The Berman Method

**Calories in do not equal Calories out

**Proper macronutrients are recommended for individual goals

**This podcast is not meant to TREAT, but to give information about macronutrients and calories! Every individual needs different types of macros and different amounts of macros!

(1:06): Calories, a form of energy. What calories should you focus on? 

(1:23): Calories in does not equal Calories out

(2:45): Macronutrients - proteins, carbohydrates, fats. Carbs and Sugar are interchangeable in this conversation today. 

(4:00): Fruit is sugar. 

(5:20): We have to balance the macronutrients for each individual person.

(7:00): You do not have to create a calorie deficit by eating less, but you can create deficits by moving more.

(7:30): We need food to act as fuel to burn fat. People with insulin resistance don’t metabolize food for fuel.

(8:30): Is Protein bad for you?  The right types of animal proteins are important for vitamins, but you don’t HAVE to have animal protein and you can still get adequate protein

(11:45): The body will break down muscle to get energy if you are in too much of a calorie deficit, trying to exercise, and not getting enough fuel into the cells. 

(12:00): The body also stores food as sugar (which turns to fat) when the food is not getting to the cells as fuel (insulin resistance). 

(14:00): Protein breaks down glucose so it is not stored and turned to fat. Protein takes more energy to break down - burning more calories. Protein prevents hunger as it does take longer to break down AND it balances blood sugar. 

(16:00): Skipping meals KILLS the metabolism! Skipping meals will send us into a starvation phase, then ultimately the body will store the next meal.

(20:00): We can only metabolize so many calories and macros at one sitting.

(24:00): Hitting your macros, for your specific body, will allow calories to fall into place for the calorie deficit if you’re wanting weight loss. 

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**Quit Wearing Shoes! This could fix numerous of your problems with your feet! 

**There is a whole chapter on the Foot in Dr. Berman’s Book: https://www.amazon.com/Treating-Problems-Not-Symptoms-Independence/dp/1728650860/ref=sr_1_1?dchild=1&keywords=dr+jake+berman+book&qid=1628108562&sr=8-1

**Exercises to strengthen the foot: https://www.youtube.com/channel/UCOgxF3pbJHwo4uU0BnJQdYA

(2:30): Anatomy of the foot - the foot is very similar to the hand anatomically. 

(3:30): The foot can do similar tasks as the hands

(4:00): Over 100 muscles, tendons, and ligaments in the foot

(5:15): Flat feet, high arch, or neutral arch have the same anatomy generally, unless there is a congenital difference

(5:50): Bad feet are not generally genetic

(8:15): Bunions…. 

(9:40): Dr. Berman has found that weak gluteus muscles is most often the cause of bunions

(11:15): The number 2 cause of bunions is weak foot muscles

(12:15): Plantar Fasciitis… 

(13:14): Initially plantar fascia pain starts when you first get up to walk, or after walking for long periods of time, which is often sharp pain or a dull ache pain at the heel 

(16:30): What is fascia?

(18:30): How insoles cause negative effects on your feet - actually weaken your feet.

(19:45): Wearing insoles for many years can create more negative effects on the back, knees, hips, etc. 

(21:15): Shoes are modern day corsets. 

(24:30): TAKE YOUR SHOES OFF if you want to prevent foot pain, bunions, plantar fasciitis, or other foot anomalies. Taking your shoes off will strengthen the muscles in the foot. 

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**What causes Insulin Resistance? It might be more than just the food you’re eating… 

(2:32): Insulin Resistance, High Blood Sugar, Prediabetes, Diabetes

(3:26): IR is a metabolic dysfunction in which the body does not metabolize food efficiently. 

(4:40): Potatoes are sugar. Carbohydrates and sugars are interchangeable

(7:15): The Effects Insulin Resistance has on the body

(12:50): Who is at Risk for Insulin Resistance?

(18:00): Reversing Insulin Resistance 

(20:50): Supplements like Berberine to help reverse insulin resistance

(23:00): Consistent Exercise - 20-30 minutes of cardiovascular exercise 5 days per week, or 150 minutes per week 

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(0:40): Cortisol can affect our mind, hunger, weight. 

(1:20): Abdominal weight, diabetes, high blood sugar, high cholesterol, metabolic dysfunction can be caused by elevated cortisol. 

(2:20): Cortisol is a glucocorticoid hormone which can redistribute white adipose tissue to the abdominal area. 

