Weight Loss Doctor: 'If I Needed To Drop 20+ Pounds Of Belly Fat: Here's EXACTLY What I Would Do!'

Jay Shetty 0:00 At what age are we actually old?

Dr. Vonda Wright 0:02 [laughs] I believe that our perception of aging has to do with what we view of the future.

Jay Shetty 0:12 Is there something that happens in our 35 to 45 range that our sleep starts to become less consistent? How do we lose that stubborn belly fat?

Dr. Vonda Wright 0:24 Weight is not the measure for me. It's body composition. I never say lose weight. I say we are going to recompose your body.

Jay Shetty 0:32 Why is it that the high-intensity interval training-

Dr. Vonda Wright 0:35 Right

Jay Shetty 0:35 ... not having the desired result?

Dr. Vonda Wright 0:37 Listen, many people die for 20 years, Jay.

Jay Shetty 0:43 What's something you used to believe to be true about health that you don't today? If someone listening right now is between the ages of 20 to 30, what are those specific healthy habits that we need to invest in that are non-negotiable?

Dr. Vonda Wright 1:00 That is the perfect time to figure out your life habits. Learn to prioritize your health over those things that are gonna tear you down.

Jay Shetty 1:10 If someone said to you, "I want to lose weight," what is the best, healthiest, quickest way I can do it? The number one health and wellness podcast. Jay Shetty.

Speaker 1:22 Jay Shetty.

Jay Shetty 1:23 The one, the only Jay Shetty. [laughs] At what age are we actually old?

Dr. Vonda Wright 1:30 I believe that our, our perception of aging has to do with what we view of the future. I have never believed the myth that is pervasive in this country that aging is an inevitable

Dr. Vonda Wright 1:43 decline from vitality of youth to frailty. I've never believed that, and there have been so many examples of people in my own life, in the athletes I've taken care of, and even the regular people. I believe we can change the trajectory of our future by investing in ourselves today. I think that, and I've seen this, not only research, I say I think this, but research has backed this up, that when we invest in our health as a daily basis, whether it's our mobility or our sleep or our nutrition or a variety of relationships we have, that we don't have to go down this slippery slope to frailty in which many people in our country die for 20 years, Jay. Between 60 and 80, it's just three doctor's visits a week. I believe that we can be healthy, vital, active, joyful, and hopefully die peacefully in our sleep. But that takes intention. That takes purposeful activity every day because time will take over if we just let physics take over.

Jay Shetty 2:52 I, I really love that perspective that you have, and I've had experience of that. I remember in my early 20s obviously feeling exceptionally healthy from a natural standpoint. In my late 20s to early 30s, almost experiencing a dip because of a lack of focus-

Dr. Vonda Wright 3:08 Yeah

Jay Shetty 3:08 ... and a lack of attention.

Dr. Vonda Wright 3:09 Mm-hmm.

Jay Shetty 3:10 And then now in my late 30s, feeling the best that I've ever felt, and it's really fascinating to see how even our ideas and language around aging, I think we used to say, "Oh, well, I, I don't want to be 30." And people still feel that. "Oh my gosh, I'm, I'm turning 30." And then people will say, "Oh my gosh, I'm gonna be 40 now. Oh, now I'm 50." And now people, we age ourselves by how we talk about age, how we dress, how we think about our age. So I want to ask you, if someone listening right now is between the ages of 20 to 30, what should their priorities be? What should they be focused on? And we'll focus on other generations next.

Dr. Vonda Wright 3:48 Absolutely. If, if you're in your 20s going into your 30s, you know, think about that time of life. There's a lot of uncertainty in that time, right? You're just finishing your education. You may or may not have the job of your dreams. You may be living with your parents, but that is the perfect time when there are probably still other people taking care of you in some way to figure out your life habits, right? That is not the time to skate along on your youthful zest or your youthful biology. But learn to sleep. Learn to prioritize your health over, for instance, those things that are gonna tear you down. I mean, listen, we're all young. We all want to go out. We all want to burn the midnight oil. But now is the time to respect yourself enough to make the decisions to say, "Okay, five days a week, I'm gonna focus on my career. I'm gonna focus on getting ahead. I am going to take care of my body, and because I'm young, I can play around a few days." But if we do that seven days a week, we end up a decade later with no habits, probably this beer belly we never wanted, and you're getting teased with our friends. So I think it's time now as we're enjoying our youth to develop habits that will last a lifetime.

Jay Shetty 5:05 How much harder is it in our 30s and then in our 40s to shift to those healthy habits than if we started earlier?

