The Masters Athlete Survival Guide
We explore thriving as an athlete after 40. Each episode, we’ll dive into tips, hacks, and inspiring stories from seasoned athletes and our personal experience. Whether you’re a weekend warrior or a competitive pro, this podcast is your playbook for staying fit, strong, and motivated
The Masters Athlete Survival Guide
Perimenopause GLP-1s and the Real Work of Primary Care with Meghan Fox, DNP, AGPCNP-BC
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We sit down with Meghan Fox, DNP, AGPCNP-BC, to get a clear view of what primary care actually looks like for active adults, and why honest health history beats “winging it” at 40, 50, and beyond. We dig into hormones, diabetes, GLP-1 meds, supplements, and the small medical details that can quietly shape performance and long-term health.
• gerontology versus geriatrics and what adult health really covers
• what “doctor” means in clinical versus academic settings
• nurse practitioner scope of practice and collaborating physician realities
• perimenopause symptoms, sleep disruption, and quality of life impact
• lifestyle levers that can help before meds, including training, sleep, and diet
• why carbs matter in diabetes, plus food diaries and nutrition referrals
• GLP-1 medications, side effects, titration, and surgery timing risks
• peptide hype, supplement interactions, and why providers need your full list
• blood pressure as a silent risk and why labs can catch problems early
• vitamin D testing, why multivitamins can be risky, and what to disclose
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Masters Mindset Minutes should be your new performance habit every Sunday night
Show Kickoff And Goals
SPEAKER_02Welcome to the Masters Athlete Survival Guide, where we explore the secrets to thriving in sports after 40. I'm John Catalinus, and along with Scott Feich, we'll dive into training tips, nutrition hacks, and inspiring stories from seasoned athletes who defy age limits. Whether you're a weekend warrior or a competitive pro, this podcast is your playbook for staying fit, strong, and motivated. Let's get started. And we're back. Hey John. Hi. How are you doing? I'm good. You are such an ass. What? John, I'm looking over.
SPEAKER_00Oh are we doing this again?
SPEAKER_02Don't do this. You do this. You do this like I see someone in the hallway of Aurora Studios. Just just introduce her.
SPEAKER_00Hi her. Folks,
Guest Intro Dr. Megan Fox
SPEAKER_00uh, we have a special guest with us tonight. We have Dr. Megan Fox, who I work with at Bryant Stratton College. She is currently the interim program director for the Western York Markets uh nursing program. Cool. So Megan, welcome. Thank you for joining us tonight.
SPEAKER_03Hi, thank you for having me.
SPEAKER_00Megan, would you uh tell us a little bit about yourself, you know, professionally, you know, any athletics you've done? Because whereas most of the people that we have on are master's athletes, you know, because they're rather senior in age, Megan is not.
SPEAKER_02Nice. So, but she's also a professional.
SPEAKER_00So that's she is a professional. That trumps that. Oh, by far. Meg, tell us a little bit about yourself, please.
SPEAKER_04Sure. Um, so academically, I am Dr. Fox. I um teach gerontology for Brian and Stratton College, as well as their current interim nursing program director. Um another avenue that I go, I am a practice by Megan Snyder. I am an adult, or okay, I have to say this correctly. I got I got an alphabet. So I'm adult gerontology primary care nurse practitioner, board certified. So um I treat patients. I have a nurse practitioner license in adult health, and my doctorate is in nursing research. Um, so I do that as well. So I kind of dabble. I practice clinically and I work in academics. And um in my spare time, I have eight children. Um, I am an assistant track coach for the uh Timberwolves, go wolves.
SPEAKER_01And go wolves.
SPEAKER_04Um other than that, you know, just kind of live in life at this point.
SPEAKER_02Scott. Yes. I have a question about the very talented guest that you secured for us. Yes. Gerontology.
SPEAKER_00Yes.
SPEAKER_02That's the study of old people, right? Is it is this like an intervention? It is an intervention. Did you get me in front of a doctor?
SPEAKER_00Is that what this is? Megan, what and you can't push the not a doctor button because she is. I know.
SPEAKER_01I know.
SPEAKER_00So, Megan, John, what he's not letting you know is John is almost 60. John is almost 60.
SPEAKER_02Oh my god. Can we stop? We gotta stop talking about that because John mentally is a solid 14. Well 12. So, Megan, tell us, you know, like no, don't talk to him, talk to me. I need to, I I that's where I was going. No, well, you talk too much. Uh I really want to know what gerontology really is, other than the fact that I'm a little afraid that like my prostate is quaking right now.
SPEAKER_04So
Gerontology Versus Geriatrics Explained
SPEAKER_04gerontology is actually the study of adulthood. So I gotta go with it. With my certification, um I do like gerontology primary care, uh, but my license is adult health, so I actually see patients 13 and up. Um, so it's actually the whole span of adulthood. So it's actually puberty to death.
SPEAKER_02Oh, ew, dark.
SPEAKER_04So um I a lot of people kind of get it twisted with geriatrics.
SPEAKER_02Oh, see, that's where that's oh so because I never heard I was gonna ask like what adult, like what the definition of adult is in how so basically if you're not a pediatric doctor, you're a gerontologist, sort of.
SPEAKER_04So um there's a bunch of different ones. So there's um internal medicine that's 18 and up. There's family nurse practitioner, they do from birth to death. Um, there's pediatrics, so they don't see patients normally until after 18. A few of them will go to 21. Um, so there's definitely different subspecialties for nurse practitioners for sure.
SPEAKER_02Oh, okay. And just for the listener and for my addled mind, um you've mentioned both being a doctor and being a nurse practitioner, and that so that means different things in different states. Is
Nurse Practitioner Scope And Collaboration
SPEAKER_02that true? Like New York is always because New York is different with everything.
SPEAKER_04Yes. So when it comes to that, um New York and and really a lot of I believe most states um do not like nurse practitioners to call themselves doctors, and for good reason. So when when patients think of doctors, they think of MDs, and MDs have absolutely earned that title. They did the million years of school and medical school, you know, they've definitely earned that. So in a practice setting, I do not call myself doctor. Um, but in an academic setting, I am a I uh I've earned the doctorate. I have a doctoral level, the highest level of degree that we can go as you know, nurses, really. So I've earned it in an academic setting or in a research setting or anything like that. But in a clinical setting, absolutely not. They call me Megan.
SPEAKER_00All right. So, Megan, help us out here. What is the difference ultimately? And I know you mentioned schooling and you know, the the tons and tons of schooling that MDs get. What is the difference in practice between what a nurse practitioner like yourself could do and what an MD or something like that or a pediatrician or whatever could do?
