April 20, 2013

Mental models

TEDMED 2013…now I get it

Read Time 7 minutes

I just got back from the 2013 TEDMED conference at the Kennedy Center in Washington, DC.  I’ve always enjoyed watching TED talks online, but I’d never been to the actual conference.  I was told the experience is very different.  That was an understatement.  I don’t even know where to begin.  I don’t think anything I can write about this week will come close to actually sharing my experience, but I’ll try.

I was one of 50 speakers/performers, but the conference is about much more than the 50 of us.  There are nearly 2,000 participants and unlike most conferences where people are spread out over different sessions and ‘breakout rooms’ (a term that, to this day, makes me laugh out loud – I keep picturing a room with broken down cardboard boxes on the floor and nylon pants and 80’s hip hop), at this conference we all experience it together.  No parallel processing.  That it also takes place in such an epic building, overlooking the Potomac River, is another story.

To answer the first question you may have, I do not know when my talk will be on line, let alone where.  It could show up on the TED and/or TEDMED websites.  I’m told it will be no sooner than 6-8 weeks, and probably closer to 3 months.

This was not a typical Peter Attia talk. Information density was somewhere between zero and small. When I was preparing for the talk I had the complete privilege of working with the TEDMED editorial team.  Talk about an All-Star team.  These people are too talented for words.  It was simply amazing to be in their presence.  Jay Walker, the curator of TEDMED (and one of the most intuitive people I have ever met) gave me the most valuable advice when I was preparing my talk.  He said,

  1. Leave your “M.D.” and “McKinsey” personas off the stage.  While those are your comfort zones, get out of those zones.
  2. Don’t try to “teach” people a bunch of facts (even though you love facts); don’t try to “prove” how smart you are; don’t even try to “convince” people of anything.
  3. Engage both sides of your listener – their intellect and their emotion.
  4. Be authentic. The audience cares less about what you know, and more that you care at all.

This was really hard for me!  I love to teach, and I love data, and I’m much better at engaging intellect than emotion.  But with that advice, and the amazing help of Marcus Webb (TEDMED’s Chief Storyteller), I gave it a shot.  In a few months, I suppose, you can be the judge.

There were so many moments this week that just shot me back onto my heels – moments when it didn’t seem like “this” could be happening.  I’d love to share a few with you.

Meeting the man who gave my favorite TED talk of all time

Before you read another word, watch the 2011 TED talk given by Ric Elias.  Seriously. STOP READING THIS NOW AND WATCH IT.  I have watched this talk, perhaps, as many times as I’ve watched all other talks combined. Probably every 3 or 4 weeks, actually.  Why? Because, unfortunately, that appears to be the frequency with which I need a little reminder of what matters more than NuSI. A few months ago I mentioned this to Jay.  He said, “Do you want to meet Ric? I’m happy to introduce you.”  That was like asking a 15-year-old girl if she wanted to meet Justin Bieber.  Except I didn’t scream as loud. And Ric is way cooler than Justin.

The day after my talk, I was introduced to Ric and we spent about an hour together. It was a unique experience to understate it.  Too often when we meet people we “feel” like we know (due to their celebrity), we’re often let down because we build them up to be more than they could ever be.  Amazingly, and I don’t say this lightly, the person Ric is far exceeded the image of Ric I had, based on a 5 minute video.  He’s one of the rare few I’ve met (one day I’d like to write a book about this short list of folks) that I could imagine dropping everything I was doing to go and work with and for them.  Every man should aspire to be half the father Ric has become since that flight.

Medical school connection

The day before my talk, I was backstage trying to figure out where everything was, and I looked up and saw Zubin Damania!  You may not know who Zubin is, or even his YouTube alter-ego, ZDoggMD (though you’ll definitely want to check out his video on screening for testicular cancer, among many others).  But here’s the thing…the last time I saw Zubin was 13 years ago when he was my intern on my internal medicine rotation at Stanford.  For 8 straight weeks Zubin had me rolling on the floor laughing (and enjoying every single moment of being in the hospital with him).  Zubin is sui generis.  I remember staying up nights on call with him, asking him, “Are you sure this [medicine] is the best use of your talent?  I mean, you’re too damn funny and talented to do this!”

Well, let’s just say, nothing I saw this week surprised me.  Zubin is a rock star and the world is a better place because of his humor and brilliance, and the way he actually combines them. Zubin’s talk was, without question, the peak of TEDMED 2013 entertainment.

