're doing this?
Why are we doing this podcast?
It's to empower, right?
To give people, listeners, patients, whoever,an understanding that ultimately, you have to
be your doctor.
Like, yeah, I'm a doctor and I can help you.
(03:44):
And there's other doctors out there, but likewe can't do it for you and we can't want it
more than you want it, right?
And so like empowering people to like, takethat responsibility, take action, and set
themselves up for like long term health.
So we really want to pull back the curtain onone of the biggest problems in healthcare
today.
And that's the concept that it's reactive, notproactive.
(04:07):
So, real quick, let me paint a picture, right?
You walk into your doctor's office, you havefatigue, brain fog, weight gain, maybe you have
high blood pressure.
And what do you get?
You're going to get some pills when you leavemaybe two, maybe five, right?
That's very reactive.
They wait until something happens until thefire is basically full blown before they do
(04:29):
anything.
Yeah, exactly.
The system isn't really good at crisismanagement, right?
But terrible at the prevention side of things.
And you don't get support until there's adiagnosis code, until something breaks hard
enough and fit into a billing category, right?
Yeah.
So, but functional medicine flips that scripton what we're focusing on.
(04:50):
We don't wait until the engine seizes up.
We check the oil and make sure we're operating.
Right?
We look at the patterns in your labs, yourlifestyle and your symptoms, and even your
stress levels.
We're asking where is the dysfunction starting?
And how can we stop it from becoming thedisease, that proactive element?
(05:12):
So a few things we want to touch on here, thedifference between proactive and reactive based
medicine.
So you have your conventional approach, or yourreactive medicine, which is based on acute and
acute care model, designed for emergencies,trauma, infection, surgeries, all those things,
right?
Focuses on symptoms, symptom suppression anddiagnosing coding.
(05:36):
So very reactive approach.
So, uses standard labs with a wide referenceranges, offering missing early dysfunction.
And honestly, what you see a lot of times isthat you might be measured getting measured
somebody against that 60 years old, you mightbe a 30, 30 five year old human, right?
(05:59):
So the algorithm isn't associated to thedemographic that you need to see.
So it's very reactive disease care, nothealthcare.
Yeah.
And I always say, if you get hit by a bus andyou go to the ER, but if you're slowly
developing pre diabetes, autoimmune issues,excuse me, or burnout, that same system won't
(06:20):
help until it's too late and the interventionsthey use often make the issue worse, right?
So let's dive into a little bit more.
Functional or proactive medicine looks at thepattern recognition or the root cause
resolution.
So this focuses on prevention, early preventionat that, and systems biology, looking at why
(06:41):
things are happening, not just the what in theacute topical surface.
We look at the root cause, use advanced testingin narrow optimal lab ranges, meaning you are
going to be measured in the age range that youneed to be measured at, right?
So consider environment, lifestyles, genetics,and stress as part of the equation.
(07:04):
And we're not just about treating like the highblood pressure side of things.
We're asking if blood sugar, is itinflammation?
Is it the blood sugar?
Is it poor sleep?
Is it high cortisol?
That's the proactive and it's completelypersonalized to you.
So here's a real world example and somethingthat we've seen.
(07:26):
So we had a patient in his 30s labs for his,primary care said everything was completely
normal.
But we ran a functional panel, his fastinginsulin was 17.
His cortisol was high in the morning andflatlined by the afternoon.
So what did Doctor.
Alessi do?
He was able to catch the metabolic dysfunctionand the HPA access burnout before he ever
(07:50):
developed diabetes or what we call adrenalfatigue.
So now here's the proactive care works for thelong term, right?
That's what we're always thinking of is longterm, like something that you're doing today
will impact you thirty, forty years down theroad.
Chronic disease is the leading cause of deathglobally and mostly preventable at the end of
(08:15):
the day.
So proactive care reduces healthcare cost,improves energy, quality of life, and
potentially your overall lifespan.
Although we tend to focus on health span versuslifespan, right?
The quality of your years, no matter how manyyears you actually get out, right?
So health span over lifespan is always what wefocus on.
(08:38):
So patients become empowered and informedparticipants in their own health.
That's why we do this podcast, is to drive youvalue, and so that you can take ownership of
your own health.
So here's a relevant study that we wanted tobring in from the Journal of Prevention
Medicine in 2021.