SPEAKER_04So when it comes to an MD, I actually do have a collaborating physician that comes with um, it's required for federal, so like my Medicare patients, the federally funded, because nurse practitioners can't always practice independently. Now in New York State, I can practice independently after 3,600. I believe it's don't quote me on this, um, but I believe it's 3,600 hours, which kind of equals out to about two years under somebody else. So, like at this point, I've been a nurse practitioner for a little over three years. I could practice independently as long as I wasn't billing federal dollars.
SPEAKER_00Okay, so like you can write scripts, you can do those types of things.
unknownOkay.
SPEAKER_04Yep. I write scripts. Um, I order all of the testing, um, I oversee patients, chronic conditions. Um, I do a lot of that. Um, I do a lot of women's health pap smears, I can do small procedures, um, as in like cryotherapy and that type of thing. Anything that my license will allow that I've been trained in, I can do. So it's it's very similar, but as far as like um obviously an MD tends to get paid a significant amount more.
SPEAKER_02Um but but you're not bitter.
SPEAKER_04No, not at all. Um and you know, they do take a lot of the brunt. So um I've been very lucky with my collaborating physicians, they don't really require a lot of me, but some of them do mandate, you know, um co-signing charts and things like that. Mine have not. They've not really been very pushy with me about that. So I've been very lucky. But every once in a while you might get a collaborating physician that really kind of looks over your shoulder. So I'm just I've been very lucky in that aspect.
SPEAKER_02Well, it sounds like you're a medical rock star, and we thank you for being here. I'm gonna lead off with I'm gonna lead off with the most atypical question we've ever asked of a guest.
Perimenopause Symptoms And Training Impact
SPEAKER_02Women's health. I did a bunch of research when I knew Megan was coming on, and I saw a blurb that PCOS is getting rebranded for both insurance reasons and because we understand it better. Do you know anything about uh women's hormone health? Because that seems like bleeding edge, the next thing. Is that true?
SPEAKER_04So I don't know uh as much about if it's being rebranded or not. I do know that when women have PCOS and we know that they have PCOS, we're able to treat it a lot, you know, with the different conditions. Hormones are definitely an up-and-coming topic, especially with everything going on with perimenopause, um the hot flashes, things like that, because it really can be quite debilitating. Not only that, we're finding um a lot of the things that happen during perimenopause. I don't know if you've heard about like the links with perimenopause and ADHD and things like that. So the more that we understand about the hormonal changes, the better off it is. So I do know that there's a lot of research going into that right now.
SPEAKER_02Okay, and let me help translate for our muscle head listener. Perimenopause is the period prior to menopause. Am I correct?
SPEAKER_04Yeah, around menopause, yeah.
SPEAKER_02Um I obviously, for many reasons, most of them being uh the equipment I was born with, um I don't know anything about uh menopause and ADHD, but that both Scott and I look looked at each other like, what?
SPEAKER_00Yeah, you said that, Megan, and we just sort of turned each other into the could you expand on that?
SPEAKER_02That sounds like a significant something.
SPEAKER_04So when it comes to like those types of things, like it just affects overall on how you know you're functioning, your reactions to things, an emotional reaction, um, you know, everything like that. So the more that we learn about it, the more that we're able to treat it um and handle things more appropriately, especially when you know it gets to the point where things like that can really affect uh a female's overall satisfaction of life, their quality of life, if you will. Um, where if you've ever talked to or, you know, if I I don't know if you guys are, I know that Scott is married, but like if any of your wives have gone through menopause at this point, like the hot flashes alone are absolutely debilitating to the point on where it can completely change how their day is going. If they come on really quickly, um it it ruins the sleep pattern, it just really affects their entire life. So the more that we can understand about things like that, the better quality of life that we can give them.
SPEAKER_00So sticking in that sort of lane, uh when I mean, I know menopause can hit at varying times depending on the person, but when do they start seeing these things? When might perimenopause start hitting? Because I'm thinking about you know, some of the listeners we have that are female athletes and how that can impact their training, their performance, their their stuff like that. I mean, it's it's going to happen.
SPEAKER_04But you know, I mean, absolutely. It's it definitely affects everything overall, um, especially when it, you know, um, you know, rebuilding of muscle and and everything like that, especially if you have like hard workouts and and recuperation time and and all of that. So I I hear from my personal practice, um, patients start complaining about it around their early 40s, like they start to feel that maybe they're going into it or that type of thing, all the way up until early 50s. Um, and then some women don't don't hit menopause until like mid-50s. I mean, it really does depend on the female genetics, everything of that nature. But I hear women complaining about it as early as um early 40s.
SPEAKER_02I can tell you this, Scott. And I've asked this question once in my life. You never look a beautiful female in the eye and go, is your menopause starting? That is not a wise question to ask, just so you know. Just throwing it out there. All right, let me judge my next question. Yes, continue.
SPEAKER_00All right, so you're saying you've heard it as early as you know, the early 40s, the early 50s, women hitting menopause in their 50s, that type of stuff. Are there things that women can do naturally? You know, uh exercise, dietetics, those types of things that can mitigate either A, the onset or B, the effects?
SPEAKER_04I mean, ideally, yes, lifestyle always plays a part into it. Um, you know, the better the lifestyle, your sleep patterns, um, you know, working out regularly, eating a well-balanced diet, you know, cutting back on caffeine and things like that. Yeah, it absolutely can help. But a lot of times some, you know, medical intervention is required, sometimes different medications, sometimes hormones. Um, they're doing a lot with like estrogen therapy and things like that. Um, there's there's a lot of conflicting knowledge. So, you know, some providers really like to use it, some don't, just based on what it can do later. Um, so it's it's really looking at the quality of life, the risk over benefit. Um, so if I put them on this, is this going to affect them worse later, or are their symptoms so bad that this is severely affecting them and we'll deal with whatever we have to deal with later. So that's kind of what we look at.
SPEAKER_00All right. Let me do a quick follow-up question with something you mentioned, and then John signaled that he had a question. You mentioned quality of life, and one of the big things you mentioned in there was sleep patterns. We've talked a lot in this podcast over the last almost three years now about rest when, you know, that's when building happens for muscles and stuff like that. Can and again, this is ignorant Cromagnon man asking the question. I would think that sleep patterns can be affected by paramenopause and menopause. So isn't it sort of like a vicious circle?
SPEAKER_04Oh my gosh, yes. It's it's it's a it's a really big deal. Um, especially like like I said, and I know I keep bringing up the hot flashes, but the the it's it can be debilitating for women. So when you know, they wake up and all of a sudden they're they're drenched in sweat, which is kind of how they just you know, a lot of them describe it. Um, yeah, you're not gonna sleep well like that. And not only that, so then you're maybe starting to disrupt your partner's sleep and so on and so forth. It's it's just then you're you're walking around sleepy all day and then you're grouchy, and it's a whole cycle, it starts over and over again.
