November 10, 2024 • 37 mins
Dr. Galati is back in studio for the show tonight. He starts with a “Making America Healthy Again” idea after this election and his trip to Trader Joe’s. Cardiologist Dr. Mike Wilson joins the show to share his radio experiences and his take on the “Making America Healthy Again” slogan. He also talks about the quote-on-quote mandate and what he sees in his everyday practice.
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Speaker 1 (00:01):
Initialize sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 3 (00:08):
In the bunch of days. On the day we're leave Dremont.
Speaker 1 (00:13):
Island, right Coty.
Speaker 2 (00:19):
This is Your Health First, the most beneficial health program
on radio with doctor Joe Galotti.
Speaker 3 (00:26):
During the next.
Speaker 2 (00:26):
Hour you'll learn about health, wellness and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 1 (00:41):
Well, a good Sunday evening to everybody, doctor Joe Galotti.
If it's Sunday evening at seven pm Central time, of
course I want all of you listening to your Health First.
We hear every Sunday evening, and our single mind the
goal is to make you better consumers of healthcare, period,
(01:05):
end of story. That is our sole mission. We've been
on the air for twenty two years every Sunday, and
we'll be getting into some other items here a little
bit later in the program. But I always have looked
at the value of a program like this as educating
(01:28):
the public. We're not selling anything. We're not trying to
have you do anything out of the ordinary other than
arm you with information you could use to take care
of yourselves, yourself, your family, your best friends, your co workers,
your community. So that is what we're all about. Your
(01:51):
health first. Our website doctor Jogalotti dot com, Doctor Joegalotti
dot com. And I would say say, if you wanted
to find out about us, that is the place to go.
There's a link to Soner for our weekly newsletter, send
me a message. All of our social media is posted there,
(02:15):
doctor Joegalotti dot com. Now on the program tonight one
of my favorite experts, doctor Mike Wilson. He is a
cardiologist here in the Texas Medical Center. I actually think Mike,
and I'll have to ask him. I think Mike dabbled
in radio in college. That that fact sort of sits
(02:37):
in the back of my head. And so he's got
a great, great radio presence. He speaks clearly, he's knowledgeable,
and he's able to explain complicated things. That's what that's
what this program was all about. We don't want to
throw a bunch of doctor talk at you. Just keep
it simple and actionable things that we can share with
(02:58):
you tonight. You should be able to who put into
play immediately. So the election is over, my goodness, now
not getting into the politics. You love Trump, you don't
like them you voted for him, you didn't vote for him. Etc.
But one of the themes that came out of the campaign,
(03:24):
and it really was once RFK Junior joined in and
became part of the campaign, was this slogan of make
America healthy again, Make America healthy again. I would say,
as simple as that is. Now, some of you may
think it's a little bit corny. For years we've been
(03:48):
hearing make America great again, make America safe again, make
America prosperous again. Now we have make America healthy again.
But I do believe and serely that we have a
great opportunity to keep pushing this narrative forward because we
(04:12):
have to. We absolutely have to commit ourselves to making
America healthy because really there's a lot of unhealthiness that
I see every day that doctor Wilson sees every day,
all of my colleagues in the Texas Medical Center, doctors
across the country, and I'd say, sadly a lot have
(04:35):
thrown their arms up to say, yeah, everybody out there
is too damn unhealthy. I can't fix it myself, so
let's just kick the can down the road. But that's
not what we're going to do. So second, next segment.
After we get done here, I'll be giving a little
bit of an intro of what I think make America
(04:55):
healthy is, and then doctor Wilson will be joining me
just a little bit later on. But don't forget go
to doctor Joeglotti dot com. All right, So today I
went on a field trip with my wife. We went
to Trader Joe's. Now, I have always liked Trader Joe's
going to shop there. I think they have a good
(05:16):
selection of vegetables, fruit, some select items that we like
to get. But for some reason, it was sort of
at about twelve one o'clock today, the store was absolutely mobbed.
And I when it was that crowded, I had a
(05:37):
chance to sort of look at what other people were buying.
And I've said this before in the radio. I do
some of my best research at the grocery store. You
get to check out what everybody is buying. It's my
consumer research in a sense. And the most crowded aisle
was the processed food. Well, all of these frozen meals,
(06:04):
frozen pizza, frozen lasagna. And while Trader Joe's has this
sense that it is maybe a little better quality, it
is exactly the same it is a highly processed meal,
high in fat, sugar, and salt, and responsible for all
(06:29):
of the obesity and chronic disease that we're seeing now.
For me, when I go to Trader Joe's, the majority
of things that I buy were my family buys frozen fruit,
frozen vegetables. We buy some canned goods there that are
(06:50):
not very processed at all. We'll get some dairy products there.
But when you really really take a look, and it
really dawned on me and my wife today that there
are a lot of candy, sweets, chips, frozen dinners, And
(07:11):
again they're laid out from a marketing standpoint, very very
well with these end caps. The end caps are the
displays that aren't on the end of the aisle that
they want to lure you in and buy stuff that
you have no intention of buying, but your hand just
gravitates and pulls it in and you buy it. But
(07:35):
a lot of it is cheap, highly flavored foods that
you're tempted to buy. And when you go shopping to
a place like Trader Joe's or any supermarket, you have
to have a strategy. All Right, We're going to take
a break, Doctor Joe Galotti. This is your health First.
Stay tuned. We will be right back every Sunday between
(07:55):
seven and eight pm. I'm doctor Joe Galotti. You should
be tuned in your health first. And our website is
doctor Joegalotti dot com. Sign up for our newsletter. All
of our social media is there. You get send me
a message. This is a two way street, says contact us.
(08:19):
Pull it up, send me a message, hit send, I
get it, and we'll communicate back with you. Coming up
in just a short bit, doctor Mike Wilson will be
joining us a cardiologist here in the Texas Medical Center.
He and I are going to get a little bit
more in depth on this whole notion of make America
(08:44):
healthy again. And I firmly believe that for those of
us that are in healthcare, those of us that truly
want to prevent disease. See the missing link here is
in many cases, we're good at fixing stuff that's broken. Okay,
(09:09):
how do we seriously, in a big, big way, prevent
things your body from falling apart in us having to
patch it together with glue, band aids, tape, duct tape.
