92. Dr. Shakha and Dr. Scott | CrossFit Health

92. Dr. Shakha and Dr. Scott | CrossFit Health

In this episode, Fern sits down with Dr Shakha and Dr Scott, who are both involved in the Crossfit Health scene. Dr Scott is an anesthesiologist, Dr Shakha is Coach Glassman’s children paediatrician. They discuss how Crossfit moving forward in the greater community, chronic disease and how to navigate that when it walks into your gym, what really is Glassman problem with Coke- Cola, and how when it comes to chronic disease medicine don’t curse they simply slow down the decay. 

They dive into how the main site is now more beneficial to us all as trainers and coaches. You may have to listen to this podcast a couple of time theirs so much information about health mark and why they are so important because they are so hard to get a test through your normal Doctors aswell. Dr Shakha and Dr Scott open the Warrior Clinic so that you could get this important test done yourself at home to be more in control of your health. 

Along with we will be hosting a live Q&A with Dr Shakha and Dr Scott, details to follow. 

Time Stamps

(6:33) What Dr. Shakha learned over the past 15-20 years 

(9:18) Evidence-Based Medicine 

(12:10) Chronic Disease and Medical Machine

(18:28) How do affiliates have those hard conversations  

(22:38) The Derelict Doctors Club

(31:34) Everybody is getting blood panels

Book mentioned 

Dr. Jason Fung – All books https://www.amazon.com/Dr.-Jason-Fung/e/B01BT8K6FK?ref_=dbs_p_pbk_r00_abau_000000 

Deadly Quartet 

https://www.ncbi.nlm.nih.gov/pubmed/2662932

Warrior Clinic

https://thewarriorclinic.com/

@thewarriorclinic 

Social Media 

@drshakha

@sgillin66

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Dr. Shakha and Dr. Scott.mp4 transcript powered by Sonix—the best audio to text transcription service

Dr. Shakha and Dr. Scott.mp4 was automatically transcribed by Sonix with the latest audio-to-text algorithms. This transcript may contain errors. Sonix is the best way to convert your audio to text in 2019.

Fern:
All right, everybody, welcome back to the best hour of their day podcast. I am super stoked for this one because what we're gonna talk about today is hopefully going to fill in some gaps for the larger community. Going into the future. So, yes, on the podcast today are Dr. Shakha, Dr. Scott, pediatrician and anesthesiologist. And what we're gonna do is largely you talk about chronic disease and how gyms can navigate kind of that new mission moving forward. But thank both of you so much for coming on the show. Super stoked about this conversation because I'm going to learn a lot.

Dr. Scott:
Thanks for having us.

Dr. Shakha:
Thank you.

Fern:
So real quick. So just so people have a little bit of context, give a little bit of your backstory. So we were talking a little bit before we hit record. And I know. Shakha you are. Coach Glass means his kids, you're their pediatrician, correct? Yes. OK.

Dr. Shakha:
I love that you didn't say him. Everyone always like says the adults. I'm like, okay, I'm not that old.

Fern:
So I've learned some etiquette because I spend a significant amount of time in the hospital with my daughter. So I kind of know some of the rules with regard to that. So.

Dr. Shakha:
And so, so and we live in San Diego. And so I met Greg and Maggie and family down in San Diego. And then that's how I got involved with all of Crossfit,. And really, I have been practicing here for 20 years as a pediatrician. And I was practicing kind of like I would expect most doctors to practice where I was doing what I had been taught.

Dr. Shakha:
I was always, you know, went to medical school at UCSD and I kind of thought I was always doing the best job ever. And then I started really kind of learning some of the stuff where. Why is this going on? What's going on? And I remember I went to one of our American Academy of Pediatrics conferences, the national conference. And I came back and I was like, why is Coca-Cola the front and center sponsor for pediatrics? And what do they have to offer us? I don't understand this. It just doesn't seem right. And it was about like probably about, you know, 10 to 15 years into my career. And so I started asking a lot of questions about things that we were doing as pediatricians that didn't really make sense to you. Now, there's a lot we do that I think is amazing. But there were some things that weren't really making sense. And I started talking to Great about this and he helped me understand a lot of the politics and and really kind of helped me get to the next level of bringing really health, not just medicine to my patients.

Fern:
Were you an oddball for having that question about Coke being a sponsor? Yet that's something like everybody is just like, oh, yeah. They just a sponsor.

Dr. Shakha:
Oh, 100 percent. I mean, I went actually to that they had this huge on like a boot. They had these like vendor booths and they had a huge booth and. So I've only told anyone this, but I mean, there were these all these doctors lined up for free samples of Coke at a conference. Now, I will say in in defense of all of this, I think we all change and we all get a little bit more educated.

Dr. Shakha:
And there are probably things that I've done over the years that are ridiculous. So I don't want to be like pointing fingers at how dumb people are. But at the same time, ridiculous. So I went up to the front and I went up to the salesperson. Excuse me. What are you offering us? Can I ask you, what are you educating us on here? And I remember two colleagues pulled me aside and they were embarrassed by me. They were like Shakha that we're just embarrassing. I not. I just want to know, what are you offering me as a pediatrician, giving me a Coke sample at a pediatric conference? And so having said that, you know, for two years now, they're no longer a lead sponsor for. They're no longer sponsoring the AP, the RFP. But at the time, I was completely embarrassing to the , to the docs. They were all lined up trying to get their free sample.

Dr. Scott:
That's everybody likes something free.

Fern:
I would agree. However, I mean, that's just such a bizarre scenario. Like, it just doesn't make sense.

Dr. Shakha:
Yeah, I think what's more bizarre is that people are embarrassed by me going, hey, what are you offering? Like, look, I think you're kind of like harassing them.

Dr. Scott:
I think the interesting thing is, is the question that never gets asked, which, you know, because people are just happy Coke here, you know, you know, enjoy, enjoy Coca-Cola. I mean, it's been ingrained in our life, our whole life. Nobody says what's Coke's actual interest in medicine, you know, which is the billion dollar question probably. I mean, why why do they actually feel they need to sponsor this? They're not just giving away coke to sue you. If you see a sponsor, they're probably there for some gain.

Fern:
And I think that is there is a disconnect for a lot of people in that community. And a lot of people think that Greg has just this hatred for Coca-Cola because it's Coca-Cola. And that's fundamentally not it. I mean, anybody who's spent any amount of time with him knows that he you know, he's a man of principle, right. He's just like listen. And this is what I believe. And this is and this is what's right and wrong. And he actually doesn't care if people drink coke. He's like, drink all the coke you want. He's like, don't fool yourself and think that it's healthy. His beef is there interference in health sciences.

Dr. Scott:
Yeah, that's 100 percent right.

Dr. Shakha:
Exactly.

