Ep. 54 – How Dr. Jessica Drummond of Integrative Women’s Health Institute is Using HRV, Functional Nutrition and Health Coaching for Better Health Outcomes

Ep. 54 – How Dr. Jessica Drummond of Integrative Women’s Health Institute is Using HRV, Functional Nutrition and Health Coaching for Better Health Outcomes

Dr Jessica Drummond, MPT, CCN, CHC, is the founder and CEO of Integrative Women’s Health Institute (IWHI). An expert on chronic pelvic pain and endometriosis, Dr Jessica Drummond is also an evidenced based practitioner who understands heart rate variability (HRV), lifestyle parameters, and how to apply this information with her patients for better health outcomes.

If you’re a practitioner listening to this, you’ll learn how Dr Jessica Drummond transitioned her practice from in-person to, now with Covid, 100% virtual. She is one of the rare practitioners utilizing HRV and wearables such as Oura and Garmin in a clinical setting to measure her patients’ baselines to watch it improve over time. With her team of health coaches, she uses a “nervous system out approach” to help her patients calm their nervous systems and balance stress, while optimizing their functional nutrition, deep sleep, exercise, and more. Learn how Dr. Drummond and her team are using Heads Up’s practitioner’s portal to track their clients’ lifestyle and health metrics.

If you’re struggling with chronic pelvic pain or other issues related to women’s health, you’ll be inspired and motivated to reduce your stress, and learn why tracking any progress to celebrate may help your own health.

And if you’re considering becoming a board certified health coach, especially for women’s health, you’ll learn how Dr. Jessica Drummond’s unique program is the first of its kind, the only Women’s Health Coach Certification in the world with over 1500 people enrolled from over 60 countries!

Join Heads Up Founder, Dave Korsunsky, as he talks to Dr. Jessica Drummond about her unique approach to women’s health, her health coaching program, and even advice for those health practitioners new to transitioning into a virtual model. 

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This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

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“Calming the nervous system is so important to optimizing digestion function. Because you certainly can’t absorb nutrients and calm digestion and inflammation if someone is in chronic fight or flight, which is why I’ve gotten so interested in heart rate variability [HRV] over the years. Because it’s the only way we can objectively measure that.”

– Dr. Jessica Drummond

In this podcast you’ll learn:

  • How Dr. Jessica Drummond, Founder and CEO of Integrative Women’s Health Institute, first connected with Dave via their mutual friend, Aypril Porter, which led to a partnership between Dr Jessica using Heads Up with her own patients and program. [1:06]

  • About Dr. Jessica Drummond’s body of work, how she started the Integrative Women’s Health Institute over 11 years ago, and how from the very beginning, it was about training her colleagues in functional nutrition, lifestyle medicine, and the communication skillset of health coaching. [1:36]

  • How Dr. Jessica Drummond started her career, more than 20 years ago. First as a physical therapist, originally intending to focus on sports medicine in orthopedics because of her background as an athletic kid, but really quickly began to specialize in women’s health. [2:20]

  • How her focus on women’s health is from a physical standpoint. Basically, the muscular skeletal joints, muscles and nerves related to women’s health conditions. For example, shoulder injuries that happen after breast cancer surgery or rib pain, back pain, and pelvic pain associated with pregnancy, urinary incontinence, prolapse, etc. [2:40]

  • She did this for many years in a hospital based clinical setting, as well as outpatient practice [3:15]

  • How Dr Jessica Drummond discovered that the one population in women’s health that was particularly challenging was complex pelvic pain, sexual pain, or pelvic floor pain, pain in hips, back, radiation down the legs, organ structures, etc. [3:30]

  • Why anytime there is pain signaling, the nervous system is involved [4:00]

  • How she got sick in her early 30s and used the tools of functional nutrition to regain her own hormonal health. How pelvic pain can sometimes have a cyclical expression, and how to apply some things from a nutritional perspective to help her most challenging pelvic pain clients, using her own research around this [4:06]

  • What motivated Dr. Jessica Drummond to start building her own school. While working at a women’s specialty hospital in Houston, she began to teach her colleagues, offer courses, from the moment she began learning this information. [4:54]

  • That the Integrative Women’s Health Institute now has about 17 different courses and offers health coach certification that’s board-approved, with many certified health coaches come out of the program, focusing on women’s health. Not just in Dr. Drummond’s specialty, pelvic pain, but also fertility, perimenopause, period pain, and all kinds of women’s health issues. [5:14]

  • How Dr. Jessica Drummond has successfully shifted from a more in-person to 100% virtual now. [6:34]

  • Why she was ahead of her time, way before Zoom even existed, focusing on virtual appointments, telehealth, out of necessity. How she initially built a huge place in Houston, but switched to phone appointments, completely client-driven, eliminating unnecessary commutes to the doctor’s office. This also allowed her to fit in life as a parent raising young kids, as well as multiple moves (11 times in 13 years!). [7:00]

  • Advice for practitioners from Dr. Drummond if new to moving towards a digital model: why you should maintain your own office, even if it’s just a separate room in your home. [8:54]

  • Why is nutritional therapy so vital to health issues? How blood sugar dysregulation can be inflammatory? What does a functional nutrition template look like and how can it start the healing process? [9:28]

  • Dr. Jessica Drummond’s approach to functional nutrition: “It’s about optimizing systems. Instead of chasing the symptoms, we always say, optimize physiological systems.” [10:19]

