By Paul Kedrosky and Howard Luks
4.6
1313 ratings
The podcast currently has 70 episodes available.
In this solo episode, Paul shares his personal training journey since mid-April. He provides detailed statistics on his activities, distance covered, shoes worn out, and vertical climbs. He discusses the reasons behind his training, including his love for structured routines and preparation for upcoming races. Paul also reflects on his experience, challenges faced, and the goals he has set for himself. This episode is a look into the dedication and hard work involved in training for long-distance running.
00:00 Introduction and Training Overview
00:18 Activity Stats and Insights
01:00 Running Distance and Shoe Wear
03:11 Training Motivation and Structure
04:39 Upcoming Races and Goals
05:41 Injury Management
08:45 Calories Burned and Weight
09:57 Tapering and Final Thoughts
In this abridged preview, Paul and Howard discuss a recent paper by Inigo San Millán and co-authors titled 'Metabolic and Cellular Differences between Sedentary and Active Individuals at Rest and During Exercise.' The paper reveals the dramatic metabolic consequences of being sedentary, even among those who consider themselves healthy. The hosts delve into how sedentary individuals show significantly poorer mitochondrial function, reduced fat oxidation, and impaired lactate clearance compared to their moderately active counterparts. They emphasize the insidious nature of these metabolic issues, which remain undetectable through standard medical tests and often go unnoticed until they manifest in more severe health problems. Paul and Howard stress the importance of regular physical activity and explain the underlying science, including the role of mitochondrial health and fat oxidation.
00:00 Introduction and Overview
00:59 Key Findings of the Study
02:15 Metabolic Health and Mitochondrial Function
03:59 Striking Differences Between Active and Sedentary Individuals
05:02 Implications for Everyday Health
05:53 The Role of Physical Activity
06:45 Lactate and Metabolic Fitness
09:07 Clinical Observations and Testing
15:21 The Insidious Nature of Being Unhealthy
18:53 Conclusion and Final Thoughts
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In this abridged episode, Paul and Howard discuss a recent Wall Street Journal article highlighting the surprisingly steep rise in knee and hip replacements among people in their forties and fifties. They get into the implications, reasons behind this trend, and question whether it is justified given the risks and lack of significant advancements in joint replacement technology. The discussion also touches on the broader medical trends, patient expectations, obesity's role, and the challenges and consequences of multiple joint replacements over a lifetime.
00:00 Introduction
00:27 Rising Trend of Joint Replacements in Younger Patients
01:16 Skepticism and Concerns About the Trend
02:50 Technological Advancements and Their Limitations
04:04 Risks and Long-Term Implications of Early Joint Replacements
05:58 Patient Expectations and Doctor Responsibilities
10:27 Economic and Practical Challenges in Joint Replacements
19:01 Conclusion and Final Thoughts
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In this abridged episode, Paul and Howard discuss Howard's return to trail running after a two-year hiatus. Howard shares his journey of overcoming long COVID, which left him significantly deconditioned, causing multiple injuries upon his return to running. Despite these setbacks, he's managed to push through the challenges, regain his fitness, and complete a recent race—and did it in heavy rain. Howard reflects on his experience, training, and future race plans with an emphasis on perseverance and avoiding the push to the breaking point. The conversation also touches on managing nutritional needs during long runs and the importance of listening to one's body.
00:00 Introduction and Recent Race Experience
02:38 Struggles and Setbacks in Recovery
04:10 Pushing Through: The Turning Point
05:49 Back on Track: Training and Racing Again
07:07 Race Day: Challenges and Triumphs
08:04 Recovery and Future Plans
...
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In this preview episode, Paul and Howard discuss the relationship between sedentary lifestyles and adult joint pain. They discuss a provocative image shared by Howard, which highlights the consequences of inactivity. Howard explains how he addresses joint pain with his patients, emphasizing the importance of regular physical activity to combat metabolic diseases and chronic inflammation. The conversation covers practical steps to integrate movement into daily life and the challenge of motivating individuals to start and maintain an active lifestyle. The hosts also touch on evolutionary perspectives, the role of gamification, and personal anecdotes about overcoming the inertia of inactivity.
