Health, Aging, and Disease - It's all About Energy - Part 4

Medical Talks — Integrative & Longevity Medicine

2013-01-21

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Health, Aging, and Disease - It's all About Energy - Part 4
YouTube video by Dr. Frank Shallenberger (https://www.youtube.com/watch?v=42_8Is8DVuw). Transcript is the auto-caption track — verbatim ASR, not a certified transcript.

hi I'm Dr shenberger and uh we're just getting ready now to do the fourth part in this lecture series that uh I'm presenting called Health aging and disease it's all about energy and if you haven't seen the uh previous three uh parts to this uh what you're about to see here probably won't uh really well for sure won't resonate that well to you so so take advantage of looking at the other parts because I'm going to assume that U those have been seen as we go through this uh in this particular part we're going to uh the discussion is going to be centered around bioenergy testing uh bioenergy testing is a testing system um that uh I developed several years ago in order to be able to monitor how my patients were making energy and of course when I'm talking about energy in this Con context I'm talking about cellular energy how the cells convert oxygen into energy which of course Powers up everything that the cells do that's a little bit different well it's a lot different than the the energy that you and I tend to talk about when we say well I'm having a high energy day or I'm having a low energy day uh that energy uh has to do more with the adrenal gland and and other functions uh such as how much sleep you got got and and that kind of thing this form of energy is actually how well your cells are converting oxygen into energy and we developed a a testing device using an oxygen uptake system um that is able to measure that and quantify it and what we're going to do in today's uh in this uh part four session is uh uh we're going to look at how bioenergy testing uh can be used in a uh every practitioner's clinical practice okay so let's uh let's get on with it um I did want to mention once again that I have written two books that specifically deal with this issue one is called bursting with energy that is specifically about aging and uh and cellular energy and the other book is the type 2 diabetes breakthrough and that is about uh obviously diabetes and cellular energy and uh those books are well referenced uh they're well cited uh and they go into uh greater detail than this this video will cover uh on this subject so I encourage you if you have any further interest to go ahead and pick up one of those books and and or both and and take a look at them um today's talk is entitled using bioenergy testing to maximize health and slow aging and um what uh like I said what what we're going to do is we're going to go through some case studies uh that I have and uh until until you uh as either a practitioner or as a just an interested lay person uh learn better how to use the information that you can obtain from bioenergy testing to fine-tune uh your health program I've been practicing medicine for going on 40 years now and I can tell you that over those years I've heard literally thousands and thousands of people uh tell me about the symptoms they have or the diseases they have uh and as they're telling me this although I don't necessarily give them this feedback what's going through my head is you know what you're telling me about a disease you have or all these symptoms and conditions that you have and all of this stuff is preventable you didn't have to have it uh now I don't blame people because you know they don't always know but but the point is that as a practitioner I've come to the conclusion I uson that the best thing a physician can do is to work with his patients to make sure that they don't get sick uh not just to focus on helping the sick but to focus on helping our our people not get sick in the first place at all so uh in terms of preventing illness and maximizing Health there is of all the things that we can do the single most fundamental thing is to do whatever we can do to make sure that our patients are having an abundance of cellular energy in other words that they're able to convert oxygen to energy in a very very efficient way there's nothing else that can impact in a in a more powerful way on them than exactly that in the uh part three of this series we discuss the kinds of things that that people can do to do that and um we broke it down into diet we broke it down into exercise uh various things that you take and that would include anything from herbs to vitamins to supplements uh we broke it down also into how your body deals with the stress that you're under and in that context we're not just talking about emotional stress but I'm also talking about the say the stress from electromagnetic pollution and from environmental pollution and stress from medications and stress from not enough sleep and that kind of thing and finally we talked about detoxification because when toxins get into our system they can uh block the way our cells convert oxygen energy and tend to shut down our whole energy making process and we looked at how that was done and and how we can manipulate those things towards Better Health well today we're going to specifically look at real life case examples uh using specifically bioenergy testing and the results from this and kind of go over this so that by the end of uh today you should have a pretty good idea of how you can use this testing to help your patients uh uh improve their cellular energy and in that way do more for them than any other single thing you're going to do for them today all of of those things that I mentioned the interventions and the factors that play into cellular energy production all of those things can basically be broken down into four components I call these the four quadrants of Health one is how you eat one is how you exercise one is the lifestyle choices that you choose to uh deal with stress or impact the way stress affects your body and um one is the um various supplements that you take whether it's hormones or vitamins or that kind of thing now all of that needs to be individualized in other words if you were to read my book one of my books and I will talk about all four of those things but I don't give the answer that everybody ought to just go out and eat this way exercise this way take these supplements it's all it's all individualized and there are literally some people that have to do not have to take hardly any supplements at all and there are other people that need to take 20 or 30 uh there are some people that need to exercise a lot more than others uh there are even some people that for all testing purposes don't seem to need to exercise at all and so all of these things can vary tremendously depending on on other aspects of our lifestyle and certainly depending on our genetics so the the uh the main thrust of modern medicine over the next uh well the future of medicine is going to stem around being able to individualize therapy so that it's right for each appropriate person find the diet that's correct with them find the exercise program that's correct for them and the supplement program and so forth that works for that individual and there is no better way to do that than to examine cellular energy production there's no better way to do that than to look at the results of these bio energy tests because whatever I'm doing with my patient that improves or maximizes their cellular energy production that's something that works for them but if I'm telling my patient Eat This Way exercise this way do these things make these changes in your life and they're not really adding up to an improvement in cellular energy production then I'm off track then I haven't found the correct key for that particular patient's genetics and I need to go back to uh the drawing board and try to try to come up with another plan uh another way of saying this is until I come up with a plan for a patient that shows an improvement or at the very least a maintenance of their cellular energy production uh then I haven't done my job as a physician yet now we're going to see at least one case in here uh where that worked out pretty nicely and of course I have hundreds of cases where that's worked out nicely uh sometimes it's pretty easy to come up with the correct prescription um and sometimes it's not but if you don't at the firstand just go back and make a few changes and try again and ultimately you will get there okay so uh we're going to have a few minutes here just to kind of review uh what we learned in the last part um if you look at the slide here it it talks about what you can learn from bioenergy testing uh and uh I've broken this down into six components as you'll see there's actually more that you can learn from bio energy testing but these are these are sort of the six components I want to focus on right now um uh certainly it's it's about cellular energy production ATP is how that energy is harnessed so we're measuring ATP so what we want to know is the in terms of energy production these first four one is total resting ATP production when you're just sitting down doing nothing how much how well or how efficiently are you converting oxygen into to energy two is resting ATP production from fat versus carbohydrates you know we indicated that as uh people move from being in a healthy condition to being less healthy or to closer towards a disease condition one of the things that does happen to them is that they uh rely more and more on carbohydrate for energy production and less and less on fat the reason being that it your body has to be more efficient to burn fat than it does car carbohydrate and as it loses deficiency it starts leaning more and more on carbohydrate so we want to know exactly how much of that energy is coming from fat when in a resting state so these are two resting measurements the other two measurements are uh exercise measurements we put people on a bicycle we exercise them and as they're on a bicycle we watch how they're how they're taking in oxygen and how that oxygen is being converted uh to carbon dioxide and so so these are maximal maximal numbers of energy so we have maximal aerobic ATP production and then we have maximal aerobic ATP production from fat so as we go through the case studies this is what you're going to see us really talk about we'll look at that we'll evaluate our patients along that line and then we'll make decisions regarding therapy for them based upon how they scored on this and the other thing we're going to look at is the maximum amount of work that they could perform aerobic work and finally their biological age and we'll talk about these and and although these things might be less than perfectly clear to you right now hopefully by the time we're finished you'll have a really good understanding of how you can use these things to help people uh this is a slide that uh You' going to probably have seen I think in all four parts of of this lecture series uh but let's let's look at it again and uh just review it once again because this is the gist of why somebody would even want to do anything like this over here we have a profile or at least an energy profile of a healthy individual and at the top right here is maximum ATP production at this line right here is maximum mitochondrial ATP production now the mitochondrial ATP production is the kind of ATP that's produced from oxygen all the ATP or energy that's produced from oxygen is produced in the mitochondria so another way of saying that this line is the maximum amount of energy you can produce from oxygen up in here this section that goes from here to here uh takes into account the amount of ATP your body can make without oxygen so there's with oxygen energy and without oxygen energy you add the two of them together and you have the sum total of all the energy you can make for those of you that are familiar with the concept of V2 Max this point would be the point of V2 Max in other words it's the maximum amount of oxygen or maximum amount of energy that your cells can make now