June 7, 2026 • 41 mins
Dr. Galati starts with a story about the mush he had at Starbucks on Friday. He discusses the different things you can eat to get protein. Dr. Mazen Noureddin joins the show to share his perspective on the big problems associated with fatty liver disease. Dr. Galati also explains how if you have your health, you have everything.
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Speaker 1 (00:01):
Initial life Sequences coming to you live from Houston, Texas,
home to the world's largest medical center, Approach bays everything
looking at. This is your Health First, the most beneficial
(00:22):
health program on radio with doctor Joe Gillotti. During the
next hour, you'll learn about health, wellness and the provention
of disease. Now here's your host, doctor Joe Bellotti. Well
a good Sunday evening to each and every one of you.
(00:49):
I'm doctor Joe Galotti. Every Sunday, we're here between the
hour of seven and eight pm Central Time, broadcasting from
our world headquarters here in Houston, Texas, the great radio
station seven forty KRH.
Speaker 2 (01:09):
And.
Speaker 1 (01:10):
Streaming all around the world on the iHeart app iHeartRadio Network.
I like to call it, but we're here providing you
with the service to make you better consumers of healthcare,
keep you out of the doctor's office unless it's your
annual visit or your twice annual visit check up. But
(01:36):
really the goal is to try to eliminate or limit
chronic disease, and we talk about it just about every
Sunday night or anytime I am speaking to the public.
You should all, really, I think you should have this
on your refrigerator, and it says, our FA family is
(02:00):
going to fight, Fight, Fight, fight chronic disease, obesity, hypertension,
high blood pressure, diabetes, high cholesterol, kidney disease, lung disease,
liver disease. And so if you could just have that
(02:25):
on your fridge. So when you your loved ones, your family,
your kids, you wake up and you say uh huh
to everybody together here, we're going to fight chronic disease,
because that's really what's killing us. Yes, people get stricken
with bad cancer out of nowhere. People getting car accidents,
(02:51):
they drowned, they're electrocuted, they choke, get hit by a train.
That happens. But the vast majority of the disease we
see in the clinics in the hospitals is chronic disease,
some manifestation of a chronic disease. So public enemy number
(03:14):
one needs to be chronic disease. Think about it all right.
Our website doctor Joe Galotti dot com, d R J
O E G A L A t I dot com
sign for our newsletter, all of our social media is
posted there to follow us. A long follow sign of
(03:35):
for my newsletter goes out every weekend. But you have
to go to doctor Joeglotti dot com sign up. All right,
So let's to talk about this weekend. I was at
Starbucks on Friday, had a super early morning, left the
house early, and did not have my usual breakfast routine,
(04:02):
which ninety percent of the time is going to be oatmeal.
So I pulled into one of the Starbucks in the
Texas Medical Center area and I got my coffee. I
just drink plain coffee. I don't get all the lattes
(04:25):
and cappuccinos and all this other stuff. Plain coffee, splash
a cream, that's it. But I was sitting there saying,
I'm a little hungry. Wasn't angry, just a little hungry.
So I made an impulsive buy. Now I would say,
(04:47):
if I'm going to have breakfast at Starbucks, it's going
to be their oatmeal. It's pretty basic. It's unprocessed. They
make it with water. I guess you can make it
with steam milk. I have it with water. It comes
with a little pack of nuts, little agave syrup to
(05:09):
sweeten it up. You can pay an extra buck and
get some blueberries. I splurge, but I didn't do that
on Friday. I'm staring at the refrigerator counter refrigerator case
and I see this stuff mush. Literally it's called mush
(05:29):
chocolate peanut butter protein overnight oats. And I said, you know,
it's six point fifteen in the morning, it's Friday, I've
had a long week. I deserve a cup of mush,
and so I got it. Now, I did look at
(05:50):
the label before I bought it. Now the deal here,
and I didn't realize, I've never heard of this. There's
a whole mush line of these breakfast overnight oat things.
So this was the peanut butter protein version. And so
(06:13):
it's two hundred and ninety calories, ten grams of fat,
no cholesterol, sodium to eighty two hundred and eighty milligrams
of sodium. It's got forty grams of carb that might
be coming from the nuts end or the oatmeal that's
(06:34):
in there, and it's got fifteen grams of protein. So
I made the consumer decision that you know what, this
is not going to be the worst thing I eat.
It's Friday, I'll be swimming, i'll be exercising. I can
do it along with my coffee. So I would say
(06:56):
in a in a pinch, not that you're going to
buy this mush stuff every single day. If you want
it as a treat, I'd say go ahead and get
it all right now. When it comes to breakfast, and
I'm a big observer, I'll be at Starbucks, and sometimes,
(07:18):
depending on the time of the day, if it's a workday,
I will grab my coffee, maybe my oatmeal, and I'll
just sit in a corner and answer emails at six fifteen,
six thirty in the morning before the day starts, and
I just am observing what people are ordering and walking
out with. And there is some bad stuff at Starbucks. Okay,
(07:45):
I'm there nine times out of ten in the morning,
and so at Starbucks this mush product not bad. If
it's on an occasion. They do sell plain yogurt. It's
jacked up in price a fair amount, but it's a
(08:06):
plain sigis you're familiar with that Siggi's yogurt's plane. Usually
it's vanilla flavored. They have these various parfas there. I
try to stay away from the parfase there's just too
much sugar, twenty five grams of sugar in these things.
But the worst, the worst thing you could get at Starbucks.
(08:30):
From a breakfast standpoint, from a meal, is the double
smoked bacon, cheddar and egg sandwich a whopping five hundred calories,
twenty eight grams of fat, nine hundred and twenty milligrams
of sodium. For many out there, that's almost half the
amount of sodium for the day that you're going to
wolf down in three minutes. And you're getting a boatload
(08:54):
of salt. There's really no fiber. Well, you wouldn't expect
it to have fiber. Twenty two grams of pro and
forty two grams of carb. This is something you would
want to stay away with away from now. Again, I
see my patience and many of you that this is
your steady go to. You get a coffee and you
(09:16):
get one of these double smoked bacon cheddar egg sandwiches.
A steady dose of this is not going to be good.
So it's convenient. It's right around the block from work,
maybe it's in your building, whatever the case may be.
But I think you have to proceed with caution in
(09:36):
buying these kinds of sandwiches. Are they tasty? Absolutely, There's
a ton of salt in fat. That's what's going to
make it super tasty, but is it good for you
if you are harboring chronic disease? Now, if you have it,
I don't know what the minimum should be or the maximum.
(09:58):
Once a month, twice a mon out you treat yourself. Okay, fine,
A steady dose of this is what is going to
make you sick. Now. The other other thing that I've
talked about before are the drinks that you get. And
here again it's six seven eight in the morning and
(10:19):
people are buying it. Really is dessert in a glass.
