Health, Aging, and Disease - It's all About Energy - Part 3

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Health, Aging, and Disease - It's all About Energy - Part 3
YouTube video by Dr. Frank Shallenberger (https://www.youtube.com/watch?v=Xa86Euf2cec). Transcript is the auto-caption track — verbatim ASR, not a certified transcript.

hi um I'm Dr Frank shenberger I'm the medical director of the uh Nevada Center for alternative and anti-aging medicine here in Carson City and this uh lecture I'm going to give you is the third part of a four-part lecture series um that is designed to uh teach you about cellular energy production why it's so critically important to your health why it's so critically important to your rate of Aging what you can do about it and in this section we're going to talk about how you can measure it they're going to be some sections in here I'm going to skip through pretty fast because I've already covered them in Parts one and two so if you haven't seen Parts one and two let me suggest that you you look at Parts one and two before you look at part three here um so uh the same of the series is Health aging and disease it's all about energy part one was the importance of cellular energy production part two was how to maximize your cellular energy production and in this part we're going to talk about measuring cellular energy production using a u a very interesting testing uh program that I've developed called bioenergy testing and we'll go into some detail on how that's done and then in the next and final part we'll tell you how you can use bioenergy testing and the results of that test to ma uh to maximize uh your your program to enhance your cellular energy production and and improve your health and actually slow down the aging process um one one of my favorite things I like to say to doctors when I'm giving them lectures is that practicing preventive biological or anti-aging medicine without testing mitochondrial function and as you know by now mitochondrial function is interchangeable with energ cellular energy production so without testing cellular energy production is like practicing Cardiology without being able to test the heart it doesn't make any sense at all the thing that keeps us healthy the thing that slows down aging the thing that prevents disease primarily is cellular energy production and if you can't even test for that you're kind of just operating blindly you don't know what you're doing so being able to test is incredibly important uh and and one of the things I like to also point out to doctors is that you know a lot of people think that therapy is the most important thing in medicine and uh I I would I would at least put up for debate the fact that it's not I will put up for debate for you that therapy is not the most important thing that actually measurement is the most important thing because consider this if you don't have a way to measure what you're doing then you don't have a way of knowing if if what you're doing is actually correct a good example would be a blood pressure we know that blood pressure causes disease uh and yet uh we couldn't even begin to treat blood pressure no matter how many ways we have to treat it we couldn't begin to treat it if we didn't know that number one you had high blood pressure needed treatment and number two if we gave you our treatment we couldn't measure your blood pressure to know that it is in fact working so that's a good example to kind of understand if you don't measure cellular energy production you have no idea if the hormones you're giving if the vitamins you're taking if the exercise you're doing or whatever you're doing is actually doing what you want it to do which is to slow down aging and to prevent Disease by improving cellular energy production so you got to have a testing method uh I've written two books that I'm going to point them out to you here because uh they deal specifically with this topic one book's called bursting with energy uh that is my first B book it deals with energy as it relates to aging the second book is type 2 diabetes breakthrough which deals with energy as it relates to chronic diseases specifically diabetes and both of these books go into much greater detail than this lecture will on everything I'm going to talk about not only that they're fully referenced and they've got all the literature references and scientific references to everything that I'm going to be saying in this lecture those books are available at all the major book Outlets so let's kind of real quick like go through the very Basics here uh this is has been covered in the previous lectures but it doesn't hurt to kind of go over them again uh oxygen is converted to water plus energy that process is called cellular energy production free radical damage to the mitochondria inevitably occurs as a result of that process the longer you're alive the more damage your mitochondria are going to accumulate and the less efficient the process of cellular energy production is the more free radical damage you're going to get this accumulated free radical damage leads to mitochondrial Decay mitochondrial Decay is when the mitochondria or the energy producing systems in the cell are actually destroyed permanently mitochondrial Decay is the central lesion in the aging process and in all degenerative disease we proved that in part one aging