What's up, guys? The interview you're about to hear is I had a great time. So the the to folks that we interview on. Today's podcast are dr. Shaka and dr. Scott Glenn just a little background, but we get into a lot of it in the podcast. Dr. Shaka is the pediatrician for Coach glassman's kids and has been for years. Also, they both had a significant role in CrossFit health over the years and largely some of the things we talked about in the podcast or how toThis idea or this concept of CrossFit health and then figure out how to apply that moving forward. So we get it and pretty sure that everybody is on board with the idea of CrossFit health and trying to move towards general population and fighting chronic disease, but the sense is that people are really struggling with how to execute that idea and hopefully some of the things that we talked about in this podcast because I really think they do what kind of shine some for shed some light on this some different ways to do that. It was such a good episode and we talked about some things that are pretty in the weeds here with regard to chronic disease. So you're probably gonna want to listen to this podcast three or four times and take some notes. There's some really really good information. But we also talked after the podcast and we are going to sit down and we're going to do a Q&A with both of them. We will put this out to the community beforehand. We will get all of your questions be as detailed as you want with those questions will let you know when it's going to drop but I really really want to have them back on because these are some of the folks and these are the relationships that us is gym owners and coaches need to start fostering moving. Forward so that we can really start to battle that, you know tsunami of chronic disease and we can do it with Fitness Nutrition and lifestyle. All right guys, enjoy this episode. All right, everybody. Welcome back to the best hour of their day podcast. I am super stoked for this one because what we're going to talk about today is hopefully going to fill in some gaps for the larger Community going into the future. So guest on the podcast today are dr. Shaka, dr. Scott pediatrician and anesthesiologist. And what we're going to do is large you talk about chronic disease and how Jim's can navigate kind of that new Mission moving forward, but Both of you so much for coming on the show super stoked about this conversation because I'm going to learn a lot. Thanks for having us. Thank you. So real quick. So just so people have a little bit of context give a little bit of your backstory. So we were talking a little bit before we hit record and I know shocking you are coach glassman's his kids your their pediatrician, correct? Yes. Okay. Yes. I love it that you didn't say have everyone always like says the adult. I'm like, okay. I'm not that old. Well, so I've learned some etiquette because I spent a significant amount of time in the hospital with my Sure, so I kind of know some of the rules with regard to that. So yeah. And so and we live in San Diego and so I met Greg and Maggie and family down in San Diego and that's how I got involved with all of CrossFit and really I have been practicing here for 20 years as a pediatrician and I was practicing kind of like I would expect most doctors to practice where I was doing what I had been taught. I was always, you know, I went to medical school at UCSD and I kind of thought I was always I'm like the best job ever and then I started really kind of learning some of the stuff. We're hey, why is this going on what's going on? And I remember I went to one of our American Academy of Pediatrics their conferences a national conference and I came back and I was like, why is Coca-Cola like front-and-center sponsor for Pediatrics? Like what do they have to offer us? I don't understand this isn't seem right and it was about like probably about you know 10 to 15 years into my career and so I started asking a lot of questions about things that we were doing as pediatricians that didn't really make sense to you. Now. There's a lot we do that I think is amazing, but they were some things that weren't really making sense and I started talking to Greg about this and he helped me understand a lot of the politics and and really kind of helped me get to the next level of bringing really Health not just medicine to my page. Were you an oddball for having that question about Coke being a sponsor or is that is that something that like everybody's just like? Oh, yeah. They just a sponsor. Oh 100% I mean I went actually to that they had this huge like a boot they have these like vendor boots and they had a huge booth and so I haven't really told anyone this but I mean they were these all these doctors lined up for free samples of coke at a conference now. I will say in in defense of all of this. I think we all change and we all get a little bit more educated and there are probably things that I've done over the years that are ridiculous. So I don't want to be like pointing fingers at how dumb people are but at the same time ridiculous. So I remember I went up to the front I went up to the salesperson. I'm like, excuse me. What are you offering us? Can I ask you what are you educating us on here? And I remember like two colleagues pulled me aside I do. Were embarrassed by me they were like shocked that you're just embarrassing. I'm a no I just want to know what are you offering me as a pediatrician giving me a coke sample at a pediatric conference and so having said that you know for about two years now, they're no longer a lead sponsor for they're no longer sponsoring the AP the AFP but at the time I was completely embarrassing to the people to the docks there who are all lined up trying to get Free sample, that's everybody like something free. I would agree. However, I mean that's just such a bizarre scenario. Like it's just doesn't make sense. Yeah, and I think it's more bizarre is that like people are embarrassed by me going? Hey, what are you offering? They're like look, I think you're kind of like harassing them. But I think the interesting thing is the question that never gets asked which you know, because people are just happy. Hey, A coach here, you know, you know enjoy Coca-Cola. I mean it's been ingrained in our life our whole life. Nobody says what Scopes actual interest in medicine, you know, which is the billion-dollar question probably I mean, why is it actually feel the need to sponsor this? They're not just giving away Coke there's do if you see a sponsor they're probably there for some game and I think that is the is a disconnect for a lot of people in the community and a lot of people think that Greg has just this hatred for Coca-Cola because it's Coca-Cola and that's fundamentally, not enemy. Anybody who's spent any amount of time with him knows that he you know, he's a man of principle right? He's just like Hey, listen, this is what I believe and this is and this is what's right and wrong and he and she doesn't care if people drink Coke. He's like drink all the coke you want. He's like don't fool yourself and think that it's healthy. His beef is their interference and Health Sciences. Yeah. That's a hundred percent. Right exactly. I've heard him say it. You know multiple times and he wants coke out of the medical industry, you know, not not that he has any problem with the business. He's very libertarian. So he doesn't care a me each person can do whatever they want. But he doesn't want the behind-the-scenes influence of the healthcare policies by a sort of company and you ask such a great view of such a great point, which is we're other people wondering why they were there and no they weren't they were just I mean passively Taking what was being given or 9mm pass away. They're standing there waiting for their free sample. So doctor should have been asking which good-looking drug rap. I'll prescribe this drug, you know, I mean free Coca-Cola people people don't you know, I mean doctors don't get out much. So if we get a little bit of attention more easily, you know falling prey to some deceptive marketing techniques and so and we'll get into this a little bit later in the podcast but What are some of the things as a pediatrician specifically that you so like I think regardless of what profession you are in I can think of some pretty awful things. I've done as a trainer 10 years ago 11 