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On this episode of Advances in Care , host Erin Welsh and Dr. Craig Smith, Chair of the Department of Surgery and Surgeon-in-Chief at NewYork-Presbyterian and Columbia discuss the highlights of Dr. Smith’s 40+ year career as a cardiac surgeon and how the culture of Columbia has been a catalyst for innovation in cardiac care. Dr. Smith describes the excitement of helping to pioneer the institution’s heart transplant program in the 1980s, when it was just one of only three hospitals in the country practicing heart transplantation. Dr. Smith also explains how a unique collaboration with Columbia’s cardiology team led to the first of several groundbreaking trials, called PARTNER (Placement of AoRTic TraNscatheteR Valve), which paved the way for a monumental treatment for aortic stenosis — the most common heart valve disease that is lethal if left untreated. During the trial, Dr. Smith worked closely with Dr. Martin B. Leon, Professor of Medicine at Columbia University Irving Medical Center and Chief Innovation Officer and the Director of the Cardiovascular Data Science Center for the Division of Cardiology. Their findings elevated TAVR, or transcatheter aortic valve replacement, to eventually become the gold-standard for aortic stenosis patients at all levels of illness severity and surgical risk. Today, an experienced team of specialists at Columbia treat TAVR patients with a combination of advancements including advanced replacement valve materials, three-dimensional and ECG imaging, and a personalized approach to cardiac care. Finally, Dr. Smith shares his thoughts on new frontiers of cardiac surgery, like the challenge of repairing the mitral and tricuspid valves, and the promising application of robotic surgery for complex, high-risk operations. He reflects on life after he retires from operating, and shares his observations of how NewYork-Presbyterian and Columbia have evolved in the decades since he began his residency. For more information visit nyp.org/Advances…
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Inhalt bereitgestellt von Doug Larson and Barbell Shrugged. Alle Podcast-Inhalte, einschließlich Episoden, Grafiken und Podcast-Beschreibungen, werden direkt von Doug Larson and Barbell Shrugged oder seinem Podcast-Plattformpartner hochgeladen und bereitgestellt. Wenn Sie glauben, dass jemand Ihr urheberrechtlich geschütztes Werk ohne Ihre Erlaubnis nutzt, können Sie dem hier beschriebenen Verfahren folgen https://de.player.fm/legal.
New episode every Wednesday! Join the Barbell Shrugged crew in conversations about fitness, training, and frequent interviews w/ CrossFit Games athletes!
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Inhalt bereitgestellt von Doug Larson and Barbell Shrugged. Alle Podcast-Inhalte, einschließlich Episoden, Grafiken und Podcast-Beschreibungen, werden direkt von Doug Larson and Barbell Shrugged oder seinem Podcast-Plattformpartner hochgeladen und bereitgestellt. Wenn Sie glauben, dass jemand Ihr urheberrechtlich geschütztes Werk ohne Ihre Erlaubnis nutzt, können Sie dem hier beschriebenen Verfahren folgen https://de.player.fm/legal.
New episode every Wednesday! Join the Barbell Shrugged crew in conversations about fitness, training, and frequent interviews w/ CrossFit Games athletes!
