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49 - A 2026 Health Trends Report Explained: GLP-1s, Wearables, and Food as Medicine
Episode 524th February 2026 • 1,000 Waking Minutes • Wendy Bazilian
00:00:00 00:41:51

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When experts talk about health trends, it’s easy to focus on what’s new. But what matters far more is what lasts, and how those ideas actually translate into daily life.

In this episode of 1,000 Waking Minutes, Dr. Wendy Bazilian breaks down the newly released U.S. News & World Report Health Trends Survey for 2026, drawing on her firsthand experience as one of the expert panelists. Rather than chasing headlines, she explores what these trends reveal about how we’re thinking about health right now, and what that means for our everyday choices.

From the rapid rise of GLP-1 medications, to the explosion of wearable health technology, to the renewed emphasis on food as medicine, this episode offers context, clarity, and practical perspective. Dr. Bazilian explains where these tools can be helpful, where they can create confusion, and how to use them in ways that actually support a well-lived life.

Throughout the conversation, she returns to a central idea: health doesn’t happen in reports or devices — it happens in kitchens, on sidewalks, in routines, and in the repeatable moments that shape our days. Instead of rigid rules or endless optimization, this episode invites listeners to think in patterns, over time, and with intention.

This is a grounded, evidence-based look at modern health - without hype, fear, or extremes - and a reminder that our most valuable resource is still time.

FROM THE EPISODE

WE DISCUSS:

(0:00) Why health trends matter — and why context matters more than headlines

(1:13) What the 2026 U.S. health trends really reflect about how we live

(10:19) GLP-1 medications: appetite, muscle, and why nutrition per bite matters

(21:03) Wearable health tech: patterns, not scorecards

(30:50) Food as medicine, fiber, and what consistently supports long-term health

(35:11) Why the future of health isn’t extremes — it’s integration over time

(36:51) Bringing it home: choosing what fits your life and your waking minutes


RESEARCH & REFERENCES

Urban, A. (2026, January 5). Top health and nutrition trends for 2026. U.S. News & World Report. https://health.usnews.com/wellness/articles/top-health-and-nutrition-trends-for-2026

CONNECT WITH WENDY:

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Visit my website: wendybazilian.com

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Thank you for tuning in to 1,000 Waking Minutes and being part of this journey–together. A huge thank you to our amazing collaborators including our production and marketing teams and Gabriela Escalante in particular. To the ultra-talented Beza for my theme music, my lifelong friend and artist Pearl Preis Photography and Design, to Danielle Ballantyne, Jen Nguyen, Joanna Powell, and of course, my family and everyone working tirelessly behind the scenes.


HEALTH DISCLAIMER:

The information shared in this podcast is for educational purposes only and should not be considered individual medical or health advice. Always consult with your trusted healthcare provider before making any changes to your diet, exercise, or medical treatment.


Transcripts

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When experts talk about health

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trends, it's easy to focus

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on what's new, but what

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matters more is what's enduring

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and how those ideas translate

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into the choices we make

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every day.

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Today we're looking at what

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the U.S. News Health

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Trends Survey for 2026 is

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really telling us.

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We experience 1,000 waking

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minutes on average every day.

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How are you spending yours?

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I'm Dr. Wendy Bazilian and

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you're listening to 1,000

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Waking Minutes.

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I can't wait to connect

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with you here with practical

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ways to eat well, move

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daily, and be healthy, to

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optimize every waking minute you

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live for a happier, healthier

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life.

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Thank you for sharing some

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of your waking minutes with

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me today.

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Let's get started.

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Hello and welcome to

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1,000 Waking Minutes.

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I'm Dr. Wendy Bazilian and

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I'm really glad you're joining

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me here today.

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Today we're talking about the

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new Health and Nutrition Report

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that just was released by

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the U.S. News and

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World Report Health looking ahead

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to 2026.

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Each year they convene a

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panel of experts across medicine,

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nutrition, and public health that

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weigh in on what's shaping

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health right now and where

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things appear to be heading.

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This past year in the

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fall time I was honored

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to be a part of

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that group alongside 57 other

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professionals whose work spans clinical

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care, research, and real world

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practice.

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And I want to say

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this up front because it

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matters to me.

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This kind of work takes

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time and it's thoughtful not

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only in how they select

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the process but how they

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develop the survey and conduct

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it and then summarize it

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and bring information out.

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And so in the final

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report that came out it

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reflects a collaboration and a

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lot of careful consideration, not

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quick takes on things or

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quick answers.

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So I'm proud to be

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a part of this and

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I admire and respect the

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many other expert panelists who

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were selected alongside me this

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year.

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So what I appreciate about

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reports like this isn't just

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like giving me a list

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of trends, it's an opportunity

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for me to see where

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we are as a group,

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as a nation, so to

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speak, a representative sample certainly.

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And it's an opportunity to

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step back for a moment

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and notice what keeps bubbling

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up across different disciplines and

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what we're collectively paying attention

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to, what questions we're trying

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to answer for our patients

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and clients in research and

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other places, and where there

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seems to be momentum and

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growth as well as continued

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or new uncertainty as the

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case may be.

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So today I want to

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walk through what stood out

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to me from this year's

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findings.

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So I will share those

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with you but I want

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to add some context from

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science, from real life, and

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most importantly I want to

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talk about what it means

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to our, your, and mine

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everyday waking minutes.

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Because the health doesn't happen

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in the report, it happens

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where we live.

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It happens in our kitchens,

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happens on our sidewalks and

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in our parks, it happens

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in our conversations, and it

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happens in our routines that

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we repeat again and again

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and become habits or those

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routines that may not require

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so much thinking, too much

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thinking about them over time.

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And when we look at

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the trends through that lens

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they tell a much more

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interesting story in my estimation.

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So where we are.

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What struck me as I

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was reviewing this year's findings,

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so it was it's not

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a surprise because I chimed

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in on the areas, I

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took a good amount of

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my day to review, and

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I came back to it

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a couple times to complete

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the survey, but I hadn't

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seen them until they came

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out.

