Jami Dulaney Md Plant Based Wellness

Welcome! and Thank you for listening.  I turned 60 this week.  I am entering the senior years of my life.  Time is my most precious commodity.  Do I coast or push? Many people promise the fountain of youth through pills or procedures.  But I challenge you to take charge of your health now.  In reality, most modern medical procedures and pharmaceuticals patch problems rather than cure them.   The accumulation of metabolic waste begins to take its toll and diagnosis increase as do medications and ailments.   I believe the best way to eliminate metabolic waste and improve health is through plant based nutrition and movement. I want to share this secret with as many people as I can for my remaining years.  Would you like to join me as an outlier in health and wellness?   Standing decreases your risk of death and major cardiac events as noted in a recent publication that I will discuss.  Do you stand for 8 hours a day? Let me help you do a few calculations.  Excessive sodium intake results in vascular injury and h

Welcome! and Thank you for listening.  Today I am honored to have Bob Becker from Ultrasportllc join me to discuss his recent Badwater 135 finish becoming the oldest finisher of the race at 77 years young.  It is not his first record at Badwater.  He set the record at age 70 for the first to complete the 146 mile course from the Badwater basin to the summit of Mt Whitney.  He ran his first ultra at age 60! Do you have to run 100 miles to stay healthy?  Probably not.  But we do know that successful aging requires a sense of purpose, social interactions, a positive mental attitude, and a lot of moving.  Bob checks all of those boxes with a dose of humility and gratitude.  I hope you enjoy and are inspired by this interview. Just a few of his race finishes: 2020: Pony Express 100 mile race Utah 2020: Won 24 hr race in Ft Lauderdale Icarus ultrafest 96 miles September 2019: overall winner and record holder for Race for the Ages in Mn Tenn.  230 miles in 74 hours 2019: Brazil 135 mile race 2017: oldest finisher of

Welcome! and Thank you for listening.    The accumulation of metabolic waste is the source of many lifestyle diseases.  But where is the waste accumulating and how do we get rid of it?  As a cardiologist, I look at the blood vessel as an area that accumulates waste such as cholesterol, triglycerides, white blood cells, and inflammatory proteins under the endothelial layer.  We see some of the same things in joints and soft tissues that are inflamed.  In cancer, metabolic waste and toxin accumulation results in DNA damage that overwhelms the cell’s ability to repair itself.  In the gut, that accumulation is associated with constipation and obstruction leading to  toxin absorption into the lymphatic system causing further dysfunction of the immune system. The best advice is not to accumulate the waste in the first part.  That would translate in to avoiding excessive food intake as well as toxic substances.  Our bodies have multiple paths to clear waste products if we can just be patient and allow it to do it’s

  Welcome! and Thank you for listening.   When it comes to your health, I have always asked the question; will it make you live longer, or will it make you live better?  Another translation might be, will your quality of life be better and or longer?  If you are sick and feel bad, the question is a lot easier perhaps than if you are feeling well.  Physicians sometimes confuse quality of life with objective progression free survival.  Translated roughly if the disease has not gotten worse, you must be better.  Even though it seems reasonable, it has never been proven to be an equivalent measurement.  For example, a tumor could shrink but the person has long lasting side effects from the medication.  Quality of life is also a personal decision and there is not a  universal definition.  What about the things we accept for truth such as sun causes cancer?  What about our source for vitamin D? Should we even wear sunglasses?  Why do some melanomas occur where there is very little sun exposure?  How about rest?  Sh

Welcome! and Thank you for listening.  I am joined by Addie Dulaney Majnaric, RDN today to discuss childhood obesity.  This week is National Childhood Obesity Week.  In contrast to adults, weight is assessed by percentiles of the ratio, weight to height, by age and sex.  Greater than the 95th% percentile is considered obese and greater than 85th% is considered overweight. It is a very important to address childhood obesity in a healthy way in order to decrease the risk of lifestyle diseases associated with being overweight such as diabetes, hypertension, cardiovascular disease, orthopedic complications, and cancer.  Unlike adults, children are still growing and developing.  Caloric restriction can be dangerous for growth and development if proper macronutrients and micronutrients are not obtained.  Care must also be taken so as to not make a child self-conscious or to develop an abnormal relationship with food. Addie and I will address healthy positive ways to obtain healthy weights for children. It is import

