#4 – Rumination as a Gateway to Stress, Depression, and Anxiety

Find out why I call rumination pre-depression/pre-anxiety.  Identifying and solving for rumination can have a significant impact on reducing much of the suffering we experience on a daily basis.  In this episode I describe the science of rumination, common rumination movies that play inside our…


The Glycemic Impact of Stress

Background Many of you have probably read or heard about the impact of stress on glucose.  Despite this, most people are only partially convinced about the connection.  Unlike the impact of something concrete and tangible like food and physical exercise, it's often difficult to accept that…


Understanding Heart Scans, Stress Tests and Heart Disease Risk

Background I have had numerous requests from doctors, patients and my readers for a thorough explanation of heart scans and their significance.  In an effort to appease both sides of the exam table, I have written this post with enough depth to inform clinicians and hopefully enough explanation to…


Stress Management Tools and Resources

Updated September 2020 Background I know stress can be an abstract concept which isn't as easily measurable as your weight, blood pressure, or blood glucose.  This is a key reason most individuals have very poor stress awareness and make stress management a much lower priority than nutrition and…


Using Your Phone and Heart Rate to Monitor Stress

Why Stress Matters It's common to ignore stress since it is such a subjective measure compared to other familiar risk markers like blood pressure and cholesterol.  Many of you reading this blog may already have a regular stress-reducing practice like meditation in place, but today's post is for…


Stress Follow-Up: When Is A High Heart Rate Healthy vs Unhealthy?

High Heart Rate: When is it good and when is it unhealthy? I received a lot of questions regarding my last post (be sure to read and watch the video if you haven't) where I talked about how to use heart rate to monitor stress, and a prior post I did for my medical group on heart rate.  Before I…


Can Stress Trigger Disease in Otherwise Healthy Individuals?

The connection between stress, inflammation and chronic disease has become quite clear to me in my practice.  Let's talk about a patient of mine (name and details changed) to illustrate the point and then discuss some of the supportive science. Case Study Dev (name changed) is a 45-year-old hard…


Is Your Longevity Obsession Shortening Your Healthspan and Lifespan?

Background In the past, there was the "anti-aging" movement which was spearheaded by fringe practitioners who would often pitch products akin to snake oil which may have a potent placebo effect, but no real science behind it. The modern evolution of "anti-aging" shenanigans has now been repackaged…


Are You Underdosing People?

Background A recent trip to Kolkata, India during festival season taught me many lessons. I spent most of my childhood summers in Kolkata and developed very close relationships with grandparents, aunts, uncles, and cousins. My last trip was 8 years ago, so reconnecting after all that time was truly…


Setting Realistic Body Goals Amidst Unrealistic Claims

Metabolic vs Aesthetic Metrics My clinical practice is focused on diabetes and heart disease prevention and reversal through lifestyle changes, yet I often see patients whose primary goal is aesthetics. Their metabolic numbers are within range, but they are not satisfied with the look and shape of…


Optimal Health and Performance for the Entire Family

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