(2:40): WHY Cortisol levels elevate…

(3:15): There is a release of epinephrine which is a hormone released during Fight or Flight System - this can increase sugar, leading to insulin resistance, and a release of cortisol 

(5:15): High glycemic foods can lead to an elevation of cortisol and typically the body does not metabolize these foods efficiently. 

(6:00): Cortisol actually blunts the bodies sensitivity to insulin 

(7:00): Insulin resistance causes the body to store sugar as fat, elevated cortisol causes redistribution of fat. 

(8:20): What is chronic stress… why appetite is initially low, then elevates. 

(10:00): The reasons for chronic and internal stress

(12:00): Sleep deprivation can lead to chronic elevation of cortisol and elevated cortisol levels can cause disrupted sleep. 

(13:00): Chronic elevation of cortisol causes several cortisol spikes per day which leads to many spikes of insulin during the day.

(15:00): There are certain supplements and amino acids that can reduce the cortisol levels

(16:30): Controlling the sensitivity to leptin will help control sugar intake and bring down cortisol levels.

(18:40): Improving cortisol levels and blood sugar levels will drastically improve sleep. 

**This podcast is not to treat, but for entertainment purposes only**

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Dr. Jake Berman, PT, DPT explains why Medicare is killing your healthcare - why he has an Out of Network clinic from all insurances… 

Dr. Berman drives to give you the Maserati experience - give you what you need, no more, no less and to get you better faster. 

(1:39): If you have Medicare and you’re going to Physical Therapy, you just find a clinic in your network and they will cover a certain amount for a certain diagnosis. The PT must justify medical necessity for specific treatments for a diagnosis in order for medicare to pay the PT clinic. 

(2:40): Medicare decides what intervention is medically necessary. If they do not think it is medically necessary, they will not pay for it. 

(4:00): Medicare cares about ADLs, not Pain

(7:40): Insurance companies follow Medicare’s Lead

(9:19): Before surgery you have to jump through some hoops like PT, injections, etc.

(11:00): BPT is out of network because we want to provide the care patients need, not what Medicare is dictating. 

(12:45): BPT will do exactly what you need - no more, no less. We don’t give you what we need to be reimbursed… 

(18:80): In Network PT still has to stay in the treatment plan dictated by insurance companies, despite PT clinic plan for the number of patients they see an hour. 

(20:19): The difference of treatment at in-network clinic versus out of network clinic is like a Kia dealership versus Maserati dealership - the quality of care, personal care, and the experience. 

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**You can improve strength, inflammation, and mobility until the day that you die! (Hopefully not in the next one year)! 

**You do not need to live with pain, weight, headaches, or other various forms of inflammation!

(2:40): Healthy weight loss is 1-2 pounds of fat lost per week!

(3:26): There is a difference between Maintainable Weight Loss and Quick Weight Loss

(5:36): If you do the right things for your metabolism, you could be down 50 pounds in a year. We have to look from the inside out to ensure proper, maintainable weight loss. 

(6:50): Weight loss is not a one size fits all - you have to put specific things together for YOU. If you don’t plan on dying this year… you CAN make progress. 

(14:17): By strengthening weaknesses, there is no reason that you cannot be in less pain 1 year from now. 

(17:20): If there is no position of relief with your pain (objectively), then surgery may be necessary. If there is a position of relief the chances of requiring surgery are low. 

(18:05): Biggest contributor to weakness is sedentary lifestyle. 

(19:00): Sitting, weak buttocks, is the most common cause to general back pain. 

(20:18): Walking 4 miles per day, golfing 3 times per week, playing tennis, etc does not mean you are using the RIGHT muscles or the right muscles PROPERLY to properly strengthen the muscles. 

(23:20): Dr. Jake tells a story about a cyclist who can cycle at 130rpm without hands, but still had weaknesses with objective tests in the office. 

(26:06): We are too subjective to be objective. Ensure you have someone that can check your muscle activation.

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**Jenni, Physician Assistant, and Dr. Jake Berman, DPT discuss the 3 most common Objections that we hear when clients are resistant to our programs

**The Berman Method treats Problems, Not Symptoms! 

**This podcast is for entertainment purposes only. Consult with your primary physician prior to any changes in your exercise or dietary regimen. 

(3:40): The most common objection Jenni hears is that the client is afraid they will not be able to continue to “live their life” the way they want to, i.e. social events, going out to eat.

(6:30): Restaurants are being much more accommodating to healthy lifestyles and food sensitivities

(7:45): Jenni can generally find several things on menus for anyone to eat! 