  • Why Dr. Jessica Drummond is so interested in her patients’ heart rate variability (HRV). And why she takes a “nervous system out approach” instead of what she used to do, which is to start with digestion. That although digestion is used early in the process, she is realizing more and more that “calming the nervous system is so important to optimizing digestion function. Because you can’t absorb nutrients, calm digestion and general inflammation if someone is in chronic fight or flight.” HRV is the only way she “can objectively measure that.” [11:11]

  • On endometriosis, and how symptoms often begin for girls as young as 8 and 12 years old. How girls and women begin to learn to push that pain down and show up anyway.  [11:27]

  • Why the number one reason girls miss school is due to period pain [12:09]

  • How many people learn how to push through the pain, to suppress it, and no longer can even recognize when they are physiologically stressed, which is again why HRV can be so valuable, whether looking at a Garmin, Biostrap, or Oura. “Now you’ve got an objective measurement that you can then start to make changes, which will allow you to use the nutrition therapy to calm the nervous system.” [12:16]

  • How using HRV can help you as a practitioner to spot those who have a sympathetic overload, then begin to use other strategies such as mindful eating, chewing. [13:40]

  • Why an anti-inflammatory diet is important, yet how to create flexibility in that plan as there is no one-size-fits-all endometriosis diet. Or pain diet. [14:00]

  • What she does with the majority of clients who have bloating digestive issues, starting with blended soups, cooked vegetables, etc. [14:42]

  • Why a lot of times, women are lacking absorbable protein, and struggle with low neurotransmitters. Not only do they have pain signaling because of inflammation, but they may have low serotonin, low tryptophan, L-theanine, and GABA support, not actually absorbing the protein they are eating. Why healthy beneficial fats are important, etc. [14:53]

  • Using the urinary organic acids testing to make sure that people are absorbing nutrients. [15:44]

  • Why Dr. Jessica Drummond starts with what people CAN eat, because if you have a lot of digestive issues, and you’ve been afraid of food since you were a ten-year-old girl (there are a lot of eating disorders), this is important. Eventually we’ll move away from inflammatory foods like sugar and dairy. But we focus on EXPANDING what they can eat, so they don’t feel like it’s a restrictive diet.[15:53]

  • On how the auto-immune paleo diet is kind of a backbone for most people, but it varies: some plant-based, some leaning towards keto. [16:53]

  • Why endometriosis has auto-immune properties, often co-morbid with lots of other auto-immune diseases. After endometriosis surgery, auto-immune markers tend to drop, which is important for fertility and overall health, and how Dr. Jessica Drummond tries to support that both pre-op and post-op to improve the immune system.

  • On Dr. Jessica Drummond’s published research around vulvodynia, her focus on gut healing, immune healing, restoring the small intestinal barriers, taking out those inflammatory and processed foods, how the vulvodynia never came back.

  • What auto-immune markers she looks for. And why you usually see co-morbid things like Hashimotos, thyroiditis, celiac disease, or elevated ANA. Sometimes associated with psoriasis or lupus. Or elevated thyroid antibodies. [18:50]

  • How with her virtual clinic, she does a personalized nutrition plan, potentially looking at the gut microbiome, using urinary organic acids testing, sometimes hormone tests, depending on the client’s needs. Why clients have twelve sessions of health coaching to help them implement behavior changes that can be challenging, disordered eating issues, anxiety. [20:22]

  • Another reason why tracking can be so helpful: “Because not only is it motivating, but for most women in our programs, they never feel like they’ve done it well enough. So being able to see good progress, to kind of look back and celebrate ANY progress, makes a difference.” [21:18]

  • When you’re someone who has had chronic pain for a long time, there’s always a focus on pain (i.e., when, how much, how often, what’s causing it). Instead she has her clients journal and track those times when they feel better. “That’s how we shift it by using the tracking to demonstrate more objectively how things are starting to improve.” [21:53]

  • How Dr. Jessica Drummond personally uses HRV and interprets it in a clinical setting with her clients, a basic explanation of HRV for those practitioners listening, and how some clients are already using wearables such as the Oura ring, Biostrap, Garmin, and already have access to their data. [22:25]

  • How she’s looking for that number (HRV) to increase over time. Why the Oura ring is a great option for those wanting to track their raw data. What during the day happened for that person to have a higher HRV during the night? And over time, from Day 1 of their program to Week 12, is that raising the baseline. Why they use in their clinic the Garmin, which gives biofeedback during the day, looking at the “Body Battery.” (But it doesn’t give the raw HRV data, unfortunately, right now.). [24:15]

  • How looking at HRV helps people to build associations themselves, which may not have been there before, a huge part of the process, empowering people to reconnecting to signals in their own bodies that they may otherwise not notice. [25:42]

  • Why it’s also important to teach people to get comfortable with being in some stress, knowing they’re going to recover. How she looks at HRV, exercise, but also Deep Sleep. [25:54]

  • The biggest things Dr. Jessica Drummond looks for. Over time, is that baseline HRV increasing? And if there’s a great night of sleep, what contributed to that so we can replicate it more? How much time in Deep Sleep, especially between 10pm and 2am, when your brain is recovering. During the day, is someone recovering from exercise? What may they be stressing them out that they’re surprised about? And what can we dial-in when it comes to nutrition, personalized to that particular client (example about client who thought she was eating healthy by choosing organic sugar but was still pushing her “into the orange,” which prompted them to look more into that). [26:40]

