Casey Means

  • Co-Founder and Chief Medical Officer at Levels Health

Credentials

  • MD from Stanford University School of Medicine
  • Certified in Head and Neck Surgery

Education

  • Doctor of Medicine (MD) (2016)
  • Bachelor of Arts in Biology (2011)

Affiliations

  • Levels Health
  • Stanford University School of Medicine

Research Focus

  • Metabolic health
  • Continuous Glucose Monitoring (CGM)
  • Personalized nutrition
  • Prevention and reversal of chronic diseases

Connect

Key Contributions

  • Pioneered the use of continuous glucose monitoring (CGM) for personalized nutrition and metabolic health optimization.
  • Co-founded Levels Health, a digital health company that empowers people to take control of their metabolic health.
The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 0:12 0
“the biggest mistake we're making is we're eating Ultra processed food”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 0:54 0
“we talked about metabolic Health metabolic dysfunction what causes metabolic dysfunction and how to correct it”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:06 0
“if metabolic dysfunction also known as insulin resistance is causing us to be sick, what's causing that and how do we reverse it”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 2:48 0
“we were learning all about cardiovascular health um and all the pharmacology and physiology of you know heart disease which is the number one killer in the United States in a window dark Subterranean room where we sat for 8 hours a day”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 5:37 0
“there is a set of core physiologic disturbances caused by our modern diet and environment that are destroying our foundational metabolic Health the way we make energy in our cells and this is showing up in our 200 different cell types as all these different diseases”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 5:49 0
“it's what I call the trifecta of metabolic dysfunction or bad energy oxy of stress chronic inflammation mitochondrial dysfunction these invisible processes that we don't learn about we don't really have good tests for that are happening”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 6:42 0
“all the reasons we're sick they're environmental it's food, it's our diet, it's our lifestyle, it's we're sitting too much, we're not seeing sunlight, we're exposed to all these unregulated toxins”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 7:53 0
“how many nutrition classes did you have at Stanford Medical School? Zero.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 11:21 0
“like an anti-inflammatory diet for an inflammatory condition that we're treating with steroids and surgery”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 12:25 0
“you're basically the nutrition wacko who you thinks you're too good for all of this and you're questioning the Dogma”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 19:59 0
“almost every single condition I'm treating in my specialty is an inflammatory condition and the only tools I'm using are drugs and surgery and yet drugs and surgery can't do anything to change the physiology that's leading to inflammation in the first place and what I'm doing is not doing anything to affect the root causes”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 23:07 0
“if everything is metabolic dysfunction and by everything I'm sort of saying that yeah H that's a little bit of hyperbole right because there are certain like single nucleotide polymorphisms that create like CLE cell anemia and that's probably not that's not caused by the environment there are genetic things H disease there are toxins in the environment if the vast majority of the chronic diseases chronic disease that most of us suffer from that affect our quality of life our children's quality of lives our parents quality of lives if this is mostly metabolic dysfunction what causes it and how do we reverse it”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 25:29 0
“evidence is showing us that about 93.2% of American adults have metabolic dysfunction have this underpowering fundamental issue and that what's causing that is is usually some Confluence of what I mentioned before the mitochondria that actually make the energy being damaged this machine that makes the power makes the gas has a problem functioning that can be to a lot of different things that underpowering and distress leads the immune system to get revved up because what could be more inflammatory to a body than cells that can't do their work they're sending out distress signals and then the immune system tries to help but the immune system can't help because it's the problem is caused by the environment they can't take the doughnut out of your hand and so you get this stew of chronic inflammation trying to help these distressed underpowered cells but they're impotent in the face of the threats and then you have this other thing oxy of stress that's basically the damage mitochondria that can't do their work properly send out exhaust and sort of you know create damaging byproducts um that that cause essentially like a a chain reaction of Destruction in the…”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 26:53 0
“it's our diet”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 26:59 0
“it's our lack of sleep”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 26:59 0
“it's our incredibly sedentary Behavior”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:06 0
“it's chronic stress so psychological stress and poor emotional health”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:06 0
“it is environmental toxins”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:12 0
“it is our modern relationship with light so circadian see or circadian disruption based on our new relationship with sunlight and artificial light”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:20 0
“it's issues with how we relate to temperature um so the fact that we live a Thermon neutral existence now we're all at 72 degrees and we don't have thermal stimuli to promote metabolic health”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:31 0
“and certainly microbiome issues which is kind of tied to food but also separate from food because there's a lot of other things destroying our microbiome”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 27:36 0
“it's the medications we're taking it's the it's the total and utter overuse of over-the-counter and prescription medications many of which directly cause mitochondrial dysfunction oxidative stress”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 29:06 0
“the world we're living in and choosing to live in today is not conducive to functional human cellular biology full stop.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 30:31 0
“a lot of the things we've invented under the sake of innovation and comfort are actually destroying our cellular biology.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 33:21 0