years ago from a pediatrician or what are some of the things that you've kind of reversed course on with regard to treatment of your patients, which is incredibly important because your patients are a future generation a future generation that are either going to need a massive amounts of Health Care. Or not essentially. Yes. No, I think the big one is diet-related. So food-related. I'm definitely when I first came out of training and for a good ten years basically prescribed what and just repeated what I had learned and I really thought that's what what we did and so for example first food was cereal and then the whole like, oh well as long as the cereal that kids are eating our multigrain and that whole just feeding processed garbage and not really recognizing that I had a great voice to help families understand that that's not what we feed our kids. So that's a big and I like I said, I don't want a really call it a mistake. It's more of a learning because what we're doing is we're doing what everyone's doing and I really have to get past and that's what great really helped me with learning is to really kind of opened my eyes and and he just and he gave me the support for I was already opening my eyes with that, but you know what? Okay to do that there. There's something from me that's asking that and it's a good question. I'm asking so it's the food and then also treating things with medicines where they should be treated with food. So if a kid comes in with a knife set up a fortune with constipation instead of just giving a prescription for a medicine. I really need to be asking people and people need to be asking themselves. What what are you eating? So I mean, that's not the same thing for if you have pneumonia. I'm not going to have you come off. Gluten, right so there is a great place for certain medicines, but at the same time, I can't sit around and have these kids eating all this junk. The other thing is it's given me a backbone behind it. So when I'm sitting there and patients are right in front of me popping, you know, or they're leaving their kids are eating granola bars and fruit snacks. I actually have so much more straight. I feel like I have an entire Army of doctors and the The entire team who are supporting me saying, yeah, you know what you got to drop that that is not a food. You can't give your kids the student it just not that's what's better about this and I think that starting in the early 90s, you know, this whole idea of evidence-based medicine came about and you know, the word sound pretty sexy because you think everything you're doing is based on, you know, some real science. You can feel good about what you're doing. But you know, and this is one of the things Is that Greg has really pushed as far as the physician side across the health, which doesn't really deal with the Affiliates but with educating the Physicians who are crossfitters and that's about how most Science Now is really what's called consensus science, which is a bunch of people get in a room together and go. Well. What do you think is best for what do you think is best why I really like that Coca-Cola and a truck was pretty cute. So let's use this medicine and you know, I mean, so the way that decisions are made Based on consensus is not really what's called modern science, you know, it's called post modern science and it's not really actually a scientific technique. So a lot of the doctors just follow along. Oh, this is what the guidelines recommend, but nobody really, you know digs into the story. Well, how did these guidelines come to me? Because the dishes are really busy, you know, you know, you can put like a bunch of caramel in the in the body of a paper and the doctors are just going to read the abstract because it's Title or the title and say oh this is good, you know and then it gets diluted out or diverted even further when it makes the headlines for you know, MSN or you know, the latest news channel or something. So people don't really have science behind the recommendations that are being made there were some really interesting talks and I'm really bummed I missed the vast majority of them at the health conference at the games, but Greg talked about that at the affiliate Gathering to about how that Most modern science, which is largely consensus or or you can think of it as like this kind of like weird self licking self licking ice cream ice cream cone of peer review papers, right man. Yeah. He talked about that. He said it's the antithesis of actual science. It's just like we all agree because that's what we think it should be versus it doesn't seem like there's as many kind of naysayers or that one person in the group who's there simply to oppose the idea for the sake of having Having a discussion about it might be talking about that at length. And if you agree disagree with the consensus you get kicked out of the club, you know, so it's a very it's a very very, you know, it's very adversarial to having, you know differing opinions, which is you know, how most things really come the answer almost always lie somewhere in the middle and it's only through intensive debate and disagreement among scientists that you kind of get down to the truth. I think and that's really Been bred out of the current medical system do do either of you think that is because largely many of the things that would fall in that chronic disease bucket don't necessarily feed the medical machine from us from a financial standpoint. I'm pretty for sure. I mean there's there's not a lot of money and eating real food Whole Food, you know, I mean the food industry is involved in that because you know, they want you to eat packaged food and you know, so similarly people don't want you to eat meats and vegetables nuts and seeds, you know, go do CrossFit for five days a week and get healthy. They want to put you on a medicine and you know, the medical system and doctors do a lot of amazing things in all healthcare workers from First Responders, you know nurses people who sweep the floor in the house for everybody in the medical industry worked really really hard long hours and and makes a lot of sacrifice that I'm most doctors aren't these, you know conniving This is people who are looking to screw you over to get rich, you know, so I think people don't realize it but the system is really designed to put you on medication and medication only other than like acute illnesses like like infection and maybe some medicines acute medicine to the area could almost say cancers like an acute illness you can you can defeat it. But a lot of other things than medicines are designed to just slow the Decay The Descent, you know before you crash into the ground and get buried They Don't Really reverse the course of disease except anesthesia, which we love right for sure. Yeah. I don't think that I don't think people want to be awake from this of those procedures. But you know, I mean certain nice one like a lot of people going to Anesthesia stuff. I mean, you know, there's certain subset of his doctors who just loved surgery because when you cut something you can often cure, you know, kind of stickers saying kind of the surgeons mono, but when you go to a lot of primary care people and it's not their fault and this is where really The role of CrossFit Health in the Affiliates come in is that the system is not set up to see you for one hour five days a week and to help you move and to give you just little Snippets of information on the Whiteboard like a little talk on some days about Nutrition a little talk about, you know, self-care are you doing things are you happy? Are you getting enough sleep all those little things? I mean, I could try and throw all that into your five minute appointment by go and make sure you Doo-doo-doo-doo-doo-doo-doo like the disclaimer at the end of the of a drug addict for all the things that might do to you but a physician can't really you know, nobody here saves my time and goes out and knows what to do and does it takes for palliative kind of you know, reminding and instruction and it's just like any of the Benchmark workouts in CrossFit. Not too many people know us to have an incredible Fitness background come in and just nail em all it's you know, you make progress and you continue to make progress and you Changes and stuff and people work with you on a process and getting healthy is the same way. So largely anybody's