The Semaglutide Weight Loss Dashboard w/ Remote Patient Monitoring

The Semaglutide Weight Loss Dashboard w/ Remote Patient Monitoring

by | Jan 4, 2023 | Webinars

Semaglutide Weight Loss + Digital Health Tools For Tracking Outcomes.

On this webinar, you will learn the basics of implementing semaglutide for safe and effective weight loss. Including the key metrics that should be tracked as well as the latest Remote Patient Monitoring opportunity that’s currently available for practitioner compensation.

Highlighting:

Discover the latest breakthrough results from Semaglutide for Weight Loss.

For Show Notes, Slides, and Extra Bonuses – Click Here.

Semaglutide Weight Loss W/ Remote Patient Monitoring

00:05:15 The video is a webinar discussing the use of semaglutide and other GLP-1 drugs for weight loss and how they can be combined with the latest digital health technology for remote patient monitoring. The speakers provide an overview of how these medications work biochemically and explain different protocols for prescription and off-label applications. They also briefly touch on risk factors and common symptoms. The video includes a live demo of implementing these methods using the Heads Up platform. The speakers also mention several companies that work in the integrated functional medicine space and can assist with practitioner training and fulfillment.

00:10:16 The video features John Limanski, the chief medical officer of Heads Up, Katrine Volynsky, a subject matter expert on peptide therapy, Dr. William Haas and Dave Korsunsky. They discuss the use of glp-1s in functional medicine, specifically semi-glutides, for weight loss and metabolic health protocols. Limanski provides an overview of glp-1s and how they work on a cellular level, while Dr. Haas shares his personal experience with peptide therapy and its integration into their practice. They also address common questions about glp-1s and peptide therapy.

00:14:46 In the video, a healthcare professional discusses the benefits of using GLP-1 peptides for weight loss and diabetes management. The peptides regulate appetite hormones, alter blood sugar processing, increase fatty acid synthesis, and enhance exercise. Patients may also experience a decrease in cravings for alcohol and sweets. The GLP-1 peptides have cardio-protective benefits and help slow down digestion, which emphasizes the importance of consuming nutrient-dense quality calories. The healthcare professional recommends micro-dosing and slow titration protocols to minimize side effects.

00:19:22 Dr. Haas and John talk about the side effects, benefits, and dosing for GLP-1 medications for diabetes. They mention that slowing of gastric motility and gastric emptying is the main mechanism causing side effects such as nausea and constipation. To prevent these symptoms, they suggest working on bowel health and hydration, using supplements like magnesium glycinate and Metamucil, and consuming nutrient-dense foods. They also discuss the importance of dosing and mention that Dr. Haas uses a personalized dosing approach for his patients.

00:23:52 Discusses the importance of consuming protein and healthy fats at every meal to avoid nausea and achieve calorie-dense nutrition. The speakers also touch on the benefits of using continuous glucose monitors (CGMs) in digital health technology and how to use codes for insurance coverage. Additionally, the use of lactulose as a bowel health supplement is also mentioned. The video includes a polling question on the audience’s primary interest in the webinar.

00:28:36 Features two medical professionals discussing the off-label use of a medication for weight loss. They recommend starting with a low dose and gradually increasing it, depending on individual tolerance. The goal is to create sustainable lifestyle changes and curb appetite while avoiding side effects. They also mention the importance of pre and post lab testing and body composition testing to track outcomes.

00:33:21 Discusses how to approach weight management with a focus on body composition rather than just weight loss. The doctor emphasizes the importance of preserving lean muscle mass and reducing visceral body fat, and suggests using glp-1 peptides for this purpose. The conversation also touches on the benefits of protein supplements and the use of body composition metrics for evaluating progress. The doctors also discuss off-label uses for weight management strategies, including for longevity. They both agree that BMI is not a useful metric for assessing health.

00:37:57 Discusses the importance of monitoring visceral body fat, which can create metabolic chaos and increase the risk for diabetes, heart attacks, strokes, and cancer. Off-label use of certain therapies, such as peptides, may be beneficial in managing metabolic syndrome, even if the patient’s BMI is not above 30. It is important to have informed consent and discuss potential risks with the patient. Remote patient monitoring can also be billable inside the insurance system. Dr. Haas shares his hybrid practice structure, utilizing both insurance and cash pay integrative functions.