SPEAKER_02So wow. Um,
Testosterone Testing And Lifestyle First
SPEAKER_02you know, Megan, I I did a bunch of research, I think I said uh pre this to sort of have a diversity of question. And the one thing, and I think I noticed it, like I've always felt that women go to the doctor way more than men, you know, whether that be just your O B G Y N, but you know, they are far more typically, in my opinion, uh interested in their health and managing it. But this whole hormone thing, it feels like women are way behind like men in TRT. Uh, it just seems like we're just coming out of sort of a I don't know, a shame period. Uh ignore it. Uh oh, that's life kind of thing.
SPEAKER_04Uh is it so when it comes to like when patients, and again, I'm I'm only going off my own practice here. I I don't know the statistics of it. Um when I I have more men requesting their hormone levels than women. So um I do treat plenty of males that request their testosterone levels regularly. Yeah. Um and I do treat that as well if I have uh males that struggle with hypogonadism or anything like that. That is um it's primary, what is the word I'm looking at? Primary low testosterone. That's what that is.
SPEAKER_02Interesting.
SPEAKER_04So yep. So I do treat that as well. Um and a lot of times, like if I feel like it's going to be a complicated case, I do refer them to endocrinology. Um, but a lot of times people don't understand that we can treat low testosterone with lifestyle modification as well. It's actually my first recommendation before I start putting someone on testosterone, because you once you go on testosterone, you are on testosterone. Your body stop stops naturally creating.
SPEAKER_02Oh, so really go ahead, ask the question, Scott. What should we do?
SPEAKER_00I'm gonna ask that in a second. You're you're already done. Oh, sorry. So what you're saying is if we can change the lifestyle, so sitting on the couch eating Cheetos is a bad thing, not a sponsor.
SPEAKER_04That's a really bad thing, correct. You know, adequate exercise, you know, um, you know, eating I I know I keep saying this, but it really is the key to many things. A well-balanced, healthy diet, um, you know, cutting down on caffeine and soda intake and things like that.
SPEAKER_00Whoa, whoa, whoa, whoa, whoa, whoa, whoa, whoa. Dr. Fox, time out on the field here. Time out on the field here. We we we got a flagrant foul that was just thrown. If I was to walk over to the studio, if I was to walk over to the studio's fridge right now, seven of the five shelves are taken, and yes, I know what I said, are taken up by uh energy drinks.
SPEAKER_01Cut down.
SPEAKER_04I mean, I'm definitely not the be all end all. So primary care. I I dabble, so here here's here's my deal. I I dabble, I know enough to be dangerous about a lot of things, but I am I'm a jack of all trades and master of none.
SPEAKER_02Okay. I will I will I will do this right now, and you don't have to do that again. The opinions expressed by Dr. Fox on this podcast are her own and based on her own observations and may not be statistically done. So consult your doctor when it comes to any of these recommendations or ideas.
SPEAKER_00So thank you to our 12 listeners for John saying that.
SPEAKER_02And if anything comes out of my mouth, probably don't believe it. Oh, we don't. Yeah, we don't. Okay, so I I'm gonna call her out though, now that I've done the disclaimer part. Um what do you consider eating correctly? Oh, please tell us, Dr. Fox, because I've seen your diet. Oh, dude.
SPEAKER_03Do as I say, not as I do.
SPEAKER_02Yeah, come on now.
SPEAKER_04Um so well, balanced diet. I mean, uh low-fat diet, obviously, preservatives are I don't like canned foods. Let me rephrase. I don't think you should eat canned foods. Um, white breads, wheat bread over white bread. Um, you know, a lot of the more organic produce tends to be the best ones. Um, and I know that, you know, everyone, you know, the organic label, but it is if you you get what you pay for. And a lot of times, I deal with this all the time in primary care. I I, you know, preach diet, diet, diet. And but, you know, honestly, I practice rural medicine. A lot of our families and and people that come and see me can't really afford that organic diet that we're talking about. You know, the the pin to beans, the the with the rice, with the you know, steak on top, all of that. You know, anything that we would consider a good, hardy meal, they can't afford that. They can afford the can of Campbell's soup on their way to work. So it's it's difficult to know what you need to eat versus what you can actually afford to eat, especially in today's economy with the price of groceries and what it's gone up to. This is it's a really difficult topic.
SPEAKER_02Yeah.
Diabetes Nutrition Carbs And Food Diaries
SPEAKER_02So absolutely. Because I can tell you this. So I struggle a little bit with diabetes. So out of my pocket, I I bought myself a constant glucose monitor. And what I have found from my own pseudoscientific research on the N of one that is myself, not a doctor. Thank you. Um I uh things don't like some things are better for me than others, and it's not cut and dry. So I think the reason why we continue to have these food discussions is because I don't know if it's hyper-personal, but it's certainly damn close.
SPEAKER_00Well, Megan and I have talked about it at times. Some of the stuff that, you know, because I I'm diabetic as well, some of the things that I eat, other diabetics can't stomach. And there are certain things that like my uncle, he'll say, I can eat tomatoes. Man, I eat one tomato, one cherry tomato, and my numbers will go through the roof. Weird. Yeah. Yeah. But I mean, it is. I I think there is a personal nature to it. How much of that do you see when you deal with folks who are, you know, 40s plus, you know, the the impact. Regularly, yeah.
SPEAKER_04It's it it happens a lot, especially when we have these patients that come in. And honestly, I think a lot of people don't understand. Everyone comes to me and they're like, Oh, I don't really eat sugar. It's not the sugar I'm looking at, it's your carbs. I'm looking at your carbs.
SPEAKER_01Yeah.
SPEAKER_04So, um, and I think that confuses a lot of people. Um, so a lot of times, you know, I might have a make a food diary. Um, you know, you're telling me you're eating right. So for the next two weeks, write down everything you're eating, and then they'll bring it in, and I'll be like, hey, this is this has got this many carbs and this many carbs, and this is what you're doing here. And on top of that, I refer to nutrition all the time. Um, we have this one program that we use. I don't know the name of it, but um, instead, because again, I work in rural medicine, um, we they call them on the phone instead of having to actually go to an office, which I find so helpful and the patients like it too. And they'll make a whole diet plan with the patients. Which helps me. I I would consider myself a more conservative provider. I feel like if I can get away without meds, I prefer it that way. Um, because you know, it's chemicals.
SPEAKER_02So chemicals.
SPEAKER_04When we start, you know, getting into meds, if if I can get patients off meds, I'm always fine with that. Um, I do. I do prefer the diet and exercise. Now, I always have a very blunt conversation with my patients when we start talking about this. Um, and I I just literally ask, like, okay, yeah, you know, patient will ask me, Well, can I do it with diet and exercise? And my first question is, well, can are you actually going to do it? Are you actually going to do it in the next three months before I see you again? Because if not, I need to start you on medication. Because I mean, uh down to it, I I have to try to treat the patient. It's my license, you know.
