{"version":"1.0.0","segments":[{"speaker":"Jack Heald","startTime":34.95,"endTime":37.95,"body":"Welcome to the Stay"},{"speaker":"Jack Heald","startTime":34.95,"endTime":37.95,"body":"Off My Operating Table podcast"},{"speaker":"Jack Heald","startTime":37.980000000000004,"endTime":41.82,"body":"with Dr. Philip Ovadi a. I'm"},{"speaker":"Jack Heald","startTime":37.980000000000004,"endTime":41.82,"body":"your co host, Jack Heald. This"},{"speaker":"Jack Heald","startTime":41.85,"endTime":50.43000000000001,"body":"is the last show of 2021. Doctor"},{"speaker":"Jack Heald","startTime":41.85,"endTime":50.43000000000001,"body":"O, it's been quite a launch. And"},{"speaker":"Jack Heald","startTime":50.43000000000001,"endTime":52.08,"body":"a great year for you?"},{"speaker":"Dr. Philip Ovadia","startTime":52.92,"endTime":55.83,"body":"Yes, I think"},{"speaker":"Dr. Philip Ovadia","startTime":52.92,"endTime":55.83,"body":"so I think a lot of exciting"},{"speaker":"Dr. Philip Ovadia","startTime":55.83,"endTime":61.77,"body":"things have happened in 2021."},{"speaker":"Dr. Philip Ovadia","startTime":55.83,"endTime":61.77,"body":"For me on the professional side,"},{"speaker":"Dr. Philip Ovadia","startTime":62.7,"endTime":68.7,"body":"been a good year personally as"},{"speaker":"Dr. Philip Ovadia","startTime":62.7,"endTime":68.7,"body":"well. And I think the podcast,"},{"speaker":"Dr. Philip Ovadia","startTime":69.06,"endTime":72.36,"body":"you know, now a few months into"},{"speaker":"Dr. Philip Ovadia","startTime":69.06,"endTime":72.36,"body":"it has been going exceedingly"},{"speaker":"Dr. Philip Ovadia","startTime":72.36,"endTime":76.35,"body":"well. And we thought this would"},{"speaker":"Dr. Philip Ovadia","startTime":72.36,"endTime":76.35,"body":"be a good opportunity just to"},{"speaker":"Dr. Philip Ovadia","startTime":76.35,"endTime":79.47,"body":"sort of wrap up the year and"},{"speaker":"Dr. Philip Ovadia","startTime":76.35,"endTime":79.47,"body":"sort of what we're going to call"},{"speaker":"Dr. Philip Ovadia","startTime":79.47,"endTime":81.66,"body":"Season One of the podcast."},{"speaker":"Jack Heald","startTime":82.47,"endTime":85.44,"body":"Well, let's see,"},{"speaker":"Jack Heald","startTime":82.47,"endTime":85.44,"body":"season one will have 23"},{"speaker":"Jack Heald","startTime":85.44,"endTime":89.82,"body":"episodes, which, if I recall"},{"speaker":"Jack Heald","startTime":85.44,"endTime":89.82,"body":"correctly, is how many that old"},{"speaker":"Jack Heald","startTime":89.82,"endTime":95.01,"body":"time TV shows used to get in a"},{"speaker":"Jack Heald","startTime":89.82,"endTime":95.01,"body":"season: 23 episodes. So we'll"},{"speaker":"Jack Heald","startTime":95.01,"endTime":98.25,"body":"call this a full TV season"},{"speaker":"Jack Heald","startTime":95.01,"endTime":98.25,"body":"without any kind of video at"},{"speaker":"Jack Heald","startTime":98.25,"endTime":98.61,"body":"all."},{"speaker":"Dr. Philip Ovadia","startTime":99.15,"endTime":99.9,"body":"Perfect."},{"speaker":"Jack Heald","startTime":100.35000000000001,"endTime":106.5,"body":"I'm looking at our"},{"speaker":"Jack Heald","startTime":100.35000000000001,"endTime":106.5,"body":"statistics from from season one."},{"speaker":"Jack Heald","startTime":106.5,"endTime":111.45,"body":"And it looks like the things"},{"speaker":"Jack Heald","startTime":106.5,"endTime":111.45,"body":"that people really are flocking"},{"speaker":"Jack Heald","startTime":111.45,"endTime":117.03,"body":"to hear more about basically all"},{"speaker":"Jack Heald","startTime":111.45,"endTime":117.03,"body":"falls under the category of"},{"speaker":"Jack Heald","startTime":117.12,"endTime":123.15,"body":"metabolic health. So let's start"},{"speaker":"Jack Heald","startTime":117.12,"endTime":123.15,"body":"with a quick review of what you"},{"speaker":"Jack Heald","startTime":123.15,"endTime":127.38000000000001,"body":"called the Seven Principles of"},{"speaker":"Jack Heald","startTime":123.15,"endTime":127.38000000000001,"body":"Metabolic Health, just give us"},{"speaker":"Jack Heald","startTime":127.41,"endTime":129.36,"body":"the quick and dirty on that"},{"speaker":"Dr. Philip Ovadia","startTime":129.84,"endTime":133.17000000000002,"body":"Sure thing."},{"speaker":"Dr. Philip Ovadia","startTime":129.84,"endTime":133.17000000000002,"body":"So again, the seven principles"},{"speaker":"Dr. Philip Ovadia","startTime":133.2,"endTime":137.19,"body":"of metabolic health, the first"},{"speaker":"Dr. Philip Ovadia","startTime":133.2,"endTime":137.19,"body":"principle was that you need to"},{"speaker":"Dr. Philip Ovadia","startTime":137.4,"endTime":144.60000000000002,"body":"view your health as a system,"},{"speaker":"Dr. Philip Ovadia","startTime":137.4,"endTime":144.60000000000002,"body":"not as a goal. The second"},{"speaker":"Dr. Philip Ovadia","startTime":144.60000000000002,"endTime":150.36,"body":"principle was to eat real whole"},{"speaker":"Dr. Philip Ovadia","startTime":144.60000000000002,"endTime":150.36,"body":"food. The third principle was to"},{"speaker":"Dr. Philip Ovadia","startTime":150.36,"endTime":154.98000000000002,"body":"make one sustainable change at a"},{"speaker":"Dr. Philip Ovadia","startTime":150.36,"endTime":154.98000000000002,"body":"time. The fourth principle was"},{"speaker":"Dr. Philip Ovadia","startTime":154.98000000000002,"endTime":162.9,"body":"to move. Principle number five"},{"speaker":"Dr. Philip Ovadia","startTime":154.98000000000002,"endTime":162.9,"body":"was to sleep enough. Principle"},{"speaker":"Dr. Philip Ovadia","startTime":162.9,"endTime":167.22000000000003,"body":"number six was to relieve"},{"speaker":"Dr. Philip Ovadia","startTime":162.9,"endTime":167.22000000000003,"body":"stress. And principle number"},{"speaker":"Dr. Philip Ovadia","startTime":167.22000000000003,"endTime":169.98000000000002,"body":"seven is to get a doctor who"},{"speaker":"Dr. Philip Ovadia","startTime":167.22000000000003,"endTime":169.98000000000002,"body":"gets it."},{"speaker":"Jack Heald: I like that one","startTime":171.63,"endTime":176.07,"body":"to"},{"speaker":"Jack Heald: I like that one","startTime":171.63,"endTime":176.07,"body":"get a doctor who gets it. We're"},{"speaker":"Jack Heald: I like that one","startTime":176.07,"endTime":180.69,"body":"going to talk about this in a"},{"speaker":"Jack Heald: I like that one","startTime":176.07,"endTime":180.69,"body":"lot more detail in next year"},{"speaker":"Jack Heald: I like that one","startTime":180.69,"endTime":184.38,"body":"when we when we do season two,"},{"speaker":"Jack Heald: I like that one","startTime":180.69,"endTime":184.38,"body":"but real quickly, I just want to"},{"speaker":"Jack Heald: I like that one","startTime":184.38,"endTime":188.33999999999997,"body":"remind our listeners that Dr."