All right, we have the wrong mentality here, and so
(09:32):
by educating the public, having them understand what their risk
factors are. Early warning signs you get in early, okay,
and I you know, you know, we don't have a
check engine light on our body, but if we did,
a lot of people would be walking around with a
red light on their forehead saying that there's something wrong.
(09:56):
You need to go and get checked out. Now, with
this whole make America Healthy again idea, why is it
that we are so unhealthy? Why do we why do
we even have to talk about this? Well, there are
(10:17):
all kinds of I don't want to say theories, but
reasons why our population has become so unhealthy. Is it
just related to the food? Well, I do believe that
a large portion of the problems we're seeing are indeed
related to what we're eating or not eating. All right, now, again,
(10:41):
looking at Trader Joe's, and I like Trader Joe's, but
it was like a feeding frenzy in that frozen aisle.
People were going for all kinds of frozen crap and
that was their dinner. Monday, Tuesday, Wednesday, Thursday, Friday, and
Saturday and Sunday. They're going to a restaurant. They're not
(11:04):
cooking the fresh fruits and vegetables. It's not portion controlled,
it's not low in salt, it's not high in fiber.
So the food is an issue. The second thing is
lack of exercise. People are not walking around the way
they used to, especially in Houston or other big metropolitan cities.
(11:26):
We drive around everywhere. The thought of walking just doesn't
even cross our mind. When I travel to other cities
and you realize, A, the people are thin. B you
got to walk everywhere, and just being in a city
at a meeting, I'm putting on twelve thirteen thousand steps.
In Europe, forget about it. Everybody's walking everywhere. I do
(11:51):
think that stress, we are stressing ourselves out part of it.
There is a basis for it. Other would just worrying
about stuff that doesn't need to be worried about. And
we have basically taken our eye off the ball, meaning
we're not really paying attention to symptoms. Everybody I see
(12:16):
in not everybody should. That's a broad statement. A lot
of my patients they are chronically fatigued, and they are
accepting of it. They get home from work, they fall asleep.
I get some of my best work done after I
get home after twelve fourteen hours I come home, I
(12:37):
will still exercise even if it's in the early evening
because I have to to stay healthy. I don't want
to get chronically ill. And the bigger question, which I'll
get around to doctor Wilson, what do we have to
do to get back on track and how long will
it take? Now? With RFK Junior, and again he at
(13:03):
times has been controversial on some items. I think we're
going to have to really listen to if he's given
some sort of a platform in the administration, what does
he say. But when you look at the numbers, the
numbers are staggering as far as the amount of chronic disease.
If you look at the numbers for the CDC Centers
(13:25):
for Disease Control and Prevention, around one hundred and twenty
nine million Americans are living with at least one chronic
disease such as heart disease, cancer, diabetes, obesity, hypertension, or
fatty lever. Chronic conditions account for five of the top
ten leading causes of death. So this is not a
(13:47):
benign problem. Key thing, vast majority of these can be
prevented with lifestyle modification. Lifestyle choices which is what do
we eat, how much will we x, what time do
we go to bed, do we drink too much alcohol?
We're taking too many pills prescription or not prescription. And
(14:10):
these numbers over the past twenty years just continue to increase,
and so there's no no end in sight. These numbers
are going to continue. And my biggest concern, and if
you have children or grandchildren, here's the guilt trip. When
you see your grandchildren next time, you could look at
them and essentially say you are not going to live
(14:33):
as long as mom or dad because they're going to
be afflicted with chronic disease decades earlier. And the sad
thing is, so I practice live a disease. That is
my day job, if you want to say. And so,
(14:53):
we have fifteen, sixteen, seventeen year old kids I'll call
them kids coming in with abnormal liver chemistries. Their blood
work is abnormal, they have an ultrasound that shows a
fatty liver, and we investigate it further and we find
out that they are on the verge of developing soorrosis.
(15:19):
And he said, oh wait a second, doctor Galotti, cirrhosis
is only in alcoholics alcohol use disorder, well alcohol only
accounts for about forty nine percent of all the cirrhosis
we see. The other fifty percent or fifty one if
you're really listening, is due to things like hepatitis B,
hepatitis C, autoimmune disease. But fatty liver is a major
(15:44):
major cause of chronic liver disease. So now you've got
an eighteen year old that either is on the verge
of sorosis or does have cirrhosis, and it may be
too late to turn around. And this is unrelated to
alcohol or drug use. This is related to what you ate.
(16:05):
And now these people they graduate high school, they want
to get into the workforce, they want to go to college,
and they're chronically ill. They have a lot of symptoms,
they're on medications. Medications give you maybe side effects. You
have appointments with one doctor after another. So instead of
(16:29):
strategizing on your school work, your career, your occupation, the
skills that you're going to develop, you're spending time in
the office with me or doctor Wilson or any other
physician around the country on medicine's side effect. So it
is it. And look, I'm not here to paint a
(16:53):
bleak picture and have you all get depressed and tune
off the radio. Is that this is a wake up call,
to energize you to say, Okay, enough is enough. This
is the wake up call. And my sense is that
if what the administration does or can do, if it
(17:16):
is executed properly, make America healthy again, this could be
an amazing wake up call that can transform the United States.
And I do mean that now. I came across earlier
today a video on President Kennedy in nineteen sixty two,
(17:42):
and what I'll do. I'll probably post it, but it
may take time to get posted up. But one of
the things he said, a country is as strong as
its citizens. And I think that mental and physical vigor
go hand in hand. So back in nineteen sixty two,
when we didn't have have these problems, he nailed it.
(18:02):
A strong and healthy citizenship means a strong, healthy country.
We'll leave it at that. Doctor Mike Wilson is coming
up after news, weather and traffic. I'm doctor Joe Glotti.
Stay tuned, we will be right back. Welcome back, everybody,
Doctor Joe Galotti. And tomorrow you should all know this.
It is Veterans Day and we'd like to say thank
(18:31):
you to all of the veterans that have served to
make our country great. And you know, it's funny. My
father was a World War Two veteran and actually in
a couple of weeks he's he died a couple of
years ago, but he's going to be celebrating in heaven.
I guess his one hundredth birthday, and all the years
(18:56):
that it would be Veterans Day or fourth of July,
i'd play this patriarch music and he would get such
a kick out of it, as do I. We're all
kids at heart. But thank you again to all of
our veterans, and our hats off to you, and thank
you for your service that we so preciously need. All right, well,
(19:21):
doctor Joeglotti dot com is our website. Let us get
doctor Mike Wilson on the line. Mike, carry you tonight.