So for a mere four hundred and seventy calories which
you're drinking, you're drinking your calories caramel ribbon, crunch, frappuccino,
blended breakfast. Now, this is just the grande, that's just
(10:43):
a medium sized. The vente, the supersized is almost six
hundred calories, and nutritionally this is bad. So five hundred
and seventy calories, twenty four grams of fat, seventy five
(11:04):
milligrams of cholesterol, sodium three point eighty cholesterol eighty four,
a little bit of protein, and caffeine. But it's the
calories that going to just jack up your blood sugar.
Your insulin is going to be screaming in your body.
So here again, I'm not saying never go out to
(11:26):
Starbucks or any of your other favorite coffee shops. I'm
thinking you have to take personal inventory to say, I
am dealing with a chronic disease. I have high blood pressure,
I have diabetes or pre diabetes. I have a cholesterol issue.
I'm on a statin, I'm on a blood pressure medicine,
(11:48):
I'm on a weight loss drug, I'm on a diabetes drug.
And you're having these drinks on somewhat of a regular basis.
A lot of the times I see pep, especially in
the med center, but this is just where I sort
of live. Two in the afternoon, some some staff member draws,
(12:09):
you know, short straw and they go down and they
will take an order for five, six, seven, eight people,
and they got a wagon full of these drinks, calories
out the wazoo. It just it just, you know, really
is not good for us. It's chronic disease. You just
(12:34):
have to be aware, all right, Doctor Joe Galotti, always
awesome being here Sunday evening with all of you. Doctor
Joegalotti dot Com is our website. Don't forget when you
go to the website, you can actually take a look
at our podcast, which is typically a replay repackaged segments
(12:58):
of the program Something to listen to Raising Your Health IQ.
Stay tuned. We're Bret back. Well, you're back, everybody. Doctor
Joe Goltti, thanks for spending part of your Sunday and
(13:18):
part of your weekend with all of us. Doctor Joglotti
dot com is the website to check out. Sign a
for our newsletter, podcast, YouTube videos, TikTok, Yes, TikTok. All right,
(13:39):
we were chatting about breakfast and in the midst of
all this, somebody sent me a text and said, you're
talking about all the bad stuff. What's a good thing
to eat for breakfast? And again, talking with my patients
(14:04):
that I absolutely adore, we'll be talking about, in no
particular order, getting more protein into your diet. And they
nod their head and they have the general sense that, yeah,
maybe getting protein, as we're getting a little bit older,
getting protein in your diet is a good thing. But
(14:27):
they will say, can I only get protein by eating
a steak? That seems as if from a knowledge standpoint,
having a piece of a t bone steak is the
(14:52):
surefire way to get protein. Or chicken. Gotta have my protein,
Gotta eat chicken, got to eat steak. They don't really
even think that seafood has protein or it is a
source of protein. So there are there are these knowledge
(15:12):
gaps that people have. And so if you're tuning in
tonight for the first time, you say, doctor Joe Glotti,
what are you talking about protein? Of course everybody knows
way to get protein. Well, I would say, I differ.
I interview and I speak to people all day long.
(15:32):
I listen to them as I'm interviewing them. I'm really
not in a bad way. I'm quizzing them. I'll ask
them what sources of protein are you have? And they're like, well,
you know, I just eat steak. Well, steak is really
not the best thing for you. Now, the beef farmers
(15:56):
may send me a nasty gram, but I would think
if you look at your risk of cardiovascular disease, your
risk of cancer. The American Cancer Society several years ago
came out and said, if you want to reduce your
risk of colorectal cancer, you should severely limit or eliminate
(16:21):
red meat. This is not stuff I'm making up. This
is American Cancer Society from a cardiologic cardiovascular standpoint. Yes,
red meat is going to have more fat, increase risk
of carnary artery disease. Okay, what else you eat for breakfast? Okay? Oatmeal?
(16:46):
Now I'm a big I have oatmeal the majority of mornings.
It's unprocessed. This fiber, plenty of newt. It's going to
support my gut, bacteria, the microbiome. I will add cut
(17:08):
up smashed nuts, getting more protein and fiber nutrients. I'll
add fruit to it, typically blueberry, strawberries, raspberries. I'll cut
up an apple, maybe a part of a banana. I'll
put chia seeds in it. More protein, more fiber, feeding
(17:30):
my gut, keeping it healthy. A healthy gut reduces inflammation.
Cut down on inflammation, you cut down on chronic disease.
The other thing I do a lot is I will
eat plain greek yogurt again, no flavoring, unprocessed, same thing.
(17:55):
I'll add chia seeds, I'll lead nuts. I'll eat a
lad berries. I may add half teaspoon of honey just
to sweeten it up. Nothing wrong with that. I'm getting
plenty of nutrients, fiber, calcium. The other would be eggs
(18:16):
now again the controversy with eggs and cholesterol, I think
that is going away. But eggs are a good source
of protein. A couple scrambled eggs, I'll throw some egg
whites in, throw some peppers, onions, tomatoes. I don't need
to add cheese to have this really cheesy omelet. But
(18:38):
those are basically the three or four things that I eat.
And again we've said this before. Researchers have shown that
people that eat the same thing day after day after
day after day tend to have better nutrition, and they
tend to have better control of their weight. Instead of
(18:59):
experience menting. It's it's a you know, uh, breakfast burrito
one day, and it's a it's a sausage sandwich another day.
And I'll throw in yogurt one day, and I'll have
a smoothie another. It just makes it too complicated. Keep
it simple, Keep it simple. That really, I think it's
(19:22):
a message, right doctor Joglotti dot com. This is your
health first, and that's exactly what we are trying to do.
Putting your health first, news, traffic, weather. Maybe we'll find
out what the astros are doing tonight. I'll right back,
all right, everybody, Welcome back, doctor Joe Jolotti your health First.
(19:44):
We hear me Sunday between seven and eight pm. And
as I was saying early on the program, doctor Mazen
Neurdine a really an expert liver specialist, a hepatologist, especially
in the world of clinical research and fatty liver disease.
We're lucky that he's a colleague of mine. He is
(20:04):
a friend of mine and a co collaborator. I could say, Mazen,
if that's if that's accurate.
Speaker 2 (20:11):
Indeed, an honored and privilege to be so to be
your friend, chair.
Speaker 1 (20:15):
Well, I'm really happy for that. Right here in Houston, Texas,
the world's greatest medical center. So you know, one one
disease that I talk a lot about on the radio
and certainly with my patients, and you of course talk
worldwide on fatty livid disease is fatty livid disease. And
(20:36):
for everybody listening tonight, give your perspective on just how
big of a problem fatty liver disease is not only
in the United States, but on a global perspective.
Speaker 2 (20:49):
Yeah, it's actually much bigger than people think of. And
the reason why it's an asymptomatic disease. So You've talked
to your show multiple times about day this disease as
well as the pandemic of type two diabetes and obesity,
and about sixty percent of type two diabetics have faty
liver and the OBEs people more than that, but on
(21:11):
average you end up with thirty percent in the US
and more in South America and the Middle East, up
to forty percent with fatty liver disease in Texas. Actually,
we have studies that showld it's about forty percent of
people they have faty liver disease. Now, now not all
of them is a problem because it started with just
(21:33):
faten deliver. But over time, if you get that inflammation,
then what I call the inflammation gas on fire. Believe
the scouting of deliver and eventually services that we both
see a lot of patients with devastating complications.