we're not interested in measuring this component the uh amount of energy your cells can make without oxygen because as people are healthy and they become disease actually this component increases so that's not too helpful for us the sicker you get the better you do that so so we're not too help we're not too happy about that what we really want to focus on is how much energy your body can make from oxygen so that's this column right in here and here's your healthy person and uh and that's and they meet the qualifications for the maximum amount of mitochondrial energy production that they can do and of there so there's two ways they can produce energy from oxygen one is by burning glucose or sugar and the other is by burning fat and so let's watch and just kind of review this look what happens to somebody as they're moving from being totally healthy to being diseased the first stage they go through is a stage wherein their actual mitochondrial energy production is unchanged notice this is the same but the Dynamics in which they make the energy has changed such that they're making more of their cellular energy from glucose and less from fat as this proceeds as this goes on Ward and onward May mean for 5 10 15 20 years this is a slow process moving from Health to disease doesn't happen overnight But as time progresses they get into a a a second stage here wherein now for the first time cellular energy production has been decreased now it's gone down and such that uh they're burning less energy from glucose and less energy from fat and so their total cellular energy levels have have been diminished as we go through the test results I'm going to be talking you about something called Energy quotient energy quotient means the amount of cellular energy the maximum amount of cellular energy that can be produced in a given person compared to what would be usual and typical and considered healthy so it's basically the ratio of this this number to that number if it's 100% if your EQ is 100% % then you're in this column if your EQ is less than 100% you're over in this column now notice What's happen though in this third column here uh even though cellular energy production from the mitochondria has gone down anerobic energy production makes up for it so that the total energy production or V2 Max remains unchanged and I I make a particular note of this because there are many people out there in the health world that think that O2 Max is a is a reliable number and what I'm here to tell you is from an athletic perspective yes those are the athletes that win the race is the ones that have the highest V2 Max but from a health perspective V2 Max is basically useless because as you can see from the third column here here's a person that has dramatically decreased shift in the Dynamics of their cellular energy production and yet their unchanged and then finally finally the final column is when uh the V2 Max actually does go down their total energy production goes down and their cellular or mitochondrial energy production goes down even more this is where they're sick and diseased now I don't know that in this in this uh uh stock of charts we're going to go over today that I'm actually looking at anybody that's diseased I might I don't know I just pull these out of the out of the library um but uh that's not the really the purpose for doing bioenergy testing even though we can use bioenergy testing for people that are in that fourth column and actually have a disease and use the results to help move them left uh nonetheless from the purposes of prevention from the purposes that really get me excited about being a doctor what I want to do is find people that are in these two columns in the middle here they don't have any disease at all they're getting around they're functioning they probably have functional symptoms maybe they don't feel as well their energy is not quite as well they can't ride their bike up the hill quite as well as they used to maybe their sexual life isn't quite what it used to and have some digestions disturbances we call all these things kind of functional symptoms or quote healthy for your age this is where I like to work I like to get people before they're diseased before they've reached this column and then moving that back way and here's the point without bioenergy testing without the results that you're going to see on this testing procedure you have no way of identifying who's in here you don't know him from here or from here or from this column from M that matter so that's why I consider this test to be so absolutely critical for Physicians to use to be able to prevent help their patients uh prevent the onset of disease and in fact slow down the very process of Aging because aging is just like any disease in fact it's got pathological processes that are associated with decreased energy production at a cellular level just like disease does so as we're moving this way and getting closer to disease we're also moving this way and getting closer to the ravages of aging process okay so that's the review let's let's uh uh start talking about our first person here um this is a 39-year-old healthy healthy is in quotations because it just again I've mentioned this before but just because you don't have any symptoms and just because you went and saw the doctor and the doctor says your blood sugar is good your Chemistry panels good etc etc doesn't mean you're healthy health is not the absence of symptoms it's not the absence of a disease or pathology health is the presence of something and that something is cellular energy production so we Define health as having maximal cellular energy production however this man is using the old is using the old definition of Health well well there's nothing wrong with me so he felt good he was asymptomatic his blood pressure is good his cholesterol levels everything's good with this guy he's overweight and and for all extensive purposes most people would describe him as being a healthy 39y old man um on physical examination he's got a normal examination except he's got some excessive fat around the midsection but other than that he's normal pretty much fits the profile for most 39y old healthy men uh he gets 6 hours of sleep he drinks two cups of coffee a day to uh kind of make up for the fact that he's not getting enough sleep and I put coffee in quotation marks or cups in quotation marks because uh you know when you're a doctor and the patient tells you I take two cups you got to like understand that in most cases patients are not talking about a 4 o cup they could be talking about a jumbo 16 o cup so two cups of coffee by today standards May mean an entire pot of coffee um so he drinks a lot of coffee um he like most 39y old men is getting little to no exercise doesn't take any supplements no need to he feels great why take supplements uh he doesn't have any history for excessive toxic exposure in other words he hasn't been working in an occupation or he doesn't have any hobbies where he's uh being exposed to various toxins or poisons he is a non-smoker he doesn't take drugs of any sort pharmaceutical or otherwise and so from all extents and purpos a pretty normal guy pretty normal usual guy now what if I were to tell you that when you see his cellular energy uh uh results you're going to find out he's not a healthy guy he's in one of those middle two columns so let's take a look at this because this is guy is our classic candidate for doing something with we can interact with this man along those four areas we can interact with his diet we can interact with exercise we can find out what supplements he needs and we can interact with the way his body deals with stress in those four ways to move him over actually to that healthy column and to move him further away from disease and premature aging so let's look at him as a good example here here's test reports now we're going to go over this in more detail but I'm just going to kind of run through them right now his EQ which is the maximum amount of energy that he can make from oxygen in his cells and EQ stands for energy quotient the reason that stands for energy quotient is on the top end of the quotient is how much energy he can make from oxygen on the bottom energy of the quotient is what's usual and typical for the average healthy 39y old man so I'm comparing him to a healthy 39y old man now his number 76 so in terms of his maximum AB ability to generate ATP his maximum ability to generate um aerobic cellular energy production is at 76% so he's actually a quarter below what he should be and this is kind of a point that we were making in the first uh first part of the series where we talked about eomd early onset mitochondrial dysfunction that's where the mitochondria are there's nothing wrong with them they're not diseased but they just don't produce energy efficiently even in young otherwise healthy asymptomatic people so this gentleman would would have what you call eomd early onset mitochondrial dysfunction and if you remember from part one eomd leads to disease and premature aging so he's already on the path we want to turn around without me knowing that number I'd have no clue I had to do anything for him it'd be kind of like if I had a patient coming let's say I had him coming to see me and I didn't have a blood pressure cuff and let's say his blood pressure is elevated I'd have no way of telling telling him listen you got to make some changes for your regarding your blood pressure it's too high I couldn't tell him that furthermore if I told him you got to do something for your blood pressure and I didn't have a way to measure blood pressure I couldn't tell if what I told him actually worked so it's absolutely critical for Physicians to measure how well their patients make energy on a cellular level otherwise they're going to miss people like this and thousands more like them but his ability to make energy is curtailed he's only at 76% that's his maximum energy production when we look at his resting energy production now I call this m Factor M standing for metabolism so actually this particular number here is his resting metabolism or basil metabolic metabolism BMR and um only only it's a another quotient so that I measure his metabolism his resting energy production and I put it over what would be usual and typical for a male his size height weight and age and uh and so it's a percentage so his resting metabolism is at 92% of what would be expected or desired C factor is his resting energy production from fat it's at 50% so we'll talk to you a little bit about that in a sec fat burning factors his maximum energy production from fat which is at 78% so you don't have to be even that well vered in BIO energy testing to know that we've got a problem here except for this resting metabolism all these numbers look pretty low what biological age is biological age the computer looks at these numbers here and it adds them up and kind of takes an average and quantifies them and then it finds the age bracket that most typically would show up with those numbers in in healthy individuals and then it uses that age bracket to define the biological age another way of saying that is that when the computer analyzes his numbers it finds out that his numbers match up with the average 66-year-old male now keep in mind this guy's 39 so his biological age is is way higher than his actual chronological age he is aging prematurely he's aging more rapidly than he has to uh that's kind of a motivational thing hopefully when he sees that number he'll be uh motivated to do something because lots of times it's hard to take uh a a a person who feels great has nothing wrong with them along standard measurements it's pretty hard to tell them oh yeah by the way I want you to start changing the way you eat I want you to start changing the way you exercise and such but it won't be hard to teach him that because he's going to look at these numbers particularly when it comes to the biological agent he's going to say you know what I'm not really happy with that what do I need to do to change that I don't I don't I don't want to see that anymore on my chart um also the