  • Alcohol and its impact on HRV (hint: it can be disastrous). And how it can be an important KPI to notice. [28:37]

  • About how work and general life stress impacts many of their clients who are women, especially right now with many simultaneously working from home and home-schooling their kids, how that is all being reflected in their numbers while in quasi-lockdown related to the Covid pandemic. [28:37]

  • Why tracking can be helpful during stressful times. “The good news is that when you start to track, people are motivated to do the recovery.” Example of her assistant who wasn’t able to change everything about her busy week, but found her own outlet to recover, restore and rejuvenate. For her, taking a hike helped her, in less than 3 days, go from a ‘8’ to a ‘100’ (body battery from her Garmin). How Dr. Jessica’s mode of recovery is clocking out at 5pm every day and meditating with her paddle board. How important it is for people to find what recovery looks like for them. [29:09]

  • Use cases of HRV in the clinical setting, how it’s mostly used in health and wellness high performance, yet how Dr. Jessica Drummond is using HRV in her clinical practice related to inflammatory issues is important, helping to encourage clients and reinforce positive behaviors, watching the baseline increase, a win for everybody. [30:30]

  • How a lot of her women clients are high achieving. And when they see their numbers not looking so great, they don’t like to accept it. So she and her team of health coaches will coach them through that. It’s also validating. We remind them that they are doing great, are talented and smart, yet whether it’s postpartum, post-op surgery, that their bodies need recovery for longevity. “Using these numbers are helpful for showing us what our body has to go through to really recover.” [31:45]

  • How Dr Jessica Drummond is starting to use Heads Up to get some data on her clients remotely.  Dave and his team at Heads Up have started building customized dashboards for her and team of health coaches to collect those peripheral metrics. [33:17]

  • Why when it comes to chronic pelvic pain, it’s really important to collaborate with a skilled pelvic physical therapist as well. How important it is for people to really tune into the messages of their own bodies, to know when they’re physically relaxed, activated and strong, taking a holistic team approach, both conventional and integrative. [33:45]

  • How the Integrative Women’s Health Institute offers the only board certified health coaching program focused on women’s health. The program starts with the skillset of health coaching, helping people to have immediate buy-in, become excited about their plan to get healthy. Why this communication skill is new to most clinical professionals who are taught in their training to fix people as though they are mechanics. [34:27]

  • Why behavioral change is important; Dave mentioned other past podcast guests utilizing similar services in their clinics or programs, such as Brandy Wiltermuth of Three Health with medically supervised weight-loss and Dr. Sandi Scheinbaum who trains her health coaches to operate in that support role when it comes to lifestyle changes. [36:06]

  • How important it is for someone to want to take ownership of behavioral lifestyle changes and ask for help. While the nutrition and sleep plan is important, it won’t be executed without lot of support to making those lifestyle changes. Such as taking things off their plate and off their calendar. [38:05]

  • Ways to get in touch with Dr. Jessica Drummond and the Integrative Women’s Health Institute [40:30]

References

Integrative Women’s Health Institute (IWHI)

Where to contact Dr. Jessica Drummond on Instagram

Outsmartendo.com (If you struggle, or have patients who struggle, with endometriosis or other pelvic pain issues, this is a great place to get information)

Outsmart Endometriosis: Relieve Your Symptoms and Get Your Career Back On Track by Dr. Jessica Drummond 

Organic Acids Test (OATS) 

Dr. Jessica Drummond’s published study on vulvodynia (“Functional Nutrition Treatment of Vulvodynia, Irritable Bowel Syndrome, and Depression: A Case Report”)

About Heads Up 

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health AND we offer health professionals a way to centralize their clients’ health data and optimize their outcomes.

Want sustainable weight loss and better metabolic health for your clients? Take a page out of ThreeHealth’s playbook and learn how to start optimizing health outcomes now. Join the data-driven health movement and see why functional doctors, nutritionists and health coaches love to use our health data analytics and remote-monitoring platform to save time, attract more clients, and optimize their outcomes with ease.

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Ep. 53 – Using Continuous Glucose Monitoring (CGM) To Optimize Your Diet and Lifestyle – Dr. Casey Means from Levels Health

Ep. 53 – Using Continuous Glucose Monitoring (CGM) To Optimize Your Diet and Lifestyle – Dr. Casey Means from Levels Health

Ever wonder if there’s another option to lowering blood glucose than the ever-popular keto diet? Then you’ll definitely want to stick around to the end of this episode. Dr. Casey Means, co-founder of Levels Health, drops some truth bombs about metabolic health, carbohydrates, and the insulin response and how you can make your own meal program to optimize your metabolic health using continuous glucose monitoring.

Dr. Casey Means completed her medical degree at Stanford Medical School, became a Head and Neck Surgeon, and then transitioned to functional medicine after finding the underlying causes of illness was not being supported in her patients through the use of surgery and medicine only. She is also one of the founders of Levels Health – a company making direct-to-consumer continuous glucose monitoring (CGM) devices and putting patients back in the driver’s seat of their metabolic health.

Join Dave Korsunsky, founder of Heads Up as he gets nerdy with Dr. Casey Means about Levels Health, continuous glucose monitoring, and all things metabolic health. Even learn some great tips on how to lower glucose spikes, whether you are using continuous glucose monitoring or not!