Dr. Scott:
I've heard him say, you know, multiple times that he wants Coke out of the medical industry. You know, not not that he has any problem with the business. He's very libertarian, so he didn't care. Any person can do whatever they want, but he doesn't want them behind the scenes influence of the health care policies. By a soda company.

Dr. Shakha:
Can you ask such a great you have such a great point, which is where were other people wondering why they were there? And no, they weren't. They were just I mean, possibly just taking what was being given or not. And passively they're standing there waiting for their free samples. So doctors should have been asking.

Dr. Scott:
It's like a good looking, good looking drug rep off, prescribe this drug, you know. I mean, Coca-Cola. People people are done, you know. I mean, doctors don't get out much. So we get a little bit of attention. We're easily, you know, fallen prey to some deceptive marketing techniques.

Fern:
And so and we'll get into this a little bit later in the podcast. But. What are some of the things as a pediatrician specifically that you like? I think regardless of what profession you are in, I can think of some pretty awful things I've done as a trainer. Ten years ago, eleven years ago, from a pediatrician, or what are some of the things that you've kind of reverse course on with regard to treatment of your patients, which is incredibly important because your patients are a future generation, a future generation that are either going to need a massive amounts of health care or not?

Dr. Shakha:
Essentially, yes. No, I think the big one is diet related to food related. I definitely when I first came out of training and for a good 10 years, basically prescribed what and just repeated what I had learned. And I really thought that's what what we did. And so, for example, first food was cereal and then the whole like a little as long as the cereal that kids are eating are multiplying and that whole just feeding processed garbage and not really recognizing that I had a great voice to help families understand that that's not what we feed our kids. So that's a big. And I like I said, I don't want to really call it a mistake. It's more of a learning because what we're doing is we're doing what everyone is doing. And I really had to get passed. And that's what Greg really helped me with learning is to really kind of open my eyes. And and he just gave me the support. I was opening my eyes with that. But you know what? It's okay to do that. There's something for me that's asking that. And it's a good question I'm asking. So it's the food. And then also treating things with medicines when they should between no food. So if a kid comes in with an I've said it before to the constipation instead of just giving a prescription for a medicine, I really need to be asking people. People need to be asking themselves, what? What are you eating? So, I mean, it's not the same thing for if you have pneumonia. I'm not going to have you come off gluten. Right. So there is a great place for certain medicines. But at the same time, I can't sit around and have these kids eating all this junk. The other thing is it's given me a backbone behind it. So when I'm sitting there and patients are right in front of me popping or they're eating, their kids are eating granola bars and fruit snacks, I actually have so much more strength. I feel like I have an entire army of doctors and the entire team who are supporting me saying, you know what? You got to drop that. That is not a food. You can't give your kids this food. It's just that that's what's better about this.

Dr. Scott:
And I think that starting in the early 90s, you know, this whole idea of evidence based medicine came about. And, you know, the word sound pretty sexy because you think everything you're doing is based on, you know, some real science. You can feel good about what you're doing. But, you know, this this is one of the things that Greg has really pushed as far as the physician side of Crossfit, Health, which doesn't really deal with the affiliates, but with educating the physicians or Crossfitters. And that's about how most science now is really what's called consensus science, which is a bunch of people get in a room together and go, what do you think is best for what do you think is best? I really like that Coca-Cola, that rep, pretty cute. So let's use this medicine. And, you know, I mean, so that the way the decisions are made based on consensus is not really what's called modern science. You know, it's called postmodern science. And it's not really actually scientific technique. So a lot of that bending doctors just follow along. Oh, this is what the guidelines recommend.

Dr. Scott:
But nobody really, you know, digs into the story behind these guidelines come to be because physicians are really busy, you know. You know, you can put like a bunch of Kabul in the body of a paper and the doctors are just going to read the abstract because it's.

Dr. Shakha:
Or The title.

Dr. Scott:
Or the title and say, oh, this is good, you know, on it. And then it gets diluted out or diverted even further when it makes the headlines for, you know, MSN or, you know, the latest news channel or something. So people don't really have science behind recommendations that are being made.

Fern:
There was some really interesting talks and I'm really bummed I missed the vast majority of them at the health conference at the Games. But Greg talked about that at the affiliate gathering, too, about how that postmodern science, which is largely consensus or or you can think of it as like this kind of like weird self like killing self licking, ice cream, ice cream cone of peer review papers.

Dr. Shakha:
Right. Right.

Dr. Scott:
Yeah.

Fern:
You talked about that. He said it's the antithesis of actual science. It's just like we all agree because that's what we think it should be versus it doesn't seem like there's as many kind of naysayers without that one person in the group who's who's there simply to oppose the idea for the sake of. Having a discussion about it, but we talk about that at length.

Dr. Scott:
And if you agree or disagree with the consensus, you get kicked out of the club. You know, it's a very it's a very, very you know, it's very adversarial to having a different opinion, which is how most things really come. The answer almost always lies somewhere in the middle. And it's only through intensive debate and disagreement among scientists that you kind of get down to the truth, I think, and that has really been bread out of the current medical system.

Fern:
Do do either of you think that is because largely many of the things that would fall into that chronic disease bucket don't necessarily feed the medical machine from us from a financial standpoint?

Dr. Scott:
Oh, for sure. I mean, there's there's not a lot of money in eating real food. Whole Foods. You know, I mean, the food industry is involved in that because, you know, they want unique packaged food. And, you know, similarly, people don't want you to eat meats. Vegetables nuts and seeds. You know, go to Crossfit, four or five days a week and get healthy. They want to put you on a medicine and and, you know, the medical system. And and doctors do a lot of amazing things. And all health care workers from first responders, you know, nurses, people who sweep the floor and ask everybody in the medical industry works really, really hard, long hours and makes a lot of sacrifice. And most doctors aren't these conniving, malicious people who are looking to screw you over to get rich, you know? So. So I think people don't realize it. But but this system is really designed to put you on medication and medication only other than make acute illnesses like like an infection and maybe some medicines to keep medicines in the air. You could almost catch as I conclude. You. You can you can defeat it. But a lot of other things, the medicines are designed to just slow the decay, the descent, you know, before you crash into the ground and get buried. They don't really reverse the course of disease.

Dr. Shakha:
Except anesthesia, which we love for. Yeah.

Fern:
For sure,I don't think that I don't think people want to be away from this of those procedures.