uh uh the test gives us a lot of other information I won't go over all the information on this in this lecture series I'm just going to hit com of the basic stuff but the whole testing process which takes about 40 minutes uh does does give the physician an abundance of information that he can use to to work with his patients one of them is heart Factor heart factor is a calculated cardiac output um That's How Strong his heart is pumping gives you an idea of what the kind of condition is heart in remember heart's a muscle so uh it's just like any other muscle it can it can become weak or can become strong he's got a cardiac output of 78% of predicted uh not that great he's basically out of shape his lung factor is 102% of predicted that would be for doctors that's fvc Force vital capacity it's basically how much air you can get into your lungs he's at 102% so his lungs are good to go um in fact that's the first thing that looks good to go on this guy he's got good lungs um these are the amount of calories that he would need to to maintain in order to lose weight now this calorie of weight loss is based upon exercising for 30 minutes every day according to the exact exercise prescription I give him the computer is able to measure that it can measure how many calories he's burning while he exercises he can measure how many calories he burns when he's just sitting there doing nothing we add them together with an exercise program and I can tell him how many calories he's going to burn in a given day exercising this way and in his case it comes out to 2100 calor calories which you subtract 500 and that means if he stays at 1678 calories a day and exercises for 30 minutes the way I tell him that he will lose one pound of fat in every week so this is the kind of caloric weight loss caloric stance he needs to be to lose weight now for longevity purposes and we know that a caloric um restriction will extend his life and slow down the aging process that's well established so we can actually give him some real guidelines without having to guess because what the computer will do is it in the same way that it computed the amount of calories that he rests and he exercises by it will now look at that and come up with a recommended caloric intake for him even after he's lost his weight or if he doesn't have to lose weight this is what he should stay on for the rest of his life uh 1750 calories now if that looks a lot like the amount he needs to be on to lose weight that's correct but there is a difference the computer calculates on this that he's going to be exercising for 30 minutes every day whereas on this one it's 30 minutes three times a week so that's why it kind of adds up that way but that's a very handy number to know suppose he came in he didn't need to lose any weight at all and he said to me you know I know caloric restriction will lengthen my life and decrease my chance of getting disease so what would you recomend what the amount of calories I need to be on I can tell them exactly how many calories I can say 1750 calories is what you need to be on go see my nutritionist and she's going to tell you exactly how to accomplish that and then finally and very importantly is the exercise Zone uh so that when I tell this patient to exercise I'm not just going to say go exercise I'm not going to send them down to the gym and say talk to one of the trainers down there and they'll come up with a formula for you I'm going to tell him exactly the level of exercise that his particular body needs at this particular stage in his life will that change yeah because he doesn't exercise at all so right now he's in lousy shape so he's going to have an exercise Zone that shows that he's in lousy shape as he gets in better and better shape that exercise Zone will change and as we continue to measure his bio energy testing report that'll be reflected on on his results but for right now his exercise zone is a heart rate that goes between 94 and 125 amazingly uh that's not all that bad so uh in terms of being in shape and being in condition that's not so bad so even though we've got a a man here that doesn't exercise at all and is overweight he's he's not in all that bad a physical condition of course he's young you'd expect that he won't be at this level of physical condition in another 10 to 20 years I can more or less promise you that okay so we're going to break these down now and go over each one individually now right now we're going to look at EQ or energy quoti remember his energy quotient which is again as a review is the maximum amount of energy that his body his cells can make with oxygen that's what that means is 76% not so good again I told you that means he's got eomd he already has early onset mitochondrial dysfunction you wouldn't have known this had you not done the bio energy test but now we know uh this slide comes from the first couple of parts to this lecture series there are two basic reasons that would drive a man like this to have eomd one is things that happened before the mitochondria things that happen outside of the mitochondria and the other is things that happen in the mitochondria itself so in terms of things that happen Prem mitochondrial these would be the sorts of things one would be these are the kinds of things that could bring him to this now I as his physician am going to have to figure out which one of these things is playing a role in him and and come up with a program that works for that those things so the first thing is decreased lipolysis a decreased ability to break down fat so let's go to this slide here and if you remember that from the the previous Parts here here's the mitochondria and which is and here's his fat stores and he's got to convert fat into energy he's not doing that very well so um what would be the factors one is insulin insulin will block the con the breakdown of fat also not having enough T3 thyroid hormone will will interfere with the breakdown of fat and also not having enough cortisol and also not having enough carnitine or not having enough NAD NAD is a nasin based energy intermediate uh that you can become very deficient in very quickly so any one of those things too much insulin not enough cortisol not enough T3 not enough carnitine uh not enough NAD any one of those factors can cause him to have this particular problem here of decreased lipolysis now I automatically know he's got that and I know that that because we already saw on his fat studies uh previously that he had that if you go back here again these are the this is C factors is resting fat burning that's low fat burning factors is exercise fat burning that's low so I already know he can't burn fat well also he's overweight that tells me so I know right here I'm going to have to do something here I'm going to have to either give him thyroid if he needs it I'm going to have to give him cortisol if he needs it I'm going to have to decrease his insulin levels if those are issues I'm going to have to figure out why it is that he won't burn fat when we come up with this prescription I'll show you what I came up with him uh another cause would be hypoglycemia low blood sugar but this guy feels great so I know he doesn't have that the classic finding a low blood sugar is sort of a a real sagging energy uh towards the latter middle part of the afternoon he doesn't have that at all so uh so he doesn't have hypoglycemia eskee uh is normally something that's going to happen in older people with uh uded circulation I think at his age that's probably unlikely so I'll attempt to write off aeia for him uh hypoxia is a low oxygen level in his in his bloodstream now I can kind of actually test for that because I have a an U an O2 sat device that we routinely take measurements on while the patient is getting the bioenergy testing and I happen to know that his O2 sats are great so uh he doesn't smoke he has good O2 SATs he doesn't have a history of asthma or any reactive airway disease and so I've got pretty good idea that hypoxia is not uh is not a big player on him the only thing that could could impact him in this regard would be carbon monoxide poisoning so in the back of my head I think about that but that's hard to imagine in impatient that feels as good as he does so uh so far I know he has this problem the rest of these look like they're okay decreased methylation a decreased meth methylation is something that it can lead to low energy states low cellular energy production just remember that you you make your ADP you make that from methylation you make carnitine from me methylation you make coenzyme Q10 from methylation and so you make the some of the major components to the entire uh chondrial function from methylation so if he's not doing that process so well then then then he's going to need help there or he's not going to be able to maximize his cellular energy production this might be a problem with him because you can have methylation disorders as a three-year-old so young people can have methylation disorders not that uncommon a major thing that can cause methylation disorders is is toxicity with the heavy metal mercury and that's very common so I'm I'm thinking this may be an issue with him I would look in his mouth and I would see how many silver amalgams he has uh if he has you know several silver amalgams certainly have as a mouthful of silver amalgams I would say you know the odds are very good he's got Mercury toxicity and this might definitely be an issue uh so one way to kind of assess his methylation status is by looking at his serum homosysteine level if a serum homo homosysteine level is elevated then you know that might indicate he has a methyl methyl problem another way is to actually look at some of the results on this test I'm not going to get into that particular aspect of bioenergy testing but there is a way that you as a physician can use the bioenergy testing to come up with what I call a methylation factor it'll give you an idea as to whether or not he has a methylation disorder but for right now I'm going to get his homocysteine level and I'm going to think you know he might just have a methylation disorder since he has so much uh so many of these Mercury containing silver amalgams in his mouth finally inflammation that's probably a factor with him as well he has the uh central abdominal obesity we know that this is a Hallmark of uh inflammation we could do some tests like a c reactive protein to give us an index if he's got inflammation going on uh when it comes to testing by the way and we're talking about lipolysis we could certainly measure his hormones we could measure his T3 we could look how T3 relates out to T4 we could look at his cortisol levels we could look at his insulin levels and start having an idea uh of what we're doing but as I go through the premitochondrial factors I'm thinking that certainly number one is a potential issue with him or was a for sure issue with him uh number four and five are potential issues with him uh all of which we need to treat if we're going to improve a cellular energy production now when we get right into the mitochondria itself the kinds of things that could affect him are just Flatout toxicity and infections he has no evidence of any chronic infections um and uh so but I'll probably run a hair analysis on him to screen him from heavy metal toxicity just to see we all have heavy metal toxicity but just to see the level of the toxicity that he has because if he's got a lot of lead or arsenic or cadmium or Mercury then that something probably we're going to want to look at with him stress uh the only thing that's stressful about him uh is the fact that he drinks too much coffee he doesn't get enough sleep and he doesn't exercise and yes uh while exercise itself is a stress not getting exercise is also a stress so he's got some stressful issues going along so I would say yes definitely I would include two in here nutritional deficiencies it's hard to imagine anybody this day and age unless they're really paying attention very closely to what they eat uh and the average person doesn't do that uh it's hard to imagine anybody who's not taking nutritional supplements