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I'm sure maybe there were

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a couple things like checked

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in or registered, but I

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hadn't seen what the collective

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had said.

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And when I was reviewing

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the report that came out

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there were no shortage of

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tools, but there is a

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little bit of a gap

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or a bridge to walk

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on the integration of those

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tools.

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So there's some not new

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but some trending tools for

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health that I'll talk about,

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but how we'll use those,

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how we are using those,

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and how those will evolve

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over time is what was

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interesting.

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And here's an image that

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kept coming to my mind.

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Health feels right now like

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standing in a super well

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-stocked kitchen.

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The pantry is full.

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The fridge is full.

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The fruit bowls are full.

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You know, all the things

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are full, but there are

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too many cooks calling out

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instructions all at once.

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Do this.

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Try this.

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More this.

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Less this.

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Track everything.

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Don't track anything.

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Medication is the answer.

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Another says food is the

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answer.

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Some say food is medicine,

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which we'll get to in

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a few minutes.

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Someone else is wearing their

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favorite wearable technology and saying

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check your watch, check your

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Apple Watch or your Whoop.

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It'll tell you what's really

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going on.

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None of these voices are

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wrong, but they tend to

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get a little confusing on

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how to tease them out

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without someone stepping back and

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saying how do they actually

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work in a real life?

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How do they work in

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my life?

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Is there guidance that can

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be gained to help me

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use what I see or

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have in front of me?

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And it can become otherwise

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overwhelming pretty fast.

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And so that's why I

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think these particular set of

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trends sort of matter because

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you'll see they shape up

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to give us some things

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that are really happening.

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You'll probably say uh-huh

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I've seen that or I'm

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aware of that, but you'll

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see them and we'll talk

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a little bit about integrating

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them because when they're taken

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together they're not pointing us

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toward extremes and that was

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a cool thing that I

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discovered as I was looking

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at them.

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But they are pointing us

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toward a different way of

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thinking about health altogether.

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So we're seeing a shift

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away from health as like

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a set of rigid rules.

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Amen to that.

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But toward health is an

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ongoing conversation.

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You've heard me say before

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that health or achieving health

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is not static.

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It's dynamic and it's a

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conversation between your body, your

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environment, and your choices over

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time.

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So that's a big change

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and I'm starting to see

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that reflect in this year's

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trends.

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And it means less about

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the rigidity, less about the

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script that you have to

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follow or the severe menu

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plan or exercise routine, and

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more about learning how to

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listen and see what fits

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for you and what the

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evolving like what the data

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shows so that you can

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flex with it in real

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time.

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So we're starting to look

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at patterns and signals and

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what can be sustainable over

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not just a day or

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week but over years.

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Not just those days but

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over time.

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Life's currency as you know

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I love to refer to

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as time.

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So when we start to

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look at health through the

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lens of time we do

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realize something really quickly.

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We can't do everything.

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We don't get to optimize

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every single variable that we

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put into our routine.

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And you don't get unlimited

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attempts.

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Though we get a lot

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of nice restarts.

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But what we do get

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are moments that we can

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repeat.

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Like repeatable moments let's call

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them.

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Meals that you can make

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again.

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I talk a lot about

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the pattern.

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Like the reason you can

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keep a food diary is

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not just to track how

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well you're doing or how

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many calories you ate.

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But you get to identify

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meals and maybe on great

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days or great meals or

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great seasons you can refer

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back and you see patterns

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over time.

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You get ideas.

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Meals you can make again.

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Walks that you can take

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or don't take.

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We've talked about walking after

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meals.

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I've even mentioned before that

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in our old home we

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have a different route now

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but we used to call

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it the cloverleaf.

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We have certain routes that

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just became like second nature

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to us.

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We knew how long it

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took.

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We knew where to go.

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So we could sort of

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just like tune out on

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having to pay so much

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attention and just go do.

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We find that there are

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ways of sleep that we

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can create unwinding down patterns

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or how to improve our

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sleep with some of these

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repeatable moments.

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And there are things that

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you really have to pay

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attention to and you find

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that there are things that

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maybe are less important as

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well.

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So the trends that rose

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to the top this year

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from medications hint hint on

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one of them to wearables

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and we're going to talk

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about that.

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I mentioned the Apple Watch

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and the Whoop before the

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whoop band to food as

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medicine.

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Those are the top three

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trends and they point back

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to I think one question.

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How do we use these

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powerful tools in a way

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that actually supports a well

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-lived life?

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How do we use them

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to support and promote our

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health so that the years

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we have are well-lived

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quality years rather than crowded

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with so much noise and

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the next new shiny object?

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And that's sort of the

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perspective or the lens I

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want to use as we

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walk through these a little

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bit.

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So first, can you guess?

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The top trend that rose

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to the top this year

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was GLP-1s.

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The weight loss, the weight

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management medications.

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The expanding role of these

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medications was and is on

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everyone's mind.

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It's a topic that's showing

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up everywhere right now.

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It's showing up as you've

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seen I'm sure in doctor's

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offices, in families talking about

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it, casual conversations, people saying,

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you know, can I ask

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you something?

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Have you heard of this?

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Did you see that story

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on?

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And what the U.S.

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News Report panel reflected on

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is that these medications are

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no longer being viewed singly.

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They're part of a broader

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conversation about chronic disease, not

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just weight.

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I mean, they started as

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diabetes or metabolic health medicines,

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well-tested for many years,

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but the conversation has expanded

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about chronic disease, cardiometabolic health,

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how people are trying to

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feel better in their bodies,

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and they're often carrying a

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number of risk factors, and

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the GLP-1s seem to

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be central to many of

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those conversations.

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But here's the part that

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I think we need to

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talk about and think about

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a little more carefully and

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thoughtfully.

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When our appetite decreases, which

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is one of the main

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things that the GLP-1s

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accomplish, nutrition doesn't become optimal

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unless you really work at

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it.

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It becomes more concentrated because

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your appetite is smaller.