Speaker 1 (21:47):
Yeah, now, with the large percentage and numbers have ranged
eighty to one hundred million, which is about a third
of America has fatty liver, why don't you think the
public is more in two and with this health threat.
There's all kinds of things that people are worried about,
but fatty liver is almost tucked under the rug.
Speaker 2 (22:07):
What's your take. Yeah, multiple factors, Joe. I mean, a
lot of people are worried about the heart because to
heart attack, understandably so. A lot of people are worried
about the sea word cancer understandable, understandably so. But when
it comes to fatty liver, people think that cerusis can
(22:28):
come from alcohol usually and there are no other causes,
and if they don't drink, they're fine. But actually the
most common cause of liver disease is faty liver without drinking,
and it's just associated with type two diabetes and or
being overweight and all that. Two it's asymptomatic, so people
(22:50):
don't focus on it. Three. A lot of primary care
and indochronologists we're not quite aware of it until we
started exploring it in the last twenty years or so.
And importantly, there were no medications for it, and so
people did not do anything other than weight loss and exercise,
which a lot of people failed to do and which
(23:12):
led to services. But now things have changed, you know,
we have treatment, we have others coming, so the world
has changed, and we need to make sure people are
screened for it, right or it's screened for it.
Speaker 1 (23:25):
Yeah, that's the key thing. And you know you mentioned
heart disease, cancer, you could add in there all the
concerns about diabetes, mental health issues. And you know, I
like to say that the liver does not have a
very good pr company behind it. It's not really advertised
as a sexy disease or sexy organ. I know you're
(23:49):
working hard, we're working hard together on this, but what
do you think people need to know about the liver
and why we need to elevate it's relative importance higher
than what it is now.
Speaker 2 (24:05):
Yeah, I mean, the liver is the the factory that
do a lot of things, right, It's uh, you cannot
live without a healthy liver. It mutabolized, drug, mutabilize multiple
other things, stock sins, it makes sugar, burns sugar, a
(24:26):
lot of really cool things. And there's only one liver
and kidney. People, you don't go on on the analysis,
but the liver, if it gets sick, you you really
need to you really need to deliver, transplant if it's
too sick. So liver is not painful, so people don't
feel pain usually, so they don't pay attention to the symptoms.
(24:48):
And unfortunately, if it gets ignored, like the seriousness does
not present until lately when people have like the yellow eyes,
the gundice, the fluid, and the app which is what
we call assiety. So I mean, you and I were
talking this week about how unfortunately a lot of people
(25:10):
showing in our office being told, hey, I had this
for many, many years and no one did anything about it,
and now doctor Golotti or myself, can you help me.
I'm like, well, it's it's quite late. It's it's quite
late over all to reverse it. But the only option
we have for a strip of transport, which we do well.
But you really don't want to get to that level.
Speaker 1 (25:32):
Yeah, you know, I've always yeah, I've always said that
for many cases, not all cases, but getting to the
point of liver transplantation is almost a failure of intervention early,
and you know we don't want to wait for that,
you know, really end stage. A lot of these things
we can intervene early. Now, you've been mentioning certain risk
(25:53):
factors obesity and diabetes, but outline for everybody the list
of risk factors that put you at risk for having
a fatty liver.
Speaker 2 (26:05):
Yeah, so fatty liver can be divided in general, you
get faty liver from alcohol or you get it from
non alcohol causes. So the alcohol, I'm gonna leave it
a little bit on the side because that's a different
topic for a different day. People should not drink heavily,
and what's considered a right amount of alcohol or the
maximum acceptable amount is seven drinks for a woman a
(26:29):
week and fourteen fourteen drink for a man a week. Now,
there are a lot of data arguing this is actually
even like a lot. Now they are data arguing drinking
even very little can affect your liver. So moving to
the other side, which is where when people are like,
I really don't drink, Doc, yeah, but you still can
get a liver disease. And there is factors are the
(26:50):
following Tie two diabetes is one of the elephants in
the room, followed by others such as obesity high, the
slipid out which is high, abnormal pit panel cholesterol and
all this so hypertension and in general insulin resistant. Now,
if you have type two diabetes or two other risk factors,
(27:14):
it's mandated for the primary care to be asking for screening.
There are other risk factors that are not as noticed,
but for instance, family history of CIRRUSS from fably liver
pcos policystic overy syndrome, and some thyroidshes as well. But
the big three is well a lot of people have
(27:37):
the type two diabetes, obesity, high coaster and high blood pressure.
Speaker 1 (27:40):
Yeah. So now the challenge is you've you've put this
out there and there are people sitting listening to this
and they say, you know what, I am overweight and
I've been told I have just you know, sort of
a touch of diabet is not quite sure, and they
have high blood pressure. But my doctor has not said anything.
(28:03):
So I like my doctor and I try to follow instructions,
but you know, as we both know, that may not
be enough. So how do you encourage those listening tonight
today to take somewhat of a bold move and stand
(28:24):
up for themselves and communicate back with their doctor their
treatment team to say, I really believe I need to
be screened or tested further? What advice do you give?
All right, if.
Speaker 2 (28:40):
Everyone is ready, either grab a paper or pen or
your phone iPhone. It's actually easy. I want to Joe,
you have been advocating for this for some time now,
and many other hepectologists. It's I want you to go
to Google and look at something called FIP four. If
I be four, and you can do even flip for
(29:02):
calculator and there will be four things being pulled out
your age, your livery numbers, ALT, and a SD and
your plate it which is a blood test number, and
you can plug in the numbers and actually will tell
you what's going on. Any number more than one point
three you will need further attention and further testing. So
(29:27):
the one point three and above not less is one
point three, You're fine. And you can repeat that on
early basis if you have these risk factors and simply
you can just go to your doctor. And I just
saw a patient earlier and they're pulling the labs on
their their iPhone now, So you can just plug it
(29:48):
in and ask and you can tell your doctor. I've
heard this these liver experts on the radio and Doctor
Galotti show, and my FIOT four is high, doc, and
can you can you refer me? So I wish we
could have a billboard saying, look at your liver if
you you have type two diabetes or these stress factors,
(30:10):
know your FIT four score.
Speaker 1 (30:11):
Yeah.
Speaker 2 (30:12):
So the project for Texas.
