The Cardiometabolic Health Podcast

In this episode, Andrew recaps the cutting-edge interventions from his most recent lifestyle medicine conference in Boston, Mass.

In this episode, Tommy and Andrew discuss the key concepts inside Peter Attia's new book, The Science and Art of Longevity.

Testosterone (and Hormone Replacement Therapy more generally), can be a controversial topics in Men's Health. Tommy and Andrew sit down to discuss what testosterone does, how to know if you are deficient, and what steps you should take to address any negative effects you may experience as a result of aging related hormone depletion.

As noted in this week's episode, the first intake of our 12 WEEK Immersion Coaching Program is in full swing. If you'd like to get on the information waitlist for the spring intake, just email tommy@hybridfitness.ca

In this "Andrew Only" episode, we discuss Dr. Reichert’s approach to diabetes management and thoughts on exercise and nutrition as medicine. We also discuss the LIBERATE study, as randomized controlled trial that Dr. Reichert is leading and is currently enrolling people with Type 2 diabetes in London, Ontario. The study uses continuous glucose monitoring, fitness tracking and health coaching to better control diabetes.

Dr. Reichert’s Bio:

Dr. Sonja Reichert is a primary care physician, Associate Professor and clinical researcher in the Department of Family Medicine, Schulich School of Medicine & Dentistry at Western University, London, Ontario, Canada.  She primarily works at the St. Joseph’s Primary Care Diabetes Support Program, where she has a focused practice in diabetes, as well as at the St. Joseph’s Family Medical Clinic in general family medicine.

Dr. Reichert is the current Dr. Brian W. Gilbert Research Chair (Western University) in Primary Care Research, with a focus on diabetes, multi-morbidity, and the integration of exercise as medicine into patients’ lives, all observed through the primary care lens.

Dr. Reichert has published several peer-reviewed articles and is a current contributor to the Diabetes Canada Clinical Practice Guidelines.  She is an award-winning teacher (Best Adjunct Non-Core Family Medicine Teacher Award from Western University) and director of Western’s PGY3 Enhanced Skills Chronic Disease Management Program.  Her passion for teaching extends to a variety of students including Post Graduate (Family Physician Residents), and Graduate (Masters and Doctoral) candidates.

Dr. Reichert holds a BSc in Kinesiology from the University of Waterloo, an MSc in Exercise Physiology from the University of Toronto and an MD from McMaster University.

To participate in Dr. Reichert’s LIBERATE study:

RANDOM SHOW! Today we sit down, shoot the stool, and discuss a variety of topics- but focus in on 4 different weight loss trials.

If you need help controlling your diet and getting into the best shape of your life, consider purchasing one of Tommy's Books

Tommy and Dr.Appleton sit down with Dr.Kwadwo Kyeremanteng to discuss the Governmental and Public Health response to the pandemic. They cover such topics as lockdowns, school closures, mandates, charter restrictions, blanket vaccination recommendations, and how quick citizens were to turn on one another.

If you need help controlling your diet and getting into the best shape of your life, consider purchasing one of Tommy's Books 

Rob Hegele is Distinguished University Professor of Medicine and Biochemistry, Western University, and Director of London Regional Genomics Centre at Robarts Research Institute.  He holds the Jacob J. Wolfe Distinguished Medical Research Chair in Human Gene Function, and the Martha G. Blackburn Chair in Cardiovascular Research.

He cares for > 2400 patients in his lipid clinic at University Hospital.  He was among the first in North America to use 5 experimental medications, of which 4 are now available for prescription (rosuvastatin, sitagliptin, lomitapide and evolocumab) to treat high cholesterol or diabetes. In addition, his patients have been among the first in Canada to use mipomersen, anacetrapib, bococizumab, evinacumab, volanesorsen, and inclisiran.

His laboratory, alone or in collaboration, discovered the molecular genetic basis of 25 human diseases.  He has published > 815 papers, which have been cited > 60,000 times in the medical literature.  He is listed in the ISI database of the top 1% of highly cited scientists in the world. In 2021, the website “Expertscape.com” ranked him #1 globally in the area of “hypertriglyceridemia” and #2 for “disorders of lipid metabolism.”

He has co-authored many clinical practice guidelines for cholesterol, blood pressure and diabetes, and has contributed to international guidelines on familial hypercholesterolemia and hypertriglyceridemia. He has trained numerous physicians, medical students and graduate students.

In this episode, Tommy and Andrew discuss strategies for having a successful 2023. Do resolutions work? What actions can you take in the New Year that will give you the highest return? Check out this episode if you're looking to make 2023 your healthiest year yet.

