WEBVTT

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<v Speaker 1>Initialize sequence.

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<v Speaker 2>Coming to you live from Houston, Texas, home to the

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<v Speaker 2>world's largest medical center.

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<v Speaker 3>In the bunch of days. On the day we're leave Dremont.

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<v Speaker 1>Island, right Coty.

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<v Speaker 2>This is Your Health First, the most beneficial health program

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<v Speaker 2>on radio with doctor Joe Galotti.

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<v Speaker 3>During the next.

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<v Speaker 2>Hour you'll learn about health, wellness and the prevention of disease.

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<v Speaker 2>Now here's your host, doctor Joe Bellotti.

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<v Speaker 1>Well, a good Sunday evening to everybody, doctor Joe Galotti.

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<v Speaker 1>If it's Sunday evening at seven pm Central time, of

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<v Speaker 1>course I want all of you listening to your Health First.

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<v Speaker 1>We hear every Sunday evening, and our single mind the

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<v Speaker 1>goal is to make you better consumers of healthcare, period,

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<v Speaker 1>end of story. That is our sole mission. We've been

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<v Speaker 1>on the air for twenty two years every Sunday, and

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<v Speaker 1>we'll be getting into some other items here a little

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<v Speaker 1>bit later in the program. But I always have looked

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<v Speaker 1>at the value of a program like this as educating

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<v Speaker 1>the public. We're not selling anything. We're not trying to

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<v Speaker 1>have you do anything out of the ordinary other than

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<v Speaker 1>arm you with information you could use to take care

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<v Speaker 1>of yourselves, yourself, your family, your best friends, your co workers,

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<v Speaker 1>your community. So that is what we're all about. Your

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<v Speaker 1>health first. Our website doctor Jogalotti dot com, Doctor Joegalotti

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<v Speaker 1>dot com. And I would say say, if you wanted

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<v Speaker 1>to find out about us, that is the place to go.

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<v Speaker 1>There's a link to Soner for our weekly newsletter, send

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<v Speaker 1>me a message. All of our social media is posted there,

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<v Speaker 1>doctor Joegalotti dot com. Now on the program tonight one

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<v Speaker 1>of my favorite experts, doctor Mike Wilson. He is a

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<v Speaker 1>cardiologist here in the Texas Medical Center. I actually think Mike,

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<v Speaker 1>and I'll have to ask him. I think Mike dabbled

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<v Speaker 1>in radio in college. That that fact sort of sits

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<v Speaker 1>in the back of my head. And so he's got

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<v Speaker 1>a great, great radio presence. He speaks clearly, he's knowledgeable,

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<v Speaker 1>and he's able to explain complicated things. That's what that's

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<v Speaker 1>what this program was all about. We don't want to

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<v Speaker 1>throw a bunch of doctor talk at you. Just keep

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<v Speaker 1>it simple and actionable things that we can share with

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<v Speaker 1>you tonight. You should be able to who put into

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<v Speaker 1>play immediately. So the election is over, my goodness, now

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<v Speaker 1>not getting into the politics. You love Trump, you don't

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<v Speaker 1>like them you voted for him, you didn't vote for him. Etc.

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<v Speaker 1>But one of the themes that came out of the campaign,

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<v Speaker 1>and it really was once RFK Junior joined in and

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<v Speaker 1>became part of the campaign, was this slogan of make

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<v Speaker 1>America healthy again, Make America healthy again. I would say,

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<v Speaker 1>as simple as that is. Now, some of you may

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<v Speaker 1>think it's a little bit corny. For years we've been

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<v Speaker 1>hearing make America great again, make America safe again, make

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<v Speaker 1>America prosperous again. Now we have make America healthy again.

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<v Speaker 1>But I do believe and serely that we have a

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<v Speaker 1>great opportunity to keep pushing this narrative forward because we

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<v Speaker 1>have to. We absolutely have to commit ourselves to making

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<v Speaker 1>America healthy because really there's a lot of unhealthiness that

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<v Speaker 1>I see every day that doctor Wilson sees every day,

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<v Speaker 1>all of my colleagues in the Texas Medical Center, doctors

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<v Speaker 1>across the country, and I'd say, sadly a lot have

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<v Speaker 1>thrown their arms up to say, yeah, everybody out there

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<v Speaker 1>is too damn unhealthy. I can't fix it myself, so

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<v Speaker 1>let's just kick the can down the road. But that's

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<v Speaker 1>not what we're going to do. So second, next segment.

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<v Speaker 1>After we get done here, I'll be giving a little

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<v Speaker 1>bit of an intro of what I think make America

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<v Speaker 1>healthy is, and then doctor Wilson will be joining me

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<v Speaker 1>just a little bit later on. But don't forget go

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<v Speaker 1>to doctor Joeglotti dot com. All right, So today I

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<v Speaker 1>went on a field trip with my wife. We went

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<v Speaker 1>to Trader Joe's. Now, I have always liked Trader Joe's

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<v Speaker 1>going to shop there. I think they have a good

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<v Speaker 1>selection of vegetables, fruit, some select items that we like

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<v Speaker 1>to get. But for some reason, it was sort of

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<v Speaker 1>at about twelve one o'clock today, the store was absolutely mobbed.