00:42:46 Discusses how healthcare providers can use reimbursable CPT codes to offer remote patient monitoring services to patients. These services can include monitoring devices for weight loss, body composition, and diabetes management. The video also highlights the potential financial benefits for providers who offer these services, including reimbursement from Medicare and Medicaid. Additionally, the video emphasizes that while some services may not be covered by insurance, providers can still offer them as part of a hybrid approach to patient care.

00:47:50 Showcases a live demo of a remote health monitoring platform called Heads Up that can be used to monitor vital signs, weight, body fat, blood glucose, self-reported symptoms, and lab test results. The platform also allows for creating individual patient dashboards and tracking weight loss progress, as well as flagging symptoms that may require a phone call to the patient. The platform can be configured to monitor any number of biomarkers and is useful for healthcare practitioners to get a big picture view of their patients’ health status remotely.

00:52:24 Features of a remote patient monitoring system called Heads Up Health. It includes a dashboard that tracks various health data such as sleep patterns, heart rate variability, and movement, and can be customized for each individual patient. The system also allows for the integration of lifestyle factors like hydration and bowel movements, and can be used alongside existing EMRs or as an EMR light. The video ends with a plug for the system’s billing platform and the ability to integrate with other systems.

00:57:03 Use of peptide therapy, particularly semaglutide, in achieving health goals such as weight loss and improved metabolic health. The speakers emphasize the importance of setting individual goals and gradually tapering off the therapy once those goals are achieved. They also mention the possibility of using other peptides in conjunction with semaglutide for specific health conditions.

01:01:54 The video is a recorded conversation between doctors and professionals about health management software and treatments for weight loss. They discuss different medications, their effects, and prices. They also touch on technical features of health management software and emphasize the importance of addressing lifestyle changes in weight loss treatment. The conversation is informative and includes advice from medical professionals.

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How Can Connected Health Technology Improve Patient Outcomes?

How Can Connected Health Technology Improve Patient Outcomes?

by | Apr 5, 2022 | Educational, Professionals

Daniel was completely shaken.

He was a man in his late 50’s. His brother, 63 years old, recently had a heart attack that scared the whole family. 

Thankfully, his brother got medical attention quickly. After a trip to the cath lab and a few stents, he’s been recovering well at home, all things considered. 

But the experience was a wake-up call for Daniel. 

Not only did he almost lose his brother, but his mom also passed at a young age from heart disease. He knew heart disease sometimes has a genetic component. With what happened to his mom and his brother, he knew he needed to get his heart health checked out. … And he’d be the first to admit that he hadn’t seen his primary in years.

But he had three kids at home. He had a wife. They all depended on him.

So he made an appointment with his physician. And sure enough, Daniel had pretty significant undiagnosed hypertension.

After a three-minute talk with his doctor where he was too stunned to begin formulating questions, he walked out of the office with a new prescription in hand.

But later, the questions flooded his head:

  • Was taking medicine just a part of his everyday life now?
  • Is there any way to lose weight, adjust diet, or exercise to decrease the dosage of medication needed?
  • What are the common side effects to look out for?
  • Is medicine the only way to treat hypertension?

He felt helpless and confused. All he knew was that he needed to take care of his cardiac health for the sake of his family. So despite his questions, he religiously took his meds. And thankfully he did start seeing blood pressures in the healthy range. 

If you’ve been a physician or a medical provider for longer than a few years, I’m sure you’ve had a patient like Daniel. While he did get the care he needed, there are definitely some gaps in the process. 

If you’re looking for a way to fill in those gaps and holistically care for your patients, implementing the connected health model could be the game-changer you’re looking for.

Here at Heads Up Health, we’re passionate about helping you help your patients. Which is why we’re also passionate about connected health. Let’s dig into exactly what connected health is, how it can help your patients, and how we’ve integrated it into our technology.

What Is Connected Health

Why did you first decide to open your own practice?

Maybe you wished you could do more for your patients… but you only had so much time to see so many patients.

