The Pain and Performance Podcast

Ari Tulla used the inspiration from difficulties he faced in his own life to start Elo health. His dream was to provide nutrition information that actually matched our genetics, biomarkers, and health goals. We all struggle with how we should eat and supplement our health yet many people make their changes based on guesswork. After today's episode you'll understand:
- How specific biomarkers are the foundation of optimal performance
- Which markers you should be testing and what they mean
- How Ari finds creativity and progress in new industries
- Looking at nutrition as an outsider
- What can be done to address the rise in chronic health conditions in America?
- Creating personalized services that incentivize people to live healthier lives
- What can we learn from the biohacking community that can be brought to the masses?

This was an amazing and inspirational conversation on the future of nutrition testing and the possibilities of health. I hope you enjoy it!

Links from today's show:
https://www.elo.health/
https://www.aritulla.com/
https://www.instagram.com/aritulla/

https://www.derrickhines.com/book
https://www.instagram.com/derrickbhines/
https://www.tiktok.com/@drderrick

Patient Application: https://www.acadianapain.com

Antoun Joseph episode
Episode 37 with Dr. Barrie Tan

Ligaments are dense fibrous connective tissues that are the attachments that hold bones to other bones. The most commonly injured or talked about is the ACL - Anterior Cruciate Ligament holding the femur to the tibia.

Ligaments are formed by about 80% of the extracellular matrix and 20% of fibroblasts. This means the ligament is about 75% collagen, 1% elastin, and glycans. 90% of the collagen is type 1 and 10% is type III.

In general, because of this makeup, they have a very poor natural regeneration capacity because of low cell density and nutrient/oxygen requirements. This is why often if complete failure happens replacement or reconstruction is necessary.

In recent years, adding growth factors to treatment and healing has been shown to be effective in healing damaged ligaments.

The process is usually described as four overlapping sequential stages: inflammatory stage, proliferation stage, remodeling stage, and maturation stage.

If you can give support at each phase you can naturally heal and regenerate a ligament or tendon better. At the onset of injuries, hematomas form, and pro-inflammatory cytokines are produced by mast cells which recruit neutrophils, macrophages, and monocytes to the injury site. Angiogenesis is induced by the increased secretion of vascular endothelial growth factor (VEGF). ECM, primarily collagen III, is subsequently synthesized by the recruited fibroblasts at the injury site which is a hallmark of the proliferation stage. During the remodeling stage, ECM production and cell activities are decreased. Collagen III is replaced by collagen I and the collagen fibers start to organize along the direction of tendon stress. At the stage of maturation, the cross-linking of collagen fibrils increases and mature tendonous tissues form with their mechanical strength being gradually improved (Docheva et al., 2015).

Inflammatory phase - 2 weeks -
Need to get transportation to the area - walk the line - Not too much not too little. This is likely where we are trying to control inflammation and get blood flow to the area.

PEMF - Improves vascularization - delivery of healing agents, proteins, and collagens and helps the synthesis of fibroblasts, and repair proteins, a faster healing process is achieved by helping prevent sports-related disabilities and chronic conditions.

Cryotherapy - stimulates antiinflammatory responses once past the inflammatory phase and promotes regeneration. A study in 2016 by Ramos et al found that Cryotherapy has a unique ability to Reduces Inflammatory Response Without Altering the Muscle Regeneration Process and the Extracellular Matrix Remodeling of Rat Muscle. Something like an NSAID appears to do both.

Intraligament medical needling can reduce mechanical properties and increase blood flow, inflammation, and production of collagen III and glycosaminoglycans compared to the control. Furthermore, mild needling properties returned to or exceeded pre-needling values at the 6-week time point. Clinical significance: Needling the rat supraspinatus tendon is a feasible technique that causes a transient healing response

Shockwave for non-healing stimulates tissue inflammation that starts the healing process again. It can improve blood vessel formation, and blood flow as well as accelerated healing activation

Peptides:
A rat study conducted in 2010 found that BPC-157 lead to the healing of acute ligament injuries within rats.