},{"speaker":"Jack Heald: I like that one","startTime":184.38,"endTime":188.33999999999997,"body":"Ovadia has a telemedicine"},{"speaker":"Jack Heald: I like that one","startTime":188.33999999999997,"endTime":194.25,"body":"practice for many of the states"},{"speaker":"Jack Heald: I like that one","startTime":188.33999999999997,"endTime":194.25,"body":"in the United States. So you can"},{"speaker":"Jack Heald: I like that one","startTime":194.25,"endTime":198.32999999999998,"body":"certainly contact him online at"},{"speaker":"Jack Heald: I like that one","startTime":194.25,"endTime":198.32999999999998,"body":"Ovadia Heart Health and get more"},{"speaker":"Jack Heald: I like that one","startTime":198.32999999999998,"endTime":203.73000000000002,"body":"information if you need a doctor"},{"speaker":"Jack Heald: I like that one","startTime":198.32999999999998,"endTime":203.73000000000002,"body":"who gets it. Good stuff."},{"speaker":"Jack Heald: I like that one","startTime":204.32999999999998,"endTime":209.79000000000002,"body":"All right, I'm looking a little"},{"speaker":"Jack Heald: I like that one","startTime":204.32999999999998,"endTime":209.79000000000002,"body":"deeper here. Another thing that"},{"speaker":"Jack Heald: I like that one","startTime":209.94,"endTime":213.66000000000003,"body":"that seems to be drawing a"},{"speaker":"Jack Heald: I like that one","startTime":209.94,"endTime":213.66000000000003,"body":"tremendous amount of attention"},{"speaker":"Jack Heald: I like that one","startTime":213.66000000000003,"endTime":218.85000000000002,"body":"was the relationship between"},{"speaker":"Jack Heald: I like that one","startTime":213.66000000000003,"endTime":218.85000000000002,"body":"metabolic health and two of what"},{"speaker":"Jack Heald: I like that one","startTime":218.85000000000002,"endTime":223.05,"body":"I believe are the three biggest"},{"speaker":"Jack Heald: I like that one","startTime":218.85000000000002,"endTime":223.05,"body":"killers in the United States."},{"speaker":"Jack Heald: I like that one","startTime":223.44,"endTime":228.26999999999998,"body":"One is heart disease, and the"},{"speaker":"Jack Heald: I like that one","startTime":223.44,"endTime":228.26999999999998,"body":"other is diabetes. Talk real"},{"speaker":"Jack Heald: I like that one","startTime":228.26999999999998,"endTime":230.91000000000003,"body":"quickly - just give us the"},{"speaker":"Jack Heald: I like that one","startTime":228.26999999999998,"endTime":230.91000000000003,"body":"summary again, about the"},{"speaker":"Jack Heald: I like that one","startTime":230.91000000000003,"endTime":236.57999999999998,"body":"relationship between metabolic"},{"speaker":"Jack Heald: I like that one","startTime":230.91000000000003,"endTime":236.57999999999998,"body":"health, (or the lack thereof),"},{"speaker":"Jack Heald: I like that one","startTime":237.06,"endTime":240.83999999999997,"body":"and those two diseases, which"},{"speaker":"Jack Heald: I like that one","startTime":237.06,"endTime":240.83999999999997,"body":"are two of the three biggest"},{"speaker":"Jack Heald: I like that one","startTime":240.83999999999997,"endTime":241.47000000000003,"body":"killers."},{"speaker":"Dr. Philip Ovadia","startTime":242.78000000000003,"endTime":247.51999999999998,"body":"Certainly, so"},{"speaker":"Dr. Philip Ovadia","startTime":242.78000000000003,"endTime":247.51999999999998,"body":"we know that diabetes, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":247.51999999999998,"endTime":250.76,"body":"and again, kind of specifically"},{"speaker":"Dr. Philip Ovadia","startTime":247.51999999999998,"endTime":250.76,"body":"talking about type two diabetes,"},{"speaker":"Dr. Philip Ovadia","startTime":250.76,"endTime":254.14999999999998,"body":"although this basically applies"},{"speaker":"Dr. Philip Ovadia","startTime":250.76,"endTime":254.14999999999998,"body":"to type one diabetes as well."},{"speaker":"Dr. Philip Ovadia","startTime":255.23000000000002,"endTime":259.97,"body":"You know, diabetes is"},{"speaker":"Dr. Philip Ovadia","startTime":255.23000000000002,"endTime":259.97,"body":"essentially a problem of"},{"speaker":"Dr. Philip Ovadia","startTime":260.03000000000003,"endTime":265.82,"body":"metabolic health. And, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":260.03000000000003,"endTime":265.82,"body":"when the body is no longer able"},{"speaker":"Dr. Philip Ovadia","startTime":265.82,"endTime":273.86,"body":"to handle the carbohydrate load"},{"speaker":"Dr. Philip Ovadia","startTime":265.82,"endTime":273.86,"body":"that is being presented to it in"},{"speaker":"Dr. Philip Ovadia","startTime":273.86,"endTime":277.28000000000003,"body":"the form of the food that we"},{"speaker":"Dr. Philip Ovadia","startTime":273.86,"endTime":277.28000000000003,"body":"eat, that is essentially what"},{"speaker":"Dr. Philip Ovadia","startTime":277.31,"endTime":278.72,"body":"diabetes is."},{"speaker":"Dr. Philip Ovadia","startTime":278.9,"endTime":283.88,"body":"And we know that people with"},{"speaker":"Dr. Philip Ovadia","startTime":278.9,"endTime":283.88,"body":"diabetes are at significantly"},{"speaker":"Dr. Philip Ovadia","startTime":283.88,"endTime":287.72,"body":"increased risk for heart"},{"speaker":"Dr. Philip Ovadia","startTime":283.88,"endTime":287.72,"body":"disease. And again, that applies"},{"speaker":"Dr. Philip Ovadia","startTime":287.72,"endTime":293.69,"body":"to both type one and type two"},{"speaker":"Dr. Philip Ovadia","startTime":287.72,"endTime":293.69,"body":"diabetics. And we know that even"},{"speaker":"Dr. Philip Ovadia","startTime":293.69,"endTime":297.97999999999996,"body":"without developing overt"},{"speaker":"Dr. Philip Ovadia","startTime":293.69,"endTime":297.97999999999996,"body":"diabetes, most of the people"},{"speaker":"Dr. Philip Ovadia","startTime":297.97999999999996,"endTime":301.13,"body":"that develop heart disease,"},{"speaker":"Dr. Philip Ovadia","startTime":297.97999999999996,"endTime":301.13,"body":"specifically, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":301.13,"endTime":304.07,"body":"atherosclerotic heart disease,"},{"speaker":"Dr. Philip Ovadia","startTime":301.13,"endTime":304.07,"body":"build up a plaque in the"},{"speaker":"Dr. Philip Ovadia","startTime":304.07,"endTime":309.40999999999997,"body":"arteries have evidence of poor"},{"speaker":"Dr. Philip Ovadia","startTime":304.07,"endTime":309.40999999999997,"body":"metabolic health or insulin"},{"speaker":"Dr. Philip Ovadia","startTime":309.40999999999997,"endTime":314.47999999999996,"body":"resistance. Many of them have"},{"speaker":"Dr. Philip Ovadia","startTime":309.40999999999997,"endTime":314.47999999999996,"body":"overt diabetes, but even those"},{"speaker":"Dr. Philip Ovadia","startTime":314.47999999999996,"endTime":319.21999999999997,"body":"ones that don't have overt"},{"speaker":"Dr. Philip Ovadia","startTime":314.47999999999996,"endTime":319.21999999999997,"body":"diabetes, if you test properly"},{"speaker":"Dr. Philip Ovadia","startTime":319.21999999999997,"endTime":324.11,"body":"for it, you can find that they"},{"speaker":"Dr. Philip Ovadia","startTime":319.21999999999997,"endTime":324.11,"body":"are insulin resistant and not"},{"speaker":"Dr. Philip Ovadia","startTime":324.11,"endTime":325.34,"body":"metabolically healthy."