SPEAKER_02Yeah. I will say, um, and I think this probably based on my you know, my poll of my friends, if you have insurance, you may have a nutritionist benefit, like a wellness nutrition. Because I do, and I took advantage of it, and I, you know, I'm in this space. I talk about it on, you know, Apple and Spotify. Please subscribe. And uh and you know, and talking to the nutritionist, we we sort of probably the first three weeks, four weeks was experimentation. And I found things like I could put a tablespoon of sugar in my coffee, it would affect me less than a hundred grams of white rice. Um, so I mean, you're right, you can't villainize sugar. I mean, usually sugar comes in a cohort with a whole other mess that you know you probably should eat, and there's probably no good reason why you should be eating like coffee crisp candy bars, except for the fact they're so delicious. Um but yeah, I I don't disagree with you. I think it's you again, it's it's complex, and that's why you know, nutritionist and dietitian are are their own, you know, thing.
SPEAKER_00I think to Megan's point though, when she said, you know, somebody does a food diary for a couple of weeks and she brings it in and she looks at it. I think some of it is the type of carbohydrates you're eating too.
SPEAKER_02Yeah.
SPEAKER_00You know, starchy versus non-starchy, you know, what's going to impact different types of sugar, I mean, that are out there. And I'm not talking about the the pseudo-fake sugar things, I'm talking about just the you know, raw sugar versus fructose corn syrup versus all those other things. The impact that I've seen in you know, family members and and athletes we've worked with, what it does to them. You remember the guy we were at um we were at the Arnold the the one year? This guy walks in, he was probably 350 pounds. Oh my god, yes. If he was an ounce, but he walks in, he's got a whole pizza, he ate half the pizza, and then as he's going up to lift for this first lift, he remember those little squeeze bears of honey? He's drinking it.
SPEAKER_02Yep, that was his energy drink, was straight honey. Straight honey. Yep, yep. And you have no idea why he was strong. Good lord.
SPEAKER_04My son is a junior in high school, and he's not gonna listen to this, so I'm gonna say it. Um he gets like the worst cramps during football, and he's pretty good at football. I'm really proud of him. Um, but he gets the worst cramps, and he on the football field, and it was during a game, I saw him sucking on a bottle of mustard, and I was laughing so hard. Like, that is not oh my he was dead sad.
SPEAKER_02Who told him that? Is that like one of his friends? Like, hey, yeah, what's your son's name?
SPEAKER_03Nikon.
SPEAKER_02Okay, let's uh let's prank him a little bit. Oh, dude, mustard is the new Gatorade. You everybody drinks mustard.
SPEAKER_03Well, he had his whole team doing it. Oh no, oh my goodness.
SPEAKER_04So I was like, Nycon, what are you doing? And he's like, No, it helps with cramps. And I was like, first of all, maybe mustard seeds. Maybe, but you there is there is actual processed mustard has nothing to do with it.
SPEAKER_03I mean, I've seen a lot of these not even close.
SPEAKER_00Yeah, pickle juice. I've seen I've seen pickle juice athletes use pickle juice or you know, like uh ice cubes made out of pickle juice, stuff like that.
SPEAKER_03But you know, go to rogue juice. It magically got rid of his cramps, though. It'd be like he would get right back. I'm like with the placebo effect, right? Really?
SPEAKER_02Well, you know, that that that that's kind of real, but you know, you can just go to rogue and borrow a element pack and get all your magnesium stuff. I don't know what you're talking about.
SPEAKER_03Sorry, Nye, if you ever listen to those.
SPEAKER_02So, how how do you do so when like if Scott and I were to go in a big box gym, we would cringe watching some people really I don't want to say waste their effort, but be less than efficient with the things that they're doing. As a doctor roaming around to not say you suck. As a doctor roaming around the earth, do you see things that make you want to just like stop and slap people? I mean I mean you must. You must.
SPEAKER_04There's there's sometimes for sure. I mean, especially, you know, when you're working as a nurse practitioner and then like hearing people like their ideas of what is right can be really shocking sometimes. Um and of course you always kind of have to be a little bit more diplomat more diplomatic about that, uh, because you know, you want them to come back and see you again. So um definitely we run into that sometimes. It's I think one of probably the most important part of my job as a provider would probably be education, just trying to explain what was right. Um, every once in a while, I will have patients that will argue with me. And at that point, I will just calmly explain that hey, I am not trying to upset you. Um, you have every right to, you know, opt out of everything I'm saying, but it's my job to tell you. And we kind of take it from there. But some there are definitely some wrong ideas out there.
SPEAKER_00You think. All right, Megan, you hit on a key term there. You said
Peptides GLP-1s And Telemedicine Pitfalls
SPEAKER_00as an educator, and you know, I I want to sort of tie both you as a provider as well as you as Dr. Fox, the you know, the the PD. Um about looking at uh trends right now, you know, because one of the things that John and I hope to do when we started this podcast, you know, a few years ago is provide stories, provide you know some jokes for people, and you know, maybe give them something to sort of think about. What are some of the things, maybe some of the trends that you see um that you know people 40 and up, especially maybe those who say they're athletes and we have large quotes around them because I look over at John and I look in the mirror at myself. I put myself into that. You're welcome. You know, what are some of the trends that you're starting to see in healthcare, both from a this is not a good way to go because this is, you know, people are getting sick this way or stuff like that, versus some of the as well as some of the things that healthcare is starting to maybe move forward with a little more.
SPEAKER_02Also, what brand mustard should I be using?
unknownFrench.
SPEAKER_02Of course.
SPEAKER_04Um so right now, a lot of the things that we see, um, you know, uh a big topic of conversation is peptides right now. Um, so I'm gonna be flat out honest with you. I don't know enough about peptides at this point to say either way. Um, I do know that it's up and coming, it's big, even my teenagers are asking about it. Um, another thing, so something that I get asked about daily for like even in my own practice, and I, you know, I have students that ask me about it too, um, is you know, the GLP ones. We have everyone wants to be on a GLP one. Um, GLP ones can be absolutely wonderful for the things that they are made for. Um and that would be like the diabetes. There's a lot of cardiovascular indications for them now. Um definitely things like that. Um, but you know, you can it's almost like you can turn on a commercial and you can get on a GLP one right now. And a lot of times is things like that that um can be difficult in healthcare is I need to know if you're on a GLP one. It affects how I'm going to treat you. And two, people don't understand, you know, if you don't tell anyone that you're on medications like that and we schedule you for surgery, you're supposed to be off a GLP one for at least a week. Some um anesthesia providers recommend two weeks before you get the surgery. It can affect the anesthesia. So there's there's a lot of things like that. So that's there's a lot of you know, with like all of the telemedicine that's available now. Like I have patients that use me for primary care, but anytime they have a problem, they go on telemedicine. Well, that's difficult too because now I don't know when you're having acute issues. So I'm thinking I only see you once a year and you're in great health. Do you know what I mean? So it can be difficult. Um, advances in you know, technology and modern medicine are great, but when it comes to things like that, um, I'm supposed if I'm gonna be your primary care, I need to be in the know. I need to know what exactly is going on with you so that I can treat you properly. That's what we do deal with a lot of that.