and degenerative disease is determined by your starting point that's your genetics basically and by your rate of mitochondrial decay mitochondrial Decay is inevitable you're going to get it ultimately you're going to die haven't figured out a way to stop that yet but what is not inevitable is the rate of Decay how fast that's going to happen that's treatable and that's what we're talking about because mitochondrial Decay rate of Decay is determined by one thing and that's cellular energy production efficiently efficiency so what we're going to talk about today is how to measure that how to know if you in fact are producing cellular energy efficiently uh I pointed this out in the uh in in in the previous lectures cellular energy is different from the energy that you and I normally talk about uh you know we'll talk about I'm having a high energy day or I'm having a low energy day cellular energy production pretty much stays the same every day uh so whether you feel energetic or not doesn't parly out into whether your cellular energy production is high or low uh you can have very efficient cellular energy production and you can feel tired or run down an example of that would be a worldclass athlete who didn't get a good night's sleep on the other hand you can uh feel very good and and have no complaints at all and have very poor cellular energy production so it's incredibly important to measure cellular energy production or you have no idea where you stand um uh I'm going to just very quickly just point this slide out without really covering it it's been covered in the previous lectures uh but the point is that all of these lifestyle things least lead to decreased cellular function as cellular function decreases uh you have increased free radical formation decreased free radical containment that further increases the decreased mitochondrial function and the spin-off is ultimately uh you start aging more rapidly and you start developing chronic degenerative disease this process here starts when you're young and healthy so that's the time to get yourself tested find out if it's going on if it's going on we'll talk about what to do about it so let's define when I'm saying I'm going to test for cellular energy production what am I talking about what am I going to test well one there's basically four things we're going to look at one is resting mitochondrial ATP production so we're going to look at how well you produce ATP is the energy molecule so how well do you produce energy when you're at rest when you're when you're just sitting there I'm basically at rest right now so as I'm sitting here I would like to know how efficiently I'm producing energy so that's one of them and I and we can going to compare it to what's expected so if it's 100 that means it's 100% of what it's expected if it's 150% that means it's 150% of what's expected of course we'd like it to be high uh maximum the other thing we're going to check is maximum mitochondrial energy production that means okay now I'm going to go exercise and I'm going to exercise to the point where my energy production from the mitochondria that means aerobic energy production is at a maximum and I'm going to measure that I'm say well what what's the absolute output I could get if I were a car you might call that the horsepower but what's my maximum energy output that I can get and that's what number two is here so number one is how much energy do I get you sitting here number two is what's the maximum I could do if I'm really forced into doing it number three has to do with fat metabolism and that is as I'm sitting here and I'm producing energy what percentage am I producing from fat and what percentage am I producing from sugar we know that really really healthy people produce more and more their energy from fat in fact in a resting state healthy people exceptionally healthy people produce about 80% of their energy from fat in a resting state and only 20% from glucose now that can be different people that aren't very healthy may may may feel healthy but from a cellular energy production they aren't healthy maybe producing only 20% of their energy from fat uh while they're resting I've seen people that don't produce any of their resting energy production from fat they live entirely off glucose it's not healthy and it's not good but this is what we can see so we want to know how well we're producing energy from fat so we do two ways we look at how well we produce energy from fat when we're resting and then we exercise how well can you produce energy from fat as you exercise and those are the four primary parameters that we're going to look at and evaluate to determine how efficiently our mitochondria are producing cellular energy uh this is a slide that uh we looked at in the in the previous talks and we went into great detail on the first two talks on this slide so uh uh I won't spend a lot of of time on it but just notice and here's the healthy column and here's the maximum energy production from fat as you're moving from Health to disease what's the first thing that happens you don't burn fat as efficiently you rely more and more on glucose second thing that happens is you don't burn either one efficiently and you rely more and more on Anor robic metabolism this is these two conditions are not healthy okay and they can occur in people who feel great who are quote