Living & Practicing by Design™
Living & Practicing by Design™ is the weekly Podcast by John Hayes Jr MD, Family and Lifestyle Medicine Direct Primary Care Physician practicing in Marshfield Massachusetts. His passion is improving patient access to Primary Care with lifestyle medicine and non-invasive pain treatment measures wherever possible. John is an Author, Speaker and Consultant. For more information go to https://drjohnhayesjr.com Call or text 781-659-7989 email john@drjohnhayesjr.com
Episodes
Friday Apr 26, 2024
Friday Apr 26, 2024
Stress and hormonal balance in men is something many men are unaware of. Physicians don't always do such a great job of talking about this with patients either. Just like in women modern lifestyles which too often include prolonged or chronic stress can lead to dysregulation of cortisol levels, which can, in turn, affect other hormones. Typically however men wait longer than women in seeking appropriate medical treatment thus prolonging and increasing their own suffering. In fact in our modern society male fertility has also dropped very significantly* due to lifestyle which often compounds stress involved for men, women and sibling children.
Let's review some of the highlights regarding stress and hormonal balance in men today and emphasize just how important lifestyle factors are for men just as they are in women.
Testosterone: Chronic stress have been linked to decreased testosterone levels in men. Testosterone is ESSENTIAL for maintaining muscle mass, bone density, libido and overall vitality. Low testosterone can lead to fatigue, reduced sex drive, erectile dysfunction and the significant deterioration of health that can cause and not surprisingly mood disturbances.
Thyroid Hormones: Stress disrupts the balance of thyroid hormones, which play a vital role in metabolism, energy regulation and overall wellbeing. Thyroid dysfunction can cause fatigue, weight changes and mood swings.
Insulin: Prolonged stress can affect insulin sensitivity and glucose metabolism, potentially leading to insulin resistance and increased risk of developing Type 2 Diabetes. Men with prediabetes or diabetes are 3 times more likely to have trouble getting or keeping an erection. There could be limited blood flow, nerve damage and damaged blood vessels.
Sperm Quality... Learn much more and contact us via our website HERE
Saturday May 04, 2024
Saturday May 04, 2024
Elevated blood sugar is one of the most devastating consequences of Metabolic Syndrome& Diabetes. Even "borderline" elevations of blood sugar especially over long periods of time like occurs in obesity can cause considerable problems, not the least of which is peripheral neuropathy.What a lot of people don't realize is that borderline blood sugar elevations (AKA metabolic syndrome or Pre-Diabetes over a longer time cause them to feel really lousy, stiff, sore, and achy. Yes, this may even contribute to a lot of the symptoms that people ordinarily attribute to things like arthritis and fibromyalgia.
Why is this? This is due to a process that occurs in our bodies called glycosylation. What might you ask is glycosylation?
This is simply what happens when elevated blood sugars are allowed to persist and free sugar (glucose) molecules attach themselves to protein structures... Learn So Much More and Contact Us HERE
Friday May 10, 2024
Friday May 10, 2024
Metabolic Syndrome is a cluster of conditions that occur together, increasing the risk of heart disease, stroke and type 2 diabetes, chronic pain, neuropathy and so much more. The 2 body shapes commonly associated with Metabolic Syndrome are often referred to as "apple" and "pear" shapes.
Some of the conditions that make up Metabolic Syndrome include:
Abdominal Obesity: Having a waist circumference greater than 40 inches for men or 35 inches for women.
High Blood Pressure (Hypertension): Blood Pressure consistently higher than 130/85 mm/Hg.
High Blood Sugar (Hyperglycemia): Fasting Blood Sugar levels above 100 mg/dl Prediabetes
High Triglycerides: Blood Triglyceride levels above 150 mg/dl
Low HDL Cholesterol: HDL (good) Cholesterol levels below 40 mg/dl for men and below 50 mg/dl for women.
Having any one of these conditions doesn't mean you have metabolic syndrome, but having 3 or more of these conditions increases your risk for serious health problems.
The 2 body shapes commonly associated with Metabolic Syndrome are often referred to as "apple" and "pear" shapes. Pear and apple body shapes carry the highest risk of devastating health issues... Learn much more and contact us HERE
Friday May 17, 2024
Friday May 17, 2024
Lifestyle medicine in primary care when properly utilized can significantly help reduce chronic pain by minimizing stress, optimizing physical activity, improving sleep quality, and enhancing overall well-being. Of course everyone is different and our needs are unique. Here are some of the lifestyle changes that we often recommend that may help you too.
