
Reshape Your Health with Dr. Morgan Nolte
If you are ready for momentum building, evidence-based advice for how to reverse insulin resistance, lose weight, and prevent disease, this podcast is for you. Each week Dr. Morgan Nolte, PT, DPT, GCS breaks down the research behind weight loss and behavior change to give you actionable steps to start seeing results. To learn more, visit https://www.zivli.com/.
Reshape Your Health with Dr. Morgan Nolte
281. The Shocking Truth About Heart Disease and Diet with Daniel Trevor
Have a question you want answered on the podcast? Send us a text!
Are you struggling with cravings, weight gain, or feeling stuck in a cycle of unhealthy eating? In this episode, Daniel Trevor, author of Unholy Trinity: How Carbs, Sugars & Oils Make Us Fat, Sick & Addicted—And How to Escape Their Grip, shares his eye-opening journey from surviving a heart attack to becoming a wellness warrior.
We dive deep into the hidden dangers of modern diets, exploring how carbs, sugars, and oils are not just harming your body, but also fueling addiction that’s hard to break. Daniel reveals why these ingredients are so addictive and the devastating impact they have on your health if you don’t make a change.
If you’ve been feeling trapped by cravings or stuck in a cycle of poor health choices, this episode is for you! Daniel offers practical strategies to break free from food addiction, regain your energy, and reclaim control over your life.
Listen now to discover how to escape the grip of these harmful ingredients and start your own transformation!
Resources From The Guest
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Resources From This Episode
>> Insulin Resistance Diet Blueprint - https://www.zivli.com/blueprint?el=podcast
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Have a question? Email us at: support@zivli.com
Morgan Nolte, PT, DPT (00:01)
Hey there and welcome back to another episode of the Reshape Your Health podcast. I'm your host, Dr. Morgan Nolte, and today we have a really exciting topic all about heart disease, cholesterol, sugar, low fat diets, all the myths related to heart disease, and we have a wonderful person to speak on it. Today we have Daniel Trevor, and he is a heart attack victim turned wellness warrior.
And he is now an international bestselling author of Unholy Trinity, which I thought was a clever name, How Carbs, Sugars, and Oils Make Us Fat, Sick, and Addicted, and How to Escape Their Grip. This is gonna be a really great interview. I always love talking with people who have that real life personal experience, and you do, and then you've just kind of, I feel like, devoted your life to this cause. So Daniel, thank you so much for coming on, and welcome to the show.
Daniel Trevor (00:55)
Well, I'm honored to be here. Thank you so much for having me. It's exciting because I love talking about this as much as you love seeing all your patients and that kind of thing and helping them through these addictions because we all get addicted to these things. That's the way they're designed. I had my list of addicted things too. And so that's why I have as part of the total how to escape the grip. So yeah.
Morgan Nolte, PT, DPT (01:19)
yeah, it feels like that,
especially like end of the day, nine o'clock at night. You've you've kind of white knuckled your day through the day and now white knuckled your way through the day. And now it's just kind of time to relax. And unfortunately these foods have that psychological property where like they just make us want them and they make us want more and more. But before we get there, I want you to start with your story and start with, you know, what was it like to have that heart attack? How did that change your life? let's start there.
Daniel Trevor (01:43)
Hmm.
Okay. Well, about four years ago, I had a heart attack and almost died. And I was a slim symptom free Mr. Healthier. I thought, right, because I was under the impression, like most people, and I'm sure a lot of people listening in your audience, well, before I get sick, I'll have some symptoms and signs, and then I'll go to the doctor. He's got a white jacket and a stethoscope around his, he'll fix me.
It ain't that way at all, folks. It's by the time you have symptoms, you are way down the line and it's a long road back or it's just too late. Check out this stat. You probably know this. Most of the people who die from a first deadly heart attack, their very first symptom of having heart disease was their own death. What? So it's just insane, you know? And so once I had it, it was a shock to me.
Morgan Nolte, PT, DPT (02:38)
gosh, isn't that sad? So devastating. Yeah.
Daniel Trevor (02:45)
And so having studied technical data all my life, I felt comfortable in diving into the medical nutrition sites to find out how could this happen to me? I'm Mr. right? And so what I discovered absolutely blew my mind. It shocked me and infuriated me because I came across all these data that was like, what? It's really like this. And they're telling it's this because what they've been telling us to eat for decades is killing us.
And it's all wrong. And there's so many vested interests in corruption. So my book, not only is it a how to book on how I reversed for comorbidities, which I'll tell you about besides the, the, the heart disease. it's also kind of a, a bit of an expose on big food, big pharma and big medicine. Now, having said that, I have to acknowledge there are wonderful, beautiful three, people in all three of those sectors, right?
Morgan Nolte, PT, DPT (03:17)
yeah.
Daniel Trevor (03:42)
Especially medicine because you know, we have what I call 24-hour heroes. They're setting the bone and suturing up our wounds and removing bullets and steering wheels from our chest. Everything is like... Plus all the acute illnesses that come in bring people into the emergency room. Emergency is just... My older daughter works in the emergency room so I talked to her about this stuff a lot. So, but anyway, yeah, so... And I love all the doctors. It's just that...
Morgan Nolte, PT, DPT (04:02)
yeah.
Daniel Trevor (04:09)
doctors sometimes they don't they're not able to be the doctor that they set out to be because their medical training excludes so many subjects as I'm sure you've discovered by now. I mean since the medical schools I didn't mean to go off into this but I'm just thinking now the medical schools are underwritten and funded by big pharma.
Big Pharma wants them reaching for the prescription pad. They don't want them talking about their diet and their exercise. Hey, you get into the gym today. What's your diet like? But yet on the other hand, when you take your little dog Pucci to the vet, what's one of the first questions they ask? So what do you feed little Pucci? So when's the last time you had?
Any conversation with your doctor and again, you know, they're not, they don't have that training to get maybe what 10 hours in medical school on it, depending on the school. If not, if any at all. And plus they're working in a system and for bosses that want them to keep it moving. The average visit is what seven minutes or something. And so they don't have time. They got to get the stats done. They got to get on the computer and write in all the data that you know about. You've gone through all your training. And so they can't.
Morgan Nolte, PT, DPT (04:59)
very much.
Yeah.
Daniel Trevor (05:20)
So I don't hold it against them is my, is my, I, I have big hugs for all of them, believe me. but they can't be the doctors that they wanted to be because of the system that they're in and they can get in trouble too. mean, I was on with, Dr. Sean Baker, he had his, his YouTube podcast.
