Let's Say Hello

[00:03:34.070] – Allan

Hey, Ras. How are you?

[00:03:36.860] – Rachel

Good, Allan. How are you today?

[00:03:38.100] – Allan

I'm doing good. I'm doing good. I posted on my Facebook the other day it was kind of a joke, but not really a joke. And it was a principle of nobody starts a diet in November.

[00:03:50.900] – Rachel

Right. This is a terrible time to start, Allan.

[00:03:54.690] – Allan

Yeah. Who's going to start in the middle of November and then six weeks later is a much better time to start?

[00:04:02.060] – Rachel

That's right. Yeah.

[00:04:05.070] – Allan

And I got some good feedback and some good from folks on that, because they recognize it's like we do these little logic things in our head that really if you just took a step back and says, is that how I would do it? No, it's like, well, the check engine light came onto my car, but I really just want to wait till January 1 to take a look at that, that's not how we would approach it. So it was just kind of one of those things. And I'm going to probably be posting a lot of those. So if we're not friends on Facebook, come check me out. You can go to the Facebook group at 40 Plusfitnesspodcast.com group. But I also have friend people on my Facebook, so I post some things there. I post some things to the group. So if you're interested and want to have a little bit of fun, check both of those out. Cool.

[00:04:50.220] – Rachel

That sounds fun.

[00:04:51.500] – Allan

So what are you up to?

[00:04:53.390] – Rachel

Actually, funny you should say that. I'm kind of planning my New Year's goals. I got to wrap up this year. No, but actually, at the end of the year, I do like to have something to do between Thanksgiving and New Year's. It's the busiest time of year, and this is no different. I'm doing tons of things. I got lists for my list. But I always like to have some sort of an activity between Thanksgiving and New Year's. And this last year from 2022, I had a run streak. So we did a 1 mile minimum streak between Thanksgiving and New Year's. It was I can't remember, 38, 37 days, however many days it was. And I'm trying to figure out what I want to do this year. And the reason why I like to start at the end of the year, just like in your post, is that I need the distraction because holidays are stressful, they're busy, and sometimes we get so focused on all of the other things that we don't have time to take care of ourselves. So having some sort of a movement goal reminds us that we need to take time for self care.

[00:05:59.300] – Rachel

We need to take time to exercise and do the things that are good for us. So I don't know what I'm going to do yet for the end of this year or for my New Year goals for next year. But I've got something planned, figuring something out.

[00:06:10.740] – Allan

Yeah, well, I break it all down month by month. And so December is no different for me than any other month of the year. January, February, whatever. It's the month. And so what I do is before the month starts. So I've looked at what I want to do for the year, and as I get into the month, I'm like, okay, what do I need to do this month to move myself in that direction? It doesn't have to be a huge move. It's just what is it? And so I have all of those, and it goes across personal, professional, health, fitness, Lula's, my online business and stuff. And so I'll have all of these things that I want to accomplish. Some of them are relatively mundane. Like, I really do need to write a statement of policy or statement of position for Lula's on a lot of how things are done, basically. So basically how things work, and so someone else can do it if I'm not doing it. Because right now I'm the only one that knows how to do most of the back office stuff. And so it is what it is. I need to write that down.

[00:07:12.410] – Allan

I need to publish it in some way that someone could follow me if I don't want to do it anymore or I can't do it anymore. So some of that is that simple. It's like I just need to start writing these things. And then as I get into the month, it's like, okay, what do I want to write this month? Which policy? What's my movement goal? What are the other goals that I have in my life? And then each morning I wake up and I go through a thing, and there's a lot of affirmations and gratitude and all that, and then the goals, and they pop up. And because I know what my monthly goals are, I can then go into my to do list today and say, okay, what on this to do list actually does those things and what does not? And so a lot of times I'll have a list of all my to dos and they're dated and they're in order of importance or time of the day that I need to get them done, because there's some things I do each day that I need to do in the morning, and some things I can do later.

[00:08:08.800] – Allan

But I'll take a task and I'll say, you know, that's not really an important task right now. And I'll put it over under the parked list, and it just sits over there. And about once a month, I go through the parked list and delete a lot of those because again, it wasn't really built that goal, whatever. It wasn't really something that's going to move me. The to do was not going to move the needle for me. And it sounded cool. It was the shiny object of, hey, I should buy those new shoes. And then I get a month away and I look at back and I'm like, okay, well, why did I want those shoes? And are they really going to move me forward? And, oh, they're not going to last here in Panama. Stupid purchase. Yeah. And then they're gone. I might park them and say, no, I know I'm going to be doing a little bit more mileage next month or the month after, and so maybe I do want the shoes for that. But a lot of times, yeah, they just get written off because it really wasn't something that was going to move the needle.

[00:09:06.680] – Allan

So if you find yourself overwhelmed, break things down, figure out what your big rocks are, what the important things are, and that becomes my monthly thing. That's great. And I have an annual thing and then a monthly thing. And then literally every morning, I wake up and say, okay, what am I doing today that does one of these things? I love that, and sometimes they don't. I had an intention of writing an article to advertise, and with everything that's going on here, okay, what's the sense of telling people what the best beaches are in Bocas if we don't have the guests coming into the country the way that they would or could? So I'm not writing that article because I'm not going to put the time in to write something that isn't going to move the needle for the business or do what it needs to do. So it's not valid anymore. I'm moving it over into the parked items. I'll reevaluate it in December or January, and maybe I write it then, but I'm not writing it right now. Perfect.

[00:10:05.670] – Rachel

That sounds like a good plan.

[00:10:07.360] – Allan

So if you find yourself a little overwhelmed with the change that you want, the things that you want, just start with the big thing. Okay, I know I need to lose two inches off my waist. Well, you're not going to lose two inches off your waist today.

[00:10:23.290] – Rachel

Right.

[00:10:24.790] – Allan

Or maybe even this month. But what can you do consistently this month that's going to help you do that? And then each day you do that thing. Perfect. And so it's really a trickle down of breaking your bigger rocks into the bite sized pieces to keep it workable. And then, you know, you wake up in the morning, you look at what you got to do that day. Is it on my calendar? Yes. My movement is on my calendar? Yes. Getting this done is on my calendar. And then I go do it. And if I don't have the time in the day to do it, I have to prioritize and push some of it to tomorrow or park some of it, because, again, it just isn't going to do enough for it to be worth what everything else on my list is doing for sure.

[00:11:05.340] – Rachel

You can only do so much.

[00:11:07.430] – Allan

All right, well, you ready to have a conversation with Dr. Greger?

[00:11:10.640] – Rachel

Sure.

Interview

[00:12:13.070] – Allan

Dr. Greger, welcome back to 40+ Fitness.

[00:12:16.470] – Dr. Greger

Thank you so much. Glad to be back.

[00:12:21.070] – Allan

I've watched your videos over the years and I'm just fascinated with how you can teach so much information in a three to five minute video. And then here you come out with this book and quite frankly called How Not to Age: The Scientific Approach to Getting Healthier as You Get Older. And I'm just going to call it right here. This is the most comprehensive health book I have ever read in my entire life, and I doubt anyone's ever even going to come close to matching the depth of what you put into a single book. Some would argue it might be a few books, but given the length of it. But this is really good stuff if you love understanding health and understanding how our body works. Dr. Gregor here, he's your friend. He's done the work, he's done the research, and he's put it together in depth. And it's all there from my perspective, again, because the end notes are there, but you have to go to a separate website to follow them through because otherwise the book would be twice the length that it is. Because I believe there were like over 8000 endnotes, and you probably referenced no less than maybe 300 or 400 videos along the way that could go deeper.

[00:13:38.090] – Allan

But this creates a lot of rabbit holes, particularly for those that love the science of health and fitness. So I'm going to say it was not a hard read, but it was a read.

[00:13:50.250] – Dr. Greger

Yeah. This is for all the longevity nerds out there. There's meat on them bones, and beyond.

