Five Rivers of Health
Five Rivers of Health is a Heald podcast about the five things that actually drive long-term health: Sleep, Behavior & Engagement, Nutrition, Movement, and Medication. We also look at how data can make managing your health easier.
The show is hosted by members of Heald’s care and founding team, with physicians, researchers, coaches, and other guests joining most episodes. Topics range from metabolic health and diabetes to nutrition, lifestyle, and prevention, always grounded in what’s practical, not just what’s ideal in theory.
Five Rivers of Health connects clinical knowledge with everyday choices, so better health feels less complicated.
Five Rivers of Health
When the Liver Fails, Sugar Follows: A Diabetes Deep Dive | Andy De Santis | Podcast
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Fatty Liver (MASLD) Is Rising- Here’s How to Reverse It (Without Going “All or Nothing”)
Registered Dietitian & author Andy De Santis joins host Sandeep Misra to cut through hype and lay out what actually works for fatty liver (aka MASLD). We cover why it’s being diagnosed younger, especially in men, and the link to low testosterone and fertility.
Learn how insulin resistance drives liver fat, what labs/imaging matter (triglycerides, HDL, ultrasound/FibroScan), and the biggest dietary culprits (sugary drinks, refined carbs, processed/red meat, alcohol).
Most importantly: the playbook. Andy’s “curated high-polyphenol Mediterranean” pattern thinks fatty fish or EPA/DHA (algae) supplements, beans/lentils, nuts, berries/flax/coffee/tea, herbs & spices, olives/avocado, plus why aerobic exercise trims liver fat more than lifting alone. You’ll get day-one habits (fruit + nuts snack, canned-bean hack, daily walk, 4-7-8 breathing), why women should prioritize glucose control even more, and a sane mindset: it’s a game of averages, not perfection.
Takeaways: Fix the inputs, stack simple wins, and you can meaningfully reduce liver fat often without massive weight loss.
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