to have perfect State of Nutrition so I'm sure there's some sort of nutritional deficiencies going on with him as I mentioned in the uh previous part uh part three of this lecture series um this day and age there there's a couple things working against having perfect nutrition one would be the fact that we live in in an era where the amount of environmental to toxins that we have to deal with is is thousands of times greater than our human body would has ever seen before and I'm just not talking about toxins in the sense of uh uh pesticides and heavy metals I'm also talking toxins in the sense of uh electromagnetic uh frequencies cell phones and so forth and so on so our human bodies are are being bombarded constantly by these toxins how do we get rid of the toxins we get rid of the toxins through uh cellular energy production so the more toxins we have to get rid of the more cellular energy we need and so uh we're going to be burning up all the vitamins especially the B vitamins that's so intrinsic to making cellular energy we'll be using them at a much faster rate so one of the reasons essentially everybody has nutritional deficiencies can't get around it folks sorry one of the reasons is we just have a a much higher need for vitamins and minerals than we ever had before and you combine that with the fact that our diets are worse the food stuffs themselves are worse for agricultural reasons when you go out and buy a say a a head of lettuce today you're going to have less nutrient value in it than if you'd have bought the same head of lettuce 50 years ago so we've got a double whammy uh where on the one hand our diets just don't provide as much nutrition as they used to on the other hand we have a much greater need of more nutrition than we used to add the those two together and you come up with the fact that all of us have nutritional deficiencies unless we're taking supplements to do something about that so I would definitely put that on his list of possibilities now if his EQ were good I would say you know what he's okay in all these components so if I think we might talk to see one case there where the EQ is actually really good in which case you'd say look your EQ is good so you're not taking any vitamins Guess what at this point in your life you don't need to it's all working for you a hormonal deficiencies except for thyroid hormone uh uh hormonal deficiency in a 39y old is not common thyroid hormone we can see and decreased Fitness we can certainly say that yeah he's got an issue around that so as we're going through this and we look at this these are the things as a physician I'm adding up and I'm starting to scribble on the chart and I'm starting to say you know we got to do something to work on the way he breaks down fast we got to check his methylation status we've got to check his inflammatory status we've got to check his nutritional status got to look at toxicity and get him on an exercise program and maybe check his thyroid hormones okay all right so that's EQ that's a heck of a lot of things that I can think about as a physician to dial in on this guy who is quote supposedly healthy now let's look at the next Factor the next factor is called M Factor M standing for metabolism because that's what what it means it's resting ATP production he's at 92 okay so that's 92% of what would be predicted for him actually anything between 90 and 100 is usually normal we consider that normal if it starts getting over a number I think he's got a hyper metabolism and I would start thinking of things that give you a hyper metabolism such as uh such as a hyper metabolic or hyperthyroid type of condition um but uh anyway he looks pretty good here I think his resting metabolism is actually pretty good now that tells me that his thyroid must be good and his cortisol production must be good so by adding up the information I got from EQ he's not burning fat well to the information that I'm looking at this I can say you know probably the major reason he's not burning fat well is not to do with his thyroid not to do with his cortisol but it might be insulin that might be in there so why is he gaining weight then uh the question then comes if it's not his metabolic Factor that's the to account for why he's burning weight can he burn fat well or does he eat too much and we can figure that out from some of the other results on the test like looking at his total calories his total calories to be healthy were something in the order of what uh I think it was 17 let's go back and look was 1750 so if we compute his calories out and my dietician computes his calories out to be 2200 was say yeah one of the things he does is he eats too much um but the other thing is can he burn fat so we're going to now look at the next two factors that bioenergy tells testing tells us and these may be some of the more important factors that I can ever measure on my patient and that is how well does he burn fat so let's move on nothing wrong with his metabolism let's see how well he can burn fat his C factor which equals resting fat energy production so how much energy is he producing from fat while he's at rest is only at 50 now uh what 50 means is on the scale the way this tests work when your C factor is 50 that means at resting when you're resting you're not burning any fat at all you're living simply 100% off sugar so is that possible and and the answer is yeah it's very possible here's a case where you see this we might even see some more cases it's not that unusual to find somebody who in his sitting down resting condition is living completely off sugar now there would be basically two ways to explain this one way could be if the person is what we call a fast oxidizer type a fast oxidizer type is somebody who doesn't burn fat directly they burn fat indirectly they burn fat they just don't burn it directly so uh to go back to this uh slide here where where we see fat coming in like this and being burned directly in the mitochondria fast oxidizers don't tend to do that they tend to convert fat to glucose and then burn the fat this way so they burn fat this way that's a fast oxidizer type so one reason that he could be burning no fat at all at rest is because he's a fast oxidizer and he's burning his fat by converting it to sugar and he's burning sugar at rest another way another explanation could be is that he's a he's a slow oxidizer and he doesn't burn fat through sugar and you just flat out doesn't burn fat very well now if I have to look at this guy who's gaining weight I would say it's probably a slow oxidizer the other thing about a fast oxidizer fast oxidizer should have a pretty high energy quoti should have a pretty high EQ it's the fast oxidizers that have the highest eqs doesn't mean a slow oxidizer can't have a high a high EQ just means that Genetically speaking fast oxidizers tend to have the highest eqs fast oxidizers by the way you can kind of recognize them when you see them they're the string bean types so they're ones that tend to do best in the longdistance uh events they're they're your longdistance cyclists they're your long-distance Runners the slow oxidizers tend to be the U the body types that work best in the short distance events U so I can look at this guy and say you know what he's putting on weight he's overweight he's probably not a fast oxidizer not only that his EQ is low so he's probably not a fast oxidizer so I'm going to assume that this guy is in fact a slow oxidizer who's not burning any fat and that's why he can't lose weight that's why he's gradually gaining weight uh this guy left to his own devices I see him in another 10 years he may be 50 60 pounds overweight we've seen this a lot because as no matter what kind of oxidizer you are as you age you're going to get to be slower so if you if you're at one end if you're at the fast oxidizer end of the spectrum when you're 20 years old when you're 40 or 50 years old you may have moved a lot closer to the slow oxidizer end of the spectrum now a so a aging will take a fast oxidizer move them more towards a slow oxidizer so will disease so will bad eating habits so will nutritional def deficiencies so will toxicity all move you away from Fast oxidizer and about the only thing that's going to move you closer to a fast oxidizer is correcting those things and especially exercise so exercise have done appropriately and done enough can take a slow oxidizer move them more in the direction of that fast oxidizer type but I can look at him right now and say one of the major problem he has is he doesn't burn fat at rest so what would be the main reason why a individual didn't burn fat well at rest uh the the main reason is implied in this this Title Here this designation I gave it of C Factor what does that c stand for it stands for carbohydrate almost always I don't know 80 85 maybe 90% of the time that uh resting fat metabolism is low almost always it's because the person eats too many carbohydrates here's how it works two ways basically one when they eat too many carbohydrates your body can't store carbohydrate to speak of it so what's it going to do with it got to burn it so your cells are going to have to burn the carbohydrate you just ate if they're busy burning carbohydrate what can't they burn they can't burn fat secondly when you eat excessive amount of carbohydrate you're going to produce an excessive amount of hormone insulin and we've already seen that the hormone insulin blocks fat utilization so those are two reasons that eating too much carbohydrate um will cause you to not burn fat well in a resting state so how much carbohydrate is too much uh that varies enormously if you're a slow oxidizer almost any amount of carbohydrate may be too much if you're a faster oxidizer it takes a lot more carbohydrate to be too much so it varies tremendously I can't just come up with a number I can't write in chapter four of my book and say this is the exact amount of carbohydrate you could eat because it varies from person to person depending on so many factors but I can tell you from the from this particular number whatever amount of carbohydrate he's eating is way more than he should be eating okay so based upon that uh just to recap uh a c Factor 50 means zero fat metabolism at rest that number should be at least greater than 90 and perfect is 100 you don't see a lot of perfects and probably the only way you're going to see a perfect 100 is if the person you're dealing with is uh is on a very very strict amazingly good uh low carbohydrate program um we already kind of dealt with this is he a fast oxidizer no he's not how do we know because his EQ is low and because he's gaining weight again the fast oxidizers are the string bean types this guy's more of a mesomorphic type uh so this is probably a carbohydrate effect uh what other possibilities could they be we already talked about those could be uh uh the he doesn't have enough thyroid doesn't have enough adrenal but we ruled that out by knowing that his M factor is resting metabolism is okay so we're pretty much sure that the big problem this guy has is with eating excessive amounts of carbohydrate and so what are we going to do with them well I'll tell you right now what we're going to do with him we're going to put him on a very very low carbohydrate diet and then we're going to bring him back in about two or 3 weeks and we're going to test his resting C Factor again only takes a few minutes and if it's gone from 50 to 80 as I suspect it will uh if it's dramatically improved then we're going to know for sure yeah he's eating way too many carbs and this is something we've learned about this guy that he's a slow oxidizer and he really has to watch his carbohydrate intake in essence when when you ask the question what's the correct amount of carbohydrate for an individual individual person the correct amount of carbohydrate is whatever carbohydrate leads him to have a c Factor greater than 90 that's the answer to that question now I do I do want to mention that when uh the when the computer is measuring resting fat metabolism and it says it's low and it says it's low due to too much carbohydrate we're talking about the