Dr. Scott:
But, you know, I mean, and certainly that's why I like a lot of people going to anesthesia stuff. I mean, you know, there's a certain subset of doctors who just love surgery, because when you cut, something can often cure, you know, the kind of security side, kind of the surgeon's motto. But but when you go to a lot of primary care people and it's not their fault, and this is where really the role of Crossfit, Health and the affiliates come in. Is it the system is not set up to see you for one hour, five days a week and to help you move and give you just little snippets of information on a whiteboard, like a little talk on some days about nutrition, in a little talk about, you know, self care. Are you doing things? Are you happy? Are you getting enough sleep, all those little things? I mean, I could try and throw all that into your five minute appointment. I mean, sure you do. Do, do, do, do, do, do like a disclaimer at the end about a drug ad for all the things it might do to you. But a physician can't really, you know.

Dr. Scott:
Nobody here saves my time and goes out and knows what to do and does that, it takes tentative kind of, you know, reminding and destruction. And it's just like any of the benchmark workouts, a Crossfit, not to keep unless I have an incredible fitness background come in and just nail them all. Well, it's it's you know, you make progress that you continue to make progress, you make changes and stuff and people work with you on the process. And and getting healthy is the same way.

Fern:
So largely anybody's gonna be listening as podcast, like everybody agrees, right? So nobody. There's not gonna be a ton of people that know this is about idea. So I don't have a question with regard to some of the patients that you see. Probably are probably more so. Most of yours are knockouts, Scott, and don't talk to you. But the shocker for you. How do you start to have that conversation? And I ask that because largely the kind of docs that fall into kind of this more holistic method, they get gobbled up pretty quickly by by a lot of the people who want that type of treatment. So due to most of your are most of your clients pretty health conscious or are you going still dealing with a fairly large population of people who just don't know any better? And if so, how do you start to have that conversation?

Dr. Shakha:
Well, I think that people are actually open to at least share it. They're open to hear what I have. So it's not hard to have the conversation that it's limiting on. It is time for us. For me, I mean, I know when I'm sitting there and let's say I'm talking to somebody about literally about let's say it's a kid who probably has pneumonia and the other two kids are in the back that's eating, you know, a Slurpee. And so I really want to go, hey, you can't be. That's not good for you. The sugar there isn't good for you. But it's how much time I have. So one of the biggest. Right. It's not that they're not open to it. And then the second part is, is that how much of it are they actually understanding makes that difference. And that's where it becomes more of the lifestyle and how do they haven't happened. So I can tell them you gotta cut out the sugar sweetened beverages. It's this, this, this. And I can have a conversation with that. But then when if during that, let's say I have a 14 year old with headaches and I'm talking to them about headaches and I say, well, what are you eating? And then they get that.

Dr. Shakha:
And then at the end of it, that what do we do for the headaches guy? Again, you know, I just told you what to do for the headaches. So they're open to it, but no one understanding the significance of what that is for everyday health. And then number two is this time. Number three is actually I think it's a lot of what people really want. And so it's that's where I think that the bulk of this us. I'm not going to do to be honest, I'm not going to make the difference. Making the big change is not going to be from doctors. It's going to be from the affiliates, from the coaches. They are the ones that are going to conquer chronic disease. It's going to be that. And the reason why is I can only say so much at the time. It's like Scott's at the time is going to be spent with them educating.

Dr. Scott:
Right. It is sort of the foot soldiers vs. general. You know, a general can kind of lay out a master plan. And in coming up with some plans of actually for you, but you need troops on the ground. They're are going to actually do the actual work and be there on a consistent basis, day in, day out in that it. You're not going to go to your doctor for an hour a day every day.

Fern:
So from a practical standpoint, what would you got? And I'm asking you personally and a lot of people get a lot of value out of this. How do affiliates. Because there's two conversations in a lot of scenarios that we have to have. One, we have to have that conversation, which most of us at this point are probably at least somewhat well versed, depending on how long you been doing this about starting to have the conversation about you need to stop eating refined carbohydrates and start eating Whole Foods. That conversation is not as difficult anymore, just based on a lot of things. Most people are running the gym and they're there because they haven't figured it out. The far more difficult conversation I've found in the more recent years is having conversations with the medical professional behind that person who said they need to go do some things. But they're also said, yeah. And you need to be on statins and all of this other stuff. And then I talked about this with Greg on the podcast we did with him. You know, that we can't cross that line. Like that's irresponsible and negligent and a whole lot of ways. So how do we start to have that conversation kind of potentially through our members, to the doctor or directly to their primary care physician?

Dr. Scott:
Yeah. That's it. That's a great question. I mean, maybe one of the ways is to give some primary care physician in your community free membership or something, you know, and actually bring them on board in and slowly indoctrinate them into sort of the mess and an end to have a, you know, a new way of thinking. Of course, most physicians, you know, I mean, even in you know, in our profession and we've been involved Crossfit, for a long time. I mean, you say that we're Crossfit, people who they're going to get hurt are you know, that people really still not out outside until you come in and see it and do it for yourself. It's really hard to just tell people those things and is their best way is to try to find people who, you know, maybe look for an end. Crossfit, corporate is slowly putting together a directory of physicians who are Crossfitters or Crossfit, friendly so that people can maybe direct their medical care to those people.

Dr. Scott:
Can I?

Fern:
Yeah, go a head. I was going to ask, is there something if I was trying to get to one of you two? We've already established that both of you guys are crazy busy, so that's already hard to even get on the radar, much less get some time. So are there ways are there different avenues I can approach from that would at least allow me to start that conversation? Because I've probably tried to call no less than a dozen doctors who were either ortho surgeons to determine what was wrong with like how the surgery go. What's protocol moving forward or primary care physicians who put people on a ridiculous amount of medications just to get some background information about what this person can and should be doing moving forward and what we can potentially start helping them do with regard to their health and their wellness. And I like I'm batting zero at this point. So the only ones that I have a direct line through are the ones that are already in my box like there. I get it. I totally understand where you go. Im in..

Dr. Shakha:
But I think that's a key, too. And I think in every box there's at least three to five, probably more and more physicians. And I think that, you know, I think everyone's heard about these all these MDL1 ones that are happening, you know, with a certain frequency and going up to Santa Cruz, these doctors are all being doing that L1 and they're doing it together. And it's really with a mindset. And then they're coming back afterwards to the following ones. You know, that you guys know, that's the DDC and building an army of physicians and versus getting bigger and bigger and stronger and stronger. I think they're already out there. But then to really kind of reach out to them, to let them know. So what is being done in the background to be able to have this is more and more of the docs are getting their MDL one.

Fern:
And so they others people that don't know what the DDC is. Can you elaborate on that? Because I think most people are on board with. OK. There is a level one that's primarily for, you know, doctors, nurses, stuff like that. But what is the DDC for those.

Dr. Shakha:
The derelict doctors club is it's it's at the same time as the MDL ones in a separate part of HQ. And they have three speakers, two, three, four speakers who speak about different aspects of the mess, whether it be, you know, Dr. Jason Fong or who's speaking about, you know, with the Diabetes Code, Obesity Code, also speaking about how moneys are moved around in medicine and what the dollar value is and why things sometimes don't make sense. So those lectures are happening at that time and continuing. So people who have done the MDL on, they will go back and gather together during that time and continue to basically have like minded physicians, some affiliates who are discussing basically the mess.