And in his book, he talks about how he discovered keto, which is the first thing that I discovered. And he discovered keto and he was getting amazing benefits from it. And then he started turning on his patients to it and they were having, and then his seniors saw that and they just came down and he got in a lot of trouble. He was suspended for a year. I mean, it was just terrible. It was just awful, you know? So anyway, just thought I'd throw that in, but
The thing is, is that it's all wrong. They've got it all backwards. And in the beginning of the book, I try to give the history. How did we get here? Because it's also what you might call a situation and data analysis of this. In 1930, the obesity rate was 1%. We are now approaching 50 % in under a hundred years. In 1930, the chronic illness rate was 7%. We're now over 60%.
Never before in human history has a population this size gotten so fat and so sick so quickly, you got to say what the hell is happening? And when you pull the strings and you do the analysis, it's the introduction of the unholy trinity in the 20th century. I mean, we started the 20th century out in the year 1900 was when Hershey's had their first candy bar. What a way to celebrate the incoming year, right? And then
Because in 1900, people died of infectious diseases up until that point. know, pneumonia, tuberculosis, you know, that kind of thing. And the very first medically recorded heart attack was 1912. And it's just wild. And then cancer wasn't even like a thing, as they call it, until the 30s. And then when you get to by 1955, I have this, I have a lot of graphs, images and pictures and stuff like that in the book.
Morgan Nolte, PT, DPT (07:22)
Wow.
You too.
Daniel Trevor (07:35)
to make it easier for the reader, right? Because it was written for the average reader of Health and Oneness. And I have this graph that shows the cardiovascular disease rates going from 1900 over here to 1955 here. What happened in 1955? That's when President Eisenhower had his heart attack, right? And people were going, wow, this and men and women were dropping in the prime of their life.
Saying what's happening? And then along came this joker. I'm sure you know who he is, Ansel Keys. And he had this theory that it was the meat and the butter and the cheese and it was clogging up the arteries and that kind of thing. And it's not that way at all. He gave this idea that it was kind of like a shower drain with the soap and the grease and the hair and the gook and it would clog up. And it's not that way at all. But when people get an idea in their head, they just, they get locked in. It reminds me of that,
Morgan Nolte, PT, DPT (08:06)
yeah.
Daniel Trevor (08:31)
Mark Twain quote, you know, the famous, common sense philosopher of the 19th century. And he had this quote. said, it's easier to fool people than to convince them. They have been fooled. It's easier to fool people than they convince them. Hey, you've been fooled. my God. And so it's perfect for that. Cause once people get that clogged drain thing in their mind, they just, yeah, it must be the meat and butter and cheese is a cholesterol.
Morgan Nolte, PT, DPT (08:47)
Yes, I've never heard that one. Yeah.
Daniel Trevor (08:59)
And that's not the way it is at all. So anyway, I go in through the history of all that, of how we got here and, and how the cholesterol theory that he came up with and poor Eisenhower, he was assigned his own physician. was it? Paul Dudley white. And unfortunately for the president.
He was good friends with Ansel Keys and said they put him on a low fat diet, which when you go to low fat, that automatically means you got to have more carbs and so forth. And then he developed type two diabetes. He had another heart attack. had a stroke and they finally succumb to a intractable heart failure. So anyway, but at the same time, there was a guy over in England. This,
Dr. Yudkin, Y-U-D-K-I-N, and he was trying to bring attention to the fact that he said, hey, no, it's the sugar. It's the sugar. And just he wasn't heard because they came up with this theory, they believed in it, and then the USDA got involved. And within 10 years, know, Big Food started getting into it.
with adding all the, when you remove fat from things, it doesn't taste so good anymore. So they had to add the sugar and the carbs to kind of, you know, make it more palatable for people. And when they did that with this dietary guidelines that came in, what was it? Yeah. When they first introduced the guidelines over here and here's the obesity rate introduction to the, the, the food pyramid. And here's the obesity rate. It's just going off the charts. And so it's, and when I say carbs, carbs, sugar and oils,
I'm talking about the refined and industrially processed grains, which they then turn into powders, which they then turn into bread, pasta, cereal, waffles, pancakes, chips, pretzels, rolls, tortillas, and on and on that way. And then of course you have your candy cake, ice cream, soda, fruit juice. mean, we never had fruit juice. We didn't even have juicers until what? The 40s, the 50s, you know.
blenders weren't even invented until the forties. Refrigerators didn't come in until the fifties and then set a sixties is when I think the juices came in and then the, the microwaves came in in the seventies. And so, you know, we didn't have any of these things in our, in our diets before that. So anyway, it's just all backwards. now we have this epidemic of obesity.
and heart disease and it's all coming from the diabetic physiology that people get that you cover so brilliantly. It's all about the insulin resistance because you have to have some degree of a diabetic physiology whether it's pre-diabetes or type 2 diabetes in order to have all these that's source root cause of all these major diseases. Your heart attacks, your strokes, your cancers, your PCOS which I have a whole chapter on, know sleep apnea.
Morgan Nolte, PT, DPT (11:57)
Yeah.
Daniel Trevor (12:01)
blindness and cataracts. I mean, the list goes on and on and it's just amazing. So that's why I've called it the gateway disease.
Morgan Nolte, PT, DPT (12:04)
It really does, yeah.
And I think I have a YouTube video that says like heart disease is not the number one killer of women. And that's because in my opinion, insulin resistance, which is the cause of heart disease is, but you have in your introduction, I wanted to ask you one of your bullet points was what's the number one killer of women 10 times more common than breast cancer. So how would you answer that question?
Daniel Trevor (12:31)
Well, have a section on that and I think it's chapter 17. And this wasn't my work. You know, none of this is Daniel's opinion, by the way. This is all I took the deep dive into a lot of research. My book contains more scientific references to citations than any other health and wellness book in existence.
Most of them, they have any, they have two or three hundred. Mine has one thousand two hundred and twenty seven. So again, because in the beginning of the book, I tell the reader, say, look, I know you're probably thinking, hey, without medical degrees and all this and organic chemistry and so forth, why the hell should I trust you? I say, look, don't just think of me as a friendly relay point of what the best of twenty first century science has to offer for your health and wellness and fix yourself. I did. You can too.