So preventative personal care personalized caremodels reduce the burden of chronic disease and
(09:03):
improve a quality adjusted life years.
That's what we're talking about, that healthspan over lifespan.
So quality adjusted life years.
The truth is most people don't know how goodthey can feel.
They just live in pain because they never hadanyone look at their health from a proactive
(09:25):
lens.
And that's the goal of this Alessi Total Care,right, is to give people that edge, that
clarity, and that energy back.
So when you're proactive, you don't just avoidthe disease.
You thrive from being a human.
And once you've experienced that, you never goback.
So let's stop waiting for the fire.
(09:48):
Let's start building a fireproof life, throughproactive medicine, the proper supplementation
of blood work and getting that data back.
So now we want to talk about how we do that andthe model we've created for that level of
sustainability.
Yeah, that's such a good point.
(10:08):
And basically everything you touched on, I lovethe the fireproof life thing, right?
It's like, don't wait for a fire.
Prevent the fire.
Right?
Like, oh, like, we've got all theseextinguishers.
We have all these measures to put out the firewhen it happens.
It's like, how about we just never let there bea fire?
Right?
That's a that sounds better to me.
Yeah.
Because the damage that comes from thatobviously can, you know, be sometimes very long
(10:28):
lasting as well.
So, you know, let's get into let's get intosome details as we always do talk about how we
do this.
And then at the end, you know, we'll have a Iwant you to kind of get more into the
implementation side and what people can do.
So, you know, one thing we hear all the time inthe clinic is, oh, my doctor ran blood work and
they said I'm fine.
(10:50):
Now, but then the patient meanwhile isexhausted.
They can't lose weight.
They feel like they can't form thoughts.
They have mood swings.
They can't sleep, gut issues, whatever.
They know something's wrong.
They're not stupid.
They have this intuition.
They've just been dismissed because thedoctor's looking at a piece of paper with
numbers, not the patient.
Right?
(11:10):
And so, here's the truth.
In conventional medicine, standard lab work isjust scratching the surface.
It's not deep enough, and we've discussed thisbefore, but most doctors are going to run like
a basic metabolic panel.
They're going to run a blood count, And thenmaybe if they're generous, they'll run like a
thyroid stimulating hormone test, right?
But it's not enough.
(11:31):
You need to go deeper because you're justscratching the surface with those tests, and
they don't paint you enough of a picture.
It's like a snapshot, not the whole movie,right?
So, let's talk about what we do in our office.
And this is a part of the program we've createdcalled Alessi Total Care, where we're going to
use comprehensive functional lab panels thatare going to catch dysfunction before it
(11:51):
becomes disease.
So, we're not just chasing symptoms.
Obviously, symptoms are a good tell for us aswhere to focus, but we're trying to decode the
early signs that your body is giving off thatsomething's going wrong.
So, let's just go through some of the corecategories and kind of what we have built in as
almost like a staple to look for.
And when you touch each one of these bases,you're basically getting a global picture of
(12:16):
health.
And then you can pinpoint, okay, it's low here.
This is high.
Now, start to, you know, pull some strings,right?
We're all about that pulling levers thing.
So, number one is definitely a complete thyroidpanel.
So, most doctors are just going to run TSH, andthen maybe T4 and T3.
It's, it's, I like saying this because it'slike, that's like judging the football team by
(12:36):
the kicker, Right?
You're like, you're like one guy.
Right?
You can't make a decision based on that.
So we look at TSH, free t three, free t four,reverse t three, and then always, I wanna look
at TPO and TG antibodies.
These are going to tell me if there's anyautoimmune thyroid dysfunction like
Hashimoto's.
Now, why?
(12:57):
Why do we do that?
Because you can have a normal TSH and stillhave a terrible conversion of T four to T
three, which is the active hormone.
Or, you could completely miss an autoimmunething that could be attacking your thyroid.
And then that goes undiagnosed for years untilyou become low thyroid, at which point it's
often very tough to correct and you're onmedicine for the rest of your life.
(13:19):
So, the next thing we're going to definitelylook at, and we discussed this before in a
previous episode is blood sugar markers, right?
And why this is so important.
Because getting that entire metabolic picturecan prevent an onslaught of chronic disease.
Most diseases are metabolic in nature, or beginwith some type of metabolic precursor.
(13:40):
So,
we're
gonna look at fasting insulin.