…
continue reading
1226 Episoden
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In today's episode of Barbell Shrugged the team digs into liver health, biomarkers, and optimization. The liver is a remarkable organ that performs numerous essential functions necessary for our overall well-being. Maintaining a healthy liver is vital, and understanding the role of biomarkers and optimization can help us achieve that goal. Our lifestyle choices significantly impact liver health. Unhealthy habits such as a processed food-heavy diet, excessive alcohol consumption, sedentary behavior, and chronic stress can damage the liver. On the other hand, adopting a healthy lifestyle with a balanced diet, regular exercise, stress management, and moderate alcohol consumption promotes optimal liver function. Biomarkers play a crucial role in assessing liver health. These measurable indicators, including liver enzymes like ALT and AST, bilirubin levels, and imaging techniques like ultrasound and MRI, provide valuable insights into liver function and overall health. By monitoring these biomarkers, healthcare professionals can identify inflammation, damage, and diseases such as fatty liver disease or viral hepatitis at an early stage, enabling timely intervention and prevention of further damage. Diet is a key factor in optimizing liver health. A nutrient-rich diet low in processed foods, added sugars, and unhealthy fats supports liver function. Foods such as leafy greens, cruciferous vegetables, fruits, whole grains, lean proteins, and healthy fats like avocados and olive oil provide necessary nutrients and antioxidants for the liver's detoxification processes. Supplements and herbs can also aid liver health. Milk thistle, containing silymarin with antioxidant and anti-inflammatory properties, has been used for centuries for its hepatoprotective effects. Other supplements like N-acetylcysteine (NAC) and turmeric have shown potential benefits in supporting liver health. It's important to consult with a healthcare professional before starting any new regimen to ensure personalized guidance. Alcohol consumption significantly impacts liver health. Excessive and chronic alcohol consumption leads to inflammation, fatty liver disease, and cirrhosis. Practicing responsible drinking by limiting alcohol intake and incorporating alcohol-free days is crucial for liver protection. Mental well-being is intertwined with liver health. Chronic stress and poor mental health can affect liver function. Implementing stress management techniques such as meditation, exercise, and seeking support from loved ones or professionals can reduce stress levels and support liver health. In conclusion, optimizing liver health through lifestyle modifications, biomarker monitoring, dietary adjustments, responsible alcohol consumption, and stress management is essential for overall well-being. Prioritizing a healthy lifestyle and seeking professional guidance can make a significant difference in supporting the liver's vital functions. Remember, a healthy liver leads to a healthier life. Anders Varner on Instagram Doug Larson on Instagram Travis Mash on Instagram Dan Garner on Instagram…
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1 Tracking and Optimizing Metabolic Fitness w/ Dr. Kamellia Dimitrova, MD, Anders Varner, Doug Larson, and Travis Mash #785 50:23
Dr. Kamellia Dimitrova, MD, is a pioneering physician, researcher, and innovator in metabolic health and longevity. With over 30 years of experience in mainstream medicine, including a background in cardiac surgery and clinical research, she has dedicated her career to transforming health outcomes through data-driven precision interventions. As the founder and CEO of Quantum Heart Inc., Dr. Dimitrova leads the development of cutting-edge, noninvasive medical technologies that continuously track and optimize metabolic fitness. Dr. Dimitrova specializes in reversing dyslipidemia, hypercholesterolemia, coronary artery disease, and hypertension using a highly personalized, algorithm-driven approach. By leveraging continuous physiological monitoring, functional health assessments, and AI-driven modeling, she empowers individuals to regain control over their health. Her method integrates metacognition and precision medicine, enabling clients to understand and reprogram their biological responses for long-term vitality. Her expertise has been sought by leading institutions, and her research has been published in over 40 peer-reviewed journals. She holds multiple patents in the field of biomedical innovation and physiological modeling, contributing to advancements in noninvasive tracking of body composition, glucose, blood pressure, and energy balance. Before founding Quantum Heart Inc., Dr. Dimitrova worked extensively in clinical research and product development, applying machine learning and AI to human physiology. Her work bridges the gap between traditional medicine and cutting-edge technology, offering a revolutionary approach to preventing and reversing chronic diseases. Dr. Dimitrova is passionate about teaching and mentorship, working with institutions such as the National Science Foundation, NIH amd NASA to advance new medical technologies. Her clientele includes individuals with complex metabolic conditions, elite athletes, and organizations seeking next-generation health solutions and health . In this episode, we discuss continuous physiological tracking, metabolic flexibility, AI-driven health optimization, and real-time interventions for disease prevention—all designed to enhance longevity, resilience, and peak performance. Work With Us: Arétē by RAPID Health Optimization Links: Work with Dr. Kamellia Dimitrova, MD Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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1 Physiology Friday: Metabolic Flexibility and Micronutrients w/ Dr. Mike T Nelson 1:47:25