So anyway, to get to the answer to your question, I can't remember the exact figures, but they found that heart disease was 10 times the amount of deaths and disability from heart disease than it was for cancer. So that's what I, and again, I think it's in the end of chapter 17. I go deeply into cardiovascular disease in chapter 17, 18, 19, and 20.
And again, it's written for the average reader of health and wellness. don't intimidate. mean, I'll, if I have to use a, a, a technical term, I'll explain what it is. Like if I have to say endothelium in parentheses right after I'll say. Lining of the arteries. And after I've done that two or three times, come across again, yeah, he's talking about the lining of the arteries. Yeah. So what.
Morgan Nolte, PT, DPT (13:48)
Yeah.
Yeah, it's really
approachable. And you know, when we're talking about heart disease, and I just said like insulin resistance is a huge contributor to heart disease. So is inflammation and oxidative stress. But I think so many people think of heart disease and then they have a ton of false beliefs about what causes heart disease. And high cholesterol is definitely at the top of that list. So will you break down for us what the research is showing about people who have high versus low cholesterol and
their health outcomes essentially.
Daniel Trevor (14:41)
yeah, absolutely. Well, you're so correct on the inflammation. What exactly happens, and I cover this early in the book too. This is all in chapter one, because like I said, I like to give the history. What they discovered after years later when they discovered electron microscopy, where they had these teeny tiny cameras that they could snake up into the artery and take a look and see what's going on, they discovered this thing called, they called the glycocalyx.
In the arteries and what, so what is that? The glycocalyx is this fuzz like lining of the artery walls, which acts as the first line of protection against what's called pattern B small dense LDL particles, which is the bad boy. mean, I'm not, this is for your audience. know you know all this and so.
Morgan Nolte, PT, DPT (15:27)
I love hearing
it though, and I love hearing other people explain it, because I've tried to explain it before and people still need to help understanding it.
Daniel Trevor (15:30)
Yeah.
So anyway, it acts as the first line of protection. And back then what happened was they, well, what they discovered was smoking destroys this protective glycocalyx. Eisenhower was a three pack a day guy and everybody was smoking back then. Doctors smoked around their patients. They smoked on airplanes and restaurants. was like, I think it was like half the population or 49 % or something.
Morgan Nolte, PT, DPT (15:44)
interesting.
Daniel Trevor (15:58)
It was just amazing. know, was everybody was lightened up. That's why you see all the movies back then and TV. They're all lightened up like that kind of thing. And so, you know, smoking did go down, but what they discovered years later was that there is a much more, a bigger destroyer of the glycocalyx and that's the carbohydrates from refined grains and sugars. They destroy the glycocalyx way more.
than smoking. we, we substituted one for one, one that's worse. So anyway, that is first of all, the root cause. And, can you get a little bigger cup there to drink out of?
Morgan Nolte, PT, DPT (16:36)
No, this is the one.
This is my massive Stanley for people who are watching.
Daniel Trevor (16:41)
my god, you're
set. You're set for a while.
Morgan Nolte, PT, DPT (16:44)
I have like two, like at least 200 ounces of water a day. When you say set for a while, it's like set for one hour. Of the water.
Daniel Trevor (16:47)
my god.
You're a drinker of the water. That's great anyways anyway,
so they found this glycocalyx and that's the cause of that and then What I do is I get into I start explaining this to the reader on page 2 of chapter 1 And I tell him I say look you have to understand the two most important
players in the fundamental players in the processing of the food that you put in your mouth and that is glucose also known as blood sugar and insulin. You eat something the glucose goes up the pancreas senses it and it secretes some insulin and to go over and bring it down or keep it in a nice safe range and that's a beautiful healthy system that's built in to our humanoid bodies that goes on and that's great but when you are eating things that keep your
blood sugar up and then your insulin is up hour after hour, day after day, week after week, you develop what's called hyperinsulinemia or insulin resistance. Hyperinsulinemia is a fancy term, hyper too much insulin and emia means in the blood, hyperinsulinemia too much insulin in the blood. And we got to remember insulin is the fat storage hormone.
You can't gain weight unless you've got excess insulin. So you got to that's why it's so important. That's why you see all the ads on cable TV with, I got my A1C down to seven and they're dancing around seven. That's still deadly. It's like what?
Morgan Nolte, PT, DPT (18:26)
But that's what
doctors are telling me. My dad did, my dad's a diabetic and I'm like, well, how's your A1C? And I've kind of like, you you're a grown adult and I'm like done harping on you. That's my opinion for him. And he was like, well, it's pretty good. It was under seven. And then he's like, he just like goes to like the sugar then like for, for a good, like solid week, he like just goes to the sugar after he gets his blood tested. And I'm like, my gosh. Anyways, yes. Doctors have
Daniel Trevor (18:38)
Yeah.
Morgan Nolte, PT, DPT (18:53)
But part of that is because the American Diabetes Association recently increased the standard of what's considered okay. And it was, can't remember the exact figure, but it was like, I don't know, 6.5 to seven is considered okay. And I'm like, what, so it's okay to be a little bit diabetic now?
Daniel Trevor (19:12)
I know it's crazy. Well, here's a stat that you might know that your audience, it's a shocking stat too. They did a study just a few years ago out of Johns Hopkins and they discovered that 74 % of doctors, now we're talking general practitioners, family physicians, internists and cardiologists, 74 % do not know how to properly diagnose and test for pre-diabetes or type 2 diabetes. It's like, what? Are you kidding me?
Morgan Nolte, PT, DPT (19:39)
That's crazy.
Daniel Trevor (19:40)
Because
most of them, what they do, they'll test fasting blood glucose and A1C. And that's all they do. Hey, we'll see you in a year. You're good. No, even that American Diabetes Association, who I wouldn't trust as far as I could throw them, even they say, hey, listen, you can't just do that because you'll miss a lot of people. There are many, many, many people that can test normal for those two and be a raging type two diabetic. That was me.
I didn't know. I was raging type 2 diabetic and I had normal fasting blood glucose and A1C. then soon after my heart attack, dove into the research. I went to Google University and YouTube University and PubMed and found all these studies and was fortunate to be able to know how to study well, which I learned early on in my life.
Morgan Nolte, PT, DPT (20:10)
because of insulin.
Daniel Trevor (20:36)
And they don't do this test, which I got, and then I discovered it's the OGTT with insulin, which of course, you know, and when I did that, my God, my score was well above 200 on the, can't remember the first hour or when it was, whenever it was, but, that put me into that club. I'm one of the 1 % of the population, one or 2 % that can be on the slim side and still be diabetic.