Welcome! and thank you for listening.    Happy 4th of July.  I will give you a simple guaranteed solution to reverse lifestyle diseases including heart disease, diabetes, and vascular diseases.  All you have to do is eat vegetables, fruit, grains, potatoes and exercise.  There it is.  Easy.  So easy that it is hard to believe the whole world is doing it.    Sorry, it is not that easy to do when the world seems to be going in the opposite direction.  Perhaps if everyone had a device to tell them their heart rate, glucose, and metabolism, and there were meals delivered to fit the above readings. Wait those are available too, and we still have disease.    Perhaps if others changed first, and you were sure it would work and not be too difficult.  I do not think that is going to happen any time soon.   Change starts within.  Observing what is going on.  Questioning if the changes you are making are resulting in progress.  Redirecting.   What is health worth to you?  Your health is more valuable to you than anyone

Welcome! and Thank you for listening.    This episode is a recap of the Leadville Trail Marathon located at Leadville, Colorado.   It is the highest elevation marathon in the United States at 10,000 ft climbing to Mosquito pass at 13.186 ft.    Finish time: 8:41:46 Distance 26.4 miles covered   552 people completed the marathon.  43 Did not finish. 133 finishers over the age of 50.  1 70 year old man finished as oldest finisher.    Predictors of slower time: Not living at altitude and over 50.    Lessons learned: Hill training important Rock training equally important   Plans to improve: Hill training Strength training for foot speed Balance and mobility training for uneven terrain   Nutrition discussion: Herbs and spices to improve immune function.   Email me at jami@doctordulaney.com with questions   Website: doctordulaney.com   https://www.leadvilleraceseries.com/run/trailmarathonheavyhalf/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841576/   https://www.amazon.com/Plant-based-Wellness-Cookbook-Generati

Welcome! and Thank you for listening.   June is Alzheimers awareness month.  I think a better name would be Alzheimers prevention month.  Alzheimers is one of many subtypes of dementia.  It is mainly a pathologic diagnosis described as abnormal amyloid plaques and protein tangles in the neurons.  Symptoms are usually progressive but the onset and course of progression is variable.  The diagnosis is devastating and frightening because of the lack of curative therapies and loss of the ability to care for ones self.  An early diagnosis often leaves the patient and family alone to fear for the future and grab at any potential therapy available.   As a cardiologist, I have treated many patients with dementia.  More importantly, I experience caring for a patient with dementia, my father.  Watching a loved one fade away mentally while their body is still there is very difficult.  The best treatment we have to date is prevention.   The risk factors for dementia are not unlike other lifestyle diseases.  Good news is t

Welcome! and Thank you for listening.   Why do bad things happen to good people?  Some say there is always something good that comes out of bad situations, but it can be hard to appreciate them early on.  How does this apply to nutrition?  We would like to think that we are bullet proof with regards to illness if we eat a plant-based diet.  But there are many other factors that can result in illness as well as diet.  We tend to put a lot of extra pressure on ourselves defending our dietary choices.  Afterall, we gave up junk food to be healthy, right? The world is watching our sacrifices. So, if we are not guaranteed perfect health, should we even bother to do all of this cooking and sacrificing?  A study of one is hardly scientific, and we really only have one shot at this life.  The choice is yours, but I would ask one additional question?  Do you believe that fruits, vegetables, and whole grains cause disease? If the answer is no, then perhaps they may still be helping your body to heal from the illness. 

Welcome! and Thank you for listening.   Why is the fundamental question when it comes to finding a solution.  My heart goes out to the families in Uvalde, Texas. How do we end these recurrent acts of violence in our communities.  We argue about more police or less guns as a quick fix or deterrent.  While these things may help, we need to address the fundamental question of why? Why is there so much anger in young men that they would repeatedly take the lives of innocent strangers?  The most recent shooter purchased weapons and massive amounts of ammunition without anyone raising concern.  He posted messages announcing his plans and they were ignored.  Most likely he had been ignored for a long time as well.  Our communities have been isolated and separated.  We turn a blind eye towards neighbors in need until tragedy occurs.  We turn a blind eye as health providers and consumers as well.  We ignore signs and symptoms of underlying illness and then patch with pills and procedures.  Let's treat the why and quit