gonna be listening to this podcast like everybody agrees, right? So nobody there's not going to be a ton of people there like no this is a bad idea so I can have a question with regard to some of the patients that you see probably probably more. So most of years are knocked out Scott and don't talk to you but it's not good for you. How do you start to have that conversation? So and I I ask that because largely the kind of docs that fall into kind of the this more holistic method they get gobbled up pretty quickly by by a lot of the people who want that type of treatment so due to most of your are most of your clients pretty health-conscious. Are you stealing still dealing with a fairly large population of people who just don't know any better and if so, how do you start to have that conversation? Well, I think that people are actually open to at least hear it. The they're open to hear when I so it's not hard to have the conversation. The what's limiting on it is time for us for me. I mean, I know when I'm sitting there and let's say I'm talking to somebody about literally about let's say it's like kid who probably has pneumonia and the other two kids are in the background eating, you know a Slurpee and so I really want to go. Hey, you can't be that's not good for you too. Sugar. There isn't good for you, but it's how much time I have. One of the biggest rate it's not that they're not open to it. And then the second part is is that how much of it are they actually understanding makes that difference and that's where it becomes more of the lifestyle and how do they have it happen so I can tell them got to cut out the sugar sweetened beverages. It's this this this and I can have a conversation with them. But then when if they're in that, let's say I have a 14 year old with headaches and I'm talking to about headaches and I say well, what are you eating and then they get that and then at the end of it Doug, what do we do for the headaches got it's no like no. No, I just told you what to do for the headaches. So they're open to it. But number one understanding the significance of what that is for everyday health and then number two is just time and number three is actually I think it's a lot of what people really want and so it's that's I think that the bulk of this us I'm not going to be honest. I'm not going to make the difference making the big change is not going to be from doctors. It's going to be from the Affiliates from the coaches. They're the ones that are going to conquer chronic disease. It's going to be that and the reason why is I can only say so much at the time is like sets at the time was going to be spent with them educating right? It is sort of the Foot Soldier versus a general, you know, General can kind of of lay out a master plan and come up with some plans of action for you. But you need troops on the ground that are going to actually do the actual work and and be there on a consistent basis day in day out and that's it. You're not going to go to your doctor for an hour a day every day. So from a practical standpoint, what would you got and I'm asking you personally and a lot of people get a lot of value out of this. How do affiliates Because there's two conversations in a lot of scenarios that we have to have one. We have to have that conversation which most of us at this point are probably at least somewhat well-versed depending on how long you been doing this about starting to have the conversation about you need to stop eating refined carbohydrates and start eating Whole Foods that conversation is not as difficult anymore. Just based on a lot of things most people are watching the gym and they're there because they haven't figured it out the far more difficult conversation. I've found in the more recent years. Ears is having conversations with the medical professional behind that person who said they need to go do some things but they're also said yeah and you need to be on statins and all of this other stuff and and I talked about this with Greg on the podcast we do with him, you know that we can't cross that line like that's irresponsible and negligent and the whole lot of ways. So how do we start to have that conversation kind of potentially through our members to the doctor or directly? To their primary care physician. Yeah, that's it. That's a great question. And I mean maybe one of the ways is to give some primary care physicians in your community free membership or something, you know, and actually bring them on board in and slowly indoctrinate them into sort of the mess and into having, you know, a new way of thinking because most Physicians, you know, I mean even in you know, And our professions and we've been involved across the for a long time. I mean you say they were crossing people who you're going to get hurt or you know that people really still don't outside until you come in and see it and do it for yourself. It's really hard to just tell people those things and is their best pay is to try to find people who you know, maybe look for in CrossFit corpore slowly putting together a directory of Physicians who are crossfitters. CrossFit friendly so that people can maybe drag their medical care to those people. Can I yeah good. I was going to ask is there something if I was trying to get to one of you to we've already established that both of you guys are crazy busy. So that's already hard to even get on the radar much less get some time. So are there ways are there different Avenues? I can approach from that would at least allow me to start that conversation because I've probably we tried to call no less than a dozen doctors who were either Ortho surgeons to determine like what was wrong with like, how did the surgery go what's protocol moving forward or primary care physicians who put people on a ridiculous amount of medications just to get some background information about what this person can and should be doing moving forward and what we can potentially start helping them do with regard to their health and their wellness and like I'm batting zero at this point. So the only ones I have a direct line to are the ones that are already in my box like there. Yeah, I get it. I totally understand where you at like I'm in but I think that's a key to and I think in every box there's at least three to five probably more and more Physicians and I think that you know, I think everyone's heard about these all these mdl ones that are happening, you know with a certain frequency and going up to Santa Cruz these doctors are all being doing the L1 and they're doing NG it together and it's really what a mindset and then they're coming back afterwards to the following one's you know that you guys know that the DDC and building an army of positions and we're just getting bigger and bigger and stronger and stronger. I think they're already out there, but then to really kind of reach out to them to let them know. So what is being done in the background to be able to have this is more and more the docks are getting their m. L1 and so they understand how that don't know what the DDC is. Can you elaborate on that? Because I think most people are on board with like, okay. There's a level one that's primarily for you know, doctors nurses stuff like that. But what is the DDC for those it's the derelict doctors Club is it's it's at the same time as the mdl ones in a separate part of at HQ, and they have three speakers two three four speakers who speak about different aspects of the mess whether it be The you know, dr. Jason's bong or who speaking about you know with the diabetes code obesity code also speaking about how monies are moved around in medicine and what the dollar values and why things sometimes don't make sense. So those lectures are happening at that time and continuing. So people who have done the mdl one. They will go back and we'll gather together during that time and continuing to basically have mine. Physicians some Affiliates who are discussing basically the mess and a lot of the if you follow the Articles and videos that are on the main site most of the ones that involve different speakers are talks that were either given at the Crossing Health conference core at the DDC. So it's basically a similar similar group of people and they're not really like this is how you treat diabetes there would talk about Out, you know, this is how the system is broken in the what's wrong with