Because usually the first sign, as you know, is that you're overweight. If you're overweight, you've got some level of diabetes. And even the CDC says over 90 % of the people who are diabetic don't know it because their doctors, they don't. It's just crazy.
Morgan Nolte, PT, DPT (21:14)
Yep. Cause they're not testing properly.
Well, okay. There's a lot of things I want to dig into there. So we're going to back up to the cholesterol conversation and the interlining of the blood vessel in a bit. But when you say OGTT with an insulin, what that means is oral glucose tolerance test with insulin is also known as the Kraft test. So can you tell us why, so did you have a normal fasting glucose and A1C, but then a,
Daniel Trevor (21:22)
Yeah.
Yes.
Right.
Morgan Nolte, PT, DPT (21:45)
like after you had the dose of glucose and then your blood sugar and insulin spiked way too much, is that kind of what you need?
Daniel Trevor (21:51)
my God.
Yeah. And that's, you know, it was great discovering that because then in my research, I discovered that this diabetic physiology was the source root cause of my cardiovascular disease, my non-alcoholic fatty liver disease, which I didn't know I had, because there's no symptoms to any of these modern diseases and my osteoporosis. And fortunately with all, like I said, with all these, you know, the research that I was able to reverse all those and
Morgan Nolte, PT, DPT (22:13)
That's all.
Daniel Trevor (22:20)
You know, I have all the tips and tricks and stuff like that because anyway, so the about the non alcoholic fatty liver disease and I didn't I'm not even a drink. I don't even drink. You know, it was funny just before my heart attack. I did see this one doctor and he says he says, hey, you got to stop drinking. And I looked at him and said, well.
What do you mean? I don't drink. Well, I'm looking at this thing here and he's not doesn't even know about at NAFLD or NAFLD non-alcoholic fatty liver disease. And it's just, it's the biggest, most widespread liver fatty liver disease on the planet is they're talking like, I don't know, 2 billion people or something. It's just amazing. And the only way you can find out is if you have an ultrasound or you've got a belly, because everybody that's got a belly's they've got a fatty liver.
Morgan Nolte, PT, DPT (22:42)
little presumptuous.
fatty liver.
Daniel Trevor (23:11)
Yeah, what happened is I discovered that I had this elevated GGT, Gamma Glutamyl Transferase, and doctors don't check it. Most of the time, if they check your liver enzymes, they'll check ALT, ASP, ALT, as you know, but they don't check the GGT. So why is that important?
life insurance companies, have to know who to reject and who to accept. They're not so interested in medical science. It's just bottom line to them. That's why they're the most successful companies since what the 1600s when they started insurance companies, when they sent ships out to... Anyway, so they are damn good at analyzing statistics and what they discovered about this GGT liver enzyme is their number one predictor of
All cause mortality is having elevated GGT, Gamma Glutamyl Transferase. And my first question is, why don't the, that is in the medical community, know what the life insurance companies have discovered? And then I started going into it more and more. And I found studies saying that if people have fatty liver disease and elevated GGT, their usual cause of death is a heart attack. What?
Morgan Nolte, PT, DPT (24:12)
interesting.
Daniel Trevor (24:29)
And there's all these other diseases and so that can come from having a fatty liver. That's why, because all the statistics are showing what's the cause of death. That's what they're analyzing. What's the cause of death? And then what's their blood work like? See, these guys are brilliant. These life insurance actuaries. Again, they're not so interested in the medical science and improving people. just want to protect the bottom line. So I had that and I didn't know it. So I had a...
you know, learn how to reverse that. And I have a whole chapter and that was chapter 15 is liver disease and kidney disease. That's another one.
Morgan Nolte, PT, DPT (25:05)
Kidney disease is big for diabetics.
Daniel Trevor (25:08)
Yeah, exactly. Chronic kidney disease. So anyway, so then I had the osteoporosis. I got a whole chapter on that about osteopenia, osteoporosis and all the bone issues. And I explained it really well, I think. See, that's the thing. I'm not to toot my horn too much, but I'm told I'm able to explain things in a good, easy way for people because I've always believed what Einstein said. He said,
If he says something like, if you can't explain something technical to a third grader, then you don't really understand it yourself. So if I'm trying to explain something to somebody and I can't really do it, then I'm not able to break it down enough to, that means I don't understand it. So I look into it more. But anyway, so again, it's written for the average reader of health and wellness and that kind of thing. So like that.
Morgan Nolte, PT, DPT (26:01)
let's go back to
the cholesterol conversation. was it the glycocalyx? Am I saying that correctly? Okay.
Daniel Trevor (26:08)
Yeah, glycocalyx. Yeah. Well, there's, there's
glycocalyx in different places like in the mitochondria and so forth like that. But what I'm talking about is the glycocalyx in the arteries.
Morgan Nolte, PT, DPT (26:18)
Okay, so is that kind of within the endothelium, like that inner lining of the blood vessel?
Daniel Trevor (26:23)
Yes, it acts as the first, when you look at, have a picture of that in chapter one too. It shows it a microscopic picture of this glycocalyx. looks like this hairy fuzzy kind of thing. And that act again, access the first line of protection against the small dense LDL, which is the bad boy, which I explained all about in chapter 19. which is. Yeah.
Morgan Nolte, PT, DPT (26:44)
That's what I wanted to ask about you next, because I think
that you mentioned that, but for some people who aren't familiar, that would have gone over their head, or maybe they didn't even notice that. Can you describe a little bit on the small dense LDL particles? Because people, the general population, have absolutely no idea the difference between cholesterol and then the LDL particles. Can you explain that difference?
Daniel Trevor (27:10)
Yes, absolutely. Well, see the doctors, what they freak out about is when they see your LDL go up. But when you get on a healthy, low carb diet, your LDL does go up, but your HDL goes up, which is the good cholesterol and your triglycerides go down. I mean, all your numbers look beautiful, but why is this LDL? See, first of all, they look at the total LDL and they don't do what's called a fractionation or an NMR lipoprofile.
nuclear magnetic resonance lipoprofile. And what that does is there are two kinds that they've labeled of this LDL. There's the large, healthy, buoyant LDL particles, which are benign. don't do it. They're very healthy for you. And then you have the pattern. That's called pattern A. And the pattern B is the small, dense LDL particles, which are the dangerous ones. They're the ones that can get
Into the invade the artery wall after you've destroyed the glycocalyx with all the carbs and sugar, they can invade the artery wall through this process called transcytosis. And they get stuck into this space called the intimate media space. I don't want to get too sciencey for your audience.
