September 29, 2024 • 39 mins
Dr. Galati’s big topic of the day is about weight, obesity and how it’s the root casue for a lot of health problems people deal with. He expains how there is no qick fix for this. Howver, there are options if your willing to own it and take responsibility for it. Dr. Galati goes on to talk about the importance of knowing how your body works and he closes the program by explaining the dash diet.
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Episode Transcript
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Speaker 1 (00:01):
Initialize Sequenzy coming to you live from Houston, Texas, home
to the world's largest medical center.
Speaker 2 (00:09):
Everything looking alan.
Speaker 1 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 2 (00:48):
Well look good Sunday evening to everybody, Doctor Joe Galotti.
We're broadcasting from Houston, Texas and around the globe on
the iHeart Radio app the iHeartRadio Network, and as many
(01:10):
of you know, we broadcast from the home station KTRH
in Houston, the legendary AM radio station KTRH. But today
we're broadcasting from the top of the Texas Medical Center.
It's one of those on call weekends where part of
(01:32):
the practice of being a physician is you have to
be on call on the weekend. And what I would say,
in the twenty one years since two thousand and three,
I've been doing the program, and I've been on call many,
many many weekends that the show goes on, and not
a single time has the program ever had to be
(01:59):
canceled or abbreviated because I was on call. Now I
will say the truth is during commercials, during breaks, I
do have to run out and answer phone calls, text
messages from the answering service, the emergency room, patients in
the intensive care unit, other colleagues. But the show's never
(02:21):
been canceled, and I'd like to say in the showbiz world,
this show must go on. And here we are. I'm
so happy we're here every Sunday now to be part
of the program, which you should all be familiar with,
but if not, there may be some newcomers in the audience.
Our website doctor Joegalotti dot com. That's my name, doctor
(02:41):
Joe Galotti GA l a TI dot com. And when
you go there, there's lots of information Sona for our
weekly newsletter that goes out on Saturday morning across the country.
All of our social media is there. Follow us along
on our YouTube page, Facebook, Instagram, our practice website which
is Liver Specialists of Texas. We take care of people
(03:04):
at Livy Disease. It is all there, but you have
to go to doctor Joegalotti dot com and while there,
feel free to take a look at my book Eating
Yourself Sick, Eating Yourself Sick. All right, So for the program, today,
a bunch of I would say, it's you know, sometimes
(03:25):
I do the show more of a popery show. It's
a basket of interesting things to talk about. And the
one topic which we'll try and spend a little bit
of time on today has to do with your weight. Now,
(03:45):
we talk about weight and obesity a lot on this
program because if I, if I tell you that the
root cause of you getting sick either acutely ill or
chronically ill, with the usual cast of characters, which will
(04:07):
be high blood pressure, diabetes, cardiovascular disease which may take
its form in a heart attack, a stroke, congestive heart failure, cardiomyopathy,
lots of different things. Liver disease and of course that's
(04:27):
what I do, fatty liver disease which leads to cirrhosis
and liver cancer, the need for a liver transplant. It
is a colossal disaster. Orthopedic issues related to weight. Obesity
is related to a number of internal cancers, cancer related
(04:48):
to weight, and of course there's a whole slew of
evidence pointing towards obesity and inflammation related to a number
of neuro psychological problems, depression, and the list goes on
and on. So it is if you want to look
(05:08):
at the root of the problem, it is weight. Now
we're not necessarily going to get into why people are
overweight or why people are obese my commentary for right now,
and many of you may be able to relate to this.
(05:29):
So in your typical encounter with a doctor or a
nurse practitioner, or a physician assistant, whatever the case may be,
your healthcare team, in addition to hopefully spending time talking
with them about your ills, your complaints, your concerns, whatever
the case may be, and a physical examination. They're going
(05:54):
to send you for blood work, they may send you
for an EKG. They may and you for a chest
X ray, an ultrasound, a mammogram, a cat scanner, MRI,
whatever it may be. Some data is going to be generated, okay,
and so information is going to come back. Your blood
(06:18):
pressure is high. Let's say the top number, the systolic
number is two hundred, the bottom number is ninety five.
Two hundred over ninety five serious medical condition. It should
not go unaddressed, and it probably will not go unaddressed
because uncontrolled high blood pressure at that level can lead
(06:40):
to heart attack, heart failure, stroke, kidney damage, bad no boy,
and oh it's bad stuff. Your doctor and or your
treatment team's going to address this. Let's say you go
for blood work and your blood sugar comes back at
three hundred. So clearly, if you're not diabetic, you're diabetic now,
(07:01):
or if you do have diabetes, it's poorly controlled and
someone is going to address this because high blood sugar
leads to an assortment of problems. Let's say you go
for your annual mammogram and it comes back that there's
a spot on your breast. It's going to be followed
up with either a different kind of mammogram or imaging study,
(07:25):
or a referral to a surgeon, or a discussion that
it may need to be biopsied because we're concerned it
may be breast cancer. You end up having blood in
your stool, well that may be a sign of colon cancer.
It's going to be evaluated. And the list goes on
and on. So keep in mind that you go to
(07:46):
the doctor, tests of some kind are going to be done.
Those results come in and they're analyzed, and the things
that are abnormal will get addressed. Okay, I think we're
all comfortable with that at scenario, but The one bit
of data that is collected at almost every single physical
(08:10):
examination clinic visit is your weight. You step on the
scale and a number is spit out and it's recorded.
And my point here, and that's the whole you know,
I've been talking for eight minutes and fifty seconds. Now,
(08:31):
My whole take here is that that very important metric
is being ignored. Patients are over weight, and the doctors,
the nurses, the pas, whoever you're seeing basically say, Bob,
you're overweight, try to lose weight. Oh okay, well I
(08:53):
sort of know that I've been gaining weight for the
past decade. Okay, well I'll try to do better. Nobody
really says it's down with them to say, now, look,
this is a serious health concern. This weight of yours
is as risky as uncontrolled blood pressure. This weight is
(09:15):
likely going to lead to a number of metabolic complications.
You'll be at risk for diabetics, heart disease, cancer, fatty, liver, cirrhosis,
et cetera, et cetera, et cetera. But yet this little
bit of information is sort of ignored. You see it
and it's completely glossed over. Now, how do we change that?