Dr. Vonda Wright 5:13 I think if we start earlier, it's just our lifestyle. It's how we live, right? It often... And I tell people this at any age, that as we're layering on our health habits, it may seem like a lot at first, but if it's just how we live, then it's no extra

Dr. Vonda Wright 5:31 stress, right? For instance, if you're used to mobility almost every day, if you're used to making food choices that do not involved a lot of fried foods or, or you understand that you can't be drunk every night and still be healthy, then it is no effort to live that way versus, "Oh my gosh, I've got to do these five or six things." Does that make sense?

Jay Shetty 5:56 Yeah. But biologically, how much harder is it to, like, say, lose that belly fat-

Dr. Vonda Wright 6:00 The good news is, is that recently a study was, um, released that showed our first big hit of biologic aging is about 40. Now, that doesn't mean that you can-

Jay Shetty 6:13 What does that mean? Yeah.

Dr. Vonda Wright 6:14 That means at a cellular level, the repair mechanisms become less efficient. It means that our, our pluripotent stem cells, which we have not only from our bone marrow but in every cell, are, are actually less young. That being said, lifestyle can rejuvenate those, and we've done our own s- we've done... That's part of my research, having done those studies. But so when I say at 40 it's the first big hit, our, our actual intracellular biology becomes less efficient. We are able to clear the toxins of metabolism less efficiently. We're able to produce the proteins that our cells make in normal living from our DNA less effectively. So I don't want to give 30-year-olds a pass. I call the, the time between 35 and 45 the critical decade to just to get everything established, to get in the best shape of your life so that you're actually starting midlife. Because when you look at life expectancy, midlife is 40, right? And so we tend to think, oh, when I get old. Well, 40 is midlife. If we arrive there having taken care of the habits, it is significantly easier. Now, it's easier to start at 40 than it is at 65. I don't wanna be discouraging to people if you've missed the boat on 20, 30s, but that's what I mean by biologically there's a big hit about 44.

Jay Shetty 7:44 So I'm 37 right now. I'm seven years away from the end of that-

Dr. Vonda Wright 7:49 From the first hit

Jay Shetty 7:49 ... from that first hit.

Dr. Vonda Wright 7:50 Yeah.

Jay Shetty 7:51 What would be the top priorities for someone between that 35 to 45? What are those specific healthy habits that we need to invest in that are non-negotiables?

Dr. Vonda Wright 8:01 With the experience of age and ex- and, and working this long, your top priority is to figure out how to sleep through the night. Because secondarily, if I tell you to go build muscle mass and to work on your VO2 max, which we can talk about all those things, if you're exhausted, if you are not, uh, aware of your circadian rhythm and, and when you should be going to sleep and when you're waking up, you will not have the energy or the brain power to do the secondary things. Which number two is mobility. I'm an orthopedic surgeon. It's top of mind for me. We're-- Everybody's talking about it now. We are to build lean muscle mass, but what people forget about is this is prime time in both men and women's lives to build your bone. We top out at bone density, uh, around 30, right? So what does that mean? Well, we need the thickest, strongest bones because we literally do live off that for the rest of our lives. Now, we can get into this, but you can build bone back, but you need the best bones, and that's what I would focus on, muscle and bone. And then finally, everybody needs to not treat their bodies like a garbage can. We are not a trash disposal. Everything can't go in. This is a temple. This is a meticulously designed machine. And just like we would take care of the machines of our cars by what we put in it, we-- many people don't think of their bodies in the same way.

Jay Shetty 9:36 Yeah. So well said and so simply put. I deeply appreciate how practical and thoughtful they are. Let's dive into each one of them. Is there something that happens in our 35 to 45 and onward range that our sleep starts to become less consistent?

Dr. Vonda Wright 9:53 Well, particularly for women, 40 to 45 becomes a critical time that they might not even be aware of. Because what we know, and you've, you've probably heard of this before, I've heard it on your podcast,