    Welcome! and Thank you for listening.    We all agree that a normal BMI decreases cancer risk and recurrence as well as cardiovascular disease.  But how that is achieved results in a continuous stream of advice and hacks on how to accomplish most easily and quickly. I do not believe it is as much when we eat as it is what we eat.  Intermittent fasting is another word for intermittent eating which is another word for time restricted feeding.  What we do need some rules or accountability.  We all have circadian rhythms that guide our wake and sleep times as well as hormonal outputs and our hunger.    My takeaway thoughts:   Mindful eating is better achieved on a schedule that is congruent with your lifestyle.  What is your work schedule? Travel schedule? Family schedule? It you eat on a schedule; you are more likely to be mindful of what you are consuming.  Do you think Doctors need more nutritional education?  You might be surprised who is against it.  If you would like more accountability in achieving opt

Welcome! and Thank you for listening.  Happy 89th Birthday Diva!   Longevity vs health span?  What are some observations that I have made following my mom’s health span?   Being social and interacting with others is something the Diva has excelled at.  Positive mental attitude or even more a “can do” attitude has been her approach to life. Plant based nutrition of course.  More importantly avoiding toxic metabolites. Move your body.  Saving it will not prolong it.  The Diva gets her steps in, does yoga, golfs and takes care of her house.    Maintaining strength is perhaps more important than muscle mass for longevity.   Get a grip on it and lift it!   Soy is a good thing and need not be avoided.  In fact, there are essentially no side effects and it might beat tamoxifen in some breast cancers.  How do you get your soy?  I drink soy milk, use miso, eat tofu and tempeh and use low sodium soy sauce.    Thanks for listening.  Email me at Jami@doctordulaney.com with questions   Website: doctordulaney.com https://j

Welcome! and Thank you for listening.   What percentage of improvement would you need to have before choosing a medication or procedure?  Would it matter if it was a relative risk reduction or absolute risk reduction?  How do side effects factor in?   Is decreasing a particular disease the same as all cause mortality reduction.  How do you become your own health advocate? First of all, you have a right to know and fully understand.  You are your best advocate, and you may or may not be like the other people in the study.  I will try to tease some of these topics out during this episode.  The water is deep and muddy so hang on! Thanks for listening.   Email me at jami@doctordulaney.com and visit the website at doctordulaney.com  https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2790055?guestAccessKey=0e5a303a-b0f9-4d2c-a7e5-8dd50a487d14&utm_source=silverchair&utm_medium=email&utm_campaign=article_alert-jamainternalmedicine&utm_content=etoc&utm_term=050222 https://www.amazon.

  Welcome! and Thank you for listening.   What are you eating for?  A common reaction is stress eating.  Was your goal accomplished.  Most of the time that is temporary.  A short, feel good moment.  Goal achieved.  But then the guilt sets in.  Why, the goal was achieved?  The guilt is because we all know the real reason to eat is for energy and nutrition.  Did the junk food provide energy?  Often, yes.  The problem is that there was more energy and less nutrition than what was needed.  The excess energy and waste lead to ill health overtime. Sometimes we have the goal of building muscle or recovering from work.  What is the best fuel?  What is the best fuel for regular metabolic function?  There are as many answers as you would like to spend time researching.  How about we keep it simple.  Common goals: health, performance, longevity.    Let’s see how well I sorted this out for you today.  Thanks for listening.   Website: Email me at jami@doctordulaney.com   https://www.theatlantic.com/health/archive/2015/04/

  Welcome! and Thank you for listening.    Happy Earth Day! My mangos are growing.  My different varieties of tomatoes are flourishing on my tower garden.  Parsley and dill are thriving in the raised beds along with kale and swiss chard.  If you have not seen Kiss the Ground, check it out.  You will want to make your backyard a food forest.    Why oh why? Know your why and focus on your why and you have a better chance of success.  The more specific and personal the why is, the better.  We do things that matter to us.  The other part of the success equation is enjoying the journey.  If you do not like the journey to your why, it will be much more difficult to continue to keep it front and center.  We cannot create or suggest a why to someone else.  It is personal choice.  Perhaps I can give you some tips on this podcast or shed a little light on how you might go about focusing on your why or narrowing it down.   Did you know that exercise can boost your immune system? Can you do too much?  Spoiler alert.  Nut