If that wasn’t enough, two days later (the day after my talk), a woman stopped me in the lobby and said, “Peter, I really loved your talk.  Thank you for sharing that story.  I hope other doctors hear this message.” I thanked her and we chatted for a minute, the whole time I’m thinking, “Gee she looks really familiar…,” when it finally hit me.  This woman, Dr. Ramona Doyle, an amazing pulmonologist, taught me respiratory physiology 16 years earlier at Stanford!  What made this so special, though, was hearing what she does today.  In addition to her “day job,” she runs a free clinic for uninsured patients in South San Francisco.  Her stories were amazing.  She seemed happier than ever.

The most moving talk

The last talk of Session 7 (there were 10 sessions, each with 5 speakers, for a total of 50 speakers/performers), was given by author Andrew Solomon.  Since you’ll all be able to watch this for yourselves in 2 months or so, I won’t say much. But, if you think back to Jay’s advice to me, Andrew gave a seminar on how to do this.  Andrew is a very special man, and though I was only able to speak with him for 10 minutes backstage, it was clear that he was cut from a different cloth.  A very special cloth.  When his talk began, I thought I knew where he was going.  And I was looking forward to it.  But where he went instead, well, I can’t describe the emotional rollercoaster.  If you can only watch one talk, and I hope you can watch many more, Andrew’s is the one to watch.

Greatest human spectacle

Charity Tillemann-Dick, a remarkable singer, who has undergone a double lung transplant due to primary pulmonary hypertension, simply lit up the room with her soprano voice.  I just could not imagine for the life of me how this woman could sing with such a beautiful voice not powered by her ‘native’ lungs.  In Charity’s case, there was also a deeply personal reason I was so touched by her story.  It highlights the importance of organ transplantation. As she shared with us, life is neither a marathon, nor a sprint.  It’s a relay.

After her talk (and song), I caught up with her back stage and shared the story of my friends, Jeff and Teena Webster, who lost their son Aaron in September 2009, one day before I swam from Los Angeles to Catalina Island – a swim I dedicated to Aaron.  Aaron’s story is both tragic and glorious, as 13 people now live with a part of Aaron in them, including a man who was probably a week away from death due to liver failure.  Today, that man has a tattoo on his arm that reads: Aaron Webster, my hero. 

Best line of the week

Spoken by a juggernaut of a woman, the amazing America Bracho, who is empowering impoverished communities in Southern California by creating participants out of patients, left an impression on me.  Sounds crazy until you hear her tell you and then watch her show you. Make sure you watch her talk when it’s out.  Like Andrew’s talk, this moved me to tears.

She was asked, essentially, can this model she has deployed work with anyone?  She said, “no, you must choose the right people.”  The clincher: “Recruit the heart. Train the brain.”  As someone obsessed with building a great team, truer words have not been spoken.

Most surreal moment

A team of artists created portraits of each speaker, which hung as banners.  A man named Robert Brinkerhoff, who I had never met until my talk, created the following image of me.  I realize this may sound strange, but this struck me as very touching.  Someone who didn’t know me put that much time into trying to represent me?  Very humbling.  Thank you, Robert.


Closing thoughts

I don’t know if they will ever read this, but if they do, I really want to thank the following people at TEDMED for guiding and encouraging me to share my story, which I was very reluctant to do.  There are so many people behind the scenes whose names I don’t know, but who I owe my gratitude.  I really want to thank Jay Walker, John Benditt (and Gary Taubes, who suggested me as a speaker to John), Lisa Shufro, Lindsay (none-of-my-boys-are-named-Harry) Potter, Pritpal S. Tamber, Jon (the-apple-doesn’t-fall-far-from-the-tree) Ellenthal, Alyssa Picchini Schaeffer, and Marcus Webb, without whom I could not have told my story.  And, Steve Maler.  You gave me the confidence I needed to be so vulnerable, my friend.

I have no idea how I got to be one of the people there this year.  I felt such a responsibility to give back to TEDMED, as I’ve received so much from TED and TEDMED over the past 7 or 8 years.  Though Ric Elias’ talk is my favorite, there is a huge tie for second place (including Virginia Breen, who I just happened to sit beside by random luck during Andrew’s epic talk – once you’ve seen Virginia’s talk and Andrew’s talk, you’ll understand why this juxtaposition was so powerful).  The talks I fall in love with are simply the ones that move me the most.  I spend my whole day learning things.  What I crave is inspiration.

