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I just learned about your channel. Thanks for keeping things real. Please do a video about insulin resistance. Most skinny fat people are IR and when they try to cut carbs they end up hypoglycemic. So it becomes unsustainable. Even if they try to eat fat for energy. I changed my physique doing the same you explain, but I can not do the cutting part because I pass out if I reduce carbs too much. Trying to supplement to fight insulin resistance and eat good fats and even use ketones. But it is very complicated. Also. It seems I reached a plato in weight lifting. It looks like my frame can't go over it. May be doing something wrong. IDK. All the best to you.
Intelligent, well spoken, witty and packed with proper facts ripping apart influencer and celebrity bullshit. I think ive just found my new favourite channel.
I agree!! In a world full of increasing levels of bullshit thank God there are people out there that expose the absurdity of this stuff for what it really is.
Bro trt is not a big deal it's just testosterone. You're bitching just like my job when I brought in my AR... I'm just trying to make a safe office space.... Everyone sucks now 😭
It depends, if they're doing it at low doses and his levels are not supraphysiological it's not that big of a deal, if he's blasting TRT then sure, it probably is the main cause of the transformation.
"...he takes this, this, and this supplement, which works with his TRT, which is no big deal" has the same energy as "We bought our 3 million dream house in our twenties by saving up, using vouchers, never getting anything excessive, and getting 3 million from our parents for our wedding."
Huh? WTF are you talking about? His T levels aren't a big deal because they have controlled them. They are uninteresting to review because an injection is keeping it steady and in the healthy range. It's not going to be drastically affected by his diet and exercise regime.
@@DadeMurphie His T levels are the biggest affect on his transformation, and therefore his health. All of the other stuff is complete bs. HIs entire health change is due to diet, testosterone, and exercise. Everything else is a scam.
people like you are idiots. He's over 50, so testosterone replacement is LITERALLY needed for like 70% of men over 45. Some as early as in their 30s. The current state of our food+work environment literally kills testosterone, and men are at lowest testosterone levels in history. Thats literally number 1 cause of everything bad AND good. So no shit if his test levels were low he should take replacement therapy, doesn't mean he's wanting to be "jacked". He just wants to look like a normal HEALTHY 50 year old guy, not a couch potato with no energy. Hater idiots.
I laughed when the guy acted like the TRT was irrelevant. It's the main reason for his body transformation. When I went on TRT, it made a massive difference in everything.
@@enriquegabriel7708 TRT is testosterone replacement therapy. Injecting or consuming testosterone to maintain and boost testosterone levels in the normal male range. Testosterone decreases slowly after a certain age (30s)
As a health care provider I really appreciate your take on the Doctor discussion in the beginning. Well thought out, articulated and insightful. As always really enjoy your content
I stopped watching the video when he said pills always work and fast. Dana White said he gave the pills many years to work and he was still in constant pain and felt terrible. Also drugs often have side effects or can be misdiagnosed which can cause more harm than good (This is a big ommission). It seems to me the guy in this video has put alot of emphasis on being an actual doctor which might explain why the Dana video rubbed him the wrong way. Personally I found Brecka's videos really insightful. While Brecka can make errors in describing certain body processes his heart is made of gold and he has a really wide range of knowledge. The fact that the previous doctors working with Dana were all impressed with Brecka also tells a tale.
He’s saying that in general, pills work fast and well as opposed to lifestyle changes. Obviously he’s not saying every pill is diagnosed perfectly and work exactly right every time and I don’t think anyone watching would think that.
@@standardtuning4guitars423 it's a shame you stopped watching because you missed a well reasoned argument. Regardless of Dana's experience (we are likely getting a story based on his prior biases) fact is pills work. They are required to be tested extensively and, because medications utilize known chemical pathways in the body, they can be confidently prescribed and results predicted. That said, Mike goes on to say this is only as good as taking the hard and more permanent road and actually fixing your health via a combination of exercise, diet and lifestyle interventions. This is not controversial, but those with biases against scientific medicine tend to not accept the facts, which is unfortunate.
@@standardtuning4guitars423 D riding brecka while he's scamming these celebrities. He does nothing good. Dana looks the way he does bc of Dana and TRT. Not bc of the bs brecka is selling him.
I fail to understand how safe testosterone levels got rid of his weight problem and metabolic syndrome that he had. Also, TRT is not "juice"... you seem like a clueless knucklehead
@@bingham8624 actually exercise will barely get rid of excess weight.. its mostly diet. this is a known fact. if you eat too much of the wrong foods you can exercise all you want, you aint losing weight
The joy and happiness I felt when you were stating the questions around 9:00 is rare nowadays. I mean, how often do you hear about dose-response relationship and asking for specific mechanisms that could explain said benefits. Found you from the other Dr. Mike. And you two are now my best Mikes in the world. Instant subscriber here. Keep it coming because the internet badly needs competent people like you Dr. Mike.