“depression and anxiety we all it's like it's through the roof suicide is just it's so disastrously high as one of the leading causes of death in the US”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 37:04 0
“Ultra processed foods are a science experiment invented by food chemists and food scientists uh pretty much just starting after World War II started really accelerating in use in the 1970s and just simply put they are a science experiment that has failed it's not working they're not conducive to Cellular bi human cellular biology and they're very bad for the planet as well.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 38:04 0
“Ultra processed foods have significantly less micronutrients than real food so during the processing where you take a whole food and you modulate it so so much to turn it into these individual components that then get put back together like a Frankenstein to make this thing that looks like food if you really squint or from 100 feet might look like food but actually is really just chemicals put together and shaped and colored and things like that.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 39:52 0
“we have 10,000 food chemicals allowed in the US most of which have never been studied for safety”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 41:36 0
“Europe has only 400 [food additives].”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 42:21 0
“67% of calories come from Ultra processed foods.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 44:28 0
“Ultra processed foods drive us to eat more calories.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 45:56 0
“the ultr processed food is literally designed to make us eat more calories and be insatiable on top of the fact so you get people eating more food the food is not then supporting on the cellular level the actual processing of that food because it's micronutrient poor and it's very destructive to our cellular biology with all the food additives.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 46:51 0
“Ultra processed foods like fro Loops they are different recipes than we're using overseas because overseas they have stricter Health standards for what you can feed to Children you can't feed them artificial many of the artificial food dies like red 40 so they use vegetable extracts and they use like they literally use turmeric powder in some countries to to to color fro loops and here we're using petroleum based synthetic dyes that we know are linked to um ADHD and other uh issues with neurologic development.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 50:00 0
“the quickest way aside from all dietary Dogma to get the body the best chance of getting the molecular building blocks to 3D print a functional body is to eat real food and not just to eat real food but to eat the freshest food possible because every day that the food is dead either the animal is killed or the food is taken out of the ground it's denaturing it's you're losing some of that those magical molecules that can work with our biology to create function.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 51:49 0
“understand the labs that can give you a hint about your metabolic health so things like the you know apob fasting insulin fasting glucose triglycerides htl cholesterol hscrp an inflammatory marker uric acid vitamin D um I think I said fasting insulin um if you can look at these things every few months and actually be certain that you are like really in the optimal range for a lot of these things and you feel incredible you're probably eating the right diet”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 52:21 0
“you're probably eating the right diet you don't actually need someone to tell you you need to be vegan you need to be Carn you need to be paleo you need to be keto you need to be this or that because if you are eating a Whole Food's diet and your labs are looking perfect and you feel freaking incredible you're probably for this moment in time in a good place”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 56:51 0
“they're designed to make you eat more and they're probably breaking your mitochondria which makes it so that you can't actually turn that food energy into usable energy.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 57:30 0
“seed oils are destroying our planet... they are pretty much universally being grown as monocrop commodity crop agriculture just ruthlessly sprayed with toxic pesticides.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 58:39 0
“the process through which they're made is disgusting... involves chemical solvents like hexanes and heating the oil to very high heat, bleaching the oil.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:00:49 0
“seed oils... they're very enriched in Omega 6... potentially inflammatory in their own right because they incorporate into cell membranes and when your immune cells are coming around trying to make prostaglandins and other immune compounds, when they snip omega-6s it turns into pro-inflammatory immune mediators.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:02:58 0
“you're putting a bunch of linolic acid this gets a little technical but my audience I think has heard it so you're putting this omega-6 18 carbon polyunsaturated fatty acid into your cells”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:03:23 0
“if we ate seven tablespoons fish oil per day that might be a problem for humans right there are actually studies in Eskimos who eat lots of fish that like there we can exceed the amount of Omega-3s that we want it can lead to potential clotting issues and maybe even hemorrhagic strokes”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:04:09 0
“seed oils accumulate so they might not cause problems the day you eat them and that's kind of this loophole that people who want to argue and say seed oils are neutral or they're benign um or they're even sometimes positive leaning in the in statistics we say look well they don't cause inflammation in the short term but like if you stack your cells full of omega-6 linolic acid which is by the way the most common uh fatty acid in LDL particles is is omega-6 is linolic acid”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:04:54 0
“there's studies in humans that are random IED and controlled and they show that oxidized LDL goes up when you eat seed oils and LP littlea goes up when you eat seed oils”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:08:17 0
“the microbiome eats polyphenols and fiber and then it's going to have a pro effect through the short chain fatty acids they create”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:08:32 0
“a tablespoon of refined sugar that has no polyphenols, no antioxidants, no micronutrients, no vitamins and minerals, no fiber, nothing; it's just a straight up it's a drug that's what it is”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:08:58 0