healthy for their age but they're not healthy and then of course the last stage is when they're diseased now this is pretty easy to diagnose doctors can figure this one out but what doctors can't figure out is whether you're in here or not it's kind of like saying doctors can figure out if you have high blood pressure once you've had a stroke but that's that's not what we want to do we want to figure out if you have high blood pressure before you have the stroke so we can prevent you from getting the stroke and from an energy standpoint what we want to be able to do is diagnose you when you're in here you might even feel great but you're not out here you're not sick so how do we know if you're in here the only way you can know that is by looking at these energy production factors that I just mentioned because when you're in here you'll be producing less of your energy from that or you'll be producing total less of here so here's the take-home message uh cellular energy production efficiency is quantita atively measurable in an average clinic setting I've been measuring it my clinic now for 10 or 11 years there are many clinics around the world around the country that are using this testing process you can find out about them by going to www bioenergy testing.com and it lists the clinics that have this this technology more and more clinics are utilizing it all the time and so you just find one of those clinics go in there and get yourself tested um the rate of mitochondrial Decay and hence Aging in degenerative disease is determined by cellular energy production efficiency decreased cellular energy production is caused by known factors that can be manipulated so if you don't test out great fine if you don't test out so great that's fine too because now at least we know you got a problem and we can set about to develop a strategy for you to improve your energy production keep this in mind the decreased cellular energy production begins early in the 30s and the 40s and is asymptomatic the condition I call this is eomd early onset mitochondrial dysfunction and in the first part of this series we went into this a study on this in great detail and finally the efficacy of anti-aging strategies can be assessed by measuring how they influence each individual c cellular energy production efficiency you know when I first got into this field and I've been practicing medicine close to 40 years uh most of those years in excess of 30 have been devoted specifically to preventing disease you know I thought you know this is this is this is a tough deal for a doctor here I am telling my patients to do things to prevent disease and how do I know if it's working well the only way I know if it's working is if they don't get the disease well how am I going to know that I'm going to just have to follow them until they die and see if they get the disease uh that's not really acceptable you mean what's going to happen is a patient's going to come in to see me and I'm going to give them advice on their diet and how to exercise and everything in order to prevent disease and then when they get a disease I'm going to say sorry I guess I was wrong I didn't come up with the right formula for you that's unacceptable so until we had a measure a way of measuring cellular energy production we had no way of knowing if what we're doing is working you can't just go to some study and say look 80% of the people in this study prevented getting Diabetes by doing this because 20% of them it didn't work for we have to find a way to individualize and find out what program for each individual person is going to work for them and the key to that is looking at cellular energy production another way of saying this is whatever program enhances your cellular energy production that's the program you should be on if you're on a program and it's not improving cellular energy production something's wrong and we need to fix it and so it's very critically important for doctors to be able to measure this so how do we do it it's very simple actually um we use an FDA approved pulmonary gas analyzer this this is a device you'll see a picture of it in second where you as you're breathing in and out this device is able to measure how much oxygen is going into your body and how much carbon di oxide is coming out of your body and if you'll remember from some of the uh from the first two parts of this series we we talked in great detail about that's how your cells make energy your cells make energy by converting oxygen into energy and the and a byproduct of that is carbon dioxide so we can actually measure that you can measure how much Oxygen's going in and how much carbon dioxides coming out now we can get that data and then we can analyze it so uh what I've developed here is a computer-driven uh uh no sorry get ahead of myself uh so we have the analyzer that measures the the oxygen in the CO2 out uh then we have a computer-driven exercise ergometer which basically means a exercise bicycle for people to exercise on in a specific rate and then what I developed is this computer software which sorts and analyzes this data when I first started doing this I'd have 20 or 30 strung out feet of computer pages with single line four column data on it and I'd have to sit there for hours and with pen and pencil very carefully we go over and try and and determine how energy production was was