Speaker 1 (30:14):
Yeah, no, it really is. And I believe that one
of the things we try to do is for people
to know their lambs, to know that, you know, when
we talk to patients. And I would say patients are
getting a lot better because they have access on their
phone and patient portals and et cetera. But to really
(30:35):
know your liver numbers and have access to be able
to pull these numbers into the calculator. All right, Final
segment of this week's Your Health First Coming up. I'm
doctor Joe Glotti. Don't forget doctor Joegalotti dot com. We're
talking with doctor masen Neurindean, a worlds expert on patty
LIBT disease. Stay tuned. Final segment coming up. Welcome back, everybody,
(30:59):
Do you tu? Soglatti? Final segment on this post Thanksgiving
Sunday night. I want to thank doctor Adeeb Dowarry for
coming on. He made a lot of sense in his
approach to GI disorders, colon cancer screening, and the bottom
(31:24):
line for all of this is you have to be
in tune with your your body. That's what it comes
down to. We don't have gauges and other flashing lights
that will go off if something is wrong. You basically
(31:48):
have to take the responsibility to say or have a
sense of what normal is. You should not be having
chronic abdominal pain every day and things that this is
part of being fifty, or having chronic diarrhea or chronic
nausea or a little bit of blood in the stool
(32:11):
because you know I've got hemorrhoids. Well, I can't tell
you how many cases of alleged hemorrhoids I've seen over
the past thirty five years that have turned out to
be anything but a hemorrhoid. And people sit on this
too long, and so you have to really be careful
to get more information on doctor Dowary and his really
(32:33):
fantastic team, which I fully endorse knowing him well. And
it's both you know, the person, the physician that is
ethical as well as his mission. Contact him. It's hrgastro
dot com, hr gastro dot com to get in touch
(32:55):
with doctor Dowary and his team. All right, So final,
final few minutes here. So it is the holiday season
and it is stressful. It should be full of love,
(33:15):
faith and family, but sometimes we all get a little
derailed and lose sight of what we're doing here. But
with regard to your health and wellness, which I would
I would say and it's so so trite. Everybody has
heard this. If you have your health, you have everything.
(33:41):
And that is true because when for someone like me,
I deal with very, very sick patients with livid disease,
and when you are chronically ill, you're not able to work,
You're not able to take care of yourself fully. You're
always visiting the doctor. You have a handful of medicines
(34:03):
you're on that is giving you side effects in one
of one hundred different ways. You don't have energy, you're fatigued,
your mood goes down, you don't enjoy life, you can't
enjoy your family. You can enjoy your grandkids. And so
you could have all the money in the world, have
(34:26):
the biggest house anywhere, but if you're not healthy and
you don't have a sense of wellness, you might as
well just flush it all down the toilet. Because you
can't buy yourself health. It's something that you have to
really earn in a way. And as I said every
(34:47):
week on the radio here, and I tell this to
patients just about every single day, it's no accident when
you come across people that are really healthy even later
in life. These are people that are commit to exercising,
they're committed to a good diet. They have never had
a period in their life where they drink excessively, smoked,
(35:11):
did drugs, ran the hard life. It will catch up
with you, all right. So with that said, in projecting
for twenty twenty six, Now, I know it's tomorrow's December one,
and you've got all of December to get up to
December thirty. First, but let's start thinking about this. Now,
(35:34):
what are the key things that you need to be
aware of. Start to think about not just about you,
but your family, your spouse, your children, your significant other,
those people that are closest around you, that circle of
trust that we all have, the people that are closest
to us. And maybe an employee and may be a
(35:56):
best friend, could be a neighbor, whoever it is in
your life. These are the punch list things that you
need to really think about. Number one, take an honest
look at your weight. Take an honest look at your weight.
Jump on the scale tomorrow morning, see what your weight is.
(36:18):
Calculate your body mass index. Now, this is not the
perfect indicator of normal weight or being overweight or obesity,
but it is a good start, and you have to
look at it. And there are one hundred and one
BMI body mass index calculators on your smartphone. So you
(36:41):
take your weight and your heighten plug it in BMI
and see if you're in the normal range, your overweight,
or you obese or god forbid, if your BMI is
over forty, you're morbidly obese, and look at strategies to
get your weight down. But you really have to take
(37:03):
inventory as to what you're doing. Am I exercising? Yes?
Or no? Am I eating out too much? Am I
eating processed foods? When was the last time I made
a scratch meal? Meaning you took the raw ingredients, chopped
up the vegetables, chopped up some protein, fish, whatever it was,
and you cooked it from scratch. So take a look
(37:25):
at your weight number two. And I was talking about
this a couple of weeks ago. No, your blood pressure,
know your blood pressure. Having high blood pressure is no good,
leads to heart disease, put you at risk of stroke,
kidney disease, heart failure. It's silent. You will not be
(37:45):
sitting there tonight nearly eight o'clock and say, oh, man,
I think I've got high blood pressure most of the
time unless it is really high. You're not going to
have headaches, any other chest pain, things like that. But
you want to know what your blood pressure is. If
you don't have a blood pressure cuff, go pick one up.
Next thing is exercise. Our bodies were meant to move,
(38:09):
and so you have to at least think about some
sort of exercise schedule or strategy. Even if it is
just walking. I would be happy. Get a good pair
of sneakers, some good socks, stretch before you go on walk,
make sure it's safe outside. Or if you walk on
a treadmill at the gym and try to start to
(38:32):
incrementally increasing the amount of time you spend on walking.
You could add in resistance training with weights, bands. They
have all kinds of gadgets machines at the gym. You
could just buy a five or ten pound dumbbell and
do a full body workout with one single dumbbell. You
(38:54):
don't have to invest hundreds and thousands of dollars. The
next thing is know you're family history. We again, these
are things that we've talked about, but very very worthwhile
bringing up. You want to know your family history with
regard to cancer. We talked about colon cancer earlier with
doctor Dowari. Colon cancer unfortunately runs in families, and so
(39:19):
you want to know did your brother, did your sister,
did one of your aunts? Did a parent or grandparent
have colon cancer? Did oh on the presence of polyps?
Just having polyps increases your risk of having polyps and
or colon cancer, so you want to keep on top
(39:40):
of that. Then we have breast cancer, pancreated cancer, prostate cancer,
all of these things you want to know the family history, diabetes,
heart failure. There are certain types of liver disease that
are hereditary and tend to run in families. You know,
did you have aunt Sue that die at forty five
(40:01):
of cirrhosis but she never drank? That should be an
eye opener to everybody. What did she have? Did she
have something genetic? That's your family history. So I think
if you start really taking inventory on all of these
different points, you can start to make an impact. The
(40:23):
other point, which we've been saying all evening tonight, you
have to listen to your body. Aches and pains. Yes,
some aches and pains go with getting older, usually in
the form of arthritis, stiff hip, stiff back, shoulder, neck, things,
like that, But when you're having shortness of breath, cough,
(40:46):
chronic headache, visual changes, chest pain, palpitations, your hardest skipping beats,
all of the digestive and GI symptoms, troubles following, nausea, reflux, heartburn, vomiting,
bloating blood in your stool, constipation, diarrhea, weight loss, unexplained
(41:09):
weight loss. These are things that you have to be,
you know, really dialed into and have a sense of
you know, what is it that I need to be
aware of? And I think that you know speaks volumes.
(41:30):
All right, So with that said, we're going to close
out this Sunday evening. Thanks again to doctor Dewari and
his team at Houston Regional Gastronurology Institute hr Gastro dot
com don't forget doctor Jogalotti dot com is a way
to get in touch with me. All of our social
media is there. Send me a message, let me know
(41:50):
what's on your mind, and we'll be back next Sunday evening.
