{"version":"1.0.0","segments":[{"speaker":"Jack Heald","startTime":38.49,"endTime":40.74,"body":"Welcome back to the"},{"speaker":"Jack Heald","startTime":38.49,"endTime":40.74,"body":"stay off my operating table"},{"speaker":"Jack Heald","startTime":40.74,"endTime":44.370000000000005,"body":"podcast with Dr. Phillip Aveda."},{"speaker":"Jack Heald","startTime":40.74,"endTime":44.370000000000005,"body":"I'm your co host, Jack Heald."},{"speaker":"Jack Heald","startTime":45.0,"endTime":47.25,"body":"Welcome back. Dr. Oh, it's been"},{"speaker":"Jack Heald","startTime":45.0,"endTime":47.25,"body":"a couple of weeks since we've"},{"speaker":"Jack Heald","startTime":47.25,"endTime":47.82,"body":"talked."},{"speaker":"Dr. Philip Ovadia","startTime":48.6,"endTime":51.540000000000006,"body":"Thanks, Jack,"},{"speaker":"Dr. Philip Ovadia","startTime":48.6,"endTime":51.540000000000006,"body":"great to be back with you. And"},{"speaker":"Dr. Philip Ovadia","startTime":51.57000000000001,"endTime":56.97,"body":"congratulations on your wedding"},{"speaker":"Dr. Philip Ovadia","startTime":51.57000000000001,"endTime":56.97,"body":"and your honeymoon. Hope you"},{"speaker":"Dr. Philip Ovadia","startTime":56.97,"endTime":57.870000000000005,"body":"enjoyed that."},{"speaker":"Jack Heald","startTime":58.17,"endTime":62.790000000000006,"body":"I'd been single for"},{"speaker":"Jack Heald","startTime":58.17,"endTime":62.790000000000006,"body":"17 years, and I'd forgotten how"},{"speaker":"Jack Heald","startTime":62.790000000000006,"endTime":68.19,"body":"much I loved being married. It's"},{"speaker":"Jack Heald","startTime":62.790000000000006,"endTime":68.19,"body":"this has nothing to do with our"},{"speaker":"Jack Heald","startTime":68.22,"endTime":71.64,"body":"with the subject of the podcast,"},{"speaker":"Jack Heald","startTime":68.22,"endTime":71.64,"body":"although maybe it does, I think"},{"speaker":"Jack Heald","startTime":71.67,"endTime":75.57,"body":"I think it's been demonstrated"},{"speaker":"Jack Heald","startTime":71.67,"endTime":75.57,"body":"empirically, that happily"},{"speaker":"Jack Heald","startTime":75.57,"endTime":78.51,"body":"married people tend to be"},{"speaker":"Jack Heald","startTime":75.57,"endTime":78.51,"body":"healthier as well. So"},{"speaker":"Dr. Philip Ovadia","startTime":78.93,"endTime":81.27000000000001,"body":"yeah, as you"},{"speaker":"Dr. Philip Ovadia","startTime":78.93,"endTime":81.27000000000001,"body":"know, one of the, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":81.27000000000001,"endTime":85.05000000000001,"body":"principles behind metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":81.27000000000001,"endTime":85.05000000000001,"body":"health that I talk about is"},{"speaker":"Dr. Philip Ovadia","startTime":85.08000000000001,"endTime":88.44,"body":"dealing with your stress. And I"},{"speaker":"Dr. Philip Ovadia","startTime":85.08000000000001,"endTime":88.44,"body":"think, you know, having a happy"},{"speaker":"Dr. Philip Ovadia","startTime":88.44,"endTime":94.11,"body":"marriage is a positive way to do"},{"speaker":"Dr. Philip Ovadia","startTime":88.44,"endTime":94.11,"body":"that. And, unfortunately, having"},{"speaker":"Dr. Philip Ovadia","startTime":94.11,"endTime":97.71000000000001,"body":"an unhappy marriage can be a"},{"speaker":"Dr. Philip Ovadia","startTime":94.11,"endTime":97.71000000000001,"body":"contributor to that. So I would"},{"speaker":"Dr. Philip Ovadia","startTime":97.71000000000001,"endTime":102.60000000000001,"body":"certainly say that happy"},{"speaker":"Dr. Philip Ovadia","startTime":97.71000000000001,"endTime":102.60000000000001,"body":"marriage and metabolic health go"},{"speaker":"Dr. Philip Ovadia","startTime":102.60000000000001,"endTime":103.68,"body":"well together."},{"speaker":"Jack Heald","startTime":104.31,"endTime":106.71000000000001,"body":"Alright, the subject"},{"speaker":"Jack Heald","startTime":104.31,"endTime":106.71000000000001,"body":"of this podcast is not how a"},{"speaker":"Jack Heald","startTime":106.71000000000001,"endTime":110.19,"body":"happy marriage, we'll keep you"},{"speaker":"Jack Heald","startTime":106.71000000000001,"endTime":110.19,"body":"off doctrove at his operating"},{"speaker":"Jack Heald","startTime":110.19,"endTime":113.25,"body":"table, but maybe we'll we will"},{"speaker":"Jack Heald","startTime":110.19,"endTime":113.25,"body":"do that Episode Episode"},{"speaker":"Jack Heald","startTime":113.25,"endTime":119.04,"body":"sometime. Today, I want to ask"},{"speaker":"Jack Heald","startTime":113.25,"endTime":119.04,"body":"you about something that is"},{"speaker":"Jack Heald","startTime":119.7,"endTime":122.79,"body":"suddenly near and dear to my"},{"speaker":"Jack Heald","startTime":119.7,"endTime":122.79,"body":"heart, I just found out"},{"speaker":"Jack Heald","startTime":122.82000000000001,"endTime":126.45,"body":"literally less than an hour ago,"},{"speaker":"Jack Heald","startTime":122.82000000000001,"endTime":126.45,"body":"one of my dearest friends is in"},{"speaker":"Jack Heald","startTime":126.45,"endTime":131.25,"body":"the hospital with a nasty case"},{"speaker":"Jack Heald","startTime":126.45,"endTime":131.25,"body":"of COVID induced pneumonia. So"},{"speaker":"Jack Heald","startTime":131.25,"endTime":136.65,"body":"let's, if you don't mind, let's"},{"speaker":"Jack Heald","startTime":131.25,"endTime":136.65,"body":"talk about metabolic health. And"},{"speaker":"Jack Heald","startTime":136.82999999999998,"endTime":138.36,"body":"COVID. How do you feel about"},{"speaker":"Dr. Philip Ovadia","startTime":138.36,"endTime":141.48000000000002,"body":"that? Sure"},{"speaker":"Dr. Philip Ovadia","startTime":138.36,"endTime":141.48000000000002,"body":"thing, you know, I would say,"},{"speaker":"Dr. Philip Ovadia","startTime":142.2,"endTime":147.75,"body":"from the beginning of the COVID,"},{"speaker":"Dr. Philip Ovadia","startTime":142.2,"endTime":147.75,"body":"pandemic, epidemic, whatever you"},{"speaker":"Dr. Philip Ovadia","startTime":147.75,"endTime":152.37,"body":"want to call it, it was pretty"},{"speaker":"Dr. Philip Ovadia","startTime":147.75,"endTime":152.37,"body":"clear, you know, that there were"},{"speaker":"Dr. Philip Ovadia","startTime":152.37,"endTime":155.04000000000002,"body":"certain characteristics among"},{"speaker":"Dr. Philip Ovadia","startTime":152.37,"endTime":155.04000000000002,"body":"the patients that were getting"},{"speaker":"Dr. Philip Ovadia","startTime":155.04000000000002,"endTime":159.45,"body":"sick pretty early. And many of"},{"speaker":"Dr. Philip Ovadia","startTime":155.04000000000002,"endTime":159.45,"body":"these things were related to"},{"speaker":"Dr. Philip Ovadia","startTime":159.45,"endTime":164.01,"body":"metabolic health. And one of the"},{"speaker":"Dr. Philip Ovadia","startTime":159.45,"endTime":164.01,"body":"things that I have been talking"},{"speaker":"Dr. Philip Ovadia","startTime":164.01,"endTime":168.24,"body":"about, you know, over the past"},{"speaker":"Dr. Philip Ovadia","startTime":164.01,"endTime":168.24,"body":"two years, and many others, you"},{"speaker":"Dr. Philip Ovadia","startTime":168.24,"endTime":173.91000000000003,"body":"know, have been talking about as"},{"speaker":"Dr. Philip Ovadia","startTime":168.24,"endTime":173.91000000000003,"body":"well, is how focusing on our"},{"speaker":"Dr. Philip Ovadia","startTime":173.94,"endTime":180.99,"body":"metabolic health could help in"},{"speaker":"Dr. Philip Ovadia","startTime":173.94,"endTime":180.99,"body":"the sort of dealing with COVID."},{"speaker":"Dr. Philip Ovadia","startTime":181.05,"endTime":185.10000000000002,"body":"And I think it would be good for"},{"speaker":"Dr. Philip Ovadia","startTime":181.05,"endTime":185.10000000000002,"body":"us to get into some details"},{"speaker":"Dr. Philip Ovadia","startTime":185.16000000000003,"endTime":185.97000000000003,"body":"around that."},{"speaker":"Jack Heald","startTime":186.45,"endTime":190.32,"body":"Well, let's do that."},{"speaker":"Jack Heald","startTime":186.45,"endTime":190.32,"body":"Let's talk, first of all, what"},{"speaker":"Jack Heald","startTime":190.32,"endTime":195.14999999999998,"body":"are the known risk factors in"},{"speaker":"Jack Heald","startTime":190.32,"endTime":195.14999999999998,"body":"terms of metabolic health, that"},{"speaker":"Jack Heald","startTime":195.14999999999998,"endTime":202.32,"body":"put someone at increased risk?"},{"speaker":"Jack Heald","startTime":195.14999999999998,"endTime":202.32,"body":"For a, let's call it a bad"},{"speaker":"Jack Heald","startTime":202.32,"endTime":208.38,"body":"outcome if they contract COVID?"},{"speaker":"Jack Heald","startTime":202.32,"endTime":208.38,"body":"And I think it's a foregone"},{"speaker":"Jack Heald","startTime":208.38,"endTime":212.04000000000002,"body":"conclusion that at some point in"},{"speaker":"Jack Heald","startTime":208.38,"endTime":212.04000000000002,"body":"the next few years, everybody's"},{"speaker":"Jack Heald","startTime":212.04000000000002,"endTime":215.22000000000003,"body":"going to get COVID? What are the"},{"speaker":"Jack Heald","startTime":212.04000000000002,"endTime":215.22000000000003,"body":"risk factors that that"},{"speaker":"Jack Heald","startTime":215.22000000000003,"endTime":220.32,"body":"indicates? You're, you're not"},{"speaker":"Jack Heald","startTime":215.22000000000003,"endTime":220.32,"body":"going to have a good outcome?"