We need to have an overhaul in the way physicians,
(09:39):
my colleagues need to look at the weight. The weight
has to be formally addressed. The patients and their families
need to be made aware what the long term complications are. Now,
you may have an idea in the back of your head, Yeah,
being overweight is not good, but I feel okay. Well
(10:01):
you may feel okay, but you know your blood sugar
is at a whack, and you are hypertensive on two
drugs and oh, by the way, you're on a stanton
because your cholesterol is up. All of this is going
to add up to a set of colossal complications. Chronic disease,
(10:23):
decreased quality of life, the likelihood that you're going to
die sooner than you should. Now, I would say for
most of you, my patients included, this is not necessarily
an okay thing. But the hard discussion is not brought up,
and we are just kicking the can down the road.
(10:45):
And when we look at our healthcare system, everyone says
it's going broke. Well, yeah, it's going broke because we
have all these people with these chronic diseases such as obesity,
that it's almost like these conditions are multiplying. So you
(11:06):
come in with obesity, you walk out the door with
four other diseases which I just listed, and the management
of these are expensive. The complications are expensive, the testing expensive,
the hospitalizations, the surgeries for all of this is expensive.
And while many people may not be talking about this,
(11:30):
I would say that public health crisis number one is
obesity and eighty percent of the population has fallen victim
to it, but they're not looking at it that way.
So my message to everybody would be, and I hate
(11:58):
to say, you know who, you are here to fat
shame anybody or put anybody on the spot, but if
you know that you are overweight or obese, the message
is that you're at risk for lots of other complications.
And if you could get the obesity and weight under control,
which we'll talk about after the break, your likelihood of
(12:20):
having serious complications goes down dramatically. Less medications, you could
throw those darned pills out, all right, So we're going
to take a break right now. I'm doctor Joe Galotti.
This is your health First. Every Sunday between eight no
not eight o'clock, seven and eight o'clock go to doctor
Joegalotti dot com. For more information. Stay tuned, We'll be
right back. Welcome back, everybody, Your health First, doctor Joe Galotti.
(12:46):
Every Sunday between seven and eight pm. We want you
to be here, tuned in, dialed in, listening to the program.
And as I say every week, our goal is to
raise your health.
Speaker 1 (13:00):
I Q.
Speaker 2 (13:04):
Not believe that the sun and the idea of raising
your health had Q really does go a long way
because if you've if you've got that added insight on disease,
(13:27):
the added insight on what you personally are at risk
for because of a family history or another disease that
you have or a condition, you are far more equipped
to decrease the likelihood of having serious complications. And I
think that is what this is all about, having insight
(13:47):
to understand and you could, you know, look at this
in any other way. If you know that driving high
speed without a seat belt on is bad, you put
a seatbelt on, you slow down. That'll save your life
and save misery for a lot of people. Same thing here.
If you know that you have certain risk factors, diseases,
(14:10):
things that you need to be alerted to, maybe even
if you did not know it and you learned it
here through us, and now we're your health first team.
You are that far better off. Trust me, all right,
don't forget doctor Joegalotti dot com is our website. So
to continue on the obesity discussion now, I posted a
video commentary on this about a week or so ago,
(14:33):
and I had a fair amount of feedback from it,
and you know what people were writing, and I understand
their frustration. Please please please understand that I know that
this is not a quick fix problem. There's no pill.
Well you could argue that there's a pill, but there's
(14:54):
no pill to really combat obesity because it is a
lifestyle problem. But people writing to me saying, yeah, we
get it, we get it, but we do not have
the tools. We do not have the support available to
work on a weight loss journey. And that's where I
(15:16):
sort of lose everybody, because I'm saying to myself, what
tools are you looking for? Are you looking for tools
on how to exercise more? Well, those tools are available
everywhere you go online. And there are YouTube videos golaw
(15:40):
on exercise or Instagram or Twitter or TikTok. They're there.
There are health clubs on every corner practically, So I'm
not quite sure what tools you're looking for tools to
eat better, cook better. There is a ton of information
(16:03):
on the proper nutritional journey to follow. Follow the Mediterranean diet. Well, gee,
I don't know what the Mediterranean diet. You could talk
to your physician, talk to a dietitian, a nutritionist type
in what is a Mediterranean diet and you'll find out
the content of a Mediterranean diet. I want to cut
(16:27):
down on sugar, added sugar. Well, read the labels, pardon me,
read the labels. Look for foods that do not have
added sugar. Look at foods that have decreased fat content.
It's on the labels. You could read about it. So,
I don't know if we have created a society that
(16:50):
they want everything done. You have to look at this
and say, what is my responsibility in this? I have
to own this. It's not the doctor's fault. Now, it
may be the doctor's fault that they're not bringing it
up and really sitting you down and having a heart
to heart talk about this. But you have to get
with your family, your community to say, look, this weight
(17:12):
that I am caring is no good, even if it's
just ten fifteen pounds or it is fifty pounds or
one hundred pounds. There is information out there, but you
need to take the responsibility to own this and talk
with your physicians say what are the options, where do
I get help? What do I need to do right now?
(17:34):
So again, feedback like this is very important, but at
the same time, there is that personal responsibility that you
need to really become a student of health. And you
can look through the archives of this radio program over
(17:55):
twenty plus years, and we have a lot of information online,
YouTube videos and our websites, a lot of information on
the tools that you need to be successful. All right,
we're gonna take a break right now, news, weather, traffic.
We're gonna hear about the astros coming up in just
(18:15):
a minute. Doctor Joe Galotti dot com every Sunday between
seven and eight pm to live right back. Welcome back,
everybody that your health first. I'm doctor Joe Galotti every Sunday.
I'm so glad you could join us. And as I
have always said, Sunday evening is really one of the
(18:38):
best parts of the week for me because I really
cherish this opportunity to be able to talk with the
community and help them be well. I see so much
in my medical Practice Liver Specialist of Texas. So many
(19:00):
patients that get to us too late. We like to
call it the late referral, and it is at epidemic numbers.
People just come late. They're being watched. Action is not
being taken on various issues that are uncovered. Now we
deal with liver disease, and so we see patients that
(19:23):
have had abnormal liver chemistries. It's on your blood work,
the liver test, the alt and the ast billy rubin
alkalin phosphatase, things like that, or abnormal ultrasounds of the liver.
