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Sports Medicine Physiatrist, Amy West, MD discusses how metabolic health is the real driver of joint pain, tendon issues and more. Curb Food Cravings and support Metabolic Health with the Berberine Fasting Accelerator by MYOXCIENCE: https://bit.ly/berberine-fasting-acce... Use code podcast to save 12% Read this Book! https://amzn.to/43OQEN0 ------------Health and Sleep Tools!---------------------- Berberine Fasting Accelerator: https://amzn.to/3NWv97i Eat like your life depends it Tee Shirt!: https://bit.ly/3dEHM3e Best Sauna Blanket: https://bit.ly/best-sauna-blanket Best High-Protein Snax: http://bit.ly/Carnivore-Crisps Best Mouth Tape (Nexcare): https://amzn.to/31qJayh Get this Metabolic Book: https://amzn.to/3pEfvmZ NeilMed Nasal Wash Kit https://amzn.to/3EUQaY Breath Right Strips: https://amzn.to/31t5VSl A Metabolism Book Should Have:https://amzn.to/2jUiAh5 ----------------------------------------Show Notes------------------------------------- 0:00 Intro 2:00 CrossFit trains all three energy pathways: glycolytic, anaerobic, and aerobic. 8:00 Metabolic health impacts recovery, injury propensity, pain levels and physical function. 12:15 Osteoarthritis is from inflammation and fragility of cartilage within the joint. 14:00 Trigger finger is often a first sign of metabolic disease. 14:54 Bone and bone density are impacted inflammation. 17:00 Non-painful things become painful with increased glycation. 17:30 The burden of age-related changes is dependent upon your metabolic state. 23:00 20-minute bouts of more intense exercise are easier to fit in and you get the same metabolic benefits in a shorter time. 23:40 Functional movement training increases strength and supports life functions. 24:30 Heavy resistance training induces the benefits of bone density and muscle integrity. 24:45 Osteosarcopenic obesity: as you gain weight, you lose muscle mass and bone. 26:00 Arthritis is the leading cause of disability in the US. 27:25 Cortisone is a potent anti-inflammatory that brings short-term pain relief. 29:00 Hormones affect joint pain. 31:00 PRP can be beneficial in the right patient with mild arthritis. 34:10 Athletes have more muscle mass around the joints. 36:00 Low carb diets produce less leptin signaling which reduces pain and inflammation signaling. 39:50 Traditional medicine protein recommendations are just enough to keep you alive. 41:25 Chronic vegan/vegetarian dieting can cause collagen and bone breakdown. 50:30 Eccentric loading of the Achilles tendon can help build capacity and be more effective than chronic stretching. 55:25 There can be some risk to doing isolated heavy bicep work. 58:36 Shoulder 01:00:10 Hanging is important for grip strength and being able to manage your own body load. 01:01:10 Deadlift/hip hinge 01:02:30 Have a physical biomarker. 01:06:30 Coca Cola/Gatorade has invested heavily in healthcare, exercise science. exercise guidelines. the American Cancer Society and American College of Cardiology.