Dr. Scott:
And a lot of the if you follow the articles and videos that are on the main site, mostly the ones that are different speakers are talks that were here given at the Crossfit, Health Conference or at the DDC. So basically it's a similar, similar group of people. And they're not really like this is how you treat diabetes or they would talk about, you know, this is how the system is broken in and what's wrong with the protocols or, you know, where there's some, you know. Some sort of break in the system between what should be happening, what's actually happening, and.

Dr. Shakha:
Then the fact that that's for the physician's right. That's educating the doctors get more and more than, you know, anyone that's near us will ask us and we'll refer out. There is the physician network that will be happening so that people can reach out to them. But then for the affiliates, it's like Scott said, those videos are up. And I know sometimes it's hard. You know, sometimes you go on. But the main site has so much great information. And I think it's just a matter of diving in because. And don't be intimidated. Some of the articles seem a little difficult to read sometimes, but they're the summaries are amazing. And then you can go in and just start. And once you start reading them, they really start making sense. And even if they don't completely make sense today. Keep reading them. They will. And you're gonna have an aha moment. The affiliates are going to go, oh, my goodness, this is exactly that. And they're just educated with that information.

Fern:
And I'm glad you brought that up, because that's something Greg also talked about it at the affiliate gathering. They've kind of switched the. The purpose for main site, which is it used to be that B to C tool, which is like people that want to do Crossfit, and people that want to do seminars while they go there to to be entertained and watch videos and they switch it now is a B2B tool. But I don't think most people know that because quite frankly, I didn't know that. But when he said it, it made perfect sense. And I talked about this on a previous podcast. But visit the website now very at least to me, this is my opinion very much. When I read through those articles, that's what I envisioned, like Crossfit, health. Right. So it's all these it's all these articles that will allow affiliate owners, coaches, trainers to start having an educated conversation so that when they do have the opportunity, sit down with a doctor, the doctors like, oh, you are well read. And not just somebody who just wants to have an argument with me about like this person in their state. And so that's where I think that tool is underutilized simply because people don't know why it's there and they don't know how it would be valuable to them moving forward.

Dr. Shakha:
And it just gives them a more. It gives them a better understanding of what's happening in the entire space, because, again, to me, the affiliate is who is going to make things better. They are the ones who are going to conquer this chronic disease prevention reversal. But if they don't know enough about diabetes and not enough to do, they're not men managing, but they're understanding the disease concept right there, understanding why it's these, why they're not eating sugar, which is I know it's we all know that the refined grains so that the sugar. I know we all know that. But at the same time, we need to be role models on that and sort of understand that that's what we need to be helping our clients understand.

Dr. Scott:
And I think I think to most people have come to really believe when you go to the doctor and they give you a diagnosis. Now this this becomes your identity. Oh, yeah. I'm diabetic, hypertensive, obese person. And society has become very much. People have become disempowered. And and then you serve a little bit of a victim. And and the reality is that people need to be more accountable for their health and well-being, but also, you know, empowering to know that that the solution is within their hands. And that's one of the beautiful things about Crossfit,. This the great talks about it is the life like that's our life raft for chronic diseases. Chronic diseases are all preventable and reversible. And, you know, almost every single chronic disease can be reversed with proper diet and nutrition.

Dr. Shakha:
I want me to comment on that. The main site to its use as an affiliate, you're not going to give medical advice. You're not.

Fern:
I do, I do want to stress that, like, do not cross that line.

Dr. Shakha:
And I wasn't even I was just coming from me. You're also not going to probably sit down with your client's doctor, but you are going to be educated going through these main site articles on why that the treatment or the reverse or the treatment is going to be at your box and how you as the affiliate are going to make them better. And the idea that they probably don't need to be on a statin and they're going to be better with the work that you're doing. You're not prescribing. You're not on prescribing. You're not getting on the phone with the doctor, but you're making that your client healthier. And you know that you know the science behind it. And so even though, again, the thing for me is I know some of the articles are hard to read. I know they are. But they're really well summarized, really well summarized. And then pretty soon you'll start going into the articles, people well and really reading them. And they're actually interesting.

Fern:
Yes. Where I have found success is not necessarily directed to a physician, but essentially arming my client with their patient with information to either ask a question or propose a solution. Right. So like, for instance, I had a guy years ago who he was a little bit overweight, wouldn't super overweight, but he got his bloodwork back and he knew I was a Crossfit, trainer. Owner an Affiliate I was still in the military at this point and the docs were gonna put on a bunch of medication because they saw his he had triglycerides of like 400. I mean, it was high. So I said, hey, listen, I'm not going to go against the doc and actually knew the docs, but I wasn't gonna have that conversation. I said, ask them if they'll give you 90 days.

Dr. Shakha:
Bingo.

Fern:
Before they put you on medication so that we can try to do it with food. And I mean, we brought him down like under 100 within 90 days. Like, just.

Dr. Shakha:
Amazing.

Fern:
Eating. But the doc. So and that's where that's where my recommendation would be as like arm the patient with the information because the doctor will have the conversation with the patient that will not have it with a third party.

Dr. Shakha:
Yes. Right. But it's great that you knew. You knew. 90 days you're going to do this and you're comfortable with that. You're comfortable that you did. Exactly. You should do as we talked to your client and then you did the work that needed to be done. You know, there's been a lot of articles on non-alcoholic fatty liver disease. And some of the articles have been, you know, if you if you look at the articles, it shows you how quickly it can be reversed. And so you're not again, you're not doing prescribing to an upper scribing, but you're you're able to have that information as to what you can't, but you're able to do with your programming .

Dr. Scott:
Right. And they can be reversed within two weeks, which is incredible.

Dr. Shakha:
Nine days.

Dr. Scott:
You know that you can reverse something that is now the leading cause of liver transplant in this country. And just changing your diet and exercising, you can you can change the course in that chronic illness like almost overnight.

Fern:
I think this is why a lot of the allergy testing and a lot of stuff has become pretty prevalent, at least within the crowd. I mean, everybody is getting blood panels done these days. But Mike G. Had actually he did actually recommend that I bring up some of the chronic disease testing. And then, like, how. How affiliates and coaches can educate themselves more on that. What's important, what's not important, what should they start to be digging into? From a physician standpoint, like what would be step one for an affiliate with regard to some of that stuff, don't you?