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You've got to really make

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those bites count, and I

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talked about that in a

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previous episode when we were

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talking nutrition per bite or

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value per bite, and your

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body doesn't suddenly need less

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support.

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It actually needs smarter support.

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One of the practical concerns

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that comes up again and

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again with individuals on the

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GLP-1s, not just in

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clinical practice but real people

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out there trying to live

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well, is what changes in

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the body when someone's on

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GLP-1 medications, aside from

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maybe reduced weight, which is

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a hoped-for side effect

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or benefit or result.

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The data that we now

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have from clinical research shows

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that people who are on

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GLP-1s, they lose lean

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mass.

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They lose, in other words,

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muscle and nonfat tissue while

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they're also losing weight, and

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it can make up a

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significant portion of the weight

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loss.

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Depending on a study, and

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there have been several to

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date, roughly one quarter to

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as much as 40%

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of the pounds lost when

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individuals who are carrying extra

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weight are on these GLP

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-1s, between 25 and 40

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% of the pounds lost

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can be lean tissue.

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That's muscle mass.

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That's incredibly important muscle mass

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for metabolism, but for quality

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of life, the ability to

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live strong and live well,

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live fit, and be able

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to do things and avoid

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injuries.

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This isn't itself a crisis,

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but it's really critical to

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pay attention to.

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Part of muscle loss is

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expected anytime you go on

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a diet, on a weight

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loss diet that is, but

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there's a real reason to

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think of it a little

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bit differently with these medications,

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because muscle is not just

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about tone, and being lean,

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and fit, and the cosmetic

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appeal of good strong muscles,

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but muscles help regulate blood

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sugar.

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They help support our strength.

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They help support our balance

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and help keep us from

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falls, calling on our body

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to keep us upright.

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They play a role in

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metabolic health, and they're increasingly

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important with every passing decade.

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Sarcopenia, which is a medical

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term about muscle loss or

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muscle wasting, is a medically

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diagnosed term in the last

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decade.

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It's about a decade now.

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It's a real concern, especially

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as we age.

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So this number, the muscle

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loss that can happen, really

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matters because it's not, again,

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just how strong you are,

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how you look.

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It's really, really important.

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This is where it's important

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to really consider about what

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it means to have these

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GLP-1s so high on

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the registry, on the mind,

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and in the clinical practice

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right now, because suppressing the

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appetite does not turn our

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biology off.

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And this is where the

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idea of nutrient density is

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something that I've talked about

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before and I'll probably talk

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about again soon.

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Nutrient density is outside of

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the survey, but it becomes

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especially relevant for me to

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bring up.

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You know, when your appetite

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is lower, the bites need

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to mean more.

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They've got to have more

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going on.

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They've got to carry more

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weight, so to speak, literally

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and figuratively.

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And when you eat less,

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you need to expect more.

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So making sure things like

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protein, fiber, your micronutrients.

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We hear so much about

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macros these days.

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That's carbs, protein, fat.

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The micronutrients, your vitamins, minerals,

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the phytonutrients, and nourishing foods

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need to show up consistently.

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It's one of the biggest

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practical shifts that can help

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right now with people who

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are on the GLP-1s

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to help contend with side

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effects that may be things

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like digestive side effects, constipation

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and otherwise, but side effects

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that can be like muscle

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wasting, much more dramatic over

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time.

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You may have seen also,

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but Oprah has shared her

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experience with GLP-1s and

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being treated by GLP-1s

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recently and over the past

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couple of years and her

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experience with it.

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She was on the cover

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of People Magazine recently.

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I saw an interview on

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Today Show where she was

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talking about it very openly.

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And also sort of she

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was there with her doctor

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and co-author of her

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new book that's just out

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called Enough, Your Health, Your

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Weight and What It's Like

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to Be Free.

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She talked about recognizing obesity

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as a disease and not

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a failure of willpower.

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That may seem to you,

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I would imagine, like something

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maybe you've heard before, but

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this is the new era

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of really recognizing this.

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And I think that Oprah

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talked about how it transformed

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her relationship for real with

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food and her own body.

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She's spoken about like the

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everyday aspects of this reality,

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that her exercise and food

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choices matter.

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She even went off it

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to disprove.

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She said, you know, now

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I'm going to keep it

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off with just lifestyle, with

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my diet and lifestyle.

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And then her weight crept

Speaker:

back up, she talked about.

Speaker:

So she recognizes that she

Speaker:

is going to be on

Speaker:

it through medical supervision with

Speaker:

her doctor.

Speaker:

And she compared it to

Speaker:

like an ongoing need of

Speaker:

medication for a chronic condition,

Speaker:

like blood pressure medication.

Speaker:

So this is an important

Speaker:

thing for us to think

Speaker:

about.

Speaker:

Medication can support our changes,

Speaker:

but it doesn't replace everything

Speaker:

else.

Speaker:

So with the GLP-1s,

Speaker:

the hot trend in the

Speaker:

report comes reduced appetite.

Speaker:

We know that.

Speaker:

And when we change eating

Speaker:

patterns, we need to recognize

Speaker:

now and for the time

Speaker:

ahead, this is not just

Speaker:

a day, a week, but

Speaker:

hopefully across many well-lived

Speaker:

decades to come, that it

Speaker:

might be a back to

Speaker:

basics that those still matter.

Speaker:

Really that we need strength,

Speaker:

preserving protein, smart fiber to

Speaker:

keep our digestion regular.

Speaker:

We need strategies and movement

Speaker:

to help keep our cardiometabolic

Speaker:

health and our muscles strong.

Speaker:

And the nuance is important.

Speaker:

Of course, Oprah doesn't reflect

Speaker:

all of us.

Speaker:

Oprah is not everyone, but

Speaker:

her story and the fact

Speaker:

that it's out there when

Speaker:

she talks about it openly,

Speaker:

you know, it's on the

Speaker:

radar and it's happening to

Speaker:

so many.

Speaker:

And it really does reflect

Speaker:

what is happening right now

Speaker:

and that we need to

Speaker:

handle it thoughtfully.

