Jami Dulaney Md Plant Based Wellness

Welcome!  Thank you for listening.   What is a whole food? What is a clean food?  Those terms are thrown around with authority and ultimately blend into just food.  If you ask most people on a diet, they will throw out that they are eating 1200 calories a day.  That seems to be the magic number that has stuck in the diet world.  Apps are available that helps one to prove a point.  They are only as good as what is entered.  I have never had a person tell me that they consumed 3000 calories in a day, but I am sure it happens on a regular basis and more often than 1200 calories.  What about the weight of food?  Does a pound of chips have the same amount of energy as a pound of potatoes?  What about a pound of carrots.   It turns out that vegetables, tubers, and fruit contain about the right amount of calories per pound for humans to consume and maintain a healthy weight.  It also turns out that we as a society do not burn near the calories as a typical hunter-gatherer society.  It is also true that men burn more

  Welcome! and Thank you for listening.    What will you do with the results of a test? How will you react? I was very happy to see normal bones and joints on a recent CT scan of my leg, but it did not show the source of my ankle pain.  Good news! Nothing bad.  I can return to training.  It could also be interpreted as I am still in pain and don’t know why.  I am taking the win and I am grateful.  It is good to exclude bad things even if you do not know exactly what the problem is.  The odds are in your favor for a good outcome.  Testing and procedures are a game of risk and reward.  Having a plan for the outcome before diving in is always a good idea.  Walking an hour a day is good, but how fast do you need to go?  However, how fast your heart rate goes up is also important.  I take a little dive into these topics as well as some tropical fruit suggestions.  Email me at jami@doctordulaney.com with questions. Thanks for listening.   Website:https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing

Welcome! and Thank you for listening. Pills, potions and procedures aimed at curing ailments. The web is full of devices and programs that promise pain relief, younger bodies, and happier lives.  Miracles by definition are not a common occurrences, yet they are promised daily.  It is hard not to give them a try.  Nothing to loose they say, but often the disappointment is not too long thereafter.  I have gone down that road as well many times.  A little glimmer of hope to a solution that is much more complicated than it originally seemed.  My latest running injury is such an example. Insoles or a shoe change for instant relief, running hard to clear the cobwebs that might be the issue, bounce house jumping to better mobility, or sand dune running perhaps.   In the end we realize there is no quick fix.  But there is the opportunity to learn and do the work it takes to really make a change.  They don't say patience is a virtue for no good reason.  Eating an plant based diet and getting stronger can only help. It

Welcome! and Thank you for listening.   The new word is extreme with regard to diet choice.  Moderation is out! The reality is, it was never in.  The abundance of food choices has grown making moderation only an imaginable concept.  I think it is good to always be open to change that supports your goals.  Perhaps  your goals change requiring nutritional changes, or change is needed to support your existing goals.  None the less, you need to be mindful of your why in order to achieve those goals when the going gets tough.  There is constant input for "the best" diet that has no way of knowing your nutritional needs or why.  Be aware of headlines beginning with "study shows" or "experts suggest".  It becomes a slippery slop to find what is actually behind the headlines. I think the best place to start is to clearly define your goals and the reason or why you have chosen them.  Nutrition needs change over time.  Growing children need different amounts of nutrients that adults.  Nursing and pregnant women have di

Welcome! and Thank you for listening.   This episode gives you a glimpse into running in the mountains of Leadville.  I like hard things and I believe we can do just about anything we put our minds to.  You can do more than you think you can is the motto of the Leadville Race Founder Ken Chlouber.  Why not me? Why not you?   I believe the key to a long health span is staying strong and eating plant based. The Prevent study looks at a formula to calculate the 10 year risk of having a cardiac event.  Those risk factors need to be reversed not medicated.  One thing for sure is that grass fed butter is not the answer.   If you would like to decrease your cardiovascular risk, check out our website at https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing Thank you for listening. https://professional.heart.org/en/guidelines-and-statements/prevent-calculator https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=pla