},{"speaker":"Dr. Philip Ovadia","startTime":221.31,"endTime":223.74,"body":"Yeah, so I"},{"speaker":"Dr. Philip Ovadia","startTime":221.31,"endTime":223.74,"body":"think, you know, if we look at"},{"speaker":"Dr. Philip Ovadia","startTime":223.74,"endTime":227.49,"body":"sort of the totality of the"},{"speaker":"Dr. Philip Ovadia","startTime":223.74,"endTime":227.49,"body":"evidence that we have now, you"},{"speaker":"Dr. Philip Ovadia","startTime":227.49,"endTime":233.07,"body":"know, basically two years into"},{"speaker":"Dr. Philip Ovadia","startTime":227.49,"endTime":233.07,"body":"this, one of the patterns that"},{"speaker":"Dr. Philip Ovadia","startTime":233.07,"endTime":237.81,"body":"emerge early and has continued"},{"speaker":"Dr. Philip Ovadia","startTime":233.07,"endTime":237.81,"body":"on throughout the pandemic is"},{"speaker":"Dr. Philip Ovadia","startTime":237.81,"endTime":242.97000000000003,"body":"that, you know, the biggest risk"},{"speaker":"Dr. Philip Ovadia","startTime":237.81,"endTime":242.97000000000003,"body":"factors for people who were"},{"speaker":"Dr. Philip Ovadia","startTime":243.12,"endTime":246.57,"body":"getting sick from COVID people"},{"speaker":"Dr. Philip Ovadia","startTime":243.12,"endTime":246.57,"body":"who ended up in the hospital,"},{"speaker":"Dr. Philip Ovadia","startTime":246.57,"endTime":251.67000000000002,"body":"people who ended up, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":246.57,"endTime":251.67000000000002,"body":"having prolonged courses due to"},{"speaker":"Dr. Philip Ovadia","startTime":251.67000000000002,"endTime":255.45,"body":"COVID, you know, ended up on"},{"speaker":"Dr. Philip Ovadia","startTime":251.67000000000002,"endTime":255.45,"body":"breathing machines, all and, and"},{"speaker":"Dr. Philip Ovadia","startTime":255.45,"endTime":258.84,"body":"ultimately, you know, the many"},{"speaker":"Dr. Philip Ovadia","startTime":255.45,"endTime":258.84,"body":"who have ended up dying from"},{"speaker":"Dr. Philip Ovadia","startTime":258.84,"endTime":264.48,"body":"COVID, one of the, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":258.84,"endTime":264.48,"body":"consistent findings has been"},{"speaker":"Dr. Philip Ovadia","startTime":264.66,"endTime":268.71,"body":"that these people tend to be"},{"speaker":"Dr. Philip Ovadia","startTime":264.66,"endTime":268.71,"body":"older, they tend to be more"},{"speaker":"Dr. Philip Ovadia","startTime":268.71,"endTime":275.34,"body":"likely to be obese, more likely"},{"speaker":"Dr. Philip Ovadia","startTime":268.71,"endTime":275.34,"body":"to have diabetes, high blood"},{"speaker":"Dr. Philip Ovadia","startTime":275.34,"endTime":279.0,"body":"pressure, and these other"},{"speaker":"Dr. Philip Ovadia","startTime":275.34,"endTime":279.0,"body":"conditions that we know are"},{"speaker":"Dr. Philip Ovadia","startTime":279.0,"endTime":283.14,"body":"related to poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":279.0,"endTime":283.14,"body":"health. Now, unfortunately, you"},{"speaker":"Dr. Philip Ovadia","startTime":283.14,"endTime":288.63,"body":"know, like we've talked about on"},{"speaker":"Dr. Philip Ovadia","startTime":283.14,"endTime":288.63,"body":"this podcast, oftentimes, you"},{"speaker":"Dr. Philip Ovadia","startTime":288.63,"endTime":291.78,"body":"know, those conditions like"},{"speaker":"Dr. Philip Ovadia","startTime":288.63,"endTime":291.78,"body":"obesity, like high blood"},{"speaker":"Dr. Philip Ovadia","startTime":291.78,"endTime":296.76,"body":"pressure, like diabetes, don't"},{"speaker":"Dr. Philip Ovadia","startTime":291.78,"endTime":296.76,"body":"get tied back properly to"},{"speaker":"Dr. Philip Ovadia","startTime":296.82,"endTime":301.08,"body":"metabolic health, the underlying"},{"speaker":"Dr. Philip Ovadia","startTime":296.82,"endTime":301.08,"body":"root cause of these conditions,"},{"speaker":"Dr. Philip Ovadia","startTime":301.74,"endTime":305.7,"body":"but we certainly know that these"},{"speaker":"Dr. Philip Ovadia","startTime":301.74,"endTime":305.7,"body":"are all markers for metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":305.7,"endTime":308.88,"body":"health, these are all things"},{"speaker":"Dr. Philip Ovadia","startTime":305.7,"endTime":308.88,"body":"that, you know, come out of"},{"speaker":"Dr. Philip Ovadia","startTime":308.88,"endTime":313.83,"body":"being metabolically unhealthy."},{"speaker":"Dr. Philip Ovadia","startTime":308.88,"endTime":313.83,"body":"So, you know, while"},{"speaker":"Dr. Philip Ovadia","startTime":314.82,"endTime":319.40999999999997,"body":"unfortunately, you know, I don't"},{"speaker":"Dr. Philip Ovadia","startTime":314.82,"endTime":319.40999999999997,"body":"think we've made that connection"},{"speaker":"Dr. Philip Ovadia","startTime":319.40999999999997,"endTime":323.09999999999997,"body":"to the root cause of poor"},{"speaker":"Dr. Philip Ovadia","startTime":319.40999999999997,"endTime":323.09999999999997,"body":"metabolic health as we should"},{"speaker":"Dr. Philip Ovadia","startTime":323.09999999999997,"endTime":327.63,"body":"have. We haven't looked at"},{"speaker":"Dr. Philip Ovadia","startTime":323.09999999999997,"endTime":327.63,"body":"metabolic health as a sort of"},{"speaker":"Dr. Philip Ovadia","startTime":327.63,"endTime":333.75,"body":"viable target for intervention"},{"speaker":"Dr. Philip Ovadia","startTime":327.63,"endTime":333.75,"body":"to try and you know, minimize"},{"speaker":"Dr. Philip Ovadia","startTime":333.75,"endTime":337.77,"body":"the effects of this panel. EMIC"},{"speaker":"Dr. Philip Ovadia","startTime":333.75,"endTime":337.77,"body":"It is clear from the data that"},{"speaker":"Dr. Philip Ovadia","startTime":337.77,"endTime":342.71999999999997,"body":"we've had all long that being"},{"speaker":"Dr. Philip Ovadia","startTime":337.77,"endTime":342.71999999999997,"body":"metabolically unhealthy is a"},{"speaker":"Dr. Philip Ovadia","startTime":342.71999999999997,"endTime":348.75,"body":"major risk factor for developing"},{"speaker":"Dr. Philip Ovadia","startTime":342.71999999999997,"endTime":348.75,"body":"COVID. And once you develop"},{"speaker":"Dr. Philip Ovadia","startTime":348.75,"endTime":352.83,"body":"COVID for getting sick, you"},{"speaker":"Dr. Philip Ovadia","startTime":348.75,"endTime":352.83,"body":"know, and having bad outcomes"},{"speaker":"Dr. Philip Ovadia","startTime":352.83,"endTime":354.09,"body":"related to COVID."},{"speaker":"Jack Heald","startTime":356.07,"endTime":359.37,"body":"Is there any? I"},{"speaker":"Jack Heald","startTime":356.07,"endTime":359.37,"body":"realize I'm just throwing this"},{"speaker":"Jack Heald","startTime":359.43,"endTime":362.76,"body":"question at you without any"},{"speaker":"Jack Heald","startTime":359.43,"endTime":362.76,"body":"forewarning. But is there any"},{"speaker":"Jack Heald","startTime":363.84,"endTime":372.78,"body":"research studies data that look"},{"speaker":"Jack Heald","startTime":363.84,"endTime":372.78,"body":"at outcomes for metabolically"},{"speaker":"Jack Heald","startTime":372.78,"endTime":376.89,"body":"healthy versus previously"},{"speaker":"Jack Heald","startTime":372.78,"endTime":376.89,"body":"metabolically unhealthy?"},{"speaker":"Jack Heald","startTime":377.55,"endTime":381.09,"body":"Individuals who contract COVID?"},{"speaker":"Jack Heald","startTime":377.55,"endTime":381.09,"body":"Or are we all? Are we looking at"},{"speaker":"Jack Heald","startTime":381.09,"endTime":386.13,"body":"it all? I realize this is kind"},{"speaker":"Jack Heald","startTime":381.09,"endTime":386.13,"body":"of a fluid situation. Yeah."},{"speaker":"Dr. Philip Ovadia","startTime":386.15999999999997,"endTime":389.43,"body":"To know, you"},{"speaker":"Dr. Philip Ovadia","startTime":386.15999999999997,"endTime":389.43,"body":"know, I think we do have, you"},{"speaker":"Dr. Philip Ovadia","startTime":389.43,"endTime":393.42,"body":"know, a fair amount of published"},{"speaker":"Dr. Philip Ovadia","startTime":389.43,"endTime":393.42,"body":"data on this. And, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":393.42,"endTime":398.61,"body":"just kind of quickly pulling up"},{"speaker":"Dr. Philip Ovadia","startTime":393.42,"endTime":398.61,"body":"some articles, for instance, you"},{"speaker":"Dr. Philip Ovadia","startTime":398.61,"endTime":405.51,"body":"know, there's one case series"},{"speaker":"Dr. Philip Ovadia","startTime":398.61,"endTime":405.51,"body":"that looked at 112 Chinese"},{"speaker":"Dr. Philip Ovadia","startTime":405.51,"endTime":412.34999999999997,"body":"adults, with COVID-19. And this,"},{"speaker":"Dr. Philip Ovadia","startTime":405.51,"endTime":412.34999999999997,"body":"this goes back to, I believe,"},{"speaker":"Dr. Philip Ovadia","startTime":412.46999999999997,"endTime":419.31,"body":"you know, March or February of"},{"speaker":"Dr. Philip Ovadia","startTime":412.46999999999997,"endTime":419.31,"body":"2020. So fairly early data. And"},{"speaker":"Dr. Philip Ovadia","startTime":419.34,"endTime":425.31,"body":"it basically showed that 88% of"},{"speaker":"Dr. Philip Ovadia","startTime":419.34,"endTime":425.31,"body":"the patients who died of those,"},{"speaker":"Dr. Philip Ovadia","startTime":425.34,"endTime":429.96,"body":"you know, that group of patients"},{"speaker":"Dr. Philip Ovadia","startTime":425.34,"endTime":429.96,"body":"who died, were overweight or"},{"speaker":"Dr. Philip Ovadia","startTime":429.96,"endTime":436.22999999999996,"body":"obese, versus only 19% of those"},{"speaker":"Dr. Philip Ovadia","startTime":429.96,"endTime":436.22999999999996,"body":"who survived, that were"},{"speaker":"Dr. Philip Ovadia","startTime":436.22999999999996,"endTime":437.67,"body":"overweight or obese."},{"speaker":"Jack Heald","startTime":438.87,"endTime":441.63,"body":"I'm sorry, back up"},{"speaker":"Jack Heald","startTime":438.87,"endTime":441.63,"body":"and run that by me again. Yeah."},{"speaker":"Dr. Philip Ovadia","startTime":442.02,"endTime":446.37,"body":"18% 19% of"},{"speaker":"Dr. Philip Ovadia","startTime":442.02,"endTime":446.37,"body":"the patients, okay, survived"},{"speaker":"Dr. Philip Ovadia","startTime":446.37,"endTime":447.03,"body":"COVID"},{"speaker":"Jack Heald","startTime":448.77,"endTime":451.22999999999996,"body":"were overweight, or"},{"speaker":"Jack Heald","startTime":448.77,"endTime":451.22999999999996,"body":"were overweight or obese versus"},{"speaker":"Dr. Philip Ovadia","startTime":451.28999999999996,"endTime":454.77,"body":"88% of those"},{"speaker":"Dr. Philip Ovadia","startTime":451.28999999999996,"endTime":454.77,"body":"who died, you know, in this"},{"speaker":"Dr. Philip Ovadia","startTime":454.77,"endTime":459.57,"body":"early series of COVID patients"},{"speaker":"Dr. Philip Ovadia","startTime":454.77,"endTime":459.57,"body":"were overweight or obese. Okay,"},{"speaker":"Dr. Philip Ovadia","startTime":459.57,"endTime":459.75,"body":"so"},{"speaker":"Jack Heald","startTime":459.75,"endTime":464.28,"body":"quick question."},{"speaker":"Jack Heald","startTime":459.75,"endTime":464.28,"body":"Yeah. With an n of 112? How"},{"speaker":"Jack Heald","startTime":464.28,"endTime":469.08,"body":"reliable would you as a"},{"speaker":"Jack Heald","startTime":464.28,"endTime":469.08,"body":"physician, consider that bet"},{"speaker":"Jack Heald","startTime":469.11,"endTime":470.01,"body":"report to be?"},{"speaker":"Dr. Philip Ovadia","startTime":470.34,"endTime":472.22999999999996,"body":"Um, so, you"},{"speaker":"Dr. Philip Ovadia","startTime":470.34,"endTime":472.22999999999996,"body":"know, I would say that's a"},{"speaker":"Dr. Philip Ovadia","startTime":472.22999999999996,"endTime":477.45,"body":"pretty strong signal there, you"},{"speaker":"Dr. Philip Ovadia","startTime":472.22999999999996,"endTime":477.45,"body":"know, 88% versus 19% is a is a"},{"speaker":"Dr. Philip Ovadia","startTime":477.51,"endTime":481.08,"body":"massive difference,"},{"speaker":"Dr. Philip Ovadia","startTime":477.51,"endTime":481.08,"body":"statistically. But you're right,"},{"speaker":"Dr. Philip Ovadia","startTime":481.11,"endTime":485.19,"body":"it is a small sample size. You"},{"speaker":"Dr. Philip Ovadia","startTime":481.11,"endTime":485.19,"body":"know, it was just a select"},{"speaker":"Dr. Philip Ovadia","startTime":485.19,"endTime":488.13,"body":"group. And I don't know the"},{"speaker":"Dr. Philip Ovadia","startTime":485.19,"endTime":488.13,"body":"details, how they, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":488.13,"endTime":493.5,"body":"pick those patients to look at."