We see people that have had these abnormal findings for
years upon years, ten years, twelve years. Oh yeah, I've
(19:44):
known about the fatty liver, but my doctor told me
not to worry about it. Well, I'm sorry to tell
you it is something you should have worried about because
now you have advanced damage. So my whole goal here
It may be that I am yelling into the woods
and nobody hears me, but we have to become more
engaged understand our bodies. You have to be better students.
(20:08):
And you know, I think if I was just to
poll anybody, you probably have more knowledge of how your
refrigerator works than how your body works, or how your
car works, or some other thing you doodle with. Oh yeah,
I'm an expert on that, but you neglect being an
expert on your body, the most complicated thing on earth.
Speaker 1 (20:33):
Now.
Speaker 2 (20:33):
I know there's no owner's manual, but I'd like to
think that this program is at least a table of
contents on what you need to be interested in. So
as a reminder, Doctor Joe Galotti dot com, d R
j O E g A l A t I dot
com is our website. Texas Liver dot com. T e
(20:55):
x A S l a v e r dot com
is our practice website. But if you go to doctor
Joegli you will see the link to Texasliver dot com
for more liver information. And through all of these websites
you can directly message me. You could directly message you.
It says contact us hit it. A form will come
(21:16):
up and write your heart away as to what you
would like to say to me, But you have to
go to these websites. Okay, a few miscellaneous little things.
There is a little magazine that I subscribe to, and
I would say, if you want to get this for
someone's birthday, Christmas special occasion. It's called Nutrition Action, and
(21:44):
it comes out every month or two. And I have
been a long term subscriber to this little magazine. It's
more like a big newsletter, but it is a magazine.
I guess how many pages is it. It's a twenty
and it is when we get to that our home,
(22:05):
my wife and I the kids, we really look at
it and become ourselves a better consumer. But I always
say this is I get good radio discussion from here,
and it is mostly related to chronic disease and nutrition
(22:26):
and again, making you a better consumer of healthcare, that
is the prevailing thing. So there's a little section here
usually every month they call it Quick Studies, a snapshot
of the latest research on diet, exercise and more. And
so these are good little nuggets to talk about with
all of you. One of them has to do with
what's called microplastics. Okay, microplastics are exactly what you think.
(22:52):
These are super super small pieces of plastic that get
into your body through your skin, your food, and the
air you breathe. Were surrounded by this stuff. And what
they're finding is that this stuff ends up in your arteries, yes,
(23:13):
your arteries of your heart and brain, and you could
get a heart attack or stroke. So researchers examined the
plaque that they removed from two hundred and fifty seven
patients who needed surgery to open up their narrow, narrowed
carotid arteries. These are the arteries that are in your
neck that go up and feed the blood to your noggin.
(23:34):
Analysts detected polyethylene and fifty eight percent and polyvinyl chloride
in twelve percent of the patients. What's more, in the
ten plaques examined with electron microscope, so that's really getting
down close, the scientists saw jagged edge foreign particles and
after roughly three years, the risk of heart attack, stroke
(23:57):
and death was four and a half times higher. And
people with these microplastic nanoparticles in the uteries. Now what
do you do, right, We're not just gonna sit here
and frighten everybody. Minimize your use of plastic, starting with
(24:18):
bottled water, the biggest source. This study can't prove that
pmns caused cardiovascular disease, even though the researchers accounted for
many factors that raise a heart the risk of heart attack,
but it is still worth limiting your exposure to plastic
and so instead of getting plastic bottles, get a source,
(24:42):
keep it in glass where possible. Okay, another one is
they title this size matters. When people were offered bottomless
plates of large, medium, and small pretzels. Now, I don't
know about you, but I really enjoy a good pretzel.
(25:04):
The interesting thing is that they ate more of the
large pretzels sixty eight calories worth than the medium calories
fifty one calories or the small pretzels forty seven calories.
The participants also ate the large pretzels more quickly and
with bigger bites than they ate the medium or small pretzels.
(25:28):
So what do we do? Keep in mind that larger
unit foods like cookies, crackers, chocolates, et cetera, may lead
you to eat more and quickly. So what you want
to do is if you are going to indulge in pretzels,
it seems that the research would say buy small pretzels.
(25:52):
I think that is reasonable. Now there's before we take
the break. Here a lot of talk about beef. People
have this idea that they need to eat beef to
get protein to stay strong. So the question here was
can beef boost muscle or tendon strength when you do
strength training. Good question. Research, which was partially funded by
(26:17):
the beef industry, randomly assigned forty nine older women to
eat a normal protein diet, a higher protein diet, or
a higher No wait, let me just say this. They
eat a normal protein diet, a higher protein diet, or
(26:37):
a higher protein diet with three ounces of lean beef
per day. Okay, so regular protein, a higher protein, and
then higher protein with an extra three ounces of beef.
So this was the study arm The first two group
eate three ounces of lean beef per week. All three
groups also got protein from chicken, eggs, dairy beans, grains, nuts,
(27:02):
and did supervised training three times a week. After twelve weeks,
all three groups had stronger thigh muscles, but muscles and
tendon strength didn't differ amongst the groups. So what to do?
Rely on strength training, not extra protein to keep your
muscles and tendons strong. I think this idea that you
(27:23):
have to have beef, red meat, hamburger steaks is not
necessarily correct. You're going to put yourself at risk for
obesity and heart disease. Okay. Coming up on the final
segment after Joe Galotti, so glad you're having a little
bit of time to spend together with us tonight on
(27:46):
this Sunday night, Stay tuned. Final segment coming up will
be right back, Welcome back to your Health First every
Sunday between seven and a pm. Final segment four tonight's installment.
And as many of you know, I get great joy
(28:09):
playing quirky music on the show. And what could be
better than Tijuana Brass from the nineteen sixties. I'm sure
some of you have said, Hey, when I was a kid,
I remember listening to that. So we're just going to
take you on a little bit of a throwback now.
(28:48):
As I have said before, there's for those that are
Herb Albert aficionados has a great documentary on him on
Netflix that goes through his whole history with A T
Tijuana Brass and A and M Records, and it's uh.
I learned a hell of a lot about herbal bit
(29:12):
and a great deal of respect for him. Quite quite
the musician. All right. Our website Doctor Joe Galotti dot
com signer for our newsletter. It's it's important to sign
up for the newsletter so that you could stay in
touch with us. So by going to doctor Joegalotti dot com.
At the top there there's a tab that says newsletter.