Collagen - needed for proliferation and remodeling

Kaatsu - Episode 4 - improves growth factors without significant stress to the tendon or ligament.

Remodeling 6 months
Continue stressing and eccentric loading the joint or area with slow movements at least 3x/week and decreasing to 1x/week by 6 months but don't stop!

Maturation - 2 years
Continue to increase strength in the area and work on the stability, mobility, and function of the surroundi

TEDx speaker, lifestyle function doctor, longevity coach, author, and podcaster Alka Patel changed the direction of her career as a primary care physician because she was fed up with the sick-care system she was working in. What followed was a renewed focus on true health change, patient focus, aging, and purpose. In today's conversation Dr. Patel and I dive into:

How can we truly live healthier lives and how to identify what that means to us?

Steps to create behavior change to live healthier lives

What types of health screening and testing should we be doing to track our health?

What do those tests mean and what actions should we take?

How can you learn your biological age?

How you can test and improve your LQ - Lifestyle Quotient

What do your beliefs have to do with your pain, health, and aging?

What wearable technology can tell you about your health?

How continuous glucose monitoring will help to change your health, nutrition, and energy

And so much more...

Links from today's show:
https://www.derrickhines.com/book
https://dralkapatel.com/
LQ: Lifestyle Quotient Test: https://dralkapatel.scoreapp.com/

Patient Application: https://www.acadianapain.com

"From physical function to blood flow to hormone regulation SEXUAL Health is a great barometer for overall health." On today's show Dr. Judson Brandeis and Dr. Hines will discuss how to improve, prolong and enhance male sexual function.

Dr. Brandeis, a urologist for 20 years, specializes in male sexual health and functional urology. He has recently authored the book: The 21st Century Man: Advice From 50 Top Doctors and Men's Health Experts so You Can Feel Great, Look Good and Have Better Sex

On today's conversation Dr. Hines and Dr. Brandeis dive into the research on optimizing sexual health, activity and sexual-life span.  They discuss:

• MODERN MEDICINE THAT ACTUALLY HELPS Improve Sexual Health 
• Should We Use Testosterone Replacement Therapy? DHEA, Supplements?
• New Technologies to Improve Sexual Health: Gainswave, shockwave and PEMF therapy - 
• Problems with Medications such as PD5's (Viagra) Tadalafil (Cialis)
• Peptides to Improve Vascular Issues 
• Pelvic Floor Muscle Training for Improved Erectile Dysfunction- 
• What NOT to do now so you function better later
• What you CAN Do Today to Prolong Sexual Health Later in LIFE!

A huge thank you to all of our guests and listeners who have shared these conversations and helped others improve their health! Please visit the links from today's show to support the show.

Judson Brandeis Website: https://brandeismd.com/
Dr. Hines Upcoming Book www.derrickhines.com/book
Patient Info www.acadianapain.com

Order Male Vascular Support here

Tinnitus is a very frustrating and complex disorder. If you have suffered from tinnitus this episode will go through the causes and treatment approach that I and my patients have gone through to improve symptoms of tinnitus.

Links from today's show:
www.derrickhines.com/tinnitus
www.acadianapain.com

NAD Nasal: https://clients.mindbodyonline.com/classic/ws?studioid=690908&stype=43&prodid=105225
NAD+ Suppository: https://clients.mindbodyonline.com/classic/ws?studioid=690908&stype=43&prodid=105223
PEA: https://clients.mindbodyonline.com/classic/ws?studioid=690908&stype=43&prodid=104097
Glutathione: https://clients.mindbodyonline.com/appshell/shuttle/classic/ws?studioid=690908&stype=43&prodid=105112

In a turn from prolonged fasting, this episode focuses on what our optimal eating window should be on most 24-hour periods. Brian Gryn has continued to coach high performers, athletes, and health improvement aficionados in improving their physiology and optimizing their health. On today's episode we'll get into how to optimize the diet for:
-Weight Loss
-Cardiovascular Health
-Healing Pain and Inflammation
-Improving Immune Function
-Reducing Disease Risk

Should we use a continuous glucose monitor? Brian dives into the information we'll tweeze out of these devices.
-Does the 8-hour eating window matter?
-How can we fast and build muscle mass at the same time?
and much more. If you eat food, listen to this episode!