being handled uh so uh after a while we figured that's not going to work so we developed a computer program that is able to take that data in a matter of seconds just crank out the algorithms that we need to know to be able to determine how efficiently you're producing energy what do you need you need an exam room it's got to have a table or something people can rest on I happen to use a uh recliner uh you got to have a technician they don't have to be medically trained uh but they do have to be intelligent to work well with people and have some computer skills the test takes about 45 minutes it's easy to do anybody can do it I should I should say almost anybody uh if you're if you have somebody that can't use their legs uh they can't do the exercise part of the test they can still do the resting energy production determinants but they won't be able to work the bicycle so that they couldn't do the exercise part of the determinant so that's how so that's the basic setup uh this is what it looks like uh there's the recliner chair that we use for the resting determination there's the ergometer for the exercise part and here's the unit I didn't make this this is made by a company called medical graphics and these are analyzers in here which are able to analyze how much oxygen is going into the patient how much carbon dioxide is coming out of the patient and then the computer here it takes all of that data tremendous amount of data sorts it analyzes it configures it and then spits out information and just tells us those four factors that I just mentioned to you here's somebody doing the uh resting part that's the device he's breathing entirely through that his nose is plugged up so all the air is going in and out through here and this is being fed into the computer he does that for about seven or eight minutes we then move him over to the bicycle and and uh he does it on the bicycle Accord according to a a very calculated uh uh uh form of exercise so we can just step by step see how well he converts oxygen to carbon dioxide as he's going through the exercise and and that's basically it so so you might wonder well how does it really work how can you determine energy production simply from knowing only two things and it's absolutely fascinating how this can ATP production that's the amount of energy your cells are able to make cellular energy production okay ATP production is directly correlated with oxygen utilization so all that oxygen that you're breathing in only does one thing that's not 100% correct but it's almost 100% correct so maybe I better say Almost 100% of all that oxygen you breathe in only does one thing and that is that it gets converted to ATP so if I can measure with accuracy with an FDA approved device if I can measure with accuracy how much oxygen is disappearing into your body I can make some computations and tell you how much ATP you're making now where does the CO2 come in that comes into further determine that because it gets a little complicated I'm going to show you this in a sec but there's two ways that you can make ATP one is from fat and one is from glucose or sugar uh whether you're making it from fat or glucose that's where you need the carbon dioxide to DET determine because it turns out when you're making energy from glucose you make more carbon dioxide per unit of oxygen than when you make it from fat so by looking at the ratio of oxygen to carbon dioxide I can tell you what percentage of your ATP or energy production you're making from fat and what percentage you're making from glucose and that turns out to be critical based upon what we've been talking about this entire lecture remember from this slide back here this slide back here if you'll remember there's anerobic energy production we don't want to measure that we only want to measure this this is what health is all about we don't want to know this so we want to be able to make the measurement of of energy production and stop it when you become anerobic so how how are we going to tell that we're going to tell that based upon your carbon dioxide production because what happens is as you're exercising on that bicycle your carbon dioxide production is going to go up steady it's going to go up it's going to go up it's going to go up it's going to go up at some point when your mitochondria maximized out and you can't produce any more energy from your mitochondria the CO2 production is going to dramatically climb up now why it's going to do that is because at that point in time the cell since it can't make any more energy from the mitochondria is going to start making the energy anerobic and when it makes it anerobic there's going to be this sudden surgeon lactate because in order to make energy anerobic you have to make a ton of lactate so there's going to be this huge surgen lactate and in the human body lactate immediately gets convered vered to carbon dioxide so what we see as soon as the cell be as soon as the cell gets anerobic there's this dramatic UPS surge in in um in CO2 production and since we're measuring computers measuring CO2 production it's Computing the slope that the CO2 as soon as that slope dramatically changes it stops measuring oxygen consumption so that's how we know that all of the ATP that's being produced that we're measuring all of it is coming from the mitochondria and none of it's coming Anor obic because