Engaging in daily low-impact exercises like walking, swimming, with gentle but deliberate stretching can improve flexibility, strengthen muscles, and alleviate tension. Along with these, be sure to make your environment more ergonomic by using supportive chairs, ergonomic keyboards, and adjusting your workspace to reduce daily strain on your body.
Practice stress-reducing techniques such as mindfulness meditation, deep breathing exercises, or progressive muscle relaxation. Stress exacerbates chronic pain, so managing it effectively is crucial. Maintaining a balanced diet rich in fruits, vegetables, lean proteins, and whole grains helps us mentally and biologically by reducing both emotional and physical components of stress. Limiting processed foods and sugar can help reduce inflammation, which is often associated with chronic pain conditions...Read much more and contact us HERE
Saturday May 25, 2024
Saturday May 25, 2024
Omega-3 fatty acids have been studied extensively for their potential health benefits, including their effects on reducing inflammation and pain. Clinically, our experience suggests adequate Omega 3 consumption helps reduce many forms of pain and help foster neurologic health. This is most especially true while patients convert to more plant based diet and using complementary pain management tools such as laser and infrared. Research suggests that omega-3 fatty acids, particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), found in fatty fish like salmon, mackerel, and sardines, some nuts especially walnuts, chia seeds, edamame and other healthy plants have anti-inflammatory properties that can help alleviate various types of pain. And it's a myth that you have to eat a lot of fish for adequate dietary Omega 3's. Some studies now show that functional levels of essential fatty acids may be far better in those on a plant based diet.* Some studies have indicated that the level of inflammation reduced can be equal to or greater than some prescription medications. *This is the reason we recommend you working with a licensed Physician on the most appropriate type of Omega 3 product and dosing...Learn Much More & Contact Us HERE
Friday May 31, 2024
Friday May 31, 2024
The number one cause of chronic pain in the U.S is back pain. Specifically lower back pain, which is the leading cause of missed workdays and disability. Lower back pain can be attributed to various causes including lifestyle choices, poor posture, obesity, injuries, and degenerative conditions like arthritis. However, the leading reason for so much back pain in the U.S. is initially muscle or ligament strain. These strains or overstretching of soft tissues cause microscopic tears in the muscles or ligaments that lead to inflammation and pain. Muscle and ligament strains mainly result from poor posture, sudden movements, overuse, lifting, and muscle imbalances. Some common symptoms of back pain include muscle aches, sharp pain, radiating pain, and limited flexibility. Strains oftentimes can be prevented by staying active, maintaining good posture, lifting properly, avoiding excessive stress by avoiding muscles imbalances by strengthening your core.
Too often, these are inadequately treated resulting in prolonged courses of therapy, pain, which ultimately becomes chronic or long standing.
Depending on how severe an injury is, it can be treated through lifestyles changes, physical therapy, and other medical treatments such as laser, traction, infrared therapy. Access to timely surgery when conservative conservative measures fail is also critical but is becoming much more difficult in this age with so many referrals to pain management so early on in care...Read much more and contact us HERE
Wednesday Jun 12, 2024
Wednesday Jun 12, 2024
Preventing summer-related pain involves several proactive steps to protect yourself from common hazards associated with the season. Too often we fail to take these seriously until we suffer an injury or illness. Here are some key strategies we all need to stay aware of. The primary causes of summer-related pain can vary depending on individual circumstances, but some common factors include:
Sunburn: Apply a mineral based broad-spectrum sunscreen with at least SPF 30. Reapply every two hours, or more frequently if swimming or sweating. Wear wide-brimmed hats, sunglasses, and long-sleeved SPF factor shirts will help shield your skin from the sun. Stay in the shade at least some of the time on the hottest days as you can, especially during peak sun intensity hours (10 AM to 4 PM).
Dehydration: Hot weather increases the risk of dehydration, which can cause headaches, muscle cramps, and overall discomfort. Unless otherwise directed by your Physician, aim to drink at least 8-10 glasses of pure, filtered water per day avoiding plastics whenever you can, more if you’re active or spending extended periods in the sun. Avoid Dehydrating Beverages: Limit consumption of alcohol, caffeine, and avoid sugary drinks, which can contribute to dehydration. Also it can be helpful to step up water-rich foods like fresh summer fruits and vegetables.
