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Power Yourself Properly: Dr. Casey Means on Why Metabolic Health is Everything

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Join Dr. Casey Meanas at Wanderlust Palmaïa in Playa del Carmen, MX — Dec 7-10, 2023. She’ll be sharing talks on metabolic health, joining live podcast recordings, and also giving a plant-based kitchen demo! Join us!


Brain fog, fatigue, constant exhaustion. Sound familiar?  Yeah, you, me and apparently the entire modern world. What gives? Dr. Casey Means suggests it’s a problem with power: the cellular machinery that is set up to fuel our function isn’t working correctly, and frankly, it’s our fault (not our mitochondria’s). In an interview leading up to the release of her new book, Good Energy, we asked Dr. Means why metabolic dysfuntion has become so rampant and the shifts she recommends taking to get our cells firing properly once again.

 

Wanderlust:  Metabolic health is a relatively new concept in the wellness world. What would you tell someone who’s never heard of metabolic health about why it matters and why this became your primary focus?

Dr. Casey Means:  Metabolic health is the foundation of all health. This is because every one of our 40+ trillion cells require energy to do their work, and that energy comes from metabolic processes.  It comes from how we convert food energy to cellular energy—this is metabolism. In 93.2% of American bodies today, metabolic dysfunction is present. That percentage should be close to 0%!

This means that in the vast majority of American adults, there is a problem with how our bodies fundamentally power themselves.

This is the direct result of the modern industrial diet and lifestyle, which are synergistically hurting the metabolic machinery of our cells. Most significantly affected are mitochondria, which you might remember from high school biology are the “powerhouses of the cell.” Many synthetic environmental toxins hurt our mitochondria. Lack of sleep hurts our mitochondria. Refined sugars and grains hurt our mitochondria. Sitting too much hurts our mitochondria. Even chronic fear stunts our ability for mitochondria to do their best work.

When our metabolic machinery does not work properly, we are like underpowered machines, sputtering along to do the daily work of our lives. When our cells are sputtering to do the trillions of chemical reactions they need to do every day, this creates a struggling body… which emerges as symptoms and disease. So, it’s not surprising that 9 of the 10 leading causes of death in the United States right now are fundamentally rooted in metabolic dysfunction. Our diet and lifestyles are killing us, and they’re killing us because they’re hurting our metabolism.

This is my mission in life to evangelize. And I believe that until the healthcare system orients around metabolic optimization, we will keep getting sicker, and no amount of meds, surgeries, or increasing healthcare dollars are going to fix it—unless we shift to focusing on the right problem.

As individuals, to revolutionize our energy, minimize our symptoms, have sharp bodies and brains, and live long healthy lives, a focus on metabolic and mitochondrial health is foundational. We have to power ourselves properly before we can do anything else.

WL: Who or what has been the biggest influence on guiding your studies in health and medicine toward cellular health?

CM: The biggest influences for me have been the forward-thinking, fearless medical leaders who have put the pieces together of functional medicine, the concept of “food as medicine,” and metabolic health. I am indebted to the friendship and collaboration with Drs. Mark Hyman, Robert Lustig, David Perlmutter, Sara Gottfried, Dom D’Agostino, Terry Wahls, Ben Bikman, Molly Maloof—their writing and content has changed my life.  Follow all of them and read their books and watch your life get better!

There are many others as well, like Drs. Jeffrey Bland, William Li, Howard Luks, Chris Palmer, Steve Gundry, and many others… 

I also admire so many of the content creators and thinkers who have pushed the ball forward in health, like Jeff Krasno, Shawn Stevenson, Kayla Barnes, Mona Sharma, Ben Greenfield, Dave Asprey, Louisa Nicola, and more. 

I am also deeply inspired by the regenerative farming community and leaders, like Molly Chester at Apricot Lane Farms, Will Harris at White Oak Pastures, and Jesse and Ana Smith at White Buffalo Land Trust.

WL: People don’t often turn to their doctors for recipes. Have you always had a wont toward cuisine/a talent in the kitchen? Do your explorations in the kitchen act as a counterpoint to your medical pursuits, or do you find the two elements to be complementary?

CM: I have been inspired by the power of food since an early age. As an undergraduate at Stanford, I studied nutrigenomics, which planted the seed for helping me understand how food compounds can actually change our gene expression, and that our genes along are not our destiny. In fact, it is the interaction between the environment, what we put in our bodies, how we live, in conversation with our genetic code that determines our fate. 