SPEAKER_02I have uh I have two stories that deal with it. I feel like I'm part of the conversation now. The first thing is so Scott and I competed at the Arnold Sports Festival, 100,000 people roaming around this convention. I bet 70,000 of them were 20 years old and younger. They were broccoli heads, maybe. Yeah, sorry, they're broccoli heads. I I try not to use that term, although it really nails that haircut. Um says the two bald men. Hey, I've had everything from the feathered 80s hair to a mullet, so uh yeah, I did bad things, but anyway, I digress. Um, one of the booths that was insanely popular at the Arnold was a peptide booth, and they they had a quote unquote doctor there that somehow would prescribe you BPC one, what is it, 157? Um right there. Like a 20-year-old could have walked up to this booth and got peptides without a full evaluation? Like are they yes, yes, yes. I mean, there are there are providers like Merrick Health and stuff there that is are like concierge medicine for sure, and probably probably far more valuable than I can ever afford. But yeah, there was just this one booth with hey, you want you want some peptides? We could probably sell you some peptides.
SPEAKER_04Oh my goodness. See, things like that, they're they're scary in the aspect for, and I'm only speaking for myself as a as a provider. Like if I don't know exactly what is going on, um, and I don't know that my patients are on these things, it's do you know what I mean? Like I that can inter like I don't know. I haven't, and like I said, I haven't done enough research on the peptides yet, and I really do need to get up on it. Um, because I do have a lot of people asking about it. But I, you know, it can things interact with each other. Like you can't expect to be on peptides and herbal supplements and all of these things and expect it to not not, you know, react with Western medicine. So we deal with that too. Um, you know, a lot of people don't realize that turmeric has a blood thinning property. And so I've had patients um that, you know, we may have had to stop a procedure or or not approve them right away because they were on turmeric and it thins your blood. You can bleed. So there's definitely things like that. Oh we we need to know everything.
SPEAKER_02Scott and I are looking at each other like, did you know that? I didn't know that. Did you know that? I didn't know that either. Wow, that this there's something right there. Thank you.
SPEAKER_00I mean, that speaks largely to you know having that relationship with your your primary care provider, whether it, you know, with you know, somebody that comes to where you're working or something else. We all do that, you know, WebMD AI bullpucky, but it's making sure, like you said, that communication. John had another story.
SPEAKER_02Oh, I do have another story, that's right. Um, I
GLP-1 Side Effects And Titration
SPEAKER_02am one of those people that they put on a GLP1 for diabetes.
SPEAKER_04I think it's great for diabetes, yes.
SPEAKER_02Yeah, okay. So here's my story. So it's a it's a rank. So much for John. You titrate the dose up to an effective dose, right? And then you kind of back off if you're getting side effects. I got side effects. Boy, did I get side effects. I got the scary side effects too. Like I it didn't like I know one of the weird side effects is uh I don't know, delayed gastric emptying. Is that the plate way of saying that I was like like epically constipated? I don't know. Um well no, but Scott, honestly, one of the one of the side effects is it can shut the whole thing down. I got in that neighborhood, I got a lot of like I had raging headaches and I was shaky, and it did help my blood sugar. I'm not gonna lie, it absolutely did.
SPEAKER_00Well, you were shaky because you had already had six cans of rain energy drinking.
SPEAKER_02Don't look in the fridge, and uh but again, I I I sort of you're right. It seems like such an innocuous drug because we talk about it at every turn, but it's still a drug. I mean, you know, please discuss with your doctor or nurse practitioner, you know, as the case may be, but it's not the end all be all when maybe avoiding sugar gets you there as well, you know?
SPEAKER_04So there's definitely a lot of pros to it. Um, there's also, I mean, I've I've had plenty of patients deal with the GI side effects of it. Um, you know, I definitely warn as soon as I put someone on one, if I happen to put them on a GLP one, I I immediately start talking about the GI side effects. Um, but I also have patients of where I have them on the highest dose of a GLP one and they've lost maybe 10 pounds and that's it. So I it's it's different from person to person. Um, you know, it's uh when it comes, a lot of people deal with the GI symptoms. And then it depends on how fast you're titrating as well. Like, okay, am I just ramping you right up immediately? Or am I doing it and then checking your A1C and doing it every three months? So once I have someone controlled, a controlled diabetic, I don't really find it necessary to continue the titration up. Does that make sense?
SPEAKER_02Oh, absolutely. And I mean, one of the things is, and this is I have to work in at least one brag every episode. Um, I'm lean enough that I almost have abs-h. And so the weight loss was not something that was beneficial. Like that was that's not what driving my diabetes, but the weight loss happened.
SPEAKER_00Yours was muscle loss, though.
SPEAKER_02Yeah, I started to lose actual muscle, and I was like, you know, preserve muscle in my old age versus taking this drug, it just it was complex. Yeah. Um, the other thing, you know, I need to say, Scott, because I use the term a lot myself titrate, titration. For those that don't understand what titration is, picture if you were cooking a stir fry and you had hot sauce, and you are gonna add hot sauce one drop at a time, and you want to get it just as spicy as you want it, but not too spicy. Titration is the process of drop by drop spicifying it, slowly and and carefully approaching that threshold, but not going over. So, not like I cook. Thank you for you know, I nailed that simile or metaphor, and you just like crapped all over it with your shitty cooking. Whatever. No, no, not my shitty cooking. Oh, yeah. Scott makes just so you know, folks, Scott makes a meal, it's like the first ingredient. Oh, 11 jalapenos. Okay, well that Scott, it's an omelet, yeah. Whatever. Don't eat the whole thing.
SPEAKER_04How did
How We Found Strongman And Pickleball
SPEAKER_04you guys get into working out the way that you do?
SPEAKER_02Uh stupidity. Pretty much. Um it's self-selection. Here's the deal pivot. Yeah, you you you end up like you know, you do something in high school, and it sort of you know, it trickles down to suddenly you've fallen into football or judo or wrestling track or something like that. You know, and that's one side of it. Whether you know, if you've played baseball, basketball, tennis, it's probably a different path. And then you know, you turn 40 and you can't bourbon and do highland games, yeah. You can't move as fast, and you're reasonably strong, and you think to yourself, oh, I can I can do that in short bursts between naps.
SPEAKER_00Pretty much.
SPEAKER_02Yeah.
SPEAKER_00No, John and I um I mean the story is we met what about six years ago now? Maybe give or take. 1473 years ago. There you go. Thank you. John and I met in Highland Games, and I'm going to leave out some of John's more uh notorious.