We're gonna look at the hemoglobin A1C,glucose, C peptide, and then we'll even look at
like leptin and adiponectin which are thehormones that can help with your hunger and
satiety as well.
And this also is how we assess that fatsignaling and metabolic resistance.
So, your doctor might tell you your glucose isfine at 99, but functionally that's actually
(14:05):
yet what we call a yellow flag, right?
It's getting there.
And so, we see insulin resistance actuallystarting in the 80s of blood sugar.
So, if you're two points below that referencerange high, you're bordering on it becoming a
crisis, right?
The next thing is we definitely look athormones.
So, we can either look at serum or we run atest called the Dutch test, which is a urine
(14:29):
and also salivary hormone panel.
And so, we're going to look at cortisol rhythmthroughout the day.
We're going to look at DHEA, estrogen,progesterone, testosterone, and even melatonin,
right?
And these are all critical for patients thatcould be dealing with things like burnout,
adrenal fatigue, things like PCOS, infertility,low libido, that's one that we see all the
(14:53):
time.
People don't want to talk about this and theyget, I want to say maybe a little embarrassed
or kind of they kind of hold these kind ofthings back and they want don't want to discuss
it with the doctor because they think they'rejust going to get put on some kind of pill and
then now all of a sudden there's thepsychological aspect to that right like oh man,
I'm on this thing now.
And so, basically you can't treat what youdon't measure.
(15:13):
And that's why we need to know these numbers.
The next thing and this is a huge one andsomething that will sometimes just run this
like alone for patients too, but is ourinflammation panel.
And there's a bunch of things in this that mostdocs don't even know what they are.
And so, we already know is basically at it's atthe root of nearly every chronic disease.
(15:34):
And so, we're going to look at your HSCRP,which is a C reactive protein.
We're looking at homocysteine.
We're going look at ferritin, which is storediron.
We're going to look at ESR, which iserythrocyte sedimentation rate.
This basically tells us kind of what the redblood cells are doing.
And then another few that we look for, and thatwe will often catch issues with this, that say
(15:57):
another cardiologist said, You're good, quoteunquote, right?
And then we see somebody has a high oxidizedLDL, a high MPO, which is myeloperoxidase.
This is basically a plaquing signaler, and thena PLA C and when we see either one or two of
those elevated markers, we're like, Okay, hey,you're on your way to a heart attack.
(16:17):
It's just it's not if it's when, right?
But again, these things don't get looked at inconventional medicine.
And then it's like, okay, let's just wait forthe person to have a heart attack for us to do
something.
That doesn't sound like a great idea to me.
So, it's like how can we get ahead of this?
Because we often see this and you have you andI have seen this in like healthy young males,
right?
Guys in their 30s.
(16:38):
Oh, I work out all the time I do CrossFit.
I'm jacked, right?
They look great.
It's like dude, your cardiac inflammationmarkers are nuts.
Like how do we get ahead of this before youhave full blown cardiac event?
That was me.
I mean, I was.
Yeah, that's true.
Yeah.
Yeah, you don't mind sharing that.
That's
why we get blood work done quarterly is becausethose those tracers can happen within a
(17:03):
quarter's timeframe, right?
If you can be ahead of the game, which like I'mahead of the game, alright, well, how do I put
in the daily supplementation in order to kindof reactivate, and pull that back, right?
So, putting those things in place are reallycritical.
And that's why I am part of the Total Careprogram myself, because I want to get ahead of
(17:28):
the game, right?
So those are just extremely critical things.
My plaque markers, three to six months ago werenot what they were today, right?
Yeah.
And so it's constantly evaluating, adding newsupplementation, but getting that blood work
done so that we can provide data back.
Hey, my NPO is high, my LDL O wasn't reallythat high, but at the same time, I want to be
(17:51):
cognizant of it, and start getting the propersupplementation, like methyl, vitamins.
I think we incorporated a little bit uptick inmy vitamin D intake, as well as we
incorporated, our omegas across the board.
So I'm really high on omegas right now as antiinflammatory markers.
(18:13):
Yeah, and that's a really good kind of a littlesegue here is, you know, we it's not do what I
say, do what I do, right?
Like we and we're very transparent, you and I,about our sharing these kind of things because
it's like that was my story as well.
I had basically Hashimoto's disease of thethyroid autoimmune building up for who knows
(18:34):
how long, right?