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<v Speaker 1>And I when it was that crowded, I had a

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<v Speaker 1>chance to sort of look at what other people were buying.

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<v Speaker 1>And I've said this before in the radio. I do

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<v Speaker 1>some of my best research at the grocery store. You

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<v Speaker 1>get to check out what everybody is buying. It's my

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<v Speaker 1>consumer research in a sense. And the most crowded aisle

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<v Speaker 1>was the processed food. Well, all of these frozen meals,

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<v Speaker 1>frozen pizza, frozen lasagna. And while Trader Joe's has this

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<v Speaker 1>sense that it is maybe a little better quality, it

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<v Speaker 1>is exactly the same it is a highly processed meal,

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<v Speaker 1>high in fat, sugar, and salt, and responsible for all

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<v Speaker 1>of the obesity and chronic disease that we're seeing now.

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<v Speaker 1>For me, when I go to Trader Joe's, the majority

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<v Speaker 1>of things that I buy were my family buys frozen fruit,

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<v Speaker 1>frozen vegetables. We buy some canned goods there that are

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<v Speaker 1>not very processed at all. We'll get some dairy products there.

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<v Speaker 1>But when you really really take a look, and it

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<v Speaker 1>really dawned on me and my wife today that there

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<v Speaker 1>are a lot of candy, sweets, chips, frozen dinners, And

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<v Speaker 1>again they're laid out from a marketing standpoint, very very

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<v Speaker 1>well with these end caps. The end caps are the

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<v Speaker 1>displays that aren't on the end of the aisle that

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<v Speaker 1>they want to lure you in and buy stuff that

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<v Speaker 1>you have no intention of buying, but your hand just

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<v Speaker 1>gravitates and pulls it in and you buy it. But

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<v Speaker 1>a lot of it is cheap, highly flavored foods that

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<v Speaker 1>you're tempted to buy. And when you go shopping to

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<v Speaker 1>a place like Trader Joe's or any supermarket, you have

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<v Speaker 1>to have a strategy. All Right, We're going to take

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<v Speaker 1>a break, Doctor Joe Galotti. This is your health First.

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<v Speaker 1>Stay tuned. We will be right back every Sunday between

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<v Speaker 1>seven and eight pm. I'm doctor Joe Galotti. You should

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<v Speaker 1>be tuned in your health first. And our website is

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<v Speaker 1>doctor Joegalotti dot com. Sign up for our newsletter. All

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<v Speaker 1>of our social media is there. You get send me

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<v Speaker 1>a message. This is a two way street, says contact us.

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<v Speaker 1>Pull it up, send me a message, hit send, I

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<v Speaker 1>get it, and we'll communicate back with you. Coming up

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<v Speaker 1>in just a short bit, doctor Mike Wilson will be

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<v Speaker 1>joining us a cardiologist here in the Texas Medical Center.

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<v Speaker 1>He and I are going to get a little bit

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<v Speaker 1>more in depth on this whole notion of make America

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<v Speaker 1>healthy again. And I firmly believe that for those of

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<v Speaker 1>us that are in healthcare, those of us that truly

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<v Speaker 1>want to prevent disease. See the missing link here is

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<v Speaker 1>in many cases, we're good at fixing stuff that's broken. Okay,

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<v Speaker 1>how do we seriously, in a big, big way, prevent

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<v Speaker 1>things your body from falling apart in us having to

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<v Speaker 1>patch it together with glue, band aids, tape, duct tape.

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<v Speaker 1>All right, we have the wrong mentality here, and so

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<v Speaker 1>by educating the public, having them understand what their risk

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<v Speaker 1>factors are. Early warning signs you get in early, okay,

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<v Speaker 1>and I you know, you know, we don't have a

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<v Speaker 1>check engine light on our body, but if we did,

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<v Speaker 1>a lot of people would be walking around with a

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<v Speaker 1>red light on their forehead saying that there's something wrong.

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<v Speaker 1>You need to go and get checked out. Now, with

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<v Speaker 1>this whole make America Healthy again idea, why is it

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<v Speaker 1>that we are so unhealthy? Why do we why do

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<v Speaker 1>we even have to talk about this? Well, there are

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<v Speaker 1>all kinds of I don't want to say theories, but

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<v Speaker 1>reasons why our population has become so unhealthy. Is it

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<v Speaker 1>just related to the food? Well, I do believe that

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<v Speaker 1>a large portion of the problems we're seeing are indeed

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<v Speaker 1>related to what we're eating or not eating. All right, now, again,

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<v Speaker 1>looking at Trader Joe's, and I like Trader Joe's, but

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<v Speaker 1>it was like a feeding frenzy in that frozen aisle.

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<v Speaker 1>People were going for all kinds of frozen crap and

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<v Speaker 1>that was their dinner. Monday, Tuesday, Wednesday, Thursday, Friday, and

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<v Speaker 1>Saturday and Sunday. They're going to a restaurant. They're not

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<v Speaker 1>cooking the fresh fruits and vegetables. It's not portion controlled,

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<v Speaker 1>it's not low in salt, it's not high in fiber.

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<v Speaker 1>So the food is an issue. The second thing is

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<v Speaker 1>lack of exercise. People are not walking around the way

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<v Speaker 1>they used to, especially in Houston or other big metropolitan cities.