the protocols or you know where there's some you know. Some sort of break in the system between what should be happening what's actually happening? And then that's for the Physicians right? That's educating the doctors. We're getting more and more and then you know anyone that's near us will ask us and we'll refer out there is The Physician Network that will be happening so that people can reach out to them. But then for the Affiliates, it's like Scott said those videos are up and I know sometimes it's hard, you know, sometimes you go on but the main site has so So much great information and I think it's just a matter of diving in because and don't be intimidated some of the Articles seem a little difficult to read sometimes but they're the summaries are amazing and then you can go in and just start and once you start reading them, they really start making sense. And even if they don't completely make sense today keep reading them they will and you're going to have an aha moment. The Affiliates are going to go. Oh my goodness. This is exactly that and they'll just educated with that information and I'm glad you brought that up because that's something he Greg also talked about it that they feel like gathering at its they've kind of Switched the The purpose for main site which is it used to be that b2c tool which is like people that want to do CrossFit and people that want to do seminars all they go there and to be entertained and watch videos and they switch it now is a B2B tool but I don't think most people know that because quite frankly I didn't know that and but when he said it made perfect sense and I talked about this in a previous podcast, but the website now very at least to me this is my opinion very much when I read through those articles. That's what I envisioned like CrossFit Health being right? So it's all these it's all these articles that will allow. Affiliate owners coaches trainers to start having an educated conversation so that when they do have the opportunity to sit down with a doctor the doctors like oh you are well read and not just somebody who's just wants to have an argument with me about like this person and their statins. So that's where I think that tool is underutilized simply because people don't know why it's there and they don't know how it would be valuable to them moving forward and it just gives them a more it gives them a better understanding. Of what's happening in the entire space because again to me the affiliate is who's going to make things better? They're the ones you're going to conquer this chronic disease prevention reversal, but if they don't know enough about diabetes and not enough to there are many managing but they're understanding the disease concept right there understanding why it's they why they're not eating sugar which is just and I know it's we all know that the refined grains that the sugar I know we all know that but at the same time we need to be role models on that and sort of understand that that's what we need to be helping our clients understand. I think I think to most people have come to really believe when you go to the doctor and they give you a diagnosis that now this this becomes your identity. Oh, yeah, I diabetic hypertensive. This person and and Society has become very much people have become disempowered and and they're sort of a little bit of a victim and the reality is that people need to be more accountable for their health and well-being but also, you know empowered to know that the solution is within their hands. You know, that's one of the beautiful things about CrossFit, you know, this is a great talks about it is the life. Like best our life raft and the tsunami or chronic disease that chronic diseases are all preventable and reversible and you know almost every single chronic disease can be reversed with proper diet and nutrition. I want me to comment on the main site to its as an affiliate. You're not going to give medical advice you're not going to do I do want to stress that like do not cross that line that is and I wasn't even that was just coming from Also not going to probably sit down with your clients doctor, but you are going to be educated going through these main site articles on why the the treatment or the reverse or the treatment is going to be at your box and how you is the affiliate are going to make them better and that idea that they probably don't need to be on a Statin and they're going to be better with the work that you're doing. You're not describing it. You're not on prescribing it you're not getting on the phone with the doctor, but Or making that your client healthier and you know that you know, the science behind it. And so even though again the thing for me is I know some of the Articles of hard to read I know they are but they're really well summarized, you know, really well summarized and then pretty soon you'll start going into the Articles people well and really reading them and they're actually fantastic. Yes where I have found success is not necessarily direct to a physician, but Essentially arming my client was very patient with information to either ask a question or proposed solution. Right? So like for instance, I had a guy years ago who he was a little bit overweight wasn't super overweight, but he got his blood work back and he knew I was a cross fit trainer known in the field and I was still in the military at this point and the docks we're going to put them on a bunch of medication because they saw his he had triglycerides of like Hundred, I mean it was high. So I said hey, like listen, I'm not gonna go against the dock and actually knew the Docks but I wasn't gonna have that conversation. I said ask them if they'll give you 90 days Bingo before they put you on medication so that we can try to do it with food. And I mean we brought him down like under a hundred within 90 days like just by amazing but the dot so and that's where that's where my recommendation would be as like arm the patient with the information because the doctor will have the conversation with the patient. They will not have it. The third party. Yes, but it's great that you knew you knew 90 days. You're you're going to jump. There's your and you're comfortable with that. You're comfortable that unit. Exactly you should do is where you talk to your client and then you did the work that needed to be done. You know, there's been a lot of articles on non-alcoholic fatty liver disease and some of the Articles have been, you know, if you if you look at the Articles it shows you how quickly it can be reversed. And so you're not again. Not doing the prescribing often. I'm prescribing but you're you're able to have that information as to what you can what you're able to do with your programming right and you can be reversed within two weeks, which is incredible. Yeah, I'm nine days. Yeah that you can reverse something that is now the leading cause of liver transplants country and just changing your diet and exercising you can you can change the course of that chronic illness like almost overnight. I think this is why a lot of the allergy testing and That stuff has become pretty prevalent at least within the crop. I mean everybody is getting blood panels done these days but Mike G had actually he had asked he recommended that I bring up some of the chronic disease testing and then like how how Affiliates and coaches can educate themselves more on that. What's important? What's not important? What should they start to be digging into from a physician standpoint? Like what would be step one for an affiliate with? Regard to some of that stuff. Why don't you yeah, pretty sure it was that is interesting is shocking actually started a company because it's very problem. And and the fact that when you go to your doctor, you probably not going to get the test order that you want. And then even if you do get them ordered in they don't come back the right way. They're going to put you on you know, metformin insulin a Statin a blood pressure medicine and instead of you know, giving you that the 90-day test is will call it now. Where are you? Just change things and said, let me come back in 90 days. So we started a company called The Warrior Clinic where you know, there's a lot of different things you can screen for the chronic disease, but the most prevalent and debilitating things to this country are due to service called the diabesity, you