Speaker 3 (19:30):
Wonderful. Thanks for having me.
Speaker 1 (19:32):
Oh absolutely. Now, at the beginning of the program, I
don't know if you heard this, but I had thought
years ago you had said that in college you dabbled
in college radio. Is that true?
Speaker 3 (19:44):
Well, yeah, it was a little I was a little
bit younger, but yes, I was a disc jockey for
a country music station. How old?
Speaker 1 (19:52):
How old were you at that time?
Speaker 3 (19:54):
I was from the time I was fifteen until I
was eighteen?
Speaker 1 (19:58):
Wow, Like, did you have an on air handle or
name or did you just go as Mike? This is
Mike Wilson on the air.
Speaker 3 (20:07):
I've mostly stayed nameless. They kept a pretty firm handle
on me.
Speaker 1 (20:13):
All right, Well, we love having you on. You always
do such a great job. And you know, for those
for those that are new to the program or old
to the program, I love to tune in every Sunday evening.
The whole goal here is to have experts and guests
that I bring on that can speak common sense, common language.
(20:35):
And I'd have to think that, Mike, you're one of
the best we have. So thank you for coming on.
Speaker 3 (20:42):
Oh well, I appreciate it.
Speaker 1 (20:43):
So, uh, make America healthy again. Now we'll get into
the heart disease part and you know where you get
your hands dirty. But what is your take on this?
We could call it a slogan, but I really would
like to think that we do have an opportunity to
(21:06):
raise awareness to make the country healthy. What what is
your take with all of the years and all that
you've seen, explain to us where you know really what
you're thinking.
Speaker 3 (21:20):
I think you really hit the nail on the head
with your opening segment and discussing much of what you
found in Trader Joe's. And as you said, you find
a lot of material for your show by walking through
the grocery store.
Speaker 1 (21:35):
Absolutely.
Speaker 3 (21:37):
A few years ago, I worked briefly with a guy
who did some studies with adolescents and with long term
health with the Bogaloosa Heart Study in South Louisiana, and
one of their discoveries that was, if you'll pardon the pun,
very disheartening, was that our trend towards ill health actually
(22:00):
begins when you're twelve, thirteen, fourteen years old. That excess
body weights started then, and the habits started then. Even
high blood pressure, not the kind you and I treat,
but high for that age range, was already appearing in adolescence. Right.
And what we need to get back to is the
(22:24):
education and giving a good example to our children. Eating right, exercising,
doing the very simple things right pay off in a
long term.
Speaker 1 (22:37):
Right now, my goal here is not to make this
a political statement. As I was saying earlier, it's make
America great again, make America safe again, make America healthy again.
But if you could, just like off the off the
top of your head here, give a grade from A
(23:00):
to F on the general state of health of our country.
Now again, we're a little bit skewed. We're in the
Texas Medical Center. We tend to see the sick of
the sick, and so you know, we don't see really
healthy people. But you're gestaled on this. Where do you
think we're really at?
Speaker 3 (23:23):
You know, I would put us at about a C minus.
Speaker 1 (23:27):
Okay, that's what I would say.
Speaker 3 (23:30):
You know, there is there are the acquired illnesses that
nature has waiting out there for us. And there are
a lot of places on Earth that are suffering or
great deal from those type of illnesses, from malnutrition, malaria,
all kinds of awful illnesses. They're in a much worse way.
Where we're suffering is really from the opposite, from excess and.
Speaker 1 (23:58):
Sloth, right, sloppy. I mean, it's the truth.
Speaker 3 (24:03):
And we're going to we're living healthy through many of
our productive years, but where we're going to pay the
price is in longevity.
Speaker 1 (24:13):
Yeah. And you know, you know the type of patients
you see in the cardiovascular realm are very similar to
the ones that I see on the liver front, and
my patients when I see them, some of them or
many of them are later fifties, early sixties, and retirement
(24:35):
is sort of just around the corner. They're starting to
project what they want to do, and it is everything
from just you know, go fishing every afternoon, to travel
with their grandchildren or pick up a new hobby. And
I have to look at them and say, you know
(24:56):
you're here with me now because you have a serious,
potentially life threatening disease that may, if it does not
kill you prematurely, you're going to be severely disabled in
a sense. And what do you see and how do
you articulate that to everybody tonight on the radio.
Speaker 3 (25:17):
Yeah, you're absolutely right. And what I'm seeing more and
more of, along with the excess body weight obesity, is
a type of heart disease that I think the best
term for it is called failed aging. It is a
heart that has gone through life without being challenged, without
(25:42):
being exercised, without being work and it's then adapted to
its workload so that as age comes or as other
illness comes, the heart can't really help and becomes an impediment.
So many people develop a form of heart disease that
we're labeling heart failure that is severely limiting and very
(26:02):
difficult to treat and not something that you can really
undo later.
Speaker 1 (26:07):
Right, And it really is, in a sense a disease
of neglect, people not checking in on things until the hubcaps,
the wheels start falling off, and then you say, oh gee,
I have to go see doctor Wilson now, right, Yeah,
all right, Well what we're gonna do, Mike, We're going
to take a quick break. I'm with doctor Mike Wilson.
(26:32):
For those that want to learn more about doctor Wilson
in his practice. Euston MDS dot org is the website.
I'm doctor Joeglotti. Stay tuned. Final segment coming up in
a minute final segment of this week's Your Health First,
Doctor Joe Galotti our website Doctor Joglotti dot com. We
(26:52):
are talking about make America healthy again, and I think
we've got a lot of work to do. Him on
with doctor Mike Wilson. Mike, you know a lot of
doctors by yeah, I don't want to say by experience,
they they tend to be a bit a political. I
(27:14):
don't think I saw anybody around the hospital wearing a
button on any candidate which way or the other. But
you know, I I you know, after uh Donald Trump
won with such huge margins the other day, I really
started to think about this to say, if there is
(27:36):
the quote unquote mandate that you know, maybe this little
little piece of the puzzle here could get pushed through
and and pick up some steam. What what do you think?
Speaker 3 (27:50):
I sure, I certainly hope. So it's it's uh uh
many many initiatives like this, uh false for just a
variety of reasons. But I don't know if you remember
so many years ago when the government decided they were
going to try to help us out with our diet,
(28:10):
and they came up with this whole food group business.
Many of the nutritionists when you mentioned that, their hair
stands straight up right. But the initiative has stuck around.