amount of carbohydrate that's in the diet for the last four to five days that's what is going to determine this so if I have a person that you know all the time eats too much carbohydrate but four to 5 days before the test when on a low carbohydrate diet and his number comes out pretty good that's why so you always got to kind of make sure that the diet that the patient's been eating in terms of carbohydrate content for the three to four or five days prior to the test is pretty representative for what he normally eats okay so so far we've gone through EQ we've gone through M Factor we've gone through C Factor resting fat burning metabolism let's let's uh take it in now to fat burning factor which is his max maximal fat burning metabolism he doesn't burn fat at all at rest but can he burn fat and the answer is yes he can he can do it at least 76% well so he has the mechanism for burning fat he just doesn't doing at rest because he eats too many carbohydrate but that 76 isn't perfect so he does have impaired fat metabolism so what would cause that well let's go back and look at the slide he's not doing this very well uh notice that he has to burn fat in order to get that fat burning Factor High through the mitochondria so that there anything wrong in this mitochondria that number is going to be lowered so in essence anything that uh influences the mitochondria will influence the fat burning Factor um that could be anything in the crab cycle could be anything in oxidative phosphorilation all of these factors come to play all of in fact the exact same factors that came to play in his EQ so by dealing with his EQ the way we already have we're already pretty much dealing with that burning Factor um let's see uh so so the causes to impaired fat metabolism is basically the same as the EQ but also could be insulin too much insulin not enough carnitine not enough nasin uh these other factors come to play uh with how well you can burn fact 2 lipoic acid is a a critical component for fat metabolism uh human growth hormone that's spelled wrong but human growth hormone uh should be measured in this patient he's 39 he could have low growth hormone levels we should measure that on him uh uh we also already talked about thyroid and cortisol so by looking at his low fat burning Factor that's given us some clues of where we should go to kind of investigate him a little bit more okay next one is his biological his biological age is 66 he's 39 so he's not altogether happy with that but he's well him now biological age can be depressing too so there's two ways this guy could react to this biological age one would be hey I'm so motivated I can't you know I'm embarrassed to have a biological age of 66 I've got to do better than that uh uh but the other could be could be walking out of the clinic thinking this is depressing I'm 39 I got a biological age of 66 that the heck with it and just give up we see that reaction a lot with our patients which is one of the reasons that I don't even use biological age when I'm talking to my patients um so that the computer does have the capability of toggling between giving you a print out of biological age and giving you a print out of what I call biological index a biological index is actually the sort of the same exact measurement as biological age only instead of presenting it as an age it presents it as a score between one and 100 so if your biological index is 100 that means you have a very low biological age if your biological index is like 20 or 30 it means you have a very high biological age this guy would probably have a biological index of about 40 or something and uh so I can show I could say see your biological index is 40 you should be motivated to making it higher but he's not going to get depressed in the sense of thinking oh I'm like a 66 year old man because here's the choice here here's here's here's the point uh biological age is not really anything scientific is it it's just kind of a scorecard it's a measurement it obviously this 39y old man does not function in the same way that a 66 year old man so in that sense he's not like a 66 year old man he looks like a 39y old man he doesn't have wrinkles and can probably outdo a 30 66 year old man however it tells us from a from the perspective of cellular energy production it's as bad as a very healthy 66 year old man and it should tell him you know what you're you're from a cellular perspective you're aging too rapidly and although you're getting away with it now because it's this is early in the game as this goes on as this game progresses you're going to not be looking so good so it's it's a motivational thing and it's a thing that we can key on because as we start them on therapy and bring them back and retest them we obviously want to see the biological age go down or if you're using biological index we want to see that go up and that tells us you know working so here's his prescription here's what we came up with in this particular patient uh he needs to be off carbs for two weeks and then repeat the resting part of the test what's going to happen is I I can tell you is that his resting uh his resting fat metabolism is going to go up rather dramatically and as his resting fat metabolism go goes up this is going to improve his overall cellular energy production rather dramatically and that's going to affirm to us and to him you know what I'm one of those slow oxidizer types I just got to watch the carbs I'm not a not a fast oxidizer sucking down carbs all day long kind of guy uh we're going to check a serum fasting homo cine to kind of qualifying as methylation and if it's over 10 I'm going to give him things that will enhance methylation he only see uh sleep six hour six hours a day I know that for most people they need in the order of s to eight hours of sleep a day or their energy quoti their cellular energy production will go down so I'm going to give them a trial I'm going to say listen for the next three months I want you sleeping 8 hours a day let's see what happens uh I want him to lose the coffee once he's been off the coffee for a while I'll let him have 4 ounces of coffee a day I don't see a problem with that and actually there's some benefits that but he's on too much for right now it's too stressful to his body we're going to use the exercise data on the uh that came with the bioenergy testing uh to establish an exercising program of him for 30 minutes every day for one month and then every other day uh we're going to talk about the correct amount of calories that he should be eating this is his prescription okay okay this is his prescription for life this is his prescription for slowing down the aging process this is his prescription for getting healthier this is his prescription for uh preventing disease this is not a prescription for sick man again he's not sick but this is where doctors need to go we need to go where people are already healthy by the typical standards and actually make them healthy by cellular energy standards and then we're going to repeat the test in 3 months and uh what we're going to see in three months is if if he did the prescription I gave him and if the prescription I gave him was in fact accurate he's going to see an improvement across the board we're going to amazingly see that EQ go up and in a 39y old guy doing this kind of thing I can tell you right now in three months the odds are very good he'll have an EQ of about 110 he will probably have lost about oh eight or nine pounds of body fat and uh he's going to be very happy with these Chang and once I see that then I'll just tell them you know what all I want you to do is just continue the program you're on and we'll check you at this point annually for the next few years and as long as we see that you're doing perfect we'll probably go we'll probably go every other year and we'll be doing this the rest of your life just to make sure that you're showing us some great numbers not only now but when you're 50 years old when you're 60 when you're 70 uh so what we're going to do now is we're going to go through a couple more cases uh and I'm not going to throw all the numbers up we're just going to kind of do dialogue about them as we go as we go through that okay um this first patient is a 58y old woman who uh came in to see me complaining of some knee pain uh and uh complaining of uh uh some obesity to give you some numbers when she came to see me she weighed 264 lb when she was in her 20s she weighed 140 lbs so she put on 120 lb uh in the last 30 some eight years it's kind of like the last guy we talked about uh only seeing him 20 years later uh she has sleep apnea uh secondary to that she was supposed to use her CPAP but she's not using the CPAP because she's like most people they can't stand CPAP and they rather suffer the problems than actually uh suffer the uh solution and she's got hypertension for for obvious reasons and she's on a number of anti-hypertensive drugs this is a patient that is so common that you know all of us see all the time um so let's kind of run through um what we've got here on on her okay when let's let's start off now uh with her EQ what's her EQ what's her total cellular energy production we want it to be 100% by the way I didn't mention to you when uh when patients are older than the age of 40 on the energy quotient and on all the other factors by the way I don't compare them to their own aging their own age bracket so uh I compare them to what would be typical for a 40-year-old so if they're 64 years old I'm going to compare them not to what an average 64 year old should be showing but to what an average 40y old should be showing who's their sex height and weight uh the reason is because it's around the age of 40 that cellular energy production starts to significantly go into a deine line and and I don't want to be people to be healthy for their age I want to be people to be healthy so I'm 62 years old I don't want to be like a healthy 62 year older I want to be like a healthy 32 year older if I can so we are going to compare my results against a 40-year-old person when I'm 62 uh when I do it 20 years from now and I check myself and I'm 82 I'll still be comparing back against a 40-year-old person because that I'm using as my Benchmark now in people that are younger than 40 I just compare to their own age bracket so in the last case we saw he was getting compared to other 39y old man this lady however even though she's age 58 is going to be getting compared to 40-Year-Old women her height and weight and uh according to that she's got an energy quoti of 85 so she's at 85% of what the average 40-year-old woman uh her height and weight will will perform in terms of cellular energy production and guess what that's not so bad she 58 years old so how can a 58-year-old obese woman do so darn well and the answer is a couple of things number one and this is an observation that I think is just really interesting but we've just seen this over the years and I I what I'm about to tell you is is just absolutely true that is that if you see a man who has too much fat on board I guarantee you he's going to have an energy quotient problem that's pretty much a guarantee if you see a woman that has too much fat on board not necessarily a guarantee women's physiology is such that they can have a lot of excess fat 40 60 pounds of excess fat and they'll actually have decent cellular energy production it's just the way God made them uh such that they can carry a lot of fat around and uh it has survival value to them I suppose but it's not it's not necessarily a consequence of a health problem this is just not true for men so if a man is overweight it's a problem if a woman's overweight it may be a problem but doesn't have to be here's a case in point here's a woman who's who's obese she's 120 pounds over the line and and yet she still has an energy quotient that's not that bad she's got 85% so uh the other issue I could tell her is you know you've got pretty good genetics so uh given the fact that you're 58 years old and you're still producing along the lines of 85% of what a healthy 40-year-old woman could do you look like the lord gave you