Welcome! and Thank you for listening.  We have been conditioned to believe that discomfort or an illness can only be fixed by a procedure or medication.  It is out of our hands.  Allopathic reductionist medicine created that concept making us dependent.  Our only hope is early detection of illnesses sure to happen.   Dementia is another issue all together.  It is all to familiar and there appears to be no stopping the progression once it starts.  That holds true for medications at least.  Early testing results in a longer period to worry about the future.  Most people believe it is genetics and bad luck.  Dean Ornish, MD recently published a randomized controlled trial showing improvement in early dementia symptoms and biomarkers using a plant based diet along with exercise and stress management.  This preliminary study is wonderful news to support a basic whole foods plant based diet.  No gimmicks or need for specialized foods.  No fancy exercise protocols.  Just basic good nutrition and movement with attent

Welcome! and Thank you for listening.  Can you bank longevity? What about fitness?  Improving fitness at any age will help to increase your health span which may translate into more time living an active and independent life.  This is not just for seniors because heart muscle starts to deteriorate in the early forties along with heart function.  Blood vessels stiffness while you are eating at your favorite fast food restaurant.  More worrisome news about GLp-1 agonists and the ketogenic diet.  Oh and don't believe your keto doctor if he tells you he is getting adequate fiber.  Finally, thank you to my 90 year old patients.  You have always been the most loyal and humble group of people I have had the pleasure to learn from.  As a song once said human kindness is overflowing.  I think it might rain today. https://academic.oup.com/cardiovascres/advance-article/doi/10.1093/cvr/cvae120/7687589 https://www.sciencedaily.com/releases/2021/04/210421200133.htmhttps://www.science.org/doi/10.1126/sciadv.adm9481 https://

Welcome! and Thank you for listening.  We age and our cells age.  About every three months our red blood cells turn over for example.  What happens to the old cells? How do we eliminate them?  Our immune system plays a vital role in eliminating old cells or senescent cells.  Unfortunately, our immune system also slows down so we start to accumulate these "zombie" senescent cells.  This month Nature magazine discusses new drugs and repurposed drugs to eliminate these cells.  However, these medications also have side effects and substantial costs.  Since we all age, should everyone start these medications or do we wait until there is a problem like diabetes, Alzheimers, or vascular disease?  Another alternative might be to decrease the amount of zombie cells in the first place or protect our immune system so it functions longer.   You guest it.  Nutrition and exercise play a key role as an alternative to decrease zombie cell accumulation.   Thanks for listening.   If you want help preventing zombie cell accumul

Welcome! and Thank you for listening.   I was fortunate to go to Blue Ridge and Blairsville Georgia this past weekend to toe the line at the Cruel Jewel 50 mile ultra race.  The ultra running community are my people.  Tenacious, positive, and tremendous athletes all humble at the same time.  It did not goes as I would have wished for, but it did go for how I was trained.  I got to see where I was at a fitness level and experience some of the most beautiful and peaceful forests.  That area crosses the Appalachian trail.   People on the trail give other hikers trail names.  I had a trail angel this weekend.  I gave him the name of Russ Angel because of time he gave to rescue me and others after we pulled the white flag.  I hope you enjoy my trail tails.  It was a great weekend despite coming up short. Ultra running and life are so much alike.  You need a plan and you need to work the plan.  When it does not work, you need to adjust the plan.  The bottom line is forward progress.  Maybe not that day, but the nex

Welcome ! and Thank you for listening.  Are you planning for your decline or planning your next adventure?  That adventure might mean a great day at the beach with your grandchildren or other adventures that require you to be active and mobile.   Today's podcast will give you some insight on things that may help or hinder those plans.  Why be secluded to the sidelines when you could be an active participant in life?  In the Journal of Nature on May 2, 2024 there was an article discussing the most basic molecular changes with endurance training that affects a multitude of processes that have the potential to impact the health of the immune system, and organs such as the heart, kidneys, colon, brain and liver.  There were positive changes at the genetic level with endurance training of just 8 weeks. What are you waiting for? That was not the case with omega 3 supplements or a fat pad around the heart.   Enjoy the episode and then plan for an active future.  Need more guidance, then check our our website to see