Dr. Scott:
Yeah, so. It's interesting cause Shakha. And I actually started a company because is there a problem and the fact that when you go to your doctor, you're probably not going to get the test ordered that you want. And then even if you do get them ordered and they don't come back the right way, they're going to put you on, you know, metformin insulin, establishing a blood pressure medicine instead of giving you that. The 90 day test is we'll call it now where you just change things and say, let me come back in 90 days. So we started a company called the Warrior Clinic where, you know, there's a lot of different things you can screen for a chronic disease. But the most prevalent and debilitating things in this country are due to a service called the diabetes epidemic, which is diabetes and obesity. And so we have a test, very basic test scheme. It's great hemoglobin, A1 C and then lipid panel, but it focuses on triglycerides and HDL, not the LDL. You get that result, but we're not looking to put people on statins. And and we provide instructions for people with, you know, what kind of lifestyle changes to make if their lives are not normal. So it's a simple at home kit that, you know, you can order the kit, you get a check. And then, you know, I sort of liken it to, you know, you want to check the oil in your car from time to time. There's no way to really know. You know, I mean, yes, a check engine light, but you don't want to wait for that to go off. You want to do these tests to see how you're doing on the inside.

Fern:
So this is why I think this is important, because I want you to liberate on HDL for people here in just a second. But I think the reason why services like that are important is because I can tell you the number of times that I've had pushback from a physician and largely this was in the military when I was trying to be proactive about bloodwork. And then the the counter argument was always like Walton invasive procedure. And I'm like everything in the military is invasive. Like, what are we talking about right now? But, you know, I would ask for I'm like, hey, can you do fasting insulin test instead of a fasting glucose test like it? I would just prefer and I mean, I would literally have to lie and tell them I had a history of diabetes in my family in order to get some of that stuff, because those were the only ways I was able to have a conversation with a doctor or someone who wanted to put me on cholesterol meds because I had cholesterol of two hundred and thirty. All right. It's the only metric of every metric that you pull off of me that's off. Is it possible that that's not really a big deal?

Dr. Shakha:
You've nailed it. You nailed it into the test. Two things. One is the test that we picked are just the ones that we really think you need and they're the most valuable there. You it mentioned that you can add. So those are the two biggest ones.

Fern:
OK.

Dr. Shakha:
And that's what's included. You can add on a C or HSC RPE and you can also do that. There's only that's only tests we have. And then you can do a fasting insulin. OK. We wanted to make it too. Like this is this is the big money right there. That's where it's at. And it's affordable, too. You're not going to go do it $40test. You know, the one thing that you mentioned, that the pushback is so we even get pushback. And there's you know, there's some docs that say, you know, you really need to leave that to the physician. The physician needs to make the decision as to whether a patient gets this lab or not. And I really have no that makes no sense to me. So if you look at it makes no sense.

Dr. Scott:
The bottom line is that, you know, a lot of doctors or how they order tests is very protocol driven.

Dr. Shakha:
Right.

Dr. Scott:
But then you look around and the incident and if people are getting healthier, better, you'd say, oh, that's great, everything's working. But the fact of the matter is, people are getting more and more sick. You know, the incidence of chronic disease is rising. You know, 70 percent of deaths in the U.S. every year are due to chronic disease. They're preventable, reversible. But there's no reason with all the science and technology and everything we have that people should be getting sicker and sicker. And and I don't think most people realize how much. Bad food they put in their body. Even people who think they're being healthy and that's why it's important to screen and check because we all think we're doing pretty good. Oh, we had a few of these package bars, you know that. Yeah. Oh, they say they're paleo and they're, you know, organic and they're gluten free and, you know, you know, made on Mars. I mean, whenever the labels are on, you know, some crazy, crazy stuff that. Oh, yeah. This is the latest thing. But in reality, there, most of that stuff is not healthy. It's not just real food. And whole food is probably not healthy. And unless you check, there's no real way to know.

Fern:
And it's the a lot of the blood panels in some of these things are in my experience, those are the people that. Pair the nutrition with the fitness with these additional metrics are the ones that had the most success, because you can lie to me about your food. You can lie to me about your training, but you cannot lie about that blood test right when it comes back and nothing's changed or it's gone in the wrong direction. And I'm like, we have to acknowledge that you're completely full of shit at this point. That's not how this works, because like you already said before that a lot of these things, 90 days is a big enough window for most of things, things to see a fairly dramatic swing in one direction or the other. If we're putting in the effort.

Dr. Shakha:
Oh, yeah. Oh, absolutely. Yeah. And then I don't know if you're part of the company, Verna. It was started by I was named Sammy, the guy who did it. And the reason it was a part of it online. After he read it, he did some Internet to Trulia.

Fern:
Oh, OK. Got it,.

Dr. Scott:
He's An interesting person, because he decided he wanted to row to Hawaii with his wife and say, hey, honey, what do you think about this? And they were both endurance athletes before. But he went around and asks, you know, what was the best nutritional program for that? And eventually he ran in to see Cindy and Jeff Flake, who had done a lot of work with like low carbohydrate nutrition and decided that was the best way for them to do things. But when he got back, they actually broke the record by about 15 days going to Hawaii. But when they got back, he started this company where they work with type 2 diabetics is sort of online, you know, conferencing. And then they test people, but they find people on these low calorie diet, low carbohydrate diet for extended period of times and had tremendous results reversing disease. But they had this one small subset of people who didn't get better. And so he did. You know, for a lot of people, they do these food labs where you have to be locked up in a place. But he did a ghetto food lab. He took everybody to a Holiday Inn and nobody could leave. And and and they controlled every single meal that all these people had for several days. And every single person that was a non responder responded, you know,.

Fern:
Weirdo,.

Dr. Scott:
Weird, weird, weird, weird thing. Right. So it's because there's all this stuff, you know, you have these non responders, et cetera, et cetera. Probably it's noncompliance. You know, almost everybody if you eat right through injuries, fine.

Fern:
It's super funny that when I give the nutrition lecture at the seminars, I kind of because I've been doing this for 10 years at this point and I kind of tell that story in the gym, which is OK. So somebody is doing of very functional movements, executed high intensity. They start to see a little bit of body composition change. You start to get a little bit fitter and then they plateau. And we have the conversation about their nutrition. And I say, how is your nutrition? To which the response is unanimously 100 percent all the time. It's pretty good. Like, OK, what does that mean? And come to find out. They have no idea what it means. They just are embarrassed about what's going on. So that is just the natural response. And even when they do start to comply, to some degree, it is a safe bet that 100 percent of your clients lie to you with regard to what they are eating.

