October 20, 2025 • 50 mins
A brutal chest tear, a fast recovery, and a bigger question: what happens when fitness, nutrition, and medicine actually work together? Anthony shares how early movement, protein, creatine, collagen, and fish oil reduced pain and accelerated healing post-op—then we zoom out with Dr. Anderson, a family physician who believes the best care blends evidence-based prescriptions with real lifestyle change.
We get honest about why many clinics still default to statins, how short visits and insurance friction push doctors into checklists, and what it takes to build a patient-doctor partnership where “no” is the start of a plan, not the end of a visit. From multivitamins and omega-3s to protein needs for women 40-plus, we lay out supplement strategies that actually move the needle, while stressing that movement—not bedrest—is the engine of recovery.
We also tackle the rising tide of GLP-1 medications like Ozempic. Where can they help? When do they fail? The answer often hinges on habits. Meds can flip hunger signals, but long-term success still depends on protein-forward eating, resistance training, and sleep. We challenge outdated measures like BMI, favor better metrics, and highlight new research showing how training the non-injured limb can speed healing on the injured side. Along the way, we pull back the curtain on rural care deserts, urban abundance, and why medical training needs more nutrition and lifestyle medicine now.
If you’re tired of extremes—pill-only fixes or wellness-only promises—this conversation lands in the productive middle. Hit play to learn how to partner with your doctor, choose supplements wisely, train through setbacks, and protect your long-term health with strategies that last. If this resonated, subscribe, share with a friend, and leave a quick review so more people can find the show. Your support helps spread a simple truth: fitness is medicine.
Learn More at: www.Redefine-Fitness.com
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
SPEAKER_00 (00:03):
This is Health and Fitness Redefined, brought to
you by Redefined Fitness.
Hello and welcome to Health andFitness Redefined.
I'm your host, Anthony Man, andtoday we've got another great
episode for all of you.
Before we introduce our amazingguest, Dr.
Anderson, some life update newsfor everybody.
(00:23):
For those that may or may notknow, like a couple weeks ago I
made a post about it, but Itotally ripped my chest in half.
So then going through that, justa constant reminder for me that
one, eagle lifting, when peopletell you not to do something,
you probably shouldn't do that.
When someone says, Yeah, youshouldn't do that, I go, What's
the worst that happens?
Um, two, I think life just has away of coming back at me and
(00:50):
then reinforcing lessons that Ialready know.
And um how 15 days post-op is ofthe day of this recording and
the fact that I took painmedicine one day and then
Tylenol only till four daysafter.
And I learned a lot throughthese last 16 days, and it's a
(01:11):
good reinforcement of whyfitness is medicine and why it
can help people recover faster.
And we'll probably jump intothis in the show, but I think
it's important.
Really cool and not surprising.
I was in a lot of pain,obviously, post op.
Day five, I was like, you knowwhat?
Let me go work out.
And I went to my gym, obviously,in a sling, and I started just
(01:34):
doing legs like I normallywould.
Obviously, I didn't put anypressure on my chest, and I just
said mostly machines.
But about like 10-15 minutes in,the most miraculous thing
happened.
All the blood that was pulled upin my chest, causing like an
immense pain pulled out.
And after that workout was whenI dropped even taking Tylenol.
(01:54):
It was like just a reminder,like how much your body is
designed to heal in motion.
We're not designed to heallaying down in bed.
We're designed, we're gonna healand do better as we keep going,
moving on in the world.
And sleeping is ideal for justsleeping, and that's it.
(02:14):
So pretty cool.
Without further ado, though,let's welcome Dr.
Anderson on the show.
It's a pleasure to have you ontoday.
SPEAKER_02 (02:19):
Hey, I'm so excited to be here and glad that you're
doing well.
Great to see you today.
And I love that intro, just theyou beginning to talk about how
much fitness really is medicine.
And I love this idea.
And I talk to my patients allthe time about you know, it's
it's hard to heal laying down,right?
And it's hard to get over a lotof things laying down.
And so I'm super excited to behere with you today.
(02:39):
Anthony, excited, just chatabout health in general and the
role that you know fitness andnutrition and all these things
play in our health.
So thanks for having me.
SPEAKER_00 (02:47):
Yeah, absolutely.
And it's just kind of miraculousto me on a standpoint, is right
when I get like, okay, I'vetalked about the same things
over and over again about 400times.
It's okay, I went through it nowagain and I'm going through a
healing process, and I'mwatching myself recover way
faster than most people ever,because it was a it was not just
a little minor tear.
The doctor that did this surgerysaid, and I quote, I have never
(03:11):
seen anyone tear their musclelike this before.
It was huge.
Wow.
SPEAKER_03 (03:17):
Wow, that's that's impressive, and not always in a
good way.
SPEAKER_00 (03:21):
Yeah, exactly.
But the fact I'm here, like I'mdoing a show with you, I've done
multiple workouts at this point.
Uh, I'm really getting range ofmotion back in my shoulder.
It's a testament to everything.
One thing I did, which I want tohop right into with you because
I know you say to listen to thatepisode, was I looked right at
(03:41):
supplements first.
I said, what's something I canenact right now?
Right with the day I tore mychest, right?
I went, got a checked out, gotan MRI, and then went back to
work because I'm a psychopath.
It's crazy.
But then like eventually, when Iknew like I needed like surgery,
it's okay.
How can I give myself the bestodds of getting surgery?
(04:04):
Because surgery was gonna be forlike another 12 days after the
accident.
So I immediately hopped oncreatine, like I've been doing.
I've been taking 10 grams ofthat a day because I knew that
would help.
I needed to keep my musclefibers intact for surgery so
they didn't start dying on me.
I doubled my protein goal, Istarted taking collagen, I
(04:25):
started enacting uh really heavymultivitamin that was a good
one, not heavily involved inlike calcium carbonate, like we
talked about.
Yeah, and I I didn't have anybleeding, so I hopped in taking
fish oils just to get an immenseamount of omega-3s in my diet.
But like those things set me upfor success.
And then when I had the surgery,the doctor said all my tendons
(04:46):
were so intact, it was supereasy just to stitch the muscle
to muscle and then take theother part and anchor it right
into my bone.
So pretty interesting.
So, what are your thoughts onoverall that episode we did on
supplements?
And do you have any specificrecommendations as being a
family medicine doctor that youwould like to see most people
on?
SPEAKER_02 (05:07):
Yeah, absolutely.
And so that was such a greatepisode.
We were talking about a littlebit before we started today.
I'm in family medicine, I willdo everything but deliver a baby
at this point, and so I see thefull range of medicine in
practice.
That's from kids all the way toadults.
And one of the more commonthings that I'm asked through
the day is about supplements.
And so many times, Anthony, itsaid, Oh, I saw this on TikTok
(05:29):
or, you know, I saw this onFacebook or social media
otherwise.
And is this okay to take?
And while the easy answer, andeven sometimes maybe the
cop-out, is, you know, well,most of these things or all of
these things haven't been, youknow, FDA approved or reviewed.
And it's hard for me as aphysician to give you a yes or
no on these.
I will admit that early in mypractice, that is absolutely the
(05:52):
answer that I gave so manypeople.
But we have to change asphysicians, we have to start
then looking at that research,both anecdotally figuring out
what works for our patients,what doesn't work.
And so to answer your questionof you know, recommendations
that I give, one is I takeeverything that patients tell me
they bring in, you know, abottle or will pull up something
(06:13):
on their phone and show me aboutit.
I take that time and sit downand look at it with them and
actually have the discussionwith them.
And I think that's the firstpart, and the first part that's
so important.
But to answer your question ofwhat recommendations I give, I
love that you just said a gooddaily multivitamin.
I think there's no substitute.
We in general, just as people inthis country these days, eat so
(06:35):
much junk, right?
We eat so much junk a lot oftimes because it's cheap or
because it's fast, you know, welead these really busy lives,
and it's just like what can weget?
And we're not getting so much ofthe vitamins that we actually
need.
We're not getting it, you know,nutritionally from what we're
eating.
And so I think having just areally good daily multivitamin
(06:56):
is so good.
I love omega-3 fatty acids andfish oils, especially as we
start thinking about hearthealth, those preventive
medicine, which is so much ofwhat I practice, and making sure
that patients, you know,especially as we age, as we get
into our you know, 30s, 40s,50s, and beyond, are getting
those supplements in in the formof omega-3 fatty acids, fish
(07:19):
oil.
It's one thing to tell everyoneto you know eat the seafood
components that give you so muchof these, but it's a whole other
thing if you can just findreasonable, kind of good quality
multivitamins and vitamin andsupplements otherwise to be able
to take in.
When you said doubling yourprotein, it felt good to my
heart because that's so much ofit, too, right?
(07:40):
We think about that proteinintake and and how protein does
such a good job, even of justhelping keep us full through the
day.
You get an adequate amount ofprotein, you're not putting
trash in your mouth through theday, otherwise, because you've
got that good protein which yourbody needs, which is so good for
you know muscle mass, especiallyafter a muscle injury like you
(08:02):
had, um, and in in women as weage and we start to lose muscle
mass and in men as well.
And so I think those you hit bigones multivitamin, omega-3,
fatty acids, fish oil, and thenum making sure we're getting
adequate protein is so importantand things that we can find
healthy supplements that aregood for that.
SPEAKER_00 (08:23):
Yeah, I I couldn't agree more, and I'm really glad
it came on the show because I Italk a lot.
I mean, I've done 300 episodesof recommendations, and I always
come back to the same kind ofprocessy.
And I want you, based upon yourexperience being a doctor, to
walk us through specific things.
(08:44):
Because like I I mentionedpreviously, and for those that
listen, like oh family'sphysicians, and I try to have
these conversations with them,and it's tough.
So as a physician, right?
Why do you think it's the casethat a lot of doctors still turn
to things like as an examplecholesterol, like to statins, as
opposed to finding healthieralternative routes for that
(09:07):
patient?
And why do you think they do it?
And then how do you think we cancreate the conversation to
change it?
Yeah.
SPEAKER_02 (09:14):
All right, so I'm gonna start with this.
I love a statin.
All right, I'm not mad at astatin.
I don't think that statins arethe worst things out there.
I'm not mad at a statin.
I I think that the the studiesare there that show that the
statins work, but we alsoanecdotally see that some
patients just don't do well withthem, or some patients are just
hard set against they're notgonna take them.
(09:35):
And as physicians, and one ofthe heart, and there you go, and
that is okay.
And I think when when weestablish that with our
patients, or when I establishthat with my patients, it opens
up so many other things.
It opens up the opportunity forus to then sit down across from
each other and start having areal conversation about what I
will or won't put in my body,what I do or don't feel good
(09:57):
about, and what are my otheroptions, right?
And so um I have gotten away.
I I am at a space in my ownprivate practice where you know
there's not the I have moreautonomy, I have more freedom,
more flexibility, kind of dothings the way I feel
comfortable doing.
And one of the reasons that Iwent into private practice was
to really allow me to be able toum to work that relationship
(10:22):
with my patients, to be able tospend more time with them,
develop a good rapport withthem.
Where when I say, you know what,looking at you know the data
that's out there, we need tothink about a statin and and
them to understand that Ieither, you know, am that I'm
always gonna give therecommendation of what I feel
(10:42):
like is best for them, but I'malso always gonna listen to what
they do want and don't want.
And we've got to be able to say,all right, if you don't want to
do this as a patient, I told youkind of where I feel about it,
you have the right to say yes orno to it.
Let's figure out the otherthings that are out there.
Statins are not the end-all,be-all, they're not the only
options.
(11:03):
We can change our diet, we canchange our exercise, we can, you
know, look at other supplementsthat are out there as an option.
At the end of the day, what Idon't want is my patient to have
a heart attack or stroke or, youknow, have other heart disease
that I can't do anything about.
And I think that it's tough forme as a physician then to be in
(11:24):
front of a patient, and we'reusing the statins as the
example, in front of a patientwho, you know, I've I've been
seeing them as a family doc.