Welcome! and Thank you for listening.  Have you ever heard someone say, what would you tell your thirty year old self? It is something like hind sight is 20:20.  My perspective on the practice of cardiology and medicine has changed over the past 30 years because of experience but more so being able to relate to my patients life experiences.   Do you prefer to age gracefully or go full speed ahead into the unknown?  Do you remember how alive the fellas in the movie felt doing the things on their bucket list?  Do you think people even realize how bad they feel, if they can feel, on the handful of medications that they take everyday?  How do you stay young at heart while keeping your heart young?  I believe life is full of challenges, and age should not stop you from living life fully.  Doing the bucket list requires more training as we age.  Notice I did not say it requires more testing or procedures.  If you want to be excited about the possibilities ahead, listen to this episode and check our our website for

Welcome! and Thank you for listening.   Risk factors for Lifestyle diseases are increased BMI, hypertension, hyperlipidemia, smoking, sedentary lifestyle and metabolic dysfunction ranging from glucose intolerance to diabetes.  Traditionally, younger people do not get lifestyle diseases because they may either have no risk factors or only have one.  More and more younger people now have multiple risk factors in the presence of glucose intolerance.  This places them at increased risk for the early development of lifestyle diseases.   Studies claiming that cholesterol is not bad often look towards a young population with no other risk factors.  They may not manifest disease as quickly and it is assumed that they never will.  Some may not but we just don't know.  Often, we hang onto studies that support our nutritional choices even though we may not have anything in common with the study population.  Risk factors are there and cumulative.  Work on eliminating them and you might just avoid a lifestyle disease.   I

Welcome! and Thank you for listening.   My favorite lunch is a salad, and not the same salad every day.  I like to change things up.  Restaurants know that a salad is not exciting so they spruce it up with high calorie toppers and dressings.  Often, they have more calories than a sandwich and fries.  But, you can still tell the doctor, you just had a salad for lunch.  I will let you in on my salad secrets on this episode.  I will also give you a some more reasons to lace up your shoes and start walking.  Finally, I will finish with the controversial topic of Vitamin D.  Check out the website to up your health gain with membership opportunities and sign up for our newsletter and blogposts.  Thanks for listening. 

Welcome! and Thank you for listening.   This is the weekend of the Masters Golf Tournament.  To begin there was an honorary start with Tee shots by Gary Player, Jack Nicklaus, and Tom Watson.  Gary is the oldest at 88.  He was the most spry and energetic.  As a student of the game of golf, I would like to share my takes on the sport and how it relates to health.  I believe Gary Player is an outlier, and here is why.  If you would like to become a healthy golfer,  check out the practice website below.   https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing https://mypurewater.com/?sld=jdulaney code for discount: Cleanwaterforsophie https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3?crid=1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3  

Welcome! and Thank you for listening.   Today I have the founder of MamaSezz healthy food company.  As many of you know, MamaSezz began as a plant based whole meal delivery service.  Meg had been in the food industry and retired only to discover the need for easy plant based meals for those not able or ready to prepare them for themselves.  Her mother had developed congestive heart failure and was told to get her affairs in order.  Meg researched how she could help her mom live well and discovered plant based nutrition.  After doing a deep dive MamaSezz was founded.   Enjoy a recap of her story and how the company has transitioned.  We talk about our vivacious moms who set so many great life examples as well as the obstacles to a healthy life from a nutrition and movement challenges.  I Listen to the end for a discount code for MamaSezz products.   MamaSezz.com https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing https://mypurewater.com/?sld=jdulaney code:Cleanwaterforsophie https://www.amazon