Listen in iTunes!

This podcast is brought to you by Heads Up, a web app designed to help you centrally track your vital health data. Instantly synchronize your medical records, connect your favorite health devices and apps, and use your data to optimize your health!

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!

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“The fact that changing our thoughts, changing the way we perceive stress, the food and molecular information we put in our mouths, the composition of our microbiome, how much sleep we get, exposure to different traumas (low-grade and high-grade). All these things actually change the expression of our genome. This is radically empowering. When you know this information, you realize there are actually levers to change the outcome. Health is not deterministic.”

– Dr. Casey Means

In this podcast you’ll learn:

  • About Dr Casey Mean’s journey to founding Levels Health [2:30]
  • Epigenetics and how even thoughts can affect our genes [3:50]
  • How modern medicine is about pattern matching of signs and symptoms to diagnose and prescribe, and how bio-individuality is much less a part of things [5:45]
  • About her experience as an ENT doc and how she noticed the connection of inflammatory conditions that were being treated with surgery, rather than investigating the underlying contributors [7:00]
  • How Dr. Casey Means shifted her practice from surgery based to a longevity and metabolic practice [10:00]
  • Continuous Glucose Monitoring (CGM) and how it could help course-correct metabolic issues [12:16]
  • How Dr. Casey Means saw symptoms greatly decline after a lot of upfront support in her appointments as her patients began buying into the changes and doing what was suggested [16:44]
  • Blood sugar dysregulation statistics [17:02]
    • 74% of American’s are overweight or obese
    • 128 million American’s pre-diabetic or diabetic
    • 88% of American’s are metabolically unhealthy – recent study out of UNC
    • About the connection between COVID-19 and metabolic health and how it appeared in April 2020 in over 100 publications that obesity, diabetes and metabolic health were the key driving factors in COVID-19 mortality [17:50
  • How Virta Health in 10 weeks, can get a patient from a diabetic HbA1c to a non-diabetic HbA1c in a program that only involves diet and exercise [18:30]
  • Diabetes is a driver in Alzheimer’s dementia which is now being called Type 3 diabetes as the brain becomes insulin resistant [20:10]
  • The effects of hyperglycemia include things such as PCOS, Peripheral Vascular Disease, gout, acne, mental health – depression and anxiety which is twice as high in people with metabolic disease, circadian rhythm disruption, and even NAFLD in children [21:23]
  • Sleep, stress, movement, and food are the four contributors to metabolic disease and about Dr. Casey Means’s shift to make her process scalable for metabolic improvements [22:30]
  • About how people have to close the loop between their actions and what is happening. Nutrition is an open-loop system and if you don’t have any direct 1:1 reaction to what’s happening, it’s really difficult to take ownership of which food(s) caused a problem for you [23:50]
  • How continuous glucose monitoring (CGM) works, what it is. It works by reading the interstitial fluid between cells and taking readings every 15 minutes automatically and sending the information to your phone [25:45]
  • Levels is an FDA approved device for type 1 and type 2 diabetes continuous glucose monitoring [26:45]
  • That insulin has a second action – to block cells from burning fat which signals the body to burn glucose, never allowing the body to dip into the fat stores for energy [29:30]
  • Most weight loss studies show failure at the 2-year mark because they’re not approaching it from a metabolic standpoint and the fact that you cannot burn fat without having a low insulin state [30:00]
  • Glucose spikes can be lowered through reduction of carbs in a meal, timing of carbs (eat them last). Use cinnamon, apple cider vinegar, or berberine as insulin sensitizers. Deep breathing can also affect it, keeping the glucose low by reducing the stress response in the body. Walking for 20 minutes after meals or even 2 minutes every 30 minutes throughout the day can also lower glucose response [31:03]
  • How to get a CGM through Levels Health – about the process and the device [33:50]
  • Dr. Casey Means describes what it’s like to wear the device and how it feels like having a superpower to be able to get immediate feedback on whether she’s feeling a particular way due to blood sugar fluctuations or a food she ate [36:16]
  • How interoception (similar to somatic awareness) helps people connect how they are feeling to what’s happening in their body [36:55]
  • About the hyper-palatability of food products and how the Levels Health CGM can help you make better decisions when the brain is hijacked by food chemicals [38:40]
  • How you can train your body to recognize blood sugar signs and signals to be able to tell what your blood sugar is by utilizing tech while you’re learning the signs from your body [40:20]
  • About the study out of Israel where they gave 800 people CGMs and provided the same meals for them all and found vastly different responses in blood sugar [41:20]
  • With the keto movement we can tap more into the fat burning because the substrates aren’t even there for burning glucose for fuel. But with CGM monitoring, you can monitor how specific carbs affect you personally. You can have a higher carb quantity in your diet and not significantly raise your blood glucose to bring a more balanced way of eating back into your life [43:40]
  • Discussion around food: how combining fats and proteins with carbs can help lower the metabolic response [46:00]
  • How long does it take to reverse metabolic issues? And how to achieve metabolic fitness [47:40]
  • About the importance of metabolic flexibility for athletes [52:15]

References

Levels Health Website
Levels Blog 
Levels – Twitter 
Levels – Instagram
Dr. Casey Means Instagram 
Dr. Casey Means Twitter
Virta Health Clinic
Israel CGM Study
Wired to Eat – Robb Wolf

About Heads Up 

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health. Instantly centralize your medical records, connect your favorite devices and apps (e.g., Oura, MyFitnessPal, Keto-Mojo, FitBit, Apple Health, MyMacros+, Withings and many more) and use your data to optimize your health.