It had a great deal of impact. And if the
initiative has no more impact, then to get people to
(28:34):
pay a little closer attention to their diet like you
were talking about with processed foods, and to get out
and take a walk for twenty minutes every day, it's
going to have a big impact.
Speaker 1 (28:46):
No, for sure. And you know what I see every
day and I'm sure you and many of our colleagues
in the medical center see this and other big centers
around the country. We get patients that are late. Now,
I look at that as a symptom. You have to
look upstream to say, how how is it that somebody
(29:10):
was referred late? They they're late, They're late to the game. Okay,
they're showing up in the bottom of the ninth instead
of showing up in the first or second inning. And
is it a problem with the system? Is it a
problem with their primary care physician ors whoever is taking
care of them, or is it a is the responsibility
(29:33):
on the individual to say, look, man, you've got to
take some responsibility. You're not feeling good, You're short of breath,
you've got chest pain, you have palpitations. Why are you
waiting till it's critical? And you have to call nine
to one one? And you know when you're taking a
history and you're like, oh, yeah, you know, I've had
these palpitations for years. What do you see in your
(29:55):
real world, everyday practice.
Speaker 3 (30:01):
It's a fantastic question. And I think a major part
of the problem is some of these things are so
difficult to tease out from some of the common symptoms
that you and I feel every day, and especially in
someone who's very overweight or obese, it is exceptionally difficult
(30:24):
to determine whether part of the limitation is simply the
excess body weight, or whether the excess body weight has
started to turn into a disease state with formed heart
failure or with the liver with a fatty liver. That
on us is going to be on the patient and
(30:45):
doing the simple things and maintaining your health and maintaining
your body weight. But where we go on the other
side is the screening tools that we really need to
have interness and general practitioners aware of. With with a heart,
we can tell a great deal by echo. Now that's
almost as good, if not better sometimes than hard caathorization, okay,
(31:08):
or or as you're as you're saying so much of now,
I think liver disease has just skyrocketed, right, and ultrasound
there can be extraordinarily.
Speaker 1 (31:19):
Useful exactly, And you know, I think, uh, you're you're
on our speed dial. Where we see patients that come
in with abnormal liver chemistries, their lab work is abnormal,
they've been told they have fanny liver and nobody really
raises it to any concern to you know, sit them
(31:40):
down to say, look, if we do not address this
in the next few years, you could be in much
more serious state. And when they don't hear that, they
go home to their family and they say, well, but
the doctor say, well, it's not that bad. Did you
get a new prescription? Now I didn't get a prescription.
Did he do any extra test? No, you didn't do
(32:01):
any extra tests. Well, then I guess it's sort of okay.
And and you know, the can, the can get kicks
down the road until they show up and you know
the dirty little secret, which you're well aware of. Most
of these people with fatty liver die have cardiovascular disease
and that's not you know, a good situation. So I
(32:22):
would say to let you share your heart disease wisdom
with the audience. Now, first, symptoms that that need to
not so much panic and hopefully nobody has to call
nine to one one during this program, But the symptoms
(32:43):
that they should really be familiar with. What what are they? How?
How would you list this off?
Speaker 3 (32:50):
I say that the single most important thing to be
aware of is that many people have the misconception that
when i'm my heart gets into try, I'm going to
feel chest pain. The vast majority of people that run
into difficulties with corner ritory disease or blockage don't describe
what they felt as pain, right, and many will sit
(33:13):
home thinking, well, it's not hurting, so that the sensation
is a discomfort or an awareness that something is badly amiss. Right,
You're unable to carry out activities that you should normally
do without being unduly fatigued or breathless, and you feel
(33:36):
an odd sensation that's uncomfortable beneath the sternum, the shoulders,
in the neck or the jaws. And if you're doing
something and you get the sensation that makes you want
to stop, and that sensation goes away, it's time to
call for help.
Speaker 1 (33:51):
Right, I would agree, Where would you throw in shortness
of breath with, you know, either walking or going upstairs,
carrying a suitcase at the airport, compared to that sort
of just general discomfort, Just hey, I'm just sure to
breath all of a sudden, and people will say I'm overweighted,
(34:11):
and you know, whatever the case may be, they make
up all kinds of excuses.
Speaker 3 (34:16):
Right, And that's where the daily physical activity is very
useful because what I ask I usually go through daily
activities with people to find out where their limitation is right.
And the point is, do you become breathless with activities
that you're normally capable of doing comfortably? And if the
answer is yes, it's time to find out why.
Speaker 1 (34:39):
Yeah. And a bigger part of this is really people
being in sync with their body understanding, Hey, in the past,
I've been able to do this, or I never had
these symptoms. Now it's very subtle, and there's that wake
up call to say, something is amiss. I need to
check in, right.
Speaker 3 (35:00):
Can't walk up that flight of stairs, you know. That's
that's one of the things that if you're not exercising,
if you're not engaging in physical activity, a lot of
times you don't get the warning until, like you were
pointing out earlier, you're way late in the.
Speaker 1 (35:15):
Game, exactly exactly. We don't like any of these nice
inning cases.
Speaker 3 (35:19):
All right.
Speaker 1 (35:19):
So in the last minute or so here, doctor Mike Wilson,
let's say that I've got the hotline after January to
the White House, and President Trump is on the line. JFK.
Junior is on the line, what do you tell them
with regard to make America healthy again.
Speaker 3 (35:38):
I'd say, let's let's put that emphasis on America's dietary
habits and the epidemic of obesity and getting everybody enough
time and engagement to get into some regular physical activity.
We are made for regular daily physical activity, and we're
(36:01):
also made really not to have a full three square
meals a day. Right, we need to limit our caloric
intake by limiting the process foods and about, and that
really needs to be the flag that we're waving.
Speaker 1 (36:16):
Absolutely, all right, Doctor Mike Wilson Euston MDS dot org. Mike,
it's always such a pleasure to have you on.
Speaker 3 (36:23):
Thank you, sir, thank you for having me.
Speaker 1 (36:25):
All right, good, we'll get you back on a lot
to talk about, all right, So everybody go to doctor
Jogalotti dot com sign for our newslet us stay in
touch with all that we do. And again, I would say,
for the end of this year and all of next year,
this make America Healthy again, I think is without a
doubt going to be a theme. So until then, you
(36:46):
all take care of yourselves. We'll see you.