Take care, everybody,
Initial life Sequences coming to you live from Houston, Texas,
home to the world's largest medical center, Approach bays everything
looking at. This is your Health First, the most beneficial
(00:22):
health program on radio with doctor Joe Gillotti. During the
next hour, you'll learn about health, wellness and the provention
of disease. Now here's your host, doctor Joe Bellotti. Well
a good Sunday evening to each and every one of you.
(00:49):
I'm doctor Joe Galotti. Every Sunday, we're here between the
hour of seven and eight pm Central Time, broadcasting from
our world headquarters here in Houston, Texas, the great radio
station seven forty KRH.
Speaker 2 (01:09):
And.
Speaker 1 (01:10):
Streaming all around the world on the iHeart app iHeartRadio Network.
I like to call it, but we're here providing you
with the service to make you better consumers of healthcare,
keep you out of the doctor's office unless it's your
annual visit or your twice annual visit check up. But
(01:36):
really the goal is to try to eliminate or limit
chronic disease, and we talk about it just about every
Sunday night or anytime I am speaking to the public.
You should all, really, I think you should have this
on your refrigerator, and it says, our FA family is
(02:00):
going to fight, Fight, Fight, fight chronic disease, obesity, hypertension,
high blood pressure, diabetes, high cholesterol, kidney disease, lung disease,
liver disease. And so if you could just have that
(02:25):
on your fridge. So when you your loved ones, your family,
your kids, you wake up and you say uh huh
to everybody together here, we're going to fight chronic disease,
because that's really what's killing us. Yes, people get stricken
with bad cancer out of nowhere. People getting car accidents,
(02:51):
they drowned, they're electrocuted, they choke, get hit by a train.
That happens. But the vast majority of the disease we
see in the clinics in the hospitals is chronic disease,
some manifestation of a chronic disease. So public enemy number
(03:14):
one needs to be chronic disease. Think about it all right.
Our website doctor Joe Galotti dot com, d R J
O E G A L A t I dot com
sign for our newsletter, all of our social media is
posted there to follow us. A long follow sign of
(03:35):
for my newsletter goes out every weekend. But you have
to go to doctor Joeglotti dot com sign up. All right,
So let's to talk about this weekend. I was at
Starbucks on Friday, had a super early morning, left the
house early, and did not have my usual breakfast routine,
(04:02):
which ninety percent of the time is going to be oatmeal.
So I pulled into one of the Starbucks in the
Texas Medical Center area and I got my coffee. I
just drink plain coffee. I don't get all the lattes
(04:25):
and cappuccinos and all this other stuff. Plain coffee, splash
a cream, that's it. But I was sitting there saying,
I'm a little hungry. Wasn't angry, just a little hungry.
So I made an impulsive buy. Now I would say,
(04:47):
if I'm going to have breakfast at Starbucks, it's going
to be their oatmeal. It's pretty basic. It's unprocessed. They
make it with water. I guess you can make it
with steam milk. I have it with water. It comes
with a little pack of nuts, little agave syrup to
(05:09):
sweeten it up. You can pay an extra buck and
get some blueberries. I splurge, but I didn't do that
on Friday. I'm staring at the refrigerator counter refrigerator case
and I see this stuff mush. Literally it's called mush
(05:29):
chocolate peanut butter protein overnight oats. And I said, you know,
it's six point fifteen in the morning, it's Friday, I've
had a long week. I deserve a cup of mush,
and so I got it. Now, I did look at
(05:50):
the label before I bought it. Now the deal here,
and I didn't realize, I've never heard of this. There's
a whole mush line of these breakfast overnight oat things.
So this was the peanut butter protein version. And so
(06:13):
it's two hundred and ninety calories, ten grams of fat,
no cholesterol, sodium to eighty two hundred and eighty milligrams
of sodium. It's got forty grams of carb that might
be coming from the nuts end or the oatmeal that's
(06:34):
in there, and it's got fifteen grams of protein. So
I made the consumer decision that you know what, this
is not going to be the worst thing I eat.
It's Friday, I'll be swimming, i'll be exercising. I can
do it along with my coffee. So I would say
(06:56):
in a in a pinch, not that you're going to
buy this mush stuff every single day. If you want
it as a treat, I'd say go ahead and get
it all right now. When it comes to breakfast, and
I'm a big observer, I'll be at Starbucks, and sometimes,
(07:18):
depending on the time of the day, if it's a workday,
I will grab my coffee, maybe my oatmeal, and I'll
just sit in a corner and answer emails at six fifteen,
six thirty in the morning before the day starts, and
I just am observing what people are ordering and walking
out with. And there is some bad stuff at Starbucks. Okay,
(07:45):
I'm there nine times out of ten in the morning,
and so at Starbucks this mush product not bad. If
it's on an occasion. They do sell plain yogurt. It's
jacked up in price a fair amount, but it's a
(08:06):
plain sigis you're familiar with that Siggi's yogurt's plane. Usually
it's vanilla flavored. They have these various parfas there. I
try to stay away from the parfase there's just too
much sugar, twenty five grams of sugar in these things.
But the worst, the worst thing you could get at Starbucks.
(08:30):
From a breakfast standpoint, from a meal, is the double
smoked bacon, cheddar and egg sandwich a whopping five hundred calories,
twenty eight grams of fat, nine hundred and twenty milligrams
of sodium. For many out there, that's almost half the
amount of sodium for the day that you're going to
wolf down in three minutes. And you're getting a boatload
(08:54):
of salt. There's really no fiber. Well, you wouldn't expect
it to have fiber. Twenty two grams of pro and
forty two grams of carb. This is something you would
want to stay away with away from now. Again, I
see my patience and many of you that this is
your steady go to. You get a coffee and you
(09:16):
get one of these double smoked bacon cheddar egg sandwiches.
A steady dose of this is not going to be good.
So it's convenient. It's right around the block from work,
maybe it's in your building, whatever the case may be.
But I think you have to proceed with caution in
(09:36):
buying these kinds of sandwiches. Are they tasty? Absolutely, There's
a ton of salt in fat. That's what's going to
make it super tasty, but is it good for you
if you are harboring chronic disease? Now, if you have it,
I don't know what the minimum should be or the maximum.
(09:58):
Once a month, twice a mon out you treat yourself. Okay, fine,
A steady dose of this is what is going to
make you sick. Now. The other other thing that I've
talked about before are the drinks that you get. And
here again it's six seven eight in the morning and
(10:19):
people are buying it. Really is dessert in a glass.
So for a mere four hundred and seventy calories which
you're drinking, you're drinking your calories caramel ribbon, crunch, frappuccino,
blended breakfast. Now, this is just the grande, that's just
(10:43):
a medium sized. The vente, the supersized is almost six
hundred calories, and nutritionally this is bad. So five hundred
and seventy calories, twenty four grams of fat, seventy five
(11:04):
milligrams of cholesterol, sodium three point eighty cholesterol eighty four,
a little bit of protein, and caffeine. But it's the
calories that going to just jack up your blood sugar.