Morgan Nolte, PT, DPT (28:19)
No, I
think it's helpful to understand, okay, what are the steps here? Yeah, you're doing great.
Daniel Trevor (28:23)
Yeah,
so they get stuck there and it builds a plaque over time. And this plaque that builds up there is this soft inflamed liquid plaque. And what happens in a heart attack is over time, this soft, dangerous plaque can rupture into through the endothelium, which is the lining, you've got to remember, it's underneath, it's rupturing through the lining of the arteries into what's called the lumen where the blood flows.
the inflamed plaque touches blood, creates a clot, goes downstream so to speak, and if it goes to your heart you have a heart attack, and if it goes to your stroke, if it goes to your brain you have a stroke. And that's something you really want to avoid too because strokes are the number one cause of permanent disability. I mean, you know, it's devastating to some people. You can't walk, you can't talk, you can't...
Morgan Nolte, PT, DPT (29:13)
They're devastating.
communicate, yeah, think, you lose your independence.
Daniel Trevor (29:20)
yeah, it's just awful. mean, my
father had a stroke and it was just, he couldn't eat. And so he was confined, confined to a bed with a feeding tube for the rest of his days. I mean, it's just,
Morgan Nolte, PT, DPT (29:38)
Yeah, so I saw it all the time in PT and you saw it with your dad. It's just sad. I think you brought up an important distinction there. The glycocalyx is destroyed by smoking, by excess sugar and carbohydrates, and then the small LDL particles penetrate the endothelium, whereas the large ones are too big to kind of fit through the gaps.
Daniel Trevor (29:44)
Yeah, was just.
Right?
Morgan Nolte, PT, DPT (30:05)
So when people are like, high cholesterol causes heart disease, they're actually looking at the downstream effect. Yes, there's cholesterol in the plaque because there was cholesterol within the LDL particle, but did the cholesterol destroy the glycogalic? Like, no. So let's talk about, what causes large LDL particles versus what causes small LDL particles? So if the large ones are more benign, how can we get more large particles?
Daniel Trevor (30:34)
The simple answer is going on a low carb diet that creates more of the it first of all you get rid of the small dense LDL particles and you get all these fluffy ones these the analogy that I give in the book is that You can think of the pattern a the large fluffy ones as let's just say
Think of your arteries as like a cobblestone street with a lot of cracks and crevices and that kind of thing. And if you threw out some beach balls, they would just bounce around freely and, you know, not do any kind of damage. Whereas if you threw out a bunch of marbles and think of those as the pattern B small, dense LDL part, they would get stuck into the cracks and crevices and eventually go subendothelial beneath the endothelial lining of the arteries and then turn into plaque.
So the way you change that from the small dense particles that you might have when you first start your health journey, you turn them into the large beach ball, so to speak, by going on some form of a low carb diet. And that's the way you do it.
Morgan Nolte, PT, DPT (31:43)
Yep, yes, 100%. And it's true, it's like your body's not dumb. Humans can be dumb sometimes. So if you're on a low carb diet and every single other biomarker is improving, if glucose is coming down, insulin's coming down, triglycerides are coming down, HDL is going up, you're dropping weight, you're feeling more energetic, you're feeling less joint pain, but your LDL and total cholesterol are going up.
Daniel Trevor (31:45)
you
Morgan Nolte, PT, DPT (32:08)
your body's not dumb. That's okay. And so I think that's why I'm such a fan of that NMR lipoprofile test as well. talking about, well, I think, well, and I just recommend it, you know, but I think that the other tests that I recommend, I was curious if you've had this tested, especially with your dad's history of a stroke is LP little a, like, did you ever check your LP little a or looking at that? What was your level?
Daniel Trevor (32:16)
You're smart. You're one of the, you're one of the few that will order that.
Well, sure. Sure. Sure. Yeah.
I cover that in, I think it's chapter 26 on niacin because what they found was, you know, this LP little a is hereditary and there are studies showing that it's more atherogenic and that kind of thing. But then there are other studies that seem to indicate. Well, if you eat a more ancestral diet, you know, you just don't have to worry about the so-called.
LP little A or the bad cholesterol LDL and that kind of thing. So I think it's something that's still unresolved. But the main thing is if you're doing all the right things, you're getting to the gym or walking or doing some type of daily exercise or every other day at least and you're eating your, your first of all, you have to exclude the poisons that were introduced last century. Get those out of your diet.
the carbs, the sugar and the vegetable seed oils, which we should cover a little bit about that later. But, yeah, so you got to get rid of those and then you don't have to worry about your LDL. You know, I was, I saw this cardiologist, I had just moved. This is about a year and a half ago and I saw this temporary guy and he was asking me, so I said, yeah, I just got my blood labs. They look beautiful. He says, wow. Okay. So how's your LDL? I said, well, it's out the roof, but
Morgan Nolte, PT, DPT (33:33)
We definitely will, yeah.
Daniel Trevor (33:59)
I'm a lean mass hyper responder. My HDL is 96. My triglycerides are 38. So I'm good. He looked at me like I had two heads. He didn't know what I was talking about. And I'm thinking, my God, and he's got to practice and he's seeing all these people and everything. And again, they just don't stay up with the latest science of what the true science is on how these evolutionarily develop.
Morgan Nolte, PT, DPT (34:06)
Mm-hmm. I'm sure.
Daniel Trevor (34:28)
meat bodies were evolved over millions of years. Sure.
Morgan Nolte, PT, DPT (34:33)
Yeah, and I have a question
for you too on, while we're on this topic, I think there's differing opinions here and I'm just curious on yours. So we've talked about the size of LDL particles. What's your opinion on the overall number of LDL particles? Because I've seen in the research, know, it's the size that matters most for cardiovascular disease. I've also seen people argue it's the number that matters most. What's your opinion on that?
Daniel Trevor (34:58)
Well, I go off again, I'm not the doctor or cardiologist or scientist, but when I was on Dr. Philip Ovedia's podcast, he's the interventional cardiologist who's just brilliant. And he's done over 3,200 heart surgeries because he's a cardiothoracic surgeon. Right. And he's brilliant and all that. And he's a carnivore too. Right. I think I mentioned that.