When I was a young child, I was very overweight, and at 14 I went down a path of learning all about nutrition, reading tons books from the library, studying science, and starting to cook my own food and eliminate processed food. The weight came off fairly effortlessly, and this deeply entrenched in me the power of real rood. 

Something we don’t think about often is that the body is 100% entirely made of food. Every atom in our body is made from food. Essentially, pregnancy is the process of 3D printing a human from food in the mother’s body! It’s incredible! And it’s not only the building blocks for the body, it’s also the instructions and serves as information that goes into the body to tell the body what to do.

As such, I’ve always had a sense of deep awe at the fact that eating, and cooking, is basically the transmutation and transformation of environmental energy into human energy… environmental matter into human matter… Environmental potential into human potential…  It’s all one, it’s all connected, and the quality of the food becomes the quality of our lives. 

Food, eating, cooking, gardening…  it’s inextricably linked to the human body and to human health, and I think our healthcare system would be a lot more functional if doctors saw things this way.

There’s no getting around the fact that we are what we eat,  and what we’re eating in the country in the United States these days is ultra processed, industrially manufactured, lifeless, nutrient depleted, and covered and filled with toxins. It’s so obvious why we’re sick, and what we need to do to fix it. It starts with food.

WL: What’s the one thing that a person can do today to level up their metabolic health?

CM: Buy food from a farmer’s market! Eating unprocessed food that’s been grown in healthy thriving soil is the best possible thing you can do for your health.

WL:  What is your favorite wellness modality: from yoga to cold plunges, red light therapy to acupuncture… is there one that you’d never want to leave behind in your journey?

CM: Too many to count! One of my favorite things to do in any cold environment is to find a body of frigid water and jump in it to get my free cold therapy. This might be an Alpine Lake in Wyoming during a hiking trip, a glacier Lake in Montana during a company off-site, an icy river in the middle of winter when visiting friends in Bend Oregon…  I can’t help but jump into cold bodies of water! I also don’t go anywhere without ear plugs, an eye mask, turmeric, magnesium, l-theanine, lavender essential oil, and valerian root. You never know what the sleeping conditions are going to be when you’re traveling, and having my little sleep set is incredible! 

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Dr Casey MeansDr Casey MeansCasey Means, MD is a physician, Chief Medical Officer and Co-founder of metabolic health company Levels, Lecturer at Stanford in Food, Design, and Technology, Associate Editor of the International Journal of Disease Reversal and Prevention, and author of Good Energy: The Surprising Connecting Between Metabolism and Limitless Health.

Her mission is to maximize human potential and reverse the epidemic of preventable chronic disease by empowering individuals with tech-enabled tools that can inform smart, personalized, and sustainable dietary and lifestyle choices. Dr. Means’s perspective has been recently featured in the Wall Street Journal, New York Times, Men’s Health, Forbes, Business Insider, Techcrunch, Entrepreneur Magazine, The Hill, Metabolism, Endocrine Today, and more.

Website | Instagram



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Whole Grains And Why Your Body Needs Them

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We’re here to tell you that whole grains do the body good. Of course, “everything is in moderation;” however, whole grains have a bunch of health benefits. They are a great source of fiber, vitamins, and minerals, which is why, in limited amounts, the Hallelujah Diet supports a variety of whole grains. 

What exactly is a whole grain?

Most of us are no strangers to grains; they’re a household staple across cultures, but since industrialization, what makes something a whole grain is a little less apparent. Whole grains are actually seeds from plants like corn, rice, wheat, buckwheat, quinoa, and amaranth. The seed is composed of three parts: the bran (a hard, fibrous shell), the germ (the core part of the kernel that’s packed with vitamins and nutrients), and the endosperm (the largest section where carbohydrates are stored along with some proteins and vitamins). 

This is important to understand because all three sections must remain intact to be considered a whole grain. The refining process removes the germ and the bran from whole grains, the seed’s healthiest and most nutritious part. 

Health benefits of whole grains

Let’s talk about our stomachs for a second. The intestines are quite long, and they need help pushing food through our bodies. This is the job of fiber. Fiber is critical to a healthy lifestyle and preventing chronic diseases. It’s also critical to weight management. A neat thing about fiber is it even sends endocrine signals to the brain that satiate the appetite. 