[00:13:57.620] – Allan

The meat, there's actionable. Things you can do today to improve your health going forward. And so I love that because I'm all about action. And so let's dive in a little bit because again, there's so much again, I can read a book. A standard health and fitness book these days is about 250 pages, and I can read that in about 6 hours. And usually it's because I know most of what they're going to say because they're saying the same things that everybody else says. Your book is nearly three times that length, and you're not saying what everybody else is saying. You're going in and saying, well, this is what they looked at and this is how you can apply it. And so you do a lot of that. So I want to get as much of that in as I can in the limited amount of time we have, because I think I could actually probably talk to you for about three straight days without sleeping, and we could probably still not cover everything that was there. Like I said, you've won. The game is over. The competition is over. For what we know right now, based on the science that's been done today, this is the most comprehensive book you can buy.

[00:15:05.090] – Allan

Okay, so you talked in the beginning of the book, you brought up the I think there's eleven pathways of aging, and I want to dive into a few of them because I think sometimes there's a little bit of confusion when we start talking about certain things. So the first one that I want to get into is the AMPK. And where people may not have heard of that before, but they've probably heard of autophagy and how we can use fasting as a mechanism for reversing aging, improving our health. Can we talk a little bit about how that process works, just a little bit, and then how we can get into autophagy? Because I think there's multiple mechanisms you brought up in the book, but I think there's some misconnection of, oh, well, I can just do intermittent fasting and I'm into autophagy and I'm doing great. Okay, again, there's some misconceptions out there because it's old. If you do intermittent fasting, you're getting autophagy. If you're getting autophagy, you're slowing your aging. So can we just kind of dive into that a little bit? Sure.

[00:16:09.910] – Dr. Greger

Yeah. Autophagy is the kind of primary system for cleaning the body from the inside out, clearing out the cellular debris that may be contributing to aging. Some food components can suppress autophagy, like acrylamide, which is a compound concentrated in French fries and potato chips, whereas others, like spermidine and the antioxidants in coffee, can actually help your cells kind of take out the trash. So to boost this antiaging pathway, I encourage readers to consider, on a daily basis, 60 minutes of moderate to vigorous aerobic activity. Unfortunately, 20 minutes does not quite I mean, is wonderful for health, but not enough to boost autophagy similarly, fasting. See, the issue with fasting is fasting. Autophagy doesn't optimally ramp up to like 48 to 72 hours of fasting, which is really too long to go unsupervised. That's not just kind of legalistic mumbo jumbo. Our bodies go into kind of sodium conservation mode when we fast, but should that response break down and we continue to lose sodium, the symptoms we might experience are like fatigue, dizziness, something that could be dismissed until it's too late. So that's why prolonged fasts should really be only done under kind of medical supervision, but they actually kind of test your electrolytes and make sure your body's doing what it's supposed to be doing.

[00:17:42.480] – Dr. Greger

And so the studies suggesting that, oh, 12 hours of fasting can boost autophagy yeah, in mice, that's because mice's metabolism is so much higher. A few days of fasting can actually kill a mouse. They can lose, like, 40% of their body mass after a day or two of fasting. But unfortunately, yeah, in humans, it takes a little longer. But again, we don't have to walk around starving all the time. We can 60 minutes of aerobic exercise minimizing our intake of French fries and potato chips, trying to get about at least 20 milligrams of spermidine, and by incorporating spermidine rich foods in our diet. So that's tempeh, which is a fermented whole soy product, but any mushroom will do. Peas and wheat germ. So adding wheat germ to my diet was something new after this book because I wanted to get the spermatine to boost autophagy. And also, drinking three cups of coffee a day, either regular or decaf, can boost autophagy, thanks to glorinic acids.

[00:18:44.190] – Allan

Well, you've definitely got me to thinking, and I'm going to reestablish my big ass salad every day.

[00:18:51.850] – Dr. Greger

Excellent.

[00:18:52.320] – Allan

Yes, we're having some difficulties with delivery where I am right now, so it'll be a little while before I get the wheat germ, but that'll be something. I'll probably sprinkle a bit of that on my salad just to go along, but, yeah, big ass salads coming. Okay, the next one I want to get into, because there's a lot of talk about this, which there should be, because I think this is probably the biggest problem we have as people is inflammation. How does inflammation lead to aging?

[00:19:21.730] – Dr. Greger

Aging can actually be thought of as kind of part of an inflammatory disease. In part, a single measurement. Inflammatory markers like CD, CRP, ser, active protein, or Il six, interleukin six, can predict both physical and cognitive performance, as well as remaining lifespan in elderly individuals. Thankfully, excess inflammation can be kind of extinguished through changes in diet. There is something called dietary inflammatory index, which ranks each food in terms of how pro inflammatory or anti inflammatory it is. And those eating lower on that dietary inflammatory index, meaning less inflammatory diets are more likely to age successfully, which is defined as living independently with no major chronic disease, no depression, no pain, and with good overall self perceived social, physical, and mental health. So to help slow this aging pathway, I can encourage people to consider, on a daily basis, reducing both dietary and endogenous exposure to something called to these inflammatory advanced glycation end products. We can do that. That's a whole nother aging pathway. But basically we restrict ourselves to low glycemic lead foods so we don't have high blood sugars and make these AGS endogenously. And we reduce our intake of AGS which are found most concentrated in kind of high protein foods exposed to high dry heat.

[00:20:50.700] – Dr. Greger

So rather than grilling or barbecuing or frying or baking meat, we would like steaming, stewing, soups, that kind of thing would produce fewer of these inflammatory AGS. Also we reduce senescent cell inflammation. That's another whole antiaging pathway. These so called zombie cells spewing inflammation. As we get older, we can clear those out. I have a whole chapter on that. Boosting autophagy actually helps clearing out some of that inflammatory cellular debris. And you know what? One of the most interesting things in that chapter I ran into is applying an emollient skin lotion. So actually our skin layer, we actually have a breakdown in our skin barrier as we get older and that can increase systemic inflammation in our body. And they found that rubbing hairless mice with vaseline actually cut down inflammation. So they gave it a try with people and randomized people to try just every day applying a little full body molly and skin lotion and actually saw a decrease in inflammation which was so shocking, it's like, well, that's easy to do. So that's something I've incorporated into my diet and not in my diet, god into my daily routine.

[00:22:01.520] – Allan

Don't eat hand lotion.

[00:22:03.510] – Dr. Greger

Gregor said I should be eating and then avoiding the pro inflammatory foods. The pro inflammatory foods and increasing the intake of the anti inflammatory foods. So the pro inflammatory food components, saturated fat, endotoxins, which got new five GC sodium. So actually salt is pro inflammatory. People don't think about that. And then, so basically it's minimizing meat, dairy, tropical oils like coconut oil, the palm kernel oil, all these kind of junk food oils and as well as salt, I mean, one kind of lousy breakfast can double your creactive protein levels within 4 hours before it's even time for lunch. And then the anti inflammatory foods on the other side of the kind of balance sheet legumes, which are the beans, slippies, chickpeas, lentils, berries, greens, sodium free tomato juice or sodium free tomato paste. These processed tomato products without added salt, turmeric, ginger, flaxseeds, garlic, cinnamon, cocoa powder, dill beverages, chamomile tea, green tea, as well as kind of anything basically that contains fiber. So fiber rich foods, anthocyanin rich foods. Those are those brilliant kind of purple berry like pigments also found in, like, red cabbage or purple sweet potatoes, as well as salicylic acid rich foods, which is the kind of component, the antiinflammatory component of aspirin, not just found in willow tree bark actually found throughout the plant kingdom, most concentrated in, actually cumin, the spiced cumin, but found in a whole bunch of plant foods, and that also has an anti inflammatory effect.

[00:23:38.950] – Allan

And I think one of the cool things here is if you begin to eat less inflammatory foods, other good things are going to start happening for you. Like, your joints aren't going to hurt as bad. You're going to have more energy because your body is actually allowed to use that energy for you to do the things you want to do versus trying to heal, because that's what the inflammation is there for. And so just eating an anti inflammatory diet actually has these really quick turnarounds for you to feel better, look better, and move better. Now you hit on one, and as soon as I saw this written out, I was like, okay, now we're going to spar. We're going to spar a little bit, because I kind of like having a little bit extra muscle on my body. And so there's this concept called mTOR, and it's complex, I'm not going to lie. It's a very complex set of rules, but it's basically how we build muscle with mTOR. There's a little disconnect in my head I got to get through is having more muscle mass and being stronger, particularly as measured in grip strength, has been shown to help with your mortality.