some pretty good genetics and you you've got some real strong possibilities here and I would tell that to her to encourage her to say you know don't get depressed because you're overweight because from a health standpoint uh that's not the big issue it's more of a com cosmetic issue I think for you than it is an actual health issue and there's a lot that we can do for you okay but our energy quo's down what we'd like to see is over the next year or so we can get it to be higher next off I'm going to look at her metabolic rate which is her M Factor I'm going see how her metabolism is doing she's overweight maybe that's the problem her M factor is 80 okay it's 80% that's definitely a problem so she definitely has a metabolic disorder now I I subsequently did run some thyroid blood tests on her and what I can tell you is that her T3 is in range R her T4 is in range and her TSH is in range what's not in range is her reverse T3 it's very high so uh she uh has uh the what would be called in many circles Wilson syndrome uh she can make thyroid hormone it's just getting blocked by the reverse T3 uh so one of the things I can tell you uh is that thyroid blood tests if you look at T3 T4 you look at TSH they don't tell you the whole story there's a lot more going on to basal metabolic rate than just thyroid hormones or just pituitary hormones is how well the liver converts T4 to T3 and at the end results how well that T3 Works down in the level of the mitochondria in the cell and a lot of the times that's the problem because what we see is frequently people with very low metabolic rates such as this lady here who have fairly normal thyroid chest now hers is actually abnormal she's got elevated reverse T3 but I wouldn't have been surprised if in fact that were normal uh what she needs is she needs thyroid hormone now she also may need cortisol right so how would we know if she needs cortisol well we kind of go down and say well how well does she burn fat because if you've got decent cortisol levels you should burn fat pretty well and if we go down and look at her fat burning factor is at 92% and her C Factor the amount of fat she bursts at rest is 93% she burns fat like a champ here's an obese lady that really burns fat well um so it's got to be it's got to be a combination of her cortisol and her thyroid and or maybe uh yeah so it's got to be that so let let's go and uh evaluate her adrenal function and we do that by history and the fact is that she doesn't have any symptoms of uh adrenal fatigue she looks quite good there uh you can you can evaluate adrenal hormone if you want I've long since stopped doing that because I can tell you if somebody's adrenally depleted just by talking to them for about 2 minutes and getting their history so I find that's not true for her uh and in fact her problem is really one of low basal metabolic rate so she's going to need to be on thyroid hormone if the blood tests indicate that they're all normal I don't care I'm going to put it on thyroid hormone anyway because there's plenty of evidence in the literature my books go into this by the way plenty of evidence in the literature that patients can definitely have a normal TSH T3 and T4 and be low thyroid state so I would go I would rely much more on this than I would on those blood test so we'll start her on some thyroid hormone the other reason a metabolic rate can be low by the way is if she has low lean body mass and that's probably the case with her she's dieted repetitively over her years lost the weight put it back on lost the weight put it back on and we know that when people do that they always lose lean body mass and so when we do a body composition position analysis on her let's see if I did that it looks like I did her her your body composition shows that her lean body mass is at 52% that's awfully bad should be at least 70% so a lot of the reason her metabolic rate is low she's lost lean body mass so when we exercise her we're going to make sure that not only we exercise her aerobically her EQ is a little bit low so one of the ways to raise that is aerobic exercise but I I don't want to just limit her exercise obic we need to do something to build up her lean body mass which means I'm looking at anabolic hormones for her testosterone for example progesterone for example and uh maybe DHEA maybe human growth hormone and I'm also specifically going to look at thyroid hormone for her to boost her overall metabolic rate so I've already got a formulation on my plan of what this lady needs uh what she doesn't need is a diet but what she does need is something to raise her metabolic rate which would be uh things that build up her lean body mass and uh and things that build up her basal metabolic rate uh so I've already hinted that her C Factor her ability to burn fat at rest is awesome uh so I know that her diet's right on I don't need to talk to her about diet composition I may need to talk to her about diet calories let's see how many calories uh for longevity purposes she would be at 1468 calories now that's not to lose weight that's just that's just to uh to to be a healthy person with a nice healthy level of calorie restriction um now she's a 264 pound woman if I send her to The dietitian that dietitian is probably going to put her on an 1 1800 calorie diet which would be actually wouldn't work for her uh so it's just another example of of those tables that are used the tables that are used to tell her how to exercise or are just not functional they don't work so fortunately I have some real data to tell her out exercise the tables that are used to tell her how many calories she needs to eat that's healthy for her body they don't work so I have some real data to counsel her so uh in fact for her to lose weight which is one of her goals by the way she needs to be on 1390 calories a day plus aerobic exercise for 30 minutes a day so that's what we're going to do with her and I'll send her over to the nutritionist the nutritionist will establish a 1390 calorie diet for her and uh then also my nutritionist will talk to her a little bit about exercising along the guidelines we need to her to exercise in and that will I guarantee this lady that will take care of her weight and as that takes care of her weight by the way and we're increasing her Bas of metabolic rate you're going to see that energy quoti go up her biological index is 61 out of 100 it's not too bad kind of see that all the time keep in mind she's 58 so probably going to be that great anyway okay but we we should see that go up um here's interesting her heart factor is at 120% uh what does that tell me that tells me that her cardiac output is 20% greater than the average 40-year-old woman's how did she get to have a cardiac output like that uh well one is she's just been blessed uh you know she has a great heart two is there's nothing sick with it three is because she's so overweight she actually gets extra exercise I mean it's like me walking around with a 120 lb backpack on uh so she's actually not in that bad a shape um you wouldn't have guessed any of these things by looking at this woman if you if if I were just a doctor operating without bioenergy testing and I saw this woman come into my office and got to talk to her I might have come up with a completely inappropriate prescription plan for her I might have thought you know she's one step away from heart failure she's not even close to that uh however her lung factor is only 79% so what's happening is her lungs are getting affected and maybe one of the biggest problems she has is she can't get a deep breath due to the huge amount of weight that's on her body so maybe the biggest thing that we can do for her in terms of improving her cellular energy production getting that EQ to go higher is to get her to lose a little weight or maybe to get her to lose a lot of weight come to think of it uh so so that's that's my program is basically going to be geared to her to lose weight and what that's going to come down to is thyroid hormone evaluating the other hormones if she's low in testosterone she's low in progesterone if she's low in human growth hormone I'm going to give her those and I'm going to get her to exercise appropriately which means ways to improve lean body mass a great way to do that is a circuit training so I'll get her to talk to a trainer put her on a circuit training uh uh exercise program that she can do at home for 30 minutes every day and I've got exact exercise recommendations for her it turns out that uh when her heart rate is 95 that we call that the fat burning heart rate she's burning fat maximally now how do I know that well the computer knows that it can tell so as we had her exercising on the bicycle and she starts exercising more and more and more she's going to burn more fat more fat more fat more fat but going to get to a point where her body can't burn any more fat and it's going to start shifting into sugar metabolism that point in her is when her heart rate is 90 uh when her heart rate is 95 when her heart rate gets to be 95 she's maxed out at her fat burning we call that her fat burning heart rate technically speaking she could go out and exercise with a heart rate being at 95 more or less all day long and never run out of energy so we call that her recovery point now as she continues to exercise and that's what the she's going to do during the test she's going to get exercise going to get harder and harder and harder her heart rate is going to be going up higher and higher past 95 and what's going to happen at that point is after 95 as her heart rate increases Beyond there she's going to be progressively burning less and less fat and progressively burning more and more sugar until she gets up to the next heart rate which is her Anor robic threshold heart rate which in her was 115 so if she gets up to 115 she's not going to be burning any fat at all at that point she's nothing but sugar metabolism now as she goes beyond the 115 she's in anerobic metabolism so if you look at the chart there and uh what we can we can kind of tell her where she is on the chart number one she's in column three I know that CU her EQ is low so her EQ has dropped and I can tell her that when uh when she's burning maximum amounts of fat right here her heart rate is 95 when she's burning maximum amounts of glucose her heart rate is 15 and as she gets above 115 she becomes Anor robic this is unhealthy to stay at for any long period of time so when she exercises I don't only want her to spend a minute or two up here and we do what's called interval training what she will do and the the test report will tell her exactly how to do this and then my nutritionist will go over this again with her but uh what what we'll have her do is we'll have her exercise at this point 115 for about 2 minutes or so then we'll have her go for 30 to 60 seconds much higher at the end of that 30 to 60 seconds she ought to be way out of breath and then she's going to slow the rate down and let her heart rate come all the way down here to 95 and she's going to stay there for about five minutes I want her to spend a significant amount of her exercise time at this point right here because that's her recovery zone and then we're going to do this two or three times and that'll add up to about 30 minutes so she's going to go just to recoup about 2 minutes at this point she's going to go about 30 seconds or maybe a minute at this point then she's going to go about 5 minutes at this point and so I've been able to totally dial in her exercise so that she does not spend an unhealthy amount of time in anerobic metabolism she spends a decent amount of time aerobically and a fair amount of in a good goodly amount of time just burning fat because that's what we want her to do so that's all I'm going to probably do with this lady again to recap we'll put her on some thyroid hormone we'll put uh her diet's fine I don't have to counsel her there in terms of supplements I have a basic supplement which I've mentioned before called my super immune quick start it's a a fundamental supplement it just has protein in it things to detoxify the liver like an ayine and glutamine