Whole grains have also been shown to lower the risk of Type 2 diabetes and stomach-related cancers, as well as high cholesterol and high blood pressure, which directly correlate to cardiovascular diseases. 

Foods high in fiber keep you satisfied, creating a bulk in your stomach that supports a healthy digestion time frame, making you feel fuller longer as well as slowing the breakdown of starch into sugar. A sugar crash can make you feel hungry again, even if you just ate. Regulating appetite by consuming whole grains effectively prevents overeating. 

Whole grains’ prevention of sugar spikes, along with their nutrients and phytochemicals, are also what lower the risk of type 2 diabetes. Refined grains are high on the glycemic index, and replacing them with whole grains will improve how your body responds to insulin. Type 2 diabetes is one of the world’s most prevalent chronic diseases. Studies have found lack of whole grains contributes to a ÂĽ of all cases worldwide. Diets high in processed meats are another major offender contributing to the growing cases.

How to watch out for refined grains

The milling companies strip out the bran and germ to make grains easier to digest and give them a longer shelf life. This process has resulted in health issues around the world. Why? Because refining grains strips away their nutritional value. The fortification process allows some vitamins and minerals to be added back, but its proportions are minimal in comparison, and even when a refined grain is enriched, it’s still devoid of fiber.

We know food labeling can be tricky, and the grain aisle is overwhelming but it’s so important to read packaging closely. Similar to eating animal products, eating refined grains makes the body sluggish and constipated and causes weight gain because there’s no fiber. 

Some refined grains are easy to identify. Culprits like white rice and white flour are the big ones, but other items not so much. Like we always say, look at the ingredient list! For instance, “wheat flour,” “unbleached wheat flour,” or “stoned wheat” are not the same as whole wheat, which is a type of whole grain. Another tricky component is that some grains mix refined and whole grains. Note that this is not a whole grain. It’s important to remember it must be made with 100% whole grains for it to be considered a whole grain.  

Choose Organic Whole Grains

In modern agriculture, the use of glyphosate-containing herbicides has become ubiquitous. Not only is it used on Round-Up Ready plants like soybeans, but it can also be used right before harvest to dry up all of the grain plants so that they are ready to harvest at the same time. If it means using glyphosate to beat the fall rain or get no crop at all, the farmer might choose glyphosate to hurry the crop into the grain silos. But this means that the residual glyphosate gets passed down to the consumer, which could be you if you buy conventionally-grown whole grains. So, beware of this modern aspect of farming and choose organic whole grains for your health.

Hallelujah for Fiber

Eating foods that only originate from the garden, the mantra of the Hallelujah Diet, means you’re always eating food rich in plant fiber. Essential nutrients like iron, zinc, selenium, and B vitamins are easiest to consume through whole grains, making it a critical part of a balanced diet. God gave us real foods for a reason, and real foods aren’t fiberless or contain refined sugar. We’re here to support you, encouraging you to prepare whole grains each week, try whole grains you haven’t tasted before, and remember to place equal emphasis on monitoring the quality of carbohydrates alongside the quantity

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An overview – Healthcare Economist

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A paper by Kogut (2024) has a nice overview of the organizations that develop pharmacy plan quality metrics. Pharmacy plan quality is vital since approximately 85% of the US population has prescription drug coverage through public (e.g., Medicare , Medicaid) or commercial (e.g., employer-provided) pharmacy plans. A helpful summary table is below.

An overview – Healthcare Economist
https://www.jmcp.org/doi/epdf/10.18553/jmcp.2024.23240

Quality measures are selected based on validity testing (to ensure that the measure accurately represents quality aspect intended be measured, reliability (to insure the measure is precise and estimate is done consistently), importance (i.e., aligns with key plan/population health priorities, usability (i.e., whether the metric is easily understood), feasibility (the burden imposed for data collection needed to estimate the measure), and consistency (whether it is consistent with other quality measures from other organization and also not duplicative of other quality measures).

Of note is recent legislation that impacts quality measurement for Medicaid plans.

Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act of 2018 introduced new requirements for state Medicaid DUR [drug utilization review] programs and Medicaid-contracted managed care plans. These requirements are designed to encourage the safe, effective, and efficient utilization of prescription opioids, with a focus on curbing overuse and misuse. Specific topics of quality measurement include monitoring the concur-rent use of prescription opioids with benzodiazepines or antipsychotics, ensuring appropriate opioid dosing and limiting the days’ supply, and identifying instances of suspected abuse. Additionally, the SUPPORT Act man-dated that Medicaid DUR programs monitor the use of antipsychotic medication in children.