I'll also add that I've never even considered becoming a channel member for any other channel because I've never seen the worth of it. But here I'm seriously considering it because I can definitely see the benefits of it.
thank you for calling out people that want an easy way out and not scapegoating the doctor, so many people just dont want to change and still want results.
What do you think a man in his 50s can change for low T? There is literally nothing a man can do beyond TRT if it is too low. Diet and exercise will have minimal impact. Just taking TRT isn't going to get anyone jacked on its own. He still had to hit the gym and watch his diet to get results.
@@obaidqadri4181 well if that's what you meant you should have explicitly stated so because its not the clear implication of what you wrote. You responded to a video about a man in his 50s on TRT and thanked the host for calling it out.
@@DadeMurphie TRT wasn't even mentioned in the initial comment. There was a whole section in the video about doctors prescribing pills for everything, because it's unlikely people will just get their shit together on their own. Sure, when getting jacked in your 50s is your goal, there's not really a way around TRT. But losing 35 pounds and generally leading a healthier lifestyle is 100% on the table without any supplement at all.
~95% of the time, the doctor isn't the problem. primary care doc here... in general, doctors working for major health systems (i.e. Kaiser, Providence, Ascension, etc) are given 15 min appointments for follow up appointments (meaning anything besides initial appointment) and 30min (sometimes up to 60 min) for initial appointment to establish care. These appointment times do not allow for meaningful discussions on fully optimizing a patient's health. Majority of the time, we have no say in these time allotments, we just show up to work and deal with these awful circumstances. For those that care, please complain to your insurance companies and health systems- they are the ones who have the power to implement adequate appointment times.
That’s enough out of you pill pusher /s. This is very true, insurance companies have positioned themselves as blameless and put doctors as the face of everything wrong with healthcare. Then comes along a charlatan like Gary Brecka “human biologist” 😂 (as well as so many other health gurus) that just trash the medical field. It’s a really old tactic that’s worked forever because there is never a shortage of suckers. It’s really unfortunate for doctors like yourself to deal with this type of shit but it irritates me so much how not enough people call out these fake doctors such as Mr. Human Biologist Gary
Thank you for clarifying how doctors are working for health systems that present the business model doctors have to plug into.. which is why doctors aren’t able to get into a deep dive on one’s health Just 10 mins and here try this ssri cya in a few wks seem like the norm.. How do we as patients do better for ourselves? Can we find a doctor that works private practice? An MD not handcuffed by Kaiser of a large healthcare system? What kind of doctor can we look for that will look at the sources of illness versus treat the symptoms? Thank you
@UCel7DNTir4CHFy7_FpfNeyQ you definitely can find a doctor that works private practice. This would probably have to be through your insurance though or else you’d have to pay out of pocket (again this is another thing doctors get blamed for but it’s insurance companies that make this so tedious). I can say all good doctors want to treat the illness and not just the symptoms even though it may not always seem that way. Health gurus and “Wellness” people love to use this as a talking point but it’s not true. It’s one thing for doctors not to have time to do a deep dive in your overall health but it’s another to purposely not treat the illness. What makes you feel that way?
@@LanceMiller-m9h unfortunately good primary care that includes enough time to collaborate with patients is often limited to private practice which are often not covered by insurance. If you have the money, a direct primary care practice is the way to go. Unlimited time with your doctor for a monthly fee (usually 75-100 per month). It's sad that this kind of care is not available to people of all income levels but sadly that's what happens when healthcare is delivered through a capitalist lens. If you can't afford a direct primary care membership then I'd recommend coming to your appointments with a list of your health priorities (diet, exercise, mental health, etc). That'll at least help focus the little time you have with your doc on the things that are important to you. Best of luck to you
@@rumble2468 They were saying that cold plunge gets the body to release all dead cells and makes the liver produce certain enzymes as a "life saving measure" due to the rapid reduction in temperature. Hes just one of many salesmen selling his snake oil to unsuspecting rich rubes
people dont need to be doctors to understand things they learn about. Most, if not all, family doctors know nothing about proper human diet for example. If they arent taught it in school, which the are not, then they wont know.
@@Jojo-o6o6w They aren't able to learn on their own? Most educated humans learn most of the information required to be successful at their jobs outside of school!