know epidemic which is diabetes and obesity. And so we have a test very basic tested screams for a hemoglobin A1c and then lipid panel, but it focuses on triglycerides HDL, not the LDL, you know you get that result. No, but we're not looking to put people on statins and and we provide instructions for people with you know, what kind of lifestyle changes to make if their lives are not normal. So it's a simple at home kit that you do. You can order the kit you get a check and then you know, I sort of liking it too, you know, you want to check the oil in your car from time to time. There's no way to really know. You know, I mean, yes, you have a check engine light, but you don't want to wait for that to go off. So you want to do these tests to see how you're doing on the inside. So this is why I think this is important because and I want you to elaborate on the HDL for people here in just a second. But the I think the reason why services like that or important is because I cannot tell you the number of times that I've had pushed back from a physician and largely this was in the military when I was trying to be proactive about blood work and in the the counter-argument was always like well, it's an invasive procedure and I'm like everything in the military is invasive like what are you talking about right now, but you know, I would ask for I'm like, hey, can you do fasting insulin test instead of a fasting glucose test like it I would just prefer and I mean, I would literally have to lie and tell them I had a history of diabetes in my family in order to like to get some of that stuff because those are the only ways I was able to have a conversation with a doctor or somebody who wanted to put me on cholesterol meds because I had cholesterol of 230, you know, and I was like Only metric of every metric that you pulled off of me that's off. Is it possible that that's not really a big deal that you've nailed it you nail the Endura the tested two things one is the test that we picked are just the ones that we really think you need and they're the most valuable there. They didn't mention that you can add. So those are the two biggest ones. Okay, and that's what's included you can add on a see rhs CRP and you can also do so. There's only that's only test we have and then you can do a fasting insulin. Okay. We wanted to make it to like this is this is the big money right there. Like that's where it's at and it's affordable to so you're not going to go do a $400 test. You know, the one thing that you mentioned about the pushback is so we even get pushed back and there's you know, there's some Doc's that'll say, you know, you really need to leave that to the physician The Physician needs to make the decision as to whether a patient gets this lab or not. And I really have no that makes no sense to me. So if you look at it makes no sense to me. Why and the bottom line is that you know, a lot of doctors are how they ordered test is very protocol driven. Yeah, but then you look around and the incident and if people are getting healthier and better you say, oh that's great. Everything's working. But the fact of the matter is people are getting more and more sick, you know, the incidence of chronic disease is rising and 70% of Destiny. US every year due to chronic diseases that are preventable and reversible but there's no reason with all the science and technology and everything we have that people should be getting sicker and sicker and and I don't think most people realize how much bad food they put in their body even people who think they're being healthy and that's why it's important to screen and check because we all think we're doing pretty good but oh we had a few of these package bars, you know that you know, they say they're paleo and they're you know organic and they're gluten-free and You know, you know made on Mars. I mean whatever the labels are just some crazy crazy stuff that oh, yeah, this is the latest thing but in reality they're most of that stuff is not healthy. If you're not eating just real food and whole food is probably not healthy. And unless you check there's no real way to know and it's the a lot of the blood panels and some of these things are in my experience those the people that pair the nutrition with the fitness with these additional metrics are the ones that have the most success because you can lie to me about your food. You can lie to you about your training, but you cannot lie about that blood test right when it comes back and nothing's changed has gone in the wrong direction and I'm like, we have to acknowledge that you're completely full of shit at this point. Like that's not how this works because like you already said before that a lot of these things 90 days is a big enough window for most of you things to see a fairly dramatic. X-Wing in One Direction or the other if we're putting in the effort. Oh, yeah. Oh, absolutely. Yeah, and I don't know if you've heard of the company verta they it was started by I was named Sammy the guy who did the yeah. He did the was it was Apartments online. I forgive you did some internet truly. Oh, okay. Yeah music interesting person because he decided he wanted to row to Hawaii with his wife. And say hey, honey, what do you think about this and they were both endurance athletes before but he went around and asked, you know, what was the best nutritional program for that? And eventually he ran into Steve Finney and Jeff Flake who have done a lot of work with like little carbohydrate nutrition and decided that was the best way for them to do things. But when he got back to actually broke the record by about 15 days, we're going to Hawaii, but when they got back you started this company where A work with type 2 diabetics is sort of online, you know conferencing and then they test people but they've had people on these low calorie diet low carbohydrate diets for extended period of times and had tremendous results reversing disease, but they had this one small subset of people who didn't get better. And so he did, you know for a lot of people that do these food Labs. We have to be locked up in a place, but he did I get our food Lobby took everybody to a holiday. A in and nobody could leave and and they control every single meal that all these people had for several days and every single person that was a non-responder responding. You know, we're so weird weird weird thing, right? So so there's because there's all this stuff and show you how these non-responders etc. Etc. Probably it's non-compliance, you know, almost everybody if you eat the right food to respond. It's super funny that when I give the nutrition lecture at the seminars I kind of because I've been doing this for 10 years at this point. Like I kind of tell that story in the gym, which is okay. So somebody's doing Council very function movements executed high-intensity. They start to see a little bit of body composition change and start to get a little bit fitter and then a plateau and then we have the conversation about their nutrition and I say, how is your nutrition to which the response is unanimously 100% all the time. It's pretty good. Like okay. What does that mean and come to find out they have no idea what it means. They just are embarrassed about what's going on. So that is just just the natural response and even when they do start to comply to some degree if it is a safe bet that 100% of your clients lied to you with regard to like what they're eating. So there's some that's I agree. There's something else too that you know, I don't really want to be a hundred percent compliant to perfect eating. I sometimes I want to have a little fun and I want to have you know, whatever it is and there's something I want and so the whole thing with the Testing is you know, we know that a third of our country is pre-diabetic that between the pre-diabetics and diabetics. It's about half of our country. And so what we want to do is find the right balance and we also know that no one specific nutrition plan is perfect for everybody. We all have different metabolisms. And so for me, what I want to do is I want to check up on the regular to make sure that you know once a year to make sure that when I'm doing is working. For me and that's for somebody like me but for someone, you know, if you're an affiliate and you have a new client, what you want to do is get a Baseline and then or even if it's not