},{"speaker":"Jack Heald","startTime":327.89,"endTime":332.24,"body":"You know, I don't"},{"speaker":"Jack Heald","startTime":327.89,"endTime":332.24,"body":"think I heard that the first"},{"speaker":"Jack Heald","startTime":332.24,"endTime":335.53999999999996,"body":"time you said that in - I think"},{"speaker":"Jack Heald","startTime":332.24,"endTime":335.53999999999996,"body":"that was probably in - Episode"},{"speaker":"Jack Heald","startTime":335.99,"endTime":344.24,"body":"18 or 19? That most people who"},{"speaker":"Jack Heald","startTime":335.99,"endTime":344.24,"body":"have heart disease, show signs"},{"speaker":"Jack Heald","startTime":344.3,"endTime":348.08,"body":"of, even if they don't have"},{"speaker":"Jack Heald","startTime":344.3,"endTime":348.08,"body":"overt diabetes, they're headed"},{"speaker":"Jack Heald","startTime":348.08,"endTime":354.56,"body":"in that direction? I don't think"},{"speaker":"Jack Heald","startTime":348.08,"endTime":354.56,"body":"I   heard that. And I try to"},{"speaker":"Jack Heald","startTime":354.56,"endTime":354.95,"body":"listen."},{"speaker":"Dr. Philip Ovadia","startTime":356.33,"endTime":358.34,"body":"Well, and I"},{"speaker":"Dr. Philip Ovadia","startTime":356.33,"endTime":358.34,"body":"think that's really, you know,"},{"speaker":"Dr. Philip Ovadia","startTime":358.37,"endTime":361.94,"body":"something that most doctors"},{"speaker":"Dr. Philip Ovadia","startTime":358.37,"endTime":361.94,"body":"don't understand either. You"},{"speaker":"Dr. Philip Ovadia","startTime":361.94,"endTime":366.28999999999996,"body":"know, unfortunately, what tends"},{"speaker":"Dr. Philip Ovadia","startTime":361.94,"endTime":366.28999999999996,"body":"to happen is we don't do the"},{"speaker":"Dr. Philip Ovadia","startTime":366.28999999999996,"endTime":369.68,"body":"proper tests to look for that,"},{"speaker":"Dr. Philip Ovadia","startTime":366.28999999999996,"endTime":369.68,"body":"in patients that have heart"},{"speaker":"Dr. Philip Ovadia","startTime":369.68,"endTime":373.19,"body":"disease, but there were studies,"},{"speaker":"Dr. Philip Ovadia","startTime":369.68,"endTime":373.19,"body":"you know, many of which were"},{"speaker":"Dr. Philip Ovadia","startTime":373.19,"endTime":378.32,"body":"done in the 1970s. In the 1980s."},{"speaker":"Dr. Philip Ovadia","startTime":373.19,"endTime":378.32,"body":"Again, before we had such a"},{"speaker":"Dr. Philip Ovadia","startTime":379.34,"endTime":386.3,"body":"focus on cholesterol, there were"},{"speaker":"Dr. Philip Ovadia","startTime":379.34,"endTime":386.3,"body":"studies done looking at insulin"},{"speaker":"Dr. Philip Ovadia","startTime":386.3,"endTime":392.18,"body":"resistance and there're tests"},{"speaker":"Dr. Philip Ovadia","startTime":386.3,"endTime":392.18,"body":"called glucose tolerance tests,"},{"speaker":"Dr. Philip Ovadia","startTime":392.39,"endTime":396.17,"body":"or there's something called the"},{"speaker":"Dr. Philip Ovadia","startTime":392.39,"endTime":396.17,"body":"Kraft test that shows how your"},{"speaker":"Dr. Philip Ovadia","startTime":396.17,"endTime":403.21999999999997,"body":"body responds to a load of"},{"speaker":"Dr. Philip Ovadia","startTime":396.17,"endTime":403.21999999999997,"body":"sugar. And what we find is that"},{"speaker":"Dr. Philip Ovadia","startTime":403.21999999999997,"endTime":406.7,"body":"people who present with heart"},{"speaker":"Dr. Philip Ovadia","startTime":403.21999999999997,"endTime":406.7,"body":"disease, one particular study"},{"speaker":"Dr. Philip Ovadia","startTime":406.7,"endTime":409.4,"body":"that it can think I've looked at"},{"speaker":"Dr. Philip Ovadia","startTime":406.7,"endTime":409.4,"body":"people who came in with a heart"},{"speaker":"Dr. Philip Ovadia","startTime":409.4,"endTime":417.34999999999997,"body":"attack, and over 90% of them"},{"speaker":"Dr. Philip Ovadia","startTime":409.4,"endTime":417.34999999999997,"body":"showed an abnormal response on a"},{"speaker":"Dr. Philip Ovadia","startTime":418.09999999999997,"endTime":423.56,"body":"glucose tolerance test, meaning"},{"speaker":"Dr. Philip Ovadia","startTime":418.09999999999997,"endTime":423.56,"body":"that they had insulin resistance"},{"speaker":"Dr. Philip Ovadia","startTime":423.56,"endTime":428.09,"body":"and poor metabolic health. And"},{"speaker":"Dr. Philip Ovadia","startTime":423.56,"endTime":428.09,"body":"like I said, many doctors today"},{"speaker":"Dr. Philip Ovadia","startTime":428.09,"endTime":431.63,"body":"don't realize that, because we"},{"speaker":"Dr. Philip Ovadia","startTime":428.09,"endTime":431.63,"body":"have become so focused on"},{"speaker":"Dr. Philip Ovadia","startTime":431.63,"endTime":436.09999999999997,"body":"cholesterol, and we only look at"},{"speaker":"Dr. Philip Ovadia","startTime":431.63,"endTime":436.09999999999997,"body":"the cholesterol issue, and the"},{"speaker":"Dr. Philip Ovadia","startTime":436.09999999999997,"endTime":442.28,"body":"patient isn't overtly diabetic."},{"speaker":"Dr. Philip Ovadia","startTime":436.09999999999997,"endTime":442.28,"body":"We don't test further, we don't"},{"speaker":"Dr. Philip Ovadia","startTime":442.28,"endTime":446.9,"body":"look at insulin levels, for"},{"speaker":"Dr. Philip Ovadia","startTime":442.28,"endTime":446.9,"body":"instance, routinely, to really"},{"speaker":"Dr. Philip Ovadia","startTime":446.9,"endTime":449.84,"body":"see that that's what's going on"},{"speaker":"Dr. Philip Ovadia","startTime":446.9,"endTime":449.84,"body":"under the surface."