[00:24:47.470] – Allan

However, having too much mTOR, which is part of the process for getting protein to turn into muscle, can also be problematic. Can you dive a little bit into mTOR and help me put that together? Yeah, no, absolutely.

[00:25:00.900] – Dr. Greger

So mTOR is an enzyme recognized as a major driver of aging, perhaps more so than any other single anti aging strategy. mTOR inhibition suppression disrupts a panoply of degenerative processes, explaining why the mTOR blocking drug Rapamycin is the most effective drug ever devised for targeted aging. No other drug has been able to show it works in every single species, even starting in middle age. But the problem is, the drug has some downsides. So then we turn to non pharmacological approaches. How are we going to slow this kind of pacemaker of aging enzyme? And we do that through the restriction of certain amino acids such as methionine and leucine. And how do we restrict those? Well, you can do full dietary restriction, and you're going to decrease your amino acid intake or eat the same number of calories, but just reduce overall protein intake, and that'll cut down. Or you can keep the protein intake the same, but just switch from animal sources to plant sources, most of which tend to be lower in methionine and the branch chain amino acids like leucine. And there's kind of a YinYang with AMPK. So anything that boosts AMPK can drop mTOR, like the barberries and vinegar and all the stuff I go through in the AMPK chapter.

[00:26:24.450] – Dr. Greger

And then it's really about reducing one's protein intake down to recommended levels, which is 0.8 grams for healthy kilogram body weight, which translates to about 45 grams a day for the average height woman, 55 grams for the average height man, and then choosing plant based sources whenever possible. Now, as you noted, mTOR plays a role in muscle protein synthesis. So the question is, well, wait a second. Do we have this kind of balancing act between aging and muscle mass? Thankfully, no. All we need is sufficient levels of mTOR activity to build muscle mass without excess levels. How do we do that? Again, recommended dietary protein intake over age 65. There's actually no benefit from adding protein in terms of muscle mass, muscle strength, or muscle performance. How are we going to maintain muscle mass into old age? One way and one way only? Well, there's actually a bunch of things that contribute, but the most important one is resistance training, right? Strength training. That is how we're going to keep our muscles. Particularly if you're doing something like caloric restriction or something critically important to maintain muscle mass. And we do that through exertion. Putting strain on our muscles and then adding extra protein in older age does not add that.

[00:27:46.180] – Dr. Greger

Add extra muscle mass. That's whether you're sarcopenic, you have excessive muscle mass, whether you're frail, et cetera. Excess protein does not help at those ages.

[00:27:55.950] – Allan

And one of the other ones I wanted to get into is oxidation. And the reason I want to talk about this is there are billionaires walking this planet right now that are selling antioxidants. That's true. And you're like, okay, well, if I take an antioxidant, then I'm going to be cool. Right. And I don't think that's quite the answer. Can we talk about oxidation and why some of these seemingly good things aren't necessarily doing what they're supposed to?

[00:28:26.050] – Dr. Greger

Yeah, this is one of the most interesting chapters to write in terms of that kind of nerdy part one section about the eleven aging pathways. So oxidation. So there's this mitochondrial theory of aging, which is kind of standard stood the test of time in terms of the dozens of aging theories out there. It explains basically the spread, why some animals live so much longer, in fact, 1000 times longer than others. The animals with the lowest rate of free radical production within their mitochondria, the little power plants within their cells live the longest, full stop. So we can slow the pace of aging by slowing the rate of this free radical production in our mitochondria. And there's really only two ways we can do that. Antioxidants don't work because it's actually the damage to our mitochondrial DNA happens so quickly, so close to the source of free radical production. Antioxidants just can't penetrate in time. But there's two things we can reduce. One is exercise. Again, nailing critical factor of exercise. And number two is methionine restriction. Cutting down on the amino acid methionine by eating healthier. Also in terms of so that's just for in terms of longevity.

[00:29:37.040] – Dr. Greger

However, oxidation does play a role in our health span as well. For that, we can cut down on prooxant foods, boost our antioxidant rich foods. Kind of similar to the inflammation story and actually kind of similar. Foods, right? The prooxin foods are the ones rich in cholesterol, salt, saturated fat and sugar, where the antioxidant foods are the ones berries, spices, as well as something called Nerf Two Activation, which is kind of our first line of antioxidant defense. On the second line is this kind of symphony of antioxidants we can kind of take from plant foods and kind of hijack them from our own needs. But our first level of defense is really our antioxidant enzymes that can detoxify free radicals and we can boost those through something called NRF Two Activation. And the two ways to do that one is green tea and one is cruciferous vegetables like broccoli, cabbage, cauliflower, collard greens and so to slow the saging pathway, exercise, restricting methionine, where you can do that through protein restriction activating NRF Two eating green and drinking green. So eating your kale, drinking green tea and then eating berries and other naturally vibrantly colored foods because the colors are actually the antioxidants herbs and spices like the cinnamon, cloves, garlic, ginger, margarum packed with antioxidants and then cutting down and added salt, sugar, saturated fat and cholesterol.

[00:31:12.000] – Allan

Latent foods, well, and all those you talked about, they make the food exciting and fun and taste good. So win win. And the exercise, of course, you've got my vote there because it does just a lot more. You feel better, you're stronger, you're faster, you built up a body that's capable of doing the things that you want to do. Now I'm going to dive into a few foods that some people will avoid for various reasons that they don't necessarily have to, but they at times avoid them that are really actually I mean, we can talk about superfoods, but I actually only want to use that title because it's been so overused and falsely so in many, many cases. But some of these foods actually are, in a sense, exactly what our body needs, but a lot of people don't eat enough of them. So the first one I want to talk about is beans. What makes beans?

[00:32:06.150] – Dr. Greger

Ah, beans. That's the centerpiece of all Blue Zones diets. These areas around the world with exceptional longevity as their chief source of protein, have some source of legumes which are not just beans, but also split peas, chickpeas, lentils. And so if you're talking about what are the kind of healthiest foods to eat, according to the Globe Burner Disease Study, which is the largest study of risk factors in human history for death and disease, the greatest lifespan extension would be achieved by eating more legumes. That's what they calculated of all the different food groups, eating more beans. If there's one thing we can do to live longer in terms of our diet, be eating more beans. And so though that's on a kind of per serving basis, but actually on a gram for gram basis, the food most associated with longevity is actually nuts. And so I also recommend like a palm full of walnuts a day, one of my kind of antiaging eight foods, but, yeah, definitely legumes. There's a reason why they associated. Like, if there's one question you had to ask in populations around the world in terms of assessing dietary quality, how many legumes people eat is the number one dietary predictor of survival in populations around the globe.

[00:33:26.130] – Allan

Now, you talked about nuts, and I think this is another area that people are kind of afraid because they hear, okay, nuts have a lot of calories and an almond, 16 calories or whatever. And so they thought that there's a calorie load to nuts, and therefore they'd be maybe better off eating something else. But there's a lot to be said for the nutrition, particularly the fats that we can get from nuts.

[00:33:52.310] – Dr. Greger

Well, yeah, I mean, a gram for gram basis, compared to any other food on planet Earth, consumption of nuts is associated with the longest lifespan, and you can get the maximum benefit for just that palm full, half of ounce of nuts a day, half to a full ounce maximum benefit. You don't seem to get more benefit eating more. In fact, you don't want to overdo it over a cup of nuts a day. You can actually get too many oxalates. Peanut butter does not appear to have the same benefit. Technically, not even a nut. And of all the nuts, probably walnuts are the healthiest. So, yeah, kind of a palm full of walnuts every day is the way to go. Improving artery function probably the primary cause. For example, in the PREDIMED study, those randomized to boost their intake of nuts had about half the stroke rate. And so you can think of that the other way. Not eating nuts kind of doubles your risk of stroke. So the cardiovascular protection from nuts is probably what is resulting in most of the longevity benefit.

[00:34:51.250] – Allan

Now, another nut that you don't necessarily want to overeat but is okay to have regularly is Brazil nuts.