Click on the button below to start your free 30-day trial now!

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Ep. 52 – How Megan Ramos of The Fasting Method is Using Intermittent Fasting and Heads Up’s Remote Monitoring Technology to Help Patients Worldwide Reach Their Health Goals

Ep. 52 – How Megan Ramos of The Fasting Method is Using Intermittent Fasting and Heads Up’s Remote Monitoring Technology to Help Patients Worldwide Reach Their Health Goals

Megan Ramos is the co-founder of The Fasting Method Program based out of Toronto, Canada, developed with Dr. Jason Fung, author of books such as The Obesity Code and their latest book: Life in the Fasting Lane. Together, Megan Ramos and Dr. Jason Fung have helped thousands of patients get their lives back through the use of intermittent fasting and data tracking.

Join Dave Korsunsky, founder of Heads Up and his co-host, TJ Anderson, as they talk all things intermittent and long-term fasting with Megan Ramos for both practitioners and patients. 

Practitioners go through the Fasting Method Program for their own health to learn how to utilize fasting for their own patients. If you’re unsure of how to go about fasting, wonder if and when it’s safe, or how to implement it with your patients, then listen in to this episode that is jam-packed with all kinds of useful and exciting information. Megan Ramos shares a wealth of information and how you can find out more about joining in on this hot topic in health and wellness to be on the cutting edge with your patients. Learn how Megan Ramos and Dr. Jason Fung are using their unique fasting approach, powered by Heads Up, to deliver remote monitoring, support, education, tracking and behaviorial coaching to help their patients obtain greater health outcomes.

Listen in iTunes!

This podcast is brought to you by Heads Up, a web app designed to help you centrally track all of your vital health data. Instantly synchronize your medical records, connect your favorite health devices and apps, and use your data to optimize your health!

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!

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“People who track their own data make sustainable changes to their lifestyle. They modify their habits.” – Megan Ramos

In this podcast you’ll learn:

  • Megan Ramos talks about how easy it is to get started and how it’s simple because there is only one rule: Don’t eat. You’re asking your patients not to do more, but to do less [5:30]
  • Why patients with brain fog can really benefit from fasting because it takes less, not more – supplements, special foods, rules, etc. [7:50]
  • Fasting is like a muscle – the more you do it the easier it gets [8:40]
  • Examples of different types of intermittent fasting [9:50]
  • Megan Ramos talks about ways to quantify success and results with tests; i.e fasting insulin, C-peptides, ALT, GGT, HDL, ferritin, and more [11:50]
  • The importance of changes in body composition versus weight on the scale, etc. [14:30]
  • How to know if a patient is eligible for fasting and when they wouldn’t be a good candidate for fasting due to nutrient deficiencies or specific functional issues [16:40]
  • About fasting during pregnancy and breastfeeding [19:15]
  • Not to discount other disease processes that could be happening by writing off that the patient is just not eating enough [20:00]
  • How people with chronic conditions can fast too if they’re in a stable state [20:30]
  • Tracking fasting lab results – be mindful of uric acid levels – what to look for and how to navigate if they elevate while fasting [23:13]
  • About fasting, thyroid health and Hashimoto’s Thyroiditis and the swing that can happen from hypothyroid to hyperthyroid [26:00]
  • How Megan Ramos empowers her patients with laboratory data that they can overlay with other metrics in Heads Up to see that their diet and lifestyle changes are that are working or not working for them [27:50]
  • The top measurements that Megan Ramos uses – waist to hip ratio, why BMI is bullshit, why and when/when not to use DEXA scans and how organ fat affects the results [28:45]
  • TJ asks Megan Ramos about longer-term fasts and autophagy and learns how it has helped patients lose up to 160 pounds and not require loose skin tissue removal due to autophagy [35:30]
  • Considerations for a 3, 5, or 7-day fast right out of the gate – who benefits, who shouldn’t do it [38:00]
  • Long term fasts, diabetics and their meds, hypertensives and their meds and more [39:20]
  • In a long-term fast, you need to be mindful of electrolytes early on, and not wait until later in the fast [40:20]
  • Autophagy peaks around the 72-hour mark and stays relatively active for the first 5 days of a fast [42:00]
  • How Megan Ramos and Dr. Jason Fung have systemized their process of intermittent fasting by remotely monitoring fasting patients with the use of data and teaching their patients to understand the data [44:15]
  • Their new program allows Dr. Jason Fung and Megan Ramos to help patients track their data and customize their approach all over the world through remote work [49:20]
  • That 28% of people in the program are healthcare professionals [55:39]

References

The Fasting Method – You can enroll with FSA or HSA

The Fasting Method Blog

Diet Doctor – Dr. Jason Fung

About Heads Up 

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health. Instantly centralize your medical records, connect your favorite devices and apps (e.g., Oura, MyFitnessPal, Keto-Mojo, FitBit, Apple Health, MyMacros+, Withings and many more) and use your data to optimize your health.

Click on the button below to start your free 30-day trial now!

START TRACKING!