uh and sawal Meadow and it's got things to help with the circulation like inab baloba and it's got lots of detoxifying things like spiralen and oat brand fiber blah blah blah it's also got the whole all the vitamins and the minerals and the antioxidants so this is a nice basic powder to start her on so I'll start her on that um and we'll just get her to exercise and we'll follow her over time because what's going to happen over time I'll repeat her test in say four or five months and we'll see that in that time she probably will have moved to this column if not in this column at least closer to this column her EQ will come up from 85 to maybe uh say 90 93 94 and of course eventually if she stays with me and keeps working with me within uh say about seven or eight months she will have lost all her weight and she will be if not if not here in this column she will be in this column and eventually we'll get her over here so she'll be a 58y old woman at the maximum of her health uh she will get her get her aging process to be slowed down about as slow as it can possibly get will get her to a a a disease risk level that would be significantly lower than what it is now and practically nil uh and I couldn't have gotten anywhere close to this without having this kind of information so that's that lady um let's take another case um here is um this this man here is he's 59 years him he is uh he is um his weight is 227 lbs and he's actually 31 lbs overweight so here's he's not as overweight as the last patient we looked at but he's overweight and he's a 59y old guy so let's see what his energy quoti is whoops his energy quoti is 44 so this man is in serious trouble uh and again it's kind of It kind of reiterates what I told you before here we've got one lady who's the same age as him I think she was 59 same age as him and and 120 lbs overweight who's got twice the cellular energy production of this guy who's only got who's only 31 pounds overweight I'm just telling you women can as a rule handle the excess weight it doesn't mean it's a health issue but men know for this guy he's in deep trouble his energy quo right now is at 44% in his in the 19 years that's gone since he was 40 years old he has cut his cellular energy production in less than half so he's really going down the tubes let's see what he's complaining about by the way um he has some pain in his foot ah so he's got diabetes type two he's got hypertension he's got uh neuropathy and he has a history of angina so yeah I mean obviously this guy is in a lot of trouble anyway medically speaking so he would be in this column here that's where he is uh can we do something to move him in that direction yes uh could could you as a physician have come up with uh some treatment recommendations for without bioenergy testing absolutely uh but what you're going to see is using the results from the bioenergy testing we can pinpoint him better and then we can have a way of following him because his EQ is 44 uh in four to five months I'd like to see that thing at least get up to 60 now if he came back in four or five months and Ezekiel was still 44 something's wrong either I didn't come up with the right program for him or I did and he's not doing it uh but something's wrong so we do have a method here using the bioenergy testing not only to come up with some treatment recommendations to help this gentleman but to also make sure that what we're what we're doing what we're recommending to him is in fact improving his cellular energy production okay so he's got a very bad EQ at 44 one of the worst I've ever seen how's his metabolic rate his M factor is 100 so you would think this guy would probably have a terrible metabolism but in fact he's got a pretty good metabolism unlike uh unlike the uh former patient one we just saw before this um okay nothing to fix there let's go down to how well he burns fat his C Factor how well he burns fat at rest is at 87 now I questioned him and I asked him how you been eating the last four to five days and he said you know what I've been on a really low carb diet and I said you know what your resting fat metabolism is almost at 90 it's not bad this low carbohydrate diet that you've been on the last four to 5 days I want you to stay exactly on that don't change that and he says well that represents a lot less carbohydrate than I'm used to and I'm saying yeah uh but it's a good start for you so stay on that program so we're going to make some changes in his diet and I'm going to have him continue to stay on low carbohydrate program he will talk to my nutritionist and she will talk to him more about that um his fat burning factor which is his body's total capability of burning fat when we exercise is a lousy 53% this guy has some serious problems burning fat so I'm going to have to really come up with a better formula uh for him and so uh let's go back and look at this chart right in here so what I'm telling you is uh he he doesn't burn fat very well at all he's a horrible fat burner now uh even when we exercise so that means it's not cuz he's a a fast oxidizer he's a slow oxidizer how do I know that well you just look at him he's overweight it's pretty easy to tell he's the mesomorphic type uh on the football team he would have been the Lin man or the fullback uh not the wide receiver the defensive halfback but uh at any rate uh he's a slow oxidizer he's supposed to be burning fat this way and he's not doing it at all what are the pro what could be the problems he might not have enough cortisol uh let's look and let's see no that doesn't seem to be a problem with him he doesn't have any symptoms suggestive of low adrenal function um he we his metabolism looks okay so it's not thyroid is something wrong with his insulin mechanism and yes he's got type two diabetes so he has a significant problem around here so there's some issue here that we need to deal with but the fact is that he is not burning fat well so uh what what the kind of things we're going to give to him we're going to give him elcar we're going to give him a lot of niin uh we can check his fatty acids his triglycerides are probably going to be Skyhigh uh well let's see I don't see them right off the hand but see if I can I'm sure triglycerides are pretty high here given uh the numbers that we're seeing on this thing but uh was see if I can find them I don't see them right like here but um I'm going to give them lipoic acid because even though the chart doesn't mention it lipoic acid is a key element for burning fat uh so we'll give him prescriptions like that and uh let's see what I in fact gave him and I did uh we also tested him for low testosterone he was very low in his testosterone so we tged them on testosterone again you need testosterone to burn fat too so you need your anabolic hormones so so as I look at this guy he's got a terrible EQ his metabolism is okay his resting fat is okay on a low carb diet so as long as he stays on that he's going to be good uh but his fat burning his his lesion is basically this he can't do this and for a diabetic who can't burn fat that means they got the only other choice is they got to burn glucose for a diabetic that's a hurting situation so the only hope for this guy according to the bio energy test is to upregulate his fat metabolism what's the other way I can do that besides that I've already talked about we talked about anabolic hormones um is exercise exercise so exercise in this guy is going to turn out to be key and huge and that's what I can tell him I can tell him you know of all the things that your physician can tell you the one that you're going to get the most bang for your buck is an exercise now if we look at him again to use this grap here's where he is can this guy ever get here I would say the the the odds are slim it's possible but I've been doing this a long time I would say the most we're going to do is get him in here someplace if I can get him over here I'd be one happy doc if I could get him here I would be thrilled probably we're going to get him here or somewhere in between here but at least we're going to move him out of there and a little bit closer so we he'll be healthier he'll um he'll have a better quality life as he gets older I would have loved to have gotten a hold of this guy say 10 years ago when he was in here before his doctors made any diagnosis of diabetes at all I'd have done the bioenergy test on him I'd have found out he was here and I could have stopped him from ever going here but at this point it may be too late remember you get over this thing and you got a certain amount of mitochondrial Decay and for this 59y old man it may be a little too late to get him over here but we can still work with him in terms of exercise let's look at his exercise numbers they're just horrible uh bi by the way his biological index is which is as bad as it gets it defaults out at 30 can't get any lower so in terms of his he Health standpoint he is definitely in this column um but look at look at his exercise numbers his fat burning Factor let's go to this column here his fat burning uh uh heart rate is at 80 so he's maxing out at a heart rate of 80 that's hardly like just walking across the room his his he's maxing outed his glucose his anerobic threshold is at 85 so when his heart rate gets just like five five point difference between here and here he's starting to get anobi already this guy gets anobi walking across the room now exercise physiologists may tell you that's impossible but I'm here to tell you it's possible we see it all the time this guy is anerobic basically doing here it got horrible horrible physical condition uh one of the ways you can measure your phys or determine your physical condition is what's what's the overall difference between your fat burning heart rate and your Anor robic threshold heart rate if there's a wide variation you're in pretty good shape now the previous woman remember I think her heart rate was on the one end it was want to say her fat burning heart rate was 95 on the other end was 115 that's not a real wide spectrum but that's a 20 point Spectrum that's not terrible this guy's spectrum is only five there's only five points difference between maximum fat and maximum and his anerobic threshold means she was in fairly decent shape and if you can remember cardiac output was excellent this guy is in terrible shape now here's kind of the good news in this and this is what I would tell them I say here's the good news in this you've got a real problem you've got some diseases you're in this column but we found that probably if you just get yourself in good shape you're in such bad shape now you might seriously recover a lot of your disease process just by getting in good shape so this man bioenergy testing has taught me that the key to this man is his diet low carb because that's working for him and exercise exercise exercise exercise and exercising absolutely appropriately for me to send him to a gym without the guidelines that I've learned on this test where he shouldn't be going over a heart rate of 85 very long those people in Jim I guarantee you they' had him at a heart rate 115 120 it's more or less a guarantee cuz they wouldn't have known better have access to this data they would have known better and they'd have just been hurting him and he'd have been getting disgusted he wouldn't have seen the results he wouldn't be getting any healthier it' actually be hurting him they'd have been exercising him up in here because that they'd assume he was like this guy or something but they'd have been totally wrong he'd have been exercising all wrong he would have hated it he wouldn't gotten worse but what we can do is prescribe exact right exercise and be all over him in terms of exercise in his diet and yes we go on and we give him the usual things that that all you Docs out there right now we thinking you're thinking chromium um uh you're thinking lipoic acid uh you might be thinking vanal sulf but you're thinking all the things that we know about uh herbs there's a whole bunch of herbs that could be may be helpful for that guy but in terms of the what's going to get him the biggest bang