A day after my talk, a woman came up to me in the common area.  She was crying. Just sobbing.  She said she cried through my entire talk.  She couldn’t figure out why.  What was I saying to bring out such emotion, I thought? I apologized. But then she said the most insightful thing that, I think, explains why some of these talks just really move us.  She said, “Peter, it wasn’t what you said, or even how you said it.  You just made me look at myself differently.  These emotions pouring out of me are about me, not you.  You just gave me a different way to think about myself.”

I think that sums up why these talks are so special to me.  It’s about the mirror inside me and everyone else.  I did learn many things this week and met people I want to know better. But for 3 glorious days on the Potomac, I didn’t think about my world or my vision.  I simply got inspired and moved by everyone else’s.

Photo by Mike Wilson on Unsplash

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  1. Peter,

    This talk at TED was amazing. I watched it today for the first time and as a diabetic, heart attack survivor and polio survivor it really made me think.

    I have been up and down all of my life and nothing seems to work. All of what I have read on the blog makes sense and I am ready to jump in and make it happen. Hope during the process I can share my thoughts and updates as I go along. I plan to start right after my 59th Birthday tomorrow.

    I know this is a long haul and a risky one for me with my situation but I also know it will work.

    Thanks for your research, your honesty and your conviction to help people like me.


  2. Peter,

    Thank you for standing up, for being authentic. It’s extraordinarily difficult to say “I was wrong” – it is even harder to admit “I was unkind”. Few of us have the courage to publicly acknowledge our shadows.

    Great talk, well done.

    Been reading your blog for quite a while, I appreciate having a reason like this to de-lurk & comment.

    Take care! And keep on doing your work.

    • Devra, you made me smile…love the concept of de-lurking… I think you really hit on the hard part of this experience. Saying I was wrong was awkward (in front of so many strangers), but I was raised to ‘fess up the second I made mistakes, so this wasn’t the *really* hard part of that talk. It was admitting that I was an unkind and arrogant jerk. There’s no way around it.

  3. Hey Peter,

    Watched your talk today, it is already up on TED. You were great and very different than usual at the same time.

    I would like to believe that the lady you were talking about will forgive you. Admitting we were wrong is such a rare quality in people, but anyone who is willing to do it, accept it and embark on a journey to try and help people, deserves respect.


  4. Luckily for me the Ancestral Health folks just posted your TED talk on Facebook. My kids and I have overcome a variety of problems, including abnormal glucose tolerance and reactive hypoglycemia, after first going gluten free and then (duh!) grain free a couple of years ago. Your talk was not only brilliant but very moving. My only wish was that we could make exact copies of you, and people like you, so that people everywhere could have doctors like you. Much love and best wishes to you and your team.

  5. Dr. Attia,

    I’m here specifically as a result of watching your TED talk, and after reading this post and the comment thread, I wanted to add my thanks. As I understand it, you are primarily addressing other physicians, but from a patient standpoint, your talk was very healing for some of us, as well. Being shamed or dismissed by physicians is the primary experience I have with the medical industry, which has made me reluctant to see a physician for *anything*, and… I’m sure you know how THAT usually turns out.

    Now, in my 40’s, I have found a physician who actually listens to me and acknowledges the value of my own research into my conditions – and to find your talk now as well restores a bit of my faith in doctors in general.

    Thank you for being willing to be vulnerable. Please don’t beat yourself up too much over having the arrogance of youth; I think every single one of us can point to an action or an outlook we’ve done or had that we’re now ashamed of. The important part, the part that keeps us human, and growing, and an inspiration to others, is that we’re willing to admit an ugly moment and recognize it as a chance to do – and be – better than that.

    I look forward to reading through the rest of your blog; I expect it will be very interesting.

    • Thanks so much, Wendi. Glad to hear you’ve found a doctor who is listening. I know there are so many great doctors out there (I have one, too), but sometimes it takes some looking.

  6. Dr. Attia,

    Brilliant TEDMED presentation.

    Keep up the great work. I am a Critical Care Pharmacist at a large teaching hospital. I frequently recommend your online presentations as examples to medical professional colleagues and residents in training to emulate your style and presentation techniques.

    On a personal level, I thank you for all you do. I have lost over 100 pounds; 14 inches off my waist; I feel incredible — as if I have erased 20 years of ageing and disease. I credit my success to you, Gary Taubes and Mark Sisson. I am also thankful to the many other low carbers that have shared their n=1 success stories and ideas online.