“a whole fruit you can't really get addicted to whole fruit cuz it doesn't it absorbs so slowly and the way that interacts with our satiety hormones it doesn't activate the dopamine pathway the same way a refined sugar does”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:09:31 0
“my reaction in terms of blood glucose response to different fruits is very variable”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:10:59 0
“postprandial hypoglycemia there was a paper in nature from a couple years ago that showed extent of our post Spike crashes and glucose predicts how much energy we're actually going to try and consume that day”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:13:56 0
“if I live in Seattle should I just be eating squash all winter like maybe I shouldn't be eating strawberries”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:14:16 0
“you'd be eating your root vegetables throughout the winter your onions and your potatoes and they would last for a long time”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:14:27 0
“certain fruits actually can last for a long time especially when stored properly”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:14:33 0
“the fermented foods right because they'd be fermenting and processing in the Indigenous way you know to basically preserve nutrients for the winter”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:15:25 0
“if we want to eat more during sunlight hours then we may need to eating our dinner at different times in the summer versus the winter because we know that like once that melatonin starts getting secretion it does impact our insulin sensitivity”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:19:42 0
“I've been impressed with honey, you know I mean I think there are trials that it actually raises testosterone in males.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:19:47 0
“There's actually a really interesting trial in diabetics that I've cited a lot where they gave people honey up to I think 125 gram a day and over that time so what happened their blood sugar goes up a little bit I think A1C went up um a small amount I think the average blood sugar difference between the honey and non-honey groups was about maybe 10 milligrams per deciliter so the A1C went up but the um the fasting glucose went down.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:22:41 0
“I think for the average American body is like we have to get off all the ultr processed foods so that we're not overwhelming our cellular Machinery every single day with toxins and these just super nutrient-dense Foods so that our because our cells know how to clear themselves out they know how to turn over and get to functionality but we just have to Full Stop on the like the toxic crap coming in.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:24:20 0
“the local is key more nutrients to help your cells heal the average piece of food in the US is traveling 1500 miles we have to cut that down to 100 miles I think um and eat the food from the farmers market”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:24:44 0
“real food as local as possible if you do those two things and just commit to cut out all the ultra processed food your life will transform”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:25:05 0
“if you still have issues once you're doing the real food then go down the further rabbit holes and get more selective with therapeutic diet”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:25:31 0
“there's a lot of people who have truly healed their gut from getting rid of all the plant compounds”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:30:23 0
“I think for me it's food and sleep are the biggest ones but that's just my perspective so let's talk about sleep for a minute to talk people about this I mean sleep we're not sleeping well in this culture.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:30:48 0
“our circadian rhythms are destroyed because of artificial light and we just don't go in the sunlight anymore which so sleep and sunlight I think are very interconnected.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:30:55 0
“the average American now is spending 93% of their time indoors it's crazy and that that was a study that about 4% of that is in cars and the rest is in the four walls of your house.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:32:41 0
“our sleep is short we are not sleeping enough we are not sleeping consistently meaning we are not going to bed and waking up at regular times and if we did live by the sun we would have these you know periods that we sleep and it would change seasonally but it would be pretty specific you know it's only changing Maybe by a minute or two each day as as maybe the sun changes.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:35:01 0
“you're doing indoors that you could actually do outdoors because the more sunlight you get during the day the easier it's going to be to go to sleep at night and the higher quality your sleep is going to be”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:35:11 0
“humans are sleeping very erratic bed times and wake up times and there's this concept called social jet lag which is a scientific term where basically if you look at work days and Leisure Days so like weekdays and weekends and obviously that varies for different people working different shifts if you are if you look at how you sleep like 12 12 midnight to 8:00 a.m your sleep midpoint is 4:00 a.m. and if you're sleeping 10:00 p.m. to 6: a.m. your sleep midpoint is 2 am.”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:35:46 0
“if the midpoint of your sleep between your work days and your leisure days or just between different days of the week is over two hours it like doubles your risk of developing diabetes”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:36:57 0
“this probably won't mess up my circadian rhythm too much we're going to walk right outside and go for a walk right now and meet our friend Anthony Gustin so we're going to get outside move and do all the things because we've been sitting so we're gonna hopefully correct some of this blue light”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:39:59 0
“being outside with the sun it reminds you that you're on a planet yes in a in a universe sometimes I remember that's amazing and I think it's like on that subconscious level it also reminds us it feeds into the stress component of metabolic dysfunction which is so much of the reasons we're stressed right now is because we feel I think we're living in a fear Matrix that is created to profit off of our feeling small and limited and when we get outside in the sun more often I mean I can't prove this with a double blind Placebo controlled study but like it makes us happier and healthier because we see our picture in the greater the greater web of things”

