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    • Understanding the consequences and treatment of high blood pressureHigh blood pressure, also known as the "silent killer," can lead to serious health issues such as heart disease, kidney failure, stroke, and sexual dysfunction. Prompt treatment and regular monitoring are crucial in reducing the risk of complications. Addressing insulin resistance and sleep apnea are important in managing high blood pressure.

      High blood pressure, also known as the "silent killer," can have severe consequences on our health. It is a leading cause of heart disease, including heart attacks, heart failure, and abnormal heart rhythms. Additionally, it can lead to end-stage renal disease, kidney failure, stroke, and even blindness. High blood pressure can also impact sexual function and cause erectile dysfunction. It contributes to stiffening of the arteries, vascular problems in the legs, and issues with blood flow. It is essential to treat high blood pressure promptly, whether through medication or other methods, as it significantly reduces the risk of complications. Regular monitoring, such as through ambulatory or home blood pressure readings, can provide a clearer understanding of one's blood pressure patterns. Insulin resistance and sleep apnea are two key factors contributing to high blood pressure that should be addressed.

    • The Role of Insulin Resistance and Belly Fat in Health IssuesInsulin resistance and excessive belly fat can lead to various health problems such as high blood pressure, cancer, heart disease, diabetes, dementia, and depression. Testing insulin levels, diagnosing sleep apnea, and addressing nutritional deficiencies are important strategies in prevention and management.

      Insulin resistance, driven by diet and excessive belly fat, is a major contributor to various health issues such as high blood pressure, cancer, heart disease, diabetes, dementia, and depression. Belly fat is not just a passive storage organ, but an active immune organ that causes inflammation and oxidative stress throughout the body. This inflammation leads to the hardening of arteries, further exacerbating health problems. Insulin resistance is often misdiagnosed and affects a significant percentage of the population. Testing for insulin levels and diagnosing sleep apnea, which can also contribute to weight gain and insulin resistance, are crucial steps in preventing and managing these health issues. Additionally, nutritional deficiencies, particularly in magnesium, can also play a role in high blood pressure. Replacing magnesium in patients has shown positive results.

    • Managing hypertension through lifestyle changes and addressing underlying factorsLifestyle changes, such as weight loss, better sleep, stress reduction, and a nutritious diet, can effectively lower blood pressure and manage hypertension.

      Hypertension, or high blood pressure, can be effectively managed by addressing underlying factors rather than solely focusing on medications. Magnesium plays a vital role in relaxation and lowering blood pressure, demonstrated through its usage in treating preeclampsia. Other causes of high blood pressure include environmental toxins, heavy metals like lead and mercury, insulin resistance, sleep apnea, nutritional deficiencies, and inflammation caused by a processed diet and drugs. Weight loss, improving sleep, reducing stress levels, and eating a vegetable-based diet rich in potassium can help lower blood pressure. While salt sensitivity varies among individuals and populations, it is the processed salt added to factory-made foods that contributes significantly to excessive salt intake. Choosing high-quality sea salt with nutrients can be beneficial.

    • The Importance of a Holistic Approach in HealthcareTraditional medical approaches may overlook underlying causes of health problems, while functional medicine aims to address these causes through personalized lifestyle changes, resulting in more effective treatments.

      Traditional medical approaches often overlook the root causes of health problems. When someone visits a doctor with high blood pressure, they are typically not checked for heavy metals, insulin resistance, or sleep apnea. Functional medicine, on the other hand, focuses on finding the underlying causes and making targeted lifestyle changes to address them. This approach may involve addressing issues like sugar and starch intake, sleep apnea, weight loss, detoxification, and increasing magnesium levels. By taking a comprehensive history and listening to patients, functional medicine practitioners can better understand the interconnectedness of different health issues and provide more personalized and effective treatments. Unfortunately, only 12.2% of Americans meet the criteria for optimal metabolic health, highlighting the need for a more holistic approach to healthcare.

    • Rethinking Metabolic Health: Beyond Weight and Skinny IndividualsMetabolic health goes beyond weight, affecting even skinny individuals. Food choices play a crucial role and diagnostic tests are essential in detecting and addressing metabolic dysfunction.