},{"speaker":"Jack Heald","startTime":451.22999999999996,"endTime":454.44,"body":"Trying to figure out"},{"speaker":"Jack Heald","startTime":451.22999999999996,"endTime":454.44,"body":"how to phrase a question that's,"},{"speaker":"Jack Heald","startTime":454.53,"endTime":459.87,"body":"it's bouncing around inside my"},{"speaker":"Jack Heald","startTime":454.53,"endTime":459.87,"body":"fairly empty noggin. So bear"},{"speaker":"Jack Heald","startTime":459.87,"endTime":466.14,"body":"with me as I stumble through"},{"speaker":"Jack Heald","startTime":459.87,"endTime":466.14,"body":"this. Are there signs that"},{"speaker":"Jack Heald","startTime":467.15999999999997,"endTime":475.08,"body":"people listening can identify in"},{"speaker":"Jack Heald","startTime":467.15999999999997,"endTime":475.08,"body":"themselves that they might be"},{"speaker":"Jack Heald","startTime":475.34999999999997,"endTime":483.45,"body":"insulin resistant, without doing"},{"speaker":"Jack Heald","startTime":475.34999999999997,"endTime":483.45,"body":"blood tests? Are there symptoms"},{"speaker":"Jack Heald","startTime":483.45,"endTime":490.92,"body":"of this kind of thing that"},{"speaker":"Jack Heald","startTime":483.45,"endTime":490.92,"body":"people can say, \"hey, I have"},{"speaker":"Jack Heald","startTime":490.92,"endTime":493.83,"body":"these symptoms, these occur."},{"speaker":"Jack Heald","startTime":490.92,"endTime":493.83,"body":"Maybe that's what's going on.\""},{"speaker":"Jack Heald","startTime":494.46,"endTime":497.34,"body":"Or do you need a blood test in"},{"speaker":"Jack Heald","startTime":494.46,"endTime":497.34,"body":"order to determine it?"},{"speaker":"Dr. Philip Ovadia","startTime":498.63,"endTime":501.03,"body":"There really"},{"speaker":"Dr. Philip Ovadia","startTime":498.63,"endTime":501.03,"body":"aren't symptoms, especially"},{"speaker":"Dr. Philip Ovadia","startTime":501.06,"endTime":504.75,"body":"early on in the process of"},{"speaker":"Dr. Philip Ovadia","startTime":501.06,"endTime":504.75,"body":"insulin resistance. But what I"},{"speaker":"Dr. Philip Ovadia","startTime":504.75,"endTime":507.65999999999997,"body":"point to is those markers of"},{"speaker":"Dr. Philip Ovadia","startTime":504.75,"endTime":507.65999999999997,"body":"metabolic health that we've"},{"speaker":"Dr. Philip Ovadia","startTime":507.65999999999997,"endTime":511.17,"body":"talked so many times about,"},{"speaker":"Dr. Philip Ovadia","startTime":507.65999999999997,"endTime":511.17,"body":"specifically, the waist"},{"speaker":"Dr. Philip Ovadia","startTime":511.2,"endTime":514.0500000000001,"body":"circumference, which is"},{"speaker":"Dr. Philip Ovadia","startTime":511.2,"endTime":514.0500000000001,"body":"something that people can"},{"speaker":"Dr. Philip Ovadia","startTime":514.0500000000001,"endTime":517.83,"body":"measure at home, and blood"},{"speaker":"Dr. Philip Ovadia","startTime":514.0500000000001,"endTime":517.83,"body":"pressure, which is something"},{"speaker":"Dr. Philip Ovadia","startTime":517.83,"endTime":521.73,"body":"that is commonly measured. And"},{"speaker":"Dr. Philip Ovadia","startTime":517.83,"endTime":521.73,"body":"it's typically one of the"},{"speaker":"Dr. Philip Ovadia","startTime":521.76,"endTime":526.02,"body":"earliest, I guess you could call"},{"speaker":"Dr. Philip Ovadia","startTime":521.76,"endTime":526.02,"body":"it a symptom, one of the"},{"speaker":"Dr. Philip Ovadia","startTime":526.0500000000001,"endTime":530.34,"body":"earliest manifestations of poor"},{"speaker":"Dr. Philip Ovadia","startTime":526.0500000000001,"endTime":530.34,"body":"metabolic health is high blood"},{"speaker":"Dr. Philip Ovadia","startTime":530.34,"endTime":535.41,"body":"pressure. But again, oftentimes"},{"speaker":"Dr. Philip Ovadia","startTime":530.34,"endTime":535.41,"body":"the medical system doesn't"},{"speaker":"Dr. Philip Ovadia","startTime":535.41,"endTime":539.61,"body":"recognize it as such. It's just,"},{"speaker":"Dr. Philip Ovadia","startTime":535.41,"endTime":539.61,"body":"it's what we call essential"},{"speaker":"Dr. Philip Ovadia","startTime":539.61,"endTime":542.91,"body":"hypertension, which means that"},{"speaker":"Dr. Philip Ovadia","startTime":539.61,"endTime":542.91,"body":"we don't have an explanation for"},{"speaker":"Dr. Philip Ovadia","startTime":542.91,"endTime":546.99,"body":"it. But the reality is that the"},{"speaker":"Dr. Philip Ovadia","startTime":542.91,"endTime":546.99,"body":"explanation is usually for"},{"speaker":"Dr. Philip Ovadia","startTime":546.99,"endTime":549.09,"body":"metabolic health and insulin"},{"speaker":"Dr. Philip Ovadia","startTime":546.99,"endTime":549.09,"body":"resistance."},{"speaker":"Dr. Philip Ovadia","startTime":550.09,"endTime":554.4100000000001,"body":"In terms of people at home, what"},{"speaker":"Dr. Philip Ovadia","startTime":550.09,"endTime":554.4100000000001,"body":"they can do, I would tell you"},{"speaker":"Dr. Philip Ovadia","startTime":554.4100000000001,"endTime":557.98,"body":"that measuring your waist"},{"speaker":"Dr. Philip Ovadia","startTime":554.4100000000001,"endTime":557.98,"body":"circumference is the first thing"},{"speaker":"Dr. Philip Ovadia","startTime":558.19,"endTime":562.99,"body":"to be paying attention to. And"},{"speaker":"Dr. Philip Ovadia","startTime":558.19,"endTime":562.99,"body":"if your waist circumference is"},{"speaker":"Dr. Philip Ovadia","startTime":563.23,"endTime":568.6600000000001,"body":"more than half of your height,"},{"speaker":"Dr. Philip Ovadia","startTime":563.23,"endTime":568.6600000000001,"body":"that is an indicator that you"},{"speaker":"Dr. Philip Ovadia","startTime":568.6600000000001,"endTime":572.11,"body":"might not be metabolically"},{"speaker":"Dr. Philip Ovadia","startTime":568.6600000000001,"endTime":572.11,"body":"healthy. And that should prompt"},{"speaker":"Dr. Philip Ovadia","startTime":572.11,"endTime":575.95,"body":"you to find a doctor who"},{"speaker":"Dr. Philip Ovadia","startTime":572.11,"endTime":575.95,"body":"understands this, and go get the"},{"speaker":"Dr. Philip Ovadia","startTime":575.95,"endTime":579.94,"body":"blood work done. And the other"},{"speaker":"Dr. Philip Ovadia","startTime":575.95,"endTime":579.94,"body":"testing done to determine if in"},{"speaker":"Dr. Philip Ovadia","startTime":579.94,"endTime":583.72,"body":"fact, you do have insulin"},{"speaker":"Dr. Philip Ovadia","startTime":579.94,"endTime":583.72,"body":"resistance and poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":583.72,"endTime":587.6500000000001,"body":"health. Because as I think I"},{"speaker":"Dr. Philip Ovadia","startTime":583.72,"endTime":587.6500000000001,"body":"said, you