Speaker:

For real people living real

Speaker:

lives, if it's you, if

Speaker:

it's someone you know, it's

Speaker:

critical that they're under the

Speaker:

monitoring and guidance of their

Speaker:

health professional, their doctor, their

Speaker:

prescribing doctor for that.

Speaker:

And second, maybe secondary, but

Speaker:

also very important in my

Speaker:

estimation is suggesting maybe they

Speaker:

see a registered dietitian, someone

Speaker:

who can really assess their

Speaker:

nutrient needs, help them with

Speaker:

any symptoms that they may

Speaker:

be experiencing while on the

Speaker:

medications that may be related

Speaker:

to constipation or nausea or

Speaker:

any of the things related

Speaker:

that could be assisted by

Speaker:

nutrition, but also really to

Speaker:

sort of check in and

Speaker:

maybe tweak their diet to

Speaker:

get the most bang for

Speaker:

the buck, the most bang

Speaker:

for the bite, the most

Speaker:

nutrient density to accomplish not

Speaker:

only the weight loss, but

Speaker:

maintain muscle mass and keep

Speaker:

your energy high, manage your

Speaker:

digestion, all the things that

Speaker:

are critically important that become

Speaker:

even more so on the

Speaker:

GLP-1s.

Speaker:

What this looks like in

Speaker:

a real life could be

Speaker:

like prioritizing some protein and

Speaker:

fiber at breakfast, for example,

Speaker:

something like yogurt, fruit and

Speaker:

nuts, or eggs and beans

Speaker:

with spinach, something so each

Speaker:

bite, even if it's smaller,

Speaker:

does more or, you know,

Speaker:

gets the work done for

Speaker:

you.

Speaker:

Thinking about simple ways to

Speaker:

keep strength up and keep

Speaker:

the muscles preserved may not

Speaker:

be just hitting the gym

Speaker:

two days a week for

Speaker:

strength training, but it might

Speaker:

be building in some resistance

Speaker:

moves during the day, doing

Speaker:

lunges to and from different

Speaker:

places like your office bathroom

Speaker:

or your house, working in

Speaker:

intentional squats, you know, making

Speaker:

sure that you're using your

Speaker:

muscles meaningfully and thoughtfully, and

Speaker:

also managing, you know, other

Speaker:

things in your chronic disease

Speaker:

risk profile and your health

Speaker:

overall, how you manage your

Speaker:

energy, your sleep, your digestion

Speaker:

overall.

Speaker:

And that's why nutrient density

Speaker:

is going to be something

Speaker:

I'll be talking about more

Speaker:

of.

Speaker:

The quality of what you

Speaker:

put into and do with

Speaker:

your body makes and remains

Speaker:

super essential.

Speaker:

So that's really what this

Speaker:

trend is pointing toward to

Speaker:

me.

Speaker:

And I think it's interesting

Speaker:

and surprising, maybe just a

Speaker:

little bit, but not surprising

Speaker:

in that you've been reading

Speaker:

it all over the place.

Speaker:

You've certainly been hearing about

Speaker:

it.

Speaker:

And it's probably been dinner

Speaker:

conversation a time or two

Speaker:

in your household or around

Speaker:

a restaurant dinner table.

Speaker:

Number two, the other second

Speaker:

highest trend in the report

Speaker:

were wearables, wearable technology.

Speaker:

And this is really about

Speaker:

information.

Speaker:

You know, I think information

Speaker:

that can be power, strength

Speaker:

and knowing things, but we've

Speaker:

got to contextualize this as

Speaker:

well.

Speaker:

So what they're good for,

Speaker:

you know, there's so much

Speaker:

wearable technology now, it's really,

Speaker:

really cool.

Speaker:

But I really think about

Speaker:

like, how are we using

Speaker:

them?

Speaker:

What is it telling us?

Speaker:

In fact, so much so

Speaker:

that I talked to someone

Speaker:

recently who was sort of

Speaker:

not baffled by it was

Speaker:

wearing them, enjoying them, but

Speaker:

almost felt like they were

Speaker:

competing with them, you know,

Speaker:

or disagreeing at times.

Speaker:

What do you do when

Speaker:

you disagree with what it

Speaker:

tells you you just did

Speaker:

or how good or poorly

Speaker:

you slept or how your

Speaker:

recovery is?

Speaker:

And you're like, no, that's

Speaker:

not what my body's feeling.

Speaker:

What do you do with

Speaker:

that information?

Speaker:

I think that's the whole

Speaker:

context.

Speaker:

So the second major trend

Speaker:

that the experts highlighted across

Speaker:

the board and continued to

Speaker:

rise is this idea of

Speaker:

wearable technology, watches, rings, straps,

Speaker:

some of the CGI, continuous

Speaker:

CGM, the continuous glucose monitor,

Speaker:

CGM, continuous glucose monitors.

Speaker:

And some of them are

Speaker:

becoming more and more integrated

Speaker:

with AI and giving personalized

Speaker:

feedback along the way.

Speaker:

I still think human feedback

Speaker:

matters.

Speaker:

I say this contextually.

Speaker:

There's a lot of things

Speaker:

that you can sort of

Speaker:

have fun with and monitor.

Speaker:

I don't think that you

Speaker:

necessarily have to go to

Speaker:

the doctor every minute with

Speaker:

your Oura Ring and download

Speaker:

the findings.

Speaker:

But I think that there

Speaker:

is something powerful in sort

Speaker:

of showing some, I guess,

Speaker:

objective data when you go

Speaker:

visit a health professional.

Speaker:

Maybe you even have one

Speaker:

of these like an Apple

Speaker:

Watch, a Whoop band, which

Speaker:

is another type of fitness

Speaker:

monitor, sort of like the

Speaker:

Apple Watch, the Oura Ring,

Speaker:

you know, the different monitoring

Speaker:

rings that you can wear.

Speaker:

Maybe you've even experimented with

Speaker:

the glucose monitor for a

Speaker:

few weeks out of curiosity

Speaker:

or you wear one now.