[00:34:58.650] – Dr. Greger

Oh, yeah, well, yeah, I mean, even one high selenium Brazil nut is actually too much one a day, a single nut a day in terms of inflammation. So, yeah, that's something you really want to moderate because you can actually get solenosis. You actually get kind of selenium toxicity. It's known as the selenium is known as the essential poison because it is actually essential trace mineral, but you can actually get too much of it. And most concentrated dietary sources, brazil nuts. So, yeah, I would really hold back, I mean, in how not to Die, I talk about the study showing that four Brazil nuts once a month actually dramatically lowers cholesterol levels. But unfortunately, people read that to be, oh, four Brazil nuts a day. No, you could actually get a selenium toxicity. Even though I emphasize this, this is once a month. Pick a day of the month, your favorite day of the month. And like, okay, on the 13th of every single month, I'm going to eat four Brazils. Period.

[00:35:50.840] – Allan

That's it.

[00:35:51.700] – Dr. Greger

Unfortunately, people did not listen. Actually ran into people who got problems, who started getting, like, peripheral neuropathy, started losing sensation, and got tingling in their feet because they're getting too much selenium because they're eating too many Brazil nuts. So, yeah.

[00:36:09.430] – Allan

The sad part is, Brazil nuts are my favorite nut. But that said, I buy them in the shell. Oh, I have to go through the trouble actually cracking that shell. It's not easy.

[00:36:23.050] – Dr. Greger

Those are some hardcore shells. Oh, my God. You want grip strength. Yeah, I got your grip strength right there.

[00:36:29.740] – Allan

Exactly. But if you buy them in a bag shelled, it's just so easy to do like you do with everything else.

[00:36:36.530] – Dr. Greger

So that's actually a good idea. No, that's a good idea. We shall be like sitting by the fire with the nutcracker and just digging out little pieces.

[00:36:46.610] – Allan

If you can't crack it, then go do some exercise and come back when you can.

[00:36:51.330] – Dr. Greger

Yeah. Oh, my God. Those are hardcore.

[00:36:53.320] – Allan

Yeah. All right. And then actually my favorite besides cruciferous vegetables, I eat cruciferous vegetables every day, but leafy greens are my next favorite. That's why I was saying the big ass salad. So let's talk a little bit about leafy greens and what they're doing for us. Yeah.

[00:37:10.350] – Dr. Greger

So dark green leafies earn their place in the antiaging aid as the vegetable most associated with longer lifespan. So cruciferous vegetables, which certainly can be green leafy, but not necessarily something like cauliflower, is also cruciferous. They boost the first line of our gut defenses as well as boosting detoxifying enzymes lining our airways to help reduce our risk from air pollution. It's actually a leading killer of humanity. So particularly if you're in a city, live by a highway or something, cruciferous vegetables will help you deal with that kind of diesel exhaust. The longevity benefit, though, actually may come from the nitrates, the metabolic slowing that comes from nitrate consumption. Particularly athletes think of like beet juice. For nitrates, we're actually the most concentrated source. Dark green leafy vegetables also beets bee greens. And those nitrates actually slow down your resting metabolic rate, something you typically only see with something like severe caloric restriction. But instead of walking around starving all the time, big ass salad to the rescue. They can also improve age related declines in muscle mass. Age related declines in artery function. So you give people like a cup of cooked spinach worth of nitrates, you get a significant improvement in maximum power from the quads.

[00:38:25.900] – Dr. Greger

I mean, you can bulk up on muscle mass just reading spinach. And we think it's because of the nitrates. Although it's interesting, the magic of nitrates require the presence of certain good bacteria on your tongue to actually activate the nitrates. Otherwise they don't work. And those bugs are killed by antiseptic mouthwash. So you don't want to use an antiseptic mouthwash or an alcohol containing mouthwash and you can actually foster the growth of those good bugs by tongue scraping and regularly eating those nitrate rich vegetables which act as a prebiotic and keep them going. So that antiaging strategy only works if you got the right bacteria on your.

[00:39:07.180] – Allan

Tongue and probably all the way through your system because we are actually just one big biosystem of a lot of.

[00:39:14.230] – Dr. Greger

Things, not just most of our cells are not human.

[00:39:18.290] – Allan

Exactly. Now, sometimes I get really mad about how, for lack of a better word, our government gets in the way of us living healthy lives. One of the ways that you kind of detailed in the book is this kind of weird thing, the way they do things. And so what it is, is you think about the volume of food that you eat. So it's this big volume of food that we eat during a day, if you think about it. And then we're going to focus on one or two pills that are going to change our life for us and not focus on all that food we ate. The medical system doesn't train it. It's not followed. It actually doesn't make them any money. So they don't care to know about it or teach about it or talk about it. You're just told eat better and move more and you're good. But we're not, we're not healthy right now as a society. And one of them that came up was supplements because if you hear something's good and it's like, well, I don't really like that food or I don't have access to that food readily, it's not easy because I got to cook it.

[00:40:29.850] – Allan

Go figure. Is that the dietary supplements that we want to take to help improve our health? And I actually had someone I was talking to who's in this field and he and I were talking back and forth. He says we should get together someday and talk about our medicine cabinet and what supplements we each take. And I said, Well, I take one. And I said it's some zinc and magnesium that I take before I go to bed just because it helps me sleep better. That's the supplement. That's the one. And I live in a sunny area so I get plenty of vitamin D. If you're not in a sunny area or certain times of the year, you might need to supplement on that. If you are eating predominantly vegan or vegetarian, you might need B two. But you can do blood tests to know that stuff. The problem is that we have this industry that might not even be putting that stuff in the pill that we're taking. And the law that actually made this happen, you told me about it in the book, was the Dietary Supplement Health and Education Act that came out in 1994.

[00:41:36.430] – Allan

And again, I want to go punch someone in the chest. Yeah.

[00:41:44.930] – Dr. Greger

Supplement industry is very powerful industry and people think of like Big Pharma. But actually Big Pharma owns many of the biggest supplement industries. So it actually is big pharma. And they got a law passed thanks to kind of duping people, and it'd be like, government is coming for your vitamin C. So we got to pass this law. So people have this incorrect belief that supplements must be approved for safety by some government agency like the FDA or something, before they're sold to the public, or the very least must have like a warning if there's some kind of side effects or something. And some even believe that supplements actually have to be shown to be effective at some level. None of that is true thanks to that law. So what that law did is it removed the burden of proof for quality control, basic quality control, safety efficacy from the submit manufacturer. So all of a sudden, it was great for the submen industry. They went from a $4 billion industry to like a $40 billion industry. Used to only be a few thousand products on the market. Now there's tens of thousands of products on the market, just absolutely skyrocketing.

[00:42:54.970] – Dr. Greger

But we don't have those standards. So you get some over the counter medication, for example. You like, buy some Tylenol or something. It actually must meet standards for safety efficacy, quality control. Meaning if it says it has this many milligrams, it has to have this many milligram, right? But dietary supplements, all dietary supplements are exempt. So it doesn't have to contain what it says on the label. It doesn't have to contain any of it. It contains something contaminants that aren't listed on the label, like house plants.

[00:43:26.430] – Allan

House.

[00:43:28.930] – Dr. Greger

Actually. And this is right, this is not some just like, see me shady internet thing. They went into GNC. Walmart. This was a New York Attorney General. I mean, just like mainstream supplement and they just tested well, what's actually in these things, right? That was one of the things that came out, was just like house plants, just powdered house plants, like the cheapest possible filler they could think of and had nothing of the so called active ingredient. But then I talk about how, look, we hope it's just house plants because there's some really toxic contaminants, particularly in kind of erectile dysfunction and weight loss supplements often contain kind of these illicit hormones. Things have been banned for good reason, but just keep popping up on the shelves just because things are so poorly kind of enforced. And so now we have about estimates about 50,000 Americans every year are harmed by dietary supplements, usually kidney and liver damage. Now, look, you could say, look, Big Pharma doesn't just harm but kills over 100,000 people. Side effects of drugs. Absolutely true. So we absolutely have to make sure the pros outweigh the cause. Unfortunately, we can't do that with dietary supplements.

[00:44:39.910] – Dr. Greger

And so, look, if there is some supplement that you really want to make sure is what it actually is. There is a certification pathway, something called USP certification. It'll have a little USP seal. Now, that doesn't say it's good for you or it isn't bad for you, but it just verifies. That what says on the label is actually what is in the capsule. So you're actually getting what you're paying for. One of the supplements that I've been using on the road for jet lag, because I travel a lot, is melatonin. The problem is there's all these contaminants found in typical melatonin supplements. So actually go through a Canadian pharmacy, which isn't exactly legal, but very easy to do.