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<v Speaker 1>We drive around everywhere. The thought of walking just doesn't

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<v Speaker 1>even cross our mind. When I travel to other cities

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<v Speaker 1>and you realize, A, the people are thin. B you

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<v Speaker 1>got to walk everywhere, and just being in a city

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<v Speaker 1>at a meeting, I'm putting on twelve thirteen thousand steps.

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<v Speaker 1>In Europe, forget about it. Everybody's walking everywhere. I do

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<v Speaker 1>think that stress, we are stressing ourselves out part of it.

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<v Speaker 1>There is a basis for it. Other would just worrying

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<v Speaker 1>about stuff that doesn't need to be worried about. And

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<v Speaker 1>we have basically taken our eye off the ball, meaning

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<v Speaker 1>we're not really paying attention to symptoms. Everybody I see

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<v Speaker 1>in not everybody should. That's a broad statement. A lot

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<v Speaker 1>of my patients they are chronically fatigued, and they are

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<v Speaker 1>accepting of it. They get home from work, they fall asleep.

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<v Speaker 1>I get some of my best work done after I

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<v Speaker 1>get home after twelve fourteen hours I come home, I

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<v Speaker 1>will still exercise even if it's in the early evening

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<v Speaker 1>because I have to to stay healthy. I don't want

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<v Speaker 1>to get chronically ill. And the bigger question, which I'll

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<v Speaker 1>get around to doctor Wilson, what do we have to

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<v Speaker 1>do to get back on track and how long will

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<v Speaker 1>it take? Now? With RFK Junior, and again he at

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<v Speaker 1>times has been controversial on some items. I think we're

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<v Speaker 1>going to have to really listen to if he's given

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<v Speaker 1>some sort of a platform in the administration, what does

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<v Speaker 1>he say. But when you look at the numbers, the

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<v Speaker 1>numbers are staggering as far as the amount of chronic disease.

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<v Speaker 1>If you look at the numbers for the CDC Centers

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<v Speaker 1>for Disease Control and Prevention, around one hundred and twenty

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<v Speaker 1>nine million Americans are living with at least one chronic

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<v Speaker 1>disease such as heart disease, cancer, diabetes, obesity, hypertension, or

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<v Speaker 1>fatty lever. Chronic conditions account for five of the top

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<v Speaker 1>ten leading causes of death. So this is not a

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<v Speaker 1>benign problem. Key thing, vast majority of these can be

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<v Speaker 1>prevented with lifestyle modification. Lifestyle choices which is what do

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<v Speaker 1>we eat, how much will we x, what time do

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<v Speaker 1>we go to bed, do we drink too much alcohol?

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<v Speaker 1>We're taking too many pills prescription or not prescription. And

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<v Speaker 1>these numbers over the past twenty years just continue to increase,

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<v Speaker 1>and so there's no no end in sight. These numbers

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<v Speaker 1>are going to continue. And my biggest concern, and if

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<v Speaker 1>you have children or grandchildren, here's the guilt trip. When

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<v Speaker 1>you see your grandchildren next time, you could look at

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<v Speaker 1>them and essentially say you are not going to live

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<v Speaker 1>as long as mom or dad because they're going to

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<v Speaker 1>be afflicted with chronic disease decades earlier. And the sad

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<v Speaker 1>thing is, so I practice live a disease. That is

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<v Speaker 1>my day job, if you want to say. And so,

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<v Speaker 1>we have fifteen, sixteen, seventeen year old kids I'll call

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<v Speaker 1>them kids coming in with abnormal liver chemistries. Their blood

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<v Speaker 1>work is abnormal, they have an ultrasound that shows a

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<v Speaker 1>fatty liver, and we investigate it further and we find

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<v Speaker 1>out that they are on the verge of developing soorrosis.

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<v Speaker 1>And he said, oh wait a second, doctor Galotti, cirrhosis

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<v Speaker 1>is only in alcoholics alcohol use disorder, well alcohol only

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<v Speaker 1>accounts for about forty nine percent of all the cirrhosis

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<v Speaker 1>we see. The other fifty percent or fifty one if

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<v Speaker 1>you're really listening, is due to things like hepatitis B,

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<v Speaker 1>hepatitis C, autoimmune disease. But fatty liver is a major

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<v Speaker 1>major cause of chronic liver disease. So now you've got

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<v Speaker 1>an eighteen year old that either is on the verge

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<v Speaker 1>of sorosis or does have cirrhosis, and it may be

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<v Speaker 1>too late to turn around. And this is unrelated to

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<v Speaker 1>alcohol or drug use. This is related to what you ate.

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<v Speaker 1>And now these people they graduate high school, they want

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<v Speaker 1>to get into the workforce, they want to go to college,

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<v Speaker 1>and they're chronically ill. They have a lot of symptoms,

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<v Speaker 1>they're on medications. Medications give you maybe side effects. You

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<v Speaker 1>have appointments with one doctor after another. So instead of

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<v Speaker 1>strategizing on your school work, your career, your occupation, the

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<v Speaker 1>skills that you're going to develop, you're spending time in

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<v Speaker 1>the office with me or doctor Wilson or any other

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<v Speaker 1>physician around the country on medicine's side effect. So it

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<v Speaker 1>is it. And look, I'm not here to paint a

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<v Speaker 1>bleak picture and have you all get depressed and tune

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<v Speaker 1>off the radio. Is that this is a wake up call,

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<v Speaker 1>to energize you to say, Okay, enough is enough. This

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<v Speaker 1>is the wake up call. And my sense is that

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<v Speaker 1>if what the administration does or can do, if it

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<v Speaker 1>is executed properly, make America healthy again, this could be

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<v Speaker 1>an amazing wake up call that can transform the United States.