Heat Exhaustion or Heat Stroke: Overexertion in high temperatures can lead to heat exhaustion or heat stroke, resulting in symptoms like dizziness, nausea, headaches, and even fainting. Be very careful here. Watch out for kids and higher needs people. Adequate water and food intake helps to a point. Always seek emergency medical care with any of these symptoms!!!Read much more and contact us by clicking HERE
Tuesday Jun 18, 2024
Tuesday Jun 18, 2024
The primary cause of death in men, worldwide to a very large extent is preventable. That primary cause is cardiovascular disease. In other words diseases of the heart and the blood vessels. This includes heart attack, stroke, and high blood pressure, with high blood pressure so commonly being the first. Obviously this is not my most popular post but the reality is the causes of cardiovascular disease are well known and include primarily smoking (anything, like it or not), physical inactivity, poor diet, and alcohol. Add a poor family history and genetics to this it's a recipe for disaster.
Sadly, and for many men of all different ages around the world this is a part of their lives. Worldwide, the higher the income the more prevalent heart disease becomes. So as we talk about frequently, it's lifestyle.
So let's say, you're trying to make a change for yourself or someone your love. Where do you start?
The primary thing is accept accepting responsibility for things you can change, and make a list of all of these. Next, decide if you actually want to then how you propose to make the most meaningful changes... Learn much more and contact us HERE
Sunday Jun 23, 2024
Sunday Jun 23, 2024
The relationship between animal product consumption and prostate cancer has been a topic of extensive research and debate. This is not a casual topic but today I am highlighting some key points summarizing current understanding based on scientific studies. Sadly, a lot of this is not new information, you just won't see it in the mainstream media.
Red and Processed Meat
Increased Risk: Several studies suggest that high consumption of red and processed meats is associated with an increased risk of prostate cancer. This may be due to the presence of carcinogens formed during cooking at high temperatures, such as heterocyclic amines (HCAs) and polycyclic aromatic hydrocarbons (PAHs).
Meta-analyses: Some meta-analyses have indicated a modestly increased risk of prostate cancer with high intake of red and processed meats, although results can vary depending on the study design and population.
Dairy Products
Calcium and IGF-1: High consumption of dairy products (cows milk, cheeses and related products has been linked to an increased risk of prostate cancer, possibly due to high calcium intake and its effect on reducing levels of vitamin D, which is thought to have protective effects against cancer. Additionally, dairy intake can increase levels of insulin-like growth factor 1 (IGF-1), which may promote cancer cell growth. To learn much more about this, as well as how long this information has been known we strongly recommend you read book The China Study. We'll be highlighting some confirmatory studies during the next week.
Epidemiological Studies: Some large-scale epidemiological studies have found positive associations between dairy consumption and prostate cancer risk, while others have found no significant link.
Fish and Poultry
Fish: Some studies suggest that fish consumption might be associated with a reduced risk of prostate cancer, potentially due to the anti-inflammatory effects of omega-3 fatty acids. There are however other risks with fish consumption... Read much more and contact us HERE
Sunday Jun 30, 2024
Sunday Jun 30, 2024
Some of the biggest health concerns for women in the US involve a wide range of physical and mental health issues. Today we'll discuss several of the most significant ones and then highlight some crucial and preventative aspects over the next few articles.
1. Heart Disease: The leading cause of death in women in the US is heart disease. Risk factors include high blood pressure, high cholesterol, smoking, diabetes, and a family history of heart disease.
2. Cancers: Breast cancer is the most common cancer among women. Regular screenings and examinations are important for early detection. Lung Cancer: This is mainly caused by smoking, but is also a health risk for non-smokers due to secondhand smoke and environmental factors. Gynecological Cancers: This includes ovarian, cervical, and uterine cancers. Regular screenings like Pap smears help in early detection.
3. Reproductive Health: Issues such as endometriosis, polycystic ovarian syndrome (PCOS), and complications during pregnancy can significantly affect women's health. In addition to proper care by OBGYN physicians, regular access to direct primary care has huge advantages.
4. Mental Health: Women are more likely to experience mental health issues such as depression and anxiety. There are multiple contributing factors including biologic...
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