Your insulin is going to be screaming in your body.
So here again, I'm not saying never go out to
(11:26):
Starbucks or any of your other favorite coffee shops. I'm
thinking you have to take personal inventory to say, I
am dealing with a chronic disease. I have high blood pressure,
I have diabetes or pre diabetes. I have a cholesterol issue.
I'm on a statin, I'm on a blood pressure medicine,
(11:48):
I'm on a weight loss drug, I'm on a diabetes drug.
And you're having these drinks on somewhat of a regular basis.
A lot of the times I see pep, especially in
the med center, but this is just where I sort
of live. Two in the afternoon, some some staff member draws,
(12:09):
you know, short straw and they go down and they
will take an order for five, six, seven, eight people,
and they got a wagon full of these drinks, calories
out the wazoo. It just it just, you know, really
is not good for us. It's chronic disease. You just
(12:34):
have to be aware, all right, Doctor Joe Galotti, always
awesome being here Sunday evening with all of you. Doctor
Joegalotti dot Com is our website. Don't forget when you
go to the website, you can actually take a look
at our podcast, which is typically a replay repackaged segments
(12:58):
of the program Something to listen to Raising Your Health IQ.
Stay tuned. We're Bret back. Well, you're back, everybody. Doctor
Joe Goltti, thanks for spending part of your Sunday and
(13:18):
part of your weekend with all of us. Doctor Joglotti
dot com is the website to check out. Sign a
for our newsletter, podcast, YouTube videos, TikTok, Yes, TikTok. All right,
(13:39):
we were chatting about breakfast and in the midst of
all this, somebody sent me a text and said, you're
talking about all the bad stuff. What's a good thing
to eat for breakfast? And again, talking with my patients
(14:04):
that I absolutely adore, we'll be talking about, in no
particular order, getting more protein into your diet. And they
nod their head and they have the general sense that, yeah,
maybe getting protein, as we're getting a little bit older,
getting protein in your diet is a good thing. But
(14:27):
they will say, can I only get protein by eating
a steak? That seems as if from a knowledge standpoint,
having a piece of a t bone steak is the
(14:52):
surefire way to get protein. Or chicken. Gotta have my protein,
Gotta eat chicken, got to eat steak. They don't really
even think that seafood has protein or it is a
source of protein. So there are there are these knowledge
(15:12):
gaps that people have. And so if you're tuning in
tonight for the first time, you say, doctor Joe Glotti,
what are you talking about protein? Of course everybody knows
way to get protein. Well, I would say, I differ.
I interview and I speak to people all day long.
(15:32):
I listen to them as I'm interviewing them. I'm really
not in a bad way. I'm quizzing them. I'll ask
them what sources of protein are you have? And they're like, well,
you know, I just eat steak. Well, steak is really
not the best thing for you. Now, the beef farmers
(15:56):
may send me a nasty gram, but I would think
if you look at your risk of cardiovascular disease, your
risk of cancer. The American Cancer Society several years ago
came out and said, if you want to reduce your
risk of colorectal cancer, you should severely limit or eliminate
(16:21):
red meat. This is not stuff I'm making up. This
is American Cancer Society from a cardiologic cardiovascular standpoint. Yes,
red meat is going to have more fat, increase risk
of carnary artery disease. Okay, what else you eat for breakfast? Okay? Oatmeal?
(16:46):
Now I'm a big I have oatmeal the majority of mornings.
It's unprocessed. This fiber, plenty of newt. It's going to
support my gut, bacteria, the microbiome. I will add cut
(17:08):
up smashed nuts, getting more protein and fiber nutrients. I'll
add fruit to it, typically blueberry, strawberries, raspberries. I'll cut
up an apple, maybe a part of a banana. I'll
put chia seeds in it. More protein, more fiber, feeding
(17:30):
my gut, keeping it healthy. A healthy gut reduces inflammation.
Cut down on inflammation, you cut down on chronic disease.
The other thing I do a lot is I will
eat plain greek yogurt again, no flavoring, unprocessed, same thing.
(17:55):
I'll add chia seeds, I'll lead nuts. I'll eat a
lad berries. I may add half teaspoon of honey just
to sweeten it up. Nothing wrong with that. I'm getting
plenty of nutrients, fiber, calcium. The other would be eggs
(18:16):
now again the controversy with eggs and cholesterol, I think
that is going away. But eggs are a good source
of protein. A couple scrambled eggs, I'll throw some egg
whites in, throw some peppers, onions, tomatoes. I don't need
to add cheese to have this really cheesy omelet. But
(18:38):
those are basically the three or four things that I eat.
And again we've said this before. Researchers have shown that
people that eat the same thing day after day after
day after day tend to have better nutrition, and they
tend to have better control of their weight. Instead of
(18:59):
experience menting. It's it's a you know, uh, breakfast burrito
one day, and it's a it's a sausage sandwich another day.
And I'll throw in yogurt one day, and I'll have
a smoothie another. It just makes it too complicated. Keep
it simple, Keep it simple. That really, I think it's
(19:22):
a message, right doctor Joglotti dot com. This is your
health first, and that's exactly what we are trying to do.
Putting your health first, news, traffic, weather. Maybe we'll find
out what the astros are doing tonight. I'll right back,
all right, everybody, Welcome back, doctor Joe Jolotti your health First.
(19:44):
We hear me Sunday between seven and eight pm. And
as I was saying early on the program, doctor Mazen
Neurdine a really an expert liver specialist, a hepatologist, especially
in the world of clinical research and fatty liver disease.
We're lucky that he's a colleague of mine. He is
(20:04):
a friend of mine and a co collaborator. I could say, Mazen,
if that's if that's accurate.
Speaker 2 (20:11):
Indeed, an honored and privilege to be so to be
your friend, chair.
Speaker 1 (20:15):
Well, I'm really happy for that. Right here in Houston, Texas,
the world's greatest medical center. So you know, one one
disease that I talk a lot about on the radio
and certainly with my patients, and you of course talk
worldwide on fatty livid disease is fatty livid disease. And
(20:36):
for everybody listening tonight, give your perspective on just how
big of a problem fatty liver disease is not only
in the United States, but on a global perspective.
Speaker 2 (20:49):
Yeah, it's actually much bigger than people think of. And
the reason why it's an asymptomatic disease. So You've talked
to your show multiple times about day this disease as
well as the pandemic of type two diabetes and obesity,
and about sixty percent of type two diabetics have faty
liver and the OBEs people more than that, but on
(21:11):
average you end up with thirty percent in the US
and more in South America and the Middle East, up
to forty percent with fatty liver disease in Texas. Actually,
we have studies that showld it's about forty percent of
people they have faty liver disease. Now, now not all
of them is a problem because it started with just
(21:33):
faten deliver. But over time, if you get that inflammation,
then what I call the inflammation gas on fire. Believe
the scouting of deliver and eventually services that we both
see a lot of patients with devastating complications.