we shut off the measurement then simply by looking at when that curve happens with CO2 so that's how it happens to recap by measuring all your oxygen in I know how much ATP you're making to measuring CO2 out I know two things one is how much of that ATP is being made from either fat or glucose and two is when you become anerobic and when you become Anor robic I shut the computer immediately stops calculating and that's how we can get all these measurements so let's break down this down a little bit more and give you a little better understanding yet if you don't understand chemistry I still think you'll understand this so bear with me here's glucose here's fat here's a molecule of glucose or sugar and there's six molecules of oxygen so when you get one molecule of glucose with six molecules of oxygen this is what you produce this is what the mitochondria will produce it will produce six molecules of CO2 six molecules of water and 36 whopping molecules of ATP that's a lot of energy there okay from one molecule of glucose 36 molecules of ATP so if we look as far as glucose goes if we look at the amount of ATP you can get from a molecule of glucose at six 36 divided by 6 is six so you get six molecules of ATP for every molecule of oxygen going in when you burn sugar so that the ratio of so if you if you just knew how much oxygen was going in and you knew that that oxygen was only burning glucose you could just multiply it by six and you can get the ATP production so that's how you can get the ATP production when you're measuring oxygen in and you know you're only burning glucose now let's look at that uh fatty acid here with 23 molecules of oxygen produces 60 molecules of carbon dioxide 60 molecules of water and are whopping 130 molecules of ATP a lot of energy produced from a fat molecule a lot of energy in fat if you look at the ratio of ATP to oxygen it's 5.6 so in terms of oxygen you get a you get a little bit less ATP when you burn fat than when you burn glucose again with glucose the ratio was six molecules of ATP per oxygen with that it's only 5.6 molecules of ATP per oxygen so that's why they say the glucose gives you more energy it does more energy per unit of oxygen but fatty acids actually give you more energy but glucose gives you more energy per unit of oxygen so if I knew that you were only burning fat and I knew how much oxygen was disappearing in I could multiply that amount of oxygen by 5.6 and I find out how much ATP you're making so that's how I can tell if you're only burning that I just multiply by 5.6 if you're only Burning uh glucose I multiply by six and I can tell you exactly how much ATP the problem is obvious though at no one time that we're measuring here are you actually burning 100% fat or 100% glucose so how can you possibly tell at any one point in time what you're doing and the answer to that dilemma is exemplified in this next um what we're looking at here is over here's something called respiratory quotient now that is the ratio of uh carbon dioxide to oxygen okay that's over here so I told you those are the only three things we're men measuring and so when the ratio of carbon dioxide to oxygen is 7 that means you're not burning any carbohydrate at all you're only burning fat okay when the ratio is one when there's a one: one ratio between oxygen and carbon dioxide that means you're producing 100% of your energy from carbohydrate and none from fat but look at this it's a perfectly linear relationship which means that any time in here all I have to know is this ratio of carbon dioxide oxygen in and I'll tell you exactly what percentage you're burning for example if I knew the ratio was 085 I come right here whoops 85 is the division point when the ratio is 085 that means half of my energy is being made from fat and half from glucose how about when the energy production is uh when the the ratio of carbon dioxide to oxygen is 75 that means that about 18% of the ATP is being produced from that and the other what 82% is being produced from glucose so that's what's cool and so the computer knows this so the computer knows how much ATP is going in I mean knows how much oxygen is going in and because it can then be determine from the CO2 how much uh whether the oxy what percent of oxygen is going to Fat what percent is going to glucose it can literally sort all that out and tell you precisely how much ATP you're making and that's how the thing works it's rather simple but uh until this date nobody's ever actually put that together um so these are the kinds of things that you learn from that we we already kind of talked about this is the total resting ATP production the resting ATP production from fat the maximum aerobic ATP production the maximum aerobic ATP production from fat so those four we mentioned already but we can also determine a fifth thing called maximum aerobic work which means per unit of oxygen going in how much work does that produce that's a very unique uh determination that as far as I know nobody's ever looked at and what we can tell you is that is a mixture of how well you can produce energy and how well you can harness that energy in your muscles to produce power so this takes into account not only cellular energy production but also how how much muscle mass do you have and that's important because as we get older we tend to lose muscle mass and that this this may be