And you know, he's just saying it's not the cholesterol at all. It's just and there's a lot of proof for that which we can go into. But it's what he says, he says it's not the quantity, it's the quality. Is it pattern A, the healthy benign that's just bouncing around the arteries and not causing any trouble? Or do you have a larger quantity of the small dense pattern B LDL particle because that's
dangerous one. That's why he has to, he's got this book, his book and mine are always, we're always in the top 10 on, you know, with regard to heart disease and type 2 diabetes and longevity. And his is always in competition with mine. He's got a great book is called Stay Off My Operating Table. It's much smaller than mine. And I, know, he doesn't have all the references and everything. See, I had to have that because I needed that backup because I'm not a scientist.
Morgan Nolte, PT, DPT (36:20)
Yeah, you have to prove
yourself.
Daniel Trevor (36:22)
And
I'm not a doctor. I say, hey, why the hell should I trust you? And I say, don't. Here's the science, how I fix myself, how other people have fixed themselves. And these are all the endorsements that I got from world class people, which I'm really flattered to have. I mean, you've seen the book. I so many. I even have a winner of the Nobel Prize in Medicine for discovering nitric oxide. When I started getting those, I thought then I really knew that I had something valuable.
that I wanted to get out there and really help people with because as you know, you don't get rich writing health books. mean, it's just, you know, I've become rich. Well, yeah, I've become rich in my heart hearing from people all over the world now that it's an international bestseller about how it's changing their lives. I'm thinking, man, well, that's why I wrote the book because the only way you get rich writing books is if you write like some fiction and, know,
Morgan Nolte, PT, DPT (36:56)
I've never written one, but I know, yeah.
Daniel Trevor (37:17)
Harry Potter or something, and you get some Ferrari money and some helicopter money. don't know. But, but anyway, it's, that's why I've done it. And I just, that's why I love so much what you, Ziv Lee is doing, what you're doing with your site and, and, and what you're trying to enlighten people about with regard to insulin resistance and how that
See, again, when I, in my chapter one, starting on page two, I tell about the glucose and insulin and then starts hyperinsulinemia, insulin resistance, and then it leads to inflammation in the arteries and the inflammation goes throughout your body. And then that inflammation, depending on your genetics, what's lurking in your genetics, it will restimulate that particular thing to start taking you down that avenue.
And so that's why, you know, towards all the silent diseases, that's why I've labeled it the gateway disease.
Morgan Nolte, PT, DPT (38:14)
Well, I have a question. Speaking on inflammation, we were touching on seed oils. When I started my business and I decided to kind of leave traditional PT to be a little bit more holistic and proactive, I thought, I need to go to school to be a registered dietitian to do this too? And then I'm like, no, because I know what they're being taught in school is incorrect. And I knew that because of my interactions with registered dietitians in the field and by what the paperwork was saying.
Daniel Trevor (38:34)
Yes.
Morgan Nolte, PT, DPT (38:42)
of patients coming home from the hospital. And I was just like kind of shocked and kind of not where somebody had had a mild heart attack. And I was reviewing the paperwork from the hospital that they received. And one of the nutritionist recommendations were to reduce saturated fat, replace butter with canola oil. And I'm like, what?
Daniel Trevor (39:02)
They got
the talk from their cardiologist for sure. got to let you got that's the talk.
Morgan Nolte, PT, DPT (39:05)
my gosh.
So talk me through that and talk me through why that's terrible advice when we're talking about cardiovascular health.
Daniel Trevor (39:14)
Well, look, he, you know, like I was saying, we have been eating animal products, our diet, our diet. And again, this is not Daniel, this is anthropologist and bioarchaeologist. They tell us that we've been eating meat for anywhere from 2.6 to 4.5 million years now. And that's, I think it's a lot longer, but that's what's provable. That's good enough for me. 2.6 to 4.5. Our diet always consisted of what we could catch.
kill and eat. What we occasionally might pick off a tree or a vine but only when those berries were in season. So it was a high fat protein low carbohydrate diet. We didn't have all these foods of modernity you know there was no Hershey's and was no
Morgan Nolte, PT, DPT (39:50)
Yeah.
There weren't bananas in the supermarket.
Daniel Trevor (40:03)
my God, it's just amazing. And then when you get, it's just, it's just amazing. So when you go more ancestral and, that is, this is something I had to learn too, because I came to it and I discovered low carb. And then there's these four different types of diets that I found out about. The first one I found out about the same as Dr. Sean Baker and a lot of these other doctors was keto.
Morgan Nolte, PT, DPT (40:05)
year round.
Daniel Trevor (40:27)
And keto is what 80 to 90 % animal products and the rest is fruit and vegetables and that kind of thing. And then you go a little bit further. It's keto vor, which I stole from, what Dr. Ken Berry, right? I was on his channel was telling me, you know, I didn't know anything about keto vor until I heard your podcast. So anyway, there's, there's keto, there's keto vor, which is a little bit more animal products. And then there's carnivore, which is only
animal products. And then there's what's called the lion diet. Cause that is the diet that you only eat meat. And I had a misunderstanding on that too. And I think most people, cause when you hear, when they hear carnivore, they think, you just eat meat. No, that's just, you're eating eggs, beef, butter, cheese, salmon, know, whatever animals. And I am there now because what I did was having had this life threatening event.
I decided to get into the most superior metabolic health that I possibly could. And so I keep track of my labs. and the more I got into that, the better my labs looked. And now they're all just brilliant. Cause I'm just eating my particular body needs that. Maybe yours is different. You can have more, you know, I do eat some berries here and there, some, but
Let's face it, when you and I were out hunting 3000 years ago or 30,000 years ago, whatever, if we came across some berries, we go, wow, I some berries are back in season. would tell uncle Throgmagog and he would tell the tribe and we go all eat some berries. We can't be thinking, what's not on my diet. We're not thinking that way. Right. It's like you just ate what you could while it was in season and that kind of thing. And then you go back to eating the animal products. So they can't, you can't think about cholesterol.
I mean, cholesterol has been the, the biggest cash cow for big pharma that's ever come along because they latched onto that back in the sixties, seventies and eighties and it's the cholesterol. got to lower the cholesterol, low fat diet, get on this statin. And I have a whole chapter on statins too, in chapter 18, which covers all that. And you know, it's interesting, cause patients want to know
you might find this study interesting. Patients want to know, if I take a statin every day for the rest of my life, how much longer will I live? And so the researchers thought, yeah, let's do that. And so over many years, they did this study and it was, got this study from Dr. Robert Lustig and it involved 92,135 patients. This is in again, chapter 18.