Speaker 2 (36:49):
You've been listening to your health first with doctor Joe Galotti.
For more information on this program or the content of
this program, go to your health first dot com
Initialize sequence.
Speaker 2 (00:04):
Coming to you live from Houston, Texas, home to the
world's largest medical center.
Speaker 3 (00:08):
In the bunch of days. On the day we're leave Dremont.
Speaker 1 (00:13):
Island, right Coty.
Speaker 2 (00:19):
This is Your Health First, the most beneficial health program
on radio with doctor Joe Galotti.
Speaker 3 (00:26):
During the next.
Speaker 2 (00:26):
Hour you'll learn about health, wellness and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 1 (00:41):
Well, a good Sunday evening to everybody, doctor Joe Galotti.
If it's Sunday evening at seven pm Central time, of
course I want all of you listening to your Health First.
We hear every Sunday evening, and our single mind the
goal is to make you better consumers of healthcare, period,
(01:05):
end of story. That is our sole mission. We've been
on the air for twenty two years every Sunday, and
we'll be getting into some other items here a little
bit later in the program. But I always have looked
at the value of a program like this as educating
(01:28):
the public. We're not selling anything. We're not trying to
have you do anything out of the ordinary other than
arm you with information you could use to take care
of yourselves, yourself, your family, your best friends, your co workers,
your community. So that is what we're all about. Your
(01:51):
health first. Our website doctor Jogalotti dot com, Doctor Joegalotti
dot com. And I would say say, if you wanted
to find out about us, that is the place to go.
There's a link to Soner for our weekly newsletter, send
me a message. All of our social media is posted there,
(02:15):
doctor Joegalotti dot com. Now on the program tonight one
of my favorite experts, doctor Mike Wilson. He is a
cardiologist here in the Texas Medical Center. I actually think Mike,
and I'll have to ask him. I think Mike dabbled
in radio in college. That that fact sort of sits
(02:37):
in the back of my head. And so he's got
a great, great radio presence. He speaks clearly, he's knowledgeable,
and he's able to explain complicated things. That's what that's
what this program was all about. We don't want to
throw a bunch of doctor talk at you. Just keep
it simple and actionable things that we can share with
(02:58):
you tonight. You should be able to who put into
play immediately. So the election is over, my goodness, now
not getting into the politics. You love Trump, you don't
like them you voted for him, you didn't vote for him. Etc.
But one of the themes that came out of the campaign,
(03:24):
and it really was once RFK Junior joined in and
became part of the campaign, was this slogan of make
America healthy again, Make America healthy again. I would say,
as simple as that is. Now, some of you may
think it's a little bit corny. For years we've been
(03:48):
hearing make America great again, make America safe again, make
America prosperous again. Now we have make America healthy again.
But I do believe and serely that we have a
great opportunity to keep pushing this narrative forward because we
(04:12):
have to. We absolutely have to commit ourselves to making
America healthy because really there's a lot of unhealthiness that
I see every day that doctor Wilson sees every day,
all of my colleagues in the Texas Medical Center, doctors
across the country, and I'd say, sadly a lot have
(04:35):
thrown their arms up to say, yeah, everybody out there
is too damn unhealthy. I can't fix it myself, so
let's just kick the can down the road. But that's
not what we're going to do. So second, next segment.
After we get done here, I'll be giving a little
bit of an intro of what I think make America
(04:55):
healthy is, and then doctor Wilson will be joining me
just a little bit later on. But don't forget go
to doctor Joeglotti dot com. All right, So today I
went on a field trip with my wife. We went
to Trader Joe's. Now, I have always liked Trader Joe's
going to shop there. I think they have a good
(05:16):
selection of vegetables, fruit, some select items that we like
to get. But for some reason, it was sort of
at about twelve one o'clock today, the store was absolutely mobbed.
And I when it was that crowded, I had a
(05:37):
chance to sort of look at what other people were buying.
And I've said this before in the radio. I do
some of my best research at the grocery store. You
get to check out what everybody is buying. It's my
consumer research in a sense. And the most crowded aisle
was the processed food. Well, all of these frozen meals,
(06:04):
frozen pizza, frozen lasagna. And while Trader Joe's has this
sense that it is maybe a little better quality, it
is exactly the same it is a highly processed meal,
high in fat, sugar, and salt, and responsible for all
(06:29):
of the obesity and chronic disease that we're seeing now.
For me, when I go to Trader Joe's, the majority
of things that I buy were my family buys frozen fruit,
frozen vegetables. We buy some canned goods there that are
(06:50):
not very processed at all. We'll get some dairy products there.
But when you really really take a look, and it
really dawned on me and my wife today that there
are a lot of candy, sweets, chips, frozen dinners, And
(07:11):
again they're laid out from a marketing standpoint, very very
well with these end caps. The end caps are the
displays that aren't on the end of the aisle that
they want to lure you in and buy stuff that
you have no intention of buying, but your hand just
gravitates and pulls it in and you buy it. But
(07:35):
a lot of it is cheap, highly flavored foods that
you're tempted to buy. And when you go shopping to
a place like Trader Joe's or any supermarket, you have
to have a strategy. All Right, We're going to take
a break, Doctor Joe Galotti. This is your health First.
Stay tuned. We will be right back every Sunday between
(07:55):
seven and eight pm. I'm doctor Joe Galotti. You should
be tuned in your health first. And our website is
doctor Joegalotti dot com. Sign up for our newsletter. All
of our social media is there. You get send me
a message. This is a two way street, says contact us.
(08:19):
Pull it up, send me a message, hit send, I
get it, and we'll communicate back with you. Coming up
in just a short bit, doctor Mike Wilson will be
joining us a cardiologist here in the Texas Medical Center.
He and I are going to get a little bit
more in depth on this whole notion of make America
(08:44):
healthy again. And I firmly believe that for those of
us that are in healthcare, those of us that truly
want to prevent disease. See the missing link here is
in many cases, we're good at fixing stuff that's broken. Okay,
(09:09):
how do we seriously, in a big, big way, prevent
things your body from falling apart in us having to
patch it together with glue, band aids, tape, duct tape.
All right, we have the wrong mentality here, and so
(09:32):
by educating the public, having them understand what their risk
factors are. Early warning signs you get in early, okay,
and I you know, you know, we don't have a
check engine light on our body, but if we did,
a lot of people would be walking around with a
red light on their forehead saying that there's something wrong.