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The Root Cause of Metabolic Dysfunction w/ Dr. Casey Means
Understanding Metabolic Health: Risks, Dysfunction, and Dietary Recommendations 1:40:41 0
“when I was in Seattle in my residency in Psychiatry we had um these Bright Lights you know because Seattle's quite dark in the winter and I saw a lot of people with Seasonal effective disorder and the bright lights don't really work right it's just a blue light that you're putting in front of your eyes and it doesn't work but what would work is if somebody would go to Mexico and actually get in the Sun and so or if somebody would actually go outside and you can give someone vitamin D for season doesn't work it doesn't work doesn't work what if someone in Seattle even though it's dark in the winter just basically spends like almost all their time Outdoors that would probably help it would help a lot because you're getting”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 0:14 0
“Dr Casey means did her undergraduate degree at Stanford University and her medical degree at Stanford University School of Medicine. She is one of the world's foremost experts in metabolic Health.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 0:50 0
“We discuss how exercise even simple exercise like walking as well as more vigorous exercise and in particular nutrition including the types of foods we eat, the timing of food intake and the sources and quality of those Foods impact are mitochondria and other aspects of metabolic function.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 0:50 0
“We discuss how exercise even simple exercise like walking as well as more vigorous exercise and in particular nutrition including the types of foods we eat, the timing of food intake and the sources and quality of those Foods impact are mitochondria and other aspects of metabolic function.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 0:52 0
“We discuss how exercise even simple exercise like walking as well as sleep as well as more vigorous exercise and in particular nutrition including the types of foods we eat, the timing of food intake and the sources and quality of those Foods impact are mitochondria and other aspects of metabolic function.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 6:55 0
“I think most people hear the word metabolism and they think okay, the burning of energy, maybe they think about ATP, maybe they think about calories in, calories out, that sort of thing.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 7:29 0
“Metabolism is actually the foundation of all health. It is the core foundational pathway that drives all other aspects of health and it's also the core foundational pathway that's truly getting crushed in the modern American world.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 8:09 0
“The latest research from American College of Cardiology suggests that 93% of American adults have suboptimal metabolism.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 12:10 0
“85 to 90% of the conditions in those specialties, if you go to the science and look at the real physiology, is metabolic dysfunction.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 12:20 0
“Metabolic dysfunction is creating a big blind spot in the Health Care system that really represents an outdated way of categorizing disease that unfortunately is killing us.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 15:41 0
“Our environment, the environment that our cells exist in across every single facet of our life over the past 50 to 75 years has changed rapidly.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 15:55 0
“You look at how our food system has changed from whole real food in good soil to Industrial food.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 16:01 0
“Our sleep habits have changed, we're sleeping less and it's very fragmented.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 16:06 0
“Our movement patterns have changed, we're sitting 80% of the waking day.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 18:47 0
“sinusitis is a chronic inflammatory condition where the cells are essentially sensing some threat and then they mount this immune response that creates swelling and then you get pus buildup”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 20:31 0
“this is of course caused by the environment and they will actually release extracellular ATP which is not really supposed to go outside of the cell and that creates a massive innate immune response”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 23:50 0
“we actually have tons of tools and tests that can actually help us understand our level of metabolic health and even give us hints about inflammation oxidative stress and mitochondria dysfunction and it's very easy easy to improve if we know what we're actually focused on”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 26:00 0
“75% of American adults are overweight and obese some of the highest in the world. A full 50% of American adults now have pre-diabetes and type 2 diabetes. 50% 30% of teens have pre-diabetes. 40% of Americans have a mental health diagnosis. Cancer is set to reach 2 million cases this year in 2024, highest ever in recorded history. Alzheimer's is going up, fat liver disease is affecting 40% of adults, 18% of teens, autoimmune diseases skyrocketing, infertility is going up at huge rates.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 26:52 0
“All of those diseases trace back to metabolic dysfunction caused by our environment that no shot, pill, or surgery can really address unless we unpack the environmental piece.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 31:11 0
“we have to increase mitochondrial capacity to let the flow happen through it to energy which then trickles up into relieving a lot of these problems”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 32:28 0
“for mitophagy you know we can focus on various types of like endurance exercise and uh high-intensity interval exercise”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 33:01 0
“people who walk more than 7,000 steps a day have a 50 to 65% lower chance of dying in 10-year follow-ups”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 36:36 0
“if walking were a pill it would be the most impactful pill we've ever had in all of modern medicine.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 36:45 0
“there was a paper in JAMA, 6,300 participants followed for 10 to 11 years and the people who simply walked seven thousand steps per day compared to less than that had up to 70% lower risk of all cause mortality in the follow-up period.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 37:16 0