I see their spouse, I see theirsister, their brother, their
kid, their grandma.
And for me to hear them say, Idon't want to take this
medicine, and I say, okay, well,you got to go somewhere else.
Like, we don't get along here.
This isn't gonna work.
And so um, it's it's meetingpatients where they are and
(11:47):
realizing that there's more thanone way to skin a cat and that
we can figure out something thatgives us good compromise.
And then we track numbers,right?
And sometimes what happens is wetrack numbers and uh you know we
say, all right, I'm gonna trythe supplement or I'm gonna do
this instead.
And we come back and we haveactual, you know, objective data
(12:10):
in front of us.
And more times than not, we say,you know what?
Good call.
Keep doing what you're doing,keep making those changes.
Um, and then sometimes though wesay, All right, Dr.
Anderson, I gave it a try.
Maybe I will.
If you can, you know, findsomething that won't give me
side effects that I don't love,that kind of thing, then we um
push on there.
But I I just I think there are alot of things that we're rigid
(12:32):
in, and some things that weshould be rigid in, and some
things that I'm absolutely rigidin in my practice because of my
training, but there are alsoother things that we say, you
know what, let's see if there'sanother way that you're
comfortable with, and we findsomething that's a good solution
that we both feel good about.
And I think too that whenpatients, when you give them
that kind of um freedom to helpmake some of their own
(12:55):
decisions, then you see thefolks who say, I really don't
want this statin.
Then all of a sudden they're inthe gym more often, they're
eating better, they start doingthe other things, which if we
all did in the first place, we'dprobably be in a better space.
SPEAKER_00 (13:10):
Yeah, my point wasn't uh, and I probably should
have reworded the questionbetter, to those that push back
on it.
I would say if you had 10patients come in in the door,
three of them would say, like,give a little pushback for it.
The other seven, so themajority, just wouldn't it's not
it's a not knowing that there'sother options.
And that's more what I'mreferring to.
And I know I I know privatepractice is way different.
(13:33):
So you have the blessing ofreally getting to know your
patients.
Whereas those that work for amajor corporation, they have a
hundred patients, 10 minutes tosee them, and they're just
walking and writing a script andleaving, as opposed to asking
even the person, like, hey, doyou exercise?
Do you eat better?
(13:53):
Like, have you thought of thosealternatives?
So it really comes down tobecause I know you said you
wanted to change likelegislation and really push
everything going on in Alabamato help people get healthier.
It's how do we create thoseconversations inside this world
that exists for the generalpopulation that doesn't
understand like there's otheralternatives we can start with
(14:18):
first before it comes straightto medicine.
SPEAKER_02 (14:21):
I think you're so right.
I was on a um, you know, we talkso much about genetics, and I'll
have patients come in and theysay, Oh, you know, um, you know,
Dr.
Anderson, I have this, it's justit's just genetics.
There's nothing that that I cando about it.
And I say, you know, geneticsare are real.
We give that its space.
But I was recording one of apodcast of my own with a guest
yesterday who does lifestylemedicine, which is kind of this
(14:43):
new arm of medicine, um, which Ithink is great because you're
right, they don't look first tomedications, they look at
lifestyle changes we can make.
And she said something that Ithought was so great.
She's Anthony, she said, mostpeople will say that things run
in their family, but the realissue is that their family
doesn't run.
And I was like, oh my gosh, thatwas great.
(15:04):
And it just wasn't it great.
And it just went to show that somany of the things that we do,
um, you know, we think, oh, thisis genetics because my mom dad
has this, my dad has this.
But really, it's because thatthose are there are those
learned behaviors that we getfrom folks otherwise.
And so it it goes back to whatyou said just now about the
(15:25):
education, letting people knowthat there are options that are
out there, that there are otherthings that they can do, that we
don't always have to jump tomedicine, or we don't have to
have, you know, um a list thatlooks like a CBS receipt of
medications that people take.
And so um, so letting peopleknow their options is is exactly
the right um way to do that.
SPEAKER_00 (15:46):
So, how do we create that on a national scale?
Is the question.
How do we get doctors andcorporations and legislation to
start looking at truly whatsomebody needs, as opposed to
let's push for the ABCmedication so this drug company
can get paid?
SPEAKER_02 (16:06):
Yeah, and so I really I think that it starts
with education for sure.
And it starts with platformslike this one that you have,
like my platform, like otherdocs who are out there, like the
introduction of this field ofyou know lifestyle medicine to
start really having thesediscussions about health changes
that we can make.
I think so much of it is relatedto, you know, again, the the
(16:30):
foods that we eat, the and justkind of generally where we are
as a society, I think.
I don't get in trouble for this,but just saying how it's easier
to have a quick fix forsomething than to make the real
change that's needed.
And um I think that you hit itright on the head when you said
that it's so hard in an employedbig system to be able to do that
(16:54):
as a physician.
Um, but that's where we see docsgoing.
We see docs coming out of theirtraining, going into big
employed systems because thefreedom, the um the options
aren't always there to doprivate practice because these
big systems are just gobblingeverything up.
We're not teaching medicalstudents and residents that
(17:15):
private practice is an option.
And that takes away being in abig system like that, takes away
some of our autonomy.
And then you have you know justthe the shortage of physicians
across the country.
Um, and when you're alreadyshort and then everyone's going
into a big system, it's harderto get those docs who you know
have the um desire to uh buildstrong relationships, or not
(17:40):
even the desire, who have theability to build those strong
relationships because they'rechecking boxes.
So I think it's it's changingthe way we train medical
students, residents, a big partof it, um, putting more emphasis
just as a whole on what we eat.
(18:00):
Then really starting to crackdown on on uh on some of the the
push that we have towards youknow going straight to medicines
when there's sometimes otheroptions.
And that's not to say I Ibelieve in in medicines, most
medicines, and I believe that umsometimes it does need to be the
first step.
I'm not gonna have a patient inmy office whose blood pressure
(18:21):
is you know 200 over 120, and Isay, oh, let's let's just eat
better and and exercise, but butrealizing that that that there
are things that we can do inconjunction with each other to
overall improve our health.
SPEAKER_00 (18:33):
Yeah, let me let me make something abundantly clear
to even like people that listento the show, because I don't
think they know this about me.
It might sound like I'm extreme,like, no medicine, no that I am
so not.
I think I think people take ittoo much to the opposite extreme
where they go and start lookingnow at essential oils to cure
cancer.
(18:53):
Like no, if I have cancer, I'mgonna go to see an oncologist
and go figure out how to get ridof this said cancer.
It's not my expertise.
So I I do it's it's just theseconstant jumping to extremes.
Like you look at COVID as anexample.
I was really and still amagainst the COVID vaccine.
(19:15):
Like my son's not never got it,I never got it, my wife never
got it.
So people keep saying, Well,you're anti-vax.
No, my son still got the poliovaccine, still got like multiple
vaccines that I know work, and Iknow I'd much rather him get
that than end up with thosediseases.
SPEAKER_02 (19:34):
Absolutely.
Yep.
SPEAKER_00 (19:36):
But is there a problem with too many vaccines
on the schedule now than therewas 20 years ago?
Absolutely.
But it's looking at we do stillneed a blend, and I think we
need more people in the middleground instead of the polar
where you really think peoplebelong.
(19:56):
Like I sit right in the middlewhen it comes to those specific
things.
And I want to address somethingyou brought up earlier, which
was the big corporation world,right?
And why it's so much harder fordoctors to do what they need to
do.
There's something for those thatknow like ICB codes and when a
doctor sees a patient in thisbig corporation, corporations
are there to make money.
(20:17):
Period.
If regardless of not-for-profit,for profit, nor your North
Wales, because I'm in theNortheast, that's what we have
big here.
Cleveland clinics, like they'rethey're there to make money.
So doctors are known to if I seea patient, how many ICB codes or
issues can I pinpoint sotherefore I can get draw more
money from the insurance companyto help pay for XYZ th through
(20:42):
the corporation.
And I think the incentivizationof how that system operates is
wrong.
Because then what happens is theinsurance company comes back and
says, Hey doctor, you're billingme$300 for all these issues.
I'm only gonna pay you$50because that's what I decided.
So they argue and sit there andfight with medical building,
which makes an overall nightmarefor both the physicians who are
(21:05):
trying to do the right thing andhelp a patient, and for the
patient, because now it builds anot like a not trust with the
doctor, even though it's not thedoctor's fault, it's the
insurance companies fightingwith the corporations, and each
one is just constantly at eachother's throats, which is
constantly raising the rates ofeverything else.
Right.
I just wish there was a bettersystem involved in that.
SPEAKER_02 (21:26):
Yeah, the system is is wild.
I'll say that.
Um, I think maybe ICD 10 codesis is kind of what you're
referring to, those ICB 10codes, which are the diagnosis
codes, and they're notnecessarily, you know, whether
you put two codes on there or10, it doesn't change what I was
actually listening to a podcastrelated to that this morning
because there's thatmisconception there.
But whether you put two or 10,it doesn't change what the
(21:48):
insurance company is is gonnapay you.
Um the kicker though, whatyou're getting to is is very
much the point that you know weuh we do work as physicians, we
uh you know send our claims outand the insurance companies say,
you know what, just justkidding, you know, not paying
you for this visit, um, orpaying you less than the work
(22:09):
that you did.
There are even, you know, we canuse time-based billing as well.
And so, you know, for docs whoare spending, you know, you
know, X amount of time in a roomwith the patient, you can bill
for your time instead.
And so you can have a patientcome in, you spend, you know, 40
minutes with them talking aboutsomething, and you expect a
(22:30):
certain level of reimbursementfrom the insurance company, et
cetera.
And they say, you know what,just kidding, you know, psych,
not gonna do it.
And that I think is where liesthe difference in kind of the
sustainability of privatepractices versus big systems,
because big systems can say,okay, we can gobble that up, you
(22:52):
know, or that you know, allworks out fine.
But what that means is you gotto see more patients in order.
If the insurance company isgonna undercut us, then you got
to be seeing more patients tomake up for that.
And it just, you know, justbastardizes the whole system,
right?
It really does to where, youknow, it it almost negatively,
um, negatively incentivizespeople, if that's just oxymoron,
(23:16):
right?
Um, physicians to be able to sitdown and have these discussions
about lifestyle changes and thatkind of stuff, because there is
big company XYZ over here that'ssaying, well, if insurance is
only gonna pay us this much, themath has the math.
That means you've got to seemore people in that period of
time.
And it's just it's somethingthat that has to change, but we
(23:41):
don't always see that not don'talways, we don't see that from
insurance companies.
And so you know, people adjustto it, and adjusting to it
doesn't always give us the bestthat we want for patients.
Now, there is this whole push inour our country right now to
direct care, so whether that'sdirect primary care, direct
specialty care, or conciergemedicine, which kind of takes
(24:04):
that insurance out of the um,you know, out of the picture and
it makes it a cash pay practicecash pay practice.
But in some places that's hardto do.
I'm in rural Alabama.
My patients are not paying athousand dollars a month to be
on a membership list for me tocall whenever they want to.
It's just not something thatthey can do here.
So I think that that works.
(24:25):
That model of medicine works formany people and for many
physicians because it takesinsurance kind of out of the
picture of it.
But it's um it's just it's not amodel that that works
everywhere.
But the fact that it does workin some places shows you that
we've got an issue with thesystem, right?
And that something has to has tochange.
(24:45):
And and who is gonna fix that, II don't know, but um, they've
got a wild fight on their handsif they're trying to.
SPEAKER_00 (24:52):
Oh, good luck.
SPEAKER_03 (24:54):
Yeah, I know, right?
It's like, you know what?
What did what did Pfizer do lastyear?
SPEAKER_00 (24:59):
I'm stupid amount of money.
SPEAKER_02 (25:02):
Any number of wild things on any given day.