know, in a few of the"},{"speaker":"Dr. Philip Ovadia","startTime":587.6500000000001,"endTime":596.0200000000001,"body":"prior episodes, that can show up"},{"speaker":"Dr. Philip Ovadia","startTime":587.6500000000001,"endTime":596.0200000000001,"body":"10 years before the other stuff"},{"speaker":"Dr. Philip Ovadia","startTime":596.0200000000001,"endTime":599.62,"body":"starts showing up. Before"},{"speaker":"Dr. Philip Ovadia","startTime":596.0200000000001,"endTime":599.62,"body":"diabetes shows up, before heart"},{"speaker":"Dr. Philip Ovadia","startTime":599.62,"endTime":604.75,"body":"disease shows up, even before"},{"speaker":"Dr. Philip Ovadia","startTime":599.62,"endTime":604.75,"body":"even high blood pressure shows"},{"speaker":"Dr. Philip Ovadia","startTime":604.75,"endTime":608.08,"body":"up. There's a period of time"},{"speaker":"Dr. Philip Ovadia","startTime":604.75,"endTime":608.08,"body":"when if we're looking at the"},{"speaker":"Dr. Philip Ovadia","startTime":608.08,"endTime":611.59,"body":"right blood testing, we can"},{"speaker":"Dr. Philip Ovadia","startTime":608.08,"endTime":611.59,"body":"figure out that someone is on"},{"speaker":"Dr. Philip Ovadia","startTime":611.59,"endTime":615.37,"body":"this path, and we can intervene"},{"speaker":"Dr. Philip Ovadia","startTime":611.59,"endTime":615.37,"body":"and change that path."},{"speaker":"Dr. Philip Ovadia","startTime":615.82,"endTime":620.5300000000001,"body":"So that's why it's important to"},{"speaker":"Dr. Philip Ovadia","startTime":615.82,"endTime":620.5300000000001,"body":"get this checked early. And"},{"speaker":"Dr. Philip Ovadia","startTime":620.5300000000001,"endTime":626.83,"body":"quite frankly, I tell everyone,"},{"speaker":"Dr. Philip Ovadia","startTime":620.5300000000001,"endTime":626.83,"body":"ask your doctor as part of the"},{"speaker":"Dr. Philip Ovadia","startTime":626.83,"endTime":631.21,"body":"routine physical exam, the"},{"speaker":"Dr. Philip Ovadia","startTime":626.83,"endTime":631.21,"body":"routine blood work that you get"},{"speaker":"Dr. Philip Ovadia","startTime":631.21,"endTime":635.6800000000001,"body":"done, ask them to add on an"},{"speaker":"Dr. Philip Ovadia","startTime":631.21,"endTime":635.6800000000001,"body":"insulin level. Not something we"},{"speaker":"Dr. Philip Ovadia","startTime":635.6800000000001,"endTime":639.07,"body":"commonly check, but it's an"},{"speaker":"Dr. Philip Ovadia","startTime":635.6800000000001,"endTime":639.07,"body":"inexpensive test. And if your"},{"speaker":"Dr. Philip Ovadia","startTime":639.07,"endTime":643.6,"body":"fasting insulin level is more"},{"speaker":"Dr. Philip Ovadia","startTime":639.07,"endTime":643.6,"body":"than 10, that's a warning sign,"},{"speaker":"Dr. Philip Ovadia","startTime":644.11,"endTime":646.09,"body":"but you got to check it to know"},{"speaker":"Dr. Philip Ovadia","startTime":644.11,"endTime":646.09,"body":"about it."},{"speaker":"Dr. Philip Ovadia","startTime":646.3000000000001,"endTime":651.34,"body":"The other sort of shortcut  that"},{"speaker":"Dr. Philip Ovadia","startTime":646.3000000000001,"endTime":651.34,"body":"can be used is on your typical"},{"speaker":"Dr. Philip Ovadia","startTime":651.34,"endTime":655.9000000000001,"body":"cholesterol panel, instead of"},{"speaker":"Dr. Philip Ovadia","startTime":651.34,"endTime":655.9000000000001,"body":"just looking at that LDL"},{"speaker":"Dr. Philip Ovadia","startTime":655.9000000000001,"endTime":658.36,"body":"cholesterol, that bad"},{"speaker":"Dr. Philip Ovadia","startTime":655.9000000000001,"endTime":658.36,"body":"cholesterol number that all the"},{"speaker":"Dr. Philip Ovadia","startTime":658.36,"endTime":662.26,"body":"doctors focus on, ask them what"},{"speaker":"Dr. Philip Ovadia","startTime":658.36,"endTime":662.26,"body":"the other numbers are: the"},{"speaker":"Dr. Philip Ovadia","startTime":662.26,"endTime":666.37,"body":"triglyceride level and the HDL"},{"speaker":"Dr. Philip Ovadia","startTime":662.26,"endTime":666.37,"body":"cholesterol level, because"},{"speaker":"Dr. Philip Ovadia","startTime":666.37,"endTime":669.34,"body":"again, those are two of the five"},{"speaker":"Dr. Philip Ovadia","startTime":666.37,"endTime":669.34,"body":"markers of poor metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":669.34,"endTime":674.26,"body":"health. And if your triglyceride"},{"speaker":"Dr. Philip Ovadia","startTime":669.34,"endTime":674.26,"body":"levels are high, and your HDL"},{"speaker":"Dr. Philip Ovadia","startTime":674.5600000000001,"endTime":679.33,"body":"cholesterol levels are low, that"},{"speaker":"Dr. Philip Ovadia","startTime":674.5600000000001,"endTime":679.33,"body":"is another indicator that you"},{"speaker":"Dr. Philip Ovadia","startTime":679.33,"endTime":682.21,"body":"might have insulin resistance"},{"speaker":"Dr. Philip Ovadia","startTime":679.33,"endTime":682.21,"body":"and poor metabolic health."},{"speaker":"Jack Heald","startTime":683.95,"endTime":687.34,"body":"So let's assume"},{"speaker":"Jack Heald","startTime":683.95,"endTime":687.34,"body":"there are, there's a man or a"},{"speaker":"Jack Heald","startTime":687.34,"endTime":693.6400000000001,"body":"woman in their mid to late 30s"},{"speaker":"Jack Heald","startTime":687.34,"endTime":693.6400000000001,"body":"or early 40s. And they're"},{"speaker":"Jack Heald","startTime":693.6700000000001,"endTime":696.82,"body":"academically interested in this"},{"speaker":"Jack Heald","startTime":693.6700000000001,"endTime":696.82,"body":"conversation that we're having."},{"speaker":"Jack Heald","startTime":697.36,"endTime":700.4200000000001,"body":"But when they look at"},{"speaker":"Jack Heald","startTime":697.36,"endTime":700.4200000000001,"body":"themselves, they think, \"hey,"},{"speaker":"Jack Heald","startTime":700.45,"endTime":703.3900000000001,"body":"you know, I am a little thicker"},{"speaker":"Jack Heald","startTime":700.45,"endTime":703.3900000000001,"body":"around the middle, but I feel"},{"speaker":"Jack Heald","startTime":703.3900000000001,"endTime":706.7800000000001,"body":"great. I'm sure this doesn't"},{"speaker":"Jack Heald","startTime":703.3900000000001,"endTime":706.7800000000001,"body":"apply to me.