[00:45:21.160] – Allan

We won't.

[00:45:23.030] – Dr. Greger

So in Canada and in Europe, melatonin is sold kind of like prescription only. So it actually has to rise to all those standards, actually has to have what it says it has and not have contaminants in it. And so you can get kind of a prescription only melatonin. Any doctor should write you a prescription, but you have to get it from one of those places. But then at least you can get some contaminant free. So there's kind of a ways around it, but it's just so sad that the snake oil is still being sold and sometimes doesn't even have any snake.

[00:45:54.620] – Allan

In it at all. Right. But there's real food and most of this, what a concept. All of it you can typically get from whole food.

[00:46:05.650] – Dr. Greger

You're a radical, I tell you, man.

[00:46:07.800] – Allan

Look at this guy.

[00:46:09.510] – Dr. Greger

Wait a second. You mean we as a species survived before? There are pill bottles sitting on the shelf.

[00:46:15.200] – Allan

Yeah. There's no witch doctor giving me a.

[00:46:17.690] – Dr. Greger

Prescription for years without all our supplements.

[00:46:22.830] – Allan

Yeah. So if you feel like you need something, I mean, there are times you're going to need some vitamin D. And.

[00:46:28.330] – Dr. Greger

If you live in pregnant women, need to get folic acid. If you're an alcoholic, there are certainly scenarios in which supplementation with nutrients is useful. But buyer beware, unfortunately.

[00:46:44.610] – Allan

All right, Dr. Gregor, I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay, you know, according to.

[00:46:57.200] – Dr. Greger

The Gold Burden Disease Study, again, largest study of disease risk factors in the world, funded by the Bill Melinda Gates Foundation, the number one cause of death in these United States is the American diet. Bumping tobacco smoking to number two. Cigarettes not only kill about a half million Americans every year, whereas our diet kills many more. So the single most important decision we make three times a day is kind of what to put to the end of our fork. And so if there was just like the absolute simplest things, it'd be like if you could just add three foods to your diet and just remove three things from your diet. The three things I would add right off the bat beans, greens, berries. And the three things I would remove first, before anything else, are the trans fats these partially hydrogenated oils, processed meats like the bacon, ham, hot dogs, lunch meats, which cause colorectal cancer. And then number three, be liquid candy, the soda, sugar sweetened beverages. If we just get rid of those three, add the other three, you'd be a long way there. I mean, I really want to emphasize, yes, I get way into the weeds in this book, but it's simple, basic, common sense lifestyle factors can literally mean the difference of an extra decade to your life or not.

[00:48:06.960] – Dr. Greger

And what are we talking about? Regular exercise, not being obese, not smoking, eating more fruits and vegetables, like the basic, basic basics already right there. You got a decade, a whole extra healthy decade. Now, you want to tweak stuff? You want to push that a little farther, fine. I got a book, but it's important. And that's how I conclude the book is like, okay, let's take a step back. People. Don't get overwhelmed. Some really simple, important, basic stuff to nail first before worrying about all this other stuff.

[00:48:39.670] – Allan

And not only are you going to add a decade, it's going to be a better decade.

[00:48:43.180] – Dr. Greger

Exactly.

[00:48:44.470] – Allan

Doctor, thank you so much for being a part of 40+ Fitness. If someone wanted to learn more about you and learn more about your book, How Not to Age, where would you like for me to send them?

[00:48:54.330] – Dr. Greger

Send them to Nutritionfacts.org, where all my work is free and you can go to local public library and get the new book, which is out now, or your favorite bookseller. I don't get a penny from any of my books. All proceeds from the sales of all my books are all donated directly to charity. I just want you and your loved ones to enjoy the longest, healthiest life.

[00:49:17.120] – Allan

Thank you, Doctor. And thank you for being a part of 40+ Fitness. Keep up the good work.

Post Show/Recap

[00:49:30.120] – Allan

Welcome back, Ras.

[00:49:32.380] – Rachel

Hey, Allan.  There's a lot to unpack there. But first, I've got the 60 minutes of exercise. I drink a ton of coffee, and I love nuts. It's my favorite snack. So I'm basically immortal. At least today. That's right.

[00:49:48.890] – Allan

Nobody wants to see that. But no, I think the point being is that science can be very misleading if it has a bias. And you can't look at anything and not have a bias. It's built into the way your brain works. If at some point someone told you that milk was bad, you're going to have a hard time reading studies where it says milk is the best thing for you. It's a struggle. There are individuals that have read something in the past and that's just drilled into them.

[00:50:24.060] – Rachel

It's stuck, and it's stuck.

[00:50:25.760] – Allan

And so this is a book where because what he does over at his website, Nutritionfacts.org, is he does these quick little videos and he pulls up a study or he pulls up a concept, and he says, okay, so is red wine healthy for us. And he goes out and looks at all the studies, and some of it he sees it's like, okay, well, this was a rat study. I'm not a rat. Although some things we learn from rats are applicable, but not all. And so he says, okay. And then what you realize is, okay, the amount of wine that you would have to drink to have the same dose as this rat is 100 glasses of wine each night. Oh, dear. Probably not going to happen.

[00:51:10.580] – Rachel

Not good for you at that point.

[00:51:13.190] – Allan

And so there's those little bits. And so now what's happening is you have a supplement company that's selling a supplement that they say, this is equivalent of drinking 100 glasses of wine without the alcohol or all the delirious effects of having that much alcohol, and it might not even have that in it. Okay? Now studies, if they're doing a study, they do a little bit of quality assurance to make sure, okay, if I'm giving someone turmeric or cumin or something like that, I want to know what's in there. And so they do some work there. But supplements you might buy on the market may not be the same thing that you're seeing in that study because it's not sourced the same way. And that's why he was know, he sources some supplements outside the United States because he trusts the compounder, putting it together. But most of us, that's outside the realm of what we're capable of. Know, contracting with someone outside the United States to prepare a supplement for you. For most of us, we're just not going to do that. But he has a lot in this book about things that will age you.

[00:52:20.990] – Allan

And so at the beginning of the book, he starts out with the eleven pathways of aging, and he goes through those. And we talked a good bit about each one. And then in the end, he sort of did go through and say, what are the eight things that are practical, applicable? And I think he was kind of excited that when we got into the book and got into this conversation, that's where I tried to take the whole thing. You have to do a little bit of the work to understand, okay, when he's talking about AMPK or autophagy or mTOR oxidation, because when you're talking about these other foods and other things, these are the pathways that they affect, and in some cases more than one, because there's overlaps. And understanding how that works will kind of help you put this all together. And the basis of pretty much the whole book is if you're eating processed food, you're aging faster than the rest of us.

[00:53:11.520] – Rachel

That's a good point.

[00:53:12.700] – Allan

Yes, it's right there and there's no if, ands, or buts. It can say healthy on the label. It's aging you faster. It just is.

[00:53:23.430] – Rachel

Well, we absorb our nutrients better from the actual food itself. And not all these fortified items in boxes.

[00:53:31.080] – Allan

But even if we didn't even if we didn't, it's just the fact that there's a way that nutrition works on the way that we were adapted as animals through evolution. And it's literally we were not sitting there just eating one food all year round. We were eating a large variety of different foods because it's hard to fill up on blueberries. You're still going to eat as many blueberries you want, but you're going to want other foods, and if they're available, you're going to eat them.

[00:54:01.420] – Rachel

Well, that's the thing. It's about eating a diverse all the colors of the foods, like they say, all the leafy greens you talked about, big ass salads, which I'm sure is more than just spinach. And lettuce throw it all in there and just eat something different and unique every day as best you can to make sure that you're getting all these different nutrients.

[00:54:23.660] – Allan

Yeah. And that's really what it comes down to, is feeding your body good food, good movement, good rest, good sleep, good stress management. When you're doing these things, your body has these ways of protecting you, of healing you. And those things all the things being healthy helps you live longer. Go figure. And some of the stuff, when you look at the science, it's like, oh, well, actually, this is worse for you than what I thought the worst thing was. That doesn't mean go do the second worst thing. It just means that pay attention. You can sit there and well, you know, so what? I eat McDonald's every day. It's like, well, someone smokes two packs of cigarettes every day. So what? You're like, oh, that's terrible.

[00:55:16.550] – Rachel

Well, yeah, I suppose.