SPEAKER_00 (25:05):
Yeah, it's just it's just such a law, heavy lobbying,
money, cash-based system thatand we got I I always like
pointing out that we're stuck inthis what I call this limbo,
right?
I think medicine can work eitherstraight private, kind of like
we were saying with theconcierge, but it has to be
(25:27):
truly private, or it could beyou could figure out kinks and
figure out how to make it trulypublic.
Yeah, like this middle ground,it's tough.
This is where shit sucks.
SPEAKER_02 (25:41):
It's tough.
It's a hard place, it's a hardplace to be.
It's hard for you know patientswho are trying to navigate it,
right?
It's hard for patients who aretrying to navigate it, it's hard
for physicians who are trying tosurvive in it.
There's so much more physicianburnout these days, and you
know, that is not just becauseof the insurance companies or
reimbursement or all thesethings.
It's also what we talked aboutearlier that patients are going,
(26:04):
you know, far extreme, right?
And and they're coming in and itis things that you know that you
learned.
Like medical school is not easy.
They don't just let anybody intomedical school, they don't let
anybody graduate from medicalschool.
We put in some work and to havepatients sometimes come in who
uh you've not been able toestablish a relationship with
(26:26):
them so they trust you and youknow value your opinion and your
part in the two-personconversation, but instead are
like, oh, I saw this on socialmedia to your point earlier.
I'm gonna take essential oils toyou know treat my cancer.
I don't want anything thatyou're talking about here.
It is it is mind-blowing andit's frustrating and and it
(26:48):
doesn't do very much at all forthe um for the already shortage
of physicians we have in thecountry or burnout of physicians
who are just leaving thepractice of medicine altogether.
SPEAKER_00 (27:01):
Can I say something you're gonna like?
I think it's originally gonnasound like you're not gonna like
it.
Okay.
I don't think there's aphysician shortage.
I think there's a patientoverage.
I think there's just too manysick people.
And too many people like are tooreliant on the medical
community.
(27:22):
So if we had less patients,therefore you would see less and
have a more comfortable likeoutcome.
You look at just the obesitypopulation alone, yeah, we're at
70%.
Oh, yeah, it's wild.
It's wild.
SPEAKER_02 (27:36):
I I don't know.
I think I still stand in the notlike that one, right?
Because I'm so big onprevention, right?
I'm so pr big on prevention andthe need for kind of your your
regular check-ins, right?
Even if nothing's going on.
That's why we call hypertensiona silo killer because you walk
around with it, don't know thatyou have it, right?
So I think for prevention ishuge.
It is hard for me where I am inAlabama to say there's not a
(28:00):
shortage, right?
Because, but but to your point,I I see the point that you're
making, because there arethere's you know the rates of
obesity and diabetes andhypertension, all those things
here in our state, especially,are wild.
SPEAKER_00 (28:12):
But we've got Obama's number one and number
two.
SPEAKER_02 (28:15):
Oh, it's it's wild and nothing to be to be proud
of.
We are at a space where I liveright now, there is no labor and
delivery unit in our hospitalbecause there's not an OB gyne
in our area, right?
And so you cannot deliver a babyhere unless you want me, the
family doc, who delivered somein med in residency and medical
(28:36):
school to come out, or if youwant the ER doc, you know, who
is trained as an ER physicianand is trained to handle
emergencies to do it.
But to get to an OBgynecologist, an obstetrician to
deliver your baby from where Ilive is an hour 15 minutes up
the road.
And there's some counties thatare, you know, west of ours who
(28:57):
you've got to travel two hoursto see it to get to an
obstetrician.
Now, do I drive around with alabor and delivery kit in the
back of my car?
Yes, I do.
Am I totally prepared to pullover and deliver a baby if it's
me or the state trooper on theside of the road?
Absolutely, right?
But that's what happens in ourin our areas.
(29:18):
And so there are certainlypockets where it's just not
there.
And here it's not there becausewhy?
Reimbursement is is lower in ourstate for all these other
reasons that we don't have toget into today.
But but dogs are leaving, orthese residents are coming out
of their training, or dogs whohave been in practice who say,
you know what, I don't want topractice you know, clinical
(29:39):
medicine anymore.
I don't want to see patientsanymore because we have so much
um, so much uh burnout that's inmedicine these days.
And a lot of that is justrelated to the things we've
talked about already.
So still some true shortageshere.
We've got hospitals that areclosing left and right, you
know, counties in our state thatthere's not an ambulance service
(29:59):
in the county.
SPEAKER_00 (30:00):
And so um shows like how different you go from one
part of the country to the next.
I'll tell you it's the exactopposite here.
Uh there's every other buildinghere is a medical building.
That's wild.
Like to the point, it's you justsee construction and you go,
must be a medical office.
That is wild.
Because doctors get reimbursedextremely well here, and all of
(30:23):
them are flocking here, andthere's a big pop, there's no
more young people because it gottoo expensive to live here.
Yeah, so it's a very olderpopulation, so they just keep
building 55 older communitiesand medical offices.
That's all that's being builtaround here.
SPEAKER_02 (30:38):
Well, the exact opposite, it in the exact
opposite here.
So you're right.
It's so so interesting to seethe extremes and the things that
I stay up and worry about arenot things that have dots in
your area worrying about.
SPEAKER_00 (30:51):
Oh no, like I know doctors making almost a million
a year, like salaried.
Wild.
They're they're not stressedfrom a good point.
But there's just so muchcompetition with like different
corporations that they fightover the doctors, right?
They get these abundance ofsalaries and stuff, and then New
(31:12):
York State emberses well, sothey flock here, can afford them
and pay those things, which iskind of wild when you see just
even like a state-by-statebasis.
Because to your point, like ifI'm I was like envisioning when
you're talking about therehaving OB and my wife's having
our second kid in January.
It's like that would suck.
An hour and a half away.
It does.
I just couldn't even imaginethat.
(31:33):
That's like such a different yougotta be more open, is I guess
what I'm looking for.
You gotta see visually where youstep, how things are impacted
differently.
Absolutely.
Absolutely.
So I love that.
I want to I want to talk aboutsomething that is recent and in
the news, and I think it's justso relevant.
Uh RFK came out like threemonths ago, and four medical
(31:55):
schools pushed that they have todo one year of nutrition because
it was never offered in medicalschools as a whole.
And I'm very familiar with itbecause I'll give a little I'll
give a little background andcontext of me personally.
My grandparents founded amedical school and wrote the
books for that set of medicalschool.
My brother went to that medicalschool.
So I like I read his doctorbooks and his nutrition book was
(32:17):
like three pages long.
And it's funny because like weargue about it, and then he ends
up like looking up the things Italk about, and he goes, Oh, I
guess you're right.
I was like, Yeah, you justdidn't learn it.
So, how do you feel about thepush for medical schools adding
a nutrition requirement?
And do you think there'sanything else missing?
(32:38):
Or do you believe that it'salready a lot?
Like you have to learn a lot infour years.
So it's just now just addingmore and it might create more
burnout.
SPEAKER_02 (32:47):
Yeah, so I think that there definitely is a place
for more nutrition in ourmedical training.
That is in both medical schooland our residency programs.
I was really fortunate that inmy residency program, I think
most across the country, youknow, you've got um you know
in-house nutritionists there whoyou do rotations with and you
can consult on your patients forin a space like ours, that's so
(33:08):
important.
Um, I think that there certainlyis a space for more nutrition
education in medical schools.
Let that not be confused with methinking that that anywhere near
most of what RFK Jr.
says is at all medically sound,reasonable, or anything.
But I do think that there iscertainly a space for more
(33:29):
nutrition education in ourschools, absolutely in our
medical schools, because so muchof the issues or so many of the
issues that we see in ourpatients, especially those of us
who are doing primary care, aretied into nutrition issues,
nutrition concerns, and thingsthat can be directly impacted
and addressed by people beingable to change some of their
(33:51):
nutrition habits.
And if we are the people, theexperts that they're coming to
see to talk about it, then weneed to know what we're talking
about.
And so I I do think that thereis a space, certainly a space
for more nutrition education inmedical schools and residency
programs.
SPEAKER_00 (34:07):
Do you think there's anything else missing from that
component of the whole that youwish you'd learned more from?
SPEAKER_02 (34:11):
Yeah, there's a long list of things I wish I'd
learned.
SPEAKER_03 (34:13):
I wish I'd learned what to do with money when I
made it, right?
That's another big part.
We don't teach financialliteracy.
SPEAKER_02 (34:21):
I mean, you have these students who come out of
their medical training in somuch debt, and then you give
them money for more money thanthan any of us have made
otherwise, um, and expect us tomake good decisions with it.
So I think financial literacy issomething that should certainly
be introduced into um into themedical space.
You know, we we don't get enoughof the you know, fitness
(34:44):
education, so many of thosethings otherwise that I think
are are important.
And you're starting to see withthe kind of rise of osteopathic
schools across the country,you're starting to see that as
well.
But it does also have to beintroduced into the allopathic
or the MD uh part of medicaltraining as well.
And I think that those thingsare we're starting to see that
(35:04):
shift because patients aredemanding it, right?
Patients are starting to demandit, and where there is the
demand, you got to follow itwith um with education.
And so I think it's coming forsure.
I hope it's coming, I shouldsay.
SPEAKER_00 (35:16):
I'm seeing a trend.
So I've been doing this foralmost 10 years as far as the
training side of it.
And I will tell you, pre-COVID,every like doctors would tell
patients, like with the silliestthings, like, don't work out,
you don't need to do this.
And even post-injuries,whatever, they would just
constantly dissuade people frombeing a part of a gym and
moving, not understanding likeyou can still do other things,
(35:38):
you can work around things, likeit's not always the case.
You're you're seeing a shiftnow, yeah, where I'm getting
less of that.
Yeah, and we're seeing theopposite.
SPEAKER_02 (35:47):
Exactly.
We're seeing orthopedics.
So one of the ortho guides thatI refer to, I mean, he is
replacing knees, and patientsare walking up and down the
stairs and walking out, andyou're in PP the next day.
And and so I think even thatstarts to show the the shift
that's happening that ischanging kind of the
expectations of how we're youknow expected to heal from
(36:08):
either illness, surgery, allthose things.
SPEAKER_00 (36:11):
I mean, case in point with the case in point
injury, which is so funny.
Like I was looking for aphysician to do the surgery,
right?
And I interviewed a bunch ofthem just with help of my
brother, because I was it's abig surgery, so I wanted to make
sure the person I chose wasright.
And I though I ended up choosingthe specific doctor that ended
up doing the surgery because hebrought up a study that I
(36:33):
previously have read that cameout about six months ago.
I didn't have to prompt him, hebrought it up, and I was like,
okay, he pays attention to thecurrent things.
That study, which is sointeresting, it's a
cross-sectional study.
They had people who had shouldersurgery, and what they did was
right after shoulder surgery,they worked the opposing arm.
Like they still worked out thatopposing arm.
(36:55):
And what they showed was thatthere was muscular gains in that
injured arm when they worked theother side of it.
And there's way more nervefirings on that side as well,
and it healed way quicker.
Most people just say, I hurt myleft shoulder, I can't work out,
period.
I'm gonna lay it out all day.
Whereas opposed to you can workyour other arm, you can work
your lower body like this.
So right.
Other things to do.
SPEAKER_02 (37:15):
Yeah, absolutely.
And and I see that sometimes inin my own practice with patients
that I'm talking about, youknow, getting some more exercise
in, and it's like, oh, but youknow, my my knee hurts so much
that I can't exercise, and itjust it becomes this cycle,
right?
Like your knee hurts because youhave this chronic arthritis
because you're you know, you'reyou're putting more weight on
it, you're heavier than you needto be up top.
(37:35):
And so then you don't doanything.
Well, all you're doing isfeeding the cycle.
And so I love that.
I'm not familiar with thatstudy, but it it certainly makes
sense.
And and I love that you wereable to find a doc who is is
still reading, right?
I think that's so important tostill be reading, still be
learning and knowing what's outthere to best suit patients.