\""},{"speaker":"Jack Heald","startTime":706.7800000000001,"endTime":711.97,"body":"Or are you saying - and I think"},{"speaker":"Jack Heald","startTime":706.7800000000001,"endTime":711.97,"body":"this is what what I heard, but I"},{"speaker":"Jack Heald","startTime":711.97,"endTime":716.6500000000001,"body":"want to make sure - that you can"},{"speaker":"Jack Heald","startTime":711.97,"endTime":716.6500000000001,"body":"have insulin resistance, which"},{"speaker":"Jack Heald","startTime":716.6800000000001,"endTime":721.75,"body":"leads to all these other bad"},{"speaker":"Jack Heald","startTime":716.6800000000001,"endTime":721.75,"body":"outcomes, and not really have"},{"speaker":"Jack Heald","startTime":721.9000000000001,"endTime":726.34,"body":"any other noticeable symptoms"},{"speaker":"Jack Heald","startTime":721.9000000000001,"endTime":726.34,"body":"yourself?"},{"speaker":"Dr. Philip Ovadia","startTime":728.2,"endTime":733.0,"body":"Yes,"},{"speaker":"Dr. Philip Ovadia","startTime":728.2,"endTime":733.0,"body":"definitely. And I would tell"},{"speaker":"Dr. Philip Ovadia","startTime":733.0,"endTime":737.47,"body":"that person who's in their mid"},{"speaker":"Dr. Philip Ovadia","startTime":733.0,"endTime":737.47,"body":"30s, or early 40s, who's, as you"},{"speaker":"Dr. Philip Ovadia","startTime":737.47,"endTime":741.7,"body":"said, just a little thick around"},{"speaker":"Dr. Philip Ovadia","startTime":737.47,"endTime":741.7,"body":"the middle, that this does apply"},{"speaker":"Dr. Philip Ovadia","startTime":741.7,"endTime":747.22,"body":"to them. And it is essential"},{"speaker":"Dr. Philip Ovadia","startTime":741.7,"endTime":747.22,"body":"that they investigate this"},{"speaker":"Dr. Philip Ovadia","startTime":747.22,"endTime":751.63,"body":"further. You may be one of the"},{"speaker":"Dr. Philip Ovadia","startTime":747.22,"endTime":751.63,"body":"small percentage of people who"},{"speaker":"Dr. Philip Ovadia","startTime":752.35,"endTime":759.37,"body":"is kind of especially what we"},{"speaker":"Dr. Philip Ovadia","startTime":752.35,"endTime":759.37,"body":"call central obesity, and not"},{"speaker":"Dr. Philip Ovadia","startTime":759.37,"endTime":763.1800000000001,"body":"metabolically unhealthy. But"},{"speaker":"Dr. Philip Ovadia","startTime":759.37,"endTime":763.1800000000001,"body":"that is an exceedingly small"},{"speaker":"Dr. Philip Ovadia","startTime":764.2900000000001,"endTime":768.22,"body":"percentage of people, and more"},{"speaker":"Dr. Philip Ovadia","startTime":764.2900000000001,"endTime":768.22,"body":"than likely, you are"},{"speaker":"Dr. Philip Ovadia","startTime":768.22,"endTime":771.58,"body":"metabolically unhealthy. And"},{"speaker":"Dr. Philip Ovadia","startTime":768.22,"endTime":771.58,"body":"like I said, the good news is"},{"speaker":"Dr. Philip Ovadia","startTime":771.61,"endTime":776.62,"body":"the earlier you detect this, the"},{"speaker":"Dr. Philip Ovadia","startTime":771.61,"endTime":776.62,"body":"better chance you have of"},{"speaker":"Dr. Philip Ovadia","startTime":776.7700000000001,"endTime":781.63,"body":"stopping it before it gets to"},{"speaker":"Dr. Philip Ovadia","startTime":776.7700000000001,"endTime":781.63,"body":"the point of significant damage"},{"speaker":"Dr. Philip Ovadia","startTime":781.63,"endTime":782.35,"body":"being done."},{"speaker":"Jack Heald","startTime":783.5200000000001,"endTime":788.47,"body":"I want to circle"},{"speaker":"Jack Heald","startTime":783.5200000000001,"endTime":788.47,"body":"back around and get back to the"},{"speaker":"Jack Heald","startTime":788.47,"endTime":792.4000000000001,"body":"genesis of this whole thing."},{"speaker":"Jack Heald","startTime":788.47,"endTime":792.4000000000001,"body":"Because not everybody who's"},{"speaker":"Jack Heald","startTime":792.4000000000001,"endTime":799.0600000000001,"body":"listening started with with"},{"speaker":"Jack Heald","startTime":792.4000000000001,"endTime":799.0600000000001,"body":"season one, episode one. You"},{"speaker":"Jack Heald","startTime":799.6600000000001,"endTime":804.76,"body":"were obese all of your life"},{"speaker":"Jack Heald","startTime":799.6600000000001,"endTime":804.76,"body":"until you figured out what was"},{"speaker":"Jack Heald","startTime":804.76,"endTime":812.08,"body":"going on almost six years ago."},{"speaker":"Jack Heald","startTime":804.76,"endTime":812.08,"body":"So you had all those metabolic,"},{"speaker":"Jack Heald","startTime":812.23,"endTime":816.4300000000001,"body":"all those markers for being"},{"speaker":"Jack Heald","startTime":812.23,"endTime":816.4300000000001,"body":"metabolically unhealthy? And"},{"speaker":"Jack Heald","startTime":816.4300000000001,"endTime":823.63,"body":"then you changed how you ate,"},{"speaker":"Jack Heald","startTime":816.4300000000001,"endTime":823.63,"body":"you changed how you moved. You"},{"speaker":"Jack Heald","startTime":823.63,"endTime":826.48,"body":"made a lot of changes. The"},{"speaker":"Jack Heald","startTime":823.63,"endTime":826.48,"body":"question now is what are those"},{"speaker":"Jack Heald","startTime":826.48,"endTime":832.0300000000001,"body":"metabolic markers look like when"},{"speaker":"Jack Heald","startTime":826.48,"endTime":832.0300000000001,"body":"you do these blood tests? Has it"},{"speaker":"Jack Heald","startTime":832.0300000000001,"endTime":835.09,"body":"been reversed in the blood tests"},{"speaker":"Jack Heald","startTime":832.0300000000001,"endTime":835.09,"body":"as well?"},{"speaker":"Dr. Philip Ovadia","startTime":835.9300000000001,"endTime":838.45,"body":"Yes. So you"},{"speaker":"Dr. Philip Ovadia","startTime":835.9300000000001,"endTime":838.45,"body":"know, I would say at the time"},{"speaker":"Dr. Philip Ovadia","startTime":838.45,"endTime":844.12,"body":"that I started this journey I"},{"speaker":"Dr. Philip Ovadia","startTime":838.45,"endTime":844.12,"body":"had four of those five abnormal."},{"speaker":"Dr. Philip Ovadia","startTime":844.48,"endTime":848.62,"body":"My waist circumference was"},{"speaker":"Dr. Philip Ovadia","startTime":844.48,"endTime":848.62,"body":"certainly above 40 inches. My"},{"speaker":"Dr. Philip Ovadia","startTime":848.6500000000001,"endTime":853.0600000000001,"body":"HDL cholesterol level was low."},{"speaker":"Dr. Philip Ovadia","startTime":848.6500000000001,"endTime":853.0600000000001,"body":"My triglyceride levels were"},{"speaker":"Dr. Philip Ovadia","startTime":853.0600000000001,"endTime":859.0,"body":"high, and my fasting blood"},{"speaker":"Dr. Philip Ovadia","startTime":853.0600000000001,"endTime":859.0,"body":"glucose, at one point was over"},{"speaker":"Dr. Philip Ovadia","startTime":859.0300000000001,"endTime":862.3000000000001,"body":"100. So you know, those are four"},{"speaker":"Dr. Philip Ovadia","startTime":859.0300000000001,"endTime":862.3000000000001,"body":"of the five metrics. I never had"},{"speaker":"Dr. Philip Ovadia","startTime":862.3000000000001,"endTime":863.23,"body":"high blood pressure,"},{"speaker":"Jack Heald","startTime":863.47,"endTime":869.71,"body":"You said over 10 is"},{"speaker":"Jack Heald","startTime":863.47,"endTime":869.71,"body":"too high on the fasting glucose?"