Links from today's show:
https://briangryn.com/
https://www.youtube.com/watch?time_continue=4&v=E3k89Emxqrg&feature=emb_logo

Find More amazing health videos at:
https://www.tiktok.com/@drderrick
https://www.youtube.com/channel/UCBwvbqdyhEtW6ZNXenQMghw

For patient opportunities with Dr. Hines:
https://www.acadianapain.com/new-patient.html
For more information on the podcast and research:
http://www.derrickhines.com/

In this episode Amanda shares: 
- Her diagnosis of Fibromyalgia and the initial treatment and process of addressing her pain.
- Initial wins or mental shifts that took Amanda onto the right path
- What tests did Amanda run or have done to identify her health?
- Treatments that helped or hurt?
- How Amanda thinks about changing a body’s chemistry with illness?
- What tests would Amanda want to look at for someone diagnosed with Fibro?
- What are some common results that she sees and what do they mean? (an example case would likely be very informative)
- What components does Amanda now try to address on a daily/weekly basis?
- Of all the activities/health shifts/supplements/diet changes/activity changes that Amanda had tried what still sticks?
- What foods does she love/hate for fibro?

Enjoy the show!

Find More amazing health videos at:
https://www.tiktok.com/@drderrick
https://www.youtube.com/channel/UCBwvbqdyhEtW6ZNXenQMghw

For patient opportunities with Dr. Hines:
https://www.acadianapain.com/new-patient.html
For more information on the podcast and research:
http://www.derrickhines.com/

Find More amazing health videos at:
https://www.tiktok.com/@drderrick
https://www.youtube.com/channel/UCBwvbqdyhEtW6ZNXenQMghw

For patient opportunities with Dr. Hines:
https://www.acadianapain.com/new-patient.html
For more information on the podcast and research:
http://www.derrickhines.com/

Cindy Stein began treating concussion patients, vertigo, and headaches over 4 decades ago. She helped the majority but the 20% or so that didn't get better drove her to discover an amazing technique called Nasal Release or Endonasal Baloon Adjustment. In today's episode we get into what NRT is, and how it can help with:
• Concussion and other head injuries
• Headaches, head pressure, migraines
• Low energy, Fibromyalgia, chronic fatigue
• Muscle spasms, neck and shoulder pain
We also discuss some future research ideas and practices and how you can find an NRT practitioner to work with!
• Poor concentration and focus
• PTSD
• Sinusitis, sleep apnea, snoring, other breathing and sinus disorders
• Tinnitus (ringing in the ears)
• Traumatic Brain Injury
• TMJ (mouth, head, and jaw pains)
• Vertigo and other balance problems
• Whiplash Syndrome

Links from Today's Show:
Conquerconcussion.com

Video of today's show at: https://www.youtube.com/channel/UCBwvbqdyhEtW6ZNXenQMghw

Find More amazing health videos at:
https://www.tiktok.com/@drderrick

For patient opportunities with Dr. Hines:
https://www.acadianapain.com/new-patient.html

Fasting has taken the world by storm over the last few years being the most mentioned "diet" for the last 3 years running. There are so many versions of fasting, intermittent fasting, prolonged fasting, fasting mimicking, etc. but what do they all do? How are they different? What does the research say we should do for better health, performance and aging?
On today's show, Dr. Joseph Antoun answers all these questions and more. We do a deep dive into the science of fasting and Dr. Antoun gives us an update on Dr. Valter Longo's latest research with L-Nutra and Prolon the Fasting Mimicking Diet. How this research can be used in Diabetes, Cancer, Aging, Alzheimer's, and much more. If you are interested in not only living longer but better, this show has some hard-hitting facts that you'll definitely want to hear!

ORDER a PROLON and Schedule a Virtual Visit:

https://www.acadianapain.com/reset
https://www.derrickhines.com/fasting
https://www.prolonfmd.com
https://l-nutra.com/portfolio/joseph-antoun-md-phd-mpp/