Dr. Vonda Wright 10:07 women are born with the amount of eggs that we're ever going to have at birth. It's a miracle, right? And we slowly use those such that at age 40, we only have 1% left. Well, it's our eggs that make our estrogen. So as our total number of eggs declines, so does our estrogen. And that's about the time when women go from this normal cyclic pattern of hormones up and down to haywire. And that's when we don't build muscle as well. We don't build bone as well. But our sleep becomes disturbed because our circadian rhythm is off. And so it is not uncommon for women in their 40s, and this is such a common time, we're all waking up at 3:37 in the morning, not only because our sugar is dipping and our bodies are waking us up to s- to save our lives, but because of the hormonal fluctuations. So sleep becomes really difficult. But think about in our early 40s, because many women have chosen to put off childbearing, they may have just come off of the time when their children [chuckles] are up all night, and now they're plagued by not being able to sleep. So it becomes a real big problem. For men, men don't realize it, but men can start losing testosterone in their early 40s too. And the caveat to that is your testosterone may still be in the normal range, 250 to over 1,000, but most people don't, most men don't check their testosterone when they're 20 or 30. So you still may be in the normal range, but your normal, I'm making a random person up here, your normal may be 850, and now you're 450. So for your body, it's a dramatic change, and that affects sleep cycles and everything. So that's, that's why sleep in our 40s becomes more difficult.

Jay Shetty 11:59 That is fascinating. I don't think I've ever heard both those explanations for it-

Dr. Vonda Wright 12:04 Yeah

Jay Shetty 12:04 ... in that way. So what do we do about it? Because I know so many people, so many friends-

Dr. Vonda Wright 12:10 Yeah

Jay Shetty 12:10 ... that are going through exactly what you're saying. Their sleep has started to decline. They wake up more often in the middle of the night.

Dr. Vonda Wright 12:17 Mm-hmm.

Jay Shetty 12:17 They find it harder to go back to sleep. What changes do they need to make? Because if sleep is the pillar of everything that we're about to talk about, I think it's really important that we help people figure that out.

Dr. Vonda Wright 12:29 I totally agree with you because there was a, there was a time in my life when I didn't sleep, in graduate school, and then I had a baby, and then I was in residency, and it frightens me how much sleep I lost because we know now it's so critical for longevity and biology. But the things I'm about to say to you are not rocket science, and let, and yet I find it, they're hard for people to get in a habit of doing.

Jay Shetty 12:56 Mm.

Dr. Vonda Wright 12:56 Science shows us we must go to bed and wake up at the same time to set our b- our daily clock. You know, during the night, we build up a protein called adenosine. We wake up and it's at our highest. We try to see the sun, unless when it's the dead of winter, and to, to start our, our day. But if we have uneven sleep schedules, then that clock is off, so protecting your go-to-bed time and protecting your waking up time. So for instance, I live on the East Coast. We're on the West Coast. I have stayed on East Coast time.

Jay Shetty 13:33 Mm-hmm.

Dr. Vonda Wright 13:34 And [laughs]

Jay Shetty 13:35 That happens to me when I come the other way.

Dr. Vonda Wright 13:36 Do you do that?

Jay Shetty 13:37 Yes.

Dr. Vonda Wright 13:38 Yes. And then you're not exhausted or jet lagged. It's a little weird if you have to do business or go out, but if I'm having a party at my house, I'm like, "See yourselves out, guys. You have fun. I'm going to bed. It's 9:30." So for our house, it's 9:30 to 5:00, like clockwork, number one. Number two, I am not a holder to intermittent fasting, but what I am a holder to is time restricted, meaning I'm gonna eat as early as possible so that by 9:30, everything is out of my digestive system. I'm spending no energy, and that helps us sleep better.

Jay Shetty 14:12 Mm-hmm.

Dr. Vonda Wright 14:12 Number three, I always say, "Don't throw rocks at me," but in midlife, especially for midlife women, alcohol is a total sleep disrupter. Because when we're young, we think, "Oh, of course it makes me sleep better." What it does is it makes us pass out, but if you're tracking your sleep, you'll see that you're not entering into the really deep sleep levels. And, and this is being talked about a lot lately, except I don't see people a- adjusting to it. I mean, when I... I find that when I work with my longevity patients, they're al- they're willing to do almost anything except give up the glass or two or four of wine at dinner because it's so cultural. It's so almost like a ritual, and people come to believe that they need that to relax, when in fact it inhibits their sleep. So timing of sleep, we talked about not eating three hours, we've talked about alcohol. And then, you know, something I do, something that's very helpful is I take my magnesium, which is a, a supplement that I think most people need, especially for bones, at night. I also suggest that women, if they're taking progesterone, take it at night. And then all the other lifestyle things, blue glasses, turn off your phones, which I find hard to do personally, but those are all legitimate ways to help regulate. And then as things as silly as if you find you're waking up at 3:37 every morning like clockwork, you know what the clock is gonna say, that may be your blood sugar. And I know it's my blood sugar because I often wear a, a continuous glucose monitor. So if you eat a little bit of protein right before bed, just a titch, not a meal, not enough to disrupt this other advice I've given you, that will make your sugar not dip so low-

Jay Shetty 16:04 Wow

Dr. Vonda Wright 16:04 ... and your liver will not, and your body will not wake you up because your body wakes you up. I know because I wear a CGM, when I wake up that way, my blood sugar is 50 or 40, and my body's just trying to save my life.