},{"speaker":"Dr. Philip Ovadia","startTime":870.01,"endTime":872.7700000000001,"body":"Over 100 for"},{"speaker":"Dr. Philip Ovadia","startTime":870.01,"endTime":872.7700000000001,"body":"the fasting blood glucose."},{"speaker":"Jack Heald","startTime":872.7700000000001,"endTime":875.0500000000001,"body":"No, I mean, the"},{"speaker":"Jack Heald","startTime":872.7700000000001,"endTime":875.0500000000001,"body":"number that is considered too"},{"speaker":"Jack Heald","startTime":875.0500000000001,"endTime":875.5,"body":"high."},{"speaker":"Dr. Philip Ovadia","startTime":875.82,"endTime":880.0200000000001,"body":"Yeah, 100."},{"speaker":"Dr. Philip Ovadia","startTime":875.82,"endTime":880.0200000000001,"body":"The 10 is for fasting insulin"},{"speaker":"Dr. Philip Ovadia","startTime":880.0200000000001,"endTime":885.1500000000001,"body":"level fasting. A high fasting"},{"speaker":"Dr. Philip Ovadia","startTime":880.0200000000001,"endTime":885.1500000000001,"body":"glucose is what we look at for"},{"speaker":"Dr. Philip Ovadia","startTime":885.1500000000001,"endTime":889.0500000000001,"body":"the metabolic health parameters"},{"speaker":"Dr. Philip Ovadia","startTime":885.1500000000001,"endTime":889.0500000000001,"body":"and over 100 is the cut off"},{"speaker":"Dr. Philip Ovadia","startTime":889.0500000000001,"endTime":894.3000000000001,"body":"there. So I had four the five"},{"speaker":"Dr. Philip Ovadia","startTime":889.0500000000001,"endTime":894.3000000000001,"body":"abnormal. Today, I am one of the"},{"speaker":"Dr. Philip Ovadia","startTime":894.87,"endTime":900.0,"body":"12% or less of adults in the"},{"speaker":"Dr. Philip Ovadia","startTime":894.87,"endTime":900.0,"body":"United States that has all five"},{"speaker":"Dr. Philip Ovadia","startTime":900.0600000000001,"endTime":904.62,"body":"measures in in perfect range, in"},{"speaker":"Dr. Philip Ovadia","startTime":900.0600000000001,"endTime":904.62,"body":"good range."},{"speaker":"Jack Heald","startTime":905.0400000000001,"endTime":909.09,"body":"So how old were you"},{"speaker":"Jack Heald","startTime":905.0400000000001,"endTime":909.09,"body":"when you started fixing it?"},{"speaker":"Dr. Philip Ovadia","startTime":909.48,"endTime":915.3900000000001,"body":"So I was 40"},{"speaker":"Dr. Philip Ovadia","startTime":909.48,"endTime":915.3900000000001,"body":"to 41 years old when I started"},{"speaker":"Dr. Philip Ovadia","startTime":915.3900000000001,"endTime":920.19,"body":"fixing it. And when I was at my"},{"speaker":"Dr. Philip Ovadia","startTime":915.3900000000001,"endTime":920.19,"body":"worst, and I started fixing it,"},{"speaker":"Dr. Philip Ovadia","startTime":920.19,"endTime":925.9200000000001,"body":"I was 41. Today I am 47. And as"},{"speaker":"Dr. Philip Ovadia","startTime":920.19,"endTime":925.9200000000001,"body":"I said, I have all five of those"},{"speaker":"Dr. Philip Ovadia","startTime":925.9200000000001,"endTime":933.3900000000001,"body":"metrics in good range. And I"},{"speaker":"Dr. Philip Ovadia","startTime":925.9200000000001,"endTime":933.3900000000001,"body":"plan on staying that way for the"},{"speaker":"Dr. Philip Ovadia","startTime":933.3900000000001,"endTime":935.73,"body":"next 47 or more years."},{"speaker":"Jack Heald","startTime":937.1700000000001,"endTime":940.86,"body":"To me, that is one"},{"speaker":"Jack Heald","startTime":937.1700000000001,"endTime":940.86,"body":"of the most hopeful, optimistic"},{"speaker":"Jack Heald","startTime":940.8900000000001,"endTime":943.9200000000001,"body":"pieces of information that we"},{"speaker":"Jack Heald","startTime":940.8900000000001,"endTime":943.9200000000001,"body":"could give anybody who's"},{"speaker":"Jack Heald","startTime":943.9200000000001,"endTime":947.6700000000001,"body":"listening. You were in your"},{"speaker":"Jack Heald","startTime":943.9200000000001,"endTime":947.6700000000001,"body":"early 40s, and had been obese"},{"speaker":"Jack Heald","startTime":947.7,"endTime":952.38,"body":"your entire life. You were on a"},{"speaker":"Jack Heald","startTime":947.7,"endTime":952.38,"body":"trajectory that was going to end"},{"speaker":"Jack Heald","startTime":952.38,"endTime":959.1,"body":"and a heart attack, and or"},{"speaker":"Jack Heald","startTime":952.38,"endTime":959.1,"body":"diabetes, and at least a"},{"speaker":"Jack Heald","startTime":959.1,"endTime":962.5500000000001,"body":"terrible decline in their"},{"speaker":"Jack Heald","startTime":959.1,"endTime":962.5500000000001,"body":"quality of life due to poor"},{"speaker":"Jack Heald","startTime":962.5500000000001,"endTime":968.61,"body":"health or an early death. And"},{"speaker":"Jack Heald","startTime":962.5500000000001,"endTime":968.61,"body":"you got a hold of it, you turned"},{"speaker":"Jack Heald","startTime":968.61,"endTime":969.1500000000001,"body":"it around."},{"speaker":"Dr. Philip Ovadia","startTime":970.8900000000001,"endTime":974.13,"body":"Yeah, and I"},{"speaker":"Dr. Philip Ovadia","startTime":970.8900000000001,"endTime":974.13,"body":"think, as we kind of wrap up"},{"speaker":"Dr. Philip Ovadia","startTime":974.13,"endTime":980.2800000000001,"body":"this year, that is the message"},{"speaker":"Dr. Philip Ovadia","startTime":974.13,"endTime":980.2800000000001,"body":"that I try and get across to"},{"speaker":"Dr. Philip Ovadia","startTime":980.2800000000001,"endTime":985.83,"body":"people. That if you look at"},{"speaker":"Dr. Philip Ovadia","startTime":980.2800000000001,"endTime":985.83,"body":"this, if you measure it, you can"},{"speaker":"Dr. Philip Ovadia","startTime":985.86,"endTime":989.85,"body":"always improve it, it's never"},{"speaker":"Dr. Philip Ovadia","startTime":985.86,"endTime":989.85,"body":"too late. Even the patients that"},{"speaker":"Dr. Philip Ovadia","startTime":989.85,"endTime":994.23,"body":"I ended up performing heart"},{"speaker":"Dr. Philip Ovadia","startTime":989.85,"endTime":994.23,"body":"surgery on afterwards, I tell"},{"speaker":"Dr. Philip Ovadia","startTime":994.23,"endTime":1000.2,"body":"them, you can still change your"},{"speaker":"Dr. Philip Ovadia","startTime":994.23,"endTime":1000.2,"body":"course, you can still, there"},{"speaker":"Dr. Philip Ovadia","startTime":1000.2,"endTime":1004.01,"body":"might be some damage that you"},{"speaker":"Dr. Philip Ovadia","startTime":1000.2,"endTime":1004.01,"body":"might not that we can't undo."