And it and I knew nothing until I took I ran afunctional test on myself.
And I didn't have symptoms.
Wasn't having anything crazy.
I was a new dad.
I was in a busy new job.
And so just I thought I was tired, right?
And then I took some functional lab testing andI like wow I have full blown autoimmune in my
thyroid.
I was able to reverse that because I caught itearly enough and was able to put in the
(18:56):
interventions and now I've created a basicallya lifestyle that I live that supports that and
not allowing me to get back to that position,right?
Because once you've gotten there, your body'sobviously leaning towards that.
So well, I appreciate you sharing that.
That's good man because it gives it just showspeople that you can.
You can look phenomenal on the outside.
Obviously, you're a specimen of a human, right?
(19:16):
Your Jack, you're cut up, but you know what'sgoing on on the inside is very important.
So yeah, that's really good.
The next thing that we look for a lot is guthealth, right?
We're very focused on the gut is number one.
If you if your guts off, everything's going tobe off.
So we use like advanced stool tests like a GImap to check for things like dysbiosis, which
(19:38):
is basically when you have an overgrowth of thepathogenic bacteria compared to the, you know,
the beneficial flora.
We can find parasites often, very common.
Leaky gut markers like zonulin and antizonulin.
Calprotectin which checks for gut inflammation.
And then we can look at like pancreatic enzymeas well, because that is what supports that
digestive process.
(19:59):
And so your immune system lives in the gut.
And so if you're constantly sick, or you feellike you're battling stuff, have to heal the
gut first.
So we've discussed this actually in a previousepisode, you should go listen if you want more
information on gut.
And then another one that we test all the timeis nutrients, right?
We want to see B12, we want to see vitamin D,magnesium, zinc, and then an omega three to
(20:22):
omega six ratio kind of index.
These things basically tell us how your body ismanaging a lot of inflammatory things.
And so, you know, most people are walkingaround with fatigue or brain fog or they it's
low nutrients, right?
They just have never checked it so they don'tknow what that is.
And so, the concept again is like thefunctional ranges versus the standard ranges.
(20:45):
Right?
I hate the word standard because it's like, whois that for?
You even touched on this.
Is it for us in our thirties?
Is it for 50 year olds, 60 year olds?
How are we all within the same reference range?
Makes no sense actually.
And so something no one talks about enough isthat exactly that, right?
Like the ranges are set for like a populationbut not for optimal health.
And they're so broad that it's like you couldbe anywhere, right?
(21:08):
What is the reference range for testosterone isbetween about 300 to like 900.
And so it's like you could be in like the fourhundreds that doesn't mean you're optimal.
You're actually relatively low.
And if you look at what ranges used to be,they've actually like lowered the bar.
So it's like as we've gotten less healthy as acountry, they're like, let's just lower the
standards here a little bit to keep up with howunhealthy people are becoming.
(21:32):
So it's actually it's it's dysfunctional.
So a couple examples would be like if a TSH,you know, lab says normal is between point five
to 4.5.
You know, optimal is going to be above, right?
Like above a 2.5.
And so, if it's in the lower range around likea one, you're getting kind of sluggish thyroid.
(21:52):
And then also things like vitamin D.
Like your doctor says oh, you're fine at 30.
Honestly, we should be shooting for like 70 to80, right?
You want to be higher on that vitamin D.
That's a steroid hormone precursor that isvital for immune function, bone health, so many
things.
And so, you know, scientific supports thisbecause the Journal of Integrative Medicine in
(22:14):
2019 said functional reference ranges candetect subclinical imbalances often missed by
conventional diagnostics.
And so that that points it out right there islike we're often missing the whole picture.
So if you're told your labs are normal, but youdon't feel normal, you need to trust your body
because there's a reason we call it functionalmedicine.
(22:34):
It's about helping your body to functionbetter, not just chase a bunch of numbers on a
page.
So, now, we have an idea of how we use thetests to obviously, you know, find things and
figure out where's the dysfunction.
Now, how do we use that to create advancedprotocols where we combine nutraceuticals,
detoxification, and lifestyle medicine toactually fix the problem at the root.
(22:59):
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Now back to the episode.
Alright.
So welcome back.
Now that we've dug into the labs and uncoveredwhat's actually going on under the surface, the
(24:32):
next question is what do you do with thatinformation?