Speaker:

People ask me about these

Speaker:

all the time and I've

Speaker:

experimented with some of them

Speaker:

and I don't have any

Speaker:

of them on right now.

Speaker:

But the question is sort

Speaker:

of which one should I

Speaker:

get or what should I

Speaker:

be paying attention to?

Speaker:

Is this telling me something

Speaker:

useful?

Speaker:

How do I use this?

Speaker:

How should I think about

Speaker:

this?

Speaker:

What does this mean?

Speaker:

I think my answer to

Speaker:

that, generally speaking, is that

Speaker:

wearables are very good at

Speaker:

showing patterns over time.

Speaker:

I think they are much

Speaker:

less useful when they're trying

Speaker:

to explain a single moment

Speaker:

in time.

Speaker:

I often think of like

Speaker:

driving to an unfamiliar city

Speaker:

with GPS.

Speaker:

It gives you like every

Speaker:

possible route at once.

Speaker:

And that information isn't wrong.

Speaker:

It's just like too much

Speaker:

information altogether without context.

Speaker:

Like unless you know, like

Speaker:

I know which route I

Speaker:

like to take for my

Speaker:

favorite destinations.

Speaker:

If you don't know, you

Speaker:

might be inclined to take

Speaker:

the fastest route versus the

Speaker:

most scenic route when you

Speaker:

would have enjoyed the scenic

Speaker:

route better.

Speaker:

And maybe there's a cafe

Speaker:

on the way.

Speaker:

So anyway, these devices, they

Speaker:

collect valuable signals.

Speaker:

They see your heart rate

Speaker:

trends, activity trends, sleep patterns,

Speaker:

monitor glucose fluctuations, even certain

Speaker:

stress markers.

Speaker:

But those numbers are sort

Speaker:

of just numbers, right?

Speaker:

Unless they're put into a

Speaker:

pattern and to you, you

Speaker:

know, someone else's pattern may

Speaker:

be very different than yours.

Speaker:

And if you took their

Speaker:

pattern, it wouldn't really make

Speaker:

sense.

Speaker:

Sleep is a good example

Speaker:

of this.

Speaker:

A lot of people track

Speaker:

sleep and they see dips

Speaker:

night to night.

Speaker:

Sometimes it provides very valuable

Speaker:

information.

Speaker:

But what they don't realize

Speaker:

is that small changes are

Speaker:

a crisis either.

Speaker:

And sometimes we tend to

Speaker:

make them.

Speaker:

All of a sudden, we

Speaker:

open our eyes or we're

Speaker:

made aware of something and

Speaker:

all of a sudden we're

Speaker:

nervous about it.

Speaker:

Small dips and changes is

Speaker:

like life's variability.

Speaker:

Life happens.

Speaker:

I mean, think about work

Speaker:

stress.

Speaker:

Think about kids waking up

Speaker:

in the middle of the

Speaker:

night or a noisy street

Speaker:

or a siren that wakes

Speaker:

you up.

Speaker:

Maybe you had a late

Speaker:

dinner and it kept you

Speaker:

up.

Speaker:

All relevant to this story,

Speaker:

but it informs it rather

Speaker:

than the sleep being the

Speaker:

definitive answer on what's going

Speaker:

on.

Speaker:

So it really is.

Speaker:

If you use these wearables,

Speaker:

the patterns over weeks that

Speaker:

tells you about what's going

Speaker:

on, maybe about recovery, resilience,

Speaker:

where some sticky spots are

Speaker:

that you want to take

Speaker:

a look at closer glucose

Speaker:

monitoring.

Speaker:

Oh my goodness.

Speaker:

That brings up similar reactions

Speaker:

to a single rise after

Speaker:

a meal, especially people are

Speaker:

for the first time tracking.

Speaker:

And I don't know anything

Speaker:

about this.

Speaker:

They are stunned.

Speaker:

They're shocked.

Speaker:

They're nervous because it rises.

Speaker:

But guess what?

Speaker:

Glucose always rises after a

Speaker:

meal.

Speaker:

That's normal biology, but it's

Speaker:

the timing of how we

Speaker:

bring that down, the range

Speaker:

in which that it might

Speaker:

rise to.

Speaker:

Without context, a spike can

Speaker:

feel super personal, can feel

Speaker:

like a crisis.

Speaker:

Like every single food choice

Speaker:

now is suddenly under a

Speaker:

microscope and wrong or poor

Speaker:

decisions for you can happen

Speaker:

as a result of that.

Speaker:

But if it's interpreted with

Speaker:

context, when did it rise?

Speaker:

How high did it go?

Speaker:

How long did that last?

Speaker:

What else was going on?

Speaker:

That same data can become,

Speaker:

oh, informative, interesting, and not

Speaker:

discouraging, hopefully.

Speaker:

I've had, like I mentioned,

Speaker:

colleagues tell me and friends

Speaker:

tell me about their watches

Speaker:

telling them one thing when

Speaker:

they felt different and feeling

Speaker:

perplexed or confused or mad

Speaker:

at their technology.

Speaker:

Or like, what's the update?

Speaker:

Has it updated recently?

Speaker:

Maybe tells them they're rested

Speaker:

when they're totally stressed and

Speaker:

exhausted, or that their sleep

Speaker:

was interrupted and X, Y,

Speaker:

Z, and they were up

Speaker:

purposefully during the night, and

Speaker:

they struggle with that.

Speaker:

It's when people expect them

Speaker:

to tell them the story

Speaker:

that I think that becomes

Speaker:

a little bit of a

Speaker:

struggle when they expect too

Speaker:

much of it, I guess,

Speaker:

the tool, and we need

Speaker:

to keep it in its

Speaker:

toolbox so we don't hang

Speaker:

on every single number like

Speaker:

we're on a scorecard.

Speaker:

I guess that's where I'm

Speaker:

going with that.