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Dr. Mike T. Nelson has spent 18 years of his life learning how the human body works, specifically focusing on how to properly condition it to burn fat and become stronger, more flexible, and healthier. He’s has a PhD in Exercise Physiology, a BA in Natural Science, and an MS in Biomechanics. He’s an adjunct professor and a member of the American College of Sports Medicine. Dr. Nelson has been called in to share his techniques with top government agencies. The techniques he’s developed, and the results he gets for his clients have been featured in international magazines, in scientific publications, and on websites across the globe. In this episode, we talk about heart rate variability, metabolic flexibility, mastering micronutrients, holistic approaches to vitamins and minerals, supplementation needs for health and performance, and more. Enjoy!…
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1 [Health Anxiety] Addressing the Underlying Fears of Injury and Aging w/ Emily Hightower, Anders Varner, Doug Larson, and Travis Mash #784 56:13
As an Educator and Coach at SH/FT, Emily Hightower leverages her expertise in the neurophysiology of trauma and resilience to help clients master their stress response and improve their quality of life. By combining over 25 years of experience as a breathing expert, yoga teacher, river guide, and wilderness EMT, Emily empowers high performers to disrupt limits, align with nature, and heal their bodies and minds. Emily developed SH/FT’s Skill of Stress course and teaches the N=1 Exposure Experience and Mentorship program with Brian MacKenzie. Her experiential teaching approach enables clients to understand and direct their stress response to drive optimal performance under pressure while promoting long-term balance. Before joining SH/FT, Emily founded Intrinsic, where she helped combat veterans, athletes, and clients recovering from substance abuse resolve past traumas and gain clarity using a science-based approach and tools such as breath, exposure, somatic yoga, archery, and integrative nutrition. Earlier in her career, Emily’s practice was based in a neurology clinic, where she integrated her approach with cutting-edge neuroscience and research. Her clients include the United States Special Operations Command Adaptive Care Unit and other Veterans services in the US and Abroad. She also served as the Education Director for the Headwaters Institute, facilitating river education seminars on 28 watersheds in the US and Chile. Emily is a Master Yoga Teacher with 16,000+ hours of teaching experience specializing in Pranayama Breathing. She lives with her husband, Brian Hightower, and their son and loves to ski, run rivers, and bow hunt. Work With Us: Arétē by RAPID Health Optimization Links: Emily Hightower on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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1 Physiology Friday: [L-Carnitine] Protocols to Improve Heart Health, Performance, and Turn Fat into Energy w/ Anders Varner, Doug Larson, and Dan Garner 45:24
L-Carnitine is a naturally occurring amino acid derivative that plays a crucial role in energy metabolism within the human body. It is synthesized in the liver and kidneys from the amino acids lysine and methionine. L-Carnitine is primarily involved in the transport of long-chain fatty acids into the mitochondria, the energy-producing organelles within cells, where they can be oxidized to generate ATP (adenosine triphosphate), the body's main energy currency. Here are some key aspects and functions of L-Carnitine: Energy production: L-Carnitine facilitates the transport of fatty acids into the mitochondria, enabling their breakdown and subsequent conversion into ATP. This process is essential for maintaining energy levels throughout the body. Fat metabolism: By aiding in the utilization of fatty acids as an energy source, L-Carnitine contributes to fat metabolism and can potentially support weight management and fat loss efforts. Exercise performance: L-Carnitine has been studied for its potential benefits in enhancing exercise performance. It may help improve endurance, reduce muscle damage, and enhance recovery by optimizing energy utilization during physical activity. Heart health: L-Carnitine plays a crucial role in maintaining cardiovascular health. It assists in the transport of fatty acids to the heart muscle, providing a valuable energy source. L-Carnitine supplementation has been studied for its potential benefits in various cardiac conditions, including heart failure and angina. Brain function: L-Carnitine is involved in maintaining healthy brain function. It can cross the blood-brain barrier and acts as a neuroprotective agent, potentially supporting cognitive health and neurological well-being. Anders Varner on Instagram Doug Larson on Instagram Dan Garner on Instagram…