“8,000 to 12,000 steps per day was associated with 50 to 65% lower all cause mortality and this has been played out in many many studies showing about a 50% reduction in Alzheimer's dementia, obesity, type 2 diabetes, depression, cancer, gastric reflux just all across the board.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 37:42 0
“it's not about the steps it's about the fact that muscle contraction is medicine when we contract our muscles even in a very lowgrade way like walking or doing a couple air squats you know we're activating AMPK and we are essentially causing that cell to have a stimulus to push glucose channels to the cell membrane.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 40:11 0
“the groups that do the short movement regularly throughout the day even though the total time is the same across all the groups have significantly lower 24-hour glucose level averages, 24-hour insulin level averages they are metabolically healthier.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 43:09 0
“I have heard that a short walk after a meal will reduce blood glucose in a way that's really dramatic, huge amount, 30-35% just taking a walk around the block after meal.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 44:35 0
“Getting heart rate way up, getting breathing hard for some minutes each week maybe a couple times per week, seems that's a good way to increase mitochondrial function and mitochondrial number.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 46:13 0
“80% of Americans are not meeting those very basic guidelines and 20% of Americans don't get any physical activity really at all.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 48:23 0
“I'm a massive fan of under treadmill desks because genuinely I believe that if we move more of our daily activities that we're doing seated indoors to outdoors moving it would radically change the health of the United States with real physiology underneath it.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 48:40 0
“There's actually been research on underdesk standing desk that is pretty interesting. Small studies, but they took a handful of people, I think it was around 10, in a workplace environment and they had them use under desk treadmills for two and a half hours per day during the workday at very slow speeds for two weeks and people lost on average 2.6 lb of fat and put on 2.2 lbs of lean mass.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 50:33 0
“It's incredible how even at a 1.0 one mile per hour speed after two to three hours you're easily going to get six seven 8,000 steps and then throw in a couple other short walks throughout the day and you're getting there easily.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 53:28 0
“it's all coming back to just moving the body as much as possible during the day. Contracting muscles, it's medicine.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 53:41 0
“non-exercise activity thermogenesis and the data is really good about it like it's basically shows that this is a prime potential intervention for the Obesity epidemic.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 54:38 0
“movement was just built into everything we did and you think from there like what has happened like we were outside we were moving our activities of daily living involved movement.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 55:25 0
“I think neat it's incredibly important and I think it also brings up this point that like is so critical which is like I really think our way out of this chronic disease epidemic and even for people who are listening don't have a chronic disease any real chronic symptoms we're dealing with and just the fact that we're not feeling as good as we could like the way out is pretty simple like it's it's some of these basic things like walking more throughout the day moving more throughout the day getting outside.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 59:06 0
“let's talk about blood tests what what do you think are um the three to five things that basically everybody if they can should know about what circulating in their blood I'm I'm imagining LDL HDL this kind of thing I guess apob is a big uh favorite of our our friend Peter AA um fasting blood glucose continuous blood glucose postmeal Etc just kind of evaluating how exercise food Etc impacts blood glucose”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 59:53 0
“the first seven that I'll mention are very basic and people might take umage to them because obviously there's a lot of debate about like what's everyone's favorite lab test but I think about it as like what are the basics that everyone should know and then what's like the next tier up that are easy to access and are cheap that'll give you a lot more richness but which you still might have to kind of fight your doctor for so the first few that you will not have to fight your doctor for and are often free on an annual physical and literally Define metabolic syndrome are fasting glucose fasting triglycerides HDL cholesterol hemoglobin A1c total cholesterol waste circumference and blood pressure”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:00:49 0
“the reason I'm choosing these it's not it's not even my own choice really it's it's two reasons one is that the two studies over the past 5 years that have shown Us in large populations that the vast majority of American adults are metabolically dysfunctional use those biomarkers so I think because of that it's important to know them and the two studies that I'm referring to are one from UNCC in 2018 which showed that based on those biomarkers 88% of American adults are have suboptimal metabolism and then a follow-up study from the Journal of the American College of Cardiology from last year show that that number has gone to 93.2% of American adults are suboptimal in their metabolism”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:05:17 0
“the triglycerides are a reflection of excess carbohydrate intake and how it's helping us with that tapestry of understanding the trifecta of bad energy”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:05:27 0
“if you think about it let's just go back to that cell and that poor mitochondria that's being absolutely decimated by our environment and its capacity is low”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:06:57 0
“glucose is going to go up, triglycerides are going to go up and so then if you kind of squint and read the tea leaves it's like huh I think metabolic dysfunction”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:08:18 0
“hemoglobin A1c is really so that's a marker that's looking at how many of the hemoglobin molecules that are in the red blood cells that carry oxygen how many of those hemoglobin molecules have sugar stuck to them and that's glycation”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:10:46 0