Welcome! and Thank you for listening.   This episode features Susan Donnelly.  She has run more 100 mile races than anyone on the planet!  Over 145 one hundred mile races since 1999.  She is the definition of an outlier not only with regard to running, but occupation and nutrition.  Enjoy learning about how mindset during ultra running and how it applies to lifestyle changes.   Susan Donnelly: https://www.susanidonnelly.com https://doctordulaney.com/services/pcp-cardiology-nutrition/#pricing https://mypurewater.com/?sld=jdulaney Cleanwaterforsophie discout code https://www.amazon.com/Plant-based-Wellness-Cookbook-Generations-Cooking/dp/1733967702/ref=sr_1_3? =1U4J4U0SZUXUF&dchild=1&keywords=plant+based+wellness+cookbook&qid=1621083696&sprefix=plant+based+well%2Caps%2C173&sr=8-3

Welcome! and Thank you for listening.  Who are you?  What story do you use to answer that question?  Perhaps your story fits who you are but not who you wish to be.  Today's podcast is about changing the story to become more healthy.  Our story can help us accept our circumstances, but we often forget we are the authors of our future selves.   Changing who you are is about changing your story.  Did a health crisis change your story?  Health care providers are at a very high risk of planting seeds to change people's story.  Perhaps you were active then had an accident.  The doctor said you have bad knees.  You rewrite your story to fit your bad knees.  You cannot run, walk, or do sports.  You gain weight because of your bad knees.  You no longer enjoy travel because of your knees.  Your story totally changes because of what your doctor said about your knees.   Today's episode is about changing your story.  It certainly is not easy.  But the joy of becoming the Real You is worth a little suffering.  It is not a

Welcome! and Thank you for listening. Telomeres are the end caps on DNA that protect it from unraveling.  They can be measure in white blood cells to determine their length.  The shorter they become, the more likely for the DNA to start to develop errors.  This leads to failure of the bodies organs and functions i.e. aging.  It has recently been linked to the risk of developing heart failure.   There is another blood test that looks for DNA fragments in the plasma of the blood that is associated with colon cancer.  Detecting advanced cancers is pretty good.  It is not so good at detecting early treatable cancers.  It is just a blood test.  However, it is not perfect so what will you do with the results.   If a breast cancer tumor expresses estrogen receptors then inhibiting estrogen should decrease the cancer growth.  How much is enough?  All of the above sound like reasonable tests and solutions.  But do they prolong survival ?  Very few studies actually look at overall survival resulting from an interventio

Welcome! and thank you for listening. Burro racers will tell you that a burro needs to feel safe in order to try something new.  He will not be lured into a bad situation as he sees it.  Horses are much more about pushing to the limits and need a variety of coaching to reach their potential.   When we discuss lifestyle changes with people, we need to know how they react to various forms of coaching.   Some people join a bootcamp that have not exercised in years only to get beat up in the first few sessions by a drill master that is trying to whip everyone in shape.  They get injured and never go back, and reinforce why they are not cut out for the change. Some people are over the top and need a coach to actually slow them down before they hurt themselves.  Finally, there are those that continue steady forward progress completing step after step with a continued eye on the goal.  Knowing which type you are is important when you decide to embark on lifestyle changes.  There are  multiple ways to make healthy li

Welcome! and Thank you for listening.  Are we at the mercy of our genetics?  Should we just accept our fate as being genetically flawed is some way or another.  There is talk about plasticity of the brain or forming new circuits.  Body builders change their shape through specific workouts.  We can become runners after starting a couch to 5 K program.  So why do we think we cannot change our genetic fate when it comes to cancer or cardiovascular disease.  Most allopathic physicians focus on testing and following disease progression.  I  even heard  from a patient that was told by a cardiologist that he will know when he needs him.  Why wait until you already have disease?  The only preventative therapy is medication in the world of sick care.   Take as much as you can tolerate before side effects become intolerable.   One such example is the release of new medications that become part of protocols that everyone with a diagnosis receives.  No individual evaluation.  One size fits all.  A pharmaceutical represen