SPEAKER_02Let's leave all of them out. Thank you.
SPEAKER_00And the one thing we found is Highland Games is nine events over the course of a day. Well, these nine events would take 14 hours. And Megan, you there?
SPEAKER_04Uh uh yeah, I'm here. Okay, it just went dead silent. No, it got super silent.
SPEAKER_00Wow. And so we said, all right, you know, enough's enough because you're you're spinning around in circles, holding weights, you know, extended from your body, so it's the joints get hurt. So we uh we started working out together a little bit, and there was compound 1.0, then there was the large fire, and we had uh an interim, and now we have compound 2.0. And I think uh we're gonna start pivoting again now to natural stones, and as loath as I am I am to say it, John and pickleball.
SPEAKER_02Pickleball. There you go.
SPEAKER_00Pickleball at 40 minutes and nine seconds in.
SPEAKER_02Yeah, who had that in our bingo card? I do have to say, Megan, the one thing I have to give props to Scott. Scott is an elite level master strongman. And you know what the worst, one of my several bad decisions in life is having him as a training partner. Because he outweighs me by a bit, and he's stronger than me by a bit. And gas tank. Yeah, usually Sunday afternoons for me are filled with moaning and laying on the couch not eating Cheetos, not because they're not a sponsor.
SPEAKER_00One um one of the things that helps me, Megan, is uh god during COVID we started doing something called grinds, where it would be uh go as hard as you can doing something stupid for an extended period of time. So it might be picking this filled beer keg up, putting it over uh a 50-inch tall bar for 10 repetitions, and then John would go and we'd go back and forth. And John started playing pickleball, so he's not quite as uh his gas tank isn't quite there as much. That's hurtful.
SPEAKER_02It's true, but your total cardiovascular is there. You tell Stella the 80-year-old I play against and my gas tank isn't there. Yeah, she still kicks your ass. Pretty much. Yeah, that's not that's not untrue.
SPEAKER_00Um, yeah, I think the thing with strongman is my cardio is I can go all out for two minutes at the same weight. John's laughing. All right, for a minute. Thank you. I'm sorry, I did 21 repetitions at 550-pound deadlift in a few.
SPEAKER_02I don't think you understand what I was really fighting with here to say that's what she said. Oh okay, thank you.
SPEAKER_04Whereas, you know, the first time my son met Scott, I was working late and I was putting together mannequin or something in the nursing lab, and we left, and my son was like, Mom, that guy was so big.
SPEAKER_02Yeah, he is like a refrigerator with uh with a blue beard.
SPEAKER_00Yeah, but I mean, here's the difference. Whereas John can't keep the weight at the same level, John could go for a longer time frame than I could.
SPEAKER_01That's what she said.
SPEAKER_00Oh my god, you need to stop. I think I need a that's what she said button. No, you don't. Okay. You know, so I mean, I think that's kind of where we're at right now. We've um we've gotten to the point where you know the bodies just don't take the weight anymore. So we're gonna we're gonna start pivoting.
Coaching Kids And Building Activity Habits
SPEAKER_00We've set a goal for next year, and John is actually committed to it. So Yeah, jerk.
SPEAKER_02Um Megan, uh with having eight children, like is that your is that your only athletic in Denver, or do you actually get to squeak some my time in between?
SPEAKER_04Um, so I will tell you I am 34. So when I was 30, I got pretty into working out and doing the gym and the whole nine yards. Um, I will tell you my I have a one year old. Oh, yep, and I do work all the time. So I have slowed down on that again. I believe it. But I plan on picking it back up. My boys have been begging me to go back to the gym. And when I say me, I mean they want me to pay for their memberships. So we're gonna be doing that again, but it's something I completely plan. getting back into i've always been pretty athletic um i help my i help coach the track team because my kids are on it and it was something that i loved to do go wolves um yes go wolves so that's it's been pretty cool um and then let's see i make my kids do three sports a year and some may not always agree with that but i don't need my kids home after school playing video games i would much rather them be tired out i do i make them play um and i have a 17 year old and i will tell you he is not the fan of that because every once in a while he'll want to like take a season off or something and i'm like if you want your phone and you want that car you're going to be at practice so um it's just something that i feel pretty strongly about i i would prefer to remain active i prefer that they um you know learn the fundamentals of team basics teamwork in general yep and learning how to win and lose so I can tell you I have been pretty good at a few sports and sport has served me well both you know in the sport as far as far as on the street in the community as well as far as like you said learning things like team building but if I were 17 right now and that PlayStation 5 in my living room was sitting there I might weigh their bedrooms I might weigh 500 pounds.
SPEAKER_00Yeah but you know you hit on that and one of the things we used to say because I worked in hockey for a little while was don't let your kids specialize. Make sure they're doing a variety of different things. You know and I think that builds up to kind of where the Masters athletes are at. We've gotten to the point now where maybe we're not doing three different sports a year but we're doing something that we enjoy which is keeping us moving. Yeah I think that's you know you've hit on that a few times tonight is you know make sure diet and exercise.
SPEAKER_04I would definitely say like I so with having eight children and seven of them play sports um each one of them are very good at different things. My daughter was an all-star cheerleader um you know she's retiring from that this year and honestly um she did that all while playing her three school sports and I was I you know you wanted to do cheer that's fine but you're gonna maintain playing school sports. I also like that sense of community to be honest with you we live in a small town I love that I want them to be part of that community I love that I know the coaches I love that I know the other parents so when it comes to all of that you know I have one son that is excellent at track it's his favorite sport that's what he's into I have another son that's obsessed with football he's done the college camps he he's done that route I have a daughter that can you know do tumbling things that I could never imagine and then I've got another kid who's obsessed with baseball so they play all of them I will tell you this I was very lucky tonight that a baseball game got canceled because of the rain um or I'd be doing this you know a whole different way I was gonna ask are you currently calling us from a minivan sitting in some field you must have the world's best folding chair like your folding chair must be elite I have a rocker on I knew it yeah I knew it John's chair had a I'm very big on all of that John has a had a chair that most had a cup holder his was slightly enlarged it could fit a 750 milliliter bottle in it I don't know how you know that because I've seen it many times all right let's dial it back to actual Megan Dr.
SPEAKER_02Fox
What Primary Care Asks First
SPEAKER_02um what are we doing wrong as middle aged athletes like what what am I ignoring? What do you think I'm ignoring? You don't know me but typically if I if I schedule an appointment with you before we have the discussion what what's the first question you're asking me?