    I am 43 years old. I began ketogenic lifestyle November 2011. I fluctuated from 260 – 320 pounds the 10 years prior; pre-diabetes; liver inflammation; hyperlipidemia; et.al. Now all metabolic syndrome and liver function lab parameters ‘pristine’ (quoted from my physician).

    So many other amazing pearls to note: my lifelong-size-6 wife took up low carb in fall 2012 and now is wearing size zero.

    I have been lurking online but have recommended your website to about 100 people; many are enjoying significant success with low carb eating.

    Many, many thanks,
    Joe Lovely
    Rochester MN

  7. Hi Peter, Just heard the TED talk and wept through most of it. I’m very interested in your diet and following it. I am a 66 yr old woman with HDL of 56 but the doctor I’ve been going to says my LDL is too high. Total cholesterol is 240. He has attempted to put me on statins twice ,the first time muscle aches and fear of getting cancer stopped me the second time I turned them down for the same reasons and never got them at the pharmacy. I do have a family history of heart disease, stroke, and cancer. I have drastically changed my diet already and lost ten pounds but hope to lose more. I would like to know more about your food choices and why you chose the foods you did. Thank You and God Bless.

    • Jude, hard to know if you would be better off with or without a statin (or other drug). The cholesterol series explains some of this, but ultimately, it’s best to have a doctor who really understands the pathogenesis of atherosclerosis. Thank you for your kind wishes.

  8. I just watched your TED talk through my phone app… amazing! You are the 1st speaker that I watched that I had to google right away to learn more about. I am very interested in your research.

    My personal story is that I was relatively healthy (BMI of 21-ish), had 6 children in 10 yrs, and then got thyroid cancer at age 33. Now 4 years later and 40 lbs heavier (BMI of 29), I was just diagnosed with insulin resistancy (and some neuropathies) & put on MetFormin.

    The frustrating thing to me during all the weight gain was that I was actually eating very very little. No fastfood, few sweets, no soda, low carbs, low total caloric intake. It was so frustrating to watch the scale steadily increase while I was being so careful.

    One thing I have felt was that going through this has really given me more compassion for obese people I meet. It used to be that I thought they must be lazy, gluttonous, and eat terribly, but now I wonder if they may have medical issues that are causing the weight gain.

    Anyway, I wanted to thank you for your desire to help others and for speaking at TED!

    • Hopefully you have a great doctor who is really able to make sure your thyroid regimen is “dialed in” … sounds like that may have a played a role in the reduction in your insulin sensitivity.

  9. Hi Peter,
    Heard your talk. Glad that you have embarked on this journey. I don’t have metabolic syndrome or insulin resistance but have pretty much changed from and high carb low fat diet to a low carb high fat diet because that helps me be more functionally fit. Through the years my wife and I have gone through the journey of different diets and constantly trying to understand our bodies and what works best. We are healthier and stronger as a result. One thing that has largely been missing in our discussion is emphasis on micro nutrients. We only talk about macro nutrients and calorie counting – which misses the point. All calories are not equal.
    Lot of the science that you are probably researching has been looked into and published. Not sure whether you are aware of Dr. Loren Cordain, Dr. Arthur DeVany, Dr. Doug McGuff, Dr. Mary Enig, Dr. Stephen Phinney and many others who have published about metabolic syndrome based on our “FDA” food pyramid diets. Barring a very few people, insulin resistance is eminently avoidable and reversible for most who have it, if they are willing to make tweaks to the way they eat. Minimize the carbs, eat lot of fat, get all the micronutrients, and get sufficient protein.

    Best Wishes.

  10. Hi Peter… caught your TED talk today and suddenly wanted to reach out and say…. here is a doctor who gets my problem… alleluia!

    I am 37, and was diagnosed with insulin resistance five years ago. I was on medication (Glucophage) for 2 years then my GP decided to get me off the medication, since then I have not been on any medication except high blood pressure… is that normal or should I raise an alarm and speak to my GP?

    I have battled obesity as a child and suffered ridicule from family and friends, a plight i wish on no one.

    For an obese person, I spend at least 1.5 hours every day in the gym. I bushwalk, 16 kms on weekends, spin cycle every alternate days – at least 15 km, swim for 30 minutes twice a week, and fit in zumba, body balance and yoga classes during the week… I cook most of my meals so focus on proteins and vegetables… and yet I battle with weight…

    I would like to learn more / read more about your research and discuss ideas on how to make that switch in diet that will enable me to lose weight…..

    please help….