Speaker 1 (21:47):
Yeah, now, with the large percentage and numbers have ranged
eighty to one hundred million, which is about a third
of America has fatty liver, why don't you think the
public is more in two and with this health threat.
There's all kinds of things that people are worried about,
but fatty liver is almost tucked under the rug.
Speaker 2 (22:07):
What's your take. Yeah, multiple factors, Joe. I mean, a
lot of people are worried about the heart because to
heart attack, understandably so. A lot of people are worried
about the sea word cancer understandable, understandably so. But when
it comes to fatty liver, people think that cerusis can
(22:28):
come from alcohol usually and there are no other causes,
and if they don't drink, they're fine. But actually the
most common cause of liver disease is faty liver without drinking,
and it's just associated with type two diabetes and or
being overweight and all that. Two it's asymptomatic, so people
(22:50):
don't focus on it. Three. A lot of primary care
and indochronologists we're not quite aware of it until we
started exploring it in the last twenty years or so.
And importantly, there were no medications for it, and so
people did not do anything other than weight loss and exercise,
which a lot of people failed to do and which
(23:12):
led to services. But now things have changed, you know,
we have treatment, we have others coming, so the world
has changed, and we need to make sure people are
screened for it, right or it's screened for it.
Speaker 1 (23:25):
Yeah, that's the key thing. And you know you mentioned
heart disease, cancer, you could add in there all the
concerns about diabetes, mental health issues. And you know, I
like to say that the liver does not have a
very good pr company behind it. It's not really advertised
as a sexy disease or sexy organ. I know you're
(23:49):
working hard, we're working hard together on this, but what
do you think people need to know about the liver
and why we need to elevate it's relative importance higher
than what it is now.
Speaker 2 (24:05):
Yeah, I mean, the liver is the the factory that
do a lot of things, right, It's uh, you cannot
live without a healthy liver. It mutabolized, drug, mutabilize multiple
other things, stock sins, it makes sugar, burns sugar, a
(24:26):
lot of really cool things. And there's only one liver
and kidney. People, you don't go on on the analysis,
but the liver, if it gets sick, you you really
need to you really need to deliver, transplant if it's
too sick. So liver is not painful, so people don't
feel pain usually, so they don't pay attention to the symptoms.
(24:48):
And unfortunately, if it gets ignored, like the seriousness does
not present until lately when people have like the yellow eyes,
the gundice, the fluid, and the app which is what
we call assiety. So I mean, you and I were
talking this week about how unfortunately a lot of people
(25:10):
showing in our office being told, hey, I had this
for many, many years and no one did anything about it,
and now doctor Golotti or myself, can you help me.
I'm like, well, it's it's quite late. It's it's quite
late over all to reverse it. But the only option
we have for a strip of transport, which we do well.
But you really don't want to get to that level.
Speaker 1 (25:32):
Yeah, you know, I've always yeah, I've always said that
for many cases, not all cases, but getting to the
point of liver transplantation is almost a failure of intervention early,
and you know we don't want to wait for that,
you know, really end stage. A lot of these things
we can intervene early. Now, you've been mentioning certain risk
(25:53):
factors obesity and diabetes, but outline for everybody the list
of risk factors that put you at risk for having
a fatty liver.
Speaker 2 (26:05):
Yeah, so fatty liver can be divided in general, you
get faty liver from alcohol or you get it from
non alcohol causes. So the alcohol, I'm gonna leave it
a little bit on the side because that's a different
topic for a different day. People should not drink heavily,
and what's considered a right amount of alcohol or the
maximum acceptable amount is seven drinks for a woman a
(26:29):
week and fourteen fourteen drink for a man a week. Now,
there are a lot of data arguing this is actually
even like a lot. Now they are data arguing drinking
even very little can affect your liver. So moving to
the other side, which is where when people are like,
I really don't drink, Doc, yeah, but you still can
get a liver disease. And there is factors are the
(26:50):
following Tie two diabetes is one of the elephants in
the room, followed by others such as obesity high, the
slipid out which is high, abnormal pit panel cholesterol and
all this so hypertension and in general insulin resistant. Now,
if you have type two diabetes or two other risk factors,
(27:14):
it's mandated for the primary care to be asking for screening.
There are other risk factors that are not as noticed,
but for instance, family history of CIRRUSS from fably liver
pcos policystic overy syndrome, and some thyroidshes as well. But
the big three is well a lot of people have
(27:37):
the type two diabetes, obesity, high coaster and high blood pressure.
Speaker 1 (27:40):
Yeah. So now the challenge is you've you've put this
out there and there are people sitting listening to this
and they say, you know what, I am overweight and
I've been told I have just you know, sort of
a touch of diabet is not quite sure, and they
have high blood pressure. But my doctor has not said anything.
(28:03):
So I like my doctor and I try to follow instructions,
but you know, as we both know, that may not
be enough. So how do you encourage those listening tonight
today to take somewhat of a bold move and stand
(28:24):
up for themselves and communicate back with their doctor their
treatment team to say, I really believe I need to
be screened or tested further? What advice do you give?
All right, if.
Speaker 2 (28:40):
Everyone is ready, either grab a paper or pen or
your phone iPhone. It's actually easy. I want to Joe,
you have been advocating for this for some time now,
and many other hepectologists. It's I want you to go
to Google and look at something called FIP four. If
I be four, and you can do even flip for
(29:02):
calculator and there will be four things being pulled out
your age, your livery numbers, ALT, and a SD and
your plate it which is a blood test number, and
you can plug in the numbers and actually will tell
you what's going on. Any number more than one point
three you will need further attention and further testing. So
(29:27):
the one point three and above not less is one
point three, You're fine. And you can repeat that on
early basis if you have these risk factors and simply
you can just go to your doctor. And I just
saw a patient earlier and they're pulling the labs on
their their iPhone now, So you can just plug it
(29:48):
in and ask and you can tell your doctor. I've
heard this these liver experts on the radio and Doctor
Galotti show, and my FIOT four is high, doc, and
can you can you refer me? So I wish we
could have a billboard saying, look at your liver if
you you have type two diabetes or these stress factors,
(30:10):
know your FIT four score.
Speaker 1 (30:11):
Yeah.
Speaker 2 (30:12):
So the project for Texas.