SPEAKER_04I'm gonna ask you about your family history. Yeah yep absolutely because it really does matter. Does it so yep so if you're coming to see me and I'm gonna want to know about your parents if your parents so uh you're in your later 50s um I'm gonna ask if your parents are alive and I'm gonna if they're not I'm gonna ask you what they died from. Um because a lot of especially card of cardiovascular things, they matter they correlate. So I'm gonna look at that. I'm gonna look at your lifestyle. I'm gonna look at your stress level what you do for a living is a huge part of it. You know overall what a daily routine is for you do you have a step a step a set regimen or are you doing different things all the time that matters because it matters on your rhythm. So uh right off the bat, you know, those useless papers that you guys think you fill out in the doctor's office I think with the check boxes? Yeah I'm yeah I'm deeply familiar.
SPEAKER_02Okay.
SPEAKER_04100% um I look at what kind of medications you're on right off the bat if you're on Xanax with Adderall with this that I have a very blunt conversation with you at the beginning what are you on these for who is the original one that prescribed you and what's the diagnosis they prescribed you for and I'll tell you whether I'm comfortable prescribing them or not. I mean it's not that I would just yoke anyone off their medication but I really want to know like um it it does it makes a big deal um and to kind of explain because every provider practices differently so what other providers might be comfortable with some won't. I know some providers won't even you know send uh anything over the phone whatsoever where if I have a patient that will pee in a cup and I can see they have a UTI I will send the antibiotic without a visit. But I need the dipstick first. So I it just it really depends on the provider but definitely I look at all your history it it's a huge part of your first visit with me. I want to know everything like it helps me get a sense of who you are as a patient. Are you going to be compliant non-compliant? Do you actually listen to what I have to say or are you in here with a one track mind with a purpose that matters too oh you think people you think people walk in with an agenda like I really want Xanax or something like that. I mean is that a it's not necessarily Xanax. Um there are definitely people that ask for it. I kind of look for a history and things like that. And a lot of times I will refer to psych um I dabble with just like everything else, you know, Jack of all trades I dabble with some of the mental health medications. But I will have you know a patient brand new patient tell me right off the bat again I'm gonna use the example I want to I want to get on a GLP one.
SPEAKER_02Yep.
SPEAKER_04Well what's your reason for that? What have you tried? What are we looking at here? I have to I you know when's the last time you had blood work I look at all of that. So I do think that sometimes people always have a triggering event of why they start seeking medical care. There is always a reason whether it's you know I haven't you know I've had a stomachache when I've woken up the last two weeks or um you know I've noticed that I've been trying to lose weight and I can't or that there's always a triggering reason. So I kind of look at the reason and then I look at how open they are to actually getting help or are they just coming in because they want to order off a tray does that make sense oh absolutely and it makes me it makes me want to give you this softball question. We should we be going to our doctor like more regularly so it depends on what you have I like to see my patients at least for a physical every year. Okay I see all my patients at least once a year. Now if you have diabetes you will see me every three months unless it's controlled and then I push it to every six. But if you have a chronic condition diabetes hypothyroidism high blood pressure high cholesterol medication if I have you on medications of some sort that can affect you know your blood levels and things like that absolutely I'm gonna see you at least every six months.
SPEAKER_02All right uh Megan I'm going to break the man code right now and let you in on a little secret probably 80% of my cohort of friends just never go to the doctor. So they don't I am not shocked they don't even know if they should be on high blood pressure diabetes any anything. They just you know they think they're a lot they think they're healthy because of sins of omission I guess.
Blood Pressure The Silent Killer
SPEAKER_04Um that happens a lot I will tell you a lot of times um I get patients I am a big fan of blood work I like to run labs because I could look at you and you could feel perfectly fine. I don't know how much you guys know about blood pressure. Um it's called the silent killer and it's called the silent killer for a reason because you will feel perfectly fine and you can have really high blood pressure once you start feeling the effects of high blood pressure the headaches the chest pain all of that that is when it's already started to cause target organ damage. Oh because what you're doing is you're hyperperfusing your organs regular like all the time so that your organs are not getting enough oxygen that's required to function normally so you're slowly killing them. That is why it's called the silent killer.
SPEAKER_00Oh well you and I had a conversation what uh two months ago something like that I had blood pressure taken and I come to find out you know the doctor had said to me because of my shoulder she says yeah take uh you know take a leave at night you know if you want to do the piano leave that's great. Well I had taken it for a long time single dose every night and then I got my blood pressure taken talked to my doctor and uh it wasn't doctor it was actually a a practitioner nurse practitioner and she said you know your blood pressure's through the roof it was like 160 over a hundred and come to find out got off of the you know the the the nightly painkiller and it went down into the upper 120s over you know maybe 70 something or low 80 something so still not normal by new standards but the goofiness and I didn't feel any different you know I I'm sort of agreeing with your point you it it's not like it's like oh my blood pressure's high feel XYZ it doesn't and that's scary.
SPEAKER_04No a lot of people will feel completely normal.
SPEAKER_02Uh Dr. Fox what is the current definition of high blood pressure? Like what are the numbers? Because I feel like they went down oh not so what would you really kill him in there.
SPEAKER_04I'll take a shot normal blood pressure in your heart 120 over 80 is what we would consider a normal blood pressure. So but I will tell you the older you get the more it varies. So um what we would consider a normal blood pressure for someone who's 75 is not the same normal blood pressure for a 30 year old. Does that make sense?
SPEAKER_02Yep lower or higher like uh we would expect it to be higher. Okay.
SPEAKER_04Your safe job so my blood pressure is good.
SPEAKER_02I got I got issues blood pressure doesn't seem to be one of them yet.
SPEAKER_04There's definitely different norms um you know as as you go on I wouldn't without having my textbook open right now be able to tell you the exact one. But no it's um 120 over 80 is the universal standard. You know, we use that one all the time. And a lot of times if it's I I also look at I won't immediately change someone's blood pressure met if they come in and their blood pressure is a little higher than normal I'll be like okay what'd you do before you got here if they tell me that they were running late and they were rushing because you know they don't want to be late for the appointment or that thing I totally expect their blood pressure to be high. So I look at situation as well definitely.
SPEAKER_02Okay. Yeah that's good because every now and then I've used the excuse of I've stopped at Starbucks on the way to my doctor visit.
SPEAKER_00Or I drank at Monster Energy.
SPEAKER_02I did that once I'm dumb I'm not that dumb. I was damn uh Dr.
Bloodwork Rules Insurance And Follow Through
SPEAKER_02Fox here here's I I think I just want you to commiserate on this one of the reasons I hate living in New York other than the fact it's not 85 and sunny today um I can't just go get blood work. Like I am a scientist and I would gladly pay annually for a ridiculous amount of blood work that you can get in some other states if I just walk into a quest.
SPEAKER_04So so the problem with blood work is so it's why providers pick and choose what they're testing for. So once once we have run the test for it, I am required to treat what I find.
SPEAKER_02Oh okay oh I never oh that ooh that's very interesting.