Dr. Shakha:
So there some stuff that that's I think there's something else to that. You know, I don't really want to be 100 percent compliant to perfect eating. I sometimes I want to have a little fun and I want to know whatever it is. And there's something I want. And so the whole thing with the testing is, you know, we know that a third of our country is pre diabetic, that between the pre diabetics and diabetics, it's about half of our country. And so what we want to do is find the right balance. And we also know that no one specific nutrition plan is perfect for everybody. We all have different metabolisms. And so for me, what I want to do is I want to check in on the regular to make sure that, you know, once a year to make sure that what I'm doing is working for me and that's for somebody like me. But for someone, you know, if you're an affiliate and you have a new client, what you want to do is get a baseline. And then or even if it's not a new client, if they haven't had testing done, get a baseline, see where they're at and see what they are having, what what is their carbon take what is. And then if if these labs are high. Make the changes that you can make and retested in three months to find what their bodies and their metabolism needs to do to keep them from losing their vision or other, you know, being dizzy and and waiting for those symptoms, then go on to the doctor and then being on meds and then does that basically summarizes what I want for the for the testing. Right.

Dr. Scott:
Right.

Fern:
I would agree. So. So let's do what? Do a super mini workshop here. So for the test that you guys recommend with the Waarrior clinic, obviously you guys are gonna make the recommendations there all on on what needs to happen or do a console, actually. How does that work? Actually looks back on a second.

Dr. Shakha:
I'll take from everywhere you go. You go online, you order the warrior kit, get you on WW W, adopt the DOT, the warrior clinic dot com, you get your order. It comes to your house, you poke your finger. If you can't put your finger, someone can do it for you. If you can't do either, that you can actually choose to go to a lab is an option. But it's really easy. Yes, stick it back in your mailbox. Just put in the mail and then we get the results, we get the testing, we run the tests and you get it on your account and you get like a really pretty color coded green, yellow, red with then a discussion. And all of the discussions start with don't panic. This is reversible. It's not we don't want you to run to your doctor and get on meds. We want you to. And, you know, if you're all green, great. Carry on. If you're yellow, what you are, you usaca into Internet and that's the way. And then if you're yellow, we want you to make the changes with your coach, with your box, not we really don't want you at the doctor's office. We want you doing the things. We want you with the people that know how to make a difference that make it.

Fern:
Yeah. So on that note, so for for any trainers or critics who are listening to this and they kind of want a crash course on just to be educated, not necessary to recommend make a recommendation at any right. What are some of the metrics that were as broad as you guys want to make it as far as like what puts me as far as a onesie or HDL or anything like that? Excuse me? What do those numbers look like or or what should it. What would you guys see or what falls in the category of red where a patient where this is like alarming?

Dr. Scott:
Yeah, well, I'll start with just a little background on, you know, diabetes, which also is, you know, if there is a dose of crafted a ton of these tests where he tested both insulin and glucose together between fasting and then after a glucose challenge testing, Joe Westerman is obsessed with crafting in the test.

Fern:
He's a smart dude, too. O

Dr. Scott:
h, you super smart. But but the thing that was discovered is that elevated insulin levels precede elevated sugars and even elevated sugars in the low. That was for a long time. And they're really the root cause of a lot of chronic disease. I mean, some people would say they're at the root of, you know, diabetes for sure. Heart disease, cancer, Alzheimer's, polycystic ovary disease, obesity. I mean, the list is very long. And and that's all basically due to consumption of refined carbohydrates and sugar, which unless you're really strict that you're reading every label, will. It's it's in everything, you know. And so I think that's a great place for for the trainers to you know, it's not long lectures, but periodically in your talks with the way we talk about are you eating or you're introducing more Whole Foods, how much food to eat out of a package, those type of data are very useful for them, you know, and then when your results come back, you know the exact numbers on the websites, I want to spit them out. So I'll probably say the wrong thing. But, you know, unless your numbers alarmingly high, it's not like you're in this emergency state. And, you know, Spike, just making the lifestyle changes, you can see the changes in pretty short order and then retest the duck.

Dr. Shakha:
And then the diagnosis is really an ANC over six point five puts you in the diabetic range and then diabetic is five point seven to six point five. And then less than five point seven is considered from.

Fern:
Yeah. And that's where I think some people get lost is like, OK, what do I do with this number? But I also wanted you to can you give a crash course on the HLs? And as far as like what you think most people should know, just like very baseline level, you not to go super crazy on this, but this was like what?

Dr. Shakha:
Do you have another hour?

Fern:
I don't know know if everyone else would listen to it. I would love I would love. I would love to listen to it. But I think that's one that gets misinterpreted a lot. That's why I ask the question.

Dr. Shakha:
We'll get a summary and details, too,.

Dr. Scott:
So. To deal with cholesterol and fat. Know, I mean, fat is the storage form of energy on our body.

It's there for a reason and fat is not a bad thing. In fact, like the fat, it's like the, you know, outside of your abdominal wall. That type of fat is is considered to be healthy fat. And there's not really associated with chronic disease. It's the fat that accumulates in your organs and especially in your liver that leads to, you know, the bad things that happen with health.

Fern:
Yes. of anybody who's like, I'll I'll I'll back up. So that would be. What are you talking about? What's guys talking about is the visceral fat is what's bad. This that kind of substance, cutaneous fat is not as indicative of chronic disease at most.

Fern:
And Jason Fung talks about that at length in his book as well.

Dr. Scott:
Yeah. And that I mean, our body used to put it back in the days we didn't have, you know, Whole Foods delivery through Amazon. You know, people would not have food for periods of time. And so they would eat and store fat and then they would have to go forager fine, find the heart again to get more food. So we're designed to do you know, this whole intermittent fasting thing is probably how we live a long time ago, just as we didn't have food around all the time. But HDL and what the doctors treat with statins, LDL or not, actually fat or cholesterol, they're actually the carrier vessels that carry a shuttle fat around the body because fat are not soluble in a blood pledge. Basically, water based, in fact, would be just on oil droplets riding your bike. So there is there a protein in case molecules that have a water soluble casing on the outside and that saw you on the inside and they carry the day, they transport the fat around the body. And you characteristically, LDL has been called the bad fat and HDL is called the good fat.

Dr. Scott:
But the reality is that they're all good in the right proportions. They're all they're all cholesterol is made by almost every cell in our body and fats an energy source for our body. So all these things are not it's not it's not a black and white, good and bad, but excesses of some things are bad. So HDL is considered to be the transport vessel, which carries fat from the periphery back to the liver to be metabolized and gotten rid of. So it's gotten you know, and that's why it's called the good cholesterol and know lipid. Allergist would tell you, well, it's much more complicated than that. But but the bottom line is that higher HDL that was found naturally, they tried to elevate HDL with medications and people actually had worse outcomes. But elevated HDL from natural causes, from exercise is not smoking. You know, not eating. Refined carbohydrates and sugar are highly correlated with good, good health. Good. But the low incidence, of course, they would lower insulin levels and also with lower incidence of cardiovascular disease.

