Jami Dulaney MD Wellness Podcast

Jami Dulaney MD Wellness Podcast Episode 463: Metabolic Science with Dr. Andrew Koutnik

 

Welcome! And thank you for listening.

Today I sit down with Dr. Andrew Koutnik, an award-winning scientist committed to producing and translating cutting-edge research into real world solutions for health, disease management, and performance optimization. Specializing in type 1 diabetes and metabolic health, Andrew has worked with renowned institutions such as Harvard, Johns Hopkins, NASA, and the Department of Defense to develop actionable, evidence-based strategies for overcoming complex health challenges.

In this episode we dig into the four-week metabolic adaptation window and why most research misses it, how elevated insulin quietly tanks your energy and recovery even if you think you are eating healthy, what actually happens to muscle glycogen on a ketogenic diet over time, and why the microbiome picture at 6 months looks completely different than it does at week one. We also get into exogenous ketones, continuous glucose monitoring, and why there is no single right diet, just options.

Thank you for listening.  Keep the questions coming to jami@doctordulaney.com

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Jami Dulaney MD Wellness Podcast: Episode 462 -Does Casein Protein Really Cause a Problem?

Welcome! and Thank you for listening.  

Dr. Richard Feynman, the Nobel Laureate Physicist said, "You must not fool yourself, and you are the easiest to fool"

Well then let's get down to business.  The Badwater virtual 267mile race is almost completed and I feel great running an average of 16.7 miles a day on a mere 4 grams of carbohydrate.  I would never of guessed, but I am quite happy about it.

Today I will review in a much different view, The China Study.  It was first published in 2006 and I have read and referenced it several times to justify my plant based dairy free diet.  I read the book but did not dig deeper until now.  I will share the concerns with you on the episode.  It is enough to dismiss all of the findings? No.  What good came out is that we should eat real food.  No processed.  Avoid sugar and seed oils. However, the protection from plant proteins are certainly suspect versus animal protein.  Listen, learn, read and make your own conclusions.  

Thank you for listening. 

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email: jami@doctordulaney.com

 

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Review of China study with references :https://www.westonaprice.org/health-topics/abcs-of-nutrition/the-china-study-myth/#gsc.tab=0

 

Jami Dulaney MD Wellness Podcast Episode 461-Many Questions

Welcome! and Thank you for listening.  Thank you for all of the email questions.  Some of which I will address today.

What are you eating?

Are you eating eggs, animal products?

Dr E and Ann are doing fine.  Why change?

Does a high fat diet cause muscle wasting?

Is this way of eating sustainable for everyone?

I will also talk a little about fueling for endurance activities and how my BadwaterV267 race is going.

Thank you for listening.  Keep the questions comin

g to jami@doctordulaney.com

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Jami Dulaney MD Wellness Podcast Episode 460: Angry, Embarrassed, Enlightened and Hopeful

Welcome! and Thank you for listening.  Today's episode embarks on a new journey for me as I adopt a high fat, low carbohydrate diet.  Before you call 911 take a listen and follow my journey.  

I have not changed my desired to improve the health span for all of the people I encounter. It is now taking an exciting shift.  Diabetes, glucose intolerance, or insulin resistance is the leading cause of vascular mortality and morbidity.  It is my goal to have this not happen.  Please enjoy the episode.  Thank you for listening

Email me at jami@doctordulaney.com

Website: doctordulaney.com

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Jami Dulaney MD Wellness Podcast: Continuous Glucose Monitors

Welcome! and Thank you for listening.  

This episode is about early data of my personal continous glucose monitor.  These sensors can be purchased without a prescription and are used to monitor the glucose in the interstitial fluid. Translated there is a mild delay from the blood to the cell fluids where the glucose is monitored and then uploaded to an App on your smartphone.  

Diabetes and glucose intolerance are the biggest risk factors for cardiovascular disease.  Often, people assume that their if glucose is normal fasting, then they are ok.  The problem is that insulin resistence occurs much sooner and still carries the risk of chronic insulin elevations.  Lifestyle changes can be used to prevent frank diabetes or help one achieve remission.  Today I will share with you some of my readings.  If you would like help decreasing your risk or reversing lifestyle diseases, check out our website at doctordulaney.com

Email me at jami@doctordulaney.com

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Thanks for listing. 

Jami Dulaney MD Wellness Podcast Episode 458: Croom Fool and Doubt

Welcome! and Thank you for listening.  