Maybe your patient list was too long to remember each one… but you want to care for your patients on a personal level.

Or maybe… you became frustrated with how disconnected traditional healthcare can be.

Regardless of your reason, you made the choice to practice medicine in a way that feels more comprehensive and gives you more time with each patient. And that is so important to the patients you care for. This is why the connected health model could help you help your patients even more.

But what exactly does “connected health” mean? If you searched online for the term, you’d probably get at least 5 different definitions. And it’s hard to pin down an exact explanation, because it’s more of an attitude or frame of mind around healthcare. ¹

Basically, the idea of connected health is that the patient should be connected to their clinicians, and clinicians should be connected to each other, all keeping the patient’s health at the center.¹ Wellness and preventative medicine is highly emphasized in this model, as well as the clinicians meeting the patient where they are on a continuum of care.¹ In the connected health model, the patient is an active participant in their health plan.²

The term “connected health” is often used within the context of “telehealth” or “health technology.” While practices implementing connected health don’t necessarily need to be using technology to keep everyone connected, tech and telehealth companies have stepped up to help in a major way.² 

Heads Up Health Gives You a Connected Health Platform for Your Practice 

Heads Up Health is a company that uses technology to collect data from:

  • Clinically validated wearable devices
  • smart watches
  • health apps
  • lab results
  • remote patient monitoring devices, such as blood glucose monitors and blood pressure monitors

After collecting the raw data, it’s formatted and organized so you can easily analyze, make improved clinical decisions, and avoid medical errors. The more you know about your patients’ day to day health, the better you’re able to treat them. That’s why the data that’s extracted and organized by Heads of Health is so valuable. Plus, all of that data is displayed beautifully and clearly in one user-friendly platform.

4 Major Ways Connected Health Through Heads Up Health Benefits Your Patients

The connected health technology Heads Up Health provides not only makes your life easier, but it helps you deliver real results to your patients. Let’s dig into specific ways connected health through Heads Up Health can improve outcomes for your patients.

  1. It’s simple to use.³

Not only is the data clear and easy for you to use, it’s also easy for the patient to collect. In most cases, participation from the patient is nearly effortless. Often they simply wear a monitor, a smart watch, or click a few buttons in an app. Since most of us have our smartphones and smart watches on anyways, often these types of monitors and devices don’t disrupt our routines, which makes the data easy to obtain, reliable, and consistent.³

  1. There are fewer errors, and the accuracy of health trends are better than ever.⁴

The numbers collected from medical devices and smart devices tend to be much more accurate than self reported data.⁴ More accurate data results in more accurate diagnosis, and more appropriate interventions. It’s human nature to want to fudge the numbers on a medical form, or to forget to log a check on your blood glucose log. But with all that automated, the data is comprehensive and accurate. This gives you a realistic picture of the illness and a clear view of what next steps to take.

  1. Allows for more thorough monitoring of chronic diseases.

Because of the accuracy and consistency of the data collected through Heads Up Health, the way you monitor chronic diseases could totally change for the better. If your patients are forgetful or inconsistent in the past with self monitoring, this is a great option for them. 

As discussed above, remote monitoring takes so little effort on the part of the patient that collecting the data is easy for your patients.

Because of this, you’ll have the data you need to catch dangerous data trends before they turn into a hospital visit.⁴ In fact, one study showed that cardiac patients who received alerts to an app about their condition had a 16% decrease in overall hospital admissions.⁵

The ability to more tightly manage chronic illnesses like diabetes and heart disease could add years to your patients’ lives, save them thousands of dollars in hospital visits, and improve their quality of life for years to come. 

Plus, many patients enjoy following along and seeing how their numbers trend. This encourages active interest and participation from the patient.³

  1. Remote patient monitoring makes care more accessible and often more affordable.

Remote patient monitoring through Heads Up Health brings healthcare specialists to remote areas where patients might not have care locally. This is a game-changer for individuals living in rural communities and less access to care.⁵ Since a patient can be virtually monitored from anywhere, this aspect of connected health truly connects patients to the care they need.³

Remote patient monitoring tends to be affordable for both the practice and the patient, breaking down some of the financial barriers to patients.⁷ Additionally, remote patient monitoring is reimbursable through health insurance, making it a win-win for everyone. Even cash-based practices have started moving to the payer system for RPM services due to the revenue generating opportunity.