  11. Peter,
    WOW! Are you really an MD? 😉 I have never heard one speak with such passion about a topic that every MD I have ever spoken with find to be “the patient’s non-compliance”! I heard your TedMed talk and was amazed that someone is actually researching this issue and how we can potentially ‘fix’ the problem. I had never heard of you before yesterday…today I am scouring your blog site! I have struggled with weight issues for years, living an active lifestyle and eating a healthy diet (but retaining a high BMI). Fast foods have never been part of the diet, but sugars creep in regularly as they are hard to always spot. I feel for the person that responded above about Thyroid disease. I had my thyroid removed in 1999 because of cancer and that has had a negative cascade effect on most aspects of my life! Thank you for your time and energy you are devoting to finding a ‘cure’. This reader appreciates it more than words can express!

  12. I am a Swedish citizen and have seen your speech at TEDMED. I myself resently got insulin resistance and early type-2 Diabetes. However I turned to a ketogenic diet that is known here in Sweden as LCHF. Low Carb High Fat and now I am 8 kg thinner and my glycose level is normal. How wonderful.

    In your speech, you are talking about the lack of knowledge to why we get insulin resistance. I have been thinking about that and have a hypothesis that is not proven or might even be wrong. During our teenage the number of fat cells is established and is constant during the rest of our life. They get renewed when needed but the total number is fixed. That is what I have learned and is supposed to be true. Now as we get older and more obese, the fat cells gets filled up and eventually the fat cells can’t store any more fat with normal levels of Insulin. This is what I believe is the reason for Insulin resistance.

    I myself was very skinny in my teens, almost underweight and I didn’t get bigger until I was 25 years old and my studies was finished. My number of fat cells must have been very low during the age when my fat cell count was established.

    I believe that very skinny teens are more likely to become Insulin resistant or get Diabetes as they grow older since the fat cells are few and they can’t simply store all the exess energy they are eating. It would be interesting to receive your opinion about that. I am not involved in the medical profession in any way so I might simply have got it all wrong.

  13. I am simply in awe of your speech on TEDMED. I am a 36 year old Type I diabetic with a high insulin resistance. I was diagnosed with diabetes at 28. At the time, no matter how I dieted or how much physical activity I did, I could not lose weight. When I was diagnosed with Type II Diabetes, I was 300 lbs. I blamed myself for the diabetes. I thought “I’m a Paramedic and I should know better!” After 2 years of the normal routine of Type II Diabetes and starving myself (to which I lost 120 lbs due to a strict starvation diet), my glucose levels had not gotten any better. My physicians conceded and re-diagnosed me with Type I Diabetes with a high insulin resistance. When I started eating a normal diet again, my weight skyrocketed back to 245 pounds in a matter of a few months. I have been humiliated by so many endocrinologists and physicians because they have all said, in one way or another, “Well, if you start eating right and doing what we tell you, your diabetes would be under control.” I am so relieved to see some one taking a serious look at this situation and how it affects us diabetics. The changes that could come from this fresh point of view would be earth shattering. Please do not give up the fight and be persistent. God bless you.

  14. Hi Peter,
    Before WW2 German scientists concluded that becoming fat is due to hormone imbalance, and not due to eating too much fats, etc. (Why do we get fat / Gary Taubes).
    Hormone imbalance is widely caused by the eating too much sugar or starch, which in turn drives our insulin crazy, and since hormones effect one another, like a domino effect, the whole hormonal system gets out of balance.
    Film “Reversing diabetes in 30 days” shows the effect of cutting starch, sugar and proves exactly that.
    The facts are on the table. PEople choose to ignore them.
    I hope what you’re doing would help point to the truth.

    Good luck.

  15. Peter,
    I found your TEDtalk extremely personal and moving. On the practical side of things, you are spreading a message that people need to hear. On the human side of things, you shared a story that really resonates with me. During my time in medical school, I went into DKA, with what would later be diagnosed as ketosis prone type 2 diabetes (KPD), while eating a whole foods, minimal fat vegan diet. Since that time, I did extensive research, resulting in my following a very low carbohydrate, moderate protein, high fat diet.This has gotten me completely off insulin, and normalized my a1c, and with a great deal of energy I previously lacked. This experience certainly shed light onto the biases and judgments I was making at people, and perhaps even still catch myself doing now. I hope you continue doing what you are doing, and I want to wish you the best of luck with your endeavors.