SPEAKER_00 (37:54):
I mean, you look at just a silly, stupid example.
Like I have aunts and uncles,obviously, that are practicing
physicians, right?
So they're older, and they stillthink eggs are bad for you.
It's like I try to like explain,like, you know, diet or
cholesterol doesn't raisecholesterol, and they go, that's
not true.
SPEAKER_02 (38:11):
It's like I I literally was um it was the
nutritionist that I mentionedfrom my residency, she came on
my podcast and she saidsomething about eggs, and she
and I both were yelling, like,eat the eggs, eat the eggs,
because it's so funny that yousay that.
That eggs get such a bad rap.
And and I tell my patients, I'drather you eat eggs and Snicker
bars every day of the week,right?
(38:33):
No offense to Snickers bars, butum, but eggs are are not as bad
as we have been taught that theyare, and um, and and it's just
that, you know, that there areshifts, things that we're
learning that are changing nowthat patients are finding out
and are coming in saying thatyou know docs are still like,
wait, what are you talkingabout?
And so that ever reading, everlearning is is certainly
(38:54):
important.
SPEAKER_00 (38:54):
Oh, I couldn't agree more.
I got into a massive fight withmy uncle four years ago over
Thanksgiving dinner, becausehe's going around telling people
that BMI is the gold standard offiguring out if someone's
healthy.
And I tried explaining to him,like, you know, BMI is a stupid
measurement, and nobody shouldeven give a shit what their BMI
(39:16):
is.
And he's like, That's not true.
I'm a physician.
I was like, Do you know what BMIis?
It's height overweight.
So you take me, I'm 200 poundsat 6'1, I'm considered
overweight.
Do I look overweight to you?
SPEAKER_02 (39:28):
Yeah, he goes, uh and it's just not reflect, it's
not it does, it's notrepresentative of the uh
population that we apply it to,right?
BMI is based off of a whitemale, right?
We cannot apply it to everyone.
And so um yeah, interestingconversation, I'm sure you had.
SPEAKER_00 (39:47):
Oh yeah, I just say, man, it takes three seconds to
check someone's body fat.
Like just get a biologicalimpedance, you can get within
three percent of it at thispoint with technology.
Oh, waste hip ratios, like sillysimple stuff.
You can get a good uhdisposition of how someone is
healthy.
(40:08):
I want to bring up somethingsuper specific because it's
still like trending like crazy.
People are still on a kick, andI want to get your take on it.
And that would be your GLP onesor like your Ozempics that every
other person seems to be on atthis point.
What's your take on that?
Uh pros, cons, yeah, and do youlike where it's headed?
SPEAKER_02 (40:27):
Yeah, um I think it's wild where it's headed.
I think it goes back to a littlebit of my comp my mention
earlier that we sometimes lookfor quick fixes when there are
some other things that we cando.
But I very quickly want to alsosay that I think that there are
some very bad options out therefor weight loss that have so
(40:50):
often been used for it, right?
So you know, you think aboutthings like you know, fentramine
loading people up withinjections of things they don't
need, etc.
So I'm not mad at GLP1s at all,right?
I love them in my patients withdiabetes to make sure that
they're as long as they have nocontraindications, there's no
(41:11):
reason they can't take them.
And I like them for weight loss.
I don't mind them for weightloss at all because I think that
they are certainly um better foryou than you know other things
that folks are getting fromweight loss clinics, right?
Things that can cause heartissues down the road, things
that are just meant to jack upyour metabolism, right?
If you want to jack up yourmetabolism, go for a run, you
(41:33):
know, do other things instead.
But I I think GLP1s are aregood.
I think that they are gonna helpa lot of people who have tried
to lose weight unsuccessfully beable to do it.
What I caution my patientsagainst, though, is not letting
the medicine be the only thingthat does the work.
(41:54):
And it's hard because the way,you know, one of the central
ways that the medicine works is,you know, I tell patients it
turns on that feeling of beingfull and turns off that feeling
of being hungry.
And so it's easy for themedicine to do all the work
alone, but it's still importantthat when you put something in
your mouth, that you're puttingthe right thing in your mouth,
because we're also at this crazyspace of coverage for the
(42:17):
medicines, right?
I don't love the idea ofcompounded GLP1 because you
don't know what you're getting,where you're getting it from,
that kind of thing.
But the manufacturer companies,the companies that make these do
not make it easy to afford.
And so there's something thatunfortunately people can't be on
for long term because they can'tafford to be on it for long
(42:40):
term.
So I worry sometimes that peoplethat patients aren't learning to
make changes, lifestyle changesfor the time that they have to
come off the medicine, right?
Because what we see sometimes isthat people do really, really
well when they're taking it, butthen for whatever reason,
financial reasons or others,when they can't take it anymore,
(43:00):
that weight slowly comes backbecause the medicine's been
doing all the work.
Now, if you can deal with alittle bit of constipation and
the other things that come alongwith it, um then I think that
the GLP ones are okay.
I think that there are patientswho patients I see in my clinic
every day who uh you know can'tmake some of the other changes
that I want them to make, butgosh, if they could drop a
(43:23):
quick, you know, 20 pounds orso, maybe they'd be better able
to physically move their body tostart doing the you know the the
work that they want to do.
And so I don't mind them.
I write them for my patients aslong as I know that their you
know pancreas labs are fine andthat there's nothing else that I
need to be worried aboutotherwise, but I think that the
the cost is prohibitive, but Idon't love the idea of some of
(43:48):
the other things that we'vealways had to use or that I
haven't written them that havebeen used in the past for quick
weight loss that's just gonnacome back later.
So it does require the educationthat comes around it that hey,
you still got to make somelifestyle changes.
Yes, this medicine will make younot want to eat, but there may
come a day where you're notgonna be able to take the
medicine.
What are you learning from it sothat all that weight doesn't
(44:08):
come back?
SPEAKER_00 (44:10):
Yeah, it's I feel very similar to how you feel,
maybe a little more with a alittle more chip on my shoulder,
but mostly exactly where yousaid like giving anti-seizion
medications and the shit thatpeople used to present for
weight loss.
Why?
Yeah, yeah, yeah, yeah.
(44:30):
It just made no sense.
I'm gonna even tie that intowhat I always hated growing up
was gastric bypass, like surgeryto get surgery being a quick
option, it shouldn't be.
SPEAKER_02 (44:41):
You know, try other things, right?
SPEAKER_00 (44:44):
I have I know so many people who got gastric
bypass, lost 100 pounds, andthen gained 200 because there's
so many issues that come afterit.
And now not only did you gainthe weight back, now it's harder
to lose the weight because youcan't digest things the proper
way, you're not getting yourproper nutrients and stuff, and
you have to supplement for therest of your life.
So it's like do I like GLP onesbetter than that?
Absolutely, no questions asked.
(45:04):
Do I like it better than theShe's in medicines?
Absolutely, no questions asked.
But like what you said in thevery, very beginning of that,
does it create a habit change?
And that's truly the question wehave to put out there because
you can lead a horse to water,but you can't get it to drink,
right?
So how do we teach people tostart creating those habit
(45:28):
changers?
And it's such a tough recallbecause people lie all the time.
I tried everything, right?
I eat super healthy.
I can't tell you this is myfavorite thing in training, and
try this as a physician nexttime.
Ask people, how do you eat?
And they'll give you, like, oh,I eat generally well.
Then I asked the same questiongive me your complete dietary
(45:48):
recall of what you eatyesterday.
SPEAKER_02 (45:51):
Yeah, absolutely.
I do that all the time.
Yep, all the time.
SPEAKER_00 (45:53):
And then always it's like, well, yesterday was a bad
day.
SPEAKER_02 (45:57):
Yeah, yeah, absolutely.
It it absolutely happens.
And um, I think there certainlyis a space for kind of logging.
I'll ask my patients to log whatyou eat.
Log what you eat, bring thisback in.
You don't have to wait to see meor anything.
Just bring it and drop it off atthe front desk and I'll look at
it, you know, tomorrow afternoonone day.
Just do it for one day and let'ssee.
Do it for one day, then nexttime it's do it for a week.
(46:18):
And I think that when people dothat, they're really able to
see, wait a minute, if they'rebeing honest, they're really
able to see, wait a minute,there's this is a lot, there's a
lot here.
So yeah.
SPEAKER_00 (46:27):
Oh man, that's that's the biggest pet fever is
that people think they're eatinghealthy.
But then there's the people thattalk about education as a whole,
like think they're eatinghealthy but aren't.
Yeah, and they just like misshave all this misinformation of
what actually is consideredhealthy.
Like, I look at uh middle-agedwomen, I just thought I know
it's very generalized and peopleare different, but just a
general population when it comesto having higher protein
(46:50):
amounts, they're very it pushback a lot on it.
No, no, no, that's not good forme, that's not good for me.
Absolutely, and it's like, no,like menopause and postmenopause
are like, no, you need a lotmore.
SPEAKER_02 (47:01):
Yeah, especially as we start to lose that body mass,
as we less estrogen, a wholeother conversation, but you're
so right, you're so right there.
SPEAKER_00 (47:08):
It's so like mind-blowing just the pushback
you get on specific things ofhaving to teach people over and
over again.
Oh man, I think we got kick yougot kicked out of here, so I'll
get you back in.
I think she hopped out.
Maybe I saw something that waslike, no, I'm totally kidding.
I think she just had technicalissues.
But anyway, I hope you guysappreciated this episode of
(47:31):
Health the Fitness Redefined.
Please don't forget.
We got it back.
I was just giving a word out andI was like, she left.
She didn't like the conversationshe said.
No, yes, totally.
SPEAKER_03 (47:42):
Yeah.
unknown (47:43):
Sorry.
SPEAKER_03 (47:44):
So sorry.
I don't know what happened.
I went to move it down andturned it off.
Excuse me, please.
Pardon.
SPEAKER_00 (47:50):
No, no, it's all good.
That makes the show fun, right?
Real life things happen.
SPEAKER_03 (47:57):
Technical issues.
So sorry about that.
But but thank you again forhaving me.
This has been fun.
SPEAKER_00 (48:02):
This has been a blast, and honestly, I think
it's a good place to kind ofwrap up anyway.
So, Dr.
Anderson, I'm gonna ask you thefinal two questions I ask
everybody on the show.
Yeah.
The first one is if we were tosummarize this episode in one or
two sentences, what'll be yourtake-home message?
SPEAKER_02 (48:14):
Yeah, so my take-home message would be that
you know, it's important todevelop a relationship with your
physician where you're you feelcomfortable sharing what you are
and are not comfortable with,right?
And that then allows you tostart to have that discussion
about medications, about youknow, exercise, about nutrition,
all those things that um thatreally impact your health.
(48:37):
So find a physician that you candevelop a good relationship with
who will listen to you and youfeel comfortable listening to
them.
SPEAKER_00 (48:44):
I I love that.
That's perfect.
And then the second one, how canpeople find you get a hold of
you?
I know you said you're gonnahave two shows.
I know listen out.
Give us the rundown.
SPEAKER_02 (48:54):
All right.
So one of them is is calledPhysicians Hanging a Shingle.
It's for dogs who are interestedin starting their own private
practice.
So you've heard me saythroughout how much I love the
idea of private practice and howmy own private practice has
given me my you know autonomyand joy back in practicing
medicine.
So that's there's that podcast,Physicians Hanging a Shingle,
for any docs who may beinterested.
Um, for the general population,I've got a podcast also that's
(49:16):
called Headed to Healthier.
And it is primarily for women,but I know some guys who listen
to it as well.
Um, but for women who are 40plus, lead really busy lives,
and who have said, I know that Ineed to take more control of my
health.
And so um every other week it'sa solo show, me talking about
things that either I've seen inpractice or I've talked to my
(49:36):
patients about recently.
And then every other week Ibring on you know someone in the
healthcare space who comes andshares their knowledge with me
and with my audience.