So it's definitely not just throwing amultivitamin at it and hoping for the best.
That's old school.
Hey, look, cover all your bases.
Here's a multi.
The multivitamin can be beneficial, don't getme wrong.
But this is where we go from diagnosis toprecision, right?
Because the power of functional medicine isn'tjust the testing, it's in the protocols we use
(24:53):
based on the tests.
So, we're going to use doctor gradenutraceuticals.
When we build a care plan for our total carepatients, we're not just pulling random
supplements off an Instagram ad or even worseoff of Amazon.
Right?
We're using clinical grade nutraceuticals thatare chosen specifically to match your unique
lab results.
(25:13):
We custom create these med packs protocols thatcome in the little tearaway strips that you
know what to take, what time of day, when it'sbest.
And it's it's evidence based.
So it's not just guessing.
They're very high potency as well.
So, there is overkill sometimes we need to dialit back, right?
We don't need to use as much as you think.
Where you get some supplement from CVS orAmazon, you could take three, four or five of
(25:36):
them and not really feel the effects.
You take one of these more potent, you know,B12 vitamins, you might feel a little bit
stimulated.
So, they're definitely a lot more effective.
And so, we kind of have this phased approach,right?
We're like, we're going to start with detox.
We always want to make sure we reset andrebalance the system, make sure the liver which
is your filter and your gut are functioning,then we're going to phase into focusing on the
(25:59):
gut health, then obviously hormones which isenergy and vitality, and then the long term
support and maintenance.
And so, you can't just jump straight to hormoneoptimization if someone has a sluggish liver or
if their gut is inflamed.
And so, that's where we have to focus on thephases of healing.
And so, phase one, supporting detox pathways.
(26:21):
We're going to start with a liver and cellulardetox, especially if people have high
inflammation or a high toxin load.
So, using things like glutathione and NAC, milkthistle, and then you know supporting
methylation and sulfation in these glutathionepathways.
We have a really awesome protocol we use forthe detox where we kind of base it on, you
(26:43):
know, someone's like categories, right?
Like they take a little test and it gives us acategory, are you mild, moderate, severe?
And then that tells us how much of a detox weneed to push.
And it's actually very accurate.
Then phase two, we go into the gut repair andresetting the microbiome.
We're going to use antimicrobials, things likeberberine, oregano to kill off the dys biosis
(27:04):
or that bad bacteria.
We're going to rebuild with spore basedprobiotics, digestive enzymes to support
stomach acid and then ultimately healing thegut using things like L glutamine and different
herbs as well.
And people are often shocked.
You start getting your gut health back, yourmood changes, your skin, people get better skin
(27:24):
energy once the gut is actually healed.
Then we phase into the hormone balancing.
So once you've detoxed and addressed the gut,now let's look at the endocrine system.
And so we're going to focus on insulinresistance, obviously, number one, using things
like berberine to balance that the body's bloodsugar.
We're going to focus on thyroid health, theestrogen dominance if there is any, and then
(27:47):
adrenal fatigue, and then obviously lowtestosterone as well.
And so, it's a it's an axis we talked aboutthis in a previous episode, the axis of how
your body creates hormones and you have tostart from the top.
And then phase four is obviously replenishingnutrients and building up that resilience.
So then that's when you get into, Okay, I'mhealed.
(28:08):
I'm not in crisis mode.
I'm good.
What are the main things you need for support?
And we did an episode on this too, like whatare the main supplements you need to be using
just in general because the body's depleted,our nutrition that we get from the store is not
what it used to be.
And so things like magnesium, vitamin D3, Bcomplexes and omegas are fantastic, as well as
(28:30):
like a probiotic.
And so everything we do is based on ourpatient, not just what's good for you, but
what's for you, right?
And so everyone is at a different point intheir journey.
Sometimes people are their guts fine, right?
And we go straight into the hormone.
Sometimes they're a little bit further back andthey need that detox and support.
(28:50):
So it's all about, you know, the patient andkind of their position.
And so that's the best part is every singleprotocol is built on them, their labs, their
history, their life, their goals, all of it.
And not no two patients are going to get theexact same combination.
And we're constantly checking in veryfrequently.
We track symptoms.
We're going to retest markers and adjust as thebody heals.
(29:15):
And the cool thing is, through this, we areteaching and educating and empowering.
And so eventually, I want my patients to beable to read their blood work.