},{"speaker":"Dr. Philip Ovadia","startTime":488.13,"endTime":493.5,"body":"So, you know, I wouldn't say"},{"speaker":"Dr. Philip Ovadia","startTime":493.5,"endTime":496.95,"body":"this is some, you know, a"},{"speaker":"Dr. Philip Ovadia","startTime":493.5,"endTime":496.95,"body":"definitive study. But I think,"},{"speaker":"Dr. Philip Ovadia","startTime":497.03999999999996,"endTime":500.58,"body":"again, it was one of the early"},{"speaker":"Dr. Philip Ovadia","startTime":497.03999999999996,"endTime":500.58,"body":"pieces of data that came out"},{"speaker":"Dr. Philip Ovadia","startTime":500.58,"endTime":504.42,"body":"around this. And I think what we"},{"speaker":"Dr. Philip Ovadia","startTime":500.58,"endTime":504.42,"body":"saw, you know, when we look at"},{"speaker":"Dr. Philip Ovadia","startTime":504.42,"endTime":507.59999999999997,"body":"the early outbreaks, if we"},{"speaker":"Dr. Philip Ovadia","startTime":504.42,"endTime":507.59999999999997,"body":"remember back to, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":507.93,"endTime":512.82,"body":"March, February 2020, when we"},{"speaker":"Dr. Philip Ovadia","startTime":507.93,"endTime":512.82,"body":"had, you know, the initial data"},{"speaker":"Dr. Philip Ovadia","startTime":512.82,"endTime":516.54,"body":"coming out of China, and then"},{"speaker":"Dr. Philip Ovadia","startTime":512.82,"endTime":516.54,"body":"Italy, and then New York, were"},{"speaker":"Dr. Philip Ovadia","startTime":516.54,"endTime":521.7,"body":"short of the three big Epi"},{"speaker":"Dr. Philip Ovadia","startTime":516.54,"endTime":521.7,"body":"Centers, similar data was seen"},{"speaker":"Dr. Philip Ovadia","startTime":521.76,"endTime":525.99,"body":"in all of those places, that the"},{"speaker":"Dr. Philip Ovadia","startTime":521.76,"endTime":525.99,"body":"patients who were ending up in"},{"speaker":"Dr. Philip Ovadia","startTime":525.99,"endTime":529.65,"body":"the hospital, the patients who"},{"speaker":"Dr. Philip Ovadia","startTime":525.99,"endTime":529.65,"body":"were ending up on respirators,"},{"speaker":"Dr. Philip Ovadia","startTime":529.6800000000001,"endTime":533.28,"body":"the patients who ended up dying,"},{"speaker":"Dr. Philip Ovadia","startTime":529.6800000000001,"endTime":533.28,"body":"you know, the common"},{"speaker":"Dr. Philip Ovadia","startTime":533.28,"endTime":537.9,"body":"characteristics were, first of"},{"speaker":"Dr. Philip Ovadia","startTime":533.28,"endTime":537.9,"body":"all being older. And we know"},{"speaker":"Dr. Philip Ovadia","startTime":537.9300000000001,"endTime":543.0600000000001,"body":"that the, you know, the"},{"speaker":"Dr. Philip Ovadia","startTime":537.9300000000001,"endTime":543.0600000000001,"body":"incidence of poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":578.9100000000001,"endTime":581.76,"body":"health, the incidence of"},{"speaker":"Dr. Philip Ovadia","startTime":578.9100000000001,"endTime":581.76,"body":"metabolic disease, metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":581.76,"endTime":585.84,"body":"syndrome increases with age. And"},{"speaker":"Dr. Philip Ovadia","startTime":581.76,"endTime":585.84,"body":"then we also saw,"},{"speaker":"Jack Heald","startTime":585.839,"endTime":588.0290000000001,"body":"I want to, I want to"},{"speaker":"Jack Heald","startTime":585.839,"endTime":588.0290000000001,"body":"pause it right there. And just"},{"speaker":"Jack Heald","startTime":588.0290000000001,"endTime":591.869,"body":"and repeat back to you the"},{"speaker":"Jack Heald","startTime":588.0290000000001,"endTime":591.869,"body":"incidence of metabolic syndrome"},{"speaker":"Jack Heald","startTime":591.8990000000001,"endTime":595.469,"body":"increases with age, is that"},{"speaker":"Jack Heald","startTime":591.8990000000001,"endTime":595.469,"body":"correct? Yes. Yeah. All right."},{"speaker":"Jack Heald","startTime":595.7690000000001,"endTime":601.8890000000001,"body":"So so can I extrapolate from"},{"speaker":"Jack Heald","startTime":595.7690000000001,"endTime":601.8890000000001,"body":"that, that the older you get,"},{"speaker":"Jack Heald","startTime":603.599,"endTime":607.9190000000001,"body":"the more important paying"},{"speaker":"Jack Heald","startTime":603.599,"endTime":607.9190000000001,"body":"attention to your metabolic"},{"speaker":"Jack Heald","startTime":607.9190000000001,"endTime":609.3890000000001,"body":"health becomes?"},{"speaker":"Dr. Philip Ovadia","startTime":611.58,"endTime":613.8900000000001,"body":"Yeah, I mean,"},{"speaker":"Dr. Philip Ovadia","startTime":611.58,"endTime":613.8900000000001,"body":"you know, obviously, as you"},{"speaker":"Dr. Philip Ovadia","startTime":613.8900000000001,"endTime":616.44,"body":"know, you know, I think"},{"speaker":"Dr. Philip Ovadia","startTime":613.8900000000001,"endTime":616.44,"body":"metabolic health should be a"},{"speaker":"Dr. Philip Ovadia","startTime":616.44,"endTime":622.6800000000001,"body":"focus throughout your life. But,"},{"speaker":"Dr. Philip Ovadia","startTime":616.44,"endTime":622.6800000000001,"body":"you know, you're going to have a"},{"speaker":"Dr. Philip Ovadia","startTime":622.6800000000001,"endTime":626.0400000000001,"body":"higher likelihood of being"},{"speaker":"Dr. Philip Ovadia","startTime":622.6800000000001,"endTime":626.0400000000001,"body":"metabolically unhealthy, the"},{"speaker":"Dr. Philip Ovadia","startTime":626.0400000000001,"endTime":633.48,"body":"older you are, and therefore,"},{"speaker":"Dr. Philip Ovadia","startTime":626.0400000000001,"endTime":633.48,"body":"you know, it becomes, I guess it"},{"speaker":"Dr. Philip Ovadia","startTime":633.48,"endTime":638.19,"body":"should be more of a focus. The"},{"speaker":"Dr. Philip Ovadia","startTime":633.48,"endTime":638.19,"body":"older you are, although, again,"},{"speaker":"Dr. Philip Ovadia","startTime":638.22,"endTime":641.7,"body":"you know, I would tell you, it's"},{"speaker":"Dr. Philip Ovadia","startTime":638.22,"endTime":641.7,"body":"best to focus on this early so"},{"speaker":"Dr. Philip Ovadia","startTime":641.7,"endTime":645.0000000000001,"body":"you don't end up in that"},{"speaker":"Dr. Philip Ovadia","startTime":641.7,"endTime":645.0000000000001,"body":"category. That is getting"},{"speaker":"Dr. Philip Ovadia","startTime":645.0000000000001,"endTime":647.6700000000001,"body":"metabolically more unhealthy as"},{"speaker":"Dr. Philip Ovadia","startTime":645.0000000000001,"endTime":647.6700000000001,"body":"we age."},{"speaker":"Jack Heald","startTime":647.8190000000001,"endTime":651.989,"body":"sure that that"},{"speaker":"Jack Heald","startTime":647.8190000000001,"endTime":651.989,"body":"certainly makes sense. I just,"},{"speaker":"Jack Heald","startTime":652.859,"endTime":657.239,"body":"you know, since since I'm on the"},{"speaker":"Jack Heald","startTime":652.859,"endTime":657.239,"body":"back side of the mountain on I'm"},{"speaker":"Jack Heald","startTime":657.239,"endTime":659.729,"body":"interested, maybe a little more"},{"speaker":"Jack Heald","startTime":657.239,"endTime":659.729,"body":"interested in these things."},{"speaker":"Jack Heald","startTime":659.7890000000001,"endTime":661.7690000000001,"body":"Alright. I didn't mean to"},{"speaker":"Jack Heald","startTime":659.7890000000001,"endTime":661.7690000000001,"body":"interrupt you. Let's keep going."},{"speaker":"Dr. Philip Ovadia","startTime":662.0400000000001,"endTime":663.9900000000001,"body":"Oh, no"},{"speaker":"Dr. Philip Ovadia","startTime":662.0400000000001,"endTime":663.9900000000001,"body":"problem. You know, and I was"},{"speaker":"Dr. Philip Ovadia","startTime":663.9900000000001,"endTime":666.9300000000001,"body":"going to follow that up with"},{"speaker":"Dr. Philip Ovadia","startTime":663.9900000000001,"endTime":666.9300000000001,"body":"saying, you know, there were,"},{"speaker":"Dr. Philip Ovadia","startTime":667.0500000000001,"endTime":670.23,"body":"there were many other data"},{"speaker":"Dr. Philip Ovadia","startTime":667.0500000000001,"endTime":670.23,"body":"points, many other studies."},{"speaker":"Dr. Philip Ovadia","startTime":670.8000000000001,"endTime":674.82,"body":"that, you know, came to a"},{"speaker":"Dr. Philip Ovadia","startTime":670.8000000000001,"endTime":674.82,"body":"similar conclusion. So you know,"},{"speaker":"Dr. Philip Ovadia","startTime":674.85,"endTime":680.5200000000001,"body":"age, obesity, diabetes, high"},{"speaker":"Dr. Philip Ovadia","startTime":674.85,"endTime":680.5200000000001,"body":"blood pressure, these are"},{"speaker":"Dr. Philip Ovadia","startTime":680.5200000000001,"endTime":685.6500000000001,"body":"probably, you know, the risk"},{"speaker":"Dr. Philip Ovadia","startTime":680.5200000000001,"endTime":685.6500000000001,"body":"factors that were most apparent"},{"speaker":"Dr. Philip Ovadia","startTime":686.22,"endTime":689.97,"body":"early on in this pandemic, and"},{"speaker":"Dr. Philip Ovadia","startTime":686.22,"endTime":689.97,"body":"really have carried all the way"},{"speaker":"Dr. Philip Ovadia","startTime":689.97,"endTime":694.8900000000001,"body":"through, you know, when you look"},{"speaker":"Dr. Philip Ovadia","startTime":689.97,"endTime":694.8900000000001,"body":"at the people who are ending up"},{"speaker":"Dr. Philip Ovadia","startTime":694.9200000000001,"endTime":699.21,"body":"in the hospital today, whether"},{"speaker":"Dr. Philip Ovadia","startTime":694.9200000000001,"endTime":699.21,"body":"or not they're vaccinated or"},{"speaker":"Dr. Philip Ovadia","startTime":699.21,"endTime":704.94,"body":"unvaccinated within both groups,"},{"speaker":"Dr. Philip Ovadia","startTime":699.21,"endTime":704.94,"body":"we now have data that shows the"},{"speaker":"Dr. Philip Ovadia","startTime":704.94,"endTime":709.23,"body":"same risk factors carry through."},{"speaker":"Dr. Philip Ovadia","startTime":704.94,"endTime":709.23,"body":"So the people who are vaccinated"},{"speaker":"Dr. Philip Ovadia","startTime":709.23,"endTime":712.0500000000001,"body":"and getting breakthrough"},{"speaker":"Dr. Philip Ovadia","startTime":709.23,"endTime":712.0500000000001,"body":"infections and getting sick from"},{"speaker":"Dr. Philip Ovadia","startTime":712.0500000000001,"endTime":716.7600000000001,"body":"those breakthrough infections,"},{"speaker":"Dr. Philip Ovadia","startTime":712.0500000000001,"endTime":716.7600000000001,"body":"those same characteristics, you"},{"speaker":"Dr. Philip Ovadia","startTime":716.7600000000001,"endTime":720.9900000000001,"body":"know, come out as risk factors."