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<v Speaker 1>And I do mean that now. I came across earlier

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<v Speaker 1>today a video on President Kennedy in nineteen sixty two,

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<v Speaker 1>and what I'll do. I'll probably post it, but it

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<v Speaker 1>may take time to get posted up. But one of

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<v Speaker 1>the things he said, a country is as strong as

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<v Speaker 1>its citizens. And I think that mental and physical vigor

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<v Speaker 1>go hand in hand. So back in nineteen sixty two,

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<v Speaker 1>when we didn't have have these problems, he nailed it.

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<v Speaker 1>A strong and healthy citizenship means a strong, healthy country.

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<v Speaker 1>We'll leave it at that. Doctor Mike Wilson is coming

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<v Speaker 1>up after news, weather and traffic. I'm doctor Joe Glotti.

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<v Speaker 1>Stay tuned, we will be right back. Welcome back, everybody,

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<v Speaker 1>Doctor Joe Galotti. And tomorrow you should all know this.

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<v Speaker 1>It is Veterans Day and we'd like to say thank

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<v Speaker 1>you to all of the veterans that have served to

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<v Speaker 1>make our country great. And you know, it's funny. My

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<v Speaker 1>father was a World War Two veteran and actually in

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<v Speaker 1>a couple of weeks he's he died a couple of

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<v Speaker 1>years ago, but he's going to be celebrating in heaven.

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<v Speaker 1>I guess his one hundredth birthday, and all the years

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<v Speaker 1>that it would be Veterans Day or fourth of July,

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<v Speaker 1>i'd play this patriarch music and he would get such

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<v Speaker 1>a kick out of it, as do I. We're all

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<v Speaker 1>kids at heart. But thank you again to all of

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<v Speaker 1>our veterans, and our hats off to you, and thank

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<v Speaker 1>you for your service that we so preciously need. All right, well,

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<v Speaker 1>doctor Joeglotti dot com is our website. Let us get

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<v Speaker 1>doctor Mike Wilson on the line. Mike, carry you tonight.

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<v Speaker 3>Wonderful. Thanks for having me.

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<v Speaker 1>Oh absolutely. Now, at the beginning of the program, I

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<v Speaker 1>don't know if you heard this, but I had thought

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<v Speaker 1>years ago you had said that in college you dabbled

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<v Speaker 1>in college radio. Is that true?

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<v Speaker 3>Well, yeah, it was a little I was a little

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<v Speaker 3>bit younger, but yes, I was a disc jockey for

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<v Speaker 3>a country music station. How old?

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<v Speaker 1>How old were you at that time?

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<v Speaker 3>I was from the time I was fifteen until I

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<v Speaker 3>was eighteen?

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<v Speaker 1>Wow, Like, did you have an on air handle or

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<v Speaker 1>name or did you just go as Mike? This is

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<v Speaker 1>Mike Wilson on the air.

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<v Speaker 3>I've mostly stayed nameless. They kept a pretty firm handle

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<v Speaker 3>on me.

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<v Speaker 1>All right, Well, we love having you on. You always

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<v Speaker 1>do such a great job. And you know, for those

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<v Speaker 1>for those that are new to the program or old

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<v Speaker 1>to the program, I love to tune in every Sunday evening.

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<v Speaker 1>The whole goal here is to have experts and guests

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<v Speaker 1>that I bring on that can speak common sense, common language.

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<v Speaker 1>And I'd have to think that, Mike, you're one of

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<v Speaker 1>the best we have. So thank you for coming on.

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<v Speaker 3>Oh well, I appreciate it.

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<v Speaker 1>So, uh, make America healthy again. Now we'll get into

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<v Speaker 1>the heart disease part and you know where you get

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<v Speaker 1>your hands dirty. But what is your take on this?

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<v Speaker 1>We could call it a slogan, but I really would

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<v Speaker 1>like to think that we do have an opportunity to

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<v Speaker 1>raise awareness to make the country healthy. What what is

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<v Speaker 1>your take with all of the years and all that

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<v Speaker 1>you've seen, explain to us where you know really what

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<v Speaker 1>you're thinking.

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<v Speaker 3>I think you really hit the nail on the head

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<v Speaker 3>with your opening segment and discussing much of what you

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<v Speaker 3>found in Trader Joe's. And as you said, you find

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<v Speaker 3>a lot of material for your show by walking through

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<v Speaker 3>the grocery store.

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<v Speaker 1>Absolutely.

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<v Speaker 3>A few years ago, I worked briefly with a guy

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<v Speaker 3>who did some studies with adolescents and with long term

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<v Speaker 3>health with the Bogaloosa Heart Study in South Louisiana, and

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<v Speaker 3>one of their discoveries that was, if you'll pardon the pun,

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<v Speaker 3>very disheartening, was that our trend towards ill health actually

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<v Speaker 3>begins when you're twelve, thirteen, fourteen years old. That excess

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<v Speaker 3>body weights started then, and the habits started then. Even

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<v Speaker 3>high blood pressure, not the kind you and I treat,

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<v Speaker 3>but high for that age range, was already appearing in adolescence. Right.