Fern:
Cool. So now you guys know about each deals. So, no, because I do think that it's something where a lot of people look at some of that stuff and they're not really sure how to interpret it or they're just like, OK, what do I do now? But I do think it's something it doesn't take you very long to get like a baseline level of knowledge and some of this stuff. Which I think is good to be armed with. From a coaching standpoint. So anything are what else would you guys recommend from a testing standpoint? Like, is there anything past those original three or two? Well, yeah, I'm really.

Dr. Scott:
Well, I mean with along with the ACLU triglycerides in the ratio of the two, you really wanted to be less than 2 to 1 triglyceride to HDL and lower is even better than that. But, you know, other things that we that that to include, we have HST, RPE, which is a reactive protein which is made by the liver in response to inflammation. Inflammation is sort of the mechanism by which, you know, chronic diseases occur. So it's something, you know, in flames, always like frosting on the inside of your body.

Dr. Scott:
And so, you know, we added that test, which, you know, if it's elevated, not if it's super elevated. It's like cause you got crust coming out of your arm, you know, or, you know, you've got some type of an acute inflammatory process going on. And then you see that these would be super high. And that's the way it's supposed to be. It's all part of the body's, you know, mechanisms, the information that attracts, you know, healing, you know, substances, macrophages and stuff to the area. But in this kind of low grade elevation, it's correlated with with heart disease. And then the last test, a redo. It's not offered as an at home kit test yet. So you have to go to the lab to do this fasting insulin. And I really think of all the tests as the very best line, except that you have to go to a lab because elevated insulin levels pre C elevated glucose levels zero since the earliest warning sign of disease. And you know, so it can be, you know, Dr. Craft, thought that I mean, he made a couple of statements. One statement he said is there's no case of coronary artery disease. It's not due to elevated insulin. I mean, he really felt that strongly. And but he also felt that insulin could be elevated for up to a decade before your sugar start to creep up, you know, which is really scary, how we're actually seeing pre diabetes and diabetes and like five year olds now because they don't even get a decade of life, that their sugars are just that that high. But it's a fasting insulin is kind of the last line in that that's sort of the holy grail, I think, of screening for chronic disease. If you get your fasting insulin numbers really low, your your. Like likelihood of longevity is very high. And I break most skin.

Fern:
Yeah, I've been I've been told and read that like 5.5 and lower is like. Really? Is that good?

Dr. Scott:
Yeah, I see. I know.

Fern:
But yeah, mine's five point four, so I'm good to go. That's good.

Dr. Scott:
But you know, and it's good to attract these kids. I mean, it's deadly. You know, it's just like, you know. I mean, we know, you know, Greg's genius with coming up with, you know, benchmark workouts as you can really do something that's measurable and repeatable. And, you know, that's the same idea of a screening test, as you can say. Oh, I'm doing great. You know, meeting my love of God. And then you get and you're like, hey, maybe I'm not doing it. You know, maybe I need to tighten up the program a little bit, you know? Similarly, if you have anyone wanted benchmarks, you think you're doing great and you go back your times like 30 percent longer than it used to be, you can realize that, you know, maybe, maybe I haven't been getting to the gym.

Fern:
I feel like you're talking about my fitness these days. Absolutely not. It's going in the wrong direction. There is a hint, one workout RX, I'll be happy.

Dr. Shakha:
What do you want to make coming up? The things out to. That's with the Warrior Clinic. Then add some other markers that are like a blood pressure and.

Dr. Scott:
Right through other things. So so one of the biggest indicators for, you know, bad outcomes is a thing called metabolic syndrome. And this the diagnosis of metabolic syndrome is based on. You have three out of five out. Numerology is one of them is an elevated glucose, which the hemoglobin Aylward screens for as well. One is low try on in low HDL, high triglycerides. And then the other two things are an elevated blood pressure and abdominal circumference.

Fern:
So Which one of those is the addition to the deadly quartet?

Dr. Shakha:
The right I mean,.

Dr. Scott:
I probably like blood pressure, but I forget It's been while since as I read that article. Yeah.

Fern:
So. Yeah. So. So they put additional one in there. But I'm not your guy. If you don't know the deli quartet is, go read it.

Dr. Scott:
And I know it's an amazing article.

Fern:
Yeah.

Dr. Scott:
Yeah. And so, you know, it's it's really simple, actually. You know, again, not being physicians, Brown think. I mean I think that healthcare I mean, preventative health care needs to be taken out of the medical space and into places like the box where a trainer can say, I mean, you're not saying, hey, I'm making a diagnosis, you have this, you need to be on this med center, etc.. But it's very easy to get a measuring tape to measure abdominal girth when people come in and to get a blood pressure cuff and measure people's blood pressure and then have them scream either to their doctor or through stuff like the Warrior clinic, which will give you the other three. And you could say, could you have three of these five things, your metabolic syndrome, go home and read about it. And the solution to it is diet and exercise. And and yeah, it's pretty simple to say and you're not saying, hey, I'm a doctor, this is what you need to do. And and certainly for anybody within the box, if they're already on medication for either lowering blood pressure or for lowering blood sugars, then you're going to make drastic changes to their diet, nutrition. The physician needs to be on board is what's happening because they could, you know, either bottom out their blood pressure or bottom out their sugar. If they're not gained traction. They're making a change, really,.

Dr. Shakha:
Because you're doing so well. Yeah.

Fern:
And that is something I cannot stress enough. And people ask these questions do come up regularly at the level one more often more so than the level two. But my general guidance is if you are not a doctor, don't do doctor stuff right like that is not your swim lane. Don't do it. But again, going back to kind of what we were talking about earlier is like start to arm your clients because they don't know. So now that's our job to know. So inform them so they can have an informed conversation with their doctor. So that is kind of the recommendation is like you're going to have that conversation with the physician, but you're going to have it through the patient. So we live on either side of that patient. So we have to have that conversation because the physician, as you guys already stated, is really doesn't have the time to do that. We do have the time. We see them far more frequently than the doctor does. So we have the operability, the ability to make a much greater impact on their life. But we do have to not just train them, we do have to educate them. And I think that is kind of that gap that we have to bridge with regard to, OK, everybody's on board with Crossfit, very functional movements. Training high intensity is effective. But how do we start moving towards the health aspect of it, which means most of us need to brush up a little bit on some of this stuff, start pushing our athletes to have conversations with their physicians, start maybe recommending people get more frequent blood draws and panels from the Warrior Clinic or whatever they can if they can get it from their physicians so that they can start operating with all the things that we already do in the gym, which is observable, measurable, repeatable metrics, because again, they can't lie about that stuff. Like with the blood panel comes back and it's a disaster. Like that's a real great solution.

Dr. Scott:
If triglycerides age 400, do you know I mean, think you have an idea that you need to make some changes, right.