They wanted that the researchers want to know how much longer do they people extend their lives, months, years, decades? What is it? So they followed them for a long time. And, you know, they had two groups in the group, the people in the group that did took statins for primary prevention. In other words, no heart attack yet. They're just taking it because their doctor says something goofy about their LDL or their total cholesterol, you know, with some BS. Anyway, they're taking it. They haven't had a heart attack and they're taking it for prevention.
They lived a mere three days longer than those in the other group, not taking a stand.
Morgan Nolte, PT, DPT (43:46)
Probably
like not quality days either.
Daniel Trevor (43:49)
It's
like, my God. then, and then the group in the people in the group taking statins for secondary prevention. In other words, they already had a tar heart attack. They lived a big four days longer than the other group. So I asked my readers in the book, you still want to put up with the nasty side effects from taking statins because for some people they could be pretty damn nasty, nasty, you know, psychosis and road rage. And you drop at least 20 or 30 points from your, from your IQ.
And that's because statins are very effective at lowering cholesterol, which the brain needs lots of. No wonder you're getting stupid on your statin. And, you know, so it's a shame. And also the statins, when they lower the cholesterol, they also lower the hormones, whether it's in a male or a female. And guys, listen, you can't create testosterone without cholesterol. Cholesterol is the precursor.
Morgan Nolte, PT, DPT (44:24)
Mm-hmm.
Daniel Trevor (44:46)
to testosterone. And if you've got that lower, I mean, that this is all started when the statin started coming out. What was it? The eighties, the fertility rates are just going down like this and they're looking at wonder what's going on. And that's when Viagra came around in the nineties and it went from an accidental research project discovery to what? $4 billion a year now.
And it's all because of the statins lowering the cholesterol. But even, you know, some of the government agencies are now recognizing that it's, you know, there's no, should be no restriction on that. And even the journal of American college of cardiology, the top cardiology place on the planet, as you can attest, they had a study. was just like, go at three years ago. And they just said, look, these saturated animal fats are just do not cause.
atherogenic, they're not causing heart disease. And we have to, you know, there should be no upper limit on how much cholesterol you put in your body. This is the journal of the American College of Cardiology. It's huge. I had covered that in chapter four.
Morgan Nolte, PT, DPT (45:56)
That's huge.
Well, I want to go back to the canola oil conversation because again, like that registered dietician said, switch butter for canola oil. So why is canola oil, soybean oil, all of these highly refined and processed oils inflammatory? Why are they?
Daniel Trevor (46:13)
you
my God. Well, here's the thing. This is another thing that was never in the human supply or human food supply or diet till about a hundred years ago. I cover this, the whole chapter six is about the dangers of vegetable oils. And again, we're talking, there are some that are okay, like authentic olive oil, avocado oil, coconut oil, kind of thing.
But there are some, there's eight or nine that are deadly. Like you mentioned the soybean, the canola, the safflower sunflower and so on. And I think that in time they are going to be shown to be the cause of a lot of diseases because they're so atherogenic and neurodegenerative. See, there were these two guys that came over from Europe, William Proctor and James Gamble Proctor and Gamble.
Right. they came up with this product called Crisco and it's, you know, because,
They looked at a bucket of this toxic, was considered a toxic waste, toxic waste, cottonseed oil. And they thought, wow, this looks like lard. What people use to cook. Let's sell it to people. We can make some money. So it started flying off the shelves in 1912. I think it was 19, yeah, 19, 1911. I think it was, and we never had that. It's had, it contains more trans fats.
than any other food that there is. And trans fats have been discovered, this wasn't discovered until the 90s, to be the most dangerous kind of fats that you can put in your body. Even Mayo Clinic and all these ways, they said, look, you gotta stay away from trans fats. And even in, it wasn't until 2015 when the FDA banned them and gave the food industry three years to get it out of all of the foods that they put it in.
But the thing is that they are so dangerous and we don't recognize it. I explained it all there in chapter three, but again, they have these ingredients, TBHQ, have this 4-HNE, 4-hydroxynonanol, and again, they're carcinogenic, they are neurodegenerative, and they cause a lot of problems and a ton of inflammation, as you correctly point out.
Morgan Nolte, PT, DPT (48:43)
Yeah,
my brother-in-law works to sell soybean oil essentially and it's funny because you know there are so many different things that soybean oil is in like I think shampoo and Car fuel and just so many things like that We're eating this stuff and I think what people don't understand especially when it comes to like french fries and Fried chicken it's like yeah, they're they may be using canola oil and soybean oil which in and of itself is very inflammatory
but when it's heated to high heats and used repeatedly, trans fats are created. So it's even worse now. And it's, like you said, it's so narrow inflammatory. I think that a big reason that we're having high rates of depression and anxiety and ADHD is just our nutrition and lack thereof. And it's sad. But obviously this conversation is centered around heart disease. But I think as we've been pointing out, it's very difficult to ignore the fact that
it's not just heart disease. It's also cognitive issues and blood sugar issues and joint issues. Now I wanted to talk with you about your osteoporosis, because you mentioned that as well. Can you talk about the link between blood sugar dysregulation and osteoporosis?
Daniel Trevor (50:01)
Well, I cover that in that chapter. I think it's chapter 13 on the osteopenia, osteoporosis and other bone issues. And it's also linked to, one of your guests you had on a while back, Dr. William Davis, Dr. William Davis, and he's got the book super gut. my God. So, and I have a whole chapter in that chapter 23 is maximizing gut health. And I,
Morgan Nolte, PT, DPT (50:15)
I've had several people on the company. Yeah.
Daniel Trevor (50:28)
used some of the research that he had put out and has in his book about the gut and how that's all related. And there's the gut brain access, there's the gut skin access, there's the gut bone access. And, you know, you need to have these certain minerals and what happens is there's these two things called osteoblasts and osteoclasts. The osteoblasts with a B
They're the builders of the bone. They're the one that keeps it nice and strong and that kind of thing. But as we age, we have these things called the osteoclasts with a C and they do the cutting. it's for a while, it's just a balanced thing that goes back and forth. Osteoblasts building and the osteoclast does the cutting. An example might be if you're renovating your kitchen, you have to cut out some things and then you build them back up and it's a
natural process, but what happens with as we age, the osteoclasts, the osteoblasts stop doing the work that they're used to doing in the building. And the osteoclasts continue to do their favorite thing, which is the cutting and make, and you first get osteopenia, which is the weaker, a weakness in the bones. And then it leads into osteoporosis. And these are arriving much sooner. I think I begin the, in the second paragraph of that,
There was a new study that's showing, I forget the name of it, but they were showing how osteopenia and osteoporosis are coming in at much lower ages now, 35 to 50, they're finding out. So that's why I say, hey, listen up you 30, 40 and 50 year olds, you need to start paying to this attention now and it's because of the diet and what you're trying to get your patients to eat properly.