And so um, those two podcastsare available anywhere you
listen to podcasts.
unknown (49:51):
Dr.
SPEAKER_00 (49:51):
Anderson, thank you so much for coming on.
Thank you guys for listening tothis week's episode of Help the
Fitness Redefine.
Please don't forget tosubscribe, share.
We don't run ads.
So this is the only way thisshow grows, guys.
It means the absolute world tome so we can spread the message
that fitness is truly medicine.
Until next time.
SPEAKER_02 (50:08):
Absolutely.
Thank you for having me.
SPEAKER_00 (50:11):
Thank you guys for listening to this week's episode
of Help the Fitness Redefined.
Please don't forget to subscribeand share the show with a
friend, with a loved one, forthose that need to hear it.
And ultimately, don't forgetthat fitness is medicine.
I'll see you next time.
This is Health and Fitness Redefined, brought to
you by Redefined Fitness.
Hello and welcome to Health andFitness Redefined.
I'm your host, Anthony Man, andtoday we've got another great
episode for all of you.
Before we introduce our amazingguest, Dr.
Anderson, some life update newsfor everybody.
(00:23):
For those that may or may notknow, like a couple weeks ago I
made a post about it, but Itotally ripped my chest in half.
So then going through that, justa constant reminder for me that
one, eagle lifting, when peopletell you not to do something,
you probably shouldn't do that.
When someone says, Yeah, youshouldn't do that, I go, What's
the worst that happens?
Um, two, I think life just has away of coming back at me and
(00:50):
then reinforcing lessons that Ialready know.
And um how 15 days post-op is ofthe day of this recording and
the fact that I took painmedicine one day and then
Tylenol only till four daysafter.
And I learned a lot throughthese last 16 days, and it's a
(01:11):
good reinforcement of whyfitness is medicine and why it
can help people recover faster.
And we'll probably jump intothis in the show, but I think
it's important.
Really cool and not surprising.
I was in a lot of pain,obviously, post op.
Day five, I was like, you knowwhat?
Let me go work out.
And I went to my gym, obviously,in a sling, and I started just
(01:34):
doing legs like I normallywould.
Obviously, I didn't put anypressure on my chest, and I just
said mostly machines.
But about like 10-15 minutes in,the most miraculous thing
happened.
All the blood that was pulled upin my chest, causing like an
immense pain pulled out.
And after that workout was whenI dropped even taking Tylenol.
(01:54):
It was like just a reminder,like how much your body is
designed to heal in motion.
We're not designed to heallaying down in bed.
We're designed, we're gonna healand do better as we keep going,
moving on in the world.
And sleeping is ideal for justsleeping, and that's it.
(02:14):
So pretty cool.
Without further ado, though,let's welcome Dr.
Anderson on the show.
It's a pleasure to have you ontoday.
SPEAKER_02 (02:19):
Hey, I'm so excited to be here and glad that you're
doing well.
Great to see you today.
And I love that intro, just theyou beginning to talk about how
much fitness really is medicine.
And I love this idea.
And I talk to my patients allthe time about you know, it's
it's hard to heal laying down,right?
And it's hard to get over a lotof things laying down.
And so I'm super excited to behere with you today.
(02:39):
Anthony, excited, just chatabout health in general and the
role that you know fitness andnutrition and all these things
play in our health.
So thanks for having me.
SPEAKER_00 (02:47):
Yeah, absolutely.
And it's just kind of miraculousto me on a standpoint, is right
when I get like, okay, I'vetalked about the same things
over and over again about 400times.
It's okay, I went through it nowagain and I'm going through a
healing process, and I'mwatching myself recover way
faster than most people ever,because it was a it was not just
a little minor tear.
The doctor that did this surgerysaid, and I quote, I have never
(03:11):
seen anyone tear their musclelike this before.
It was huge.
Wow.
SPEAKER_03 (03:17):
Wow, that's that's impressive, and not always in a
good way.
SPEAKER_00 (03:21):
Yeah, exactly.
But the fact I'm here, like I'mdoing a show with you, I've done
multiple workouts at this point.
Uh, I'm really getting range ofmotion back in my shoulder.
It's a testament to everything.
One thing I did, which I want tohop right into with you because
I know you say to listen to thatepisode, was I looked right at
(03:41):
supplements first.
I said, what's something I canenact right now?
Right with the day I tore mychest, right?
I went, got a checked out, gotan MRI, and then went back to
work because I'm a psychopath.
It's crazy.
But then like eventually, when Iknew like I needed like surgery,
it's okay.
How can I give myself the bestodds of getting surgery?
(04:04):
Because surgery was gonna be forlike another 12 days after the
accident.
So I immediately hopped oncreatine, like I've been doing.
I've been taking 10 grams ofthat a day because I knew that
would help.
I needed to keep my musclefibers intact for surgery so
they didn't start dying on me.
I doubled my protein goal, Istarted taking collagen, I
(04:25):
started enacting uh really heavymultivitamin that was a good
one, not heavily involved inlike calcium carbonate, like we
talked about.
Yeah, and I I didn't have anybleeding, so I hopped in taking
fish oils just to get an immenseamount of omega-3s in my diet.
But like those things set me upfor success.
And then when I had the surgery,the doctor said all my tendons
(04:46):
were so intact, it was supereasy just to stitch the muscle
to muscle and then take theother part and anchor it right
into my bone.
So pretty interesting.
So, what are your thoughts onoverall that episode we did on
supplements?
And do you have any specificrecommendations as being a
family medicine doctor that youwould like to see most people
on?
SPEAKER_02 (05:07):
Yeah, absolutely.
And so that was such a greatepisode.
We were talking about a littlebit before we started today.
I'm in family medicine, I willdo everything but deliver a baby
at this point, and so I see thefull range of medicine in
practice.
That's from kids all the way toadults.
And one of the more commonthings that I'm asked through
the day is about supplements.
And so many times, Anthony, itsaid, Oh, I saw this on TikTok
(05:29):
or, you know, I saw this onFacebook or social media
otherwise.
And is this okay to take?
And while the easy answer, andeven sometimes maybe the
cop-out, is, you know, well,most of these things or all of
these things haven't been, youknow, FDA approved or reviewed.
And it's hard for me as aphysician to give you a yes or
no on these.
I will admit that early in mypractice, that is absolutely the
(05:52):
answer that I gave so manypeople.
But we have to change asphysicians, we have to start
then looking at that research,both anecdotally figuring out
what works for our patients,what doesn't work.
And so to answer your questionof you know, recommendations
that I give, one is I takeeverything that patients tell me
they bring in, you know, abottle or will pull up something
(06:13):
on their phone and show me aboutit.
I take that time and sit downand look at it with them and
actually have the discussionwith them.
And I think that's the firstpart, and the first part that's
so important.
But to answer your question ofwhat recommendations I give, I
love that you just said a gooddaily multivitamin.
I think there's no substitute.
We in general, just as people inthis country these days, eat so
(06:35):
much junk, right?
We eat so much junk a lot oftimes because it's cheap or
because it's fast, you know, welead these really busy lives,
and it's just like what can weget?
And we're not getting so much ofthe vitamins that we actually
need.
We're not getting it, you know,nutritionally from what we're
eating.
And so I think having just areally good daily multivitamin
(06:56):
is so good.
I love omega-3 fatty acids andfish oils, especially as we
start thinking about hearthealth, those preventive
medicine, which is so much ofwhat I practice, and making sure
that patients, you know,especially as we age, as we get
into our you know, 30s, 40s,50s, and beyond, are getting
those supplements in in the formof omega-3 fatty acids, fish
(07:19):
oil.
It's one thing to tell everyoneto you know eat the seafood
components that give you so muchof these, but it's a whole other
thing if you can just findreasonable, kind of good quality
multivitamins and vitamin andsupplements otherwise to be able
to take in.
When you said doubling yourprotein, it felt good to my
heart because that's so much ofit, too, right?
(07:40):
We think about that proteinintake and and how protein does
such a good job, even of justhelping keep us full through the
day.
You get an adequate amount ofprotein, you're not putting
trash in your mouth through theday, otherwise, because you've
got that good protein which yourbody needs, which is so good for
you know muscle mass, especiallyafter a muscle injury like you
(08:02):
had, um, and in in women as weage and we start to lose muscle
mass and in men as well.
And so I think those you hit bigones multivitamin, omega-3,
fatty acids, fish oil, and thenum making sure we're getting
adequate protein is so importantand things that we can find
healthy supplements that aregood for that.
SPEAKER_00 (08:23):
Yeah, I I couldn't agree more, and I'm really glad
it came on the show because I Italk a lot.
I mean, I've done 300 episodesof recommendations, and I always
come back to the same kind ofprocessy.
And I want you, based upon yourexperience being a doctor, to
walk us through specific things.
(08:44):
Because like I I mentionedpreviously, and for those that
listen, like oh family'sphysicians, and I try to have
these conversations with them,and it's tough.
So as a physician, right?
Why do you think it's the casethat a lot of doctors still turn
to things like as an examplecholesterol, like to statins, as
opposed to finding healthieralternative routes for that
(09:07):
patient?
And why do you think they do it?
And then how do you think we cancreate the conversation to
change it?
Yeah.
SPEAKER_02 (09:14):
All right, so I'm gonna start with this.
I love a statin.
All right, I'm not mad at astatin.
I don't think that statins arethe worst things out there.
I'm not mad at a statin.
I I think that the the studiesare there that show that the
statins work, but we alsoanecdotally see that some
patients just don't do well withthem, or some patients are just
hard set against they're notgonna take them.
(09:35):
And as physicians, and one ofthe heart, and there you go, and
that is okay.
And I think when when weestablish that with our
patients, or when I establishthat with my patients, it opens
up so many other things.
It opens up the opportunity forus to then sit down across from
each other and start having areal conversation about what I
will or won't put in my body,what I do or don't feel good
(09:57):
about, and what are my otheroptions, right?
And so um I have gotten away.
I I am at a space in my ownprivate practice where you know
there's not the I have moreautonomy, I have more freedom,
more flexibility, kind of dothings the way I feel
comfortable doing.
And one of the reasons that Iwent into private practice was
to really allow me to be able toum to work that relationship
(10:22):
with my patients, to be able tospend more time with them,
develop a good rapport withthem.
Where when I say, you know what,looking at you know the data
that's out there, we need tothink about a statin and and
them to understand that Ieither, you know, am that I'm
always gonna give therecommendation of what I feel
(10:42):
like is best for them, but I'malso always gonna listen to what
they do want and don't want.
And we've got to be able to say,all right, if you don't want to
do this as a patient, I told youkind of where I feel about it,
you have the right to say yes orno to it.
Let's figure out the otherthings that are out there.
Statins are not the end-all,be-all, they're not the only
options.
(11:03):
We can change our diet, we canchange our exercise, we can, you
know, look at other supplementsthat are out there as an option.
At the end of the day, what Idon't want is my patient to have
a heart attack or stroke or, youknow, have other heart disease
that I can't do anything about.
And I think that it's tough forme as a physician then to be in
(11:24):
front of a patient, and we'reusing the statins as the
example, in front of a patientwho, you know, I've I've been
seeing them as a family doc.
I see their spouse, I see theirsister, their brother, their
kid, their grandma.
And for me to hear them say, Idon't want to take this
medicine, and I say, okay, well,you got to go somewhere else.
Like, we don't get along here.
This isn't gonna work.
And so um, it's it's meetingpatients where they are and
(11:47):
realizing that there's more thanone way to skin a cat and that
we can figure out something thatgives us good compromise.
And then we track numbers,right?
And sometimes what happens is wetrack numbers and uh you know we
say, all right, I'm gonna trythe supplement or I'm gonna do
this instead.
And we come back and we haveactual, you know, objective data
(12:10):
in front of us.
And more times than not, we say,you know what?
Good call.
Keep doing what you're doing,keep making those changes.
Um, and then sometimes though wesay, All right, Dr.
Anderson, I gave it a try.