SPEAKER_04I didn't know that I didn't either yes so that is why your provider may be um picky and choosy with tests that they'll run because um you know a lot of times if you if you recall maybe like 10 years ago like a a pre-op visit so you know they used to want the the urinalysis the blood work the chest x-ray the EKG well a lot of providers have kind of steered away from that because of the things that they were finding while doing all these tests just to get surgery because you're required to now treat it.
SPEAKER_02Oh that that's interesting and scary it's scary it's it but yeah I always see it's funny because I always assume that it was big bad insurance just not wanting to pay for fringe you know I will tell you we do get constant battles with insurance as well I get it all the time like quite frankly if I order a test I want the test and I want my patient to have the test I don't um I don't really I don't let patients pick and choose from a smorgasbord if I if I want something I want it I think they need it.
SPEAKER_01Okay.
SPEAKER_04So a lot of times with insurances what we find is they I have to do the prior authorization, they'll deny it, I have to appeal it. It's a lot of supplementation um it's why why do I have to explain to you why I want that a test when I'm I'm already telling you that in the note. So there's there's definitely a lot of things like that. So it can be like MRIs can be difficult to get approved. You know a lot of times like if you think that you don't need an x-ray and your provider's just ordering an x-ray well it's because I have to start with the x ray to you know prove why to the MRI to get to MRA yeah okay so it's like a scaffolding if you will jeez I just want to know my all of my variables I just want them all but I don't want to treat all of them in case they're bad. Well and that is that is the thing because then you know treatments and treatments and treatments.
SPEAKER_02Is
Vitamin D Supplements And Drug Interactions
SPEAKER_02there something is there something that people should ask about ordering or at least discussing with you that is slightly atypical.
SPEAKER_04Yeah um I think so things that I found recently that have come about that I love um I love you know the shield so the blood test for colon cancer I love that um because I find that patients don't always return the cola guard so that's the box.
SPEAKER_02They just have a box on the corner staring at them? Ew.
SPEAKER_04Yeah it does it happens all the time. And then um patients tend to hate colonoscopies. I have no idea why.
SPEAKER_02I love colonoscopies. You know why? Because if there was one drug I could abuse it's whatever they put you out with I would you I would use that for sleep every night that is the greatest night sleep in the five year period or 10 year or whatever it is. So glad you went in that direction.
SPEAKER_04Oh my god I love that draw and I do think that every patient should get a vitamin D drawn especially in western New York we are chronically deprived of sun um and vitamin D really can wreak havoc on your body if it is too low or even too high. Oh so I I I do run a lot of vitamin D'cause I find that when my patients have you know you know they're they're overly tired it's affecting their mood um you know perhaps having issues with some hair loss or anything like that automatic I'm I'm ordering a vitamin D. And I'll tell you I've actually had patients the lowest vitamin D I ever saw was a three and it should be between 30 and 60 so um it was bad.
SPEAKER_02So I do I run vitamin D's especially in Western New York is that is that reasonably repairable with like supplementation yeah vitamin yeah yeah absolutely definitely a vitamin how do you feel about like just the multivitamin you know without any data supporting it I don't agree with that too much of anything is dangerous.
SPEAKER_04Okay so I actually um I and also a lot of it is a money grab so some vitamins can't be absorbed in your stomach like that. So I I think that people think that they're being super helpful and I also need patients to understand that with all of these vitamins and supplements and things that you're taking it absolutely can interact with your regular medications. I cannot say that enough. So that is why when I see a patient I want to know their full med list tell me if you're taking ginger tell me if you're taking turmeric tell me if you're taking oh what is the other one I see all the time you know dandy root or whatever. Like we'll see them all. Basically let me see your shopping cart from GNC oh what have you purchased and they will they will come in with a whole giant grocery bag of all of these things that they're taking I believe and it's because they saw a commercial you know their beet juice and and and just tart dairy juice yep I'm I'm well aware it's it's definitely things that you you need to tell your healthcare provider that you're taking to make sure that it doesn't interact with someone else. And I'll tell you sometimes we don't always know I run med medication interactions all the time just because I am not sure I have to double check myself.
SPEAKER_02That's right. That's what we go to you for because you have the skills to think about it. And I honestly while if a doctor asks me what other medications you're on I don't know that my brain necessarily drifts to the fact that I use creatine. You know I mean I oh not at all I don't think of creatine as a as a drug even though it may have some interaction with something yeah oh I mean I definitely want to know about your creatine let me see your blood pressure there you go it's good so I'm not Scott. My blood pressure's fine right now thank you very much.
SPEAKER_00Maybe not right now it's because John's picking on me I'm sorry.
SPEAKER_02Um I think we should give Dr. Megan Fox the rest of her evening off considering that she has eight children 19 sports to get to um and we've already monopolized over an hour.
Use It Or Lose It Wrap-Up
SPEAKER_02Yes I agree.
SPEAKER_00Well Megan let me finish with this okay um what is one thing that you would tell somebody who is engaged in sports that is 50 and above what what what one piece of advice would you give them to remain active so um the if you don't use it you lose it that's a very real thing.
SPEAKER_04So I think that as long as you continue to do what you're doing that is age appropriate. So um for example it you know knowing your limits keeping up with it that's how you're going to stay active that's how you're going to keep doing what you're doing because I will tell you when people stop they stop and that's when it it starts you start to hit a wall.
SPEAKER_02Excellent ladies and gentlemen that was a doctor slash nurse practitioner that just told you that so listen to her.
SPEAKER_00Yeah get off the couch she's a real doctor put the Cheetos down put the Cheetos down not a sponsor Megan thank you very very much for joining us tonight uh you know this this past hour has gotten more holy shit looks between me and John than is normal.
SPEAKER_04We're gonna have a half hour discussion afterwards like did you know that did you know that exactly uh we as always we reserve the right to uh to ask you to join us again for a future episode if we haven't scared you off yeah absolutely I really appreciate your time and I actually know a really great person who is uh uh she has an a doctorate in business who actually deals with a lot of peptides all the time I wouldn't mind giving you her digits oh we would absolutely love that why don't you hang on for a couple of seconds after we finish our our wrap up and yeah that sounds like definitely something that I think would be an interest to our 53 country 4000 listener yeah Megan we're in 53 different countries yeah oh cool that's awesome yeah so you're you're global welcome welcome to the globe yeah welcome to the globe and just reiterating that all of this is just from what I've seen none of yep nope don't yeah yep this is just from from what I've seen not a problem and also mustard does nothing sorry bud yeah sorry I'm still Scott I'm still John and that was Dr.
SPEAKER_02Megan
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SPEAKER_02Fox Megan thank you so much thank you so much thank you guys good night bye thanks for listening if you enjoyed this episode and you'd like to help support the podcast please share it with others post it on your social media or leave a review to catch all the latest from us you can follow us on Instagram at Masters Athlete Survival Guide. Thanks again. Now get off our lawn you damn kids