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In this abridged episode, Paul and Howard discuss the widespread panic arising from a minor market downturn and the mass attempts to sell investments, resulting in crashes for services like Vanguard and Schwab. They explore the human tendency to overreact, seek out explanations, and fail to trust in their preparation and processes. The conversation covers the parallels between financial markets, fitness routines, and the importance of patience, while highlighting the pitfalls of reactionary behavior and hedging bets. They also touch on the broader problem of loss aversion and the psychological need to feel part of significant events or movements.
00:00 Introduction and Unexpected Tweet
00:39 Market Panic and Human Behavior
02:34 The Importance of Preparation
04:08 Financial Lessons and Long-Term Thinking
08:03 Trusting the Process
11:02 Hedging Bets and Human Instincts
14:54 The Search for Explanations
17:09 Final Thoughts
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Paul and Howard talk about the tendency of the healthcare system to overdiagnose and overprescribe treatments for non-severe conditions. Howard shares insights on common age-related changes in the body that are often mistaken for serious issues, most of which will never require surgery. They talk about the critical role of patient education in managing expectations and reducing unnecessary interventions. And ... second opinions, second opinions, second opinions. Just do it.
00:00 Introduction
00:25 Understanding Patient Concerns and Pain
01:43 Healthcare as a Business
03:18 The Importance of Activity and Exercise
08:17 Age-Appropriate Conditions and Overdiagnosis
16:23 Patient Psychology and Decision Making
As a free subscriber, you have access to the first ten minutes of the episode. Premium subscribers get the full episode and a complete transcript.
Debunking Gym Myths: Muscle Building and Aging Explained
In this episode, Paul and Howard discuss common misconceptions about resistance training and gym anxiety, emphasizing the importance of just getting started despite fears of doing exercises perfectly. They highlight the process of muscle synthesis as we age, the minimal risk of injury if weights are managed properly, and the fallacies around the fragility of shoulders. The hosts review a scientific paper on skeletal muscle dysfunction and aging, discuss the role of protein, the potential but cautious use of biotherapeutics like rapamycin, and underline the various benefits of maintaining muscle mass for overall health and longevity.
00:00 Introduction and Gear Review Follow-Up
00:45 Discussing Skeletal Muscle Dysfunction with Age
01:19 Gym Anxiety and Resistance Training
02:26 Proper Form vs. Just Doing It
04:58 Shoulder Fragility Myths
09:38 Protein Intake and Muscle Synthesis
16:13 Biotherapeutics and Muscle Maintenance
21:00 Conclusion: Keep Moving and Lifting
Here is the paper we discuss.
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In this episode, Paul and Howard discuss their favorite running gear, covering everything from shorts and shirts to shoes and hydration packs. They share personal preferences, discuss the pros and cons of different products, and touch on the use of running watches, headphones, and hydration strategies, providing a comprehensive look at what works for them.
00:00 Introduction
00:44 Favorite Running Shorts
03:28 Running Shirts Preferences
06:20 Socks and Their Importance
09:34 Diving into Running Shoes
12:46 Debate on ...
The products discussed:
Shorts
Shirts
Socks
Shoes
Watches
Headphones
Glasses
Hydration
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In this preview episode—the full episode is for premium subscribers only—Paul and Howard discuss the current heatwave affecting the West Coast of the United States. They share their own experiences with extreme temperatures. They talk about the dangers of heat exhaustion and heat stroke, emphasizing the importance of understanding physiological responses to heat. They reference Jeff Goodell's book, 'The Heat Will Kill You First,' and provide practical advice on how to stay safe during extreme heat. The hosts offer tips for runners and cyclists to recognize early signs of heat distress and discuss the importance of hydration, cooling strategies, and protective clothing. They also explore the physiological and environmental challenges posed by elevated temperatures and highlight the crucial need for awareness and preparation in the face of rising global temperatures.
00:00 Exercise and Heat
00:44 The Dangers of Heat
01:28 Physiological Effects of Heat on the Human Body
04:21 Heat Acclimation and Misconceptions
06:34 Real-Life Incidents and Lessons Learned
11:00 Recognizing and Responding to Heat Distress
Premium subscribers also get access to a full transcript.
The podcast currently has 70 episodes available.
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