(09:56):
You need to go and get checked out. Now, with
this whole make America Healthy again idea, why is it
that we are so unhealthy? Why do we why do
we even have to talk about this? Well, there are
(10:17):
all kinds of I don't want to say theories, but
reasons why our population has become so unhealthy. Is it
just related to the food? Well, I do believe that
a large portion of the problems we're seeing are indeed
related to what we're eating or not eating. All right, now, again,
(10:41):
looking at Trader Joe's, and I like Trader Joe's, but
it was like a feeding frenzy in that frozen aisle.
People were going for all kinds of frozen crap and
that was their dinner. Monday, Tuesday, Wednesday, Thursday, Friday, and
Saturday and Sunday. They're going to a restaurant. They're not
(11:04):
cooking the fresh fruits and vegetables. It's not portion controlled,
it's not low in salt, it's not high in fiber.
So the food is an issue. The second thing is
lack of exercise. People are not walking around the way
they used to, especially in Houston or other big metropolitan cities.
(11:26):
We drive around everywhere. The thought of walking just doesn't
even cross our mind. When I travel to other cities
and you realize, A, the people are thin. B you
got to walk everywhere, and just being in a city
at a meeting, I'm putting on twelve thirteen thousand steps.
In Europe, forget about it. Everybody's walking everywhere. I do
(11:51):
think that stress, we are stressing ourselves out part of it.
There is a basis for it. Other would just worrying
about stuff that doesn't need to be worried about. And
we have basically taken our eye off the ball, meaning
we're not really paying attention to symptoms. Everybody I see
(12:16):
in not everybody should. That's a broad statement. A lot
of my patients they are chronically fatigued, and they are
accepting of it. They get home from work, they fall asleep.
I get some of my best work done after I
get home after twelve fourteen hours I come home, I
(12:37):
will still exercise even if it's in the early evening
because I have to to stay healthy. I don't want
to get chronically ill. And the bigger question, which I'll
get around to doctor Wilson, what do we have to
do to get back on track and how long will
it take? Now? With RFK Junior, and again he at
(13:03):
times has been controversial on some items. I think we're
going to have to really listen to if he's given
some sort of a platform in the administration, what does
he say. But when you look at the numbers, the
numbers are staggering as far as the amount of chronic disease.
If you look at the numbers for the CDC Centers
(13:25):
for Disease Control and Prevention, around one hundred and twenty
nine million Americans are living with at least one chronic
disease such as heart disease, cancer, diabetes, obesity, hypertension, or
fatty lever. Chronic conditions account for five of the top
ten leading causes of death. So this is not a
(13:47):
benign problem. Key thing, vast majority of these can be
prevented with lifestyle modification. Lifestyle choices which is what do
we eat, how much will we x, what time do
we go to bed, do we drink too much alcohol?
We're taking too many pills prescription or not prescription. And
(14:10):
these numbers over the past twenty years just continue to increase,
and so there's no no end in sight. These numbers
are going to continue. And my biggest concern, and if
you have children or grandchildren, here's the guilt trip. When
you see your grandchildren next time, you could look at
them and essentially say you are not going to live
(14:33):
as long as mom or dad because they're going to
be afflicted with chronic disease decades earlier. And the sad
thing is, so I practice live a disease. That is
my day job, if you want to say. And so,
(14:53):
we have fifteen, sixteen, seventeen year old kids I'll call
them kids coming in with abnormal liver chemistries. Their blood
work is abnormal, they have an ultrasound that shows a
fatty liver, and we investigate it further and we find
out that they are on the verge of developing soorrosis.
(15:19):
And he said, oh wait a second, doctor Galotti, cirrhosis
is only in alcoholics alcohol use disorder, well alcohol only
accounts for about forty nine percent of all the cirrhosis
we see. The other fifty percent or fifty one if
you're really listening, is due to things like hepatitis B,
hepatitis C, autoimmune disease. But fatty liver is a major
(15:44):
major cause of chronic liver disease. So now you've got
an eighteen year old that either is on the verge
of sorosis or does have cirrhosis, and it may be
too late to turn around. And this is unrelated to
alcohol or drug use. This is related to what you ate.
(16:05):
And now these people they graduate high school, they want
to get into the workforce, they want to go to college,
and they're chronically ill. They have a lot of symptoms,
they're on medications. Medications give you maybe side effects. You
have appointments with one doctor after another. So instead of
(16:29):
strategizing on your school work, your career, your occupation, the
skills that you're going to develop, you're spending time in
the office with me or doctor Wilson or any other
physician around the country on medicine's side effect. So it
is it. And look, I'm not here to paint a
(16:53):
bleak picture and have you all get depressed and tune
off the radio. Is that this is a wake up call,
to energize you to say, Okay, enough is enough. This
is the wake up call. And my sense is that
if what the administration does or can do, if it
(17:16):
is executed properly, make America healthy again, this could be
an amazing wake up call that can transform the United States.
And I do mean that now. I came across earlier
today a video on President Kennedy in nineteen sixty two,
(17:42):
and what I'll do. I'll probably post it, but it
may take time to get posted up. But one of
the things he said, a country is as strong as
its citizens. And I think that mental and physical vigor
go hand in hand. So back in nineteen sixty two,
when we didn't have have these problems, he nailed it.
(18:02):
A strong and healthy citizenship means a strong, healthy country.
We'll leave it at that. Doctor Mike Wilson is coming
up after news, weather and traffic. I'm doctor Joe Glotti.
Stay tuned, we will be right back. Welcome back, everybody,
Doctor Joe Galotti. And tomorrow you should all know this.
It is Veterans Day and we'd like to say thank
(18:31):
you to all of the veterans that have served to
make our country great. And you know, it's funny. My
father was a World War Two veteran and actually in
a couple of weeks he's he died a couple of
years ago, but he's going to be celebrating in heaven.
I guess his one hundredth birthday, and all the years
(18:56):
that it would be Veterans Day or fourth of July,
i'd play this patriarch music and he would get such
a kick out of it, as do I. We're all
kids at heart. But thank you again to all of
our veterans, and our hats off to you, and thank
you for your service that we so preciously need. All right, well,
(19:21):
doctor Joeglotti dot com is our website. Let us get
doctor Mike Wilson on the line. Mike, carry you tonight.
Speaker 3 (19:30):
Wonderful. Thanks for having me.