Maybe I will.
If you can, you know, findsomething that won't give me
side effects that I don't love,that kind of thing, then we um
push on there.
But I I just I think there are alot of things that we're rigid
(12:32):
in, and some things that weshould be rigid in, and some
things that I'm absolutely rigidin in my practice because of my
training, but there are alsoother things that we say, you
know what, let's see if there'sanother way that you're
comfortable with, and we findsomething that's a good solution
that we both feel good about.
And I think too that whenpatients, when you give them
that kind of um freedom to helpmake some of their own
(12:55):
decisions, then you see thefolks who say, I really don't
want this statin.
Then all of a sudden they're inthe gym more often, they're
eating better, they start doingthe other things, which if we
all did in the first place, we'dprobably be in a better space.
SPEAKER_00 (13:10):
Yeah, my point wasn't uh, and I probably should
have reworded the questionbetter, to those that push back
on it.
I would say if you had 10patients come in in the door,
three of them would say, like,give a little pushback for it.
The other seven, so themajority, just wouldn't it's not
it's a not knowing that there'sother options.
And that's more what I'mreferring to.
And I know I I know privatepractice is way different.
(13:33):
So you have the blessing ofreally getting to know your
patients.
Whereas those that work for amajor corporation, they have a
hundred patients, 10 minutes tosee them, and they're just
walking and writing a script andleaving, as opposed to asking
even the person, like, hey, doyou exercise?
Do you eat better?
(13:53):
Like, have you thought of thosealternatives?
So it really comes down tobecause I know you said you
wanted to change likelegislation and really push
everything going on in Alabamato help people get healthier.
It's how do we create thoseconversations inside this world
that exists for the generalpopulation that doesn't
understand like there's otheralternatives we can start with
(14:18):
first before it comes straightto medicine.
SPEAKER_02 (14:21):
I think you're so right.
I was on a um, you know, we talkso much about genetics, and I'll
have patients come in and theysay, Oh, you know, um, you know,
Dr.
Anderson, I have this, it's justit's just genetics.
There's nothing that that I cando about it.
And I say, you know, geneticsare are real.
We give that its space.
But I was recording one of apodcast of my own with a guest
yesterday who does lifestylemedicine, which is kind of this
(14:43):
new arm of medicine, um, which Ithink is great because you're
right, they don't look first tomedications, they look at
lifestyle changes we can make.
And she said something that Ithought was so great.
She's Anthony, she said, mostpeople will say that things run
in their family, but the realissue is that their family
doesn't run.
And I was like, oh my gosh, thatwas great.
(15:04):
And it just wasn't it great.
And it just went to show that somany of the things that we do,
um, you know, we think, oh, thisis genetics because my mom dad
has this, my dad has this.
But really, it's because thatthose are there are those
learned behaviors that we getfrom folks otherwise.
And so it it goes back to whatyou said just now about the
(15:25):
education, letting people knowthat there are options that are
out there, that there are otherthings that they can do, that we
don't always have to jump tomedicine, or we don't have to
have, you know, um a list thatlooks like a CBS receipt of
medications that people take.
And so um, so letting peopleknow their options is is exactly
the right um way to do that.
SPEAKER_00 (15:46):
So, how do we create that on a national scale?
Is the question.
How do we get doctors andcorporations and legislation to
start looking at truly whatsomebody needs, as opposed to
let's push for the ABCmedication so this drug company
can get paid?
SPEAKER_02 (16:06):
Yeah, and so I really I think that it starts
with education for sure.
And it starts with platformslike this one that you have,
like my platform, like otherdocs who are out there, like the
introduction of this field ofyou know lifestyle medicine to
start really having thesediscussions about health changes
that we can make.
I think so much of it is relatedto, you know, again, the the
(16:30):
foods that we eat, the and justkind of generally where we are
as a society, I think.
I don't get in trouble for this,but just saying how it's easier
to have a quick fix forsomething than to make the real
change that's needed.
And um I think that you hit itright on the head when you said
that it's so hard in an employedbig system to be able to do that
(16:54):
as a physician.
Um, but that's where we see docsgoing.
We see docs coming out of theirtraining, going into big
employed systems because thefreedom, the um the options
aren't always there to doprivate practice because these
big systems are just gobblingeverything up.
We're not teaching medicalstudents and residents that
(17:15):
private practice is an option.
And that takes away being in abig system like that, takes away
some of our autonomy.
And then you have you know justthe the shortage of physicians
across the country.
Um, and when you're alreadyshort and then everyone's going
into a big system, it's harderto get those docs who you know
have the um desire to uh buildstrong relationships, or not
(17:40):
even the desire, who have theability to build those strong
relationships because they'rechecking boxes.
So I think it's it's changingthe way we train medical
students, residents, a big partof it, um, putting more emphasis
just as a whole on what we eat.
(18:00):
Then really starting to crackdown on on uh on some of the the
push that we have towards youknow going straight to medicines
when there's sometimes otheroptions.
And that's not to say I Ibelieve in in medicines, most
medicines, and I believe that umsometimes it does need to be the
first step.
I'm not gonna have a patient inmy office whose blood pressure
(18:21):
is you know 200 over 120, and Isay, oh, let's let's just eat
better and and exercise, but butrealizing that that that there
are things that we can do inconjunction with each other to
overall improve our health.
SPEAKER_00 (18:33):
Yeah, let me let me make something abundantly clear
to even like people that listento the show, because I don't
think they know this about me.
It might sound like I'm extreme,like, no medicine, no that I am
so not.
I think I think people take ittoo much to the opposite extreme
where they go and start lookingnow at essential oils to cure
cancer.
(18:53):
Like no, if I have cancer, I'mgonna go to see an oncologist
and go figure out how to get ridof this said cancer.
It's not my expertise.
So I I do it's it's just theseconstant jumping to extremes.
Like you look at COVID as anexample.
I was really and still amagainst the COVID vaccine.
(19:15):
Like my son's not never got it,I never got it, my wife never
got it.
So people keep saying, Well,you're anti-vax.
No, my son still got the poliovaccine, still got like multiple
vaccines that I know work, and Iknow I'd much rather him get
that than end up with thosediseases.
SPEAKER_02 (19:34):
Absolutely.
Yep.
SPEAKER_00 (19:36):
But is there a problem with too many vaccines
on the schedule now than therewas 20 years ago?
Absolutely.
But it's looking at we do stillneed a blend, and I think we
need more people in the middleground instead of the polar
where you really think peoplebelong.
(19:56):
Like I sit right in the middlewhen it comes to those specific
things.
And I want to address somethingyou brought up earlier, which
was the big corporation world,right?
And why it's so much harder fordoctors to do what they need to
do.
There's something for those thatknow like ICB codes and when a
doctor sees a patient in thisbig corporation, corporations
are there to make money.
(20:17):
Period.
If regardless of not-for-profit,for profit, nor your North
Wales, because I'm in theNortheast, that's what we have
big here.
Cleveland clinics, like they'rethey're there to make money.
So doctors are known to if I seea patient, how many ICB codes or
issues can I pinpoint sotherefore I can get draw more
money from the insurance companyto help pay for XYZ th through
(20:42):
the corporation.
And I think the incentivizationof how that system operates is
wrong.
Because then what happens is theinsurance company comes back and
says, Hey doctor, you're billingme$300 for all these issues.
I'm only gonna pay you$50because that's what I decided.
So they argue and sit there andfight with medical building,
which makes an overall nightmarefor both the physicians who are
(21:05):
trying to do the right thing andhelp a patient, and for the
patient, because now it builds anot like a not trust with the
doctor, even though it's not thedoctor's fault, it's the
insurance companies fightingwith the corporations, and each
one is just constantly at eachother's throats, which is
constantly raising the rates ofeverything else.
Right.
I just wish there was a bettersystem involved in that.
SPEAKER_02 (21:26):
Yeah, the system is is wild.
I'll say that.
Um, I think maybe ICD 10 codesis is kind of what you're
referring to, those ICB 10codes, which are the diagnosis
codes, and they're notnecessarily, you know, whether
you put two codes on there or10, it doesn't change what I was
actually listening to a podcastrelated to that this morning
because there's thatmisconception there.
But whether you put two or 10,it doesn't change what the
(21:48):
insurance company is is gonnapay you.
Um the kicker though, whatyou're getting to is is very
much the point that you know weuh we do work as physicians, we
uh you know send our claims outand the insurance companies say,
you know what, just justkidding, you know, not paying
you for this visit, um, orpaying you less than the work
(22:09):
that you did.
There are even, you know, we canuse time-based billing as well.
And so, you know, for docs whoare spending, you know, you
know, X amount of time in a roomwith the patient, you can bill
for your time instead.
And so you can have a patientcome in, you spend, you know, 40
minutes with them talking aboutsomething, and you expect a
(22:30):
certain level of reimbursementfrom the insurance company, et
cetera.
And they say, you know what,just kidding, you know, psych,
not gonna do it.
And that I think is where liesthe difference in kind of the
sustainability of privatepractices versus big systems,
because big systems can say,okay, we can gobble that up, you
(22:52):
know, or that you know, allworks out fine.
But what that means is you gotto see more patients in order.
If the insurance company isgonna undercut us, then you got
to be seeing more patients tomake up for that.
And it just, you know, justbastardizes the whole system,
right?
It really does to where, youknow, it it almost negatively,
um, negatively incentivizespeople, if that's just oxymoron,
(23:16):
right?
Um, physicians to be able to sitdown and have these discussions
about lifestyle changes and thatkind of stuff, because there is
big company XYZ over here that'ssaying, well, if insurance is
only gonna pay us this much, themath has the math.
That means you've got to seemore people in that period of
time.
And it's just it's somethingthat that has to change, but we
(23:41):
don't always see that not don'talways, we don't see that from
insurance companies.
And so you know, people adjustto it, and adjusting to it
doesn't always give us the bestthat we want for patients.
Now, there is this whole push inour our country right now to
direct care, so whether that'sdirect primary care, direct
specialty care, or conciergemedicine, which kind of takes
(24:04):
that insurance out of the um,you know, out of the picture and
it makes it a cash pay practicecash pay practice.
But in some places that's hardto do.
I'm in rural Alabama.
My patients are not paying athousand dollars a month to be
on a membership list for me tocall whenever they want to.
It's just not something thatthey can do here.
So I think that that works.
(24:25):
That model of medicine works formany people and for many
physicians because it takesinsurance kind of out of the
picture of it.
But it's um it's just it's not amodel that that works
everywhere.
But the fact that it does workin some places shows you that
we've got an issue with thesystem, right?
And that something has to has tochange.
(24:45):
And and who is gonna fix that, II don't know, but um, they've
got a wild fight on their handsif they're trying to.
SPEAKER_00 (24:52):
Oh, good luck.
SPEAKER_03 (24:54):
Yeah, I know, right?
It's like, you know what?
What did what did Pfizer do lastyear?
SPEAKER_00 (24:59):
I'm stupid amount of money.
SPEAKER_02 (25:02):
Any number of wild things on any given day.
SPEAKER_00 (25:05):
Yeah, it's just it's just such a law, heavy lobbying,
money, cash-based system thatand we got I I always like
pointing out that we're stuck inthis what I call this limbo,
right?
I think medicine can work eitherstraight private, kind of like
we were saying with theconcierge, but it has to be
(25:27):
truly private, or it could beyou could figure out kinks and
figure out how to make it trulypublic.
Yeah, like this middle ground,it's tough.
This is where shit sucks.
SPEAKER_02 (25:41):
It's tough.
It's a hard place, it's a hardplace to be.
It's hard for you know patientswho are trying to navigate it,
right?
It's hard for patients who aretrying to navigate it, it's hard
for physicians who are trying tosurvive in it.
There's so much more physicianburnout these days, and you
know, that is not just becauseof the insurance companies or
reimbursement or all thesethings.
It's also what we talked aboutearlier that patients are going,
(26:04):
you know, far extreme, right?