About 60% of all healthcare organizations already use some type of connected health technology, and it’s easy to see why.⁶ It’s easy to use, has less errors, improves patient outcomes, and is highly accessible.

At Heads Up Health, We’re Passionate About Using Connected Health to Bring You Closer to Your Patients

Remember Daniel from the opening story? At Heads Up Health, we use connected health to help patients just like him by:

  • Makes connecting with your patients easy with our beautiful, efficient platform. Patient data is securely organized and succinct. This means your time with your patient can be spent educating and addressing concerns, instead of trying to make sense of the numbers.

    (The system can even be branded to your practice as well!)
Open Client Dashboard Chiba@2x

  • Providing you with effortless, pertinent data and trends. Changes in therapy are easy to assess. So if Daniel was your patient and lived in a rural area, you could potentially lower his medication dose, knowing that you can regularly track his blood pressure monitor to see if he’s tolerating the change. 
Clients Gladd@1x

  • Making compliance simple and encouraging patient participation. The simpler a tool is to use, the more likely a patient will use it. Since the remote patient monitoring features require little work from the patient, patient compliance is improved. Plus, patients often are interested in tracking their own health trends through the platform, encouraging the patient to be an active participant in their health plan. 
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If you would like to get started leveraging the Heads Up connected health intelligence platform in your practice, click here to register for your free account.

After registering you will get an opportunity to schedule with a Heads Up Data Architect to help you with setting up the Heads Up Connected Health Platform to get the most out of it for your unique practice.

Click here to register for free.

References:

  1. https://drive.google.com/drive/folders/1t5PtSvahfBokAvRAqqPIlkxUqqYMuvZ7
  2. https://watermark.silverchair.com/hct114.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAsQwggLABgkqhkiG9w0BBwagggKxMIICrQIBADCCAqYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMQPuWN1kmad5QuN5YAgEQgIICd1jahlgSPo2ha7tld_8om-44BQ6SoiqVk-mK9Yfut7ehem6RxqhvaMlCbzFFklnd8C1OPyDsTrprL-HmkdaV0oJOA3xQfz3K7t4EFZJa3SDTJ9CRVhfomJws4OugCwd2Pzins1JalxFtfveG19y2fpqSOuNXQOViO_v1iAqI-AQ7gCHPamoF7AsgXqSt5xMqFgYJryLfa5TvhSJAWZdyoQTkPJyLUKUPxO2ler76sHEjQJZsvtyFitWVZ5ccy858ask8–cVDZhiLlR96GliykduJJomjNNgYs1Ppkg_zSe14dBzYWCpn9-jfRPbiLUrl7nQrmqefbjXNdYzwIGZPBwuwbuvGFlc991IV2uPFwCycwIJv5y7dm33f3v6QXFeC4ZfwwPddRR6UgKIxk5Ghdrgck7xnzFD6Wu3tw5oHkHd-dNNc47Q0tnGjyjPBV9jU6jx8jc2LIsKgMIG1X2YLQhZVNLYf_wd1BHSBdoY1ieCCbRuisC9I4YzqqDMDdS0UoQztndxQcMDKTkJaLS7HiPse5ACwW6V0sovogIOcvsOVnPn-2AWVHmRh3FP67xWMRA3FD5JREN4adoAq4Wvj-Mlh1caDsGlaoSbANqYTotMw8KBt_nIJzLaRAAssxuGtJthwIe5rsoWo6IDr9yB9Ptek_s_XUyPsrsXpF5kGrJY-LyO3KcRmcYfSd5U9kFr653aTzXrgHOMMa9tzrbvhsheWaH_XLPBT9NTTW1sSk1KyVCTKpd7o3hOc_wXHvkwIpOj4-vKZ199SCVDDQPPJ7siCWxF0oUWDKwMCNhhE9TaBDqlt_iZnXoYr72H-_WjfI-HGl9-NCU
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5701967/
  4. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4272470/?report=reader
  5. https://drive.google.com/drive/folders/1t5PtSvahfBokAvRAqqPIlkxUqqYMuvZ7
  6. https://go.frontier.com/media-center/20-stats-and-facts-about-the-internet-of-things/
  7. https://aetonix.com/care-pathways/understanding-all-the-costs-of-remote-patient-monitoring/

Functional Medicine Approaches to Systemic Inflammation

by | Mar 10, 2022 | Webinars

Deep dive into Functional Medicine approaches to diagnosing, treating and reversing inflammatory conditions.