One organization with which general (i.e., non-pharmacy) quality measure experts may be less familiar is Utilization Review Accreditation Commission (URAC).

URAC is the exclusive accreditation provider for pharmacy benefit management (PBM) companies that offer pharmacy benefit plans. Although URAC accreditation is voluntary, URAC-accredited PBMs represent more than 90% of prescription drug volume in the United States

More details on quality measurement–including how quality measure attribution is determined and how medication therapy management (MTM) are implemented–are available at the full article here.

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Exercise May Boost Cognition In Adults With Down Syndrome

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A new study suggests that walking offers a plethora of benefits for adults with Down syndrome. (Arek Adeoye/Unsplash)

Taking regular walks may do much more than improve physical health for adults with Down syndrome.

New research finds that walking three times a week for 30 minutes could prompt meaningful improvements in cognitive activity within weeks.

For the study, 83 people with Down syndrome living in 10 different countries were divided into four groups. Some of the participants were told to walk three times a week for 30 minutes while others were asked to do a series of cognitive and executive function exercises. A third group did both the physical and cognitive activities while a fourth group did neither.

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All of the adults in the study were provided a Fitbit to record their activity level and they completed physical and cognitive assessments at the start and end of the study.

After eight weeks, researchers found that individuals in the group that participated in the walking exercise as well as those in the group that completed both the physical and brain health activities increased the distance they could go in a six-minute walk test by about 10%. They also showed significantly fewer errors and increases in correct responses on a cognitive activity.

The study published in the International Journal of Environmental Research and Public Health also found marked improvement among those in groups that did either exercise, cognitive training or both on a separate test that measured the speed and accuracy of decision-making.

“These findings are potentially huge for the Down syndrome community, particularly as walking is a free activity in which most people can engage,” said Dan Gordon, an associate professor in cardiorespiratory exercise physiology at Anglia Ruskin University in the United Kingdom and a senior author of the study. “Improved cognitive function can lead to increased societal integration and quality of life, which is important given this is the first generation of those with Down syndrome who will generally outlive their parents.”

Gordon noted that even though walking is often considered a subconscious activity, it actually requires a good amount of information processing.

“In our participants with Down syndrome, we think walking has the effect of activating locomotive pathways, driving cognitive development, and improving information processing, vigilance, and attention,” Gordon said.

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How Dillion Lost 40 Pounds in 100 Days

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Every month, we feature MyFitnessPal success stories to serve as weight loss inspiration as you embark on your own journey.

Name: Dillion P.
Age: 25
Location: Soperton, Georgia

Meet Dillion, a husband and dad of two who was inspired to use MyFitnessPal to become the healthiest version of himself.

In the beginning, Dillion wanted to lose weight. But his goals extended beyond that to non-scale victories, too. He wanted to improve his consistency and self-discipline; and unlock a new level of mental well-being through nutrition.

After just 100 days, he accomplished those goals and more. Read Dillion’s MyFitnessPal success story below to learn how starting with food supported his journey to weight loss and whole-person health.

1. Growing up, what was your relationship with food like?

Growing up in South Georgia, I was raised on fried chicken, corn bread, and so many more delicious but not so healthy options. Amazing sweets and sugary sweet tea are staples of southern cuisine. I would always clean my plate and go back for seconds, as I wasn’t aware of the impact portion sizes could have on my body and health.

2. What was your relationship with your weight?

I have always been active. I played sports in high school and would do other activities in my free time that kept me moving. I fell off my routine when I went to college and started gaining weight.

I was eating what was convenient instead of what was good for me. I was less physically active so that contributed to an increase in body fat and it made me feel terrible. I did not realize how terrible I felt until I decided to make a change.

3. What motivated you to start making healthy changes?

I wanted to become healthier for myself! I deserve to give myself the very best. We can either get through the day, or get something from the day. I am going to make the choice to get something from it.

I wanted to grow physically, mentally, and spiritually. I also have a beautiful wife Shanell, and two wonderful boys, Ayden and Daylen who I want to inspire to do the same! Get up and get after it!

4. What goals did you set for yourself at the beginning of your journey?

I slowly built on my goals and progress month-over-month:

  • Month 1: Track my nutrition and walk a lot more
  • Month 2: Track nutrition, cardio in the form of jogging, and moderate weight training
  • Month 3: Keep tracking nutrition, lift weights more intensely, and focus on building stamina.