[00:55:20.550] – Allan

Well, of course McDonald's wants me to live. No, they want you to eat more McDonald's. They don't really care. They want you to eat more McDonald's. And that's their sole job. How can I get you to eat more? And that's what they do. They're not trying to kill you, but they're not trying to keep you alive, either. Yeah, that's not their.

[00:55:41.690] – Rachel

I just like we talk about all the time eating a wide variety of different foods, getting a number of different types of movement of exercise throughout the week, and just doing all the things that are important to maintaining our good health and fitness.

[00:55:57.320] – Allan

Yeah. Again, treat your body well, and it'll treat you well.

[00:56:01.270] – Rachel

Absolutely.

[00:56:03.570] – Allan

All right, well, I will talk to you next week. Great.

[00:56:06.600] – Rachel

Take care, Ellen.

[00:56:07.490] – Allan

You too. Bye.

[00:56:08.460] – Rachel

Thank you.

Music by Dave Gerhart

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Another episode you may enjoy

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Less...

[00:06:38.530] – Allan
Dr. Frank, welcome to 40+ Fitness.

[00:06:41.190] – Dr. Frank
Hey, how are you?

[00:06:42.810] – Allan
So I got your book and I was really glad to have an opportunity to read it, because as I get into my mid 50s, aging has become this this thing that I pay a lot more attention to these days. The book is called The Pro Aging Playbook: Embracing a Lifestyle of Beauty and Wellness Inside and Out. And I have to say that your approach to this is really refreshing because sometimes, you think, okay, this guy makes his living by making people look and feel younger.

That's what this book is going to really be about, is just let's sell some more plastic surgery. But it was absolutely not. And I was really, really glad to see that.

[00:07:26.050] – Dr. Frank
Well, I mean, listen, I've been doing this 20 years now, and I find the greatest way to predict the greatest cosmetic result has to do before you even do the procedure. It's just in the talk and gaining a feel of someone's perspective and feeling about aging and all the other things they do. So to me, what I've learned most in 20 years is not how to use the syringes and the lasers and all the things, but the most impactful thing is to learn how people think about aging and how I could help them think about it and then give them all the wonderful options we have now. It's not a bad thing aging, is it?

[00:08:01.030] – Allan
Well, no, but if you do it right.

[00:08:03.890] – Dr. Frank
If you do it right. I mean, listen, we weren't meant to live probably past the average age of 30 up until the last 50 to 100 years. So I think if we start with the idea that aging is a blessing, I think that's a good way to find ways to become the best version of yourself.

[00:08:25.030] – Allan
And this is you pulling out your psychology degree and using it, because it really does help here. And one of the things that I think is as I've gotten older, I've become much more aware of the words that we use and how that impacts our feelings, our lives, our emotions, our successes and failures. You prefer to use the term pro aging versus anti aging.

[00:08:48.640] – Dr. Frank
Yeah, and you know, anti aging, that's a word that immediately has a negative connotation. And it was created as a marketing tool. Right, this is started back decades, generations ago with selling creams and lotions and potions and things that are anti as if aging is a bad thing. And I think starting out from that that type of perspective is that type of negative thinking that we were just talking about. I think pro aging makes people feel more positive. It makes it look like less of a chore and more of something that you can embrace.

[00:09:27.130] – Dr. Frank
And hopefully I could teach people how to live a lifestyle, a pro aging lifestyle to bring all those things together. And we're lucky now. We live in a world where we have so many options, not just to keep us alive, but to make us look and feel good.

[00:09:39.760] – Allan
And so go a little deeper into when you say pro-aging, exactly what that means.

[00:09:45.640] – Dr. Frank
Well, I think it's a culmination of a lot of different things. Again, people think of the word anti aging. They think of like creams and procedures and all these things. But when I think of pro aging, I'm thinking of a lifestyle that involves a lot of forms of grooming. And to me, grooming can be exercise, the way you choose your meals, the way you choose your friends and the people who are positive and negative in your world, and how you choose lasers to get rid of sun damage if you choose lasers or other surgical procedures or things like that.

[00:10:18.070] – Dr. Frank
Pro aging is really a combination of grooming techniques. And I think one of the things I'm noticing more since when I started in the late 90s, is that because of technology and the access across socioeconomic groups and because of the technology, there's less and less. but basically these things are becoming so much more acceptable. When I was a kid, rich, only rich people had gym memberships, let alone had facial plastic surgery. And now the younger generation looks at joining a gym, having a nutritionist, having a life coach, getting a little Botox.

[00:10:53.090] – Dr. Frank
These are all forms of grooming. They're accepted. And to me, this is all part of the kind of pro aging lifestyle that I think people are now embracing and breaking those anti aging stigmas that they used to have. The ladies at lunch do procedures or vain people do these type of things.

[00:11:13.520] – Allan
Now, you use this title for for the bad things we do to ourselves that involve aging maybe faster or at least looking older than we are. When you use it, I immediately in my head had this concept of this Legion of doom, you know, these these these evil-doers, these these terrible the anti-heroes, you know, the villains. And you called it the extrinsic evildoer of aging, evildoers of aging, and I was like I say, when I when I read that, I was just thinking, you know, these are the bad guys. These are the guys, the villains that we have in our lives. Can you talk about who these extrinsic evildoers of aging are?

[00:11:53.400] – Dr. Frank
Well, listen, smoking, drinking, excessive sun exposure, all these type of things, not moving, not eating right. Fatty foods. These are like the evil do's of aging. We all know that these things are bad for us. But I try and relate to my personal story. I'm 50. I'm in my 50 years old. I wasn't an angel. I was young once. I used to lay in the sun and drink more and do all these different types of things and you change your ways if you want to feel good as you age. Otherwise, if you act like a 20 year old at 50, you're not going to come out too well.

[00:12:27.750] – Dr. Frank
I always say if I want to look and feel my best, I act like an old person. When I want when I try and act too much like a young person, I don't feel or look that good. But these evil doers of aging, let's say drinking and smoking, for example, we know they're bad from us. And I want to teach people how to moderate them. I give my personal story. I think a life of total restriction is a very boring life, not eating good foods, not not having a martini every once in a while.

[00:12:56.400] – Dr. Frank
But I do believe that you could feel good and look good by finding a healthy balance. And as we get older, obviously those limitations may be coming a little restrictive. What society tells you is that there's always a pill, a cream, a shot, a coach or something that's going to be an antidote to all those things. And the fact of the matter is, the best way to treat yourself is just to learn how to moderate those evildoers. To not bake yourself in the sun doesn't mean you have to hide from the sun.

[00:13:24.000] – Dr. Frank
So I think this balance, instead of selling people what they have to buy teaching people how to moderate and minimize these things and teaching them about the science and how it makes aging, I think works in teaching people how to live a better lifestyle.

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[00:15:08.280] – Allan
One of the things that you got into and I thought was was really interesting was, you know, we we want to rule and I think people like simple stuff. And I can give them one rule out of this. No smoking. Just just don't do it.

[00:15:22.160] – Dr. Frank
There is no moderation in that.

[00:15:23.610] – Allan
There's no moderation in that one. But when we start talking about sun exposure, I'm like, a little bit of sun exposure is good for almost all of us and for other people. Even a little more is even OK. How does someone decide for themselves the right way that, OK, this is this is my line. This is where this makes sense for me and this doesn't.

[00:15:47.910] – Dr. Frank
Well I get it. And I try and talk to a lot of dermatologists, but they are just like no sun, wear sun protective clothing. I can't do that. Dermatology is one of the few fields in medicine where we really have to judge people by the color of their skin and certainly anyone with a family history of skin cancer. I'm going to be more restrictive about. But people who tan easier, what we call type three skin, type six skin are like African American, Type four or five is like Hispanic, you know, type one and two skin are the fairest of people, like the blonde haired, blue eyed type.

[00:16:18.450] – Dr. Frank
And those are the people that have to be more restrictive. But by the way, those people don't ever tan well, and they never look good that way. You know, the darker skin types, the J-Los, you know, they kind of tan well. So, again, sitting people down and giving them a realistic. And by the way, anyone with sunscreen used appropriately can enjoy the outside. There's no reason why they have to hide. I feel that way about martinis and beers, too, by the way. You know what I mean, not all people have the same tolerance level of alcohol.