Speaker 1 (19:32):
Oh absolutely. Now, at the beginning of the program, I
don't know if you heard this, but I had thought
years ago you had said that in college you dabbled
in college radio. Is that true?
Speaker 3 (19:44):
Well, yeah, it was a little I was a little
bit younger, but yes, I was a disc jockey for
a country music station. How old?
Speaker 1 (19:52):
How old were you at that time?
Speaker 3 (19:54):
I was from the time I was fifteen until I
was eighteen?
Speaker 1 (19:58):
Wow, Like, did you have an on air handle or
name or did you just go as Mike? This is
Mike Wilson on the air.
Speaker 3 (20:07):
I've mostly stayed nameless. They kept a pretty firm handle
on me.
Speaker 1 (20:13):
All right, Well, we love having you on. You always
do such a great job. And you know, for those
for those that are new to the program or old
to the program, I love to tune in every Sunday evening.
The whole goal here is to have experts and guests
that I bring on that can speak common sense, common language.
(20:35):
And I'd have to think that, Mike, you're one of
the best we have. So thank you for coming on.
Speaker 3 (20:42):
Oh well, I appreciate it.
Speaker 1 (20:43):
So, uh, make America healthy again. Now we'll get into
the heart disease part and you know where you get
your hands dirty. But what is your take on this?
We could call it a slogan, but I really would
like to think that we do have an opportunity to
(21:06):
raise awareness to make the country healthy. What what is
your take with all of the years and all that
you've seen, explain to us where you know really what
you're thinking.
Speaker 3 (21:20):
I think you really hit the nail on the head
with your opening segment and discussing much of what you
found in Trader Joe's. And as you said, you find
a lot of material for your show by walking through
the grocery store.
Speaker 1 (21:35):
Absolutely.
Speaker 3 (21:37):
A few years ago, I worked briefly with a guy
who did some studies with adolescents and with long term
health with the Bogaloosa Heart Study in South Louisiana, and
one of their discoveries that was, if you'll pardon the pun,
very disheartening, was that our trend towards ill health actually
(22:00):
begins when you're twelve, thirteen, fourteen years old. That excess
body weights started then, and the habits started then. Even
high blood pressure, not the kind you and I treat,
but high for that age range, was already appearing in adolescence. Right.
And what we need to get back to is the
(22:24):
education and giving a good example to our children. Eating right, exercising,
doing the very simple things right pay off in a
long term.
Speaker 1 (22:37):
Right now, my goal here is not to make this
a political statement. As I was saying earlier, it's make
America great again, make America safe again, make America healthy again.
But if you could, just like off the off the
top of your head here, give a grade from A
(23:00):
to F on the general state of health of our country.
Now again, we're a little bit skewed. We're in the
Texas Medical Center. We tend to see the sick of
the sick, and so you know, we don't see really
healthy people. But you're gestaled on this. Where do you
think we're really at?
Speaker 3 (23:23):
You know, I would put us at about a C minus.
Speaker 1 (23:27):
Okay, that's what I would say.
Speaker 3 (23:30):
You know, there is there are the acquired illnesses that
nature has waiting out there for us. And there are
a lot of places on Earth that are suffering or
great deal from those type of illnesses, from malnutrition, malaria,
all kinds of awful illnesses. They're in a much worse way.
Where we're suffering is really from the opposite, from excess and.
Speaker 1 (23:58):
Sloth, right, sloppy. I mean, it's the truth.
Speaker 3 (24:03):
And we're going to we're living healthy through many of
our productive years, but where we're going to pay the
price is in longevity.
Speaker 1 (24:13):
Yeah. And you know, you know the type of patients
you see in the cardiovascular realm are very similar to
the ones that I see on the liver front, and
my patients when I see them, some of them or
many of them are later fifties, early sixties, and retirement
(24:35):
is sort of just around the corner. They're starting to
project what they want to do, and it is everything
from just you know, go fishing every afternoon, to travel
with their grandchildren or pick up a new hobby. And
I have to look at them and say, you know
(24:56):
you're here with me now because you have a serious,
potentially life threatening disease that may, if it does not
kill you prematurely, you're going to be severely disabled in
a sense. And what do you see and how do
you articulate that to everybody tonight on the radio.
Speaker 3 (25:17):
Yeah, you're absolutely right. And what I'm seeing more and
more of, along with the excess body weight obesity, is
a type of heart disease that I think the best
term for it is called failed aging. It is a
heart that has gone through life without being challenged, without
(25:42):
being exercised, without being work and it's then adapted to
its workload so that as age comes or as other
illness comes, the heart can't really help and becomes an impediment.
So many people develop a form of heart disease that
we're labeling heart failure that is severely limiting and very
(26:02):
difficult to treat and not something that you can really
undo later.
Speaker 1 (26:07):
Right, And it really is, in a sense a disease
of neglect, people not checking in on things until the hubcaps,
the wheels start falling off, and then you say, oh gee,
I have to go see doctor Wilson now, right, Yeah,
all right, Well what we're gonna do, Mike, We're going
to take a quick break. I'm with doctor Mike Wilson.
(26:32):
For those that want to learn more about doctor Wilson
in his practice. Euston MDS dot org is the website.
I'm doctor Joeglotti. Stay tuned. Final segment coming up in
a minute final segment of this week's Your Health First,
Doctor Joe Galotti our website Doctor Joglotti dot com. We
(26:52):
are talking about make America healthy again, and I think
we've got a lot of work to do. Him on
with doctor Mike Wilson. Mike, you know a lot of
doctors by yeah, I don't want to say by experience,
they they tend to be a bit a political. I
(27:14):
don't think I saw anybody around the hospital wearing a
button on any candidate which way or the other. But
you know, I I you know, after uh Donald Trump
won with such huge margins the other day, I really
started to think about this to say, if there is
(27:36):
the quote unquote mandate that you know, maybe this little
little piece of the puzzle here could get pushed through
and and pick up some steam. What what do you think?
Speaker 3 (27:50):
I sure, I certainly hope. So it's it's uh uh
many many initiatives like this, uh false for just a
variety of reasons. But I don't know if you remember
so many years ago when the government decided they were
going to try to help us out with our diet,
(28:10):
and they came up with this whole food group business.
Many of the nutritionists when you mentioned that, their hair
stands straight up right. But the initiative has stuck around.