Our guest speaker will be Dr. Helen Messier PhD, MD Founder & CMO at Altum Medical. Helen is also an IFM Certified Practitioner and Educator.

We will deep dive into the following topics:

+ Understanding the root causes of inflammation
—> Nutritional
—> Environmental
—> Emotional
—> Genetic
+ Diagnostic testing to identify root cause
+ Designing a remote monitoring solution for ongoing treatment

And much more…

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How To Integrate Oura Rings & Health Coaches Into Functional Medicine Practices

by | Mar 10, 2022 | Webinars

Learn how to integrate the Oura ring and health coaches into your Functional Medicine practice.

Our guest speaker this month is Dr. Sachin Patel of The Living Proof Institute and Perfect Practice Mentorship Program.

In this webinar we will cover:

  • How to coach clients into more parasympathetic nervous system activity and measure results with the Oura ring
  • How to integrate a health coach into the practice to manage the remote monitoring with the Oura ring
  • How integrative practices can use Heart Rate Variability (HRV) as a biomarker to assess client health without the need for expensive lab testing. This is especially helpful in countries where integrative doctors cannot directly order lab tests for their clients.
  •  How HRV correlates to bone health, muscle health, brain health, immune system function, digestive function, and other systems in the body
  •  How to stock Oura sizing kits and quickly deploy rings to new clients
  • And much more!

If you want to use Heads Up in your practice, click here to set up an account

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Sign Up below for notification.

Ep. 60 – Integrating the Oura Ring into your Functional Medicine Practice with Dr. Sachin Patel

Ep. 60 – Integrating the Oura Ring into your Functional Medicine Practice with Dr. Sachin Patel

by | Dec 17, 2021 | Podcast

Podcast: Play in new window | Download

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About the Episode

Dr. Sachin Patel of The Living Proof Institute and Perfect Practice Mentorship sits down with Dave Korsunsky to discuss how Dr. Patel implements the Oura Ring into his practice. The pair dive into their favorite metrics to monitor, how to build a successful practice, and how each of them got into functional medicine.

“Getting people more parasympathetic heals and it helps restore the function of all of their organ systems. It also restores blood flow to those organ systems.”

– Dr. Sachin Patel

Heads Up

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!

Living Proof Institute

The Living Proof Institute offers personal and corporate health solutions. Our goal is to improve the health and wellness of our community by improving the health of its citizens. Our mission is accomplished by patient education, dietary and lifestyle consulting, exercise prescription, and advanced functional laboratory testing.

Perfect Practice Mentorship

Perfect Practice is a world-class personal, professional, and practice development mentorship. Our mission is to provide simple, practical and affordable growth tools to help functional medicine practitioners and coaches deliver transformational care for their clients.


Dr. Sachin Patel

Sachin is a father, husband, philanthropist, functional medicine practice success coach, international speaker, and best-selling author whose philosophy is that, “The doctor of the future is the patient.” 

He founded The Living Proof Institute and coaches practitioners all over the world on how to step into their power and profoundly serve their communities.

And, he has taught thousands of functional medicine professionals how to start, grow, and scale their practices.

Sign Up For The Future Webinar With Dr. Sachin Patel & The Heads Up Team.

Show Notes

(2:10) Dave talks about how practices can use wearable technology to benefit their patients. Practices can get rapid feedback, personalized programs, and more.

(3:15) Dr. Patel started as a chiropractor for sports, soft tissue, and repetitive strain injuries. He ended up on the news, which resulted in more than 50 people calling his practices. All of these people had chronic health issues, as opposed to soft tissue injuries. This led Dr. Patel to functional medicine.