(29:37):
Click it, fill in your information and you will be
locked and loaded because what I'm going to talk about
now is going to be featured in next week's newsletter.
So you can get a little bit of a leg
up in what we're talking about. But you have to
(29:58):
go there to the website doctor Joe Goli. And again,
all of our social media is they follow us along,
especially Instagram, YouTube, lots of videos will be putting on.
All right, So what I want to talk about, and
you may have heard about this before. It's called the
Dash diet DASH, and it's something that really the American
Heart Association came up with a good number of years
(30:19):
ago to help control blood pressure. Now, we were talking
earlier about obesity and all of its complications, but here
is a diet that rooted in science shows that following
this diet will help with your blood pressure. And this
(30:42):
is an article out of the New York Times. We're
going to feature it next week in the newsletter. So
sign up doctor Joeglotti dot com. All right, And the
way the article goes is the researchers found that those
who followed the DASH diet had significantly larger reductions in
blood pressure than those on other diets. The following is
(31:04):
the American. Those following the American diet with extra fruits
and vegetables also enjoyed reductions in blood pressure, but to
a lesser extent. And so the key to the DASH
diet is that it is lower in sodium than the
(31:24):
typical American diet, containing roughly one thousand to two thousand
milligrams of sodium per day. The standard American diet, said
has three to four thousand milligrams per day, and sodium
in the diet is the killer. Where do you get
sodium or salt. It's in processed foods. So if you
eliminate processed foods, you eliminate sodium, you'll lose weight and
(31:46):
your blood pressure will go down. Now, in this article
they give several different recipes for some DASH diet friendly
foods that you could eat. One of them is overnight oats.
One is charred bokchoi and canaloni. Bean salad. Sounds delicious,
(32:10):
sweet potato hash with tofu, baked fish with slow cooked peppers,
Citrus salad with fennel and olives. I love fenyl, so
lots here to look about. Now if you're saying, look,
I just want the bridge notes or the crib notes here.
(32:30):
So the Dash diet eating plant is rich in vegetables
and fruits, whole grains, fat free or low fat dairy, fish, beans, nuts,
and vegetable oils. Typically I would say go with the
olive oil. Now, in a sense, this is very Mediterranean
(32:53):
diet esque. They also add poultry, chicken. They don't mention
anything about beef, pork, sausage, processed meats. Now, the things
you want to limit in the Dash diet fatty meats, well,
this is going to be the sausage, the boo Dan
(33:15):
well boo dan like foods, steak, ribbi, pork, brisket, barbecue,
all that kind of stuff. You want to limit, full dairy, dairy,
full fat dairy. You want to eliminate all sugar sweetened beverages.
That is another if you're looking to say, how could
(33:36):
I change my diet right now? Cut out all the
soda and sweetened teas and whatnot, eliminate all sweets and desserts, cookies,
and reduce your sodium intake. So that is the Dash diet.
It will be featured in the newsletter next week. Please
please please sign up for it. It's something free, there's
(33:57):
no ads, it's just pure information. As I said at
the beginning of the show, Raise Your Health IQ. That's
as simple as it gets. The other article has to
do with dietary fiber, and we talk about this a lot,
and people still don't get it straight. There are so
(34:18):
many fiber supplements on the market that people are utterly confused,
and they really really have this sense that taking these
dietary supplements, the fiber gummies, etc. Is going to replace
fiber in your diet. And I would say not so fast.
And so the number to keep in mind you want
(34:39):
about thirty five to forty grams of dietary fiber per day. Now,
the issue is are these supplemental fibers as good as food?
And I will say categorically no, they are not as
good as eating the food. The reason is when you
eat food that is high in fiber, you are getting
(35:04):
all of the additional micro macro nutrients in that food,
the additional vitamins minerals that reduce inflammation, lower the risk
of cardiovascular disease, and you're missing the goodness of what
(35:26):
nature made for us, So do not bypass. A cup
of blueberries not only contains fiber, but you get vitamin
B and C, potassium, magnesium, and so much more. And
you could replicate this for oranges, apples, broccoli, cauliflower, squash, zucchini, carrots.
(35:52):
So I think the key thing is if you are
on a journey to increase your dietary fiber by getting
more fruits and vegetables in your diet, you could supplement
it with dietary fiber. And I would say, go start
off with something like meta mucil, metamucil or one of
the generic forms of silium. Start with that every day,
(36:16):
every other day. But you have to make sure you're
getting in enough water. Now, if you take some of
these other fiber supplements, they could be quite irritating to
your gut. You're going to get cramps, you're going to
get diarrhea, you're going to wish you never did it,
and your compliance is going to go down. So I
would say, first and foremost food is best. Get this
(36:37):
food into your gut. It's going to be beneficial. If
you had to or want to add a dietary supplement,
I would go with the meta mucil sillium type products
that are out there, and there's many many generic over
the country. You get a met Costco, Walgreens, you know
(36:58):
your local supermarket has some sort of local brand of cillium.
Is the is the product that you would be looking for?
All right? So the DASH diet information I'm going to
post on the newsletter for next week next Saturday. Do
signer for the newsletter. Follow along with all of your
(37:18):
of our social media offerings and what I would say.
We are here as a resource. We want to help
the public coast to coast with their health, with their wellness,
and answer questions. There's so many of you that are
sitting out there confused, this misunderstanding about what my condition is.
How do I get the best care for my father,
(37:39):
my mother, my son, my daughter, my wife, myself. We're
here as a resource. Check check the opportunity to communicate
with us through our website Doctor Joegalotti dot com. There's
a contact us tab and you could send us a
message that comes right to me and my team. So
(37:59):
that is is it. I want you to think about
your health, your wellness. What are you eating? Are you
getting enough sleep? Are you getting enough exercise? Are you
getting enough fiber in your diet? Are you getting too
much salt in your diet? Try to reduce it to
less than two thousand milligrams per day. And if for
those that are going to the doctor this week that
(38:22):
have a weight problem, it really behooves you to sit
the doctor down or the nurse practitioner or the PA
and have a conversation to say, hey, how am I
going to tackle this because you're at risk for all
of these other serious complications that we don't want you
to get.
Speaker 1 (38:39):
So that is it.
Speaker 2 (38:40):
I'm doctor Joe Galotti, so glad to be here tonight,
and you know what, Sunday, You'll be here in seven days.
Take care, we'll see you.