Jay Shetty 16:16 And what do you want it to be when you wake up?

Dr. Vonda Wright 16:18 Well, uh, fasting blood glucose should be 85 or lower. That is the level that we should all strive for. Not 100, not 110, which many people walk around with in midlife. 85. If we do not want to be a burden to other people, then we must take care of ourselves. We can maintain our bone density into our 80s. How do we do it? I want to dispel a myth right now that is so common in the population that is, there is no evidence that-

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Dr. Vonda Wright 17:43 I am.

Jay Shetty 17:43 You've... We were talking about your wonderful daughter earlier and, and other children, and when you look at that and you look at that time in your life when you were staying up and taking care of your kids and having erratic wake up and sleep times, how do you get that back? Can you get that back, or is that just a period that you write off and accept that it's not-

Dr. Vonda Wright 18:04 I lost that sleep. You know, I don't believe there's any research that shows that I can restock 11 years of not sleeping, but my obligation to myself now is to start today. We can reverse the hands of time by the lifestyle we do today. I can become biologically younger But I don't honestly think that I can get back 11 years of sleep. But if we continue in those habits, we just perpetuate the badness, right?

Jay Shetty 18:30 Yeah. What can we do during those years for the women that are listening, the parents that are listening? What can you do during those years where that piece of advice is going to be impossible to follow naturally? What can they do to cushion that impact?

Dr. Vonda Wright 18:44 Well, and this is so pertinent. Uh, I lived through it. I have daughters who are having children now. Simple things like children can be scheduled. They will learn to go to bed at a certain time and wake up at a certain time. Not newborn infants, but once y- they get big enough, about three months, six months, depending how big they are, they can learn a schedule. So let's schedule them. They might wake up in the middle of the night. It always happens. But if there's no schedule, children feel a little insecure and will wake up more. So that's number one. Number two, give yourself the grace. I want to talk to all young parents. Give yourself the grace that when your child goes down for a nap, young children less than three years old usually have two naps a day. Give yourself the grace that the minute they go to sleep, you don't have to go clean the house or get on email, and lay down and sleep too. Just collect sleep, right? And then all the other habits, you know. If you may feel like you need a, a glass of wine to relax, that's just gonna re- disrupt your sleep more. So those are simple things. I think the biggest thing that I just said is, young parents, please give yourselves the grace.

Jay Shetty 20:00 Mm.

Dr. Vonda Wright 20:01 It's an imperfect time in your life.

Jay Shetty 20:03 Mm-hmm.

Dr. Vonda Wright 20:03 You can't be in control of everything, and your child is not gonna break. Children are so resilient.

Jay Shetty 20:09 Mm.

Dr. Vonda Wright 20:10 So I, I, as an old mother, I'm saying that to the young mothers.

Jay Shetty 20:13 Mm-hmm.

Dr. Vonda Wright 20:13 There's no perfect way. The young parents, there's no perfect way, but have the grace to take the rest. Leave the dishes in the sink. Do not think that everything has to be perfect in that really chaotic time in your life.

Jay Shetty 20:28 Yeah. I think one of the things that is really s- challenging people right now is our cortisol levels are so high.

Dr. Vonda Wright 20:35 So high.

Jay Shetty 20:37 We think of or we've trained ourselves to believe that certain things help us rest and decompress, but as you were saying with alcohol, they don't really. And I think the same's true for watching something.

Dr. Vonda Wright 20:51 Mm.

Jay Shetty 20:51 And I used to always feel like, "Okay, well, I can stay up because I wanna watch my favorite show." But actually that decompression that I get from watching a show versus if I change that for sleep-

Dr. Vonda Wright 21:03 Mm-hmm

Jay Shetty 21:03 ... the sleep would've been far more relaxing and rejuvenating. So say I finish all my daily chores and, and everything that I have to do at 10:00 PM, if I had the choice to get into bed at 10:00 and fall asleep or watch a show for an hour and a half or an hour or whatever it is, it would be better for me to go to sleep. But we've trained ourselves to believe, "No, the drink or the show will make me feel better."

Dr. Vonda Wright 21:24 Right.

Jay Shetty 21:25 How do we, how do we kind of deal with that emotional feeling that makes us say, "Well, the show and the glass of wine is better," versus like, "No, this rest is actually gonna do more work than any of that could"?