a new client if they haven't had testing done get a baseline see where they're at and see you know what they are having how what what is their carbon take? What is and then if these labs are high made the changes that you can make Andre Testament three months to find what their bodies and their metabolism needs to do to keep them from losing their Listen for other being dizzy and and how waiting for those symptoms been going to the doctor and then being on Mets like that. Does that basically like summarizes what I want for the for the testing right? Right, I would agree. So so let's do what's doing a supermini workshop here. So for the test that you guys recommend with the warrior Clinic, obviously you guys are going to make the recommendations there on on what needs to happen or do a console actually. How does that work? Actually, let's back up a second, honey. LT from well, everyone you go you go online you order the warrior kit? Okay, you go on www.flu.gov the warrior Clinic.com you get you order. It comes to your house yet poke your finger. If you can't poke your finger. Someone can do it for you. If you can't do either of that you can actually choose to go to a lab as an option, but it's really easy. Yes, stick it back in your mailbox. Just put in the mail and then we get the results. We get the testing we run the test and you get it on your account and you get like a really Pretty color coded green yellow red with then a discussion and all of the discussions start with Don't Panic. This is reversible. It's do not get we don't want you to run to your doctor and get on meds. We want you to and you know, if you're all green great carry on if you're yellow what you were doing. I say something into that and that's the way and then if you're yellow we want you to make the changes with your coach with your box not Not we really don't want you at the doctor's office. We want you doing the things we want you with the people that know how to make a difference that makes yeah. So on that note so for any trainers or commits or listening to this and they kind of want a crash course on just to be educated not necessary to recommend nimmakur recommendation and many but what are some of the metrics that would and is as broad as you guys want to make it as far as like what puts me as far as A1C or HDL or anything like that, excuse me what to do. numbers look like or what should what would you guys see or what falls in the category of red where a patient where this is like alarming? Yeah. Well I so I'll start with just a little background on, you know diabetes, which also is you know, if there's a Joseph crafted a ton of these tests where he tested both insulin and glucose together between fasting and then after glucose challenge test and Joe Western and is obsessed with crafting the craft test. These are some work. Do you see her smart? But the thing that was discovered is that elevated insulin levels, you know, PC elevated sugars and even elevated sugars in the low levels for a long time and they're really the root cause of a lot of chronic disease. I mean, some people would say, they're the root of you know diabetes for sure, you know, heart disease cancer Alzheimer's polycystic ovary disease obesity. I mean, the list is very long and that's All basically due to consumption of refined carbohydrates and sugar which unless you're really strict that you're reading every label. It's in everything, you know, and so I think that's a great place for for the trainer's to you know, it's not long lectures but periodically in your talks at the Whiteboard talk about are you eating? Are you introducing more Whole Foods how much food or eating out of a package those type of things are very useful for them, you know, and then when your results come back, you know the exact numbers on the website, so Anna Knocks, I'll probably say the wrong thing. But you know, unless your numbers alarmingly high. It's not like you're in this emergency State and you know by just making the lifestyle changes you can see the changes in a pretty short order and then retest the duck and the diagnosis is really an A1C over 6.5 puts you in the diabetic range and then pre-diabetic is five point seven two six point five. Yep, and in less than 5.7 is considered from yeah, right and that's where I think some people get lost is is like, okay, what do I do with this number? But I also wanted you to can you give a crash course on the hdls and as far as like what you think most people should know just like very Baseline level. You don't have to go super crazy on this but this was largely one thing. I know I do. I don't know it was gonna listen to me. I would I would love to listen to it. But I think that's one that gets misinterpreted. That's why I asked the question will give a summary and then the jokes so to deal with cholesterol and fat, you know, I mean fat is the storage form of energy on her body. It's there for a reason and fact is not a bad thing. In fact, like the fact that it's like, you know outside of your abdominal wall that type of fat is considered to be healthy fat and is not really associated with chronic disease. It's the fat that accumulates in in your organs and especially in your liver that leads to you know, the bad things that happen with health. Yes early for anybody who's like I'll back up so that would be what he's talking about. What Scott's talking about is the visceral fat is what's bad. There's that kind of subcutaneous fat is not as indicative of chronic disease and most kids and Jason right about that at length in his book as well. Yeah, and I mean everybody used to put in your back in the days we didn't have, you know, Whole Food Delivery through Amazon, you know people would not have food for periods of time and so they would eat and store fat and then they would have to go for it or find find the hurt again to get more food. So we're designed to do you know, this whole intermittent fasting thing is probably how he lived a long time ago just as we didn't have food around all the time, but HDL and what the doctors treat with statins LDL or not actually fat or cholesterol there actually the carrier Our vessels that carry and shuttle fat around the body because fats are not soluble in blood pledged basically water based and so fact would be just like oil droplets footing your bike. So they're these little protein in case molecules that have a water-soluble Casey on the outside and fat-soluble on the inside and they carry the transport the fat around the body and and you know, characteristically LDL has been called the bad fat and HDL is called a good fat, but the reality is They're all good in the right proportions. They're all they're all you know cholesterols made by almost every cell in our body. In fact an energy source for everybody. So all these things are not like it's not it's not in black and white lie good and bad but excesses of some things are bad. So HDL is considered to be the transport vessel, which carries fat from the periphery back to the liver to be metabolized in gotten rid of so, it's got you know, that's why it's called the good cholesterol and you know, Apologists will tell you with much more complicated and night but the bottom line is that higher HDL levels found naturally. They tried to elevate HCL with medications and people actually had worse outcomes, but elevated HDL from natural causes from exercises not smoking, you know, not eating refined carbohydrates and sugar are highly correlated with good good health good both low incidence of they're correlated with lower insulin levels and also with lower incidence of cardiovascular disease. Cool. So now you guys know about HD else. So no because I do think that is something where a lot of people look at some of that stuff and they're not she really sure how to interpret it or they're just like, okay, what do I do now? But and I do think it's something it doesn't take you very long to get like a baseline level of knowledge on some of this stuff like which I think is good to be armed with from a coaching standpoint. So anything our what else would you guys recommend from a testing standpoint? Like is there anything past those original Three or two? Well, yeah, I'm going to I mean which along with you coz triglycerides in the ratio of the two you really want it to be less than two to one triglycerides to HDL and and lower is even better than that but you