Speaker 1 (38:48):
Then you've been listening to your Health First with doctor
Joe Glotti. For more information on this program or the
content of this program, go to your Health First dot com.
Initialize Sequenzy coming to you live from Houston, Texas, home
to the world's largest medical center.
Speaker 2 (00:09):
Everything looking alan.
Speaker 1 (00:19):
This is your Health First, the most beneficial health program
on radio with doctor Joe Bellotti. During the next hour,
you'll learn about health, wellness and the prevention of disease.
Now here's your host, doctor Joe Bellotti.
Speaker 2 (00:48):
Well look good Sunday evening to everybody, Doctor Joe Galotti.
We're broadcasting from Houston, Texas and around the globe on
the iHeart Radio app the iHeartRadio Network, and as many
(01:10):
of you know, we broadcast from the home station KTRH
in Houston, the legendary AM radio station KTRH. But today
we're broadcasting from the top of the Texas Medical Center.
It's one of those on call weekends where part of
(01:32):
the practice of being a physician is you have to
be on call on the weekend. And what I would say,
in the twenty one years since two thousand and three,
I've been doing the program, and I've been on call many,
many many weekends that the show goes on, and not
a single time has the program ever had to be
(01:59):
canceled or abbreviated because I was on call. Now I
will say the truth is during commercials, during breaks, I
do have to run out and answer phone calls, text
messages from the answering service, the emergency room, patients in
the intensive care unit, other colleagues. But the show's never
(02:21):
been canceled, and I'd like to say in the showbiz world,
this show must go on. And here we are. I'm
so happy we're here every Sunday now to be part
of the program, which you should all be familiar with,
but if not, there may be some newcomers in the audience.
Our website doctor Joegalotti dot com. That's my name, doctor
(02:41):
Joe Galotti GA l a TI dot com. And when
you go there, there's lots of information Sona for our
weekly newsletter that goes out on Saturday morning across the country.
All of our social media is there. Follow us along
on our YouTube page, Facebook, Instagram, our practice website which
is Liver Specialists of Texas. We take care of people
(03:04):
at Livy Disease. It is all there, but you have
to go to doctor Joegalotti dot com and while there,
feel free to take a look at my book Eating
Yourself Sick, Eating Yourself Sick. All right, So for the program, today,
a bunch of I would say, it's you know, sometimes
(03:25):
I do the show more of a popery show. It's
a basket of interesting things to talk about. And the
one topic which we'll try and spend a little bit
of time on today has to do with your weight. Now,
(03:45):
we talk about weight and obesity a lot on this
program because if I, if I tell you that the
root cause of you getting sick either acutely ill or
chronically ill, with the usual cast of characters, which will
(04:07):
be high blood pressure, diabetes, cardiovascular disease which may take
its form in a heart attack, a stroke, congestive heart failure, cardiomyopathy,
lots of different things. Liver disease and of course that's
(04:27):
what I do, fatty liver disease which leads to cirrhosis
and liver cancer, the need for a liver transplant. It
is a colossal disaster. Orthopedic issues related to weight. Obesity
is related to a number of internal cancers, cancer related
(04:48):
to weight, and of course there's a whole slew of
evidence pointing towards obesity and inflammation related to a number
of neuro psychological problems, depression, and the list goes on
and on. So it is if you want to look
(05:08):
at the root of the problem, it is weight. Now
we're not necessarily going to get into why people are
overweight or why people are obese my commentary for right now,
and many of you may be able to relate to this.
(05:29):
So in your typical encounter with a doctor or a
nurse practitioner, or a physician assistant, whatever the case may be,
your healthcare team, in addition to hopefully spending time talking
with them about your ills, your complaints, your concerns, whatever
the case may be, and a physical examination. They're going
(05:54):
to send you for blood work, they may send you
for an EKG. They may and you for a chest
X ray, an ultrasound, a mammogram, a cat scanner, MRI,
whatever it may be. Some data is going to be generated, okay,
and so information is going to come back. Your blood
(06:18):
pressure is high. Let's say the top number, the systolic
number is two hundred, the bottom number is ninety five.
Two hundred over ninety five serious medical condition. It should
not go unaddressed, and it probably will not go unaddressed
because uncontrolled high blood pressure at that level can lead
(06:40):
to heart attack, heart failure, stroke, kidney damage, bad no boy,
and oh it's bad stuff. Your doctor and or your
treatment team's going to address this. Let's say you go
for blood work and your blood sugar comes back at
three hundred. So clearly, if you're not diabetic, you're diabetic now,
(07:01):
or if you do have diabetes, it's poorly controlled and
someone is going to address this because high blood sugar
leads to an assortment of problems. Let's say you go
for your annual mammogram and it comes back that there's
a spot on your breast. It's going to be followed
up with either a different kind of mammogram or imaging study,
(07:25):
or a referral to a surgeon, or a discussion that
it may need to be biopsied because we're concerned it
may be breast cancer. You end up having blood in
your stool, well that may be a sign of colon cancer.
It's going to be evaluated. And the list goes on
and on. So keep in mind that you go to
(07:46):
the doctor, tests of some kind are going to be done.
Those results come in and they're analyzed, and the things
that are abnormal will get addressed. Okay, I think we're
all comfortable with that at scenario, but The one bit
of data that is collected at almost every single physical
(08:10):
examination clinic visit is your weight. You step on the
scale and a number is spit out and it's recorded.
And my point here, and that's the whole you know,
I've been talking for eight minutes and fifty seconds. Now,
(08:31):
My whole take here is that that very important metric
is being ignored. Patients are over weight, and the doctors,
the nurses, the pas, whoever you're seeing basically say, Bob,
you're overweight, try to lose weight. Oh okay, well I
(08:53):
sort of know that I've been gaining weight for the
past decade. Okay, well I'll try to do better. Nobody
really says it's down with them to say, now, look,
this is a serious health concern. This weight of yours
is as risky as uncontrolled blood pressure. This weight is
(09:15):
likely going to lead to a number of metabolic complications.
You'll be at risk for diabetics, heart disease, cancer, fatty, liver, cirrhosis,
et cetera, et cetera, et cetera. But yet this little
bit of information is sort of ignored. You see it
and it's completely glossed over. Now, how do we change that?