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1 How Your Cardiovascular System Improves Metabolic Health w/ Dr. Nathan Jenkins, Anders Varner, Doug Larson, and Travis Mash #783 51:50
Dr. Nathan Jenkins is the new labs analyst for RAPID Health Optimization. He was previously a tenured professor of exercise science, and has worked for many years as a nutrition coach with over 1000 clients to date. Dr. Jenkins blends evidence-based practices and real-world experience, with academic expertise in lifestyle modification for chronic disease prevention, and a passion for helping clients optimize body composition and develop sustainable health habits for longevity. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Nathan Jenkins on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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1 Physiology Friday: [Oura Ring] Science Based Solutions to Improving Sleep with Dr. Mike Nelson 44:28
In today's fast-paced world, optimizing our health and performance has become paramount. Sleep, recovery, and performance are integral aspects of our well-being, and understanding and improving them is crucial. This is where the Ōura Ring comes into play. This revolutionary wearable technology aims to unlock your potential by providing insights and data to enhance your sleep, recovery, and overall performance. In this article, we will delve into the goal of the Ōura Ring, explore its functionalities, and uncover how it can help you track and improve your sleep, recovery, and performance. The Goal of the Ōura Ring The Ōura Ring is designed with a clear objective in mind: to empower individuals to take charge of their well-being and unleash their full potential. By combining cutting-edge technology and scientific principles, the ring provides personalized data and insights, enabling users to make informed decisions and optimize their sleep, recovery, and performance. Understanding the Ōura Ring At first glance, the Ōura Ring may appear to be a sleek and stylish piece of jewelry. However, beneath its elegant exterior lies a multitude of sensors and advanced technology. The ring is equipped with infrared LEDs, a 3D accelerometer, a gyroscope, and a temperature sensor, all working together to collect an array of data. The ring's sensors track various physiological signals, including heart rate, heart rate variability (HRV), body temperature, and movement. By analyzing these data points, the Ōura Ring provides comprehensive insights into sleep, recovery, and activity levels. Tracking and Improving Sleep One of the standout features of the Ōura Ring is its ability to monitor and analyze your sleep patterns. By measuring key metrics such as sleep duration, sleep stages (including deep sleep, REM sleep, and light sleep), and sleep latency, the ring provides valuable insights into your sleep quality. These insights help you understand how well you are sleeping and identify areas for improvement. Armed with this information, you can take proactive steps to optimize your sleep. The Ōura Ring offers personalized suggestions and recommendations, such as adjusting your bedtime routine, creating a sleep-friendly environment, or practicing relaxation techniques. By making informed changes based on the ring's insights, you can enhance the quality and duration of your sleep, waking up refreshed and rejuvenated. Enhancing Recovery Recovery plays a vital role in our overall well-being and performance. The Ōura Ring recognizes this and provides a comprehensive view of your recovery by analyzing metrics such as HRV, resting heart rate, and body temperature. HRV, in particular, is a key indicator of your body's readiness to perform at its best. With the Ōura Ring, you can monitor your recovery trends over time and identify factors that may positively or negatively affect your recovery. Armed with this knowledge, you can make informed decisions regarding your training intensity, rest days, and stress management strategies. By prioritizing recovery and utilizing the insights from the ring, you can optimize your performance and minimize the risk of burnout or overtraining. Optimizing Performance The Ōura Ring goes beyond sleep and recovery, offering features that help you optimize your performance in various aspects of life. The ring tracks your daily activity, providing data on steps taken, calories burned, and active time. This information allows you to set and monitor your fitness goals, ensuring you stay on track and make progress. Moreover, the ring's comprehensive analysis of your sleep, recovery, and activity enables you to identify patterns and correlations between these factors and your overall performance. By leveraging this knowledge, you can fine-tune your routines, optimize your training schedules, and make lifestyle Connect with our guests: Dr. Michael T. Nelson on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram Dan Garner on Instagram…