“if blood pressure is high you're getting less nitric oxide through for whatever means here uh vessels and capillaries are constricted um cells aren't able to use the energy that's coming in there's excess energy there's buildup of metabolic waste there's all this stuff and now we can start to see the picture yeah it's trying to emerge.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:12:28 0
“there are so many other tests that I talked about in my book and that you've talked about on your podcast apob uric acid fasting insulin hom IR hscrp liver function tests ggt all these other tests that are great that can really tell us more about mitochondrial dysfunction oxidative stress chronic inflammation but the ones I'm mentioning are the ones that you will not have to fight with your doctor about like the the the everything I just mentioned like the doctor should order on an annual physical and it's really about us learning to act like read the Tea Leaves of what they're saying and not look at them in this algorithmic way but like how together if they're creeping up or if many of them are a little bit high like we need to focus all of our energy on improving mitochondrial capacity basically and and bring those numbers down which we can do very very quickly once you start getting the mitochondria moving through more of those substrates a lot of them will just naturally come down.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:18:35 0
“food is one that is like totally unavoidable of those pillars those Seven Pillars food is one that most of us are getting wrong and that we really actually have to get right to improve our metabolic health for a lot of reasons I mean our bodies are basically 100% molecularly made from food”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:18:35 0
“food is one that is like totally unavoidable of those pillars those Seven Pillars food is one that most of us are getting wrong and that we really actually have to get right to improve our metabolic health for a lot of reasons I mean our bodies are basically 100% molecularly made from food”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:21:23 0
“the substrate to change what the microbiome does and the composition of the microbiome which is basically a pharmacy inside our bodies to create different molecules that can affect our health”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:21:30 0
“food is certainly a calorie is a calorie from the concept of thermodynamics but from the concept of molecular information it has three massively important parts that are unavoidable for creating cellular health”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:22:46 0
“I can just say for myself for what it's worth I'm not very hungry until 11:00 a.m. noon or 1 I'm okay not eating until then and just you know water electrolyt and caffeine does me just fine”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:24:41 0
“the reason we're eating excess calories the reason chronic nutrition is happening and the reason we are quite literally in the United States eating ourselves to death for the first time in human history is because we're not eating real food”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:27:28 0
“an amazing study from Kevin Hall just recently where he basically locked people up at the NIH and he for two weeks he had them eat Ultra processed food and for two weeks he had them eat real food and people ate 7,000 more calories in the two week period uh when they were eating Ultra processed food versus the unprocessed food.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:29:44 0
“just telling people eat less calories but eat whatever you want that's just doesn't work we have to inspire the body to not want to eat excess calories which we do by stimulating satiety hormones”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:31:10 0
“we could talk about nutrition the biochemistry of nutrition all day but in my review of sort of the biology and the biochemistry like there's five main things I think we can strive for in our food that can really help meet the needs of our cells and and when it really comes there are obviously more things our body needs but if we strive for these five things we will ultimately I think eat a really healthy diet and that is fiber, Omega-3s, adequate healthy protein, a good amount of probiotics and high antioxidant sources”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:33:20 0
“I think eating the foods some of them I listed off before like Meat and Fish and eggs and vegetables and fruits and some I do like starches like you know rice oatmeal some pastas some sourdough Breads and things I love butter who doesn't love butter um of course none of that stuff in excess olive oil but if one looks at kind of that Buffet of options you realize you can get some high quality amino acids you can get some high quality lipids you probably want to get more of them from olive oil than from butter but you can get the micronutrients you need provided those food sources are healthy.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:33:55 0
“contrast that with a highly processed diet or even a minimally processed diet and you can get the taste you can get the macronutrients you can get the calories but you don't meaning the brain doesn't really have a sense of it can't directly map taste calories micronutrients on um onto one another and so you can imagine that the neural circuits responsible for hunger and satiety would get immensely confused by what's in a highly processed food.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:39:13 0
“I have for food that really helps me is really thinking about the body's always trying to help me be satiated and trying to help reduce my Cravings I literally just have to give the body what it needs.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:39:34 0
“I think about these cells lining our small intestine that literally have nutrient sensors like and literal receptors on the cell membrane in the luminal side of the gut that's facing all the food that are just sitting there like waiting to bind with these things in our food that will stimulate the cell to make the satiety hormone that poof effortly makes us not hungry gets rid of that grip of attachment to Cravings that all of us are so plagued by.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:40:17 0
“we rarely talk about the fact that like we have nutrient sensing cells of the gut the L cells of the gut that when stimulated appropriately will make glp1 and when stimulated the way they want to be will secrete hordes of glp1 for us.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:42:02 0
