Episode Transcript
[00:00:16] Speaker A: Welcome back to Vital Signs. If you missed this, you're not going to want to miss anything. You're going to want to be sure to catch our app, downloadNowMedia TV and catch the first part of this show in our app.
But we're going to dive a little bit deeper with Dr. Tracy Gapin today into how men, and really anyone, can stop waiting for a health crisis and start taking charge of their biology. From personalized plans to precision medicine, this is where performance meets health. Remember folks, this is not medical advice. This is for education purposes only. And always consult with your medical practitioner before you make any changes. But Dr. Gapen, I really want to know what, why, why is the traditional approach to men's health failing high achievers?
[00:01:00] Speaker B: It is broken. And I come from that world. I spent over 20 years as a board certified urologist running a very busy practice focused on men's health. And the entire approach to men's health is very reactive. It's passive. We wait until there's a diagnosis code, until there's a problem, until you have prostate cancer, a big enlarged prostate, until you have a urinary infection, until you have a kidney stones, you have some sort of problem, and then we treat it.
Now, the problem is that we have a lot of issues that are building over time and we want to be addressing them before they become an actual diagnosis code. And that's where our traditional healthcare system is missing out, where there's an opportunity where we can optimize energy systems we talked about. We can reduce the impact of stress on our body. We can reduce systemic inflammation and prevent problems in years before they occur by just simply being proactive about it.
[00:01:50] Speaker A: You know, you're a very big advocate for precision performance health.
[00:01:55] Speaker B: Yes.
[00:01:56] Speaker A: What does that even mean?
What does that mean? And how is it different than routine care?
What does it look like?
[00:02:04] Speaker B: So I like to use the phrase one size fails all instead of one size fits all. Because what's clear is that what's right for one guy is wrong for the next. And our traditional healthcare system is all about you do some basic, flawed, inadequate lab testing and based on that testing, you get a diagnosis code. And then here's your drugs, your pharmaceuticals to treat that. In fact, each one of us is different. And our genetics, our biology dictates how our bodies are going to respond to our environment, to our nutrition, to supplementation. And so precision means individualizing it, tailoring it toward every single person. And so when it comes down to, for example, what you should be eating, you know, you're being told by influencers online that it's keto, no, it's carnivore, no, it's paleo, no, it's Mediterranean, no, it's vegan, etc. Well, that's all nonsense, because what's right for you, it depends. It depends on how your body is working. It depends on your genetics. It depends on your gut health. It depends on a lot of things that dictate what you should be eating, what supplements are right for you. We talked earlier about how do we improve sleep. There are things that you can do for sleep that depend on your genetics.
Your genetics help us understand what workout may be better or worse for you or how do you recover from injury and illness and recover from your workout better, all based on your genetics. And so I rely on personalized genetics and functional testing and comprehensive labs and wearable technology, biometric data from your own body to understand what's right for you instead of guessing. And so it comes down to testing, not guessing, rather than just taking a one size fits all approach for everybody.
[00:03:35] Speaker A: And we know this, we talk about this all the time, especially in business and in our work environments. What gets measured gets managed.
[00:03:41] Speaker C: That's right.
[00:03:41] Speaker A: And so if we don't know where we're starting from, just throwing a bunch of spaghetti at the wall in the form of supplements and dietary changes may or may not have the impact. And folks, we talk about this a lot, but I really want to highlight something that Dr. Gavin said. He talked about biodiversity, he talked about bio individuality. We are each different, depending not just on our genetics, but also what's happening in our body. If we have inflammation, if we're having gut issues, then we have to know what those are so that we can address those, so that we can optimize. You have to know what's going on, which means you need to test first. So if you're watching this and you're like, yeah, yeah, I don't buy into all of that stuff, great. But we know so much and so much data is available that we can make informed decisions and actually streamline what we're doing instead of wasting a lot of time and money doing things that maybe don't work for us because someone said it online and there's so much misinformation online. So thank you for shedding some light on that. Talk to me about the most overlooked biomarkers, Specifically in men's health. What are the most overlooked biomarkers or maybe like the really early warning signs that something is off?
[00:04:48] Speaker B: Sure. So I'm going to touch on metabolic health with this one. So I talked a lot about testosterone in the past. I'm going to talk about something different today. It's going to be metabolic health. So what does that mean? That simply means how well your body is regulating your blood sugar levels. And you will probably think that's for diabetics, not me, but it's actually important for anyone, because blood sugar control, how well you can balance your blood sugar is going to help you burn fat, help you build muscle, help you have better cognitive function, focus, mental acuity, help you have better energy, help you have better sex, help you live longer. And so blood sugar control is so important.