[00:16:47.250] – Dr. Frank
And by the way, smoking is bad as it is. The studies show people like, oh, I've been smoking my whole life. There's no point to quitting now. By the way, as a person who's been smoking a pack a day for most of their life, if they quit smoking in ten years, the risk of cancer goes down to almost that of a non smoker. So, you know, there's hope that's a positive thing for people to make changes in their lives. And that's kind of what I want to help people do.

[00:17:10.860] – Allan
Yeah, absolutely. Now, you said something in the book that made my heart sing as a personal trainer. He said, the number one thing you can do for pro aging, longevity and beauty is to get moving.

[00:17:24.490] – Dr. Frank
No question.

[00:17:25.380] – Allan
OK, and I love that, obviously. So can you give us some tips so that we can put some more movement into our life?

[00:17:33.030] – Dr. Frank
And my examples for myself and I like to work out four to six times a week. But you know what? It's not that forty five minutes a day that makes all the difference. It's taking the stairs instead of the elevator when you have the opportunity. It's like taking that walk instead of jumping into Uber, which by the way, functions as meditation, which functions as exercise, which functions on catching up on phone calls with friends and communication to your environment. It's just it's choosing sometimes the path that involves movement. And, you know, in a world where everyone is looking for a convenience, quick time, I think the best time you could spend is just moving your body.

[00:18:11.280] – Allan
So in the book, you did share some fairly specific tips as far as you know, as we're going through how we can make this, I guess, a little bit more regular.

[00:18:21.210] – Dr. Frank
Yeah.

[00:18:21.390] – Allan
And I think a couple of them that you shared that I really like and you you actually got into this a good bit in the book is about negative self talk.

[00:18:30.710] – Dr. Frank
Oh, yeah. I mean, listen, when we're younger, we look to make as many friends as we're getting older. We're looking to make as many professional social connections as we build our life and career. We all start off very naive and potentially influenced by people. And that's why our mothers, they want us hanging out with the good friends, not the bad friends. And we have to realize I have two children. I'm constantly trying to screen who they spend time with. Do I know their parents? Do I know the kids? Do I think it's a good kid. We have to look at ourselves in the mirror.

[00:18:59.820] – Dr. Frank
Every day is our lives and we have to learn how to filter people. The content. And that's not just on our social media feed, it's on the people we spend our time with trying to spend our time around positive people because negative thinking breeds negative thinking, so do negative people. And I find myself I started doing transcendental meditation seven years ago with my wife and really taught me how to filter things in my own mind and try and surround myself with things that are going to be, they're going to promote positive things in my life. I think that's the most important tool that we that we can constantly think of.

[00:19:35.490] – Allan
Yeah. With, you know, one of the things you brought up when you were talking about movement was you were being very clear that it doesn't have to be a gym. But, you know, in a lot of cases, I kind of compare and contrast that against what you just said is surrounding yourself around other people that are positive and into it. You know, if you can find a group class of pilates or something like that that you enjoy doing, by all means, do it.

[00:20:00.030] – Allan
And as we're recording this, obviously a lot of gyms are not open. A lot of classes aren't happening. But they will reopen, they will come back and as they do, finding that thing that works for you, be it surfing, be it running, be it lifting, be it going and doing a pilates class, I think that's all very, very important.

[00:20:20.030] – Dr. Frank
There's something out there for everybody. And that's kind of what I tried to say. You know, I try and tell people it's great getting word of mouth like, oh, I just tried this new workout app or I tried soul cycle. I did this. It's nice to get word of mouth to kind of get you to try new things. But people need to realize there's no one thing that works for everybody. And your expectation, sure. We like the communal aspect because it pushes us. I Was always a big soul cycle person, it just works for me. And it's nice to be pushed by your environment, but you have to realize you have to find your own way. And this is all about balance. And this is true in every aspect.

[00:20:58.010] – Allan
And I think just just to go deeper into that, one of the things you said in the book is you really didn't consider yourself an athlete as a child, but as soon as you strapped roller skates because you're parents took you to roller skate rinks, boom, there you were every weekend.

[00:21:14.530] – Dr. Frank
And, you know, and again, that's probably one of the reasons why I like Soul Cycle too, because it involves dancing in a form of exercise. My club days aren't so strong these days. You know, being on the dance floor until two o'clock in the morning is not that much of an option for me. But being around music, being inspired by other people, sweating around other people and feeling that that endorphin rush, that's what we all want.

[00:21:38.030] – Dr. Frank
That's pro aging. What's great about you want to find things that you can age with. Swimming, tennis, walking up and down stairs, taking walks, cycling, you know, not everybody could box until their 70. Some people can. And I think I have yet to find a laser or device that works for aging like exercise does.

[00:22:01.610] – Allan
And that's important. That's important here. So you're 50 and obviously someone that is in this profession. So looking your best, age in your best, that's kind of a part of who you are now. It's ingrained in you 20 years in the career. What is your pro aging regimen was what does your day look like?

[00:22:23.090] – Dr. Frank
Well, my day starts with meditation. Got to reset. You know, I'm a person. I do sleep eight hours a night. And it's mostly because if I get less than six, I'm not fun to be around. Like, you know, I'm not I'm not one of those people who can get by in four hours of sleep like some people claim. I like to sleep well. I meditate. I usually spend a little time with the family because it's the only time I get when my head is clear, is really the morning. And then after that, I exercise every day because again, after a busy day, it's I'm not going to get to do that at night.

[00:22:56.380] – Dr. Frank
And then I hit the pavement and I'm kind of on stage all day. I could see anywhere from 20 to 40 people go through my office every day and I obviously got to be on point for a lot of different people and a lot of different personalities. I try and have as much fun as possible, that's kind of my rule as I've done this 20 years. Is to keep it fun, keep it light. And and usually at the end of the day, I don't got that much left into me if I do have a work dinner or something like that or I go home to the family. But the meditation, the exercise are the prerequisite in terms of food. Again, I don't tell everyone to follow my technique, but I'm kind of not by choice a daytime faster I graze.

[00:23:40.730] – Dr. Frank
I have a little things I maybe have like an avocado or I have some nuts or I take a bite, my sister runs my entire professional life so I could I can dip into her salad or take a few bites of a sandwich if I want to, without offending her. And then I really I have my meal, whatever I want at night. And on the weekends, I love to cook and I love to eat and I like to indulge. And that's really it. And before you know it you're turning 50.

[00:24:07.670] – Allan
Yeah. And then 60 and 70 and then on.

[00:24:11.270] – Dr. Frank
And that's it. I try and you know, my life I fortunately have a very successful career with a lot of challenges and a lot of rapid growth. So I'm constantly trying to remind myself about the people and the things, like keep it positive, keep it simple. Because the world wants to complicate things, wants to sell you more, wants to do more. And a lot of things seem exciting, like growing your business. Right. It's an exciting thing.

[00:24:34.310] – Dr. Frank
But guess what? You constantly have to keep it in check. Is it going to give me more pleasure or is it going to give me more headaches? You know, and it's not easy. You know, I'm not always great at it. Catching covid and having 13 days of 103 fever and having problems breathing and having to be on home oxygen, that kind of put things a little bit more in perspective for me to check myself before I wreck myself. So I was very nervous about the pro aging playbook coming out about of course I started writing this way before covid.

[00:25:04.220] – Dr. Frank
I was nervous about, oh my God, I'm doing a wellness book. But I actually reread it from beginning to end right before the book came out with a covid mind, and I'm excited that it came out now because a lot of it is just about the psychology of life.

[00:25:19.810] – Allan
Well beyond that, I mean, one of the things that we're finding with regards to covid and the risk is just how well you've managed your fitness, your health, your, all of it. And if you're suffering from some health issues, obviously you're not you're not pro aging at this point. You're in decline. And this is a wake up call to all of us that taking care of our health is really the only thing that's in our control. We can't control what goes on at work. We can't control what's going on in the street. We can't control a killer virus that ravages the country. What we can do is control ourselves.

[00:25:59.890] – Dr. Frank
And a lot of people said to me they were so shocked because of my social media. I kind of became this poster person for Covid. Cosmetic dermatologist has become the poster person for information for Covid. They said, I don't understand, you're so young and healthy. I said, well, I'm glad everyone thinks 50 is young that's a great start. But I said, well, I don't think of it like that. Like, oh, my God, I can't believe I got it. I do such things to take care of me.