And all these bad foods of modernity, these that have been introduced in the last hundred years are causing the osteoblasts to not be doing their thing while the osteoclasts are doing their favorite thing in the cutting. So you have to get, you know, I have all these different research studies in there about how people reversed it. And I've been able to do that too, because
What I recommend is you got to get a DEXA scan, D-E-X-A, which you know about. And that way you can get an idea. It only costs about $100. Or, you know, ask your doctor for it. And if your doctor says you're too young for it, go buy it yourself, right? Because it's, you know, a lot of these tests that you might hear about that you might want to get, the sad thing is, and I'm sure you've experienced this too, you'll go to your doctor and say, hey, doc, I heard about this test I want to get.
It's the OGTT with insulin or it's this one or the, one. And you doctor might be one of those guys that has a little sign in his office. says, don't confuse your Google search with my medical degree. You got, you're lucky to get one of those guys is like, no. Cause you want like you, you want your patients to be interested in their own health. Wow. wow. You're doing some Google search. Good. So what did you find? And so.
What happens is you'll say to your doctor, want this particular test. And your doctor too many times will say, you don't need that. You're fine. You don't need that. And the only reason, and the only, I know you don't, but the only reason some of them. Yeah, exactly. I know you don't do that, but the only reason they do that is because they don't know what it is. They wouldn't know how to analyze the results anyway. And the last thing that most doctors want from their patients is homework.
Morgan Nolte, PT, DPT (53:44)
I know. Yeah, we don't do that. I don't
no, but that's what the doctors say. Well, I don't do my tests. Yeah.
That's a good one.
Daniel Trevor (54:07)
They don't want to
get homework from their patients. So they go, you're you don't need that. That's fine. So you can get it on by yourself. And I have all that in the book too. what are the best tests to get? Cause what I did was one of the medical geniuses that I found online when I started my research, I found this guy, Dr. Ford Brewer, and he's an internationally acclaimed preventive medicine expert out of Johns Hopkins. And he's taught and trained thousands of doctors over the years.
And he's brilliant at all the testing. I reached out to him. said, I got this book. writing about, and I had to send him stuff. he knew that I had, you know, knew what I was talking about. I said, would you write a chapter in my book that delineates what are the most important blood labs and scans that anyone can get online without needing a doctor's prescription? That way you can find out yourself if you've got something lurking inside, ready to pounce.
Or you're just fine or somewhere in between. Hey, I need to check out my GGT why that's elevated. That way you yourself, because if your doctor doesn't do it, you have to pay out of pocket, but at least you'll find out you'll get out of mystery. So he wrote that brilliant chapter. And then I summarize them in the conclusion of the book. I said, look, there's so many tests that you can get in chapter 22 by Dr. Forbrior. If you want to get five, these are the five I recommend. So anyway, you have to get these things that doctors don't usually test.
Morgan Nolte, PT, DPT (55:30)
Yeah. Yeah. I think another issue with osteoporosis is if your diet is high in the carbs and sugar, it's usually deficient in protein and protein makes up a huge part of your, of your bones and people don't recognize that. So once you're giving the body like the osteoblast, the right fuel that it needs to actually build the bone, can do its job a lot better. So yeah, your book is definitely full of a lot of practical, easy to understand information. Can you
Daniel Trevor (55:30)
to find out where you are.
Morgan Nolte, PT, DPT (55:58)
First off, thank you for joining us today. Can you let people know where they can get a copy of your book and learn more about your work?
Daniel Trevor (56:04)
Yeah, just go to danieltrevor.com. I have a seven minute video near the top and it gives my story and some of the alarming statistics that you've heard in this little bit with you and I. And, you can get a free preview of the book. And what that is, is the first 48 pages of the book. You sign up, get on the mailing list. Cause once a week I send out an update and what's going on. Sometimes excerpts from the book, that kind of thing. And.
you know, unsubscribe at any time, of course, but you get a free preview of the first 48 pages. And I tell people, look, just read the introduction and then you'll know right away if it's for you or not. So that way you could taste it a little bit, say, hey, I want some that. And then you can find out, I've got underneath the video, I've got all these amazing endorsements from all these world-class doctors and New York Times bestselling authors and so on and so forth. And like I said, I'm really flattered by all that. And so
It's been validated. So go to Danieltrevor.com get on the mailing list and, you know, and I have a lot of information right there too. You can read down the page and you can see my transformation further on down the page. can see, you know, the new body that I turned into, not that I was ever overweight and heavy, but I never had the six pack I have now. Never ever.
Morgan Nolte, PT, DPT (57:23)
Yeah, and I think
it's incredible. And I think that you're such a light and you're such an inspiration for people that have struggled with a heart attack or have cardiovascular disease just to know that change is possible. And you've done it in a pretty short amount of time, I would say, which is great. I mean, you've done, do you say four years ago?
Daniel Trevor (57:40)
Yeah, but I got I changed things around quickly. mean if people get on a strict keto diet and I don't I don't Tell people to do strict right away. I just take it little by little, know I have a lot of tips and tricks in the book of how to get from point a to point B How do I get from you know lunch to dinner without having a snack? I'm used to having my three o'clock snack. This is how you do it so I've got all those things in there and so you just have to
You know, there's studies that show if you get on a low carb diet, man, magic happens because it's more ancestral. It's what these evolutionarily developed meat bodies that we have are used to eating for millions of years, according to the anthropologists and bioarchaeologists. It's not according to Daniel.
Morgan Nolte, PT, DPT (58:27)
Well, thank you so much. know it's been a labor of love and I really appreciate your time today.
Daniel Trevor (58:34)
Thank you, Dr. Morgan. I really appreciate you having me. Thanks so much.
Morgan Nolte, PT, DPT (58:38)
Okay, we'll cut it off there. I'll go ahead and stop the recording. Thank you.