Man Oprah has done more harm to overall health than any other person by advocating those charlatans. Having Peter Attia on her show doesn’t make up for that
Residency trained pharmacist, we got a TON of patient counseling practice in school and during my residency programs (basically pharmacy is knowing medications and either advising a physician or a patient). Working at the VA and trying to help people with heart failure, they don't want to walk or move or go to the bathroom, so they get worse. Trying to help people with diabetes, they don't want to count calories or be remotely active, so they get worse. Spent 1 hour at a time with 7 people a day trying to educate and prepare them to take care of themselves and to facilitate results now, learn their medicine; they just don't do it. I can't do patient counseling anymore from seeing people come in for yearly checkups, still smoking, still complaining about being able to breathe or move around their house, gaining weight, blaming their pills... this even happens in private hospitals too. Now I compound at a local shop, basically only end up seeing people that need specialty meds and they are much more receptive than the general populace. It's not that doctors or nurses don't have the time or don't like you; it really just gets awkward to keep people's attention and rapport up to convince to change the way they are LIVING. Lifestyle change is paramount to the habits that have been created without any conversation or forethought. What order you get ready in the morning, how you leave the house, the way you drive, how you interact with people. It's beyond hard to change, let alone convince somebody that they've been doing it wrong and need to change. Despite what any contrarian can say, everybody wants a magic pill / silver bullet.
The people you're describing sound pretty much like my dad. The amount of times he's been advices by doctors, dieticians, his kids, etc. and him making almost no effort to actually do it is ridiculous. Sure he would try it for a few weeks but then he'd quit because "it's not helping". Like mf you been eating and living like crap for YEARS and now you expect to turn it all around in a few weeks? And the fad diets.... Ugh.
So much this!! Nurse here. Patients get so defensive about lifestyle modification, but are very quick to blame "all these pills" for them feeling poorly. Side effects exist, medication interactions exist, but VERY few people actually want to put in the work to be able to come off their meds safely.
Every doctor should be prepared to never abandon the patient, but in college you learn just not to abandon the illness. When the patient does not adhere to treatments for the disease, it is as if the doctor is no longer able to monitor them. The doctor who was trained under the illusory concept of having power over the disease and the patient's actions is condemned to feel like a failure and frustrated at various points in the career. However, the doctor who seeks knowledge about "caring" with the same commitment and dedication that he takes to “cure" is a human being in permanent fulfillment.
I totally see where you are coming from. I work in physical therapy. However, there is a huge disconnect between doctor visits and patients truly grasping what it's really going to take to make the necessary lifestyle changes needed to live beyond the next 5 months. I've always been a huge advocate of preventative health care, which is essentially what proper diet and exercise is. But for patients looking to get their numbers under control, from weight to triglyceride levels, what does this actually look like in an exercise and diet program? I honestly think that exercise scientists who have the capability of prescribing specific programs based on need should be part of hospital and doctor office staff. I believe the disconnect between doctor visits and the needed lifestyle changes could disappear with prescribed programs. Hell, make a partnership between doctor offices and fitness centers. Incentivise the whole process. But, it's hard to know how and to whom to make such suggestions.
Yeah it hasn’t annoyed me yet which is surprising unlike the parrot from Aladdin screeching “COOKBOOK” every 7 seconds then whining about someone being mean to him
Doc here, man this is a great video. Very insightful and I love your way of thinking. Trouble is that the majority of people can’t be fucked doing the hard work to improve their health. It’s the age old fight against the lizard brain - avoid pain and seek comfort. Fight the goddam fight people! 💪🏻
Actually it's really not hard for an ordinary person to get a 100K loan, problem is banks expect you to pay it back on time so the difference is the willingness to experiment. But that's what business venture capital is for. People complaining they can't get a start are really just uneducated and mostly scared of risk.
@@Jojo-o6o6wthe type of dude to be skeptical of scientific based evidence i.e. vaccines, medicine, etc. But, first to call an ambulance to go to the hospital over a slight cough. 😂
Same story with dentists. Most don't want you to even need dental work to be done. But immediately fixing the problem at hand with treatments and then talking lifestyle change is how it is because people want something to be done for them when they need it.
"Excess fat is probably the highest reason why people fat!" What?! The social media experts from TikTok University told me it was all sugar and SEED OILS.
Eating in caloric surplus makes you fat. Being fat and eating a lot of highly processed seed oils and added sugars make you fucking extra inflamed. All inflammation markers go through the roof a lot.more than what would just fat cause
Well they are a thousand times worse than eating a diet high in healthy fats. Go back in time 50 000 years and find 3000 calories a day without majority of it being fat. Good luck. That's literally how almost the entire existence of our species looked like.