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<v Speaker 3>And what we need to get back to is the

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<v Speaker 3>education and giving a good example to our children. Eating right, exercising,

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<v Speaker 3>doing the very simple things right pay off in a

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<v Speaker 3>long term.

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<v Speaker 1>Right now, my goal here is not to make this

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<v Speaker 1>a political statement. As I was saying earlier, it's make

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<v Speaker 1>America great again, make America safe again, make America healthy again.

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<v Speaker 1>But if you could, just like off the off the

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<v Speaker 1>top of your head here, give a grade from A

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<v Speaker 1>to F on the general state of health of our country.

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<v Speaker 1>Now again, we're a little bit skewed. We're in the

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<v Speaker 1>Texas Medical Center. We tend to see the sick of

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<v Speaker 1>the sick, and so you know, we don't see really

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<v Speaker 1>healthy people. But you're gestaled on this. Where do you

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<v Speaker 1>think we're really at?

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<v Speaker 3>You know, I would put us at about a C minus.

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<v Speaker 1>Okay, that's what I would say.

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<v Speaker 3>You know, there is there are the acquired illnesses that

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<v Speaker 3>nature has waiting out there for us. And there are

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<v Speaker 3>a lot of places on Earth that are suffering or

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<v Speaker 3>great deal from those type of illnesses, from malnutrition, malaria,

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<v Speaker 3>all kinds of awful illnesses. They're in a much worse way.

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<v Speaker 3>Where we're suffering is really from the opposite, from excess and.

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<v Speaker 1>Sloth, right, sloppy. I mean, it's the truth.

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<v Speaker 3>And we're going to we're living healthy through many of

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<v Speaker 3>our productive years, but where we're going to pay the

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<v Speaker 3>price is in longevity.

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<v Speaker 1>Yeah. And you know, you know the type of patients

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<v Speaker 1>you see in the cardiovascular realm are very similar to

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<v Speaker 1>the ones that I see on the liver front, and

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<v Speaker 1>my patients when I see them, some of them or

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<v Speaker 1>many of them are later fifties, early sixties, and retirement

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<v Speaker 1>is sort of just around the corner. They're starting to

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<v Speaker 1>project what they want to do, and it is everything

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<v Speaker 1>from just you know, go fishing every afternoon, to travel

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<v Speaker 1>with their grandchildren or pick up a new hobby. And

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<v Speaker 1>I have to look at them and say, you know

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<v Speaker 1>you're here with me now because you have a serious,

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<v Speaker 1>potentially life threatening disease that may, if it does not

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<v Speaker 1>kill you prematurely, you're going to be severely disabled in

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<v Speaker 1>a sense. And what do you see and how do

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<v Speaker 1>you articulate that to everybody tonight on the radio.

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<v Speaker 3>Yeah, you're absolutely right. And what I'm seeing more and

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<v Speaker 3>more of, along with the excess body weight obesity, is

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<v Speaker 3>a type of heart disease that I think the best

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<v Speaker 3>term for it is called failed aging. It is a

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<v Speaker 3>heart that has gone through life without being challenged, without

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<v Speaker 3>being exercised, without being work and it's then adapted to

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<v Speaker 3>its workload so that as age comes or as other

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<v Speaker 3>illness comes, the heart can't really help and becomes an impediment.

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<v Speaker 3>So many people develop a form of heart disease that

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<v Speaker 3>we're labeling heart failure that is severely limiting and very

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<v Speaker 3>difficult to treat and not something that you can really

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<v Speaker 3>undo later.

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<v Speaker 1>Right, And it really is, in a sense a disease

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<v Speaker 1>of neglect, people not checking in on things until the hubcaps,

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<v Speaker 1>the wheels start falling off, and then you say, oh gee,

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<v Speaker 1>I have to go see doctor Wilson now, right, Yeah,

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<v Speaker 1>all right, Well what we're gonna do, Mike, We're going

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<v Speaker 1>to take a quick break. I'm with doctor Mike Wilson.

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<v Speaker 1>For those that want to learn more about doctor Wilson

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<v Speaker 1>in his practice. Euston MDS dot org is the website.

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<v Speaker 1>I'm doctor Joeglotti. Stay tuned. Final segment coming up in

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<v Speaker 1>a minute final segment of this week's Your Health First,

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<v Speaker 1>Doctor Joe Galotti our website Doctor Joglotti dot com. We

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<v Speaker 1>are talking about make America healthy again, and I think

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<v Speaker 1>we've got a lot of work to do. Him on

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<v Speaker 1>with doctor Mike Wilson. Mike, you know a lot of

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<v Speaker 1>doctors by yeah, I don't want to say by experience,

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<v Speaker 1>they they tend to be a bit a political. I

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<v Speaker 1>don't think I saw anybody around the hospital wearing a

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<v Speaker 1>button on any candidate which way or the other. But

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<v Speaker 1>you know, I I you know, after uh Donald Trump

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<v Speaker 1>won with such huge margins the other day, I really

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<v Speaker 1>started to think about this to say, if there is

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<v Speaker 1>the quote unquote mandate that you know, maybe this little

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<v Speaker 1>little piece of the puzzle here could get pushed through

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<v Speaker 1>and and pick up some steam. What what do you think?