    Take care.

  16. Dr. Attia,

    I enjoyed your TED talk very much. I stuggle with obesity and belive you are onto something with your hypothesis. My question is this. Considering the fact that many obese people are poor how do you think we can manage to eat healthy on a small budget. Personally my budget for the whole month is $150. Obviously I eat a lot of rice and beans (high carb) and I take no supplements beause they are not affordable to me. I excercise daily by doing yoga, walking on the beach, riding my bike, surfing, etc. I take Lithium and Prozac for Bipolar disorder and Thyroxizine for thyroid problems. I am 6’1″ tall female and weigh 280 pounds. My whole family is obese but our diet is not horrible. I have juiced, detoxed, done low-carb, attempted ketosis and many other diets but on my budget I find it really difficult. I am starting to grow my own vegetables but it’s not working very well yet. I am hungry nearly all the time. Anyway, I just wanted to point out that the solution needs to be budget friendly for those of us on small incomes. BTW, I live in your area but on the Mexico side of the border so if you are doing any studies I would very much like to participate. I think I would feel a whole lot better if i could get this weight off. Supposedly I am supposed to weigh 100 pound less than this. Seems impossible no matter how hard I try. https://www.facebook.com/photo.php?fbid=10151631109834415&set=t.762509414&type=3&theater

    • It is certainly more difficult to eat a healthy diet (whatever, exactly, that means) for less money. This is one of the structural issues that need to be fixed, but only once the science gets fixed first. It’s a real problem when the bottle of Coke costs more than the bottle of water and when the veggies cost more than chips.

    • Eggs remains the best bargin for protein. Just get the the most economical brand, they should be about $1.80 a dozen. Whole chicken goes for $1 a pound when on sale. Eat the skin, liver and heart that comes with it. Make soup from the bones and neck. Cooked vegetables are cheaper than salads. Onions, carrots and kale can go into your chicken soup. For variety, try liver and onions, which is healthy and inexpensive. Use generous amounts of butter on your bread or potatoes. It will slow down the carb digestion and will give you the calories to satisfy you hunger. Four sticks of butter goes for $2.75, which is cheaper than snack food. I assume that you already use dry beans and not canned beans. Fruits are overrated and overpriced; you can get you vitamin C from vegetables. Don’t waist your money on fruit juice, just drink tap water, that’s what I do.

  17. I just watched your TED talk and I was really moved by your depth of feeling, honesty and commitment to your cause. It’s rare to see a man nowadays drop the facade of machismo and be real, and that is to be applauded and admired. Good luck with your mission – there is no failure in the path that you have taken, only honour.

    Dom, UK

  18. Dr. Attia: Just watched your TEDTALK and also, Ric Elias’s talk. Thanks for a very new perspective on obesity and diabetes. This “out of the box” thinking/approach will certainly help us find the solutions in future. I admire your courage and decision to admit that may be you were wrong. That is very bold.
    Ric Elias’ talk is equally inspiring. I have read Captain Sully Sullenberger’s book “Highest Duty”, where he devotes couple of chapters on that fateful flight. It was interesting to listen to a different perspective from a passenger’s viewpoint. So, again many thanks for sharing the TED link.

    We need more people like you who challenge the conventional thinking and willing to risk their reputation, and give up the ego, and help solve problems. Can the same be done regarding climate change? Immigration? Affordable education – especially college education that doesn’t require $50-100K? I don’t know but I certainly hope so.

    Again, thanks for an inspiring talk and thoughts. I wish you the very best.

  19. Dr. Peter, wowed wow. Thank you! I just watched your Ted Talk and while your science is lovely and amazing (thank you. We Need you now more than ever) the redemptive moment you experienced and shared was the meat of our collective experience. It makes you formidable and welcome to any future discussion/discovery about humanity’s future. Welcome to the party. Do your best and it will be good enough. Thank you, thank you, thank you.

  20. Doc,

    As I make plans for this journey I have two questions for now anyway.

    #1. How will this lifestyle affect my heart and clogging the arteries? I just wonder due to the high amount of fat?

    #2. I copied your meal plan for 5 days that you have posted. What about the other 2 days?

    #3. Sorry one more. Exercise. What if you are limited to what you can do and for how long at the beginning, will this help you to still lose weight so as you lose you can do even more exercise?

    Sorry for all the questions Doc but I really want to get going. What I need to do is speak with you and the team about working with you.


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