(3:43) Dr. Patel started the Living Proof Institute in Cincinnati, Ohio. The institute helps people get to the root cause using functional medicine, lifestyle, medicine, and mindset to help them heal.

(3:56) He moved back to Toronto to start another clinic. Other practices started reaching out to him about how he built his own practice. This led Dr. Patel to coaching. His goal is to establish a movement to create and deploy an army of practitioners that are making the world a better place and using technology in a responsible way to enhance their clinical outcomes.

(5:37) Dave reflects on how a functional doctor helped him identify the root cause of his health issues. This led him to move off of the Western diet and ignited a series of personal health changes.

(7:04) Dr. Patel shares how he grew up eating a bunch of grains as a vegetarian. He started removing gluten and dairy from his diet. This included meat substitutes which were stitched together with gluten.

(8:07) He would wake up tired, stiff, and achy every morning. He had major digestive issues. After altering his diet, his skin cleared up and many of his issues disappeared. He has now been gluten free for over a decade.

(9:44) Dave discusses how he is also now an early morning person.

(10:22) Dave shares how understanding Oura Ring metrics on himself now helps him interpret the data of his loved one’s through Heads Up.

(11:45) Dr. Patel met Harpreet Rai (CEO of Oura Ring) at Genius Network. This led him to invite Oura to come to Dr. Patel’s in-person event, which resulted in dozens of practitioners ordering rings.

(12:22) In Ontario, Dr. Patel had to figure out what claims he could make regarding his messaging. He decided to focus on vitality and health optimization.

(13:13) Dr. Patel realized that boards would go after practitioners requesting testing. Dr. Patel wanted to create a program that doesn’t use testing. 

(14:44) Dr. Patel wants patients to become their own doctor by having data. People who were put on a lifestyle design program were getting amazing results in 3-6 weeks. They got off their meds, lost 20-60 pounds, and transformed their health before getting tests done.

(15:44) By improving lifestyle and environment, there’s collateral benefit to their entire family. They want to teach the figurehead in the household how to create an environment of health in the home.

(16:17) In one family, a woman lost 27 pounds, the husband lost 45 pounds, and the daughter lost 27 pounds. Dr. Patel doesn’t want skinnier versions of people, but healthier versions of people.

(17:12) Dr. Patel focuses on heart rate variability (HRV). HRV correlates to bone health, muscle health, brain health, immune system function, digestive function, and other systems in the body. He tracks HRV through the Oura Ring.

(18:01) Dr. Patel gets 50-100 Oura Ring sizing kits delivered directly to his practice at a time. He includes a sizing kit in each client’s welcome package.

(19:11) Dave discusses the limitations of working within the Canadian system. Dave’s sister is a naturopathic doctor in Winnipeg and she can’t order labs for her patients, even a simple Vitamin D test.

(21:38) Dave talks about why it’s a great idea for Dr. Patel to stock the sizing kits for his clients to reduce friction when ordering the Oura Ring.

(23:50) Dave believes combining metrics and using that for engagement opportunities is the best approach for practices.

(24:36) Dr. Patel discusses how they use a health coach. Their patients can do a daily check. They can submit a journal entry, log their weight, hydration, bowel movements, sleep scores, and any other questions they may have.

(25:24) Dr. Patel’s practice shares patient progress, oftentimes through Heads Up Health Reports, during follow up meetings. The practice focuses primarily on sleep and HRV. The patient shares information the ring can’t tell them and Heads Up gives them information that the patient can’t tell them.

(26:53) Practices don’t need to be perfect to get started. You learn things and make improvements along the way.

(28:19) Dr. Patel enjoys gamifying within his community. He can hold sleep score contests with his clients.

(28:52) Dave talks about how the Heads Up employees all have their Oura Rings connected and a Slack Channel to discuss their scores. 

(29:59) Dave goes over some of the best metrics to monitor using the Oura Ring. These metrics include resting heart rate, temperature deviation, HRV, the actual readiness score, the respiration rate, and the sleep score. Temperature deviation can be a precursor to pending illness. Respiration rate can indicate impending illness and level of cardiovascular health.