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<v Speaker 3>I sure, I certainly hope. So it's it's uh uh

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<v Speaker 3>many many initiatives like this, uh false for just a

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<v Speaker 3>variety of reasons. But I don't know if you remember

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<v Speaker 3>so many years ago when the government decided they were

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<v Speaker 3>going to try to help us out with our diet,

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<v Speaker 3>and they came up with this whole food group business.

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<v Speaker 3>Many of the nutritionists when you mentioned that, their hair

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<v Speaker 3>stands straight up right. But the initiative has stuck around.

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<v Speaker 3>It had a great deal of impact. And if the

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<v Speaker 3>initiative has no more impact, then to get people to

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<v Speaker 3>pay a little closer attention to their diet like you

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<v Speaker 3>were talking about with processed foods, and to get out

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<v Speaker 3>and take a walk for twenty minutes every day, it's

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<v Speaker 3>going to have a big impact.

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<v Speaker 1>No, for sure. And you know what I see every

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<v Speaker 1>day and I'm sure you and many of our colleagues

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<v Speaker 1>in the medical center see this and other big centers

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<v Speaker 1>around the country. We get patients that are late. Now,

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<v Speaker 1>I look at that as a symptom. You have to

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<v Speaker 1>look upstream to say, how how is it that somebody

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<v Speaker 1>was referred late? They they're late, They're late to the game. Okay,

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<v Speaker 1>they're showing up in the bottom of the ninth instead

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<v Speaker 1>of showing up in the first or second inning. And

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<v Speaker 1>is it a problem with the system? Is it a

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<v Speaker 1>problem with their primary care physician ors whoever is taking

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<v Speaker 1>care of them, or is it a is the responsibility

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<v Speaker 1>on the individual to say, look, man, you've got to

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<v Speaker 1>take some responsibility. You're not feeling good, You're short of breath,

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<v Speaker 1>you've got chest pain, you have palpitations. Why are you

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<v Speaker 1>waiting till it's critical? And you have to call nine

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<v Speaker 1>to one one? And you know when you're taking a

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<v Speaker 1>history and you're like, oh, yeah, you know, I've had

419
00:29:49.799 --> 00:29:54.680
<v Speaker 1>these palpitations for years. What do you see in your

420
00:29:55.240 --> 00:30:00.240
<v Speaker 1>real world, everyday practice.

421
00:30:01.200 --> 00:30:05.359
<v Speaker 3>It's a fantastic question. And I think a major part

422
00:30:05.359 --> 00:30:08.640
<v Speaker 3>of the problem is some of these things are so

423
00:30:08.880 --> 00:30:12.960
<v Speaker 3>difficult to tease out from some of the common symptoms

424
00:30:13.000 --> 00:30:18.880
<v Speaker 3>that you and I feel every day, and especially in

425
00:30:19.039 --> 00:30:24.559
<v Speaker 3>someone who's very overweight or obese, it is exceptionally difficult

426
00:30:24.799 --> 00:30:28.759
<v Speaker 3>to determine whether part of the limitation is simply the

427
00:30:28.839 --> 00:30:32.680
<v Speaker 3>excess body weight, or whether the excess body weight has

428
00:30:32.720 --> 00:30:36.359
<v Speaker 3>started to turn into a disease state with formed heart

429
00:30:36.440 --> 00:30:41.480
<v Speaker 3>failure or with the liver with a fatty liver. That

430
00:30:41.960 --> 00:30:44.200
<v Speaker 3>on us is going to be on the patient and

431
00:30:45.359 --> 00:30:49.160
<v Speaker 3>doing the simple things and maintaining your health and maintaining

432
00:30:49.160 --> 00:30:52.839
<v Speaker 3>your body weight. But where we go on the other

433
00:30:53.000 --> 00:30:56.079
<v Speaker 3>side is the screening tools that we really need to

434
00:30:56.160 --> 00:31:01.279
<v Speaker 3>have interness and general practitioners aware of. With with a heart,

435
00:31:01.359 --> 00:31:04.359
<v Speaker 3>we can tell a great deal by echo. Now that's

436
00:31:04.400 --> 00:31:08.480
<v Speaker 3>almost as good, if not better sometimes than hard caathorization, okay,

437
00:31:08.759 --> 00:31:12.160
<v Speaker 3>or or as you're as you're saying so much of now,

438
00:31:12.359 --> 00:31:17.480
<v Speaker 3>I think liver disease has just skyrocketed, right, and ultrasound

439
00:31:17.519 --> 00:31:19.680
<v Speaker 3>there can be extraordinarily.