      Metabolic health is a major concern for the majority of Americans, with only a small percentage being considered metabolically healthy. Surprisingly, even skinny individuals can be metabolically unhealthy, with two-thirds of them having pre-diabetes or a similar condition. This highlights the fact that weight alone is not a reliable indicator of one's metabolic health. Additionally, the conversation emphasizes that food choices have a significant impact on our metabolic health and overall well-being. Simply being skinny does not mean that one can ignore the negative effects of unhealthy eating habits. It is crucial to consider factors such as insulin levels and glucose trends to assess one's risk for conditions like heart disease and diabetes. Proper diagnostic tests, including measurements of particle size and number, as well as insulin response, are essential for detecting and addressing underlying metabolic dysfunction.

    • Understanding the Hormonal Connection to Heart DiseaseAddressing insulin resistance and inflammation, along with lifestyle factors like diet, exercise, and sleep, is key to managing heart disease and promoting holistic heart health.

      Heart disease is not solely a result of high cholesterol or high blood pressure, but rather a hormonal issue related to insulin and insulin resistance, as well as inflammation. Simply addressing symptoms with medications like aspirin, statins, or metformin is not enough. It is important to understand the underlying biology of insulin resistance and inflammation and address those factors directly. Additionally, factors such as diet, exercise, sleep, stress, and gut health all play important roles in managing heart disease. The gut microbiome, in particular, has been found to have a significant impact on insulin resistance and inflammation, with a loss of diversity and certain microbial species correlating with a higher risk of heart disease. This emphasizes the importance of adopting a holistic approach to heart health, considering various lifestyle factors and understanding the interconnectedness of different bodily functions.

    • Lifestyle Changes and Plant-Based Foods for Optimal Health and Blood Pressure ManagementBy incorporating a diverse array of plant-based foods rich in polyphenols and potassium, individuals can achieve optimal health and manage conditions like high blood pressure without relying solely on medication or restricting salt intake.

      Achieving optimal health and managing conditions like high blood pressure can often be accomplished through lifestyle changes rather than relying solely on medication or restricting salt intake. The discussion highlights the importance of consuming a diverse array of plant-based foods that are rich in polyphenols and potassium. These foods, such as colorful berries, greens, garlic, onions, and avocados, can have similar effects to drugs like metformin but without the potential side effects. While salt itself is not necessarily the culprit for high blood pressure, it is the excessive amount of salt added to processed foods that poses a problem. By focusing on a whole foods diet and reducing inflammation, individuals can effectively lower their blood pressure and improve overall health. Additionally, incorporating minerals like iodine and magnesium into the diet can have positive effects on blood pressure management.

    • Managing high blood pressure through lifestyle changesAdopting a healthy lifestyle by making dietary adjustments, engaging in regular exercise, practicing stress management techniques, and prioritizing sufficient sleep can effectively lower high blood pressure.

      Managing high blood pressure is primarily about adopting a healthy lifestyle. This includes cutting down on starch and sugar, opting for good carbohydrates like fruits and vegetables, and consuming the right fats such as omega three fats found in wild fatty fish, grass-fed meats, and avocados. Avoiding processed foods, inflammatory foods like gluten and dairy, and liquid sugar like sodas and juices is crucial as well. Additionally, focusing on a protein and fat-rich breakfast, staying hydrated, and avoiding eating before bed can help improve insulin resistance and weight gain. Exercise, stress management techniques like yoga and meditation, and prioritizing sufficient sleep can also contribute positively to lowering blood pressure. While some individuals may require medication, addressing the root causes and making lifestyle changes should be the initial approach to treating high blood pressure.

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    [0:00] Welcome back to the Hart2Heart Podcast with Dr. Mike Hart. Dr. Hart welcomes guest, Dr. Brian Lenzkes to the listeners.    

    [0:30] Low-Carb MD Podcast 

    [1:00] Question: Can you tell the listeners a bit about yourself?

    [2:00] The shift to direct primary care is discussed

    [3:45] Question: Can you explain what being metabolically healthy means and why are we doing such a poor job of it?

    [4:40] Five key factors for a long, healthy life

    [7:30] Question: When someone is metabolically unhealthy, what are they mostly at risk of acquiring?

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    ---

    Dr. Mike Hart is a Cannabis Physician and Lifestyle Strategist. In April 2014, Dr. Hart became the first physician in London, Ontario to open a cannabis clinic. While Dr. Hart continues to treat patients at his clinic, his primary focus has shifted to correcting the medical cannabis educational gap which exists in the medical community. 

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