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1 Science Backed Supplements for High Performance w/ Coach Flavia Pereira, Anders Varner, Doug Larson, and Travis Mash #782 51:34
Flavia is a passionate CISSN nutrition coach, full-time Exercise & Sport Science faculty member, and beach volleyball strength & nutrition coach. She has been teaching and coaching for the past 18 years. She graduated with a B.S. and M.S. in Kinesiology - Exercise Science and is pursuing her Ph.D. in Health & Human Performance. Flavia is part of the Rapid Health Optimization team as a nutritionist and a research team for the International Society of Sports Nutrition, participating in different projects related to ergogenic supplements. Flavia has been involved in athletics as a volleyball athlete, coach, and fitness enthusiast. She attended the University of Arkansas and Georgia Southern University on a volleyball scholarship for her B.S. and received her M.S. as a graduate assistant at FAU. Outside of work, Flavia is a mom to Leo (9 years old), and Maya (a 6-year-old golden retriever), and some of her hobbies are playing beach volleyball, working out, traveling, walking Maya, and being a soccer mom. Work With Us: Arétē by RAPID Health Optimization Links: Coach Flavia Pereira on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
In today’s episode of Barbell Shrugged Dan Garner dives into how you can start to analyze your yearly bloodwork for performance. Standard blood tests can be ordered around the globe, in every country, and are the gold standard for understanding basic health. The normal reference ranges, however, are not giving you the answers you are looking for when it come to optimizing your health and performance. In this episode you will learn: What's the mindset/philosophy of looking at bloodwork for performance if it's classically a health screen? Generally speaking, energy is what every performer needs regardless of their pursuit. How can one look at bloodwork to improve their energy levels? Electrolytes come on every panel, can these be used to look at hydration and performance? You've talked a bunch about the immune system in past podcasts so I'm wondering what a basic blood panel can tell us about the current state of our immunity? What general recommendations do you have in terms of preparation so when someone gets their blood draw they can ensure it's accurate? To learn more, please visit https://rapidhealthoptimization.com to see Dr. Andy Galpin and Dan Garner do a free lab, lifestyle, and performance analysis. Dan Garner on Instagram Anders Varner on Instagram Doug Larson on Instagram…
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1 The Path to Optimizing Health and Performance w/ Dr. Baseer Kahn, Anders Varner, Doug Larson, and Travis Mash #781 43:55
Born and raised in Canada, Dr. Baseer Khan received his MD from the University of Toronto where he was honored to have received the Sigmung Vaile Award for Top Surgeon in his graduating class and received several research awards during his training. He went on to complete subspecialty training in Glaucoma and Advanced Anterior Segment Surgery. As an Assistant Professor at the University of Toronto and international Ophthalmology consultant for multiple companies, Dr. Khan is actively involved in teaching and research and development on local, national and international platforms. Dr. Khan has published extensively in journals and books and is often sought as an expert in advanced and challenging cases. He has also developed and designed surgical instrumentation for new surgical techniques. Dr. Khan has dedicated a segment of his practice as well to humanitarian work, much of which has been in Vietnam. Dr. Khan is currently the Executive Lead Physician at Southlake Regional Health Centre in Newmarket, Ontario and Director of the Clarity Eye Institute in Ontario. Work with RAPID Health Optimization Links: Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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1 Physiology Friday: [Chronotype] The One Thing More Important than Getting 8 Hours of Sleep w/ Dr. Chris Perry, Anders Varner, Doug Larson, and Travis Mash 54:24
Dr. Christopher A. Perry, an Assistant Professor at Eastern Kentucky University, began his fitness journey at Penn State University, where he developed a robust background in Strength & Conditioning leading to 17 years in the industry to date. His academic path, leading through a PhD at Arizona State University, deepened his expertise in Exercise Science & Sports, Sleep & Circadian Rhythms, and Nutrition. Chris's current research focuses on sleep, movement analysis, and CO2 tolerance, particularly in tactical populations and collegiate athletes. His work aims to enhance performance, wellness, and longevity health outcomes, demonstrating his commitment to advancing the field of exercise and sports science. Beyond his academic pursuits, Chris is an executive performance coach, weight loss consultant, fitness entrepreneurship mentor, podcast host, and enjoys engaging in coffee culture and movie discussions. Work with RAPID Health Optimization Links: Work with Dr. Chris Perry Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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1 Blood Flow Restriction Training w/Dr. Jeremy Loenneke, Anders Varner, Doug Larson, and Travis Mash #780 49:33