“short chain fatty acids which of course are the byproduct of microbial fermentation of fiber in the diet stimulates the differentiation of more L cells in the gut so more short chain fatty acids more L cells can we translate that into support the gut microbiome eat more fiber eat more fiber.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:45:12 0
“protein of course Very potently stimulates these nutrient receptor cells and specifically like veiling and glutamine seem to have a potent stimulatory effect on glp1 so you're find that and like meat and turkey and eggs and things like that”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:46:06 0
“fiber Prebiotic probiotic fiber and fermented antioxidants lowering blood sugar Jin saying so those are kind of the L cell ones the actual secretion of more glp1”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:46:50 0
“when you eat about 100 gram of spinach which gives you five grams of straight thyo covid over 12 weeks daily it led to a a significant increase in glp1”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:48:14 0
“other things for gp1 secretion the thids also Fiers has been shown specific amino acids so high protein foods things that involve a lot of veine and glutamine uh green tea and specifically the uh elic the EC um ecgc that uh is one of the compounds in green tea that's been shown to stimulate glp1 curcumin”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:50:00 0
“all of them now seem to really enjoy eating Foods in their more pure form”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:51:29 0
“relationship between taste macronutrient value micronutrient value and satiety”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:53:17 0
“losing weight is different than improving mitochondrial function and mitochondrial dysfunction is the root cause of basically every chronic illness and symptom that's torturing American lives today”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:55:21 0
“simple habits that we're talking about eating real food moving walking Etc getting out in the sunlight um rapidly can inrease our mitochondrial capacity”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:56:58 0
“I think that I have to imagine that there's a middle case condition where people are not just relying on Pharmaceuticals and not just relying on behavioral routes to improve metabolic Health but can do both.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:56:26 0
“there have been other weight loss medications throughout history that you've talked about in the podcast like the fen Fen and then there was another one I think even before that that made people their temperature go up that you talked about so the two these are I used to work on thermal regulation as an undergrad so uh fenfen was eventually banned because it caused some cardiac issues I believe it was a stimulant F Flur me so um sorry it's not Fen Flur me it alone it's a combination of things that's why it's called Fen Fen um and then um dinitrophenol right which was um based on the observation that workers in ammunitions factories were being exposed to this stuff and losing a lot of body fat and weight um it actually made its way into the sports Community it's highly deadly highly deadly just don't even don't even look it up it's highly deadly don't because the moment people start looking it up they started thinking about dabbling the way the internet is now dinitrophenol um and I think it has to do with with um sort of uh processing of the of mitochondria I think…”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:02:12 0
“throughout human history humans have really in so many different parts of the world been exposed to hugely fluctuating temperatures like if you look at the Sahara Desert or like a regular day in Colorado it's like you can go from 30u00b0 to 110 degrees in the span of one day”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:03:14 0
“our cells have evolved to respond to Big swings in temperature that very recently we have totally pulled away”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:03:26 0
“I think about the mitochondria and increasing their capacity I'm thinking about well how do I use different energetic signals in my environment to essentially get the mitochondria to do better work”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:04:12 0
“our population is is Cooling and some I think it was Data Stanford actually that was showing that like our temperature has gone down like 2% or something like that in the last 100 years and that fundamentally is mitochondria not working as well as they should”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:04:35 0
“the body makes about 88 pounds of ATP per day for like the average American so we're constantly making it we're constantly recycling it”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:04:57 0
“cold as like one of the tools in our tool belt to talk to the mitochondria to say make more heat”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:08:06 0
“if we reasonably compress our eating into daytime hours during the heart of the dial cycle when we are supposed to be eating so essentially matching our chronobiology with our Behavior which you know we are dial organism so we kind of need to respect that like when we do that and we compress it in a moderate way our metabolic health is better”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:08:57 0
“people who eat the same amount of calories in a six-hour period are going to have much lower statistically significantly lower glucose uh 24-hour glucose and insulin levels compared to people who just space it out over the course of a 12-hour period”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:09:42 0
“compressing our eating Windows seems to be helpful uh for for metabolic health and it's a bang for your buck right like you can eat the same amount of food you just have to eat it in a shorter period of time”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:13:39 0
“about 70% of the items on the shelves in the grocery store are ultra-processed food and those ultra-processed foods are built on refined added sugars and refined added grains”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:14:55 0
“there was a study that looked at people who ate the exact same meal at 9:30 a.m. or 8:30 p.m. and the glucose and insulin responses for the same meal at 8:30 p.m. were significantly higher than when eating at 9:30 a.m.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:16:09 0
“I tend to push my carbohydrates to a little bit later in the day for sake of sleep, unless of course I've done resistance training which I do three times a week and post resistance training I try and get some carbohydrate in me to replenish glycogen.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:17:21 0