Welcome! and Thank you for listening.   Brazos Bend 50 Mile race is successfully in the books! 13 hour and 4 seconds.  Three 16.8 mile loops.   This podcast is a recap of the race.  Like life there were bumps in the road.  However, everything seems to work out if you can keep putting one foot in front of the other.  Life and the timer continues to move even if you stop so it is best to keep in motion.  I am convinced we humans thrive best if we keep moving.  I paid close attention to the fluids and nutrition I consumed during the race.  Without doing that the outcome could have been much worse.  I was fueling for my desired goal.  I think that is perhaps the best lesson I can share.  Whether you are racing or living day to day life, fueling your body for the desired outcome is the most important aspect of achieving that outcome.  Poor food choices lead to bad outcomes like lifestyle diseases.  The problem is the consequences are not necessarily appreciated that day.  For most, goals are changed to fit declini

Welcome! and Thank you for listening.   Osteoporosis is a diagnosis that is said to just happen.  You wake up one day and get the diagnosis.  Sometimes people fall first, but largely the diagnosis is made by a DEXA scan.  So now what do you do? Medication ? Supplements? I have a better solution.  Prevention and personal intervention.   Prevention starts young.  Lessing the disease later.  Avoiding complications starts now.  I will discuss what to eat and how to move as great alternative therapies.   Ackee.... Mamey sapote... two fruits I will be sharing stories of this podcast.  Warning! Don't eat without reading the directions.  That said don't miss out on a one of natures greatest surprises.   Thank you for listening.  Email me at jami@doctordulaney.com Check out the practice and sign up for the newsletter at doctordulaney.com https://newsroom.heart.org/news/eating-two-servings-of-avocados-a-week-linked-to-lower-risk-of-cardiovascular-disease https://www.healthline.com/nutrition/vegan-calcium-sources https:

Welcome! and Thank you for listening.   As they say, "You've come a long way baby".  Or not.   Dwight Eisenhower died of a heart attack in 1969.  War on heart disease was declared by then Vice President Nixon.  It seems that the war on heart disease has been our longest war with many casualties.  About 650,000 die each year for 52 years is about 33 million people through 2021.   Not to belittle this, but the deaths from World War II were in the 60 million arena.   There are many opinions on why we have not got a handle on heart disease despite all of the interventions and medications available.  We all agree that diet plays a great role, because everyone says to eat a healthy diet to prevent heart disease.  But what is a healthy diet?   The short answer is not to worry about enough of but focus on the too much of concept.  After World War II, there was a valid concern that we could not feed the human population.  Agribusiness stepped in with nitrogen based fertilizers and the development of mono-crops such as

    Welcome! and Thank you for listening.    Intangibles as defined by Webster’s dictionary, are things unable to be touched, or are vague and abstract.  They are not easily grasped or precisely measurable.  This episode will try to shed some light on how we might train intangibles on a journey to becoming plant based.    Should you get dental x-rays when asymptomatic or before a dentist has even examines your mouth? I might be ranting about that as well.  We don’t ask why and how that might benefit my health near enough in our health care decisions.  Corporate sponsors of the ADA include but not limited to Henry Schein Corp. (an S&P Fortune 500 company providing dental practice solutions), Cogate, Proctor and Gamble, Crest and Waterpik just to name a few.  So just like the AMA, policy is heavily influenced by corporate interests.  Can you wait until you are older to change to a healthy diet? There is certainly benefit at any age, but I discuss some recently published studies linking early age die

  Welcome! and thank you for listening.  This episode features four runners that are members of our wellness practice that have taken control of their own health and stepped into an endurance training regimen culminating in finishing the Treasure Coast half and whole marathons.  We often hear people say, “when I get healthy, I’m going to do…”.  That day rarely comes because they are waiting for someone else or some other treatment or procedure to provide health.  What defines health and limitations is ultimately an individual perception.  This episode features Erica Salerno Shadowens, a breast cancer survivor, Nanette Rodgers, 86 years young with valvular heart disease, Dick Willard, a colon cancer survivor, and Hutch Strahm, with coronary stents and insulin requiring diabetes.  Each have had significant “challenges” in their path to health but have chosen to use endurance training as a part of their healing.  I hope you enjoy the chats with each of them as well as a few words from our RDN, exercise phys