Ep 51 – Becoming a Certified Functional Medicine Health Coach with Dr. Sandi Scheinbaum of Functional Medicine Coaching Academy

Ep 51 – Becoming a Certified Functional Medicine Health Coach with Dr. Sandi Scheinbaum of Functional Medicine Coaching Academy

Whether you’re a seasoned pro in the healthcare field or looking for a career change, if you have a passion for helping people with their health, and/or are interested in becoming a Certified Health Coach, you’ll want to listen in on this episode with Dr. Sandi Sheinbaum, Founder & CEO of Functional Medicine Coaching Academy.

Have you ever thought about becoming a Certified Health Coach but wondered if you have what it takes to become one? Or maybe you’re curious about adding Certified Health Coaching credentials to your existing career path? Have you had your own health crises and now want to help others after learning how to help yourself?

Dr. Sandi Scheinbaum, Founder & CEO of Functional Medicine Coaching Academy, talks with Dave Korsunsky, CEO & Founder of Heads Up about the benefits, and what it takes, to becoming a Certified Health Coach. Learn about her unique coaching program that focuses on what is going right and how to help your client tell a more empowering health story.

Listen in iTunes!

This podcast is brought to you by Heads Up, a web app designed to help you centrally track all of your vital health data. Instantly synchronize your medical records, connect your favorite health devices and apps, and use your data to optimize your health!

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!

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“Have you worked through your own health issues and now feel the calling to serve others?” – Dr. Sandi Scheinbaum

In this podcast you’ll learn:

  • About Dr. Sandi Scheinbaum’s journey. From teaching children with learning disabilities and getting her doctorate in clinical psychology to where she is today [2:20]
  • That as she began focusing on what was right with individuals, rather than what was wrong with them, she saw that they could control things with their own mindset, seeing just how the mind and body were connected. (Note: Dr. Sandi was doing this back in the 1970s!) [4:00]
  • How her own experience in training with IFM led her to approach integrating what she already knew about psychology and the mind-body connection to create a health coaching program at the age of 65 (after practicing for 40-years in private practice) [5:00]
  • How Dr. Sandi Scheinbaum has utilized her own experiences (around food, education and teaching those with learning disabilities) in creating the coaching program [7:30]
  • The importance of starting before you feel like you’re ready [10:45]
  • How you can use your own personal experience, that may have felt like a setback in your own life, to help others [11:50]
  • Who is a good fit for this program? And what can students expect? [12:30]
  • Dr. Scheinbaum talks about the students that come to the program. How they’ve had their own health crises and now want to help others after helping themselves [13:05]
  • Why health coaches are intuitive and have a calling to bring hope, compassion, and passion to support their clients. And why you don’t need a formal education or background in healthcare to become a coach [14:30]
  • “Your value is your story. Nobody has your own story.” [16:50]
  • About Functional Medicine and the IFM and the difference between the Coaching program and the IFM programs for medical providers [19:00]
  • How the coaching program emphasizes the behavior change process and how to help people hold themselves accountable [21:50]
  • Why the coaching program is 100% online, extending their reach to support the functional medicine model, which can be more affordable [23:00]
  • The different ways IFM coaches are connected to IFM healthcare providers and how they can run their own businesses or work under medical providers in clinics [23:50]
  • The scope of practice for certified health coaches vs. licensed medical providers [24:40]
  • About the role of technology in health coaching and how it can provide a deeper correlation for clients and coaches, helping to support clients towards their best health [25:45]
  • About the future of remote client coaching [28:40]
  • A real-life example of how health coaching can support a client [29:30]
  • How this coaching program approaches the whole person to support the person’s whole health — their lifetime events, exposures, traumas, triggers, etc.[31:55]
  • About the unique layer that IFM Coaches are trained to overlay onto the timeline of how the person got to where they are. How that includes what went right along the way, to retell their stories with a new interpretation of their life events, showcasing their strengths [34:35]
  • Dr. Sandi Scheinbaum walks us through the twelve-month online program – what it entails, as well as who the demographic is that signs up for coaching classes [37:35]
  • About becoming a nationally certified health coach and what certification means. Also: eligibility for insurance reimbursement [40:00]
  • About the role of health coaches and how they are so needed right now, and moving forward in the world we now live in [41:00]
  • About the current and future landscape of reimbursement for certified health coaches [44:15]
  • Dr. Sandi Scheinbaum on how to turn adversity to advantage by retraining to be a certified health coach [46:00]

References

Institute for Functional Medicine (IFM)

Functional Medicine Coaching Academy, Inc. (FMCA)

National Board for Health and Wellness Coaches (NBHWC)

Dr. Sandi Scheinbaum – Instagram

Functional Medicine Coaching Academy, Inc. (FMCA) Facebook

About Heads Up 

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health. Instantly centralize your medical records, connect your favorite devices and apps (e.g., Oura, MyFitnessPal, Keto-Mojo, FitBit, Apple Health, MyMacros+, Withings and many more) and use your data to optimize your health.

Click on the button below to start your free 30-day trial now!