440
00:31:19.000 --> 00:31:22.920
<v Speaker 1>Useful exactly, And you know, I think, uh, you're you're

441
00:31:23.000 --> 00:31:26.279
<v Speaker 1>on our speed dial. Where we see patients that come

442
00:31:26.279 --> 00:31:30.559
<v Speaker 1>in with abnormal liver chemistries, their lab work is abnormal,

443
00:31:30.599 --> 00:31:34.799
<v Speaker 1>they've been told they have fanny liver and nobody really

444
00:31:36.279 --> 00:31:40.640
<v Speaker 1>raises it to any concern to you know, sit them

445
00:31:40.640 --> 00:31:43.119
<v Speaker 1>down to say, look, if we do not address this

446
00:31:43.200 --> 00:31:46.599
<v Speaker 1>in the next few years, you could be in much

447
00:31:46.640 --> 00:31:52.519
<v Speaker 1>more serious state. And when they don't hear that, they

448
00:31:52.559 --> 00:31:54.839
<v Speaker 1>go home to their family and they say, well, but

449
00:31:54.960 --> 00:31:57.359
<v Speaker 1>the doctor say, well, it's not that bad. Did you

450
00:31:57.359 --> 00:31:59.599
<v Speaker 1>get a new prescription? Now I didn't get a prescription.

451
00:31:59.720 --> 00:32:01.440
<v Speaker 1>Did he do any extra test? No, you didn't do

452
00:32:01.440 --> 00:32:04.960
<v Speaker 1>any extra tests. Well, then I guess it's sort of okay.

453
00:32:05.240 --> 00:32:07.920
<v Speaker 1>And and you know, the can, the can get kicks

454
00:32:07.960 --> 00:32:11.759
<v Speaker 1>down the road until they show up and you know

455
00:32:11.799 --> 00:32:14.359
<v Speaker 1>the dirty little secret, which you're well aware of. Most

456
00:32:14.359 --> 00:32:17.160
<v Speaker 1>of these people with fatty liver die have cardiovascular disease

457
00:32:17.880 --> 00:32:21.960
<v Speaker 1>and that's not you know, a good situation. So I

458
00:32:22.240 --> 00:32:30.680
<v Speaker 1>would say to let you share your heart disease wisdom

459
00:32:30.680 --> 00:32:36.400
<v Speaker 1>with the audience. Now, first, symptoms that that need to

460
00:32:37.240 --> 00:32:40.079
<v Speaker 1>not so much panic and hopefully nobody has to call

461
00:32:40.200 --> 00:32:43.440
<v Speaker 1>nine to one one during this program, But the symptoms

462
00:32:43.440 --> 00:32:48.519
<v Speaker 1>that they should really be familiar with. What what are they? How?

463
00:32:48.599 --> 00:32:49.640
<v Speaker 1>How would you list this off?

464
00:32:50.640 --> 00:32:53.880
<v Speaker 3>I say that the single most important thing to be

465
00:32:54.000 --> 00:32:58.559
<v Speaker 3>aware of is that many people have the misconception that

466
00:32:58.599 --> 00:33:00.759
<v Speaker 3>when i'm my heart gets into try, I'm going to

467
00:33:00.759 --> 00:33:05.640
<v Speaker 3>feel chest pain. The vast majority of people that run

468
00:33:05.680 --> 00:33:09.920
<v Speaker 3>into difficulties with corner ritory disease or blockage don't describe

469
00:33:09.960 --> 00:33:13.680
<v Speaker 3>what they felt as pain, right, and many will sit

470
00:33:13.799 --> 00:33:21.359
<v Speaker 3>home thinking, well, it's not hurting, so that the sensation

471
00:33:21.759 --> 00:33:26.599
<v Speaker 3>is a discomfort or an awareness that something is badly amiss. Right,

472
00:33:27.480 --> 00:33:31.480
<v Speaker 3>You're unable to carry out activities that you should normally

473
00:33:31.519 --> 00:33:36.000
<v Speaker 3>do without being unduly fatigued or breathless, and you feel

474
00:33:36.000 --> 00:33:40.319
<v Speaker 3>an odd sensation that's uncomfortable beneath the sternum, the shoulders,

475
00:33:40.759 --> 00:33:43.400
<v Speaker 3>in the neck or the jaws. And if you're doing

476
00:33:43.480 --> 00:33:46.319
<v Speaker 3>something and you get the sensation that makes you want

477
00:33:46.359 --> 00:33:50.519
<v Speaker 3>to stop, and that sensation goes away, it's time to

478
00:33:50.559 --> 00:33:51.480
<v Speaker 3>call for help.

479
00:33:51.640 --> 00:33:56.319
<v Speaker 1>Right, I would agree, Where would you throw in shortness

480
00:33:56.319 --> 00:34:00.920
<v Speaker 1>of breath with, you know, either walking or going upstairs,

481
00:34:01.000 --> 00:34:05.440
<v Speaker 1>carrying a suitcase at the airport, compared to that sort

482
00:34:05.480 --> 00:34:08.519
<v Speaker 1>of just general discomfort, Just hey, I'm just sure to

483
00:34:08.559 --> 00:34:11.559
<v Speaker 1>breath all of a sudden, and people will say I'm overweighted,

484
00:34:11.760 --> 00:34:14.039
<v Speaker 1>and you know, whatever the case may be, they make

485
00:34:14.119 --> 00:34:15.880
<v Speaker 1>up all kinds of excuses.

486
00:34:16.320 --> 00:34:21.280
<v Speaker 3>Right, And that's where the daily physical activity is very

487
00:34:21.400 --> 00:34:24.760
<v Speaker 3>useful because what I ask I usually go through daily

488
00:34:24.800 --> 00:34:28.079
<v Speaker 3>activities with people to find out where their limitation is right.