This episode will highlight my latest ultra at Croom's Fool run where I completed 35 miles/50K.  The original goal was 50 miles but the day went a little different.  Nevertheless, I finished feeling well and continue to learn about low carbohydrate fueling and ultra distance events.  I will also share a story of doubt that I observed.  The story we tell ourselves can seem benign and even humble, but it is sometimes setting us up for failure.  We have 70,000 thoughts per day and about 80% are negative according to research.  95% are repetitive.  That means we keep telling ourselves negative things quite often.  That would easily be labeled as "bad parenting" today but it seems perfectly ok to subject ourselves to it.  I see similar things in the medical community.  Providers are not willing to see challenging information as learning or keep an open mind to change.  The "practice of medicine" is just that.  Practice and life long learning.  We are not inferior or wrong if we change our minds.  It is evolution of learning.  

If you would like to learn more about nutrition and health span, check out our website at doctordulaney.com

We are happy to answer questions and meet you where you are.  Email me at jami@doctordulaney.com 

Thanks for listening. 

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Jami Dulaney MD Wellness Podcast Episode 457: The Quilt Story

Welcome! and Thank you for listening. 

Today's episode is my story of making a quit for my granddaughter , and how it was not in my comfort zone.  I learned to quilt from watching my grandmother.  Unfortunately, that was 50 plus years ago.  She made quilts for her family by hand with fabric from old clothes.  She allowed me to quilt with her using black thread so it could be easily seen and removed when I went home at night.  I remember the care and hard work that went into making the quilts and how they warm and cozy they felt on a cold night.  

Quilting is piecing together fabrics from various sources.  The fabrics are cut into patterns and sewn together.  They are then attached to a batting layer that provides depth and warmth.  The third layer is a backing. The quilting process is actually the stitching together of the three layers in various patterns depending on the complexity.  You can sew by hand or with a machine or a combination.  I did mine with a standard sewing machine.  I have no training, just memories and video tutorials.  It is the memories that are most important.  The gift of time poured into a project to share with someone else.  It lasts.  It requires mindfulness and dedication to detail.  It is art shared and is raw.  To me it is a symbol of life weaved piece by piece.  Some of it smooth, other parts uneven and challenging.  I hope it is a sense of peace and love that is passed from one person to another.  For me it was a learning experience of patience, mindfulness and love.  If that is not wellness, then I don't know what is.

Enjoy my quilt story and smile. 

Email me at jami@doctordulaney.com

Website: doctordulaney.com

Thanks for listening. 

 

Jami Dulaney MD Plant Based Podcast: Episode 546: Vision over Position

Welcome! and Thank you for listening.  Cardiovascular risk factors include hypertension, weight, hyperlipidemia, smoking and a sedentary lifestyle.  These are things you can change without a calcium score or genetic testing.  They benefit everyone at every age.  The problem is that they often require change and insight. 

That change requires vision and belief over current circumstances, excuses or position.  It is March and anything is possible if you believe and have vision.  Let me help you focus on your vision of health instead of your current position.  Email me at jami@doctordulaney.com

Thank you for listening.

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Jami Dulaney MD Wellness Podcast Episode 545: Long Play Experiment with Low Carb and Ketones

Welcome! and Thank you for listening.  Don't fall off your exercise ball but we are going to talk low carb and keto!

Last week I completed the Long Play 33 with 35 miles- bonus miles as Andy, the race director, would say.  Based on a recently published study on nutrition during endurance events, I decided to decrease my glucose intake and add Ketone IQ shots to the mix.  

I have a history of bonking in the later parts of a race.  Sometimes, it is more like the early part.  My stomach no longer accepts gels, I feel sluggish, and have assumed it was my mental attitude and the need for more fuel.   I figured I was dehydrated leading to a decrease in blood to the gut and inability to digest my intake resulting muscle glycogen depletion.  As soon as I started taking gels, I became dependent on them.  Once, I could not tolerate them, I was headed for low energy and the need to walk or quit.  

My new hypothesis is that it is my brain's demand for fuel and my bloodstream dip in glucose that causes the bonk.  Wild swings in glucose and insulin followed by a decrease in my ability to burn fat as fuel.  So I tried a few new things this race and had a pleasant surprise. 

I had another pleasant surprise with my follow up lipid and DHA levels.  Certainly, a tell all episode.  

Thanks for listening. 

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https://academic.oup.com/edrv/article/47/2/191/8432248

 

 

Jami Dulaney MD Plant Based Wellness Podcast Episode 544: Jeff Galloway

Welcome! and Thank you for listening.  It is with sorrow that I pay tribute to Jeff Galloway with a replay of a 2020 episode that we did together.  Jeff passed away this week from complication of a hemorrhagic stroke.  

Some people may say that running didn't prolong Jeff Galloway's life or even that running may have made him die earlier.  I would say that Jeff had a wonderful lifespan lifting others up both spiritually and health-wise through his lessons on the run-walk method of distance running.  A life well lived and shared.  I believe the longevity and medical community get caught up  more  with time than meaning or quality.  We will all be better if we can lift others up and be a blessing to others for the time we have on this earth.  Rest in peace my fellow runner. 

Thank you for listening.  

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