I want to teach them like hey, when you startseeing this dipping low and this going high,
what does that mean?
Oh, that means I'm stressed.
Should do this right and so they know how toread their own blood work and then support it.
(29:35):
And so, you know, it's real science.
It's not.
We're not anti medication.
We're just pro mechanism, right?
The body, we're meant to we want to work withthe biology and not just try to override it and
hack it with medication.
So, think of this the next time someone tellsyou that supplements don't work, ask these
questions.
(29:55):
Were you taking the right ones in the rightdose at the right time for the right reason for
your biology?
Right?
Because those are a lot of factors that go intoit.
You can't just throw a blanket multivitamin andexpect to heal.
And so, we don't stop there.
We empower people to take control, takeresponsibility, and ultimately be the doctor in
their own life for themselves and their family.
(30:18):
And so, I think that's honestly the coolestpart of what we built here with the Total Care
Man and kind of you are a lot of theinspiration on this.
So I'd love for you to chat or talk more aboutthis, but that lifestyle medicine blueprint,
right?
And kind of what that looks like for people to,hey, we helped you, but now like here you go.
Here are the keys to your future.
(30:38):
We want you to take control.
So, why don't you get into a little bit of thatlifestyle medicine?
Yeah, for sure.
And one of the things I just want to note, youknow, one thing that you always tell our
patients is, you know, you're with us for onehour a month, but you're with yourself twenty
fourseven, right?
And so that's the truth that most peopleoverlook at the end of the day.
(31:02):
And we could have run all the fancy labs andprescribe all the targeted nutraceuticals and
give you the most customized plan on Earth.
But if your day to day lifestyle is just acomplete dumpster fire, none of that at the end
of the day matters, right?
So healing doesn't happen in a bottle or abinder.
It happens within habits of how you incorporateyour habits throughout the day, right?
(31:26):
So we just are a makeup of our habits.
So that's why Total Care is built aroundlifestyle medicine, right?
Real actionable tools that you can use everysingle day to take your health back.
So let's dive into it a little bit more andwhat you aforementioned was the personalized
nutrition component.
So we like, you know, the real tactical ways ofhow you're starting to incorporate these things
(31:50):
in.
And you can't really out supplement a bad dietat the end of the day.
You need both.
It's everything, right?
But at the same time, you really need a lot ofluck in your diet and what you're doing.
That's what we're doing through this challengeis you're creating a storyboard, taking a
picture of what you're putting into your mouth,right?
Because at the end of the day, like what youput in your mouth is a habit.
(32:13):
Nice.
And so we don't hand out generic meal plans.
We teach you how to eat in a way thatstabilizes number one, your blood sugar, and
then reduces inflammation and works with yourbody.
So it's the anti inflammatory eating approach,no seed oils, no refined sugar, and minimal
processed foods.
(32:34):
Or if it is processed, it's lightly processed,right?
So we wanna look at those.
Blood sugar control.
So we are very much protein forward.
So protein forward, real fiber incorporated inthat, and mindful timing of carbs.
People don't realize, like, how important it isto actually time carbs.
(32:54):
You can eat them actually later at night ifyou're working out in the morning and utilizing
those appropriately.
I think that's like the utilization of carbs isa really, really critical thing of like
actually when, the usage of that occurs.
Right?
And that's why we're such believers in mindfuleating, but targeting it towards what the goal
(33:16):
is, right?
And we do a lot of resistance training here.
We recommend resistance training and carbs canbe utilized in such a great tool, with that.
So gut support is the other thing, right?
Fermented foods, bone broth, elimination ofthose common triggers, which we dial in through
you sit down with Doctor.
Alessi, or one of the members of our team.
(33:39):
And we'd kind of walk you through, all right,what are those mindful triggers based on what
inflammatory responses that you might have,right?
Inflammatory responses.
So, we use food tracking not to restrict you,but to reconnect you with what food does to
your body.
So, food is constantly giving you a feedback.
(34:01):
That's why we call it that gut brain access isconstantly giving you the feedback of like,
hey, this is super inflammatory, and I gottafigure something out here.
So it's constantly telling you things.
And whether we're listening to it or not,right, is one of the important things.
So we want to be more cognizant and consciousof how we're listening to our body after we eat
(34:25):
things.
So let's dive a little bit into the nervoussystem reset because stress isn't just a mental
game, right?