Speaker:

Some people start to compete

Speaker:

with their devices, I mentioned,

Speaker:

instead of paying attention to

Speaker:

how they feel, and you

Speaker:

know how much I feel

Speaker:

strongly about a sort of

Speaker:

big connected head and body

Speaker:

and spirit.

Speaker:

Some feel discouraged if the

Speaker:

day and the data didn't

Speaker:

reconcile or live up to

Speaker:

their expectation.

Speaker:

This is what I recommend

Speaker:

if you're playing around with

Speaker:

the wearables and you don't

Speaker:

know where to go or

Speaker:

what to do.

Speaker:

First, pick one or two

Speaker:

things to focus on.

Speaker:

Maybe you want insight into

Speaker:

a lot of things, but

Speaker:

pick one or two.

Speaker:

Sleep or movement.

Speaker:

You know, we used to

Speaker:

have pedometers that would just

Speaker:

measure your steps in the

Speaker:

day.

Speaker:

Now, our phones, another type

Speaker:

of wearable technology, if you

Speaker:

wear it on you, will

Speaker:

do that.

Speaker:

How your body responds to

Speaker:

certain foods, maybe that's the

Speaker:

glucose monitor, and maybe you're

Speaker:

checking one aspect of it.

Speaker:

Because more data is not

Speaker:

always better, it doesn't always

Speaker:

add up to more.

Speaker:

Second, look for trends, look

Speaker:

for patterns, not your daily

Speaker:

score on this.

Speaker:

It is very, in a

Speaker:

gaming world that we live

Speaker:

in, it is very easy

Speaker:

to fall victim to like

Speaker:

the daily scores.

Speaker:

You know, how do you

Speaker:

measure up?

Speaker:

But an odd night, an

Speaker:

unexpected anomaly, that's just noise.

Speaker:

Scientists even look at that

Speaker:

as noise.

Speaker:

You know, that doesn't fall

Speaker:

into the pattern graph, so

Speaker:

to speak.

Speaker:

It doesn't have much meaning

Speaker:

when it stands alone.

Speaker:

And third, use the data

Speaker:

to ask better questions, maybe,

Speaker:

or bring it with you

Speaker:

so you can be informed

Speaker:

and share it with your

Speaker:

clinician and use sort of

Speaker:

conversation and human interaction.

Speaker:

So you can go into

Speaker:

an appointment and say, hey,

Speaker:

I've been tracking this and

Speaker:

I've noticed my resting heart

Speaker:

rate is higher on some

Speaker:

mornings after I eat late,

Speaker:

or I've noticed that my

Speaker:

glucose seems to rise after

Speaker:

this kind of a snack,

Speaker:

but not this one.

Speaker:

That can become useful information,

Speaker:

and that's where personalized care

Speaker:

can start to feel real,

Speaker:

and personalized nutrition, and this

Speaker:

whole idea of more precision

Speaker:

nutrition or personalized care.

Speaker:

That's why I was actually

Speaker:

quoted in this report.

Speaker:

I was saying how this

Speaker:

wearable technology has such a

Speaker:

great potential to change how

Speaker:

we give and follow nutrition

Speaker:

advice, because when people can

Speaker:

see their own data, they

Speaker:

see how their own glucose

Speaker:

or heart rate variability or

Speaker:

activity patterns respond to food,

Speaker:

or sleep, or stress, and

Speaker:

then they get it interpreted

Speaker:

with some guidance.

Speaker:

So they play a role,

Speaker:

but maybe with some professional

Speaker:

guidance on what that means,

Speaker:

then behavior change feels more

Speaker:

personal and maybe more doable.

Speaker:

You know what to do

Speaker:

with it, and that's really

Speaker:

cool.

Speaker:

I think that that's really

Speaker:

important.

Speaker:

This is why I think

Speaker:

the expert panel put wearables

Speaker:

as such a significant trend

Speaker:

that it rose so high

Speaker:

for its potential.

Speaker:

We don't need more numbers,

Speaker:

but now that we have

Speaker:

access to some of these

Speaker:

numbers, this information, when it's

Speaker:

paired with interpretation and used

Speaker:

thoughtfully, it may help us

Speaker:

as we pursue health.

Speaker:

And so the difference is

Speaker:

in the technology.

Speaker:

It's really how we use

Speaker:

it.

Speaker:

So those are top two.

Speaker:

Another major theme that came

Speaker:

through clearly in this year's

Speaker:

report, the third one, was

Speaker:

a description in the foods

Speaker:

role in supporting health, something

Speaker:

I talk about all the

Speaker:

time, how foods can support

Speaker:

our health.

Speaker:

The better for you foods,

Speaker:

the super foods, how food

Speaker:

on a plate and patterns

Speaker:

over time and synergies can

Speaker:

support our health.

Speaker:

It's very often described these

Speaker:

days as food as medicine,

Speaker:

and that was the terminology

Speaker:

that was used and that

Speaker:

rose up as the third

Speaker:

top trend.

Speaker:

And I want to pause

Speaker:

here because this phrase lands

Speaker:

differently with different people.

Speaker:

It's controversial to some.

Speaker:

Some find it super empowering.

Speaker:

Others bristle at the idea

Speaker:

of considering food and medicine

Speaker:

as one.

Speaker:

Food isn't a prescription.

Speaker:

Food is so much more,

Speaker:

you know, it's so big

Speaker:

and broad and wonderful, and

Speaker:

it does not replace medical

Speaker:

care.

Speaker:

But nutrition, we can't dismiss

Speaker:

at all.

Speaker:

I think we'd all agree

Speaker:

it absolutely plays a role

Speaker:

in how our bodies function,

Speaker:

how our bodies recover and

Speaker:

repair, how our bodies adapt

Speaker:

over time.

Speaker:

And so the experts reflected

Speaker:

this year, and they really

Speaker:

saw a renewed focus on

Speaker:

real food patterns, not extremes,

Speaker:

and this idea of food

Speaker:

as medicine.

Speaker:

The thing that stood out,

Speaker:

and this came out in

Speaker:

the many past US News

Speaker:

best diets reports, is that

Speaker:

the Mediterranean diet approach continues

Speaker:

to stand out.