(32:11) You can’t cheat heart rate variability. It shows how somebody is handling a stressful situation. Dr. Patel uses HRV as a measure of resilience. HRV is a good measure of parasympathetic tone; a good indicator of how well we’re recovering, repairing, and regenerating.

(34:50) Sleep is one of the most important things that we do. It is the most parasympathetic thing that we do. The Oura Ring shows how well protocols and recommendations are working.

(36:10) Dr. Patel had a friend who couldn’t sleep and Dr. Patel recommended that he turn off all artificial lighting after the sun goes down. His friend felt better, but the Oura Ring showed him the value within the data.

(37:18) Dr. Patel also focuses on respiratory rate. He uses a nose strip, mouth tape, and proper positioning when he sleeps.

(37:45) Dave tries to think about the central nervous system when he prioritizes his help. He turns the lights down early before bed and views it as the goal of meditation.

(39:07) Changing how you consume alcohol or cannabis can help with sleep onset. Water can also be used as an excellent source of relaxation therapy.

(40:28) The key to Dr. Patel’s program is to pair your nervous system with the activity that you are trying to accomplish. 

(41:18) Bob Rakowski shared a study that measured blood flow in extreme athletes. A sprinter, in a very fight or flight state, is sending only 5% of his blood flow to his liver and kidneys when he’s in that state. At rest, they send 50% to those organs.

(41:46) If you want someone to detox better, the key is to increase blood flow and nutrients to the organ system so they can function properly. By healing your parasympathetic system, that helps restore function and blood flow to their organ systems.

Your digestive system works better when you’re parasympathetic. Instead of changing your diet, slow down, chew your meal, enjoy it, and be grateful for it. Western culture views food as an inconvenience.

Our digestive system is most effective in mid-day when the sun is in the highest position (not necessarily noon). That’s when you should have your biggest meal. The most parasympathetic thing you can do right after that is take a nap and digest that meal, instead of going to exercise immediately after.

(43:24) Dave noticed that he should eat his biggest meal around 3pm.

(46:26) Dr. Patel noticed that food choices, meal timing, and stress affect HRV. You can’t eliminate stress, but you can change how they interpret it. If somebody’s HRV is not responsive, he starts to look into trauma. There may be something that is keeping them in a sympathetic state despite the fact that their physical health is improving.

(48:36) There are many things that are easily modifiable in our day-to-day life; our environment, lighting before bedtime, ambient bedroom temperature, meal timing, and meal choices.

(49:06) When you want to move on to the next level, you look at things that are psychospiritual including stressors in relationships with others and yourself.

(49:36) Dave and Dr. Patel discuss the power of plant medicines. Dr. Patel had a patient who had a 30% permanent improvement in their HRV score after a psilocybin ceremony.

(50:55) In Dave’s personal experience, if his HRV numbers are in the 50s, he feels there is nothing that he can’t accomplish. He also makes sure that he doesn’t overtrain.

(53:04) Dr. Patel looks at how long it takes him to sink into resting heart rate and calibrates his day accordingly. Sometimes our body will tell us one thing, but our mind can always tell us something else. He gives himself permission to override the data and choose how he feels about the day.

(55:40) Dr. Patel gives insight into how patients respond to remote patient monitoring. When he tells people that they offer remote patient monitoring, it serves as a filtration process. People who don’t like to be measured won’t want to sign up.

(57:03) Dave likes wearable technology and biometric data in the clinical setting because it holds both the patient and the practitioner accountable.

(58:40) Remote patient monitoring validates practitioners’ processes. It is evidence that their program works. There are practitioners that make big claims, but don’t have evidence to back that up. There are patients who say they’re doing certain things that may not be.

(1:01:23) The top three metrics that Dr. Patel personally lives by are HRV, fasting insulin, and high sensitivity CRP. HRV is instant biofeedback. Insulin resistance is a major predictor of many issues in your body or longevity. Fasting insulin shows how someone’s managing their metabolism, blood sugar. High sensitivity CRP is an inflammation marker.

References

Living Proof Institute

Perfect Practice Mentorship Program

Harpreet Rai

Dr. Bob Rakowski

Mymetabolicreset.ca

Sign Up For The Future Webinar With Dr. Patel & The Heads Up Health Team