},{"speaker":"Dr. Philip Ovadia","startTime":716.7600000000001,"endTime":720.9900000000001,"body":"And again, you know, this"},{"speaker":"Dr. Philip Ovadia","startTime":721.1400000000001,"endTime":725.4300000000001,"body":"mechanistically, you know, makes"},{"speaker":"Dr. Philip Ovadia","startTime":721.1400000000001,"endTime":725.4300000000001,"body":"sense. We know that being"},{"speaker":"Dr. Philip Ovadia","startTime":725.4300000000001,"endTime":729.84,"body":"metabolically unhealthy, makes"},{"speaker":"Dr. Philip Ovadia","startTime":725.4300000000001,"endTime":729.84,"body":"you more prone to infections of"},{"speaker":"Dr. Philip Ovadia","startTime":729.84,"endTime":734.73,"body":"all sorts of Con, you know, all"},{"speaker":"Dr. Philip Ovadia","startTime":729.84,"endTime":734.73,"body":"sorts. We also know that one of"},{"speaker":"Dr. Philip Ovadia","startTime":734.73,"endTime":740.6400000000001,"body":"the hallmarks of poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":734.73,"endTime":740.6400000000001,"body":"health is that it causes chronic"},{"speaker":"Dr. Philip Ovadia","startTime":740.6400000000001,"endTime":744.5100000000001,"body":"inflammation in the body,"},{"speaker":"Dr. Philip Ovadia","startTime":740.6400000000001,"endTime":744.5100000000001,"body":"chronic low grade inflammation."},{"speaker":"Dr. Philip Ovadia","startTime":744.8100000000001,"endTime":748.8900000000001,"body":"And so if you add an acute"},{"speaker":"Dr. Philip Ovadia","startTime":744.8100000000001,"endTime":748.8900000000001,"body":"illness, especially an acute"},{"speaker":"Dr. Philip Ovadia","startTime":748.8900000000001,"endTime":753.9300000000001,"body":"viral illness that seems to, you"},{"speaker":"Dr. Philip Ovadia","startTime":748.8900000000001,"endTime":753.9300000000001,"body":"know, target the inflammatory"},{"speaker":"Dr. Philip Ovadia","startTime":754.23,"endTime":760.6800000000001,"body":"systems of the body, like COVID,"},{"speaker":"Dr. Philip Ovadia","startTime":754.23,"endTime":760.6800000000001,"body":"19, the body's not going to, you"},{"speaker":"Dr. Philip Ovadia","startTime":760.6800000000001,"endTime":763.86,"body":"know, sort of have capacity to"},{"speaker":"Dr. Philip Ovadia","startTime":760.6800000000001,"endTime":763.86,"body":"deal with that, if you're"},{"speaker":"Dr. Philip Ovadia","startTime":763.86,"endTime":767.1600000000001,"body":"already kind of inflamed, and"},{"speaker":"Dr. Philip Ovadia","startTime":763.86,"endTime":767.1600000000001,"body":"then you add something else"},{"speaker":"Dr. Philip Ovadia","startTime":767.1600000000001,"endTime":771.6,"body":"that's going to cause more"},{"speaker":"Dr. Philip Ovadia","startTime":767.1600000000001,"endTime":771.6,"body":"inflammation. This is the sort"},{"speaker":"Dr. Philip Ovadia","startTime":771.6,"endTime":774.72,"body":"of pattern that we're seeing of"},{"speaker":"Dr. Philip Ovadia","startTime":771.6,"endTime":774.72,"body":"people who get, you know, people"},{"speaker":"Dr. Philip Ovadia","startTime":774.72,"endTime":776.85,"body":"who get very sick from this"},{"speaker":"Dr. Philip Ovadia","startTime":774.72,"endTime":776.85,"body":"disease."},{"speaker":"Jack Heald","startTime":778.0500000000001,"endTime":782.3100000000001,"body":"I want to, I want to"},{"speaker":"Jack Heald","startTime":778.0500000000001,"endTime":782.3100000000001,"body":"go back, because I'm the I'm"},{"speaker":"Jack Heald","startTime":782.3100000000001,"endTime":787.71,"body":"kind of the designated dummy"},{"speaker":"Jack Heald","startTime":782.3100000000001,"endTime":787.71,"body":"here on this show. And make sure"},{"speaker":"Jack Heald","startTime":787.71,"endTime":791.3700000000001,"body":"I understood what you just said,"},{"speaker":"Jack Heald","startTime":787.71,"endTime":791.3700000000001,"body":"you've probably said it before."},{"speaker":"Jack Heald","startTime":793.3800000000001,"endTime":798.3000000000001,"body":"You know how sometimes things"},{"speaker":"Jack Heald","startTime":793.3800000000001,"endTime":798.3000000000001,"body":"just finally sink in? used? I"},{"speaker":"Jack Heald","startTime":798.3000000000001,"endTime":802.11,"body":"thought I heard you draw an"},{"speaker":"Jack Heald","startTime":798.3000000000001,"endTime":802.11,"body":"equivalency between metabolic"},{"speaker":"Jack Heald","startTime":802.1700000000001,"endTime":810.1200000000001,"body":"ill health and chronic"},{"speaker":"Jack Heald","startTime":802.1700000000001,"endTime":810.1200000000001,"body":"inflammation is that. Did I hear"},{"speaker":"Jack Heald","startTime":810.1200000000001,"endTime":814.5600000000001,"body":"that right? And maybe a better"},{"speaker":"Jack Heald","startTime":810.1200000000001,"endTime":814.5600000000001,"body":"way to ask the question is, if I"},{"speaker":"Jack Heald","startTime":814.5600000000001,"endTime":819.0000000000001,"body":"am metabolically unhealthy, and"},{"speaker":"Jack Heald","startTime":814.5600000000001,"endTime":819.0000000000001,"body":"we've defined what that is, in"},{"speaker":"Jack Heald","startTime":819.0000000000001,"endTime":820.95,"body":"the past, I'm going to ask you"},{"speaker":"Jack Heald","startTime":819.0000000000001,"endTime":820.95,"body":"to do that again in a minute."},{"speaker":"Jack Heald","startTime":820.95,"endTime":826.23,"body":"But if I am metabolically"},{"speaker":"Jack Heald","startTime":820.95,"endTime":826.23,"body":"unhealthy, then at least one of"},{"speaker":"Jack Heald","startTime":826.23,"endTime":829.59,"body":"the things that means is that I"},{"speaker":"Jack Heald","startTime":826.23,"endTime":829.59,"body":"have chronic inflammation, is"},{"speaker":"Jack Heald","startTime":829.59,"endTime":829.95,"body":"that"},{"speaker":"Dr. Philip Ovadia","startTime":830.8800000000001,"endTime":833.5500000000001,"body":"an accurate"},{"speaker":"Dr. Philip Ovadia","startTime":830.8800000000001,"endTime":833.5500000000001,"body":"statement? Yeah, I think that is"},{"speaker":"Dr. Philip Ovadia","startTime":833.5500000000001,"endTime":835.9200000000001,"body":"an accurate statement. And if"},{"speaker":"Dr. Philip Ovadia","startTime":833.5500000000001,"endTime":835.9200000000001,"body":"you don't"},{"speaker":"Jack Heald","startTime":835.9200000000001,"endTime":839.97,"body":"mind, please, please"},{"speaker":"Jack Heald","startTime":835.9200000000001,"endTime":839.97,"body":"back up again and define for us"},{"speaker":"Jack Heald","startTime":840.2700000000001,"endTime":844.11,"body":"how you define metabolic health"},{"speaker":"Jack Heald","startTime":840.2700000000001,"endTime":844.11,"body":"versus metabolic Philhealth."},{"speaker":"Dr. Philip Ovadia","startTime":844.95,"endTime":847.44,"body":"Right. So you"},{"speaker":"Dr. Philip Ovadia","startTime":844.95,"endTime":847.44,"body":"know, again, we have the five"},{"speaker":"Dr. Philip Ovadia","startTime":847.44,"endTime":851.6700000000001,"body":"basic measures that we tend to"},{"speaker":"Dr. Philip Ovadia","startTime":847.44,"endTime":851.6700000000001,"body":"look at, you know, to determine"},{"speaker":"Dr. Philip Ovadia","startTime":851.6700000000001,"endTime":854.6400000000001,"body":"who is metabolically healthy and"},{"speaker":"Dr. Philip Ovadia","startTime":851.6700000000001,"endTime":854.6400000000001,"body":"who is not metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":854.6400000000001,"endTime":858.84,"body":"healthy. And those, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":854.6400000000001,"endTime":858.84,"body":"markers are your waist"},{"speaker":"Dr. Philip Ovadia","startTime":858.84,"endTime":862.6500000000001,"body":"circumference, your blood"},{"speaker":"Dr. Philip Ovadia","startTime":858.84,"endTime":862.6500000000001,"body":"pressure, your fasting blood"},{"speaker":"Dr. Philip Ovadia","startTime":862.6500000000001,"endTime":866.2800000000001,"body":"glucose level, your HDL"},{"speaker":"Dr. Philip Ovadia","startTime":862.6500000000001,"endTime":866.2800000000001,"body":"cholesterol, your good"},{"speaker":"Dr. Philip Ovadia","startTime":866.2800000000001,"endTime":869.85,"body":"cholesterol level and your"},{"speaker":"Dr. Philip Ovadia","startTime":866.2800000000001,"endTime":869.85,"body":"triglycerides. What is the"},{"speaker":"Jack Heald","startTime":869.94,"endTime":874.32,"body":"what's the passkey,"},{"speaker":"Jack Heald","startTime":869.94,"endTime":874.32,"body":"the fasting blood sugar? What's"},{"speaker":"Jack Heald","startTime":874.32,"endTime":876.09,"body":"the what's the boundary there"},{"speaker":"Jack Heald","startTime":874.32,"endTime":876.09,"body":"between"},{"speaker":"Dr. Philip Ovadia","startTime":877.0500000000001,"endTime":880.8900000000001,"body":"the boundary"},{"speaker":"Dr. Philip Ovadia","startTime":877.0500000000001,"endTime":880.8900000000001,"body":"there is 100 milligrams per"},{"speaker":"Dr. Philip Ovadia","startTime":880.8900000000001,"endTime":884.1300000000001,"body":"deciliter. So you want your"},{"speaker":"Dr. Philip Ovadia","startTime":880.8900000000001,"endTime":884.1300000000001,"body":"fasting blood glucose to be less"},{"speaker":"Dr. Philip Ovadia","startTime":884.1300000000001,"endTime":888.5100000000001,"body":"than 100. And that needs to be"},{"speaker":"Dr. Philip Ovadia","startTime":884.1300000000001,"endTime":888.5100000000001,"body":"without the use of medications."