The Metabolic Edge

ANNOUNCEMENT: Tommy and Andrew are launching a medically supervised diet, exercise, and lifestyle program that can be accessed by anyone in Ontario. Our first 12-week intake begins this spring, and we're offering the service to podcast listeners first. To get on the information list, follow this link https://forms.gle/RKQJoynKCk5yTeKU6

Tommy and Andrew sit down with clinician and emergency Physician, Dr.Ashley White. Dr.White specializes in responsive eating, and approach to nutrition, exercise, and lifestyle that shatters normative views on obesity and health.

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.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:

Purchase Tommy's MetFlex-Rx Diet Book: https://amzn.to/2ZUeMBm

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

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

MetFlex-Rx Diet Book: Learn what to eat, when, and why to suit your individual needs https://amzn.to/2ZUeMBm

Heavy Brain (Behaviour Change) on Audible: Get past the mental barriers that prevent healthy habits https://amzn.to/3IjqEOJ

You can also visit Dr.Appleton's Website: https://andrewappletonmd.ca/

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.

MetFlex-Rx Diet Book: Learn what to eat, when, and why to suit your individual needs https://amzn.to/2ZUeMBm

Heavy Brain (Behaviour Change) on Audible: Get past the mental barriers that prevent healthy habits https://amzn.to/3IjqEOJ

You can also visit Dr.Appleton's Website: https://andrewappletonmd.ca/ 

Dr.Kwadwo Kyeremanteng is the department head of critical care at The Ottawa Hospital.He dedicates his time to care for the sickest of the sick patients in the intensive care unit(ICU).As a researcher, he is interested in using ICU resources more efficiently and improving access to palliative care in the ICU. To help do this, he founded theResourceOptimizationNetwork, a multidisciplinary research group working to reduce health spending in this area without compromising care.In September 2019 Dr. Kyeremanteng launched his ever-growing podcast “Solving Healthcare with Kwadwo Kyeremanteng”these podcasts feature interviews and discussions on the topic of improving healthcare delivery in Canada. Underpinned by the values of cost-effectiveness, dignity, and justice, these podcasts will challenge the status quo, leaving no stone unturned as we explore gaps, assumptions, and different perspectives in the pursuit of finding solutions to problems in Canada’s healthcare system.During the COVID 19 Pandemic Dr.Kyeremanteng created ‘Solving Wellness’ a virtual health & wellness platform for health care professionals.‘Solving Wellness’ has been helping address health care burnout and providing health, fitness and self care for its members.

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.

Purchase Tommy's MetFlex-Rx Diet Book: https://amzn.to/2ZUeMBm

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

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!

Purchase Tommy's MetFlex-Rx Diet Book: https://amzn.to/2ZUeMBm

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

In this episode, Tommy and Andrew mostly talk about Alzheimers Disease, from cause to potential prevention. Sprinkled into the conversation are thoughts on scientific research being corrupted, if it's better to be alive now than 100 years ago, and why the current state of Hospitals falls on the shoulders of the public.

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

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.

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?

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?

Do you agree with the ongoing encouragement/pressure to vaccinate children against CV19?

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

Andrew and Tommy discuss a recent study pointing to the incredible results of a workplace driven Intensive Lifestyle Management program for weight loss, fat loss, insulin resistance, and general health parameters.

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/

Andrew and I decided to revisit our most popular episode so far: Insulin resistance! Why is IR so widely popular, you ask? Probably because it underpins almost every chronic disease, from obesity to heart disease. Learn more about how to assess and combat Insulin Resistance in this episode.

Purchase Tommy's Behaviour Change Book on Audible: https://amzn.to/3IjqEOJ

Dr.Appleton's Website: https://andrewappletonmd.ca/