@@MuppetsSh0w I can't think of any food that had a majority of calories from fat 50k years ago. Certainly not nuts, seeds, berries etc, and game meat doesn't have a lot of fat. It would need to be something like 30%+ fat to have a majority, and game meat isn't anywhere close to that. So unless you think that people hunted A5 Wagyu cows or something there's no chance that people got a majority of their calories from fat.
PharmD here who works primarily with patients battling metabolic syndrome. I think I'm in love with you. Thank you for being a legitimate presence in the otherwise clown-show fitness space.
@@Scion15 calories are not treated the same by the body. I eat a large amount of calories yet stay slim. contrary to popular belief, a calorie is not a calorie.
@@pierrea3094 how is taking one guys advice being "prone" to cults? Also, carnivore isnt bad for people or did someone on the internet tell you it was?
Your advice and humor helps me a ton man. Im not trying to body-build but I'm always watching your shit for help and it's helped me a lot. I have abs at 35, and thanks for the help man.
@@incogneeto2418He peddles tons of misinformation on the regular and can't even get basic facts right when he's speaking outside of his very narrow area of expertise. Read e.g. Andrea Love's multi-part takedown of his cold and flu episode (she's an actual immunologist), it's straight-up embarassing. As for the topic at hand, "biohacking", Huberman really likes to dramatically oversell very weak data (in vitro, animal studies, tiny garbage studies done in humans) when it comes to exotic fringe treatments, and that often happens at the expense of tried-and-true methods with tons of high-quality evidence behind them that just don't sound very exciting and are thus unfit to cultivate a devoted podcast following to sell stuff to. Really, the dude is little more than a glorified supplement salesman at this point and his listeners just don't realize it because he's a Stanford professor and uses lots of jargon, so he must know what he's talking about, right?
So glad you exist, Doc. Especially loved your explanation of general practice doctors and their relationship to their patients in the small amounts of time they have with them.
My primary doctor handles meds and refers me to other doctors who are in lifestyle changes. Most people he sees are not interested in changing over time, just quick fixes. The magic of the pill
Yeah, most people dont want to make any effort to improve their health. Taking pills is easier. They work for the short term sure but they only fix the symptoms and not the underlying problem so taking the easy way will bite one in the rear later in life as even more health problems bunch up.
Imagine, you have your own personal chef, personal trainer, personal therapist, personal drug dealer...and you LOSE WEIGHT. WHAT COULD DANA'S SECRET REALLY BE!?!? It has to be the cold plunge.
I will join the masses in saying thank you for taking the time to give a measured analysis of the "doctors/pills paradox." You were concise and eloquent, and you avoided taking a dump on physicians (which often feels like the default path nowadays).
"Joining the masses" what you mean, is continuing to be negative unhealthy miserable individuals, who troll anybody trying to put out positivity in the world....Dana is in his 50s, TRT is made specifically for ppl in his age range...doing nothing but TRT does nothing but make you horny...this guy just thinks he's a stand up comedian, " eating healthy & downloading my health app is all you need" Complete doofus, he needs to b Stockton slapped asap.... And maybe some collagen, his skin looks Like shit
A magician said that part of presenting a trick is to "make the unimportant seem important, and make the important seem unimportant." The misdirection here obviously involves magnetic pads and cold plunges versus "We're doing TRT -- not a huge deal."
It always surprises me how many millionaires/billionaires are fooled by this type of stuff. With that kind of money, you could just hire a full-time smart person.
doc, you are right the 36 pound weight loss is the key to everything...but the question you need to answer for all of us is how did dana white lose all this weight after following breka's protocol?
Dr. Mike literally answered this question in the video. Dana got a top-tier personal trainer, cleaned up his diet (especially of alcohol) and got more active. It's not rocket science, and it's definitely not something he'd need to answer again for you.
I fucking love these videos man. Been binge watching so much, literally been out of the gym since college sports seriously but you with real actual science and knowledge behind his facts, makes me actually wanna try and do this again man
I love this series. Would be really interested to see you critique some of the workouts Eddie Hall and Brian Shaw do. I know strength vs hypertrophy requires different approaches (especially at their level) but would be interesting to dive into some of those specific differences in technique vs what they do that's good/bad for anybody. Thanks for the edu-tainment as always
I don't know why you're so respectful. Guy slapped his wife in public at the club when he was promoting his really dumb slap contest crap that just causes major brain damage
Let's stop ignoring female violence. She wants to start getting physical, don't be shocked when he returns the favor. Or are you a simp 'women can do no wrong and should be able to attack men' pathetic boy? They still won't want you no matter how hard you simp for them boy so cut the charade. Amber heard will never want you, stop trying.