“I learned that indeed my blood sugar goes up after I eat, certain foods although the foods that did this surprise me, certain foods tend to spike my blood sugar quite a bit.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:19:03 0
“always including a little bit of fiber really helped it and that makes sense, right slow the absorption of the food”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:19:43 0
“adding fat and fiber to meals has a significant and repeatable impact in populations on lowering gluc response”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:20:32 0
“I put basil seeds chia seeds hemp seeds flax seeds on a lot of my food at this point because it's essentially a little bit of fat a lot of fiber”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:21:28 0
“keeping your blood sugar through the course of a lifetime in a low and healthy range is probably the best thing we can do for longevity”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 1:44:39 0
“glycemic variability GV is a metric of how spiky your curves are... they put continuous glucose monitors on non-diabetic individuals who by standard criteria of diabetes do not have diabetes and he showed that on a CGM a continuous glucose monitor you have these low variability people that are pretty much flat throughout the day with little teeny little teeny Rolling Hills after their meals you have moderately spiky people and then you have very spiky people who are going up down up down up down when you correlate those different patterns of glycemic variability in non-diabetic people you find that the spikier they are the worse their biomarkers are metabolically across the board insulin triglycerides Etc”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:26:22 0
“Dawn effect is basically a term in the literature for how high your glucose Rises right when you wake up in the morning... What's Happening Here is that the cortisol Awakening response to actually get you to wake up and get out of bed that cortisol can cause you to dump a bunch of glucose from your liver because it's basically saying stress hormone cortisol we got to get up we need glucose to fuel the muscles let's dump a little glucose”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:30:20 0
“what are the lifestyle strategies you can use sleeping better walking after meals more resistance training cold plunging breath work that can actually serve to modulate the food environment to actually reduce the glucose spikes”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:30:45 0
“a lot of women especially like menopausal women in our community who find that their glucose pattern are getting worse because estrogen's dropping and that's going to you know really take a hit on insulin sensitivity they start resistance training glucose comes kind of right back down”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:31:39 0
“when people Spike their glucose with high carb High starchy Foods they'll often have a big crash afterwards and the reason for that is because a big spike leads to a lot of insulin secretion and then you soak up all the GL glucose and sometimes you can actually go below your Baseline”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:32:15 0
“the paper showed that the extent of postmeal dips the crash after the spike was pred predictive of 24-hour energy intake and cravings for carbohydrates”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:33:19 0
“even having um too much bright light in a room while one is sleeping at night even dim light which is you know I don't want to scare people into thinking they have to sleep in complete darkness although an eye mask can be can be great um can alter uh morning blood glucose levels”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:33:46 0
“when people get the early night sleep of four to 5 hours but then don't get the dominating um you know last hour or two of sleep in the morning that resting blood glucose is is altered”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:36:03 0
“Abbot which is one of the three main manufacturers of cgms has announced that they're they have a new product called the lingo which is going to actually be able to measure ketones lactate and alcohol um continuously which is pretty interesting from like a metabolic comprehensive metabolic standpoint.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:38:10 0
“mindset and more broadly than mindset I think psychology and our relationship specifically with fear and control I think they're probably the most underrecognized thing that is impacting the metabolic Health crisis the chronic disease epidemic.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:39:00 0
“many people who wear a CGM I don't know if you saw this but when you feel stressed it actually has a diabetogenic effect it literally causes our blood sugar to go up when we feel stress and that can be a fascinating um unlock for people to realize I kind of feel like I'm okay right now but my body is telling me something different it's telling me that biochemically I'm actually releasing energy stores from my liver glucose to fight some threat that you know I wasn't really aware of.”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:43:19 0
“we have a very poor system of mental health care in the culture and I think that through all these things Americans are getting crushed mindset and psychology wise and that is a big big trigger of our mitochondria essentially diverting resources towards defense threat and alarm rather than homeostasis building repair”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:44:24 0
“one of the most astonishing stats I literally found in researching this entire book was that the average American is spending 93.7% of their time indoors”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:45:56 0
“we are getting sunlight which of course for uh for you know complex reasons is very helpful for our metabolic Health separately entrains our you know chronobiology and uh you know light from the sun as an incredible regulator of our mitochondrial function”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:48:27 0
“of course we have to like care about the environment and we have to get outside and move and we have to be in the sunlight during the day because we are the environment we are a process that's constantly in Dynamic conversation with it”

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Dr. Casey Means: Transform Your Health by Improving Metabolism, Hormone & Blood Sugar Regulation
Transform health by improving metabolism, hormone regulation, blood sugar control. 2:51:16 0
“I mean if there were ever a force in the world that impacts how we feel it's the Circadian rhythm it's the rising and setting of the sun it's the impact of light and dark”

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