for his buck it's exercise okay so good we've seen three fairly different patients with different results and and things that the bioenergy test has helped us to gear in on those three patients and I got one more left for you so just stick with me this won't take too much longer and um this one's going to be a little bit of a different case CU I took a peek in ahead of time and I know now this lady is one on whom I apparently have done a lot of them so let's just look at her I first saw her in 2005 when she was 35 years old at that point her energy quotient was 71 okay that's not all that great um for 35 year older that's 30% less than the average 35 year older her her uh her height and weight uh she was about 8 PBS overweight let's see what she was complaining about she notes that her mom has diabetes but other than that she didn't feel too well and she just wanted to lose the weight I mean she didn't feel too badly and she just wanted to lose the weight so that was basically her goal let's lose some weight now remember told you some women can be overweight and be in great shape she's not one of them her energy quotient was all the way down to 71 her metabolic Factor her M Factor was at 86 indicating that there was something wrong with her metabolism could it have been thyroid could it have been adrenal uh I look at her adrenal history uh there's no history to suggest that she's adrenally deficient so I think that's probably not the issue so I'm thinking more of her thyroid and so uh I'm looking at my chart now I'm seeing I did put her on thyroid okay so that's one thing that that even though her thyroid blood tests were normal and I couldn't have known she needed to be on thyroid had I not had this bioenergy test uh I put her on thyroid anyway even though her blood tests were in range now I'm going to make sure as I put her on thyroid that I repeat the blood test and that I keep her T3 and T4 in range not going to worry so much about her TSH because remember she could have a metabolic disorder at a cellular level which won't be reflected in the TSH the TSH could end up getting suppressed anyway I'm going to care about her over her overall metabolic rate and I know that her over all metabolic rate is at 86% it's a little bit down so that's what we're going to work on with her just a little bit of thyroid throw that in there but how well is she burning fat remember Chief complaint is being overweight well her C factor is at 75 that's fairly low that's her resting fat metabolism so that's fairly low her fat burning factors is at 72 so she basically doesn't burn fat that well and one of her reasons is probably that she eats too many carbs so I would put her on a low carb program and bring her back and then retest her to make sure that her C Factor went up and um and I would give her co-actors similar to what we did with the last patient maybe some lipoic acid maybe some some niin maybe some ELC carnitine um maybe some herbs to help her burn fat better like uh green tea extract something like that we giving her the thyroid that'll make her burn fat better I'm taking her off the carbs that'll lower insulin lals and let her burn fat better and so I think I got a pretty good program for her already uh and then I'm going to go ahead and put her on uh an exercise program now there's a big difference between her and some of the other cases her fat burning heart rate uh was at so um by the way she would be in this column right in here her EQ is lower so she's in this column she burns fat maximally at a heart rate of 110 uh she becomes Anor robic at a heart rate of 130 um there's no way that we could have predicted this with equations we have to measure it so when I Center to the gy I'm centering it arm to show her trainer listen you're going to put she's going to max out anerobic at 130 uh 130 so don't don't have her working over 130 very long maybe 2 minutes every now and then that's all mostly we like her hanging out at 130 and then we like her doing a lot of recovering here at uh um a heart rate of 110 now there's what there's a 20 point difference between that so she's in she's in pretty good shape well she should be at this point in time she's only 35 uh what else can I tell her her heart Factor back then was only at 69% so she was in much worse shape from a cardiovascular standpoint than I would have imagined her lung Factor was at 72 um now that's not very good and it makes me wonder if she didn't even have a little reactive Airway although I will tell you that when you measure fvc sometime if the patient isn't well motivated you get a low number and so it may have been that she wasn't well motivated and didn't really take as deep a breath as we wanted her to um so let's flash up now so that was in ' 05 let me let me just see go to the next test and see what happened okay so that was in March no let me see that was in December of 05 the next time we've got her is in April of 06 so let's see what happened let's and in fact let me tell you exactly what I did with her um I uh put her on uh some fat burning herbs uh I put her on some niin some carnitine I put her on coenzyme Q10 uh an exercise program put on some thyroid extract uh I gave her gave her uh two grains of desiccated thyroid hormone I put her on a lower carb diet and that basically was the intervention so let's let's see what happened she came back and her energy quotient was still 71 in other words it hadn't gotten much better her M Factor was identical no change there and her fat burning uh factors were all identical no change there in fact this test looks absolutely identical to the December even down to the exercise numbers it's literally identical to the one we did in December so uh uh basically let me take a look at my note my guess is she didn't do anything here um well that that Bas that's exactly what happened she came back and said that she she got sick and she just bagged the whole thing and didn't do anything so so in in essence the second test was sort of helpful it kind of shows her you know if you don't change what you're doing probably nothing's going to change and uh that's certainly the case and to be optimistic I told her you know what at least you're no worse um so I said go back on your program and let's check you back a little bit later and let's see what she came down with and now that's April of 06 so um uh then let's look at uh 4 months later and four months later her metabolism is finally starting to come up um her uh her her C factor which is her ability to burn fat has come up metabolism is now at 91% I would consider that normal so the two grains are working pretty nicely there her a caor ability to burn fat has come up from 72 to 86 so her carbohydrate diets working well there her fat burning Factor if you recall was way down there around 70s it's now up to 91 so she's burning fat better she has dropped 4 lbs not amazing for 4 months but uh being as how she's not following the uh the calorie program all that great um and she's more or less happy with how she's doing let's see with her heart Factor remember was terrible it's up a little bit to 74 but all in all uh she has not and her and her energy quoti is still 73 so even though she's looking a little bit better even though she's starting to move her fat she's still in this column she's moved she's moved a little closer to this column but she hadn't got to this column yet okay let's see if I have any more data on her it would be really nice to maybe that was in 8 of 06 let me see if her um ah okay this is good so this is in 12 um nope sorry sorry wrong date 07 12 of 07 finally we hit payer with this woman her uh her uh weight is more or less the same uh but her EQ is now at 116 so she's moved now into this column she was over here she gradually inched her way over and now she's finally in this column uh the fat burning and the glucose is has also improved her C factor is now at a at 100 that's that that's that's really hard to believe her fat burning factor is at 123% so she is dramatically she's she's actually in between here and here so she has done really well now why is this particularly motivating uh because here's a woman who's only 35 years old um she's not in this column but she's in this column and left to her own devices remember her mom's diabetic uh so left her her own devices I could almost guarantee you that this weight she's gaining is just the tip of the iceberg that in another 20 to 30 years uh some doctor somewhere would be diagnosing her with a list long of medical conditions all of which would have been 100% preventable had he known 20 years earlier that she was here and been able to use this data to move her more in that direction and uh and so this is this for me is why I am mtic and these days a case like this is why I why I go to the office because I know that uh this woman here stands real real good she's learning a real good chance of living long and living well not getting any of the diseases that her mother's gotten and having a very high quality of life as she get gets older um I know that by working with me over the last year and a half and looking at these bio energy testings and seeing what happens when she does it like she's supposed to and seeing what happens when she doesn't do it like she's supposed to that and seeing how she's improved uh I know that she's learned how her Body Works uh she's highly motivated she feels in control of her body uh and just like an athlete she's kind of in tuned to what her body needs to get get the results and I know that at this point she's not going to Le need a lot of my supervision to continue to move in this direction and I wouldn't be surprised if uh not too long one of these days we see her right up in there and that'll that'll make my day when I see that we see lots of cases with this possibility is she may never get here it may be that she just doesn't have the greatest genetics so not everybody's built the same some people have fabulous genetics some don't but that's not the point that's not the issue we can't alter our genetics but but we can alter the way we live such that no matter where we are on this spectrum here we can move ourselves away from disease and to health to to a major degree by making these changes that we've talked about and to me the key to that entire process is bioenergy testing so that that brings us kind of to the end of this uh uh part of the lecture series I do want to uh just leave you with uh some contact information uh that's the office phone number this is our fax number we have two websites they're both pretty easy to remember one is anti-aging medicine all strung together anti-aging medicine.com the other one is bioenergy testing.com if you're a physici out there and you're interested in being able to uh measure your patient cellular energy production and get all the tremendous benefits from that that we've talked about here in these in these last four parts to this series uh just get a hold of us if you're a patient and you're interested in having this test yourself uh you can go to the bioenergy testing uh.com website and there's a referral list in there of all the clinics that have this test available and uh you can find the one that's closest to you uh right now there's not nearly as many doctors utilizing this new technology as as we hope there will be in the years to come uh but hopefully there'll be somebody that's not too far away from you just remember the first year or two that you're into doing this might might only have to get the test every 6 months so even if they're far away to me this is well worth the opportunity to to to fly into or travel to where you need to go to get the test done so you can fine-tune yourself and more or less guarantee that as you get older and live longer you'll have full of energy you'll be bursting with energy and you'll have no disease and you'll feel great and be fully functional I anticipate that we could all live to be celebrating our H 100th birthday by riding our bikes up a mountain and then having a nice party afterwards uh so until we meet again U thanks for watching this four-part series and uh best of help to all of you God bless