Oh shit, I didn’t know the Dana White was the promoter of the slap in the face stuff and then he slapped his wife in the face while promoting that can’t make that up.
Damn Dr. Mike. You have some the best content on RU-vid man....cheers! Keep up the great work. Clear, objective and overall just good, actual real, advice. 💯👍🏻
Thank you for being an advocate for good doctors. We try to advocate lifestyle changes and prevention all the time. The people just won't put in the effort or just want a quicker solution. I literally have to beg my dad to eat more vegetables or take his fiber.
I started back at the gym last year after having to take a long break fighting Cancer, after months of chemo plus a huge op and then 4 more months of chemo after as well, I gave it around 2 months of rest and then went back to the gym. I couldn't even do 1 dip lol, mainly due to the operation i'd had that removed a lot of my food pipe and stomach leaving a 23inch wound. It's taken me complete dedication and focus on every single session to make gains back at nearly 42. I can now do over 25 dips wearing a weighted vest. Ironically I get more compliments than I ever did in my 20s/30s when I was much bigger and stronger but held a lot more body fat compared to now. Chemo pretty much rid me of almost every bit of fat and a heck of a lot of muscle too. But it meant upon building back up I started from an extremly lean physique(way under 5% body fat according to the doctors). I hated being smaller for a long time, but it's just too hard to put weight back on given my stomach was cut out and resized permanently (and moved position too). Least I don't have to bother with any cardio lol, or i'd shrink even more. Other people seem to think I must be taking something and i'm often asked what do I take? ..Chemo Son.. Chemo! Not advisable purely to lose fat 😂. Joking aside I was damn lucky to survive and i'm loving being back in the gym. Watching these videos will really help me to stay away from injury and hopefully stay healthy. Thanks Mike ; )
Ha in Jan i was diagnosed type 2, High BP and High cholesterol! i am 5'10 and was 290lbs. into my 7th month Type 2 reversed and off meds! BP is now in the "Normal" range and cholesterol is now normal too. And i have not lost a massive amount of weight just 40lbs! but my steps are up from 2k to between 10-12k EVERY day. i lift weights 3 times a week in my garage and i have just started to run. I also ride my bike 1 or 2 times a week. Oh and i eat real well and use a 16/8 fasting method to help restrict eating window. I am also 52 years old.
Late onset type 1 diabetic here. I notice massive changes in my BSL if I stop lifting weights for around a week. I've also noticed that if i need to drop my blood sugars fast, hopping in a cold plunge after taking insulin helps heaps. I just assume thats my body processing the artificial insulin I've just put into my body though, not sure about normal people.
" I've been a professor of sport and exercise science for some time." Is this ambiguity intentional? Most people are proud to say exactly how long. It speaks to strengthening their experience.
Really enjoyed this video especially the beginning about doctors! I'm a physician board certified in family and sports medicine and would love to contribute or help you/your channel in any way. I'm newer to your channel but have made amazing changes to my workout thanks to you. Appreciate it.
I'm sure you already know this...but you're blessed to have Josh as your coach you train under. I used to talk to him all of the time about alternative strength and movement practices and he's a gem in the martial arts community.
PEMF Mechanism of action (presumed): your bloody cell phone can't be brought to bed with you ensuring better quality of sleep. In addition you will be "prescribed" 8 hours, if you do 6 it's a deviation from the health regime.
As a Dr, aspiring bodybuilder, former strongman and MMA practitioner, what stood out the most for me was the fact that Dana's HbA1C was above 9%, that guy is an uncontrolled diabetic wtf
I ate cookies for breakfast and just had greasy pizza for lunch. Sitting in the parking lot at the gym now regretting my life decisions. Just the video I need right now.
Or take into account he is a millionaire that can afford a home gym, trainer, the highest quality food possible, personal chefs, and also works at the ufc facilities which have a state of the art strength and conditioning facility, Physical therapists, nutritionists and chefs
Re: doctors, specifically the last part: he knocked it out of the park, most people don’t want to do the hard work of good diet and exercise, and when it’s brought up they respond from a point of defensiveness/victimhood.
Dana could literally be Mike's dad but they look pretty similar in age. Just goes to show the effects of genetics and steroid abuse. I love Mike with all my heart, but I hope he gets off gear soon so he lives a good long life and keeps pumping out amazing content like this which helps literally millions.
I mean everyone ages differently. I’m 34 and look in my early twenties. My buddy is also 34 and looks like he is in his mid 50s. Neither of us have ever used steroids or anything similar.
