In 'Good Energy,' a doctor lays out how to measure and boost your metabolic health

Exercise, nutritious diet and good sleep all support your metabolic health, which Dr. Casey Means argues is key to preventing chronic disease.The culprits? Crummy food, long days hunched over a desk and little sleep -- rites of passage for many future physicians.Hoping to make a small dent, she asked Stanford to add a few standing desks in the back of their classrooms. The administration shot down the idea, but told her they’d reconsider if she returned with convincing data.

“The most foundational level of health is how our cells are powered,” says Means, “You could have a Ferrari and if it has no gas, it will not run. So ‘good energy’ is a term to help us understand what we're striving for when we're doing all these dietary and lifestyle investments.” Yes, it's thrilling! Mitochondria are these miraculous parts of our cells that make energy. We have these 40-plus trillion cells in our bodies, and each of those cells is a little factory that is doing trillions of chemical reactions every second. Almost all of those chemical reactions need energy. A well-functioning mitochondria means a well-powered cell.and we become underpowered, we end up getting dysfunction of our cells and leads to dysfunctional organs and that is disease and symptoms.

Americans are investing more than ever in exercise -- we actually have doubled fitness center memberships since the year 2000 -- and yet obesity continues to climb. As she moved into her 50s and 60s, she racked up high cholesterol, high blood pressure, high blood sugar. Americans are facing these at astronomical rates. All three of these are rooted in these same things -- insulin resistance and metabolic dysfunction. They’re what I call the trifecta of bad energy in the book.

The stark economic reality of our current paradigm is that the health care system makes more money when patients are sick, and it makes less money when patients are healthy. What that does, unfortunately, is create an invisible hand that guides every aspect of how we look at disease, how we look at the body, how we pursue research. Every single doctor I know is a very good person who went into health care to help people.

I actually have great optimism for the future. We know that, when people understand the severity of an issue, collective will can be monumental. We saw this during COVID. People came together and rapidly changed the entire fabric of society to address this problem. I'm just trying to name the problem that we are dealing with and to help people understand where we need to focus the arrow.

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