},{"speaker":"Jack Heald","startTime":889.2600000000001,"endTime":891.1500000000001,"body":"Without without"},{"speaker":"Jack Heald","startTime":889.2600000000001,"endTime":891.1500000000001,"body":"taking medication, the"},{"speaker":"Jack Heald","startTime":891.1500000000001,"endTime":892.3800000000001,"body":"definition of"},{"speaker":"Dr. Philip Ovadia","startTime":892.7400000000001,"endTime":894.6600000000001,"body":"without the"},{"speaker":"Dr. Philip Ovadia","startTime":892.7400000000001,"endTime":894.6600000000001,"body":"use of glucose lowering"},{"speaker":"Dr. Philip Ovadia","startTime":894.6600000000001,"endTime":899.4000000000001,"body":"medications to meet the"},{"speaker":"Dr. Philip Ovadia","startTime":894.6600000000001,"endTime":899.4000000000001,"body":"definition of metabolic health,"},{"speaker":"Dr. Philip Ovadia","startTime":900.0300000000001,"endTime":903.84,"body":"but what we see is that patients"},{"speaker":"Dr. Philip Ovadia","startTime":900.0300000000001,"endTime":903.84,"body":"who are not metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":903.84,"endTime":908.6700000000001,"body":"healthy, you know, people who"},{"speaker":"Dr. Philip Ovadia","startTime":903.84,"endTime":908.6700000000001,"body":"have the metabolic syndrome,"},{"speaker":"Dr. Philip Ovadia","startTime":909.9300000000001,"endTime":915.1500000000001,"body":"oftentimes have elevated markers"},{"speaker":"Dr. Philip Ovadia","startTime":909.9300000000001,"endTime":915.1500000000001,"body":"of inflammation. The most common"},{"speaker":"Dr. Philip Ovadia","startTime":915.1500000000001,"endTime":919.5300000000001,"body":"one that I track in my practice,"},{"speaker":"Dr. Philip Ovadia","startTime":915.1500000000001,"endTime":919.5300000000001,"body":"with my patients is something"},{"speaker":"Dr. Philip Ovadia","startTime":919.5300000000001,"endTime":925.5000000000001,"body":"called C reactive protein. And"},{"speaker":"Dr. Philip Ovadia","startTime":919.5300000000001,"endTime":925.5000000000001,"body":"it's kind of a, it's a general"},{"speaker":"Dr. Philip Ovadia","startTime":925.5000000000001,"endTime":930.5100000000001,"body":"inflammation marker, but it has"},{"speaker":"Dr. Philip Ovadia","startTime":925.5000000000001,"endTime":930.5100000000001,"body":"been tied very specifically to"},{"speaker":"Dr. Philip Ovadia","startTime":930.7800000000001,"endTime":934.08,"body":"increased risk of heart disease,"},{"speaker":"Dr. Philip Ovadia","startTime":930.7800000000001,"endTime":934.08,"body":"patients who have an elevated"},{"speaker":"Dr. Philip Ovadia","startTime":934.08,"endTime":939.1200000000001,"body":"CRP level, have an elevated risk"},{"speaker":"Dr. Philip Ovadia","startTime":934.08,"endTime":939.1200000000001,"body":"of heart disease. But, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":939.1500000000001,"endTime":944.0100000000001,"body":"again, it's due to that"},{"speaker":"Dr. Philip Ovadia","startTime":939.1500000000001,"endTime":944.0100000000001,"body":"inflammation that occurs, you"},{"speaker":"Dr. Philip Ovadia","startTime":944.0100000000001,"endTime":948.57,"body":"know, with poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":944.0100000000001,"endTime":948.57,"body":"health, and there's, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":948.6,"endTime":954.7800000000001,"body":"some I would say, there can be"},{"speaker":"Dr. Philip Ovadia","startTime":948.6,"endTime":954.7800000000001,"body":"different sort of types of"},{"speaker":"Dr. Philip Ovadia","startTime":954.7800000000001,"endTime":958.83,"body":"inflammation, different sources"},{"speaker":"Dr. Philip Ovadia","startTime":954.7800000000001,"endTime":958.83,"body":"of that inflammation. In a lot"},{"speaker":"Dr. Philip Ovadia","startTime":958.83,"endTime":962.61,"body":"of patients, it's within the"},{"speaker":"Dr. Philip Ovadia","startTime":958.83,"endTime":962.61,"body":"blood vessels,"},{"speaker":"Jack Heald","startTime":963.33,"endTime":965.73,"body":"that the"},{"speaker":"Jack Heald","startTime":963.33,"endTime":965.73,"body":"inflammation inflammation inside"},{"speaker":"Jack Heald","startTime":965.73,"endTime":969.09,"body":"the blood vessels inside the"},{"speaker":"Jack Heald","startTime":965.73,"endTime":969.09,"body":"blood vessels. Is that Is that"},{"speaker":"Jack Heald","startTime":969.09,"endTime":974.2800000000001,"body":"where the the That's where the"},{"speaker":"Jack Heald","startTime":969.09,"endTime":974.2800000000001,"body":"cholesterol builds up inside"},{"speaker":"Jack Heald","startTime":974.2800000000001,"endTime":978.1200000000001,"body":"your your arteries and squeezes"},{"speaker":"Jack Heald","startTime":974.2800000000001,"endTime":978.1200000000001,"body":"things and make sure that"},{"speaker":"Jack Heald","startTime":978.1200000000001,"endTime":981.1500000000001,"body":"pressure go up. Okay? Yeah,"},{"speaker":"Jack Heald","startTime":978.1200000000001,"endTime":981.1500000000001,"body":"well, that was my that was my"},{"speaker":"Jack Heald","startTime":981.1500000000001,"endTime":982.32,"body":"dad. Okay. Yeah,"},{"speaker":"Dr. Philip Ovadia","startTime":982.35,"endTime":985.23,"body":"how the, you"},{"speaker":"Dr. Philip Ovadia","startTime":982.35,"endTime":985.23,"body":"know, cholesterol is a repair"},{"speaker":"Dr. Philip Ovadia","startTime":985.23,"endTime":988.2600000000001,"body":"mechanism for that inflammation,"},{"speaker":"Dr. Philip Ovadia","startTime":985.23,"endTime":988.2600000000001,"body":"but the inflammation can occur"},{"speaker":"Dr. Philip Ovadia","startTime":988.2600000000001,"endTime":991.8900000000001,"body":"in the blood vessels, the"},{"speaker":"Dr. Philip Ovadia","startTime":988.2600000000001,"endTime":991.8900000000001,"body":"inflammation can occur, you"},{"speaker":"Dr. Philip Ovadia","startTime":991.8900000000001,"endTime":998.3100000000001,"body":"know, in the intestines, you"},{"speaker":"Dr. Philip Ovadia","startTime":991.8900000000001,"endTime":998.3100000000001,"body":"know, in flat, you know, we many"},{"speaker":"Dr. Philip Ovadia","startTime":998.3100000000001,"endTime":1001.97,"body":"people are familiar with, sort"},{"speaker":"Dr. Philip Ovadia","startTime":998.3100000000001,"endTime":1001.97,"body":"of, you know, what's called"},{"speaker":"Dr. Philip Ovadia","startTime":1001.97,"endTime":1005.7800000000001,"body":"leaky gut syndrome, but"},{"speaker":"Dr. Philip Ovadia","startTime":1001.97,"endTime":1005.7800000000001,"body":"basically, inflammation of the"},{"speaker":"Dr. Philip Ovadia","startTime":1005.7800000000001,"endTime":1010.3700000000001,"body":"gut that oftentimes accompanies"},{"speaker":"Dr. Philip Ovadia","startTime":1005.7800000000001,"endTime":1010.3700000000001,"body":"poor metabolic health. And"},{"speaker":"Dr. Philip Ovadia","startTime":1010.3700000000001,"endTime":1012.7700000000001,"body":"that's one of the reasons that"},{"speaker":"Dr. Philip Ovadia","startTime":1010.3700000000001,"endTime":1012.7700000000001,"body":"we think that, you know, the"},{"speaker":"Dr. Philip Ovadia","startTime":1012.7700000000001,"endTime":1016.4900000000001,"body":"foods that we are eating are"},{"speaker":"Dr. Philip Ovadia","startTime":1012.7700000000001,"endTime":1016.4900000000001,"body":"such a strong driver of"},{"speaker":"Dr. Philip Ovadia","startTime":1016.7,"endTime":1021.2900000000001,"body":"metabolic disease. And then, you"},{"speaker":"Dr. Philip Ovadia","startTime":1016.7,"endTime":1021.2900000000001,"body":"know, for other people, the"},{"speaker":"Dr. Philip Ovadia","startTime":1021.2900000000001,"endTime":1024.35,"body":"inflammation shows up in"},{"speaker":"Dr. Philip Ovadia","startTime":1021.2900000000001,"endTime":1024.35,"body":"different ways, autoimmune"},{"speaker":"Dr. Philip Ovadia","startTime":1024.35,"endTime":1030.83,"body":"conditions, arthritis, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":1024.35,"endTime":1030.83,"body":"irritable bowel disease, or"},{"speaker":"Dr. Philip Ovadia","startTime":1030.83,"endTime":1035.45,"body":"inflammatory bowel diseases like"},{"speaker":"Dr. Philip Ovadia","startTime":1030.83,"endTime":1035.45,"body":"ulcerative colitis, all of these"},{"speaker":"Dr. Philip Ovadia","startTime":1035.45,"endTime":1040.19,"body":"things, you know, are relatable"},{"speaker":"Dr. Philip Ovadia","startTime":1035.45,"endTime":1040.19,"body":"for metabolic health. And"},{"speaker":"Dr. Philip Ovadia","startTime":1040.19,"endTime":1040.73,"body":"interesting,"},{"speaker":"Jack Heald","startTime":1040.73,"endTime":1044.33,"body":"Mike, my dad had"},{"speaker":"Jack Heald","startTime":1040.73,"endTime":1044.33,"body":"ulcerative colitis early in his"},{"speaker":"Jack Heald","startTime":1044.33,"endTime":1050.99,"body":"life. And I would have up until"},{"speaker":"Jack Heald","startTime":1044.33,"endTime":1050.99,"body":"this very moment, would have"},{"speaker":"Jack Heald","startTime":1050.99,"endTime":1056.75,"body":"thought coincidentally, his his"},{"speaker":"Jack Heald","startTime":1050.99,"endTime":1056.75,"body":"cardiologist called in my"},{"speaker":"Jack Heald","startTime":1056.75,"endTime":1061.31,"body":"cholesterol creating machine,"},{"speaker":"Jack Heald","startTime":1056.75,"endTime":1061.31,"body":"maybe the two things were"},{"speaker":"Jack Heald","startTime":1061.31,"endTime":1061.9099999999999,"body":"related."},{"speaker":"Dr. Philip Ovadia","startTime":1062.6599999999999,"endTime":1065.2099999999998,"body":"Yes, there"},{"speaker":"Dr. Philip Ovadia","startTime":1062.6599999999999,"endTime":1065.2099999999998,"body":"certainly seems to be a"},{"speaker":"Dr. Philip Ovadia","startTime":1065.2099999999998,"endTime":1069.4699999999998,"body":"relationship there. Wow. And"},{"speaker":"Dr. Philip Ovadia","startTime":1065.2099999999998,"endTime":1069.4699999999998,"body":"again, those are, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":1069.53,"endTime":1072.6499999999999,"body":"additional risk factors,"},{"speaker":"Dr. Philip Ovadia","startTime":1069.53,"endTime":1072.6499999999999,"body":"patients with these autoimmune"},{"speaker":"Dr. Philip Ovadia","startTime":1072.6499999999999,"endTime":1077.1799999999998,"body":"conditions, these inflammatory"},{"speaker":"Dr. Philip Ovadia","startTime":1072.6499999999999,"endTime":1077.1799999999998,"body":"conditions are also seem to be"},{"speaker":"Dr. Philip Ovadia","startTime":1077.1799999999998,"endTime":1084.3799999999999,"body":"at greater risk from COVID. And,"},{"speaker":"Dr. Philip Ovadia","startTime":1077.1799999999998,"endTime":1084.3799999999999,"body":"you know, we can make that"},{"speaker":"Dr. Philip Ovadia","startTime":1084.3799999999999,"endTime":1087.56,"body":"common link, you know, again,"},{"speaker":"Dr. Philip Ovadia","startTime":1084.3799999999999,"endTime":1087.56,"body":"getting back to sort of root"},{"speaker":"Dr. Philip Ovadia","startTime":1087.56,"endTime":1093.11,"body":"causes, we can certainly come up"},{"speaker":"Dr. Philip Ovadia","startTime":1087.56,"endTime":1093.11,"body":"with the linkage there, that,"},{"speaker":"Dr. Philip Ovadia","startTime":1093.1399999999999,"endTime":1096.5,"body":"you know, the poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":1093.1399999999999,"endTime":1096.5,"body":"health that goes along with"},{"speaker":"Dr. Philip Ovadia","startTime":1096.5,"endTime":1101.0,"body":"these autoimmune conditions, is"},{"speaker":"Dr. Philip Ovadia","startTime":1096.5,"endTime":1101.0,"body":"also going to predispose those"},{"speaker":"Dr. Philip Ovadia","startTime":1101.0,"endTime":1105.29,"body":"patients to, you know, problems"},{"speaker":"Dr. Philip Ovadia","startTime":1101.0,"endTime":1105.29,"body":"with COVID."