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.

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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).

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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“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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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!

Dr. Dave Rabin of Apollo Neuro is a psychiatrist and neuroscientist specializing in disorders of chronic stress, who has utilized MDMA and ketamine in the treatment of PTSD and depression to calm the nervous systems stress response.  After running clinical trials at the University of Pittsburgh and finding that the fight or flight system could also be calmed through the use of a wearable device, he set out to bring a device to the market that helps towards improving HRV. This allows individuals suffering from PTSD, ADD, anxiety, and even high-level executives and elite athletes with high stress response, to use the sensation of touch to recreate a feeling of safety, changing the response the body creates to a stimulus. 

Measuring HRV can give a quantifiable measure of how effective the device is in altering the stress response and allows individuals to improve conditions they’ve been told they must just live with. Dr. Dave Rabin gives a great explanation of HRV and how it differs from Heart Rate and why HRV is an important indicator of recovery and the ability to slow down the nervous system from stimuli. 

Listen in as Heads Up Founder Dave Korsunsky talks with Dr. Dave Rabin of Apollo Neuroscience on his own experience with the Apollo wearable device and how it actually feels to use it. It is Dr. Dave Rabin’s belief that as recovery is enhanced, improving HRV, people will begin to understand and reach their fullest potentials.

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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In this podcast you’ll learn:

• How stress makes chronic disease and mental health worse, especially chronic stress that happens multiple times a day [3:05]
• Dr. Dave Rabin works with high-level executives with high stress, as well as people with PTSD, chronic depression/anxiety and substance abuse disorders and notices that commonality between these disorders [3:55]
• That Apollo Neuro came out of his work at the University of Pittsburgh, where they were trying to develop new strategies to help improve recovery and balance in the nervous system [6:00]
• How Dr. Dave Rabin looks at stress holistically, as a clinical psychotherapist and psychiatric neuroscientist, to help modulate the central nervous system from high-performance athletes to people with mental health disorders [6:15]
• That Dr. Dave Rabin is trained to use MDMA for PTSD which is in phase 3 trials with the FDA and ketamine for the treatment of depression which can induce dramatic radical change within a single session that is likely to be measurable with things like HRV [7:20]
• That metrics that can be tracked while utilizing alternative therapies such as MDMA and ketamine, as people with these chronic conditions of stress have chronically low HRV [8:40]
• That those with PTSD will have some of the lowest HRV as they are always in a state of hypervigilance – high fight or flight, low recovery state, but when they are shown compassion or touch from loved ones, meditation, etc, they feel better and HRV goes up [10:03]
• Apollo was created to allow people to recreate the feeling of safety allowing the body to come out of the fight or flight pattern and into a recovery pattern at home and not just while in therapy [11:30]
• Apollo is not a substitution for meditation, but it can be used more as a tool to guide people through the stressors and understand that you can do it on your own and people seem to be able to train to it over time [14:10]
• What is Heart Rate Variability (HRV) vs Heart Rate (HR) [15:35]
• About how the Apollo wrist or ankle worn device brings awareness to the body when the heart rate changes to allow the brain to evaluate if the perceived stress is useful or not [19:10]
• Apollo was tested in double-blind randomized placebo clinical trial studies at the University of Pittsburgh and found that Apollo was improving HRV within 3 minutes under stress [20:15]
• Dave describes the sensation of what it feels like to wear the Apollo device [21:00]
• Why Dr. Dave Rabin started Apollo Neuro to bring the technology to the market himself [24:16]
• Dave Korsunsky’s seal of approval on the Apollo device and where you can find and purchase the device [28:40]

References

www.apolloneuro.com

Follow Dr. Dave Rabin on Twitter

Follow Apollo Neuro on Instagram

Apollo Blog Post Together All The Time, How to Make it Work

Apollo Blog Post Strengthening Your Immune System

Apollo Neuro Blog

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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