the prare indicator of what rate of Aging you're at I have found that of all of these factors in here the hardest one to get to be normal and people as they get older is this last one right in here and that that would stand to reason wouldn't it also you can get a very good uh uh look at what your biological age is because your biological age is best determined by uh how you match up what age you match up with so let me give you an example uh just right now and then in the next part we're going to go into some a lot of specific examples on how you can use the results of this test to really work with people but I'll just give you a little example right now I'm 62 years old and uh my maximum aerobic ATP production is 130 that means I'm 130% of what would be expected in a 40-year-old man if you match that out it comes out to my biological age would be 34 that means I'm producing ATP with the same efficiency as the average 34 year old man so I would say based upon that my biological age is 34 and that's pretty good and I'm pretty happy about that um it's not by accident of course you know I've used the results of this test on myself for many many years to try and fine-tune my physiology to uh get me get my to the point that it's producing energy with that level of efficiency and again in the next part we'll talk more about how you can actually use this data in your practice uh to help help your patients uh achieve a very functionally and efficiently program but you can also learn more some some stuff that's really valuable you can learn uh what your patient's optimal exercise zone is uh remember we talked about how important it is to exercise but we also talked about how important it is to exercise correctly if you don't don't exercise hard enough you're not getting enough bang for your book and if you exercise too hard you're going to be damaging yourself and so you know we published a study maybe five years ago in the Townson letter uh where we looked at 20 patients who were going to gyms and receiving trainings from trainers there on how to exercise aerobically there were were based upon formulas and uh these these people were advised to reach such certain heart rate for such a period of time Etc while they were doing their aerobic exercise of the 20 people that we checked 18 of them were exercising way too hard for what their mitochondria were able to deal with in other words the trainers had used these formulas which are absolutely ridiculous formulas they don't work at all they're meaningless I don't even know why people buy use them anymore uh but trainers would use these formulas to establish an exercise protocol for these patients and in 18 out of the 20 cases the exercise protocol they had the people doing was actually harmful to them um so if you want to prescribe exercise for your patient in a way that's helpful in a way that maximizes cellular energy production it's pretty critical to be able to measure what their actual exercise zones are because these formulas are useless to determine that and you can get that precisely in each individual patient just from the bio energy testing report uh if if a patient has any issue with calorie intake in other words if they need to lose weight uh you can know their exact calorie intake another another batch of formulas that is pretty much essentially useless to figure out what is is the formulas that are used to determine calorie intake so what you can do is you can go to one of the books and you can say okay you're a male you're this uh you're this weight you are this tall and this is what your daily calorie expenditure is it's never that it's it's always actually a lot less than that those formulas are just useless today don't ask me why I'm just telling you they are because when we actually compute how many calories they're burning sitting there Andor exercising we find that it's very much different from what the uh tables and the books tell us so we don't have to guess at exercise Zone we don't have to guess at caloric intake we know exactly the caloric int take now many of you that are in the anti-aging specialty know that one of the Premier ways to make sure that your aging is uh aging process is slowing down is to limit your calorie intake you can't do that if you don't know how much calorie you're supposed to be taking so that's another way calories can be used to establish a protocol of uh diminished calorie intake for longevity purposes uh what we found out by the way in doing this is that almost everybody almost everybody uh whether they're skinny or not it doesn't make any difference almost everybody totally overeats and it's only by doing this uh study here that you can learn whether or not you're overeating because you can't tell by whether you're skinny if you have a rapid metabolism you can be overeating and still be skinny uh but you can also get a cardiac output that's very important for doctors to know you can get get a pulmonary function uh so that tells you all about your heart and your lungs um we can also determine what the optimal carbohydrate intake is how can you determine that it's actually quite simple if you see that resting fat metabolism is depressed we know that almost always the re the way reason resting fat metabolism is depressed is from excessive intake of carbohydrate so how do you determine that you get a resting fat metabolism