},{"speaker":"Jack Heald","startTime":1106.6989999999998,"endTime":1109.759,"body":"Alright, so I've got"},{"speaker":"Jack Heald","startTime":1106.6989999999998,"endTime":1109.759,"body":"two questions I want to ask, I'm"},{"speaker":"Jack Heald","startTime":1109.759,"endTime":1113.749,"body":"going to ask both now, even"},{"speaker":"Jack Heald","startTime":1109.759,"endTime":1113.749,"body":"though they're not related,"},{"speaker":"Jack Heald","startTime":1113.749,"endTime":1117.499,"body":"because otherwise, I'll forget"},{"speaker":"Jack Heald","startTime":1113.749,"endTime":1117.499,"body":"them. Question number one, can"},{"speaker":"Jack Heald","startTime":1117.499,"endTime":1122.269,"body":"you please repeat the mechanism,"},{"speaker":"Jack Heald","startTime":1117.499,"endTime":1122.269,"body":"as we understand it, that causes"},{"speaker":"Jack Heald","startTime":1123.9489999999998,"endTime":1127.849,"body":"people who are metabolically"},{"speaker":"Jack Heald","startTime":1123.9489999999998,"endTime":1127.849,"body":"unhealthy to be more susceptible"},{"speaker":"Jack Heald","startTime":1127.849,"endTime":1135.9489999999998,"body":"to bad outcomes? If they, if"},{"speaker":"Jack Heald","startTime":1127.849,"endTime":1135.9489999999998,"body":"they get COVID? This? You know,"},{"speaker":"Jack Heald","startTime":1135.9489999999998,"endTime":1138.139,"body":"what, I will remember the second"},{"speaker":"Jack Heald","startTime":1135.9489999999998,"endTime":1138.139,"body":"question, so,"},{"speaker":"Dr. Philip Ovadia","startTime":1139.1,"endTime":1141.26,"body":"all right."},{"speaker":"Dr. Philip Ovadia","startTime":1139.1,"endTime":1141.26,"body":"You know, I think there were a"},{"speaker":"Dr. Philip Ovadia","startTime":1141.26,"endTime":1145.37,"body":"number of mechanisms that have"},{"speaker":"Dr. Philip Ovadia","startTime":1141.26,"endTime":1145.37,"body":"been proposed. I don't think we"},{"speaker":"Dr. Philip Ovadia","startTime":1145.37,"endTime":1148.6699999999998,"body":"know for sure, and it certainly"},{"speaker":"Dr. Philip Ovadia","startTime":1145.37,"endTime":1148.6699999999998,"body":"may be a combination of these."},{"speaker":"Dr. Philip Ovadia","startTime":1149.1499999999999,"endTime":1153.83,"body":"But I would say, you know, some"},{"speaker":"Dr. Philip Ovadia","startTime":1149.1499999999999,"endTime":1153.83,"body":"of the basics are that, we know"},{"speaker":"Dr. Philip Ovadia","startTime":1154.28,"endTime":1158.87,"body":"that being metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":1154.28,"endTime":1158.87,"body":"unhealthy, like I said, causes"},{"speaker":"Dr. Philip Ovadia","startTime":1158.87,"endTime":1162.53,"body":"chronic low grade inflammation"},{"speaker":"Dr. Philip Ovadia","startTime":1158.87,"endTime":1162.53,"body":"within the body. And then when"},{"speaker":"Dr. Philip Ovadia","startTime":1162.53,"endTime":1168.02,"body":"we add the inflammatory insult"},{"speaker":"Dr. Philip Ovadia","startTime":1162.53,"endTime":1168.02,"body":"of COVID, on top of that, the"},{"speaker":"Dr. Philip Ovadia","startTime":1168.02,"endTime":1172.6399999999999,"body":"body, you know, just gets"},{"speaker":"Dr. Philip Ovadia","startTime":1168.02,"endTime":1172.6399999999999,"body":"overwhelmed. So this cytokine"},{"speaker":"Dr. Philip Ovadia","startTime":1172.6399999999999,"endTime":1176.93,"body":"storm that, you know, people"},{"speaker":"Dr. Philip Ovadia","startTime":1172.6399999999999,"endTime":1176.93,"body":"talk about around COVID, which"},{"speaker":"Dr. Philip Ovadia","startTime":1176.93,"endTime":1180.62,"body":"is basically, you know, the"},{"speaker":"Dr. Philip Ovadia","startTime":1176.93,"endTime":1180.62,"body":"inflammation system of the body"},{"speaker":"Dr. Philip Ovadia","startTime":1180.62,"endTime":1185.72,"body":"sort of going out of control."},{"speaker":"Dr. Philip Ovadia","startTime":1180.62,"endTime":1185.72,"body":"You know, that goes along with,"},{"speaker":"Dr. Philip Ovadia","startTime":1186.77,"endTime":1187.73,"body":"with this."},{"speaker":"Jack Heald","startTime":1188.96,"endTime":1192.74,"body":"So, I want to make"},{"speaker":"Jack Heald","startTime":1188.96,"endTime":1192.74,"body":"sure I understand so, so, I"},{"speaker":"Jack Heald","startTime":1192.74,"endTime":1197.69,"body":"remembered an online community"},{"speaker":"Jack Heald","startTime":1192.74,"endTime":1197.69,"body":"I'm a part of literally, it was"},{"speaker":"Jack Heald","startTime":1197.69,"endTime":1204.23,"body":"March 2020, when one of the"},{"speaker":"Jack Heald","startTime":1197.69,"endTime":1204.23,"body":"medical professionals first"},{"speaker":"Jack Heald","startTime":1205.28,"endTime":1210.32,"body":"proposed that it was a cytokine"},{"speaker":"Jack Heald","startTime":1205.28,"endTime":1210.32,"body":"storm that was was going on here"},{"speaker":"Jack Heald","startTime":1210.32,"endTime":1216.23,"body":"with COVID. So I want to make"},{"speaker":"Jack Heald","startTime":1210.32,"endTime":1216.23,"body":"sure I'm clear. metabolically"},{"speaker":"Jack Heald","startTime":1216.26,"endTime":1219.44,"body":"unhealthy means that you've"},{"speaker":"Jack Heald","startTime":1216.26,"endTime":1219.44,"body":"already got chronic inflammation"},{"speaker":"Jack Heald","startTime":1220.79,"endTime":1226.76,"body":"COVID triggers an inflammatory"},{"speaker":"Jack Heald","startTime":1220.79,"endTime":1226.76,"body":"response, because that is in"},{"speaker":"Jack Heald","startTime":1226.76,"endTime":1232.1,"body":"fact, how the body fights these"},{"speaker":"Jack Heald","startTime":1226.76,"endTime":1232.1,"body":"kinds of pathologies pathogens."},{"speaker":"Jack Heald","startTime":1232.61,"endTime":1237.9199999999998,"body":"However, if, if the inflammatory"},{"speaker":"Jack Heald","startTime":1232.61,"endTime":1237.9199999999998,"body":"response is triggered in a"},{"speaker":"Jack Heald","startTime":1237.9199999999998,"endTime":1240.86,"body":"system that's already under"},{"speaker":"Jack Heald","startTime":1237.9199999999998,"endTime":1240.86,"body":"stress from chronic"},{"speaker":"Jack Heald","startTime":1240.86,"endTime":1245.99,"body":"inflammation, that's where we"},{"speaker":"Jack Heald","startTime":1240.86,"endTime":1245.99,"body":"trip over into that cytokine"},{"speaker":"Jack Heald","startTime":1245.99,"endTime":1250.46,"body":"storm. Am I saying that right?"},{"speaker":"Jack Heald","startTime":1245.99,"endTime":1250.46,"body":"Yes. Okay. Yeah, I didn't mean"},{"speaker":"Jack Heald","startTime":1250.46,"endTime":1253.3999999999999,"body":"to interrupt you, but um, I'm"},{"speaker":"Jack Heald","startTime":1250.46,"endTime":1253.3999999999999,"body":"trying to work through all this."},{"speaker":"Jack Heald","startTime":1253.3999999999999,"endTime":1255.4099999999999,"body":"Make sure it's making sense to"},{"speaker":"Jack Heald","startTime":1253.3999999999999,"endTime":1255.4099999999999,"body":"me,"},{"speaker":"Dr. Philip Ovadia","startTime":1255.71,"endTime":1258.77,"body":"okay. One of"},{"speaker":"Dr. Philip Ovadia","startTime":1255.71,"endTime":1258.77,"body":"the other you know, kind of"},{"speaker":"Dr. Philip Ovadia","startTime":1258.77,"endTime":1264.47,"body":"mechanistic things that has been"},{"speaker":"Dr. Philip Ovadia","startTime":1258.77,"endTime":1264.47,"body":"proposed between, in between"},{"speaker":"Dr. Philip Ovadia","startTime":1265.04,"endTime":1271.07,"body":"metabolic syndrome and COVID. Is"},{"speaker":"Dr. Philip Ovadia","startTime":1265.04,"endTime":1271.07,"body":"that the ACE two receptor which"},{"speaker":"Dr. Philip Ovadia","startTime":1271.07,"endTime":1277.9099999999999,"body":"is the target of the virus? It's"},{"speaker":"Dr. Philip Ovadia","startTime":1271.07,"endTime":1277.9099999999999,"body":"basically the receptor on the"},{"speaker":"Dr. Philip Ovadia","startTime":1277.9099999999999,"endTime":1283.73,"body":"cell that the virus uses to get"},{"speaker":"Dr. Philip Ovadia","startTime":1277.9099999999999,"endTime":1283.73,"body":"into the target cells and"},{"speaker":"Dr. Philip Ovadia","startTime":1283.76,"endTime":1284.33,"body":"interest on"},{"speaker":"Jack Heald","startTime":1284.6599999999999,"endTime":1288.32,"body":"a receptor."},{"speaker":"Jack Heald","startTime":1284.6599999999999,"endTime":1288.32,"body":"Generally, as I understand it is"},{"speaker":"Jack Heald","startTime":1288.32,"endTime":1295.46,"body":"just a molecule that electro"},{"speaker":"Jack Heald","startTime":1288.32,"endTime":1295.46,"body":"chemically bonds with other"},{"speaker":"Jack Heald","startTime":1295.55,"endTime":1300.1399999999999,"body":"other molecules based on its I"},{"speaker":"Jack Heald","startTime":1295.55,"endTime":1300.1399999999999,"body":"think it's really its shape, but"},{"speaker":"Jack Heald","startTime":1300.1399999999999,"endTime":1303.3799999999999,"body":"it also has to do with its"},{"speaker":"Jack Heald","startTime":1300.1399999999999,"endTime":1303.3799999999999,"body":"electrochemical charge, right?"},{"speaker":"Jack Heald","startTime":1303.4099999999999,"endTime":1306.47,"body":"My Wiener, right about that."},{"speaker":"Jack Heald","startTime":1303.4099999999999,"endTime":1306.47,"body":"Okay, so as to receptor is a"},{"speaker":"Jack Heald","startTime":1306.47,"endTime":1311.93,"body":"particular molecule that bonds"},{"speaker":"Jack Heald","startTime":1306.47,"endTime":1311.93,"body":"with particular other molecules?"},{"speaker":"Dr. Philip Ovadia","startTime":1312.02,"endTime":1315.56,"body":"Correct. And,"},{"speaker":"Dr. Philip Ovadia","startTime":1312.02,"endTime":1315.56,"body":"you know, I, the analogy that I"},{"speaker":"Dr. Philip Ovadia","startTime":1315.59,"endTime":1318.86,"body":"like to use for people to think"},{"speaker":"Dr. Philip Ovadia","startTime":1315.59,"endTime":1318.86,"body":"about this is it's sort of the"},{"speaker":"Dr. Philip Ovadia","startTime":1318.86,"endTime":1323.45,"body":"docking station on the outside"},{"speaker":"Dr. Philip Ovadia","startTime":1318.86,"endTime":1323.45,"body":"of the cell that allows, you"},{"speaker":"Dr. Philip Ovadia","startTime":1323.45,"endTime":1327.74,"body":"know, in this case, the virus,"},{"speaker":"Dr. Philip Ovadia","startTime":1323.45,"endTime":1327.74,"body":"in other cases, just proteins,"},{"speaker":"Dr. Philip Ovadia","startTime":1327.77,"endTime":1332.03,"body":"you know, to come into the"},{"speaker":"Dr. Philip Ovadia","startTime":1327.77,"endTime":1332.03,"body":"cells, okay, so the h2 receptor"},{"speaker":"Dr. Philip Ovadia","startTime":1332.03,"endTime":1336.35,"body":"has been shown to be one of the"},{"speaker":"Dr. Philip Ovadia","startTime":1332.03,"endTime":1336.35,"body":"key points of entry for the, you"},{"speaker":"Dr. Philip Ovadia","startTime":1336.35,"endTime":1341.21,"body":"know, SARS virus, the cov, to"},{"speaker":"Dr. Philip Ovadia","startTime":1336.35,"endTime":1341.21,"body":"virus to enter cells. And we"},{"speaker":"Dr. Philip Ovadia","startTime":1341.21,"endTime":1345.23,"body":"know that patients who have"},{"speaker":"Dr. Philip Ovadia","startTime":1341.21,"endTime":1345.23,"body":"insulin resistance and poor"},{"speaker":"Dr. Philip Ovadia","startTime":1345.23,"endTime":1350.3899999999999,"body":"metabolic health have increased"},{"speaker":"Dr. Philip Ovadia","startTime":1345.23,"endTime":1350.3899999999999,"body":"numbers of these ace to"},{"speaker":"Dr. Philip Ovadia","startTime":1350.3899999999999,"endTime":1356.18,"body":"receptors in many of their"},{"speaker":"Dr. Philip Ovadia","startTime":1350.3899999999999,"endTime":1356.18,"body":"tissues, such as in the lung, in"},{"speaker":"Dr. Philip Ovadia","startTime":1356.18,"endTime":1360.11,"body":"the pancreas, other places. So"},{"speaker":"Dr. Philip Ovadia","startTime":1356.18,"endTime":1360.11,"body":"that's another, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":1360.1699999999998,"endTime":1364.94,"body":"reason, we think that patients"},{"speaker":"Dr. Philip Ovadia","startTime":1360.1699999999998,"endTime":1364.94,"body":"who are in poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":1364.94,"endTime":1368.1499999999999,"body":"health, you know, may be more"},{"speaker":"Dr. Philip Ovadia","startTime":1364.94,"endTime":1368.1499999999999,"body":"susceptible to COVID."