Speaker:

Like it stood out, not

Speaker:

because it's trendy, but because

Speaker:

it's adaptable.

Speaker:

And it's something else I

Speaker:

was quoted on in this

Speaker:

report.

Speaker:

It keeps proving, it has

Speaker:

more science than probably any

Speaker:

other diet, and it keeps

Speaker:

proving year after year, it's

Speaker:

flexible, it's plant forward, it

Speaker:

works in the real world,

Speaker:

it emphasizes vegetables and fruits

Speaker:

and beans and whole grains

Speaker:

and nuts and seeds, the

Speaker:

healthy fats, and it works

Speaker:

in real kitchens and real

Speaker:

lives.

Speaker:

And what stood out even

Speaker:

more, the sort of number

Speaker:

one food-seeking or nutrient

Speaker:

-seeking trend that was noted

Speaker:

was fiber, the consistent emphasis

Speaker:

on fiber, especially from legumes

Speaker:

like beans, the vegetables, the

Speaker:

fruits, the whole grains, and

Speaker:

as one of the most

Speaker:

important nutrition strategies to reduce

Speaker:

chronic disease risk.

Speaker:

That was very, very clear

Speaker:

in this report and that

Speaker:

they talked about it.

Speaker:

And it really fits what

Speaker:

we see day to day

Speaker:

as well.

Speaker:

I found across all these

Speaker:

trends, the medication, the technology,

Speaker:

and this personalized care food

Speaker:

as medicine, so to speak,

Speaker:

that fiber keeps quietly showing

Speaker:

up in the background.

Speaker:

It's not like the headline

Speaker:

or the main event, but

Speaker:

it is one of the

Speaker:

most reliable evidence-based supports

Speaker:

that we have for metabolic

Speaker:

health, for heart health, for

Speaker:

gut health, and only 6

Speaker:

% of us are meeting

Speaker:

the daily recommendation.

Speaker:

So when people eat more

Speaker:

whole, minimally processed foods, that's

Speaker:

the food as medicine approach,

Speaker:

not just getting carbohydrates, proteins,

Speaker:

or fats, but the micros

Speaker:

and the phytos.

Speaker:

The micros are the vitamins

Speaker:

and minerals essential to our

Speaker:

diet.

Speaker:

The phytos are the phytochemicals,

Speaker:

antioxidants, polyphenols, this big, huge,

Speaker:

many thousands of complicated names

Speaker:

to mean like sort of

Speaker:

the fighter nutrients, I call

Speaker:

them, in our body to

Speaker:

protect us.

Speaker:

And they all work together.

Speaker:

They support all of the

Speaker:

things that we need, digestion,

Speaker:

metabolic health, heart health, the

Speaker:

whole gamut.

Speaker:

So it's not about eating

Speaker:

perfectly, but intentionally thinking of

Speaker:

adding the fiber sources, adding

Speaker:

the beans or lentils a

Speaker:

few times a week.

Speaker:

I said recently in a

Speaker:

TV segment on Live with

Speaker:

Kelly and Mark, adding about

Speaker:

a half cup on most

Speaker:

days, a half to one

Speaker:

cup of beans a day,

Speaker:

building our plates plant forward

Speaker:

or focus on plants, choosing

Speaker:

foods that do more than

Speaker:

one job, maybe, maybe it's

Speaker:

got the omega-3s and

Speaker:

the fiber like chia seeds,

Speaker:

for example, and supporting our

Speaker:

appetite in a variety of

Speaker:

ways.

Speaker:

So we've seen this when

Speaker:

appetite changes, our food quality

Speaker:

matters more, the data becomes

Speaker:

available, our food choices become

Speaker:

more personalized.

Speaker:

And when our health becomes

Speaker:

more individualized, nutrition becomes less

Speaker:

about the rules, but more

Speaker:

about what it does for

Speaker:

us.

Speaker:

That's sort of the medicine

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side of things.

Speaker:

What we didn't see this

Speaker:

year in the report, though,

Speaker:

as we looked at the

Speaker:

GLP-1s, the wearable, and

Speaker:

the food is medicine, is

Speaker:

surprisingly, or what caught my

Speaker:

attention, but it's still an

Speaker:

important part of the story,

Speaker:

was plant forward eating didn't

Speaker:

rise to the top.

Speaker:

Plant-based foods, plant-based

Speaker:

eating, it's still important, but

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it did not rise to

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the top.

Speaker:

Sustainability wasn't way up there

Speaker:

at the top.

Speaker:

And alternative proteins, plant-based

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proteins, or the cellular proteins,

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different kinds of proteins didn't

Speaker:

rise to the top.

Speaker:

You may have been surprised.

Speaker:

I raised my eyebrows a

Speaker:

little bit, but I wasn't

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quite surprised.

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It reflects, I think, how

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familiar, and this is a

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positive, these ideas have become

Speaker:

to us.

Speaker:

Sort of like, we presume

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those are important, and so

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maybe they're getting woven into

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the fabric of our health

Speaker:

picture.

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I hope so.

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Many people already are leaning

Speaker:

more toward plants, or at

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least they're more familiar with

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the language of it, and

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the science supporting it also,

Speaker:

than they did or maybe

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were five or 10 years

Speaker:

ago.

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Food choices are becoming more

Speaker:

thoughtful when it comes to

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people who are health-inspired

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or motivated to make substantive

Speaker:

changes.

Speaker:

And so I think there's

Speaker:

more of an awareness around

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balance, how our food supports

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our long-term health.

Speaker:

That even if it's not

Speaker:

perfect, and if it varies

Speaker:

week to week and season

Speaker:

to season, that it all

Speaker:

adds up.

Speaker:

I was interested, but not

Speaker:

fully surprised, and I had

Speaker:

to think about it a

Speaker:

little bit.

Speaker:

Why didn't those show up

Speaker:

this year, and why did

Speaker:

the others really rise up?

Speaker:

But I think that it's

Speaker:

become a little bit more

Speaker:

ingrained.