It had a great deal of impact. And if the
initiative has no more impact, then to get people to
(28:34):
pay a little closer attention to their diet like you
were talking about with processed foods, and to get out
and take a walk for twenty minutes every day, it's
going to have a big impact.
Speaker 1 (28:46):
No, for sure. And you know what I see every
day and I'm sure you and many of our colleagues
in the medical center see this and other big centers
around the country. We get patients that are late. Now,
I look at that as a symptom. You have to
look upstream to say, how how is it that somebody
(29:10):
was referred late? They they're late, They're late to the game. Okay,
they're showing up in the bottom of the ninth instead
of showing up in the first or second inning. And
is it a problem with the system? Is it a
problem with their primary care physician ors whoever is taking
care of them, or is it a is the responsibility
(29:33):
on the individual to say, look, man, you've got to
take some responsibility. You're not feeling good, You're short of breath,
you've got chest pain, you have palpitations. Why are you
waiting till it's critical? And you have to call nine
to one one? And you know when you're taking a
history and you're like, oh, yeah, you know, I've had
these palpitations for years. What do you see in your
(29:55):
real world, everyday practice.
Speaker 3 (30:01):
It's a fantastic question. And I think a major part
of the problem is some of these things are so
difficult to tease out from some of the common symptoms
that you and I feel every day, and especially in
someone who's very overweight or obese, it is exceptionally difficult
(30:24):
to determine whether part of the limitation is simply the
excess body weight, or whether the excess body weight has
started to turn into a disease state with formed heart
failure or with the liver with a fatty liver. That
on us is going to be on the patient and
(30:45):
doing the simple things and maintaining your health and maintaining
your body weight. But where we go on the other
side is the screening tools that we really need to
have interness and general practitioners aware of. With with a heart,
we can tell a great deal by echo. Now that's
almost as good, if not better sometimes than hard caathorization, okay,
(31:08):
or or as you're as you're saying so much of now,
I think liver disease has just skyrocketed, right, and ultrasound
there can be extraordinarily.
Speaker 1 (31:19):
Useful exactly, And you know, I think, uh, you're you're
on our speed dial. Where we see patients that come
in with abnormal liver chemistries, their lab work is abnormal,
they've been told they have fanny liver and nobody really
raises it to any concern to you know, sit them
(31:40):
down to say, look, if we do not address this
in the next few years, you could be in much
more serious state. And when they don't hear that, they
go home to their family and they say, well, but
the doctor say, well, it's not that bad. Did you
get a new prescription? Now I didn't get a prescription.
Did he do any extra test? No, you didn't do
(32:01):
any extra tests. Well, then I guess it's sort of okay.
And and you know, the can, the can get kicks
down the road until they show up and you know
the dirty little secret, which you're well aware of. Most
of these people with fatty liver die have cardiovascular disease
and that's not you know, a good situation. So I
(32:22):
would say to let you share your heart disease wisdom
with the audience. Now, first, symptoms that that need to
not so much panic and hopefully nobody has to call
nine to one one during this program, But the symptoms
(32:43):
that they should really be familiar with. What what are they? How?
How would you list this off?
Speaker 3 (32:50):
I say that the single most important thing to be
aware of is that many people have the misconception that
when i'm my heart gets into try, I'm going to
feel chest pain. The vast majority of people that run
into difficulties with corner ritory disease or blockage don't describe
what they felt as pain, right, and many will sit
(33:13):
home thinking, well, it's not hurting, so that the sensation
is a discomfort or an awareness that something is badly amiss. Right,
You're unable to carry out activities that you should normally
do without being unduly fatigued or breathless, and you feel
(33:36):
an odd sensation that's uncomfortable beneath the sternum, the shoulders,
in the neck or the jaws. And if you're doing
something and you get the sensation that makes you want
to stop, and that sensation goes away, it's time to
call for help.
Speaker 1 (33:51):
Right, I would agree, Where would you throw in shortness
of breath with, you know, either walking or going upstairs,
carrying a suitcase at the airport, compared to that sort
of just general discomfort, Just hey, I'm just sure to
breath all of a sudden, and people will say I'm overweighted,
(34:11):
and you know, whatever the case may be, they make
up all kinds of excuses.
Speaker 3 (34:16):
Right, And that's where the daily physical activity is very
useful because what I ask I usually go through daily
activities with people to find out where their limitation is right.
And the point is, do you become breathless with activities
that you're normally capable of doing comfortably? And if the
answer is yes, it's time to find out why.
Speaker 1 (34:39):
Yeah. And a bigger part of this is really people
being in sync with their body understanding, Hey, in the past,
I've been able to do this, or I never had
these symptoms. Now it's very subtle, and there's that wake
up call to say, something is amiss. I need to
check in, right.
Speaker 3 (35:00):
Can't walk up that flight of stairs, you know. That's
that's one of the things that if you're not exercising,
if you're not engaging in physical activity, a lot of
times you don't get the warning until, like you were
pointing out earlier, you're way late in the.
Speaker 1 (35:15):
Game, exactly exactly. We don't like any of these nice
inning cases.
Speaker 3 (35:19):
All right.
Speaker 1 (35:19):
So in the last minute or so here, doctor Mike Wilson,
let's say that I've got the hotline after January to
the White House, and President Trump is on the line. JFK.
Junior is on the line, what do you tell them
with regard to make America healthy again.
Speaker 3 (35:38):
I'd say, let's let's put that emphasis on America's dietary
habits and the epidemic of obesity and getting everybody enough
time and engagement to get into some regular physical activity.
We are made for regular daily physical activity, and we're
(36:01):
also made really not to have a full three square
meals a day. Right, we need to limit our caloric
intake by limiting the process foods and about, and that
really needs to be the flag that we're waving.
Speaker 1 (36:16):
Absolutely, all right, Doctor Mike Wilson Euston MDS dot org. Mike,
it's always such a pleasure to have you on.
Speaker 3 (36:23):
Thank you, sir, thank you for having me.
Speaker 1 (36:25):
All right, good, we'll get you back on a lot
to talk about, all right, So everybody go to doctor
Jogalotti dot com sign for our newslet us stay in
touch with all that we do. And again, I would say,
for the end of this year and all of next year,
this make America Healthy again, I think is without a
doubt going to be a theme. So until then, you
(36:46):
all take care of yourselves. We'll see you.
Speaker 2 (36:49):
You've been listening to your health first with doctor Joe Galotti.
For more information on this program or the content of
this program, go to your health first dot com
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