},{"speaker":"Jack Heald","startTime":1368.51,"endTime":1370.73,"body":"Okay, you're going a"},{"speaker":"Jack Heald","startTime":1368.51,"endTime":1370.73,"body":"little fast for me say that"},{"speaker":"Jack Heald","startTime":1370.73,"endTime":1373.6399999999999,"body":"whole bit about increased"},{"speaker":"Jack Heald","startTime":1370.73,"endTime":1373.6399999999999,"body":"aistear receptors again,"},{"speaker":"Dr. Philip Ovadia","startTime":1373.85,"endTime":1377.99,"body":"yeah. So we"},{"speaker":"Dr. Philip Ovadia","startTime":1373.85,"endTime":1377.99,"body":"know, you know, in general, and"},{"speaker":"Dr. Philip Ovadia","startTime":1377.99,"endTime":1380.6,"body":"this has been looked at for"},{"speaker":"Dr. Philip Ovadia","startTime":1377.99,"endTime":1380.6,"body":"other reasons, you know, before"},{"speaker":"Dr. Philip Ovadia","startTime":1380.6,"endTime":1385.43,"body":"COVID, we know that, in animal"},{"speaker":"Dr. Philip Ovadia","startTime":1380.6,"endTime":1385.43,"body":"studies, as well as in human"},{"speaker":"Dr. Philip Ovadia","startTime":1385.43,"endTime":1389.75,"body":"studies, patients who have"},{"speaker":"Dr. Philip Ovadia","startTime":1385.43,"endTime":1389.75,"body":"insulin resistance, which is one"},{"speaker":"Dr. Philip Ovadia","startTime":1389.75,"endTime":1393.98,"body":"of the hallmarks of poor"},{"speaker":"Dr. Philip Ovadia","startTime":1389.75,"endTime":1393.98,"body":"metabolic health have increased"},{"speaker":"Dr. Philip Ovadia","startTime":1393.98,"endTime":1399.86,"body":"numbers of these ace to"},{"speaker":"Dr. Philip Ovadia","startTime":1393.98,"endTime":1399.86,"body":"receptors on, you know, in many"},{"speaker":"Dr. Philip Ovadia","startTime":1399.86,"endTime":1401.48,"body":"different tissues of the body."},{"speaker":"Jack Heald","startTime":1402.59,"endTime":1408.3799999999999,"body":"Pa, so So there's"},{"speaker":"Jack Heald","startTime":1402.59,"endTime":1408.3799999999999,"body":"something that's happening with"},{"speaker":"Jack Heald","startTime":1408.3799999999999,"endTime":1413.4199999999998,"body":"an excess of with with too much"},{"speaker":"Jack Heald","startTime":1408.3799999999999,"endTime":1413.4199999999998,"body":"insulin or not enough, not"},{"speaker":"Jack Heald","startTime":1413.4199999999998,"endTime":1417.02,"body":"enough insulin sensitivity, that"},{"speaker":"Jack Heald","startTime":1413.4199999999998,"endTime":1417.02,"body":"causes the body to respond with"},{"speaker":"Jack Heald","startTime":1417.05,"endTime":1424.46,"body":"increased h2 receptors. Oh,"},{"speaker":"Jack Heald","startTime":1417.05,"endTime":1424.46,"body":"okay. I it, it just clicked. It"},{"speaker":"Jack Heald","startTime":1424.46,"endTime":1425.33,"body":"makes sense to me."},{"speaker":"Dr. Philip Ovadia","startTime":1426.9199999999998,"endTime":1430.49,"body":"Yeah, again,"},{"speaker":"Dr. Philip Ovadia","startTime":1426.9199999999998,"endTime":1430.49,"body":"so that's sort of a cellular"},{"speaker":"Dr. Philip Ovadia","startTime":1430.49,"endTime":1435.71,"body":"level, you know, explanation of,"},{"speaker":"Dr. Philip Ovadia","startTime":1430.49,"endTime":1435.71,"body":"you know, what is likely going"},{"speaker":"Dr. Philip Ovadia","startTime":1435.71,"endTime":1439.73,"body":"on that, you know, causes this"},{"speaker":"Dr. Philip Ovadia","startTime":1435.71,"endTime":1439.73,"body":"increased susceptibility in"},{"speaker":"Dr. Philip Ovadia","startTime":1439.73,"endTime":1442.37,"body":"patients who are metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":1439.73,"endTime":1442.37,"body":"unhealthy."},{"speaker":"Jack Heald","startTime":1442.58,"endTime":1446.24,"body":"Now, is there a any"},{"speaker":"Jack Heald","startTime":1442.58,"endTime":1446.24,"body":"kind of connection between"},{"speaker":"Jack Heald","startTime":1446.24,"endTime":1451.3999999999999,"body":"inflammation and insulin? Lack"},{"speaker":"Jack Heald","startTime":1446.24,"endTime":1451.3999999999999,"body":"of insulin sensitivity?"},{"speaker":"Dr. Philip Ovadia","startTime":1455.03,"endTime":1459.77,"body":"Yeah, well,"},{"speaker":"Dr. Philip Ovadia","startTime":1455.03,"endTime":1459.77,"body":"again, we know that, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":1459.77,"endTime":1462.83,"body":"patients who are metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":1459.77,"endTime":1462.83,"body":"unhealthy and therefore insulin"},{"speaker":"Dr. Philip Ovadia","startTime":1462.83,"endTime":1467.8999999999999,"body":"resistant, or more likely to be"},{"speaker":"Dr. Philip Ovadia","startTime":1462.83,"endTime":1467.8999999999999,"body":"inflamed. Again, there might be"},{"speaker":"Dr. Philip Ovadia","startTime":1467.8999999999999,"endTime":1471.02,"body":"a few different, you know, ways"},{"speaker":"Dr. Philip Ovadia","startTime":1467.8999999999999,"endTime":1471.02,"body":"to look at that a few different"},{"speaker":"Dr. Philip Ovadia","startTime":1471.02,"endTime":1475.25,"body":"reasons to think about that. One"},{"speaker":"Dr. Philip Ovadia","startTime":1471.02,"endTime":1475.25,"body":"of the things is that we know"},{"speaker":"Dr. Philip Ovadia","startTime":1475.25,"endTime":1480.11,"body":"having, you know, high levels of"},{"speaker":"Dr. Philip Ovadia","startTime":1475.25,"endTime":1480.11,"body":"of sugar in the blood, high"},{"speaker":"Dr. Philip Ovadia","startTime":1480.11,"endTime":1485.78,"body":"levels of glucose in the blood"},{"speaker":"Dr. Philip Ovadia","startTime":1480.11,"endTime":1485.78,"body":"is inflammatory, it is damaging,"},{"speaker":"Dr. Philip Ovadia","startTime":1485.81,"endTime":1491.0,"body":"Oh, okay. Does that makes sense?"},{"speaker":"Dr. Philip Ovadia","startTime":1485.81,"endTime":1491.0,"body":"You know, what, that that is a"},{"speaker":"Dr. Philip Ovadia","startTime":1491.0,"endTime":1492.29,"body":"relationship there."},{"speaker":"Jack Heald","startTime":1492.44,"endTime":1495.9199999999998,"body":"So if your insulin"},{"speaker":"Jack Heald","startTime":1492.44,"endTime":1495.9199999999998,"body":"if your insulin receptors are"},{"speaker":"Jack Heald","startTime":1495.9199999999998,"endTime":1500.09,"body":"insensitive to the insulin in"},{"speaker":"Jack Heald","startTime":1495.9199999999998,"endTime":1500.09,"body":"your system, and I may be saying"},{"speaker":"Jack Heald","startTime":1500.09,"endTime":1503.3899999999999,"body":"this wrong, but I think I've got"},{"speaker":"Jack Heald","startTime":1500.09,"endTime":1503.3899999999999,"body":"the basic idea, then what's"},{"speaker":"Jack Heald","startTime":1503.3899999999999,"endTime":1505.97,"body":"going to happen is you're going"},{"speaker":"Jack Heald","startTime":1503.3899999999999,"endTime":1505.97,"body":"to have excess sugar in your"},{"speaker":"Jack Heald","startTime":1505.97,"endTime":1513.9199999999998,"body":"blood. And excess sugar in your"},{"speaker":"Jack Heald","startTime":1505.97,"endTime":1513.9199999999998,"body":"blood is in fact inflammatory,"},{"speaker":"Jack Heald","startTime":1513.95,"endTime":1521.03,"body":"it triggers it, it's a lot"},{"speaker":"Jack Heald","startTime":1513.95,"endTime":1521.03,"body":"abrasive to the to the system."},{"speaker":"Jack Heald","startTime":1521.33,"endTime":1524.75,"body":"And the response of the system"},{"speaker":"Jack Heald","startTime":1521.33,"endTime":1524.75,"body":"to that abrasion is is"},{"speaker":"Jack Heald","startTime":1524.75,"endTime":1530.27,"body":"inflammation, something like"},{"speaker":"Jack Heald","startTime":1524.75,"endTime":1530.27,"body":"that? Yes. Okay, I think,"},{"speaker":"Jack Heald","startTime":1530.48,"endTime":1535.1299999999999,"body":"Alright, so I have this, this"},{"speaker":"Jack Heald","startTime":1530.48,"endTime":1535.1299999999999,"body":"other little light bulb that"},{"speaker":"Jack Heald","startTime":1535.1299999999999,"endTime":1542.96,"body":"went over my bed just came on"},{"speaker":"Jack Heald","startTime":1535.1299999999999,"endTime":1542.96,"body":"over my rather thick skull. I"},{"speaker":"Jack Heald","startTime":1542.96,"endTime":1546.3799999999999,"body":"was I made some notes here, as"},{"speaker":"Jack Heald","startTime":1542.96,"endTime":1546.3799999999999,"body":"we first began talking that the"},{"speaker":"Jack Heald","startTime":1547.19,"endTime":1553.1599999999999,"body":"four things we know are, are"},{"speaker":"Jack Heald","startTime":1547.19,"endTime":1553.1599999999999,"body":"tend to be indicators for bad"},{"speaker":"Jack Heald","startTime":1553.1599999999999,"endTime":1557.6,"body":"outcome, assuming that you can"},{"speaker":"Jack Heald","startTime":1553.1599999999999,"endTime":1557.6,"body":"track COVID Our age, obesity,"},{"speaker":"Jack Heald","startTime":1557.6,"endTime":1560.6299999999999,"body":"diabetes and high blood"},{"speaker":"Jack Heald","startTime":1557.6,"endTime":1560.6299999999999,"body":"pressure, not a damn thing any"},{"speaker":"Jack Heald","startTime":1560.6299999999999,"endTime":1563.69,"body":"of us can do about age short of"},{"speaker":"Jack Heald","startTime":1560.6299999999999,"endTime":1563.69,"body":"dying. I mean, if you die, you"},{"speaker":"Jack Heald","startTime":1563.69,"endTime":1565.85,"body":"won't get any older. So I guess"},{"speaker":"Jack Heald","startTime":1563.69,"endTime":1565.85,"body":"that's one thing we could do,"},{"speaker":"Jack Heald","startTime":1565.85,"endTime":1569.4199999999998,"body":"but frankly, I consider that one"},{"speaker":"Jack Heald","startTime":1565.85,"endTime":1569.4199999999998,"body":"off the table but the other"},{"speaker":"Jack Heald","startTime":1569.4199999999998,"endTime":1572.27,"body":"three being obese. Having"},{"speaker":"Jack Heald","startTime":1569.4199999999998,"endTime":1572.27,"body":"diabetes having high blood"},{"speaker":"Jack Heald","startTime":1572.27,"endTime":1578.36,"body":"pressure, those three things all"},{"speaker":"Jack Heald","startTime":1572.27,"endTime":1578.36,"body":"indicate a, if the presence of"},{"speaker":"Jack Heald","startTime":1578.3899999999999,"endTime":1583.76,"body":"any, any or all of those three"},{"speaker":"Jack Heald","startTime":1578.3899999999999,"endTime":1583.76,"body":"is highly correlated with a bad"},{"speaker":"Jack Heald","startTime":1583.76,"endTime":1593.48,"body":"outcome if you can track COVID."