You don't have to just plow through it.
Can there's different ways that you canincorporate new habits.
So the way you breathe, rest and regulate yournervous system affects every single cell in the
body.
(34:45):
Again, your nervous system is constantlytelling you something.
So in total care, we teach a couple differentthings, cold water exposure.
We love the idea of, you know, doing ice bathson a regular basis.
I wouldn't say every day, but getting into acold shower, getting into an uncomfortable
scenario where your body is going in fromsympathetic parasympathetic, right?
(35:09):
We can talk a little bit more about that, bycontrast showers to just build resilience in
your body.
Breath work, breath work goes in combination ofcold water exposure tools like box breathing
and CO2 tolerance training are really, reallycrucial in understanding.
But breath work is just basically, you know,setting a reminder on your phone as a habit of,
(35:32):
Man, let me get some big, deep belly breaths.
So when we can really breathe through ournasal, and fill up our lungs and our stomach
with air, those are the breaths that you needand being conscious of that and building that
as a habit of two to three minutes daily, youknow, of maybe three to four times a day,
(35:54):
right?
Doesn't take very long and it's a simple habit.
Then the mindfulness, parasympatheticactivation, what we talked about in cold water
exposure does the same thing, but the vagusnerve stimulation, grounding, prayer,
meditation, journaling, getting up a little bitearlier so your cortisol levels aren't crazily
spiked.
If you get fifteen minutes of just completedowntime before the kids wake up or before your
(36:19):
spouse wakes up, if you can get that earlylaunch period where you're just in a meditative
state, before your cortisol rises, you get thatgradual increase, right?
One thing we recommend is staying away fromcaffeine for anywhere from forty five to ninety
minutes before you wake up to allow thatactivation of your cortisol just gradually
(36:43):
rising in the morning, right?
So when there's a nervous system calmsdigestion, digestion improves, hormonal
imbalance, sleep deepens at the end of the day,and inflammation drops.
So here we go for, a critical piece that I liketalking about specifically because so many
people miss out on the movement prescription,and you don't need a gym to get stronger.
(37:10):
We're not chasing aesthetics.
We're chasing function at the end of the day.
And if you want a little bit of both, I don'tfall to you.
But movement is medicine and our approach isbalanced and sustainable at the end of the day.
And one of the big things, again, I go back toour challenge that we're having right now is
zone two cardio.
Are we maximizing our heart rate?
(37:32):
Are we scaling it up into blue zone activities?
What we're calling in our challenge blue zoneactivities is when you get that heart rate up,
That zone two cardio for metabolic flexibilityand overall mitochondrial health.
So that is a great way to measure.
And if you are measured, we have a heart ratemonitor that gives feedback to our app that
(37:54):
lets you know when you're in that zone twotraining window.
So weight training for muscle mass, bonedensity, and insulin sensitivity.
This is huge.
You know, what we recommend is getting like aDEXA scan to where you're at right now, and
then a measurable of where you can be in threeto six months down the road.
But that's good data to get back as far asweight training and how you're building in, our
(38:19):
resistance training.
Mobility work is another big thing.
And I'll be honestly, I honest with you, thisis something I need to work on more and more.
I typically go to the gym, get it done.
But mobility work is so, so important becausemobility, a lot like the stressors of like
running and launching and sprinting, if youdon't use it, you lose it.
(38:44):
And so we want to make sure we're constantlystaying in that flexible state.
And this also aids in our micro supplementationas well.
So high in omegas allows us to be a little bitmore mobile because we have more joint repair.
Vitamin C supplementation allows us to be moremobile.
And so incorporating mobility for jointlongevity, fascia health, and injury
(39:06):
prevention, right?
So that's just getting those stretches in andtailoring yourself where you're stretching out
those hamstrings, which are a large musclegroups, maximizing core, getting those
stretches in there really, really important.
So we tailor it to your level, no CrossFitstarter pack required at all right here.
(39:29):
So that's not something we advise.
So we would just want to give you basicexercises basically to build your core and the
elasticity of your body.
So let's dive into number four.
Something that I just love talking about is thecircadian rhythm optimization.
So light is absolutely a drug at the end of theday.
What people don't know is that they arebuilding up their melatonin supply throughout
(39:53):
the day in order to get proper sleep.
So most people's energy, the mood and sleep arewrecked because their internal clocks are just
completely broken.