We need to have an overhaul in the way physicians,
(09:39):
my colleagues need to look at the weight. The weight
has to be formally addressed. The patients and their families
need to be made aware what the long term complications are. Now,
you may have an idea in the back of your head, Yeah,
being overweight is not good, but I feel okay. Well
(10:01):
you may feel okay, but you know your blood sugar
is at a whack, and you are hypertensive on two
drugs and oh, by the way, you're on a stanton
because your cholesterol is up. All of this is going
to add up to a set of colossal complications. Chronic disease,
(10:23):
decreased quality of life, the likelihood that you're going to
die sooner than you should. Now, I would say for
most of you, my patients included, this is not necessarily
an okay thing. But the hard discussion is not brought up,
and we are just kicking the can down the road.
(10:45):
And when we look at our healthcare system, everyone says
it's going broke. Well, yeah, it's going broke because we
have all these people with these chronic diseases such as obesity,
that it's almost like these conditions are multiplying. So you
(11:06):
come in with obesity, you walk out the door with
four other diseases which I just listed, and the management
of these are expensive. The complications are expensive, the testing expensive,
the hospitalizations, the surgeries for all of this is expensive.
And while many people may not be talking about this,
(11:30):
I would say that public health crisis number one is
obesity and eighty percent of the population has fallen victim
to it, but they're not looking at it that way.
So my message to everybody would be, and I hate
(11:58):
to say, you know who, you are here to fat
shame anybody or put anybody on the spot, but if
you know that you are overweight or obese, the message
is that you're at risk for lots of other complications.
And if you could get the obesity and weight under control,
which we'll talk about after the break, your likelihood of
(12:20):
having serious complications goes down dramatically. Less medications, you could
throw those darned pills out, all right, So we're going
to take a break right now. I'm doctor Joe Galotti.
This is your health First. Every Sunday between eight no
not eight o'clock, seven and eight o'clock go to doctor
Joegalotti dot com. For more information. Stay tuned, We'll be
right back. Welcome back, everybody, Your health First, doctor Joe Galotti.
(12:46):
Every Sunday between seven and eight pm. We want you
to be here, tuned in, dialed in, listening to the program.
And as I say every week, our goal is to
raise your health.
Speaker 1 (13:00):
I Q.
Speaker 2 (13:04):
Not believe that the sun and the idea of raising
your health had Q really does go a long way
because if you've if you've got that added insight on disease,
(13:27):
the added insight on what you personally are at risk
for because of a family history or another disease that
you have or a condition, you are far more equipped
to decrease the likelihood of having serious complications. And I
think that is what this is all about, having insight
(13:47):
to understand and you could, you know, look at this
in any other way. If you know that driving high
speed without a seat belt on is bad, you put
a seatbelt on, you slow down. That'll save your life
and save misery for a lot of people. Same thing here.
If you know that you have certain risk factors, diseases,
(14:10):
things that you need to be alerted to, maybe even
if you did not know it and you learned it
here through us, and now we're your health first team.
You are that far better off. Trust me, all right,
don't forget doctor Joegalotti dot com is our website. So
to continue on the obesity discussion now, I posted a
video commentary on this about a week or so ago,
(14:33):
and I had a fair amount of feedback from it,
and you know what people were writing, and I understand
their frustration. Please please please understand that I know that
this is not a quick fix problem. There's no pill.
Well you could argue that there's a pill, but there's
(14:54):
no pill to really combat obesity because it is a
lifestyle problem. But people writing to me saying, yeah, we
get it, we get it, but we do not have
the tools. We do not have the support available to
work on a weight loss journey. And that's where I
(15:16):
sort of lose everybody, because I'm saying to myself, what
tools are you looking for? Are you looking for tools
on how to exercise more? Well, those tools are available
everywhere you go online. And there are YouTube videos golaw
(15:40):
on exercise or Instagram or Twitter or TikTok. They're there.
There are health clubs on every corner practically, So I'm
not quite sure what tools you're looking for tools to
eat better, cook better. There is a ton of information
(16:03):
on the proper nutritional journey to follow. Follow the Mediterranean diet. Well, gee,
I don't know what the Mediterranean diet. You could talk
to your physician, talk to a dietitian, a nutritionist type
in what is a Mediterranean diet and you'll find out
the content of a Mediterranean diet. I want to cut
(16:27):
down on sugar, added sugar. Well, read the labels, pardon me,
read the labels. Look for foods that do not have
added sugar. Look at foods that have decreased fat content.
It's on the labels. You could read about it. So,
I don't know if we have created a society that
(16:50):
they want everything done. You have to look at this
and say, what is my responsibility in this? I have
to own this. It's not the doctor's fault. Now, it
may be the doctor's fault that they're not bringing it
up and really sitting you down and having a heart
to heart talk about this. But you have to get
with your family, your community to say, look, this weight
(17:12):
that I am caring is no good, even if it's
just ten fifteen pounds or it is fifty pounds or
one hundred pounds. There is information out there, but you
need to take the responsibility to own this and talk
with your physicians say what are the options, where do
I get help? What do I need to do right now?
(17:34):
So again, feedback like this is very important, but at
the same time, there is that personal responsibility that you
need to really become a student of health. And you
can look through the archives of this radio program over
(17:55):
twenty plus years, and we have a lot of information online,
YouTube videos and our websites, a lot of information on
the tools that you need to be successful. All right,
we're gonna take a break right now, news, weather, traffic.
We're gonna hear about the astros coming up in just
(18:15):
a minute. Doctor Joe Galotti dot com every Sunday between
seven and eight pm to live right back. Welcome back,
everybody that your health first. I'm doctor Joe Galotti every Sunday.
I'm so glad you could join us. And as I
have always said, Sunday evening is really one of the
(18:38):
best parts of the week for me because I really
cherish this opportunity to be able to talk with the
community and help them be well. I see so much
in my medical Practice Liver Specialist of Texas. So many
(19:00):
patients that get to us too late. We like to
call it the late referral, and it is at epidemic numbers.
People just come late. They're being watched. Action is not
being taken on various issues that are uncovered. Now we
deal with liver disease, and so we see patients that
(19:23):
have had abnormal liver chemistries. It's on your blood work,
the liver test, the alt and the ast billy rubin
alkalin phosphatase, things like that, or abnormal ultrasounds of the liver.
We see people that have had these abnormal findings for
years upon years, ten years, twelve years. Oh yeah, I've
(19:44):
known about the fatty liver, but my doctor told me
not to worry about it. Well, I'm sorry to tell
you it is something you should have worried about because
now you have advanced damage. So my whole goal here
It may be that I am yelling into the woods
and nobody hears me, but we have to become more
engaged understand our bodies. You have to be better students.