Dr. Jeremy Loenneke received his Ph.D. in Exercise Physiology from the University of Oklahoma, where he was mentored by Dr. Michael Bemben. Dr. Loenneke previously received his Master’s degree in Nutrition and Exercise Science from Southeast Missouri State University, where he was mentored by Dr. Joe Pujol. Dr. Loenneke is a member of the American Physiological Society and the American College of Sports Medicine. He also serves on the editorial boards of many publications, including Sports Medicine, AGE, Medicine and Science in Sports and Exercise, and the Journal of Applied Physiology. Dr. Loenneke’s study focuses on the adaptations of skeletal muscles to exercise in the presence of blood flow limitations. His latest study has provided answers to numerous critical methodological and safety problems about the use of blood flow restriction. Loenneke is the director of the Laboratory of Applied Physiology Kevser Ermin and his research group focuses on skeletal muscle adaptations to exercise with and without blood flow restriction. He is a member of the American Physiological Society and a Fellow of the American College of Sports Medicine. Work with RAPID Health Optimization Links: Jeremy P Loenneke on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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Barbell Shrugged
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1 Hustle, Loyalty, Respect w/ John Cena, Anders Varner, Doug Larson, and Travis Mash #779 1:05:44
1:05:44
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John Cena is an actor, rapper, and recently retired professional wrestler. In WWE, Cena has won 17 championships in total, including 10 World Titles. In addition, Cena has also won the WWE United States Championship three times, and is a four-time Tag Team Champion, having held the World Tag Team Championship twice, and the WWE Tag Team Championship twice. Cena also won the 2008 Royal Rumble match and is a two-time Superstar of the Year Slammy Award winner (2009 and 2010). Outside of wrestling, Cena has released the rap album “You Can't See Me” which debuted at #15 on the US Billboard 200 chart, and starred in the feature films The Marine (2006), 12 Rounds (2009), and Legendary (2010). Cena has also made appearances on television shows including Manhunt, Deal or No Deal, MADtv, Saturday Night Live, Punk'd, and Psych. Cena was also a contestant on Fast Cars and Superstars: The Gillette Young Guns Celebrity Race, where he made it to the final round before being eliminated, placing third in the overall competition. Work with RAPID Health Optimization Links: If you can’t find John Cena on the internet it is because “You Can’t See Him” Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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Barbell Shrugged
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1 The Rhythm of Rest: Unlocking Sleep Potential Naturally w/ Dr. Chris Perry, Anders Varner, Doug Larson, and Travis Mash #778 54:59
Dr. Christopher A. Perry, an Assistant Professor at Eastern Kentucky University, began his fitness journey at Penn State University, where he developed a robust background in Strength & Conditioning leading to 17 years in the industry to date. His academic path, leading through a PhD at Arizona State University, deepened his expertise in Exercise Science & Sports, Sleep & Circadian Rhythms, and Nutrition. Chris's current research focuses on sleep, movement analysis, and CO2 tolerance, particularly in tactical populations and collegiate athletes. His work aims to enhance performance, wellness, and longevity health outcomes, demonstrating his commitment to advancing the field of exercise and sports science. Beyond his academic pursuits, Chris is an executive performance coach, weight loss consultant, fitness entrepreneurship mentor, podcast host, and enjoys engaging in coffee culture and movie discussions. Work with RAPID Health Optimization Links: Dr. Christopher Perry on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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Barbell Shrugged
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1 [Women’s Health] Menstrual Cycles and Menopause w/ Dr. Stephanie Estima, Anders Varner, Doug Larson, and Travis Mash #777 1:02:35
1:02:35
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Dr. Stephanie Estima is a doctor of chiropractic with a special interest in metabolism, body composition, functional neurology, and female physiology. She's been featured on Thrive Global, of the Huffington Post, has over 3.5 million article reads on Medium.com , and has helped thousands of women lose weight, regulate hormones, and get off medications with her signature program, The Estima Diet. You can hear her every week on her podcast, Better! With Dr. Stephanie. Work with RAPID Health Optimization Links: Dr. Stephanie Estima on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram…
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