know other things that we'd like that to include we have HS CRP, which is a reactive protein which is made by the liver and response to inflammation, you know. In a sort of the mechanism by which you know, chronic diseases occurred something, you know in Flames almost like frosting on the inside of your body. And so, you know, we added that test which you know, if it's elevated not if it's super elevated It's like because you got pus coming out of your arm, you know, or you know, you've got some type of acute inflammatory process going on and then you see there are these can be super high and that's the way it's supposed to be. It's all part of the bodies, you know mechanisms information that internet Racks, you know healing you know, substances macrophages and stuff to the area. But in this kind of low-grade elevation is correlated with with heart disease and then the last test it we do it's not offered as an at home kit tests yet. So you have to go to the lab do it but it's fasting insulin and I really think of all the tests. That's the very best one except that you have to go to a lab because elevated insulin levels proceed elevated glucose levels here and they said The earliest warning sign of disease and you know so we can be you know, dr. Kraft felt that I mean, he made a couple of statements when statement he said is there's no case of coronary artery disease that's not due to elevated insulin. I mean, he really felt that strongly and but he also felt that insulin could be elevated for up to a decade before your sugar start to creep up, you know, which is really scary how we're actually seeing pre-diabetes and diabetes and like five year olds now. now because they don't even get a decade of life that their sugars are just that that high but if the fasting insulin is kind of last one and that's sort of the Holy Grail I think of screening for chronic disease if you get your fasting insulin levels really though your Likelihood of a longevity is very high and have a great most been. Yeah. I've been told and read that like 5.5 and lower is like really really is that good? Yeah, I see that but yeah - 5.4. So I'm good to go. It's good, you know and it's you know, it's just like, you know, I mean we know, you know Greg's genius with coming up with, you know place. Smart workouts is you can really do something that's measurable and repeatable. And you know, that's the same idea of a screening test is you can say, oh I'm doing great. You know meeting well blah blah blah and then you get in you're like, hey, maybe I'm not doing it, you know, maybe I need to tighten up the program a little bit and similarly if you have anyone as benchmarks, you think you're doing great and you go back in your times like 30% longer than it used to be you can realize that, you know, maybe maybe haven't been getting to the gym. I feel like you're talking about Fitness these days you re not going in the wrong direction. There's a hit one workout RX. I'll be happy. Do you want to like make a comment on the things out? So that's with the warrior Clinic. Yep, then add some other markers that are like the blood pressure and right through other things. So one of the biggest indicators for you know bad outcomes is a thing called metabolic syndrome and and this diagnosis is a metabolic syndrome is based on if you have three Out of five abnormalities. One of them is an elevated glucose, which the hemoglobin A1c screams for as well one is low try to unload HDL high triglycerides. And then the other two things are in elevated blood pressure and abdominal circumference. So which one of those is the addition to the deadly quartet? Be like pressure guy forget you lost as I read that article if yeah, so yeah, so there so they put additional one in there. But if you have your yeah, if you don't know the deadly quartet is go read it we want amazing article. Yeah, and and and so, you know, it's really simple actually, you know, again not being Physicians, but I don't think I mean, I think that Health Care I mean preventive Health Care needs to be taken out of the medical space and into places like the box where a trainer can say, I mean, you're not saying hey, I'm making a diagnosis you have this you need to be on this med center Center, but it's very easy to get a measuring tape to measure abdominal girth when people come in and to get a blood pressure cuff and measure people's blood pressure and then have them screen either through their day. Or do something to wear your clip Clinic which will give you the other three of you could say look. If you have three of these five things that metabolic syndrome go home and read about it and the solution to it is diet and exercise and and you know, it's pretty simple to say and you're not saying hey, I'm a doctor. This is what you need to do and certainly for anybody within the box if there are on medication for either lowering blood pressure or for lowering blood sugars. That and you're going to make drastic changes to their diet nutrition that the physician needs to be on board as what's happening because they could you know, either bottom out their blood pressure or bottom out their sugars if they're not being tracked by either making the changes are only because you're doing so well. Yeah and that is something I cannot stress enough and people ask this these questions do come up regularly at the level one more often more so than the level 2, but my general guidance is if you are not a doctor don't do doctor stuff. Like that is not your swimlane don't do it. But again going back to kind of what we were talking about earlier is like start to arm your clients because they don't know. So now that's our job to know so inform them so they can have an informed conversation with your doctor. So that is kind of the recommendation is like you're going to have that conversation with the physician, but you're going to have it through the patient. So we live on either side of that patient. So we have that conversation because the physician as you guys already stated is really doesn't have the time to do that. That we do have the time. We see them far more frequently than the doctor does. So we have the ability ability to make a much greater impact on their life, but we do have to not just train them. We do have to educate them and I think that is kind of that Gap that we have to bridge with regard to okay, everybody's on board with costly very functional movements training high intensity is effective. But how do we start moving towards the health aspect of it? Which means most of us need to brush up a little bit on some of this stuff start pushing our athletes to have Conversations with their Physicians start maybe recommending people get more frequent blood draws and panels from the warrior clinic or wherever they can if they can get it from their Physicians so that they can start operating with all the things that we already do in the gym, which is observable measurable repeatable metrics because again, they can't lie about that stuff like with the blood panel comes back and it's a disaster like that's a real unique occasion. If you take this range of 400 you you you know, I mean that's about it. Then you have an idea that That you probably need to make some changes, right? The quartet is HDL. There's nothing to tell. Yep and then the but I do think that you know, it's it's I guess it's a fine line between practicing medicine versus I think I think it's completely within the scope of practice of a gym to just like you put somebody on a scale and if you use one of those ones that you get you know body fat percentages, you know and stuff it they all of Tests are very motivating for people just like hey, I can do a push-up now. I can do a pull-up. I mean that keeps people coming back. But when you actually see changes in your body composition your you see changes in your metabolic markers, you can really feel that you are in control of your destiny. You know what I mean? Yeah current system. You have to go into the doctor sucks. I mean, you know, I'm so busy. It's hard to find the time right? I mean, it's all right. To get cream is hard to find the time you don't have enough time when you get there. I mean it's difficult. So the more that people can be empowered to do on their own the better off. They're likely to be that's it. And that's that to see if your arms in three pieces. You want to look up on the Internet what