},{"speaker":"Dr. Philip Ovadia","startTime":1004.3100000000001,"endTime":1007.85,"body":"But we can stop more damage from"},{"speaker":"Dr. Philip Ovadia","startTime":1004.3100000000001,"endTime":1007.85,"body":"being done as we move forward."},{"speaker":"Dr. Philip Ovadia","startTime":1007.9100000000001,"endTime":1011.36,"body":"And you're never too old, you're"},{"speaker":"Dr. Philip Ovadia","startTime":1007.9100000000001,"endTime":1011.36,"body":"never too sick really to start"},{"speaker":"Dr. Philip Ovadia","startTime":1011.36,"endTime":1015.6800000000001,"body":"this. I know people in their 70s"},{"speaker":"Dr. Philip Ovadia","startTime":1011.36,"endTime":1015.6800000000001,"body":"and 80s, who have started this"},{"speaker":"Dr. Philip Ovadia","startTime":1015.6800000000001,"endTime":1020.0600000000001,"body":"and had great success. And they"},{"speaker":"Dr. Philip Ovadia","startTime":1015.6800000000001,"endTime":1020.0600000000001,"body":"feel like they're in their 40s"},{"speaker":"Dr. Philip Ovadia","startTime":1020.0600000000001,"endTime":1021.11,"body":"and 50s again."},{"speaker":"Jack Heald","startTime":1021.5300000000001,"endTime":1022.7900000000001,"body":"That is fantastic."},{"speaker":"Dr. Philip Ovadia","startTime":1023.0600000000001,"endTime":1027.86,"body":"I can tell"},{"speaker":"Dr. Philip Ovadia","startTime":1023.0600000000001,"endTime":1027.86,"body":"you this,  here I am in my late"},{"speaker":"Dr. Philip Ovadia","startTime":1027.86,"endTime":1033.59,"body":"40s, and I am in better shape,"},{"speaker":"Dr. Philip Ovadia","startTime":1027.86,"endTime":1033.59,"body":"better health and I feel better"},{"speaker":"Dr. Philip Ovadia","startTime":1033.68,"endTime":1040.25,"body":"than I did when I was in my 20s."},{"speaker":"Dr. Philip Ovadia","startTime":1033.68,"endTime":1040.25,"body":"And I think there is always"},{"speaker":"Dr. Philip Ovadia","startTime":1041.33,"endTime":1045.89,"body":"hope. There is always room to"},{"speaker":"Dr. Philip Ovadia","startTime":1041.33,"endTime":1045.89,"body":"improve this. You just got to"},{"speaker":"Dr. Philip Ovadia","startTime":1046.7,"endTime":1051.02,"body":"commit to it. And you got to"},{"speaker":"Dr. Philip Ovadia","startTime":1046.7,"endTime":1051.02,"body":"start and take it from there."},{"speaker":"Jack Heald","startTime":1052.72,"endTime":1057.7,"body":"I think that is a"},{"speaker":"Jack Heald","startTime":1052.72,"endTime":1057.7,"body":"fantastic way to wrap it up for"},{"speaker":"Jack Heald","startTime":1057.73,"endTime":1061.96,"body":"season one. It's never too late."},{"speaker":"Jack Heald","startTime":1057.73,"endTime":1061.96,"body":"You can do it."},{"speaker":"Jack Heald","startTime":1063.49,"endTime":1065.8300000000002,"body":"Alright, well, I think it's a"},{"speaker":"Jack Heald","startTime":1063.49,"endTime":1065.8300000000002,"body":"good time to remind listeners"},{"speaker":"Jack Heald","startTime":1065.8300000000002,"endTime":1070.27,"body":"that they can follow you on"},{"speaker":"Jack Heald","startTime":1065.8300000000002,"endTime":1070.27,"body":"Twitter at \"@Ifixhearts.\" And"},{"speaker":"Jack Heald","startTime":1070.3,"endTime":1073.8700000000001,"body":"Dr. O is a good follow. I've"},{"speaker":"Jack Heald","startTime":1070.3,"endTime":1073.8700000000001,"body":"been following him for a while"},{"speaker":"Jack Heald","startTime":1073.8700000000001,"endTime":1082.0900000000001,"body":"and I just love the hope and the"},{"speaker":"Jack Heald","startTime":1073.8700000000001,"endTime":1082.0900000000001,"body":"optimism that he brings to - not"},{"speaker":"Jack Heald","startTime":1082.0900000000001,"endTime":1084.49,"body":"just the subject of health - but"},{"speaker":"Jack Heald","startTime":1082.0900000000001,"endTime":1084.49,"body":"the subject of how to live a"},{"speaker":"Jack Heald","startTime":1084.49,"endTime":1088.0,"body":"life. So I if you're a Twitter"},{"speaker":"Jack Heald","startTime":1084.49,"endTime":1088.0,"body":"person, I recommend that you"},{"speaker":"Jack Heald","startTime":1088.0,"endTime":1093.79,"body":"follow Dr. O. Then of course his"},{"speaker":"Jack Heald","startTime":1088.0,"endTime":1093.79,"body":"website at Ovadia Heart Health"},{"speaker":"Jack Heald","startTime":1093.82,"endTime":1096.76,"body":"dot com you get all the"},{"speaker":"Jack Heald","startTime":1093.82,"endTime":1096.76,"body":"information you need about"},{"speaker":"Jack Heald","startTime":1097.3,"endTime":1103.6000000000001,"body":"engaging Dr. O as your own guide"},{"speaker":"Jack Heald","startTime":1097.3,"endTime":1103.6000000000001,"body":"for metabolic health. Anything"},{"speaker":"Jack Heald","startTime":1103.6000000000001,"endTime":1105.01,"body":"you want to add as we wrap up"},{"speaker":"Dr. Philip Ovadia","startTime":1106.0,"endTime":1108.31,"body":"Just wanna"},{"speaker":"Dr. Philip Ovadia","startTime":1106.0,"endTime":1108.31,"body":"wish everyone out there happy"},{"speaker":"Dr. Philip Ovadia","startTime":1108.31,"endTime":1114.3700000000001,"body":"new year and make 2022 the year"},{"speaker":"Dr. Philip Ovadia","startTime":1108.31,"endTime":1114.3700000000001,"body":"that you address your metabolic"},{"speaker":"Dr. Philip Ovadia","startTime":1114.3700000000001,"endTime":1114.76,"body":"health."},{"speaker":"Jack Heald","startTime":1116.32,"endTime":1117.82,"body":"Thanks so much,"},{"speaker":"Jack Heald","startTime":1116.32,"endTime":1117.82,"body":"Doctor O. You've been an"},{"speaker":"Jack Heald","startTime":1117.82,"endTime":1122.8300000000002,"body":"inspiration to me already this"},{"speaker":"Jack Heald","startTime":1117.82,"endTime":1122.8300000000002,"body":"year. And I appreciate it."},{"speaker":"Jack Heald","startTime":1123.28,"endTime":1124.03,"body":"Thanks so much."},{"speaker":"Dr. Philip Ovadia","startTime":1124.06,"endTime":1124.75,"body":"Thank you,"},{"speaker":"Dr. Philip Ovadia","startTime":1124.06,"endTime":1124.75,"body":"Jack."},{"speaker":"Jack Heald","startTime":1124.78,"endTime":1127.78,"body":"All right. For Dr."},{"speaker":"Jack Heald","startTime":1124.78,"endTime":1127.78,"body":"Phillip Ovadia. I'm Jack Heald."},{"speaker":"Jack Heald","startTime":1127.81,"endTime":1130.51,"body":"This is the Stay Off My"},{"speaker":"Jack Heald","startTime":1127.81,"endTime":1130.51,"body":"Operating Table podcast and we"},{"speaker":"Jack Heald","startTime":1130.51,"endTime":1133.6000000000001,"body":"will talk to you - believe it or"},{"speaker":"Jack Heald","startTime":1130.51,"endTime":1133.6000000000001,"body":"not - next year."}]}