(20:08):
And you know, I think if I was just to
poll anybody, you probably have more knowledge of how your
refrigerator works than how your body works, or how your
car works, or some other thing you doodle with. Oh yeah,
I'm an expert on that, but you neglect being an
expert on your body, the most complicated thing on earth.
Speaker 1 (20:33):
Now.
Speaker 2 (20:33):
I know there's no owner's manual, but I'd like to
think that this program is at least a table of
contents on what you need to be interested in. So
as a reminder, Doctor Joe Galotti dot com, d R
j O E g A l A t I dot
com is our website. Texas Liver dot com. T e
(20:55):
x A S l a v e r dot com
is our practice website. But if you go to doctor
Joegli you will see the link to Texasliver dot com
for more liver information. And through all of these websites
you can directly message me. You could directly message you.
It says contact us hit it. A form will come
(21:16):
up and write your heart away as to what you
would like to say to me, But you have to
go to these websites. Okay, a few miscellaneous little things.
There is a little magazine that I subscribe to, and
I would say, if you want to get this for
someone's birthday, Christmas special occasion. It's called Nutrition Action, and
(21:44):
it comes out every month or two. And I have
been a long term subscriber to this little magazine. It's
more like a big newsletter, but it is a magazine.
I guess how many pages is it. It's a twenty
and it is when we get to that our home,
(22:05):
my wife and I the kids, we really look at
it and become ourselves a better consumer. But I always
say this is I get good radio discussion from here,
and it is mostly related to chronic disease and nutrition
(22:26):
and again, making you a better consumer of healthcare, that
is the prevailing thing. So there's a little section here
usually every month they call it Quick Studies, a snapshot
of the latest research on diet, exercise and more. And
so these are good little nuggets to talk about with
all of you. One of them has to do with
what's called microplastics. Okay, microplastics are exactly what you think.
(22:52):
These are super super small pieces of plastic that get
into your body through your skin, your food, and the
air you breathe. Were surrounded by this stuff. And what
they're finding is that this stuff ends up in your arteries, yes,
(23:13):
your arteries of your heart and brain, and you could
get a heart attack or stroke. So researchers examined the
plaque that they removed from two hundred and fifty seven
patients who needed surgery to open up their narrow, narrowed
carotid arteries. These are the arteries that are in your
neck that go up and feed the blood to your noggin.
(23:34):
Analysts detected polyethylene and fifty eight percent and polyvinyl chloride
in twelve percent of the patients. What's more, in the
ten plaques examined with electron microscope, so that's really getting
down close, the scientists saw jagged edge foreign particles and
after roughly three years, the risk of heart attack, stroke
(23:57):
and death was four and a half times higher. And
people with these microplastic nanoparticles in the uteries. Now what
do you do, right, We're not just gonna sit here
and frighten everybody. Minimize your use of plastic, starting with
(24:18):
bottled water, the biggest source. This study can't prove that
pmns caused cardiovascular disease, even though the researchers accounted for
many factors that raise a heart the risk of heart attack,
but it is still worth limiting your exposure to plastic
and so instead of getting plastic bottles, get a source,
(24:42):
keep it in glass where possible. Okay, another one is
they title this size matters. When people were offered bottomless
plates of large, medium, and small pretzels. Now, I don't
know about you, but I really enjoy a good pretzel.
(25:04):
The interesting thing is that they ate more of the
large pretzels sixty eight calories worth than the medium calories
fifty one calories or the small pretzels forty seven calories.
The participants also ate the large pretzels more quickly and
with bigger bites than they ate the medium or small pretzels.
(25:28):
So what do we do? Keep in mind that larger
unit foods like cookies, crackers, chocolates, et cetera, may lead
you to eat more and quickly. So what you want
to do is if you are going to indulge in pretzels,
it seems that the research would say buy small pretzels.
(25:52):
I think that is reasonable. Now there's before we take
the break. Here a lot of talk about beef. People
have this idea that they need to eat beef to
get protein to stay strong. So the question here was
can beef boost muscle or tendon strength when you do
strength training. Good question. Research, which was partially funded by
(26:17):
the beef industry, randomly assigned forty nine older women to
eat a normal protein diet, a higher protein diet, or
a higher No wait, let me just say this. They
eat a normal protein diet, a higher protein diet, or
(26:37):
a higher protein diet with three ounces of lean beef
per day. Okay, so regular protein, a higher protein, and
then higher protein with an extra three ounces of beef.
So this was the study arm The first two group
eate three ounces of lean beef per week. All three
groups also got protein from chicken, eggs, dairy beans, grains, nuts,
(27:02):
and did supervised training three times a week. After twelve weeks,
all three groups had stronger thigh muscles, but muscles and
tendon strength didn't differ amongst the groups. So what to do?
Rely on strength training, not extra protein to keep your
muscles and tendons strong. I think this idea that you
(27:23):
have to have beef, red meat, hamburger steaks is not
necessarily correct. You're going to put yourself at risk for
obesity and heart disease. Okay. Coming up on the final
segment after Joe Galotti, so glad you're having a little
bit of time to spend together with us tonight on
(27:46):
this Sunday night, Stay tuned. Final segment coming up will
be right back, Welcome back to your Health First every
Sunday between seven and a pm. Final segment four tonight's installment.
And as many of you know, I get great joy
(28:09):
playing quirky music on the show. And what could be
better than Tijuana Brass from the nineteen sixties. I'm sure
some of you have said, Hey, when I was a kid,
I remember listening to that. So we're just going to
take you on a little bit of a throwback now.
(28:48):
As I have said before, there's for those that are
Herb Albert aficionados has a great documentary on him on
Netflix that goes through his whole history with A T
Tijuana Brass and A and M Records, and it's uh.
I learned a hell of a lot about herbal bit
(29:12):
and a great deal of respect for him. Quite quite
the musician. All right. Our website Doctor Joe Galotti dot
com signer for our newsletter. It's it's important to sign
up for the newsletter so that you could stay in
touch with us. So by going to doctor Joegalotti dot com.
At the top there there's a tab that says newsletter.
(29:37):
Click it, fill in your information and you will be
locked and loaded because what I'm going to talk about
now is going to be featured in next week's newsletter.