to do. I mean there's times, you know, it's a great Soul lifeguard swim coach. Yeah of Club Med just like you'd get lost in there. But the where where's the Best place to find what you guys are doing. Is it the warrior Clinic? Yeah, firstly afterwards and we have a we're we're pretty reachable just that the in email at the info at the where your clinic.com with people, you know have questions or anything. You guys have any social media handles any like Instagram anything like that we do but we're just starting it. So the warrior Clinic if but thank you for that. But we're just starting it. So but it's really and there's a lot of information to on the test to if they want to know about it on the website. And then we'll yes so at the warrior clinic, but there's not as much information on that. But but we're doing we're just going to push people there in force you guys to have to have to grow that to give information. There's a lot of good reading year for people to, you know, get a little bit of information just on, you know on the website, you know, we're not a nutritionist or dietitian and so, you know will guide people to you know, somebody or you know For if they need more specific work, but we give some basic discussions on what you should avoid. And what is good and similarly with the you know exercise. I mean if people are going to cost to the kind of have it already but we're big Believers in resistance training and you know high intensity interval type of training, you know, it's across the constant very, you know, high intensity functional movements. It's better than anything my opinion The Works being done in the Box. Yeah when you guys have you guys both taking the little one? Yeah my team. Our Flowmaster. I mean now we had EC and we had Mo and we have done. Hey, Ray, I mean Matt load so we had an amazing Crew That's a good Crew That's a good crew very, how long is that? How long it goes up two and a half years? Really? Yeah. It's gonna be like five years. It feels like forever. The only be expiring. Yeah. Yeah, then you'd have to re-up and I have to ask did you pass the test or you guys level one? - yes, absolutely. Are you home? And you know, I'm I'm always in like everything for I've done with my boards everything. I'm like 99% of right like I am like so like I'm as I was like that med student. I wanted to get an A+ even though they didn't have grades. And so we you know, we get home and I'm like struggling through this test because I've never not written on a test like you I'd cross things off and they're like do not write on the - wow, like how am I gonna do this? And then we don't have a desk. So I'm like sitting there trying to visualize everything and we get in the car and I'm like, wow babe that was hard. It was really hard to make excuses just as it was hard. Yeah, Scott say that was easy. That was so easy. So for the next 24 hours, I'm here about how he's pretty sure. I'm like, you know, baby we didn't get results back. You know that we don't you just get a passport up. So nobody knows that you actually did better than Than you just think you did. Yeah. He's like a hundred percent certain that like I got like one point past passing and he got a hundred percent. He got a hundred percent, right? I think I did better. I like I like I like that level of confidence. I can appreciate that. It's good. No it is but I have seen some medical professionals leave there in the full sweat just like you've done far more difficult things than fake the One death, no not test is so hard because they also put the wrong answer the right answer from other questions to the wrong answer for the XO is in our boards. They don't do that. They just the right answer as soon as you see the right answer you go on to the next question. It was probably about halfway through the test that I'm like there's some right answers to other questions. It's still have to read the whole question. How about that right now? They could you could have been some of those test questions in there, right the ones that don't count against you. But yeah, I was like, yeah, sometimes I do watch people take the test and I'm just kind of like Little know about that watch people kind of their thought process when they do it, but cool. This has been amazing I could do this literally for the rest of the night because I love to nerd out on this stuff. But thank you guys so much for this. I think there is I think people will have to listen to this podcast, two three, maybe four times to pull out his information out of it, but this is incredibly valuable information and Incredibly important for the community because a lot of us Not only would you do we have to just shift? But our Focus but we kind of have to shift where we spend some of our mental resources on order to do that. Right? It's not just train the air squat anymore. It's like hey if we're going to actually combat chronic disease, we have to continue to get to be better trainers, but we also have to get smarter and figure out what will be good resources are and you two are both helping Community do that. So thank you for that. And thank you guys for your time. I really appreciate it. Thank you so much for having us. And yeah, I really hope that the Affiliates, you know, I mean Greg's a And I think you seen you know where this can go so much further than anybody else great really think that so much more value can be added to what is offered inside of the Box by getting people healthy in addition to getting them, you know, Jack. Yeah, and I think this conversation is how that starts. I have a vision of my gym in 10 years where that is like where you go for everything like we're like, we have a nutritionist. We have a doctor we have trainer like all the three things that you would ever need to basically live. Of into your 200 years old. So that's amazing and we're really grateful for the Affiliates as doctors were Beyond grateful for the work that they're doing to make all that difference. They're the ones who are making a difference and that just gives me chills because it's I mean it's so it's this is so as a physician and you struggle with the what's going on. It's so freeing to know that there's a solution. Yeah, it's we just got to keep pushing. This is one one one person at a time. So just like one rep at a time in a workout. So thank you guys very much. This was been amazing. So I appreciate it. Thank you so much. Thanks for listening to best our of their day. If you haven't heard about anchor it's the easiest way to make a podcast. Let me explain. First of all, it's free. How cool is that? There's a creation tool that allows you to record and edit your podcast right from your phone or computer. So it becomes super simple some of these episodes with Fern or Todd or myself chatting with one another we've done right within the app itself. Anchor will make it easy to distribute your podcasts to all platforms Spotify apple and many more and you can make money from your podcast with no minimum listenership. It's everything you need to make an awesome podcast in one place. 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In this episode, Fern sits down with Dr Shakha and Dr Scott, who are both involved in the Crossfit Health scene. Dr Scott is an anesthesiologist, Dr Shakha is Coach Glassman’s children paediatrician. They discuss how Crossfit moving forward in the greater community, chronic disease and how to navigate that when it walks into your gym, what really is Glassman problem with Coke- Cola, and how when it comes to chronic disease medicine don’t curse they simply slow down the decay. They dive into how the main site is now more beneficial to us all as trainers and coaches. You may have to listen to this podcast a couple of time theirs so much information about health mark and why they are so important because they are so hard to get a test through your normal Doctors as well. Dr Shakha and Dr Scott open the Warrior Clinic so that you could get this important test done yourself at home to be more in control of your health. Along with we will be hosting a live Q&A with Dr Shakha and Dr Scott, details to follow. Check out the extras about this episode on besthouroftheirday.com Rate/subscribe in Apple Podcasts! Find us on Instagram: @besthouroftheirday + @thejasonackerman Check out our website - besthouroftheirday.com - to learn more about our private coaches development group. 