Speaker:

We say it, we know

Speaker:

it.

Speaker:

And when you look across

Speaker:

the entire report, you see

Speaker:

a lot of things that

Speaker:

are approaches that support our

Speaker:

health, not as demanding or

Speaker:

absolute, not as rigid.

Speaker:

It's more toward individualized nutrition

Speaker:

approaches and tools that can

Speaker:

help us get there.

Speaker:

I think that's key.

Speaker:

So this shift may not

Speaker:

feel so dramatic, but I

Speaker:

think it's meaningful.

Speaker:

And as I was reading

Speaker:

through the trends, what stayed

Speaker:

with me wasn't any particular

Speaker:

tool, but the shift in

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how we're thinking about health,

Speaker:

how the conversation itself might

Speaker:

be changing a bit.

Speaker:

Maybe we're moving slowly away

Speaker:

from health being something that

Speaker:

we learn because someone's, you

Speaker:

know, here's the latest, greatest

Speaker:

diet to follow written in

Speaker:

a book, and we should

Speaker:

all be on it and

Speaker:

do it to do it

Speaker:

right.

Speaker:

It has to be this

Speaker:

way.

Speaker:

But that health is something

Speaker:

that we build over time

Speaker:

for ourselves, that we get

Speaker:

knowledge through information, not just

Speaker:

from our doctors, but through

Speaker:

different tools that we can

Speaker:

have on hand with us,

Speaker:

accessible.

Speaker:

So we have some agency

Speaker:

in that.

Speaker:

And that the patterns over

Speaker:

time can really impact our

Speaker:

real life.

Speaker:

So this is what I

Speaker:

saw this year, how we

Speaker:

use information without letting it

Speaker:

overwhelm us, we can use

Speaker:

some of these, how we

Speaker:

build our eating and our

Speaker:

movement patterns that can actually

Speaker:

last.

Speaker:

And also why this matters

Speaker:

for our waking minutes.

Speaker:

So before we close, if

Speaker:

this episode got you thinking

Speaker:

about some of these trends

Speaker:

and what they mean to

Speaker:

you, I'd love to hear

Speaker:

actually, maybe they gave you

Speaker:

something new to bring to

Speaker:

your conversations, or I'd love

Speaker:

to hear.

Speaker:

So I'm at wendybazilian.com

Speaker:

.

Speaker:

And on Instagram at @1000WakingMinutes

Speaker:

send it on

Speaker:

to a friend or maybe

Speaker:

talk about it over dinner,

Speaker:

see what's helpful.

Speaker:

Maybe if you are someone's

Speaker:

on the GLP-1s talk

Speaker:

about nutrition per bite or

Speaker:

seeking a referral to dietitian

Speaker:

or thinking about next steps

Speaker:

for you or that individual,

Speaker:

what happens when you go

Speaker:

off it?

Speaker:

Or will you be on

Speaker:

it for a period of

Speaker:

time?

Speaker:

What about that the

Speaker:

wearable technology fascinating stuff that

Speaker:

I'm sure we'll talk more

Speaker:

about in episodes to come.

Speaker:

And thank you for sharing

Speaker:

your time with me today,

Speaker:

sharing what you're curious about,

Speaker:

and maybe how this fits

Speaker:

in your everyday life.

Speaker:

The takeaway, I think, today

Speaker:

is that the future of

Speaker:

health isn't about piling more

Speaker:

on the next biohack that

Speaker:

we can add.

Speaker:

But it's about assessing and

Speaker:

choosing what fits you and

Speaker:

your body, your life now,

Speaker:

so that may shift over

Speaker:

time, and letting it add

Speaker:

up over time.

Speaker:

Because as you know, life's

Speaker:

currency is time, and that's

Speaker:

yours, and yours alone.

Speaker:

So if you've enjoyed the

Speaker:

show, ratings and reviews always

Speaker:

help.

Speaker:

I appreciate it.

Speaker:

I appreciate your time and

Speaker:

support.

Speaker:

Please find me at

Speaker:

@1000WakingMinutes and say hello.

Speaker:

And thank you for sharing

Speaker:

some of your waking minutes

Speaker:

with me today.

Speaker:

I'm Wendy Bazilian, your host

Speaker:

and partner here on 1,000

Speaker:

Waking Minutes.

Speaker:

And until next time, be

Speaker:

well.

Speaker:

Thank you for tuning into

Speaker:

1,000 Waking Minutes.

Speaker:

A huge thank you to

Speaker:

our amazing collaborators, including our

Speaker:

production and marketing teams, and

Speaker:

Gabriela Escalante, in particular, to

Speaker:

the ultra-talented Beza for

Speaker:

my theme music, my lifelong

Speaker:

friend and artist, Pearl Preis

Speaker:

photography and design, to Danielle

Speaker:

Ballantyne, Jen Nguyen, Joanna Powell,

Speaker:

and of course my family,

Speaker:

and everyone working tirelessly behind

Speaker:

the scenes.

Speaker:

And to you, our valued

Speaker:

listeners, I so appreciate your

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support.

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If you enjoyed today's episode,

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please consider leaving a comment,

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writing a review and giving

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1,000 Waking Minutes, that's us,

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a five star rating.

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And please hit subscribe on

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you enjoy your podcasts, please

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follow and stay connected at

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Wendy Bazilian.com.

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And don't forget to share

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with your friends.

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Your support helps us grow

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and bring you more great

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content until next time.

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Find some simple opportunities to

Speaker:

optimize those 1,000 waking minutes

Speaker:

each day.

Speaker:

I'm saying yes to better

Speaker:

days.

Speaker:

Yes.

Speaker:

I'm on my way.

Speaker:

Yes.

Speaker:

It's gonna be okay.

Speaker:

Yeah.

Speaker:

I'm saying yes to better

Speaker:

days.

Speaker:

Yes.

Speaker:

I'm on my way.

Speaker:

Yes.

Speaker:

It's gonna be okay.

Speaker:

Yeah.

Speaker:

Yeah.

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