You can also maximize your 2023 resolution with one of our resources below!

Dr.Appleton gives his first hand address of the viral uptick in Ontario Hospitals, including thoughts on mask mandates, medication shortages, and the history of stressed Provincial and Federal Healthcare systems.

Andrew also covers a related Instagram Q and A- questions answered are:

Why do so many children have respiratory issues right now?

Is the spike in RSV linked to lack of viral exposure due to lockdowns etc?

If we didn’t have a supply issue with fever medication, would there be the current problem in Hospital?

How much of the hospital increase is due to hypochondria?

What are people going to the Hospital for that they could not get from a family physician- is lack of appointment availability in primary care an issue?

Why is there a medication shortage?

What is a truly dangerous temperature for a 0-5 year old to reach?

What can parents do at home to prevent going to the hospital?

Are fevers not a mechanism for combatting infection? Is there a downside to liberal fever medication, acutely or chronically?

How bad is the nursing shortage?

Have you seen a fundamental change in the way physicians under 50 practice medicine? How and why?

Why haven’t hospitals hired back staff who were fired per vaccination policies?

In this episode, Tommy and Andrew speak to Dr. Jesse Pewarchuk and Dr. Jasdeep Saluja  of Aroga Lifestyle Medicine (uhh-row-gah). Aroga is a multi-specialty, collaborative lifestyle medicine healthcare organization created to inspire and empower patients to prevent, treat, and reverse many illnesses, and to ultimately increase their health, vitality, and joy. It's about looking at someone as a totality, listening deeply, and then ultimately helping them get back on track.

Below are the questions asked and answered on our very first AMA!

In this episode, we sit down with the Founder of NutritionRx, Jen Broxterman. We discuss all things nutrition but shine a spotlight on the importance of driving behaviour change so healthy habits stick.

To purchase one of Tommy's Bestselling Books, follow the links below

Non Alcoholic Fatty Liver Disease (NAFLD) is on the rise. We sit down with Dr.Mayur Brahmania to discuss the causes and potential cures for this rapidly growing, but mostly unknown lifestyle driven disease.

To purchase one of Tommy's Bestselling Books, follow the links below

In this episode, Tommy and Dr.Appleton discuss their top 10 list of foods, drinks, or products somewhat resembling food that you shouldn't ingest.

To purchase one of Tommy's Bestselling Books, follow the links below

Drugs can sound like a lot of fun and games, but nothing in medicine comes without a potential cost. Dr.Appleton reviews metabolic side effects of both over-the-counter and prescription drugs that can lead to weight gain, muscle deterioration, and other negative outcomes.

To purchase one of Tommy's Bestselling Books, follow the links below

In this episode, Tommy and Dr.Appleton review a recent study on time restricted eating and weight loss while using the study to help listeners understand the difference between 'good' and 'bad' research. The aim is to teach listeners how to navigate sensational media headlines that make bogus claims or determine when there is too much bias or corruption behind the paper's authors.

To purchase one of Tommy's Bestselling Books, follow the links below

Dr.Appleton takes over the interviewing duties and asks Tommy about all things exercise, including:

Where should you start?
How do you progress?

How do you pick a gym?

What's the difference between Zone 2, HIIT, and Resistance Training?
What's the best mix to reach your goals?

If you're overweight, you're likely also Insulin Resistant. The good news is that IR is reversible under most circumstances with very simple interventions. In this episode, we cover

- What is Insulin Resistance

- How does it affect our health

-How can it be measured

-How can it be managed

- How to self-assess

Andrew and Tommy round out the macro-nutrient trifecta by covering all things protein.

- What does protein do for our bodies

- Can too much damage our organ systems

- Is protein a driver of cancer

- What are the best sources of protein

- Animal vs Plant Protein

Tommy and Andrew discuss facts and fictions attached to the consumption of fat including:

- What fat does for your body

- The relationship between fat you consume and fat that ends up on your body

- The relationship between carbs and fat gain

- Good vs Bad Fat

- Cholesterol

You'll hear all the popular wellness industry catch-phrases this time of year: Detox, Reset, Cleanse. Can you ingest something that not only improves your body's detoxification process but also helps you lose weight and drop fat in the process? These are the topics covered by Tommy and Dr.Appleton in this episode.

Omicron is on the rise and making headlines in the news. Is the fear and anxiety warranted or over-blown? Dr.Appleton, a frontline Physician who was in the thick of early waves gives his perspective as Tommy asks some challenging questions.

In this abridged episode, Tommy discusses the key dietary actions you should consider for improving cardiometabolic health.