489
00:34:28.400 --> 00:34:31.719
<v Speaker 3>And the point is, do you become breathless with activities

490
00:34:31.760 --> 00:34:36.159
<v Speaker 3>that you're normally capable of doing comfortably? And if the

491
00:34:36.239 --> 00:34:39.159
<v Speaker 3>answer is yes, it's time to find out why.

492
00:34:39.440 --> 00:34:43.679
<v Speaker 1>Yeah. And a bigger part of this is really people

493
00:34:44.320 --> 00:34:49.159
<v Speaker 1>being in sync with their body understanding, Hey, in the past,

494
00:34:49.159 --> 00:34:51.119
<v Speaker 1>I've been able to do this, or I never had

495
00:34:51.159 --> 00:34:54.360
<v Speaker 1>these symptoms. Now it's very subtle, and there's that wake

496
00:34:54.440 --> 00:34:57.199
<v Speaker 1>up call to say, something is amiss. I need to

497
00:34:57.280 --> 00:34:59.360
<v Speaker 1>check in, right.

498
00:35:00.000 --> 00:35:03.719
<v Speaker 3>Can't walk up that flight of stairs, you know. That's

499
00:35:04.119 --> 00:35:06.559
<v Speaker 3>that's one of the things that if you're not exercising,

500
00:35:06.639 --> 00:35:09.800
<v Speaker 3>if you're not engaging in physical activity, a lot of

501
00:35:09.840 --> 00:35:12.280
<v Speaker 3>times you don't get the warning until, like you were

502
00:35:12.320 --> 00:35:15.320
<v Speaker 3>pointing out earlier, you're way late in the.

503
00:35:15.280 --> 00:35:17.920
<v Speaker 1>Game, exactly exactly. We don't like any of these nice

504
00:35:18.039 --> 00:35:19.000
<v Speaker 1>inning cases.

505
00:35:19.039 --> 00:35:19.320
<v Speaker 3>All right.

506
00:35:19.360 --> 00:35:22.280
<v Speaker 1>So in the last minute or so here, doctor Mike Wilson,

507
00:35:23.440 --> 00:35:27.920
<v Speaker 1>let's say that I've got the hotline after January to

508
00:35:27.960 --> 00:35:31.679
<v Speaker 1>the White House, and President Trump is on the line. JFK.

509
00:35:31.880 --> 00:35:34.320
<v Speaker 1>Junior is on the line, what do you tell them

510
00:35:34.480 --> 00:35:37.360
<v Speaker 1>with regard to make America healthy again.

511
00:35:38.880 --> 00:35:44.519
<v Speaker 3>I'd say, let's let's put that emphasis on America's dietary

512
00:35:44.599 --> 00:35:51.119
<v Speaker 3>habits and the epidemic of obesity and getting everybody enough

513
00:35:51.239 --> 00:35:55.599
<v Speaker 3>time and engagement to get into some regular physical activity.

514
00:35:55.679 --> 00:36:01.679
<v Speaker 3>We are made for regular daily physical activity, and we're

515
00:36:01.719 --> 00:36:05.400
<v Speaker 3>also made really not to have a full three square

516
00:36:05.440 --> 00:36:08.719
<v Speaker 3>meals a day. Right, we need to limit our caloric

517
00:36:08.800 --> 00:36:13.880
<v Speaker 3>intake by limiting the process foods and about, and that

518
00:36:14.000 --> 00:36:16.480
<v Speaker 3>really needs to be the flag that we're waving.

519
00:36:16.400 --> 00:36:21.159
<v Speaker 1>Absolutely, all right, Doctor Mike Wilson Euston MDS dot org. Mike,

520
00:36:21.239 --> 00:36:22.760
<v Speaker 1>it's always such a pleasure to have you on.

521
00:36:23.800 --> 00:36:25.159
<v Speaker 3>Thank you, sir, thank you for having me.

522
00:36:25.280 --> 00:36:27.159
<v Speaker 1>All right, good, we'll get you back on a lot

523
00:36:27.199 --> 00:36:29.360
<v Speaker 1>to talk about, all right, So everybody go to doctor

524
00:36:29.599 --> 00:36:33.400
<v Speaker 1>Jogalotti dot com sign for our newslet us stay in

525
00:36:33.440 --> 00:36:36.639
<v Speaker 1>touch with all that we do. And again, I would say,

526
00:36:36.719 --> 00:36:39.159
<v Speaker 1>for the end of this year and all of next year,

527
00:36:39.280 --> 00:36:42.400
<v Speaker 1>this make America Healthy again, I think is without a

528
00:36:42.480 --> 00:36:46.440
<v Speaker 1>doubt going to be a theme. So until then, you

529
00:36:46.519 --> 00:36:49.679
<v Speaker 1>all take care of yourselves. We'll see you.

530
00:36:49.679 --> 00:36:52.920
<v Speaker 2>You've been listening to your health first with doctor Joe Galotti.

531
00:36:53.159 --> 00:36:55.519
<v Speaker 2>For more information on this program or the content of

532
00:36:55.559 --> 00:37:08.440
<v Speaker 2>this program, go to your health first dot com