Dr. Shakha:
And the quartet is the HDL then? Yeah.

Dr. Scott:
Yeah. And then I do think that, you know, it's it's it's guess it's a fine line between practicing medicine versus I think I think it's completely within the scope of practice of a gym to just like you put somebody on a scale. And if you use one of those ones that you get, you know, body fat percentages on, you know, and stuff, that then all of these tests are very motivating for people just like, hey, I can do a push up now. I can do a pull up. I mean, that keeps people coming back. But when you actually see changes in your body composition, you see changes in your metabolic markers. You can really feel that you are in control of your destiny. Yeah, great system. You have to go into. The doctor sucks. I mean, it's you know, I'm so busy. It's hard to find the time, right? I mean, it's hard to get appointment . It's hard to find the time. You don't have enough time when you get there mean it's difficult. So the more that people can be empowered to do on their own, the better off they're likely to be. That's not to say if your arms in three pieces, you might look up on the Internet what to do. I mean, there's times, you know, it's the grace of lifeguards. Swim coach.

Fern:
Yeah, it's the Club Med, just like you'd get lost in there. But the where where's the best? Place to find what you guys are doing. Is it the Warrior Clinic?

Dr. Scott:
Yeah, it's where I see us through our clinic and we have a doc coming in where we're pretty reachable and you set the email at the info at the way your clinic that common people have questions or anything.

Fern:
You guys have any social media handles, any like Instagram or anything like that?

Dr. Shakha:
We do, but we're just starting it. So that warrior clinic. But thank you for that. But we're just starting it. So but it's really and there's a lot of information, too, on the tests, too, if they want to know about it on the website. And then we'll. Yes. So I'm at the Warrior Clinic, but there's not as much information on that.

Fern:
We're just going to push people there and force you guys to have to have to grow that.

Dr. Shakha:
To give information.

Dr. Scott:
There's a lot of good reading here for people to, you know, get a little bit of information just on, you know,.

Dr. Shakha:
On the website.

Dr. Scott:
You know, we're not a nutritionist or a dietician. And so, you know, we'll guide people to, you know, somebody or or, you know, for food, if they need more specific or for you some basic discussions on what you should avoid and what is good. And similarly with, you know, exercise, I mean, if people are going to crossfit to that kind of that already. But we're we're big believers in resistance training.

Dr. Scott:
And, you know, high intensity interval type of training, you know, as you cut the concept very, you know, high intensity function movements. It's better than anything in my opinion.

Dr. Shakha:
The work being done in the box.

Fern:
Yeah. When did you guys have you guys both taking a level one?

Dr. Shakha:
Yeah. Mike G was our flowmaster.

Dr. Scott:
I mean, now we have dC and we had Mo and we had Ray Ray. I mean, we had Matt. So we had an amazing crew.

Fern:
Thats a good crew. That's a good crew. Very cool. How long goes up?

Dr. Scott:
Two and a half years. OK.

Dr. Shakha:
Really? Yeah. I was gonnab be like five years. It feels like forever.

Dr. Scott:
Then Be expiring.

Dr. Shakha:
Yeah. Yeah. Then you'd have to re up and I have to ask did you pass the test. Or you guys level one. Yes. Absent you're something. So we get home and you know, I'm I'm always and like everything fried dumped my boards, everything. I'm like ninety nine percent top right. Like I am like so like I was like a med student that wanted to get a plus even though they didn't have grades. And so we you know, we get home and I'm like struggling through this test because I've never not written on a test like you. I've crossed things off. And then I do not write on the test like, wow, like how am I gonna do this? And then we don't have a desk. So I'm like sitting there trying to, like, visualize everything. And we get in the car and I'm like, wow, babe, that was hard. That was really hard. Making excuses just as it was hard. Yeah. Scotty, that was easy. It was so easy. So for the next 24 hours, I hear about how he's pretty sure. I don't think we didn't get results, but, you know, we don't just get a pass. So nobody knows that you actually did better than you just think you did. He's like, I'm 100 percent certain that, like, I got like one point pass passing and he got 100 percent of a hundred percent. Right.

Dr. Scott:
I think I did better you.

Fern:
I like I like I like that level of confidence. I can appreciate that. It's good. No, it is.

Dr. Shakha:
Brian Todd, us. He knows the. I don't see it.

Fern:
I have seen some medical professionals leave there in a full sweat, just like I don't think I passed. I just like you've done far more difficult things than take the level one test.

Dr. Shakha:
No, no. That test is so hard because they also put the wrong answer, the right answer from other questions to the wrong answer. Like so is it in our board They don't do that. There's a right answer. As soon as you see the right answer, you go on to the next question. It was probably about halfway through the test. And I'm like, there are some right answers to other questions you have to read the whole. Question.

Fern:
Hoe about that right now. They could you could have in some of those test questions. And they're right. The ones that don't count against you.

Dr. Shakha:
But yeah, I was like was right there.

Fern:
Yeah. Sometimes I do watch people take the test and I'm just kind of like, oh, it's great to watch people kind of their thought process when they do it. But cool. This has been amazing. I could do this literally for the rest of the night because I love to nerd out on this stuff. But thank you guys so much for this. I think there is I think people will have to listen to this podcast two, three, maybe four times to pull a lot of information out of it. But this is incredibly valuable information and incredibly important for the community, because a lot of us not only do we have to just shift our focus, but we kind of have to shift where we spend some of our mental resources on in order to do that. Right. Not just train the air squad anymore. It's like, hey, if we're going to actually combat chronic disease, we have to continue to get to be better trainers. But we also have to get smarter and figure out good resources are and you two are both helping community do that. So thank you for that. And thank you guys for your time, I really appreciate it.

Dr. Scott:
Thank you so much for having us. And you know, I really hope that the affiliates, you know, Greg's a genius and I think he's seen, you know, where this can go so much further into anybody else. But I really think that so much more value can be added to what is offered inside of the box by giving people healthy in addition to getting them. You know, checked.

Fern:
Yeah. And I think this conversation is how that starts. I have a vision of my gym in ten years where that is like where you go for everything, like you eat. Like we have a nutritionist. We have a doctor. We have trainer. Like all the three things that you would ever need to basically live in to your two hundred years old.

Dr. Shakha:
So that's amazing. And we're we're really grateful for the affiliates as doctors. We're beyond grateful for the work that they're doing to make all that difference, because they're the ones who are making the difference.

Dr. Scott:
And that just gives me chills because I mean, it's it's so it's it just is. So as a physician and you struggle with what's going on. It's just so freeing to know that there's a solution.

Fern:
Yeah, it's. We just gotta keep pushing. This is one one one person at a time. So just like one rep at a time in a workout. So thank you guys very much. This was been amazing. So I appreciate it.

Dr. Scott:
Thank you so much.

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