(11:05): BPT is an out-of-network business. One of the most common rejections BPT hears is “I have tried PT in the past and it didn’t work” or “I did PT in the past and they took my insurance, but you don’t.”

(12:30): BPT has the time for a full evaluation, identify problems and not symptoms, and is not dictated by insurance companies.

(16:20): The experience at BPT and BHW is the difference between us and a corporate doctor’s office or physical therapy clinic.

(18:45): The Most common objection…. Money. Why do we charge what we do and why are we out-of-network?

(22:10): Often times general practitioners are not able to order the proper testing for metabolism or gut health due to insurance companies

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**Picking up from last week to continue speaking about Regular, Quarterly Functional Medicine Check Ups because we are too subjective to be objective for our own corrections! 

(:30): If you have never seen someone specializing in functional medicine and nutrition - just go to start! Nutrition can cause SO MANY diseases, autoimmune conditions, weight gain, but also athletes may not be getting the results they should be if their nutrition is not optimized. 

(2:00): 50% of Jenni’s practice is virtual 

(3:00): Toddler’s with eczema, asthma, fevers could be experiencing food sensitivities resulting in immune response. 

(5:00): Postpartum individuals may need nutrition support due to hormonal changes and slow weight loss. 

(6:40): Or an athlete that is training for something like a triathlon and needs to ensure adequate fuel for training

(7:40): Once we are feeling better, once we reach our goal weight, once symptoms improve - things can start to slip. Having regular check-ups will help with accountability and refocusing. 

(14:00): Quarterly nutrition accountability can be to “change things up” for the metabolism OR it can be for accountability itself to keep you on track. 

(18:00): Food sensitivities are like a sprained ankle - if you have a sprained ankle and you keep walking, jogging, or jumping on it, the inflammation doesn’t go down. It takes 6 weeks for inflammation to improve with a sprained ankle - it is the same for food sensitivities and consuming your sensitivity.

(20:00): Not only is it accountability, but also important to follow up on new products, rotating foods, checking vitamin levels, and hormone levels. 

(21:00): Check out our Free Reports or our 6-week Bootcamp Challenge! Check us out on social media! 

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www.bermanpt.com/wellness -- **Free REPORTS HERE**

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**You are too Subjective to be Objective. You cannot treat yourself. You cannot heal yourself.  You need objective testing, eyes, and results to get where you want to be. 

**Quarterly Nutrition, Exercise, and Physical checks should be done! 

(1:20): Too subjective to be objective - “feeling, thinking” is subjective, this is not black and white. Subjectivity is variable. Objectivity is not variable. 

(2:30): Dr. Jake’s story about injuring his back on the golf course and he could not fix himself. 

(5:30): Dr. Jake’s symptoms were similar to a herniation, but it was clear by the evaluation by a PT that wasn’t himself, but the pain was not actually coming from a herniation. 

(8:30): When you are “feeling” the pain, you are living it, even with high pain tolerance. 

(9:12): In Western medicine we have Quarterly Check Ups, but we don’t have annual check-ups physically or nutritionally. 

(9:53): One major problem - insurance doesn’t cover someone to have a physical therapist check their form and (generally) Americans want insurance to pay for these things. 

(14:45): It is important to have a qualified individual “check you” for these annual form and physical check-ups. 95% correct is not good enough - we need the time for objective testing to ensure physically we are 100% correct.

(16:45): BPT is different than other PT offices because they are out of network with insurances - so they have the “freedom” to check you head to toe and identify causes for symptoms, pain, asymmetry, etc. 

(20:39): Something is better than nothing - going to someone with insurance is better than not going at all. 

(21:12): I recommend quarterly checks for physical checks or nutrition checks. However, depends on the level of activity for the individual. 

Remainder of this episode NEXT WEEK! 

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**Dr. Jake Berman, PT, DPT discusses the most common cause of rotator cuff pain and gives you a special tip to improve shoulder pain! 

(2:20): Rotator Cuff injuries are increasing after the Pandemic.

(4:00): When we sit it is easy to fall into poor posture, leading to shoulder pain. 

(6:00): Often the pain response is related to something being “pinched”

(7:45): Poor posture puts increased stress on the rotator cuff muscles

(8:09): How the MRI relates to the shoulder pain and treatment

(9:00): Xrays cannot identify soft tissue problems

(13:05): Symptoms that mimic rotator cuff pathology

(17:00): 2 Finger Posture

Check out the 2 Finger Posture on YouTube - https://www.youtube.com/watch?v=eLGz4oxFLjg

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