5. When and how did you discover the MyFitnessPal app?

I discovered MyFitnessPal by watching a lot of my favorite YouTube channels that recommended ways to track calorie intake. MyFitnessPal checked all the boxes I was looking for when it came to what I wanted to keep data on.

6. What’s your favorite MyFitnessPal feature and why?

My favorite features are the Weekly Review and the quick adds of meals from day to day! It makes tracking calories and macros a breeze.

7. Can you describe a specific moment or experience that served as a turning point in your health journey—one that made you realize you were on the right path?

On day one, I struggled to run a quarter mile without breathing hard. On day 70, I pushed myself and ran 10 miles and felt great afterwards. Sometimes, I feel it is important to go beyond the limits we set on ourselves. On the other side of pain is growth.

This made me realize that what I thought was impossible was just my current perception of what I was able to do. With hard work, anyone can change that!

8. How has tracking your food impacted your eating habits and food choices?

Tracking my food has been the greatest thing! By far, nutrition has been the biggest factor in my journey. It makes you self-aware of how the foods you eat impact more than just your weight.

I could tell a difference in mood, gut health, and confidence. It made it easier to know I was meeting my protein goals and getting enough fiber in my diet. I could also compare and contrast, experiment, and analyze what foods at what times contributed to my energy levels.

9. What kind of changes did you see in your gut health?

Initially, my diet was high in processed foods, which often left me feeling sluggish and bloated. However, as I shifted towards whole, nutrient-dense foods, I noticed significant improvements. Incorporating a variety of fruits, vegetables, and probiotics not only aided in my weight loss but, I believe, also led to a more balanced gut microbiome. I noticed better digestion, less bloating, and an overall increase in energy. It was as if my body was thanking me for the switch to a cleaner, more mindful way of eating.

Also Read >> How MyFitnessPal Helped Change Shameika’s Relationship With Food

10. You mentioned you experimented — especially with foods that impacted your energy levels. How did you experiment, and what did you find?

Since I started incorporating more fruits, vegetables, and whole grains into my diet, I’ve noticed a remarkable boost in my energy levels. The vitamins, minerals, and dietary fiber in these foods have not only supported my overall health. I feel like they’ve also optimized my body’s energy production. This change has led to more sustained energy throughout the day. I don’t feel as much fatigue and sluggishness as I used to!

I’ve learned more about nutrition, in general. I now understand the importance of carbohydrates in fueling my workouts — carbs break down into glucose, which my muscles use as a primary energy source, especially during intense or prolonged physical activities. This has allowed me to perform better and push myself further in my fitness journey. It’s clear to me now how essential a balanced diet, rich in fruits, vegetables, and whole grains, is for maintaining high energy levels and supporting my workout regimen.

11. Thinking back to the goals you set for yourself at the beginning of your journey, what goals have you achieved? (In other words, where are you now in your health journey?)

I started my journey at 194 lbs! Now, I am 154 lbs!*

12. What goals do you want to achieve next?

I am starting a new phase until April. I want to put on as much muscle as I can in that time period. MyFitnessPal is going to help me stay in a calorie surplus that will help me build muscle while keeping the body fat percentage from increasing along with it. It’s simple math that makes a big difference!

13. What have you learned about yourself during your health journey so far?

I have spent a lot of time with myself. I wake up early and get to the gym around 4 a.m. to minimize the amount of time I miss with my wife and kids. I have learned what discipline really is and how important consistency is. You have to push yourself, but listen to your body and value recovery. You want to be able to go hard every time you step foot in the gym.

14. How has this journey impacted your overall health and well-being, both physically and mentally?

I can’t tell you enough how much better I feel physically and mentally. I am more confident, have better stamina, more mobile, and have a better mood and mindset throughout the day! The physical progress is great but the mental health improvement, energy levels, and stress reduction is priceless.

15. And finally, what advice would you give to others who are considering using MyFitnessPal?

Set realistic goals, be consistent, and plan your meals a day before if you can. It makes things so much easier! I look forward to planning what I feed my body each day!

Dillion did it. You can do it, too. Take control of your health today with the (free!) MyFitnessPal app.

*As always, everyone’s weight loss story is different. Weight loss is hard work, and involves a healthy diet and exercise. Most people can expect to lose 1-2 lbs per week.

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