you then put the patient on a lower carbohydrate diet you come back and retest their resting fat metabolism if it's lower you've just proven to yourself that they're taking in too many carbohydrates and by using that technology you can actually very easily determine what the optimal carbohydrate intake is for everybody in other words whether they're fast or slow oxidizer just where are they on that Spectrum this is invaluable data to help your patients uh lastly I I mentioned is here there there's every now and then we pick up somebody that has Subacute hyperventilation uh this can be an issue with various asthma States and various anxiety and insomnia States uh the test can pick that up so whereas these are much more valuable from a percentage standpoint uh that is a nice thing to every now and then we pick up somebody on that so that that's the kind of data that you can learn uh the way doctors the way I use this in my practice is very simple it's very obvious uh patient comes comes in I I get a complete history and physical examination absolutely indispensable for being able to learn more about my patient I then uh have them do the bioenergy Test Plus appropriate specific testing this would be the standard test that doctors do um so when they walk in my door I have this available to all that information we just went over it's in my hand I have the I know all about them and I have all other appropriate testing like what their blood sugar is and what their hormone levels are and so forth I immediately can come up with a treatment plan that's that includes this is how you exercise this is how you eat this is how you sleep um uh these are the supplements you need to take these are the hormones you need to take I come up with a very comprehensive treatment plan in a matter of minutes and that treatment plan is geared to their cellular energy production so there's my treatment plan how do I know it's working though maybe I didn't do a very good job most most of the time I do but quite frankly every now and then when we repeat the bioenergy testing uh say uh 3 four five months later what we find out is it wasn't that it was approved but it wasn't that great which case we kind of go back and remodify that's down here so we repeat it it's not improved we do maybe some specific testing remodify and we keep going through this process until it pops out that it's improved and we're at optimal levels of cellular energy production and then I know that that program is suited for that patient to get the result that I want it to get and I don't have to wait to see if they get sick because I know that we can't do anything better to prevent disease in that person than we've already done by production so um who should have bioenergy testing pretty much everybody that should be obvious by now anybody who exercises should every person who complains of low energy tiredness or has any issues with weight should everybody over the age of 40 unless they don't want to develop a scientifically individualized program to prevent disease and slow aging if they're not interested in that well they shouldn't do it but everybody else everybody who's battling a disease again and I mentioned this before if it takes a lot of energy to stay well it takes even more energy to get well and so it's very important for patients who are battling disease to have their uh cellular energy production tested when okay when should a patient not be tested well every patient you see regardless of health status should be T tested doctors should ask yourself this question when would you not want to know your patient's cellular energy production given all the data that's out there all the compelling scientific information and research that points to Cellular energy production being at the very core and center of why we age and get sick why would you not want to know how your patients doing that or yourself for that matter the outcome of all diseases is improved by the enhancement of mitochondrial function the thousands of studies that point this out all cause mortality has been shown in a number of studies to be decreased by maximizing cellular energy production and all successful prevention and anti- aging programs have to be based upon optimal seller energy uh production so when we you should a patient not be tested I can't think of an incidence except for maybe an acute heart attack or some reason why they can't exercise and even then they can do the resting part of it so the take-home message here eomd which is a decrease in cellular energy production is it's for real this happens early when you're young it happens commonly and so-called healthy individuals you won't know it just by looking at your symptoms or your lab test it causes premature aging degenerative disease all cause mortality it can be diagnosed easily and accurately using this testing process it can be reversed that's the best part why diagnose it if you can't do anything about it and it is diseases so um that that's the end of this uh section we have one more section to this lecture series it's going to be part four and it's going to the how to use bioenergy testing results thing we just talked about to maximize health and to slow down aging we're going to actually go through some case examples and work our way through how to interpret the information and what it leads doctors to be able to do uh so