And and they're coming in and itis things that you know that you
learned.
Like medical school is not easy.
They don't just let anybody intomedical school, they don't let
anybody graduate from medicalschool.
We put in some work and to havepatients sometimes come in who
uh you've not been able toestablish a relationship with
(26:26):
them so they trust you and youknow value your opinion and your
part in the two-personconversation, but instead are
like, oh, I saw this on socialmedia to your point earlier.
I'm gonna take essential oils toyou know treat my cancer.
I don't want anything thatyou're talking about here.
It is it is mind-blowing andit's frustrating and and it
(26:48):
doesn't do very much at all forthe um for the already shortage
of physicians we have in thecountry or burnout of physicians
who are just leaving thepractice of medicine altogether.
SPEAKER_00 (27:01):
Can I say something you're gonna like?
I think it's originally gonnasound like you're not gonna like
it.
Okay.
I don't think there's aphysician shortage.
I think there's a patientoverage.
I think there's just too manysick people.
And too many people like are tooreliant on the medical
community.
(27:22):
So if we had less patients,therefore you would see less and
have a more comfortable likeoutcome.
You look at just the obesitypopulation alone, yeah, we're at
70%.
Oh, yeah, it's wild.
It's wild.
SPEAKER_02 (27:36):
I I don't know.
I think I still stand in the notlike that one, right?
Because I'm so big onprevention, right?
I'm so pr big on prevention andthe need for kind of your your
regular check-ins, right?
Even if nothing's going on.
That's why we call hypertensiona silo killer because you walk
around with it, don't know thatyou have it, right?
So I think for prevention ishuge.
It is hard for me where I am inAlabama to say there's not a
(28:00):
shortage, right?
Because, but but to your point,I I see the point that you're
making, because there arethere's you know the rates of
obesity and diabetes andhypertension, all those things
here in our state, especially,are wild.
SPEAKER_00 (28:12):
But we've got Obama's number one and number
two.
SPEAKER_02 (28:15):
Oh, it's it's wild and nothing to be to be proud
of.
We are at a space where I liveright now, there is no labor and
delivery unit in our hospitalbecause there's not an OB gyne
in our area, right?
And so you cannot deliver a babyhere unless you want me, the
family doc, who delivered somein med in residency and medical
(28:36):
school to come out, or if youwant the ER doc, you know, who
is trained as an ER physicianand is trained to handle
emergencies to do it.
But to get to an OBgynecologist, an obstetrician to
deliver your baby from where Ilive is an hour 15 minutes up
the road.
And there's some counties thatare, you know, west of ours who
(28:57):
you've got to travel two hoursto see it to get to an
obstetrician.
Now, do I drive around with alabor and delivery kit in the
back of my car?
Yes, I do.
Am I totally prepared to pullover and deliver a baby if it's
me or the state trooper on theside of the road?
Absolutely, right?
But that's what happens in ourin our areas.
(29:18):
And so there are certainlypockets where it's just not
there.
And here it's not there becausewhy?
Reimbursement is is lower in ourstate for all these other
reasons that we don't have toget into today.
But but dogs are leaving, orthese residents are coming out
of their training, or dogs whohave been in practice who say,
you know what, I don't want topractice you know, clinical
(29:39):
medicine anymore.
I don't want to see patientsanymore because we have so much
um, so much uh burnout that's inmedicine these days.
And a lot of that is justrelated to the things we've
talked about already.
So still some true shortageshere.
We've got hospitals that areclosing left and right, you
know, counties in our state thatthere's not an ambulance service
(29:59):
in the county.
SPEAKER_00 (30:00):
And so um shows like how different you go from one
part of the country to the next.
I'll tell you it's the exactopposite here.
Uh there's every other buildinghere is a medical building.
That's wild.
Like to the point, it's you justsee construction and you go,
must be a medical office.
That is wild.
Because doctors get reimbursedextremely well here, and all of
(30:23):
them are flocking here, andthere's a big pop, there's no
more young people because it gottoo expensive to live here.
Yeah, so it's a very olderpopulation, so they just keep
building 55 older communitiesand medical offices.
That's all that's being builtaround here.
SPEAKER_02 (30:38):
Well, the exact opposite, it in the exact
opposite here.
So you're right.
It's so so interesting to seethe extremes and the things that
I stay up and worry about arenot things that have dots in
your area worrying about.
SPEAKER_00 (30:51):
Oh no, like I know doctors making almost a million
a year, like salaried.
Wild.
They're they're not stressedfrom a good point.
But there's just so muchcompetition with like different
corporations that they fightover the doctors, right?
They get these abundance ofsalaries and stuff, and then New
(31:12):
York State emberses well, sothey flock here, can afford them
and pay those things, which iskind of wild when you see just
even like a state-by-statebasis.
Because to your point, like ifI'm I was like envisioning when
you're talking about therehaving OB and my wife's having
our second kid in January.
It's like that would suck.
An hour and a half away.
It does.
I just couldn't even imaginethat.
(31:33):
That's like such a different yougotta be more open, is I guess
what I'm looking for.
You gotta see visually where youstep, how things are impacted
differently.
Absolutely.
Absolutely.
So I love that.
I want to I want to talk aboutsomething that is recent and in
the news, and I think it's justso relevant.
Uh RFK came out like threemonths ago, and four medical
(31:55):
schools pushed that they have todo one year of nutrition because
it was never offered in medicalschools as a whole.
And I'm very familiar with itbecause I'll give a little I'll
give a little background andcontext of me personally.
My grandparents founded amedical school and wrote the
books for that set of medicalschool.
My brother went to that medicalschool.
So I like I read his doctorbooks and his nutrition book was
(32:17):
like three pages long.
And it's funny because like weargue about it, and then he ends
up like looking up the things Italk about, and he goes, Oh, I
guess you're right.
I was like, Yeah, you justdidn't learn it.
So, how do you feel about thepush for medical schools adding
a nutrition requirement?
And do you think there'sanything else missing?
(32:38):
Or do you believe that it'salready a lot?
Like you have to learn a lot infour years.
So it's just now just addingmore and it might create more
burnout.
SPEAKER_02 (32:47):
Yeah, so I think that there definitely is a place
for more nutrition in ourmedical training.
That is in both medical schooland our residency programs.
I was really fortunate that inmy residency program, I think
most across the country, youknow, you've got um you know
in-house nutritionists there whoyou do rotations with and you
can consult on your patients forin a space like ours, that's so
(33:08):
important.
Um, I think that there certainlyis a space for more nutrition
education in medical schools.
Let that not be confused with methinking that that anywhere near
most of what RFK Jr.
says is at all medically sound,reasonable, or anything.
But I do think that there iscertainly a space for more
(33:29):
nutrition education in ourschools, absolutely in our
medical schools, because so muchof the issues or so many of the
issues that we see in ourpatients, especially those of us
who are doing primary care, aretied into nutrition issues,
nutrition concerns, and thingsthat can be directly impacted
and addressed by people beingable to change some of their
(33:51):
nutrition habits.
And if we are the people, theexperts that they're coming to
see to talk about it, then weneed to know what we're talking
about.
And so I I do think that thereis a space, certainly a space
for more nutrition education inmedical schools and residency
programs.
SPEAKER_00 (34:07):
Do you think there's anything else missing from that
component of the whole that youwish you'd learned more from?
SPEAKER_02 (34:11):
Yeah, there's a long list of things I wish I'd
learned.
SPEAKER_03 (34:13):
I wish I'd learned what to do with money when I
made it, right?
That's another big part.
We don't teach financialliteracy.
SPEAKER_02 (34:21):
I mean, you have these students who come out of
their medical training in somuch debt, and then you give
them money for more money thanthan any of us have made
otherwise, um, and expect us tomake good decisions with it.
So I think financial literacy issomething that should certainly
be introduced into um into themedical space.
You know, we we don't get enoughof the you know, fitness
(34:44):
education, so many of thosethings otherwise that I think
are are important.
And you're starting to see withthe kind of rise of osteopathic
schools across the country,you're starting to see that as
well.
But it does also have to beintroduced into the allopathic
or the MD uh part of medicaltraining as well.
And I think that those thingsare we're starting to see that
(35:04):
shift because patients aredemanding it, right?
Patients are starting to demandit, and where there is the
demand, you got to follow itwith um with education.
And so I think it's coming forsure.
I hope it's coming, I shouldsay.
SPEAKER_00 (35:16):
I'm seeing a trend.
So I've been doing this foralmost 10 years as far as the
training side of it.
And I will tell you, pre-COVID,every like doctors would tell
patients, like with the silliestthings, like, don't work out,
you don't need to do this.
And even post-injuries,whatever, they would just
constantly dissuade people frombeing a part of a gym and
moving, not understanding likeyou can still do other things,
(35:38):
you can work around things, likeit's not always the case.
You're you're seeing a shiftnow, yeah, where I'm getting
less of that.
Yeah, and we're seeing theopposite.
SPEAKER_02 (35:47):
Exactly.
We're seeing orthopedics.
So one of the ortho guides thatI refer to, I mean, he is
replacing knees, and patientsare walking up and down the
stairs and walking out, andyou're in PP the next day.
And and so I think even thatstarts to show the the shift
that's happening that ischanging kind of the
expectations of how we're youknow expected to heal from
(36:08):
either illness, surgery, allthose things.
SPEAKER_00 (36:11):
I mean, case in point with the case in point
injury, which is so funny.
Like I was looking for aphysician to do the surgery,
right?
And I interviewed a bunch ofthem just with help of my
brother, because I was it's abig surgery, so I wanted to make
sure the person I chose wasright.
And I though I ended up choosingthe specific doctor that ended
up doing the surgery because hebrought up a study that I
(36:33):
previously have read that cameout about six months ago.
I didn't have to prompt him, hebrought it up, and I was like,
okay, he pays attention to thecurrent things.
That study, which is sointeresting, it's a
cross-sectional study.
They had people who had shouldersurgery, and what they did was
right after shoulder surgery,they worked the opposing arm.
Like they still worked out thatopposing arm.
(36:55):
And what they showed was thatthere was muscular gains in that
injured arm when they worked theother side of it.
And there's way more nervefirings on that side as well,
and it healed way quicker.
Most people just say, I hurt myleft shoulder, I can't work out,
period.
I'm gonna lay it out all day.
Whereas opposed to you can workyour other arm, you can work
your lower body like this.
So right.
Other things to do.
SPEAKER_02 (37:15):
Yeah, absolutely.
And and I see that sometimes inin my own practice with patients
that I'm talking about, youknow, getting some more exercise
in, and it's like, oh, but youknow, my my knee hurts so much
that I can't exercise, and itjust it becomes this cycle,
right?
Like your knee hurts because youhave this chronic arthritis
because you're you know, you'reyou're putting more weight on
it, you're heavier than you needto be up top.
(37:35):
And so then you don't doanything.
Well, all you're doing isfeeding the cycle.
And so I love that.
I'm not familiar with thatstudy, but it it certainly makes
sense.
And and I love that you wereable to find a doc who is is
still reading, right?
I think that's so important tostill be reading, still be
learning and knowing what's outthere to best suit patients.
SPEAKER_00 (37:54):
I mean, you look at just a silly, stupid example.
Like I have aunts and uncles,obviously, that are practicing
physicians, right?
So they're older, and they stillthink eggs are bad for you.
It's like I try to like explain,like, you know, diet or
cholesterol doesn't raisecholesterol, and they go, that's
not true.
SPEAKER_02 (38:11):
It's like I I literally was um it was the
nutritionist that I mentionedfrom my residency, she came on
my podcast and she saidsomething about eggs, and she
and I both were yelling, like,eat the eggs, eat the eggs,
because it's so funny that yousay that.
That eggs get such a bad rap.
And and I tell my patients, I'drather you eat eggs and Snicker
bars every day of the week,right?