And believe it or not, you can measure it, you can track it every single day. And so there's something called a CGM or continuous glucose monitor. It's a device that you put in your arm and it stays there for about two weeks at a time. And it's tracking your blood sugar 24 7. And it'll help you understand what may be causing spikes in your blood sugar. So I see men and women in our practice all the time who struggle with weight loss, common complaint. And we do a lot of work around that. But when it comes specifically to blood sugar tracking, we'll find that certain foods are like kryptonite to you, that you don't even realize they may be healthy foods for most people. But for you, based again on your biology, your genetics, the way your body responds to it, it may be kryptonite. And that may be preventing you from building muscle, burning fat, having the energy that you need, simply because you don't understand how it's affecting you. But when you have the data, that data is powerful. You can now make smart decisions and understand real time 24 7, how your behavior, your nutrition, your workouts, your sleep, your stress are all impacting blood sugar. And let me be clear, if you have consistently high elevated blood sugars, you'll never build muscle, you'll never burn fat. You're not going to get the results you're looking for, no matter how hard you're working in the gym.
[00:06:36] Speaker C: Yo soy el Dr. Ryan Casey. Medico familiar con Headlands Research and El.
[00:06:41] Speaker D: Paso Tejas Headlands Research ofrese and sayoso.
[00:06:46] Speaker C: Estudios clinicos multitherapeuticos y estos estudios pueden bariar con el tiempo algunos ejemplos incluyen estudios paraladia vetes tipo dos ypertension, manejo de peso igado grasso amento de cholesterol y tambieno fresemos differentestipos de studios. The vacunas parald dolor ofresemos tambien studios para las migranhas paradal algunos ejemplos.
[00:07:12] Speaker D: Welcome to Headlands Research.
Happy to have you. The study. Nice to meet you as well.
So today what I'll be doing is checking your extraocular movements. So I'll just have you follow this pen, keeping your head still looking up and down, left and right.
Very good. And what I'm going to do now is go ahead and have a listen to your lungs.
So just deep breaths, please. In and out.
[00:07:40] Speaker C: Estabien documentado las enfermedades chronicas quexisten en la Frontera entre Mexico y Estados Unidos estoya blando de diabetes, obecidad, hypertension. Enfermedades cardiacas.
[00:07:59] Speaker D: Lo quequeremos lograd and Headlands Research aqui.
[00:08:02] Speaker C: En El Paso es trabajando serca con la comunidad para determinar cuale son las necesidades mas importantes de la comunidad y tomando and cuenta esa informacion of resiendo los mejores estudios clinicos para tener mayor impacto en la comunidad y lo quequequeremos logarar finalmente es ayudar mejorad la calidad de vida y la salud de nuestra poblacion.
Soy medico familiar escuela de medicina en la ciudad de Mexico. Yoi semiservicio social en Mexico y tambien travajado como medico en Mexico, tengo doble nacionalidad y semi especialidad en medicina familiar in el Sur de Arizona, Yevo mas de diez anios trabajando and la Frontera arita en El Paso. Tejas estamos en la frontera con Chihuahua Mexico y tambien juntos le estado de Nuevo Mexico de los Estados Unidos. Cuando hablamos de diversidad. Los estudios clinicos factores como edad General Raza. Sonny Importantes respondemos de diferente manera a las terrapias. Los medicamentos porreso estani importante diversidad en los estudios clinicos para asegurarque estas terapias estos medicamentos Sean seguros y effectivos paratodos.
[00:09:51] Speaker D: And Headlands Research aqui en El Paso.
[00:09:55] Speaker C: Nosotros estamos ofresiendo accesso a la poblacion hispana para Yudar habanzar a la Medicina.
[00:10:02] Speaker D: So on physical exam you can see her pupils are equal, round, reactive to light. Her extraocular movements are that meets that criteria right there.
[00:10:11] Speaker A: So she should be okay across the board there?
[00:10:13] Speaker D: Correct. And her lung sounds were clear. So yes, she does meet criteria. So she should be good to go.
[00:10:18] Speaker C: Salimpacto tienelos estudios clinicos en avanzar a la medicina es muy significativo.
Estoy hablando specificamente sobre el des arroyo de nuevos medicamentos.
Tambien mejorando la prevencion. Mejorando los estudios de diagnostico quexisten oyendia mejorando los strata. Mientos paratoda las enfermedades que existen nosotros queremos ayudar. PSD parte de se impacto por medio de los estudios clinicos en la comunidad para mejorad. La salud de no estra comunidad actual mentes estamos trabajando con la comunidad. Estamos collaborando con clinicas en la comunidad y estamos dando segi miento de serca a los participipantes Quezon parte de nuestros estudios clinicos nosotros asemos todo nuestro intento parastaren la comunidad si nosquieren buscar estamos en los redes sociales. Tambien nos pueden en contrare nuestra pahina.
[00:11:30] Speaker D: Web Headlands Research Punto com nos pueden.
[00:11:35] Speaker C: Hablar portelefono sitien and pregunta sitien and interes de ser parte de uno de los estudios Clinic osque ofresemos e principalmente.
[00:11:44] Speaker D: And Headlands Research El paso las puertas.
[00:11:47] Speaker C: Siemprestana viertas nosotros estamos en la comunidad para yidara la comunidad y estamos azusordenes.