So you can get a little bit of a leg
up in what we're talking about. But you have to
(29:58):
go there to the website doctor Joe Goli. And again,
all of our social media is they follow us along,
especially Instagram, YouTube, lots of videos will be putting on.
All right, So what I want to talk about, and
you may have heard about this before. It's called the
Dash diet DASH, and it's something that really the American
Heart Association came up with a good number of years
(30:19):
ago to help control blood pressure. Now, we were talking
earlier about obesity and all of its complications, but here
is a diet that rooted in science shows that following
this diet will help with your blood pressure. And this
(30:42):
is an article out of the New York Times. We're
going to feature it next week in the newsletter. So
sign up doctor Joeglotti dot com. All right, And the
way the article goes is the researchers found that those
who followed the DASH diet had significantly larger reductions in
blood pressure than those on other diets. The following is
(31:04):
the American. Those following the American diet with extra fruits
and vegetables also enjoyed reductions in blood pressure, but to
a lesser extent. And so the key to the DASH
diet is that it is lower in sodium than the
(31:24):
typical American diet, containing roughly one thousand to two thousand
milligrams of sodium per day. The standard American diet, said
has three to four thousand milligrams per day, and sodium
in the diet is the killer. Where do you get
sodium or salt. It's in processed foods. So if you
eliminate processed foods, you eliminate sodium, you'll lose weight and
(31:46):
your blood pressure will go down. Now, in this article
they give several different recipes for some DASH diet friendly
foods that you could eat. One of them is overnight oats.
One is charred bokchoi and canaloni. Bean salad. Sounds delicious,
(32:10):
sweet potato hash with tofu, baked fish with slow cooked peppers,
Citrus salad with fennel and olives. I love fenyl, so
lots here to look about. Now if you're saying, look,
I just want the bridge notes or the crib notes here.
(32:30):
So the Dash diet eating plant is rich in vegetables
and fruits, whole grains, fat free or low fat dairy, fish, beans, nuts,
and vegetable oils. Typically I would say go with the
olive oil. Now, in a sense, this is very Mediterranean
(32:53):
diet esque. They also add poultry, chicken. They don't mention
anything about beef, pork, sausage, processed meats. Now, the things
you want to limit in the Dash diet fatty meats, well,
this is going to be the sausage, the boo Dan
(33:15):
well boo dan like foods, steak, ribbi, pork, brisket, barbecue,
all that kind of stuff. You want to limit, full dairy, dairy,
full fat dairy. You want to eliminate all sugar sweetened beverages.
That is another if you're looking to say, how could
(33:36):
I change my diet right now? Cut out all the
soda and sweetened teas and whatnot, eliminate all sweets and desserts, cookies,
and reduce your sodium intake. So that is the Dash diet.
It will be featured in the newsletter next week. Please
please please sign up for it. It's something free, there's
(33:57):
no ads, it's just pure information. As I said at
the beginning of the show, Raise Your Health IQ. That's
as simple as it gets. The other article has to
do with dietary fiber, and we talk about this a lot,
and people still don't get it straight. There are so
(34:18):
many fiber supplements on the market that people are utterly confused,
and they really really have this sense that taking these
dietary supplements, the fiber gummies, etc. Is going to replace
fiber in your diet. And I would say not so fast.
And so the number to keep in mind you want
(34:39):
about thirty five to forty grams of dietary fiber per day. Now,
the issue is are these supplemental fibers as good as food?
And I will say categorically no, they are not as
good as eating the food. The reason is when you
eat food that is high in fiber, you are getting
(35:04):
all of the additional micro macro nutrients in that food,
the additional vitamins minerals that reduce inflammation, lower the risk
of cardiovascular disease, and you're missing the goodness of what
(35:26):
nature made for us, So do not bypass. A cup
of blueberries not only contains fiber, but you get vitamin
B and C, potassium, magnesium, and so much more. And
you could replicate this for oranges, apples, broccoli, cauliflower, squash, zucchini, carrots.
(35:52):
So I think the key thing is if you are
on a journey to increase your dietary fiber by getting
more fruits and vegetables in your diet, you could supplement
it with dietary fiber. And I would say, go start
off with something like meta mucil, metamucil or one of
the generic forms of silium. Start with that every day,
(36:16):
every other day. But you have to make sure you're
getting in enough water. Now, if you take some of
these other fiber supplements, they could be quite irritating to
your gut. You're going to get cramps, you're going to
get diarrhea, you're going to wish you never did it,
and your compliance is going to go down. So I
would say, first and foremost food is best. Get this
(36:37):
food into your gut. It's going to be beneficial. If
you had to or want to add a dietary supplement,
I would go with the meta mucil sillium type products
that are out there, and there's many many generic over
the country. You get a met Costco, Walgreens, you know
(36:58):
your local supermarket has some sort of local brand of cillium.
Is the is the product that you would be looking for?
All right? So the DASH diet information I'm going to
post on the newsletter for next week next Saturday. Do
signer for the newsletter. Follow along with all of your
(37:18):
of our social media offerings and what I would say.
We are here as a resource. We want to help
the public coast to coast with their health, with their wellness,
and answer questions. There's so many of you that are
sitting out there confused, this misunderstanding about what my condition is.
How do I get the best care for my father,
(37:39):
my mother, my son, my daughter, my wife, myself. We're
here as a resource. Check check the opportunity to communicate
with us through our website Doctor Joegalotti dot com. There's
a contact us tab and you could send us a
message that comes right to me and my team. So
(37:59):
that is is it. I want you to think about
your health, your wellness. What are you eating? Are you
getting enough sleep? Are you getting enough exercise? Are you
getting enough fiber in your diet? Are you getting too
much salt in your diet? Try to reduce it to
less than two thousand milligrams per day. And if for
those that are going to the doctor this week that
(38:22):
have a weight problem, it really behooves you to sit
the doctor down or the nurse practitioner or the PA
and have a conversation to say, hey, how am I
going to tackle this because you're at risk for all
of these other serious complications that we don't want you
to get.
Speaker 1 (38:39):
So that is it.
Speaker 2 (38:40):
I'm doctor Joe Galotti, so glad to be here tonight,
and you know what, Sunday, You'll be here in seven days.
Take care, we'll see you.
Speaker 1 (38:48):
Then you've been listening to your Health First with doctor
Joe Glotti. For more information on this program or the
content of this program, go to your Health First dot com.
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