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Ep. 50 – How ThreeHealth is Helping Their Clients with Sustainable Weight Loss Using Telehealth and Technology

Ep. 50 – How ThreeHealth is Helping Their Clients with Sustainable Weight Loss Using Telehealth and Technology

Do you want to help your clients with sustainable weight loss and optimized outcomes using technology and telehealth? Then you’re in for a treat! ThreeHealth, a unique medical group, offers a weight loss solution like you’ve never experienced before. Rather than focusing on just the number on the scale, prepackaged food or an emphasis on dropping pounds quickly, ThreeHealth offers their clients sustainable weight loss with well-rounded support. Both in-person and/or via telehealth. Recognizing that metabolic and emotional issues go hand in hand, ThreeHealth combines behavioral and medical support along with advanced technologies to help modify behaviors and make sustainable weight loss changes. All without judgement and with utmost compassion.

Brad Butterfield, LMHCA, Brandy Wiltermuth, ARNP and Marlene Sexton, LMFT, all licensed medical professionals, make up the foundation of the ThreeHealth team. What makes ThreeHealth stand out is how they utilize advanced technology such as the Oura ring and Biosense breath testing, helping their clients track relevant biometrics and monitor progress, including medical records. All of this is tracked through Heads Up’s practitioner portal, creating customization within their patients’ protocols for healthy and sustainable weight loss.

Join Heads Up Founder, Dave Korsunsky, and (NEW) Co-host, TJ Anderson, as they discuss ThreeHealth’s unique approach to sustainable weight loss with Brad and Brandy in this episode. You’ll learn more about the history and evolution of their weight loss approach, as well as what metrics they track, how they run their insurance-friendly cash-based practice, and why health coaches and practitioners also need to remember to use a bit of patience when helping clients with weight loss.

Listen in iTunes!

This podcast is brought to you by Heads Up, a web app designed to help both individuals and health practitioners centrally track the vital health data that matters. Instantly synchronize your (or your clients’) medical records, connect favorite health devices and apps, and use the data to optimize your health (and that of your clients).

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!

 

START TRACKING!

“By the time they get to me, they’re ready to talk about the numbers and be curious about the data. And that’s what I love about Heads Up, the ability to show them trends that they can’t see. It’s been extremely helpful!”

– Brandy Wiltermuth

In this podcast you’ll learn:

  • About Brandy Wiltermuth’s history working in a weight loss clinic 6-7 years ago getting great weight loss results, and frustration with the missing piece of the behavioral health aspect of dietary change [3:30]
  • How ThreeHealth’s program evolved, and the way telehealth is used due to the ability to track many different metrics that integrate into Heads Up where they can easily monitor their patient’s data remotely through their practitioner portal [6:00]
  • Brad Butterfield’s career path to the health industry after retiring in 2006 from an architectural firm to study behavioral health [7:25]
  • In 2018 Brandy Wiltermuth, Brad Butterfield and Marlene Sexton left the weight loss surgery practice they worked in and went to build their own weight loss practice [9:30]
  • More about the ThreeHealth program and how it works, including behavioral and medical health, tracking, and why they require patients to use them all in tandem [10:45]
  • In the program they built, the first three months they just work on three things: time, planning and tracking. Because it takes time to build a system for change, rather than just giving their clients weight loss advice right away [12:30]
  • Why Brandy’s focus throughout the entire program is on lean muscle mass while losing fat, which is more unique to their program, reminding people that they need to eat to lose weight [13:20]
  • More about the lean body mass that Brandy tracks and why she doesn’t just focus on the weight loss number alone [14:10]
  • That they do blood labs every 3 months and they’ve had patients come off of medications due to the significant improvements with their program [16:15]
  • How they offer both in-person and telehealth to support patient compliance [18:35]
  • Why Brad doesn’t believe in willpower to lose weight and why he utilizes strategies to help patients have sustainable weight loss and stay on track [19:30]
  • How 80-85% of patients they see are significantly addicted to sugar and there is a grieving process when it’s gone [20:20]
  • Why this method is not a diet. There is no start or end; its a lifestyle [22:55]
  • When it comes to sustainable weight loss, we have to go through, and not around, the issues that are holding people back physically and emotionally [24:55]
  • How ThreeHealth uses a cash/insurance/HSA hybrid approach and about their very low no-show rate with this business model [25:30]
  • About the integration of Oura and Biosense into their program and how and why sleep tracking helps with sustainable weight loss [30:55]
  • About the HRV that Oura tracks and how Brandy helps patients to see how their diet and lifestyle choices affect their overall wellness [34:40]
  • How seeing the data motivates patients to change and how patients are more compliant with the tracking because they know it helps their practitioner navigate what strategies to use to help them reach their goals [35:45]
  • Why treating tracking as a science project helps clients feel more empowered, rather than feeling oppressed by it (“It’s not judgmental, it’s curiosity.”) [37:15]
  • How ThreeHealth’s patients are navigating the on-boarding process of utilizing the tracking devices and Heads Up’s dashboard [39:35]
  • How they navigate the tracking for people who are too focused on scale numbers etc., and how they emphasize they just need to gather the data and their practitioners will interpret it, giving them the feedback they can understand [40:40]
  • Top tips for other coaches or doctors who want to support their patients with tracking from Brad and Brandy [42:10]
  • How Brandy used Heads Up to figure out why one patient’s weight loss was stalling, even though activity had gone up. Because she was able to remote-monitor, she could see that her protein consumption had decreased. “When in doubt, eat more protein” was how she as able to get her  patient’s weight loss moving again [42:35]
  • Brad’s advice to health coaches: “Don’t be filled with anxiety about the number and results…the weight loss will come. Take your time if you want good sustainable weight loss, as they didn’t gain it overnight. It takes time, but with education, behavioral habit work, and tracking, the patients really start to see how effective it is, several months in. Rapid weight loss is not sustainable.” [45:21]

References

ThreeHealth Website: www.three.health

ThreeHealth Email: contactus@three.health

About Heads Up 

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health AND we offer health professionals a way to centralize their clients’ health data and optimize their outcomes.