[00:26:24.220] – Dr. Frank
Maybe if I didn't take such good care of myself, I would have needed hospitalization or intubation or been one of those young people that died, you know what I mean? So I look at it the other way, like, thank God I was in good shape. So again, we've got to keep taking care of yourself. And along the way we might as well look good.

[00:26:42.090] – Allan
Yeah, absolutely. I don't know if you know who Tony Horton is, the guy who did P90X.

[00:26:47.030] – Dr. Frank
Yeah, of course.

[00:26:48.010] – Allan
I had him on the show and he went through shingles at the age of like sixty, sixty one. And it would have for what it does to a lot of people, you know, him being generally fit and healthy. He's weathered it really well. But, you know, it really does kind of speak to me. Again, we don't know what's going to happen and if we're not taking care of our health, then we're setting ourselves up for something worse.

[00:27:15.550] – Dr. Frank
Listen, you can invest money in the stock market, invest money in your own business. You can invest your time and energy and money in a lot of things. But there's one thing that is a guaranteed return on investment, and that is yourself. And that is whether you're exercising, eating right, doing something that makes you feel good about yourself. When you look in the mirror, everyone has a good hair day. I don't care how,

[00:27:39.370] – Allan
You haven't seen a picture of me.

[00:27:41.350] – Dr. Frank
But I do want to make fun of himself over another one. You don't have to be, you know, just having a little sense of vanity doesn't mean you're narcissistic. And I think any investment in yourself, in yourself, not for other people in yourself, is is is a 100% return on that investment.

[00:28:00.040] – Allan
Yeah. Just just for the record, I shaved my head when I started receding. Rather than do anything about it, i just went with it. Yeah. It's the best decision I could have made. It really is.

[00:28:11.980] – Dr. Frank
Thats good man. Is that that's keeping it simple stupid. That's the rule of kiss right there.

[00:28:16.180] – Allan
Yeah. Yeah. Dr. Frank, I define wellness as being the healthiest, fittest and happiest you can be. What are three strategies or tactics to get and stay well.

[00:28:25.870] – Dr. Frank
Well. And we talked about we talked about a couple of these. we talked about movement, moving your body for me, also meditation, and then investing in family and friends. Those are the three starts. All the other stuff comes once you have those three things in check.

[00:28:51.480] – Allan
Absolutely so, Dr. Frank, thank you for being on the show. If someone wanted to learn more about you, learn more about your book, The Pro Aging Playbook, where would you like for me to send them.

[00:29:02.090] – Dr. Frank
Well, you could send them to my website at pfrankmd.com or they could check me out social media, Instagram, and Tic-Toc and Facebook, which is at Dr. Paul Jerod Frank.

[00:29:12.840] – Allan
OK, you can go to 40plusfitnesspodcast.com/451, and I'll be sure to have a link there. Dr. Frank, thank you so much for being a part of 40+ Fitness.

[00:29:23.240] – Dr. Frank
Thank you so much for having me. Thank you.

Post Show/Recap

[00:29:29.770] – Allan
All right, I hope you enjoyed that episode as much as I did. Dr. Frank was a really cool conversation, and I know we've been talking about aging a lot, but, you know, with me being approaching my mid 50s, it's a topic I think about a lot. So maybe I've seen too many books about aging. We'll go off on to some different topics in a bit, although I think our next week's episode is also going to be about aging, but it's kind of a different approach.

[00:29:55.780] – Allan
So we'll talk about that later. So, Rachel, Ras, why don't you take just a few minutes to introduce yourself, let folks know who you are and why you're here.

[00:30:05.740] – Rachel
All right. Well, hi, Allen. Nice to talk to you again. My name is Rachel, and most of my friends call me Ras. That's a childhood nickname that I've had. And once you get to know me, it just seems fitting. But most people call me Ras and I'm forty nine, which is why I've always been a big fan of your podcast lately. I'm over 40 and I like to be fit. And I've recently finished my NASM certification. I just got my certificate to be a personal trainer, so I'm pretty excited about that.

[00:30:38.770] – Rachel
Like I said, I'm forty nine. My husband Mike and I have been married for 25 years and we just celebrated our anniversary this last summer, which is great. And we both have we have two kids that are in college just starting off this next semester. One's at home and online learning and the others moved to campus. And so we're just hoping they stay safe in this covid era.

[00:31:02.470] – Allan
Now, one of the reasons I thought that Rachel would be a great guest for the show is she is a huge advocate of running. In fact, anywhere Rachel goes, if there's not already a run club, there will be one.

[00:31:15.730] – Rachel
Yes, yes, yes. Running has been a huge part of my life. I've been running consistently for over twenty years, actually. And it's served a different purpose at different times in my life. But everywhere I have traveled and we have traveled quite a bit, we've been in contact with different run clubs in different areas. And it's really a great way to meet friends especially when you move as often as we have. And I have some amazing friends that we've met down in Florida, including you and Tammy, your wonderful wife.

[00:31:49.000] – Rachel
And it's it's always a great way to get to know the city as well while also staying healthy and fit. So, yeah, I've got a pretty big running background. I've run too many 5 and 10 Ks to count. I'm up to over thirty closing in on forty half marathons. I've done Four fulls, 2 Ultra's and this year I was supposed to be running another Ultra as well as my first 50 miler. But covid shut those races down pretty early. So this year it's just about running miles and enjoying the time outdoors.

[00:32:27.370] – Allan
Yeah, I've been trying to put on some more mileage just but I'm not running right now. No one's chasing me and so I enjoy the walk. Plus, you know, for me it's not a function of time. I set my own schedule pretty much here. So if I want to get out, walk for three, three and a half hours, I'll go do it. And we have some beautiful beaches here. So kind of the cool thing is the further I walk, the more the better beaches I see.

[00:32:53.140] – Allan
So it's like I start out the public beach is not all the all that pretty with the seaweed and everything in the water. It's just not all that pretty. Once I get to two miles, I start seeing prettier beaches and I get the four miles, I start seeing awesome beaches. And so by the sixth and seventh mile, it's just breathtaking, the Bluff Beach and things that are here for me to see. So it really kind of pushes me when you're walking in one direction that far and, you know, OK, well, I've got to walk back.

[00:33:19.510] – Allan
So it's nothing for me to put on ten miles on a day just to get out and do a long walk. Three hours, nothing major, just listening to podcasts or audio books or things like that. And then when the batteries die on my headphones. I just now I get to listen to the surf.

[00:33:36.510] – Rachel
It sounds wonderful.

[00:33:38.340] – Allan
Yeah. So you did go for the NASM certified personal trainer. And I can tell folks, having done it myself, actually took that test twice, not because I failed it, but because I messed up on my recertification. I had to take it again. It's not a joke. It's not this is easy, go study for a week or weekend, and then go take a test. It's like a college-level course with a comprehensive final. So congratulations on that.

[00:34:07.420] – Rachel
Thank you so much. Yeah, it was a little bit more intense than I thought it would be. And even even after twenty years of running and believe me, I do a ton of reading and researching on all things fitness related. I still learned so much from this class. It was it was really in-depth. And I can't wait to put what I've learned to good use.

[00:34:31.610] – Allan
So, as you can see, Ras is the runner is also female and I am neither of those. So, you know, I think we're going to have a good rounded conversation as we go forward. So I invite you to come back, catch Ras and me as we discuss the different things that we're getting into with the podcast with life. So if you have questions, you know, feel free to send them to us. You can send them to Allan@40plusfitnesspodcast.com and Ras and I will take a round of responding to some of those in this final section of each podcast.

[00:35:05.240] – Allan
So Ras, thank you for being here today. Thank you for being a part of the podcast. I'm really excited for the direction we're going and just really excited to be working with you.

[00:35:14.420] – Rachel
Thanks, Allan. Thanks for inviting me. I'm looking forward to this new opportunity. I really appreciate it.

Patreons

The following listeners have sponsored this show by pledging on our Patreon Page:

– Anne Lynch	– John Somsky	– Melissa Ball
– Barbara Costello	– Judy Murphy	– Tim Alexander
– Bill Gioftsidis	– Leigh Tanner
– Debbie Ralston	– Margaret Bakalian

Thank you!

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