Speaker 1 (30:14):
Yeah, no, it really is. And I believe that one
of the things we try to do is for people
to know their lambs, to know that, you know, when
we talk to patients. And I would say patients are
getting a lot better because they have access on their
phone and patient portals and et cetera. But to really
(30:35):
know your liver numbers and have access to be able
to pull these numbers into the calculator. All right, Final
segment of this week's Your Health First Coming up. I'm
doctor Joe Glotti. Don't forget doctor Joegalotti dot com. We're
talking with doctor masen Neurindean, a worlds expert on patty
LIBT disease. Stay tuned. Final segment coming up. Welcome back, everybody,
(30:59):
Do you tu? Soglatti? Final segment on this post Thanksgiving
Sunday night. I want to thank doctor Adeeb Dowarry for
coming on. He made a lot of sense in his
approach to GI disorders, colon cancer screening, and the bottom
(31:24):
line for all of this is you have to be
in tune with your your body. That's what it comes
down to. We don't have gauges and other flashing lights
that will go off if something is wrong. You basically
(31:48):
have to take the responsibility to say or have a
sense of what normal is. You should not be having
chronic abdominal pain every day and things that this is
part of being fifty, or having chronic diarrhea or chronic
nausea or a little bit of blood in the stool
(32:11):
because you know I've got hemorrhoids. Well, I can't tell
you how many cases of alleged hemorrhoids I've seen over
the past thirty five years that have turned out to
be anything but a hemorrhoid. And people sit on this
too long, and so you have to really be careful
to get more information on doctor Dowary and his really
(32:33):
fantastic team, which I fully endorse knowing him well. And
it's both you know, the person, the physician that is
ethical as well as his mission. Contact him. It's hrgastro
dot com, hr gastro dot com to get in touch
(32:55):
with doctor Dowary and his team. All right, So final,
final few minutes here. So it is the holiday season
and it is stressful. It should be full of love,
(33:15):
faith and family, but sometimes we all get a little
derailed and lose sight of what we're doing here. But
with regard to your health and wellness, which I would
I would say and it's so so trite. Everybody has
heard this. If you have your health, you have everything.
(33:41):
And that is true because when for someone like me,
I deal with very, very sick patients with livid disease,
and when you are chronically ill, you're not able to work,
You're not able to take care of yourself fully. You're
always visiting the doctor. You have a handful of medicines
(34:03):
you're on that is giving you side effects in one
of one hundred different ways. You don't have energy, you're fatigued,
your mood goes down, you don't enjoy life, you can't
enjoy your family. You can enjoy your grandkids. And so
you could have all the money in the world, have
(34:26):
the biggest house anywhere, but if you're not healthy and
you don't have a sense of wellness, you might as
well just flush it all down the toilet. Because you
can't buy yourself health. It's something that you have to
really earn in a way. And as I said every
(34:47):
week on the radio here, and I tell this to
patients just about every single day, it's no accident when
you come across people that are really healthy even later
in life. These are people that are commit to exercising,
they're committed to a good diet. They have never had
a period in their life where they drink excessively, smoked,
(35:11):
did drugs, ran the hard life. It will catch up
with you, all right. So with that said, in projecting
for twenty twenty six, Now, I know it's tomorrow's December one,
and you've got all of December to get up to
December thirty. First, but let's start thinking about this. Now,
(35:34):
what are the key things that you need to be
aware of. Start to think about not just about you,
but your family, your spouse, your children, your significant other,
those people that are closest around you, that circle of
trust that we all have, the people that are closest
to us. And maybe an employee and may be a
(35:56):
best friend, could be a neighbor, whoever it is in
your life. These are the punch list things that you
need to really think about. Number one, take an honest
look at your weight. Take an honest look at your weight.
Jump on the scale tomorrow morning, see what your weight is.
(36:18):
Calculate your body mass index. Now, this is not the
perfect indicator of normal weight or being overweight or obesity,
but it is a good start, and you have to
look at it. And there are one hundred and one
BMI body mass index calculators on your smartphone. So you
(36:41):
take your weight and your heighten plug it in BMI
and see if you're in the normal range, your overweight,
or you obese or god forbid, if your BMI is
over forty, you're morbidly obese, and look at strategies to
get your weight down. But you really have to take
(37:03):
inventory as to what you're doing. Am I exercising? Yes?
Or no? Am I eating out too much? Am I
eating processed foods? When was the last time I made
a scratch meal? Meaning you took the raw ingredients, chopped
up the vegetables, chopped up some protein, fish, whatever it was,
and you cooked it from scratch. So take a look
(37:25):
at your weight number two. And I was talking about
this a couple of weeks ago. No, your blood pressure,
know your blood pressure. Having high blood pressure is no good,
leads to heart disease, put you at risk of stroke,
kidney disease, heart failure. It's silent. You will not be
(37:45):
sitting there tonight nearly eight o'clock and say, oh, man,
I think I've got high blood pressure most of the
time unless it is really high. You're not going to
have headaches, any other chest pain, things like that. But
you want to know what your blood pressure is. If
you don't have a blood pressure cuff, go pick one up.
Next thing is exercise. Our bodies were meant to move,
(38:09):
and so you have to at least think about some
sort of exercise schedule or strategy. Even if it is
just walking. I would be happy. Get a good pair
of sneakers, some good socks, stretch before you go on walk,
make sure it's safe outside. Or if you walk on
a treadmill at the gym and try to start to
(38:32):
incrementally increasing the amount of time you spend on walking.
You could add in resistance training with weights, bands. They
have all kinds of gadgets machines at the gym. You
could just buy a five or ten pound dumbbell and
do a full body workout with one single dumbbell. You
(38:54):
don't have to invest hundreds and thousands of dollars. The
next thing is know you're family history. We again, these
are things that we've talked about, but very very worthwhile
bringing up. You want to know your family history with
regard to cancer. We talked about colon cancer earlier with
doctor Dowari. Colon cancer unfortunately runs in families, and so
(39:19):
you want to know did your brother, did your sister,
did one of your aunts? Did a parent or grandparent
have colon cancer? Did oh on the presence of polyps?
Just having polyps increases your risk of having polyps and
or colon cancer, so you want to keep on top
(39:40):
of that. Then we have breast cancer, pancreated cancer, prostate cancer,
all of these things you want to know the family history, diabetes,
heart failure. There are certain types of liver disease that
are hereditary and tend to run in families. You know,
did you have aunt Sue that die at forty five
(40:01):
of cirrhosis but she never drank? That should be an
eye opener to everybody. What did she have? Did she
have something genetic? That's your family history. So I think
if you start really taking inventory on all of these
different points, you can start to make an impact. The
(40:23):
other point, which we've been saying all evening tonight, you
have to listen to your body. Aches and pains. Yes,
some aches and pains go with getting older, usually in
the form of arthritis, stiff hip, stiff back, shoulder, neck, things,
like that, But when you're having shortness of breath, cough,
(40:46):
chronic headache, visual changes, chest pain, palpitations, your hardest skipping beats,
all of the digestive and GI symptoms, troubles following, nausea, reflux, heartburn, vomiting,
bloating blood in your stool, constipation, diarrhea, weight loss, unexplained
(41:09):
weight loss. These are things that you have to be,
you know, really dialed into and have a sense of
you know, what is it that I need to be
aware of? And I think that you know speaks volumes.
(41:30):
All right, So with that said, we're going to close
out this Sunday evening. Thanks again to doctor Dewari and
his team at Houston Regional Gastronurology Institute hr Gastro dot
com don't forget doctor Jogalotti dot com is a way
to get in touch with me. All of our social
media is there. Send me a message, let me know
(41:50):
what's on your mind, and we'll be back next Sunday evening.
Take care, everybody,
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