},{"speaker":"Jack Heald","startTime":1583.76,"endTime":1593.48,"body":"And it's really easy to know if"},{"speaker":"Jack Heald","startTime":1593.48,"endTime":1598.94,"body":"you have one or more of these"},{"speaker":"Jack Heald","startTime":1593.48,"endTime":1598.94,"body":"situations. So obesity, I"},{"speaker":"Jack Heald","startTime":1598.94,"endTime":1601.43,"body":"remember back to I'm just"},{"speaker":"Jack Heald","startTime":1598.94,"endTime":1601.43,"body":"thinking back to our earlier"},{"speaker":"Jack Heald","startTime":1601.43,"endTime":1606.08,"body":"conversations. If your man,"},{"speaker":"Jack Heald","startTime":1601.43,"endTime":1606.08,"body":"check the circumference of your"},{"speaker":"Jack Heald","startTime":1606.08,"endTime":1610.9099999999999,"body":"belly at your just below your"},{"speaker":"Jack Heald","startTime":1606.08,"endTime":1610.9099999999999,"body":"belly button, just above what"},{"speaker":"Jack Heald","startTime":1610.9099999999999,"endTime":1613.79,"body":"you say, just above your belly,"},{"speaker":"Jack Heald","startTime":1610.9099999999999,"endTime":1613.79,"body":"would you say 40 inches,"},{"speaker":"Dr. Philip Ovadia","startTime":1614.12,"endTime":1617.4199999999998,"body":"40 inches for"},{"speaker":"Dr. Philip Ovadia","startTime":1614.12,"endTime":1617.4199999999998,"body":"a man 35 inches for a woman is"},{"speaker":"Dr. Philip Ovadia","startTime":1617.4199999999998,"endTime":1618.02,"body":"40 inches"},{"speaker":"Jack Heald","startTime":1618.02,"endTime":1620.81,"body":"for man 35 inches"},{"speaker":"Jack Heald","startTime":1618.02,"endTime":1620.81,"body":"for a woman, if it's greater"},{"speaker":"Jack Heald","startTime":1620.81,"endTime":1628.76,"body":"than that, you've got a problem,"},{"speaker":"Jack Heald","startTime":1620.81,"endTime":1628.76,"body":"I guess, obesity. And guess for"},{"speaker":"Jack Heald","startTime":1628.76,"endTime":1631.46,"body":"all of those of you who are"},{"speaker":"Jack Heald","startTime":1628.76,"endTime":1631.46,"body":"gonna say actually, we realize"},{"speaker":"Jack Heald","startTime":1631.46,"endTime":1635.3899999999999,"body":"these are rough numbers, but and"},{"speaker":"Jack Heald","startTime":1631.46,"endTime":1635.3899999999999,"body":"the diabetes, you just could do"},{"speaker":"Jack Heald","startTime":1635.3899999999999,"endTime":1640.46,"body":"that fasting blood test thing."},{"speaker":"Jack Heald","startTime":1635.3899999999999,"endTime":1640.46,"body":"And high blood pressure, you"},{"speaker":"Jack Heald","startTime":1640.46,"endTime":1645.23,"body":"literally just get your blood"},{"speaker":"Jack Heald","startTime":1640.46,"endTime":1645.23,"body":"pressure taken. It's super easy"},{"speaker":"Jack Heald","startTime":1645.23,"endTime":1651.35,"body":"to find out if you're at risk"},{"speaker":"Jack Heald","startTime":1645.23,"endTime":1651.35,"body":"with any of these. I'm right,"},{"speaker":"Jack Heald","startTime":1651.3799999999999,"endTime":1651.9199999999998,"body":"aren't I?"},{"speaker":"Dr. Philip Ovadia","startTime":1653.0,"endTime":1657.74,"body":"Yes. And, you"},{"speaker":"Dr. Philip Ovadia","startTime":1653.0,"endTime":1657.74,"body":"know, to kind of, I guess, you"},{"speaker":"Dr. Philip Ovadia","startTime":1657.74,"endTime":1662.78,"body":"know, start to wrap this episode"},{"speaker":"Dr. Philip Ovadia","startTime":1657.74,"endTime":1662.78,"body":"up. You know, I think one of the"},{"speaker":"Dr. Philip Ovadia","startTime":1662.78,"endTime":1669.23,"body":"biggest, you know, kind of"},{"speaker":"Dr. Philip Ovadia","startTime":1662.78,"endTime":1669.23,"body":"regrets that I have around how,"},{"speaker":"Dr. Philip Ovadia","startTime":1669.26,"endTime":1673.1,"body":"you know, this whole pandemic"},{"speaker":"Dr. Philip Ovadia","startTime":1669.26,"endTime":1673.1,"body":"has been faced how this whole"},{"speaker":"Dr. Philip Ovadia","startTime":1673.1,"endTime":1676.04,"body":"pandemic has been dealt with,"},{"speaker":"Dr. Philip Ovadia","startTime":1673.1,"endTime":1676.04,"body":"with the medical system and from"},{"speaker":"Dr. Philip Ovadia","startTime":1676.04,"endTime":1680.4199999999998,"body":"our public health officials, is"},{"speaker":"Dr. Philip Ovadia","startTime":1676.04,"endTime":1680.4199999999998,"body":"that despite the fact that we"},{"speaker":"Dr. Philip Ovadia","startTime":1680.57,"endTime":1684.47,"body":"knew those things, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":1680.57,"endTime":1684.47,"body":"that you just said, we knew what"},{"speaker":"Dr. Philip Ovadia","startTime":1684.47,"endTime":1688.1,"body":"these risk factors were, right"},{"speaker":"Dr. Philip Ovadia","startTime":1684.47,"endTime":1688.1,"body":"from the beginning,"},{"speaker":"Jack Heald","startTime":1689.36,"endTime":1690.4099999999999,"body":"we haven't"},{"speaker":"Dr. Philip Ovadia","startTime":1691.43,"endTime":1695.57,"body":"done enough"},{"speaker":"Dr. Philip Ovadia","startTime":1691.43,"endTime":1695.57,"body":"to encourage people to try and"},{"speaker":"Dr. Philip Ovadia","startTime":1695.96,"endTime":1701.6299999999999,"body":"reverse try and improve those"},{"speaker":"Dr. Philip Ovadia","startTime":1695.96,"endTime":1701.6299999999999,"body":"risk factors. You know, the, we"},{"speaker":"Dr. Philip Ovadia","startTime":1701.6299999999999,"endTime":1705.6499999999999,"body":"could have had better messaging"},{"speaker":"Dr. Philip Ovadia","startTime":1701.6299999999999,"endTime":1705.6499999999999,"body":"all along to say, you know, if"},{"speaker":"Dr. Philip Ovadia","startTime":1705.6499999999999,"endTime":1709.52,"body":"you get yourself metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":1705.6499999999999,"endTime":1709.52,"body":"healthy, if you lose your lose"},{"speaker":"Dr. Philip Ovadia","startTime":1709.52,"endTime":1713.6299999999999,"body":"weight, you know, eat better"},{"speaker":"Dr. Philip Ovadia","startTime":1709.52,"endTime":1713.6299999999999,"body":"deal with your high blood"},{"speaker":"Dr. Philip Ovadia","startTime":1713.6299999999999,"endTime":1718.3999999999999,"body":"pressure, you will lower your"},{"speaker":"Dr. Philip Ovadia","startTime":1713.6299999999999,"endTime":1718.3999999999999,"body":"risk of getting this disease and"},{"speaker":"Dr. Philip Ovadia","startTime":1718.3999999999999,"endTime":1722.4199999999998,"body":"getting sick from this disease."},{"speaker":"Dr. Philip Ovadia","startTime":1718.3999999999999,"endTime":1722.4199999999998,"body":"And we've talked about, you"},{"speaker":"Dr. Philip Ovadia","startTime":1722.4199999999998,"endTime":1725.75,"body":"know, lots of other things, lots"},{"speaker":"Dr. Philip Ovadia","startTime":1722.4199999999998,"endTime":1725.75,"body":"of other things have been"},{"speaker":"Dr. Philip Ovadia","startTime":1725.78,"endTime":1729.77,"body":"proposed and put out there to"},{"speaker":"Dr. Philip Ovadia","startTime":1725.78,"endTime":1729.77,"body":"try and, you know, deal with the"},{"speaker":"Dr. Philip Ovadia","startTime":1729.77,"endTime":1734.84,"body":"disease. But there has not been"},{"speaker":"Dr. Philip Ovadia","startTime":1729.77,"endTime":1734.84,"body":"enough of a focus on the"},{"speaker":"Dr. Philip Ovadia","startTime":1734.84,"endTime":1738.56,"body":"opportunity to improve our"},{"speaker":"Dr. Philip Ovadia","startTime":1734.84,"endTime":1738.56,"body":"metabolic health. And that's one"},{"speaker":"Dr. Philip Ovadia","startTime":1738.56,"endTime":1743.03,"body":"of the reasons why I think that"},{"speaker":"Dr. Philip Ovadia","startTime":1738.56,"endTime":1743.03,"body":"two years into this, we don't"},{"speaker":"Dr. Philip Ovadia","startTime":1743.03,"endTime":1747.4099999999999,"body":"seem to be making the progress"},{"speaker":"Dr. Philip Ovadia","startTime":1743.03,"endTime":1747.4099999999999,"body":"that everyone you know, would"},{"speaker":"Dr. Philip Ovadia","startTime":1747.4099999999999,"endTime":1752.51,"body":"like to see, you know, in terms"},{"speaker":"Dr. Philip Ovadia","startTime":1747.4099999999999,"endTime":1752.51,"body":"of eliminating this pandemic,"},{"speaker":"Dr. Philip Ovadia","startTime":1752.78,"endTime":1757.6399999999999,"body":"because we still have that"},{"speaker":"Dr. Philip Ovadia","startTime":1752.78,"endTime":1757.6399999999999,"body":"underlying fact that 80% of the"},{"speaker":"Dr. Philip Ovadia","startTime":1757.6399999999999,"endTime":1762.44,"body":"adults in United States and"},{"speaker":"Dr. Philip Ovadia","startTime":1757.6399999999999,"endTime":1762.44,"body":"similar numbers worldwide are"},{"speaker":"Dr. Philip Ovadia","startTime":1762.44,"endTime":1767.24,"body":"metabolically unhealthy and"},{"speaker":"Dr. Philip Ovadia","startTime":1762.44,"endTime":1767.24,"body":"therefore are at high risk from,"},{"speaker":"Dr. Philip Ovadia","startTime":1767.3,"endTime":1772.1299999999999,"body":"you know, this acute viral"},{"speaker":"Dr. Philip Ovadia","startTime":1767.3,"endTime":1772.1299999999999,"body":"pandemic that we're dealing"},{"speaker":"Dr. Philip Ovadia","startTime":1772.1299999999999,"endTime":1772.3999999999999,"body":"with."},{"speaker":"Jack Heald","startTime":1774.11,"endTime":1776.27,"body":"I don't think"},{"speaker":"Jack Heald","startTime":1774.11,"endTime":1776.27,"body":"there's a better way to put a"},{"speaker":"Jack Heald","startTime":1776.27,"endTime":1780.29,"body":"bow on this particular episode"},{"speaker":"Jack Heald","startTime":1776.27,"endTime":1780.29,"body":"than that. This has been the"},{"speaker":"Jack Heald","startTime":1780.29,"endTime":1784.1599999999999,"body":"staff my operating table podcast"},{"speaker":"Jack Heald","startTime":1780.29,"endTime":1784.1599999999999,"body":"with Dr. Phillip Aveda you can"},{"speaker":"Jack Heald","startTime":1784.1599999999999,"endTime":1789.11,"body":"follow Dr. O on Twitter at I fix"},{"speaker":"Jack Heald","startTime":1784.1599999999999,"endTime":1789.11,"body":"hearts. You can check out his"},{"speaker":"Jack Heald","startTime":1789.11,"endTime":1792.02,"body":"website where he has a"},{"speaker":"Jack Heald","startTime":1789.11,"endTime":1792.02,"body":"telemedicine practice at OBEDIA"},{"speaker":"Jack Heald","startTime":1792.02,"endTime":1797.45,"body":"heart health.com I'm Jack Heald."},{"speaker":"Jack Heald","startTime":1792.02,"endTime":1797.45,"body":"We'll talk to you next time."}]}