We coach the total care patients on gettingnatural sunlight in the morning to set that
cortisol rhythm.
That's one thing I love about Florida is thatyou can get out early and typically you can get
that sunlight exposure all day every day.
(40:16):
But the earlier the better is when you'rebuilding that vitamin D supply, right?
Getting blue light, cutting out the blue lightat night to protect your melatonin supply is
extremely important as well.
So if you're gonna be on your phone, maybegrayscale it or get those blue light blocker
glasses to actually aid you in that process soyou can protect your melatonin supply.
(40:36):
Sleep hygiene strategies are consistently, wakeup and sleep at the same times.
Try to be really within a half hour window,right?
So like nine to 09:30, nine thirty to 10:00.
You wanna make sure you're within a veryfinite, window of, you protecting your sleep
times of when you're sleeping and when you'regetting up, right?
(40:57):
Temperature and darkness are also crucial.
So a little bit cooler is always better, atnight.
So if you're in the, you know, sixties, maybelow seventies range, but typically in the
sixties, mid sixties to high sixties is reallywhat great temperature to sleep in, as well as
getting darkness, no light surrounded, where,and sound is also another thing that you wanna
(41:20):
eliminate.
So, other things that you can utilize is likered light therapy, magnesium, and glycine to
deepen that sleep quality.
Those are really great tools.
I tend to use the sauna, in the cold plunge andthose things that are something that you don't
want, you wanna get earlier in the day ratherthan later in the day.
So at minimum of four hours before bedtime, ifyou're gonna be doing some cold water exposure
(41:43):
or sauna therapy.
So when your circadian rhythm is aligned at theend the day, everything else, digestion,
hormone output, mental clarity, that stuff juststarts to fall into place.
It's just all in a alignment.
So it's really beneficial for you just to writethose things down and implement one by one.
I know it's a lot, but you can just take one ortwo things that you can start incorporating
(42:06):
over time, right?
So we always want to give you support behindthis.
So here's from the American Journal ofLifestyle Medicine 2021 said that lifestyle
interventions remain the cornerstone of chronicdisease reversal.
It's important.
It's important to really understand that thesesmall implements, these are it, right?
(42:27):
This is the solution of what we're explaininghere.
So it's not your supplement.
It's not a drug.
It's not even a doctor.
At the end of the day, the accountability isyou.
Your consistency, your rhythm, your commitmentto showing up for your own body, the only one
we get in this lifetime, every single day.
So, as I wrap things up, here's my finaltakeaway for you is, you don't need to wait
(42:52):
until you're sick to start healing.
Functional medicine gives you the tools andtotal care gives you that map.
So proactive is the future and the future isright now.
Amen, I have nothing to add to that.
That was so well done.
And so you know, to learn more people areinterested in learning more.
(43:13):
How about how we help diagnose reverse healchronic disease within our total care program.
Go to a lesseefunctionalhealth.com schedule aconsultation where you'll meet with either
myself or one of our providers and we willcreate a personalized plan for lifelong health.
Listeners of this podcast will always getexclusive discounts and price reductions on all
(43:36):
of our protocols and lab tests.
Definitely mention that.
And as always, if you found value in today'sshow, please like, subscribe, and share this
episode with someone who needs to hear it.
That's how we can grow this message and changemore lives.
So wanna get in touch with us or be featured onan episode?
(43:56):
Email us at ask@AlessiFXHealth.com.
And as always, visit us at AlessiFXHealth.com.
Sign up for our newsletter and check out ourresources page to learn more about our approach
to nutrition and cutting edge therapies.
And thank you again for tuning in to HealthDecoded where we break down the science, bust
(44:16):
the myths, and help you take control of yourhealth naturally.
Until next time, stay curious, stay empowered,and remember, your health is in your hands.
Thank you for tuning in to Health Decoded,where we break down the truth about all things
health and empower you to take charge of yourwell-being.
(44:37):
If you found value in today's episode, pleasesubscribe, leave a review, and share it with
someone who needs to hear this.
For more resources and personalized support,visit us at alessifunctionalhealth.com and sign
up for our newsletter.
To hear your questions answered live on theshow, send them to ask@AlessiFXHealth.com.
(44:57):
That's ask@alessifxhealth.com.
Until next time, stay curious, stay empowered,and remember, your health is in your hands.
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