Want sustainable weight loss and better metabolic health for your clients? Take a page out of ThreeHealth’s playbook and learn how to start optimizing health outcomes now. Join the data-driven health movement and see why functional doctors, nutritionists and health coaches love to use our health data analytics and remote-monitoring platform to save time, attract more clients, and optimize their outcomes with ease.

Click on the button below to start your free 30-day trial now!

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Ep 49 – Jim Howard – Biosense releases breakthrough ketone testing technology

Ep 49 – Jim Howard – Biosense releases breakthrough ketone testing technology

Biosense releases an at-home breath ketone testing device for both consumers and clinical settings after three years of extensive lab development and clinical trial. This device allows clients to self monitor their breath ketones at home, which in conjunction with food journaling, or other metrics can provide invaluable insight into what is contributing to weight gain, high blood sugar, metabolic syndrome, and more while utilizing a ketogenic diet.

The Biosense testing device is non-invasive allowing clients to test without poking their fingers for a blood sample, increasing testing compliance. Increased compliance provides your client and you with better data to evaluate and customize a plan for their goals. It’s also incredibly small so that you can take it with you anywhere, and requires no calibration before use.

Measuring deep lung air and eliminates contamination from ambient air, providing the user with highly accurate, dependable results, requiring no testing strips to purchase or worry about running out of.

Join Heads Up founder Dave Korsunsky as he discusses the Biosense meter with Jim Howard, and how it’s use can revolutionize your keto compliance and results with your clients, especially when combined with other data tracking through Heads Up.

This podcast is brought to you by Heads Up, a web app designed to help you centrally track all of your vital health data. Instantly synchronize your medical records, connect your favorite health devices and apps and use your data to optimize your health!

Click on the button below to start your free 30-day trial. Or, read on for more information about our latest podcast episode!

In this podcast you’ll learn:

  • About the consistency of measurement with Biosense, which provides a 24-hour graph in-app to see your progression throughout the day [8:00]
  • How the Biosense device is providing agency to allow people to decide for themselves by seeing feedback throughout the day to know what the consequences of their actions are and act accordingly for their goals [8:25]
  • Jim Howard educates how Biosense technology testing differs from acetone testing due to Biosense using a deep lung air sample with a closed flow cell so it’s not sampling ambient air [9:18]
  • This device can fit in your pocket and only weighs a couple of ounces so it can be utilized anywhere and is the only device out there backed by a clinical trial [10:15]
  • Biosense can be purchased as a consumer or clinic use and is involved in 4 upcoming trials as a non-invasive testing device [11:00]
  • How much higher compliance is for use due to the non-invasive testing [12:20]
  • How clinics and coaches can see the data from their patients throughout the day and correlate it with the food, insulin and other metrics they have to see how compliant patients are and how effective their protocol is [12:30]
  • That testing can show more visibility of how compliant a client is throughout the day, rather than just once a day testing [13:10]
  • About a clinic in Washington State that was able to adapt to virtual visits early and roll out the program seamlessly while having patients track their breath ketones at home easily as well as other metrics that is using Biosense technology [14:13]
  • Looking at adherence to the program as the patients are able to give feedback, knowing that they are going to test throughout the day [15:25]
  • About the coach-client compliance and improved results as clients can start to make their own connections between diet, sleep, exercise and ketones [17:00]
  • About the effects of being home due to COVID-19 and how rebuilding your immune system and metabolic health will be key to returning to the world and how to utilize Heads Up and Biosense as a strategy[18:20]
  • How COVID is shifting health responsibility back to the patient or client and that can be empowering if they choose [19:10]
  • That half of the population will be obese in the US by 2030 if we do not course correct with our diets and metabolic health [21:30]
  • How we may see more health plans and other organizations utilize these tools [24:50]
  • Biosense works with clinics for Alzheimer’s, diabetes, obesity, and oncology that are utilizing their device for ketogenic diet support [25:50]
  • How the device can easily be utilized while out running errands or at home increasing compliance [26:50]
  • The device is firmware updatable [27:20]
  • The device is available in the USA currently, just released in Canada, and coming to Europe estimated by the end of the year. [28:10]
  • The Biosense device gives you feedback that the test was performed correctly, with consistent accurate readings, and does not require calibration. [28:25]
  • Biosense offers a much more accurate reading as it’s measuring deep lung air, rather than just providing a red yellow green reading for example. [29:30]
  • Biosense is targeted to the consumer to use on a regular basis and expected to last at least 2 years before estimating that it will need to be recalibrated or tuned up. [30:30]

About Heads Up

Heads Up is a website designed to empower individuals who want to take a self-directed approach to managing their health. Instantly centralize your medical records, connect your favorite devices and apps (e.g., Oura, MyFitnessPal, Keto-Mojo, FitBit, Apple Health, MyMacros+, Withings and many more) and use your data to optimize your health.

Click on the button below to start your free 30-day trial now!