(38:33):
No offense to Snickers bars, butum, but eggs are are not as bad
as we have been taught that theyare, and um, and and it's just
that, you know, that there areshifts, things that we're
learning that are changing nowthat patients are finding out
and are coming in saying thatyou know docs are still like,
wait, what are you talkingabout?
And so that ever reading, everlearning is is certainly
(38:54):
important.
SPEAKER_00 (38:54):
Oh, I couldn't agree more.
I got into a massive fight withmy uncle four years ago over
Thanksgiving dinner, becausehe's going around telling people
that BMI is the gold standard offiguring out if someone's
healthy.
And I tried explaining to him,like, you know, BMI is a stupid
measurement, and nobody shouldeven give a shit what their BMI
(39:16):
is.
And he's like, That's not true.
I'm a physician.
I was like, Do you know what BMIis?
It's height overweight.
So you take me, I'm 200 poundsat 6'1, I'm considered
overweight.
Do I look overweight to you?
SPEAKER_02 (39:28):
Yeah, he goes, uh and it's just not reflect, it's
not it does, it's notrepresentative of the uh
population that we apply it to,right?
BMI is based off of a whitemale, right?
We cannot apply it to everyone.
And so um yeah, interestingconversation, I'm sure you had.
SPEAKER_00 (39:47):
Oh yeah, I just say, man, it takes three seconds to
check someone's body fat.
Like just get a biologicalimpedance, you can get within
three percent of it at thispoint with technology.
Oh, waste hip ratios, like sillysimple stuff.
You can get a good uhdisposition of how someone is
healthy.
(40:08):
I want to bring up somethingsuper specific because it's
still like trending like crazy.
People are still on a kick, andI want to get your take on it.
And that would be your GLP onesor like your Ozempics that every
other person seems to be on atthis point.
What's your take on that?
Uh pros, cons, yeah, and do youlike where it's headed?
SPEAKER_02 (40:27):
Yeah, um I think it's wild where it's headed.
I think it goes back to a littlebit of my comp my mention
earlier that we sometimes lookfor quick fixes when there are
some other things that we cando.
But I very quickly want to alsosay that I think that there are
some very bad options out therefor weight loss that have so
(40:50):
often been used for it, right?
So you know, you think aboutthings like you know, fentramine
loading people up withinjections of things they don't
need, etc.
So I'm not mad at GLP1s at all,right?
I love them in my patients withdiabetes to make sure that
they're as long as they have nocontraindications, there's no
(41:11):
reason they can't take them.
And I like them for weight loss.
I don't mind them for weightloss at all because I think that
they are certainly um better foryou than you know other things
that folks are getting fromweight loss clinics, right?
Things that can cause heartissues down the road, things
that are just meant to jack upyour metabolism, right?
If you want to jack up yourmetabolism, go for a run, you
(41:33):
know, do other things instead.
But I I think GLP1s are aregood.
I think that they are gonna helpa lot of people who have tried
to lose weight unsuccessfully beable to do it.
What I caution my patientsagainst, though, is not letting
the medicine be the only thingthat does the work.
(41:54):
And it's hard because the way,you know, one of the central
ways that the medicine works is,you know, I tell patients it
turns on that feeling of beingfull and turns off that feeling
of being hungry.
And so it's easy for themedicine to do all the work
alone, but it's still importantthat when you put something in
your mouth, that you're puttingthe right thing in your mouth,
because we're also at this crazyspace of coverage for the
(42:17):
medicines, right?
I don't love the idea ofcompounded GLP1 because you
don't know what you're getting,where you're getting it from,
that kind of thing.
But the manufacturer companies,the companies that make these do
not make it easy to afford.
And so there's something thatunfortunately people can't be on
for long term because they can'tafford to be on it for long
(42:40):
term.
So I worry sometimes that peoplethat patients aren't learning to
make changes, lifestyle changesfor the time that they have to
come off the medicine, right?
Because what we see sometimes isthat people do really, really
well when they're taking it, butthen for whatever reason,
financial reasons or others,when they can't take it anymore,
(43:00):
that weight slowly comes backbecause the medicine's been
doing all the work.
Now, if you can deal with alittle bit of constipation and
the other things that come alongwith it, um then I think that
the GLP ones are okay.
I think that there are patientswho patients I see in my clinic
every day who uh you know can'tmake some of the other changes
that I want them to make, butgosh, if they could drop a
(43:23):
quick, you know, 20 pounds orso, maybe they'd be better able
to physically move their body tostart doing the you know the the
work that they want to do.
And so I don't mind them.
I write them for my patients aslong as I know that their you
know pancreas labs are fine andthat there's nothing else that I
need to be worried aboutotherwise, but I think that the
the cost is prohibitive, but Idon't love the idea of some of
(43:48):
the other things that we'vealways had to use or that I
haven't written them that havebeen used in the past for quick
weight loss that's just gonnacome back later.
So it does require the educationthat comes around it that hey,
you still got to make somelifestyle changes.
Yes, this medicine will make younot want to eat, but there may
come a day where you're notgonna be able to take the
medicine.
What are you learning from it sothat all that weight doesn't
(44:08):
come back?
SPEAKER_00 (44:10):
Yeah, it's I feel very similar to how you feel,
maybe a little more with a alittle more chip on my shoulder,
but mostly exactly where yousaid like giving anti-seizion
medications and the shit thatpeople used to present for
weight loss.
Why?
Yeah, yeah, yeah, yeah.
(44:30):
It just made no sense.
I'm gonna even tie that intowhat I always hated growing up
was gastric bypass, like surgeryto get surgery being a quick
option, it shouldn't be.
SPEAKER_02 (44:41):
You know, try other things, right?
SPEAKER_00 (44:44):
I have I know so many people who got gastric
bypass, lost 100 pounds, andthen gained 200 because there's
so many issues that come afterit.
And now not only did you gainthe weight back, now it's harder
to lose the weight because youcan't digest things the proper
way, you're not getting yourproper nutrients and stuff, and
you have to supplement for therest of your life.
So it's like do I like GLP onesbetter than that?
Absolutely, no questions asked.
(45:04):
Do I like it better than theShe's in medicines?
Absolutely, no questions asked.
But like what you said in thevery, very beginning of that,
does it create a habit change?
And that's truly the question wehave to put out there because
you can lead a horse to water,but you can't get it to drink,
right?
So how do we teach people tostart creating those habit
(45:28):
changers?
And it's such a tough recallbecause people lie all the time.
I tried everything, right?
I eat super healthy.
I can't tell you this is myfavorite thing in training, and
try this as a physician nexttime.
Ask people, how do you eat?
And they'll give you, like, oh,I eat generally well.
Then I asked the same questiongive me your complete dietary
(45:48):
recall of what you eatyesterday.
SPEAKER_02 (45:51):
Yeah, absolutely.
I do that all the time.
Yep, all the time.
SPEAKER_00 (45:53):
And then always it's like, well, yesterday was a bad
day.
SPEAKER_02 (45:57):
Yeah, yeah, absolutely.
It it absolutely happens.
And um, I think there certainlyis a space for kind of logging.
I'll ask my patients to log whatyou eat.
Log what you eat, bring thisback in.
You don't have to wait to see meor anything.
Just bring it and drop it off atthe front desk and I'll look at
it, you know, tomorrow afternoonone day.
Just do it for one day and let'ssee.
Do it for one day, then nexttime it's do it for a week.
(46:18):
And I think that when people dothat, they're really able to
see, wait a minute, if they'rebeing honest, they're really
able to see, wait a minute,there's this is a lot, there's a
lot here.
So yeah.
SPEAKER_00 (46:27):
Oh man, that's that's the biggest pet fever is
that people think they're eatinghealthy.
But then there's the people thattalk about education as a whole,
like think they're eatinghealthy but aren't.
Yeah, and they just like misshave all this misinformation of
what actually is consideredhealthy.
Like, I look at uh middle-agedwomen, I just thought I know
it's very generalized and peopleare different, but just a
general population when it comesto having higher protein
(46:50):
amounts, they're very it pushback a lot on it.
No, no, no, that's not good forme, that's not good for me.
Absolutely, and it's like, no,like menopause and postmenopause
are like, no, you need a lotmore.
SPEAKER_02 (47:01):
Yeah, especially as we start to lose that body mass,
as we less estrogen, a wholeother conversation, but you're
so right, you're so right there.
SPEAKER_00 (47:08):
It's so like mind-blowing just the pushback
you get on specific things ofhaving to teach people over and
over again.
Oh man, I think we got kick yougot kicked out of here, so I'll
get you back in.
I think she hopped out.
Maybe I saw something that waslike, no, I'm totally kidding.
I think she just had technicalissues.
But anyway, I hope you guysappreciated this episode of
(47:31):
Health the Fitness Redefined.
Please don't forget.
We got it back.
I was just giving a word out andI was like, she left.
She didn't like the conversationshe said.
No, yes, totally.
SPEAKER_03 (47:42):
Yeah.
unknown (47:43):
Sorry.
SPEAKER_03 (47:44):
So sorry.
I don't know what happened.
I went to move it down andturned it off.
Excuse me, please.
Pardon.
SPEAKER_00 (47:50):
No, no, it's all good.
That makes the show fun, right?
Real life things happen.
SPEAKER_03 (47:57):
Technical issues.
So sorry about that.
But but thank you again forhaving me.
This has been fun.
SPEAKER_00 (48:02):
This has been a blast, and honestly, I think
it's a good place to kind ofwrap up anyway.
So, Dr.
Anderson, I'm gonna ask you thefinal two questions I ask
everybody on the show.
Yeah.
The first one is if we were tosummarize this episode in one or
two sentences, what'll be yourtake-home message?
SPEAKER_02 (48:14):
Yeah, so my take-home message would be that
you know, it's important todevelop a relationship with your
physician where you're you feelcomfortable sharing what you are
and are not comfortable with,right?
And that then allows you tostart to have that discussion
about medications, about youknow, exercise, about nutrition,
all those things that um thatreally impact your health.
(48:37):
So find a physician that you candevelop a good relationship with
who will listen to you and youfeel comfortable listening to
them.
SPEAKER_00 (48:44):
I I love that.
That's perfect.
And then the second one, how canpeople find you get a hold of
you?
I know you said you're gonnahave two shows.
I know listen out.
Give us the rundown.
SPEAKER_02 (48:54):
All right.
So one of them is is calledPhysicians Hanging a Shingle.
It's for dogs who are interestedin starting their own private
practice.
So you've heard me saythroughout how much I love the
idea of private practice and howmy own private practice has
given me my you know autonomyand joy back in practicing
medicine.
So that's there's that podcast,Physicians Hanging a Shingle,
for any docs who may beinterested.
Um, for the general population,I've got a podcast also that's
(49:16):
called Headed to Healthier.
And it is primarily for women,but I know some guys who listen
to it as well.
Um, but for women who are 40plus, lead really busy lives,
and who have said, I know that Ineed to take more control of my
health.
And so um every other week it'sa solo show, me talking about
things that either I've seen inpractice or I've talked to my
(49:36):
patients about recently.
And then every other week Ibring on you know someone in the
healthcare space who comes andshares their knowledge with me
and with my audience.
And so um, those two podcastsare available anywhere you
listen to podcasts.
unknown (49:51):
Dr.
SPEAKER_00 (49:51):
Anderson, thank you so much for coming on.
Thank you guys for listening tothis week's episode of Help the
Fitness Redefine.
Please don't forget tosubscribe, share.
We don't run ads.
So this is the only way thisshow grows, guys.
It means the absolute world tome so we can spread the message
that fitness is truly medicine.
Until next time.
SPEAKER_02 (50:08):
Absolutely.
Thank you for having me.
SPEAKER_00 (50:11):
Thank you guys for listening to this week's episode
of Help the Fitness Redefined.
Please don't forget to subscribeand share the show with a
friend, with a loved one, forthose that need to hear it.
And ultimately, don't forgetthat fitness is medicine.
I'll see you next time.
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The official podcast of comedian Joe Rogan.
Stuff You Should Know
If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.