Dr. Vonda Wright 21:37 I think rituals is, which is what you're talking about. You have a ritual of relaxing with wine, a ritual of watching a show. I think m- rituals in life are actually helpful. The bedtime ritual cannot be stimulating, right? It doesn't mean that you can't watch 20 minutes of something that's relaxing, but please do not overstimulate your brain with some murder mystery or some, you know, I don't even know, the shows where people shoot each other, right? [laughs]

Jay Shetty 22:06 Yeah. [laughs]

Dr. Vonda Wright 22:08 That's not gonna

Dr. Vonda Wright 22:09 relax-

Jay Shetty 22:09 Yeah

Dr. Vonda Wright 22:09 ... your nervous system, right? We want... So the ritual of slowing down, maybe some rom-com or something non-stressful or some-

Jay Shetty 22:17 Comedy, yeah

Dr. Vonda Wright 22:17 ... something with beautiful music. It's okay to have a ritual of drinking something, but I find hot tea or something soothing, the ritual then will help you train your body to go to sleep.

Jay Shetty 22:29 Mm.

Dr. Vonda Wright 22:29 But the ritual can't be stimulating. It's self-defeating.

Jay Shetty 22:32 Yeah.

Dr. Vonda Wright 22:32 Yeah.

Jay Shetty 22:33 No.

Dr. Vonda Wright 22:33 And I'm sorry, because of streaming, the show will be there tomorrow.

Jay Shetty 22:36 [laughs]

Dr. Vonda Wright 22:37 It's not like it's the only time you'll have it available.

Jay Shetty 22:39 Yeah, yeah, yeah. Yeah.

Dr. Vonda Wright 22:40 Yeah. It's not like it used to be.

Jay Shetty 22:41 Absolutely. And what's alcohol actually doing? Why is it disrupting our sleep? Why is it that we can't get deep sleep with alcohol? What's, what's actually going on?

Dr. Vonda Wright 22:49 You know, and I'm not a sleep expert, but I, I think it changes the way we enter into REM sleep. It changes the depth of us being able to descend into the deeper. And at a molecular level, I don't know. But what I do know from having reading enough and watching my own, I don't wanna say brands out loud, but watching my own device, I can see that, um... And I don't drink anymore actually, um, but I used to see how I just would never end into, up in deeper sleep.

Jay Shetty 23:20 Mm-hmm. Yeah, no, definitely. I think it's, it's really fascinating to hear that. What's the, um, we're talking about this powerful decade of 35 to 45.

Dr. Vonda Wright 23:28 35 to 45.

Jay Shetty 23:30 What's happening to our bones and muscles-

Dr. Vonda Wright 23:32 Yes

Jay Shetty 23:33 ... during that time if we do nothing?

Dr. Vonda Wright 23:35 Well, if we sit around and do nothing, then most of us in this country live in relative energy excess, right? It's not that we're in rel- relative energy deficiency, which is its own set of problems, but excess. So our, with excess and sedentary living, our body has to get rid of the glucose we consume. So in our bodies, whether we're eating protein or, or fat or carbohydrates, it's all used for fuel. And when we over fuel, it's gonna accumulate. So we're gonna gain weight as fat, and I wanna distinguish that for, for all of us that weight is not the measure for me. It's body composition.

Jay Shetty 24:24 Mm-hmm.

Dr. Vonda Wright 24:25 Because it's... I once was invited to Fashion Week, and I- Was a fish out of water. But one of the things I observed is that they were very, very thin women who, if I put them in a body composition machine, probably had very, very low muscle mass. So it's very possible to look thin but be mostly fat, which is metabolically unfavorable. So imagine what happens if we're actually visualizing the adipose tissue, and, you know, as we age, there is a syndrome called sarcobesity, which means we have too much adipose tissue and too little muscle. So if we're in relative energy excess, we're gonna accumulate that unhealthy metabolic tissue and not make enough muscle. I'm gonna tell you, I mean, I'm a surgeon, right? Our bodies with energy excess, they're, like, scrambling. The closet's full. The cupboards are full. Where are we gonna put this fat? I find it in the shoulder joint, which is not supposed to have that much fat. I find it infiltrating muscle as I'm operating 'cause our body is just trying to stick it places 'cause there's just too much of it. That's what happens, especially because many, many jobs now are sedentary jobs.

Jay Shetty 25:46 Mm-hmm.

Dr. Vonda Wright 25:46 They're brain jobs. They're not labor-ish jobs. We're actually getting up and using our bodies, which frankly is what we're designed for. We're designed to move, so it's kind of against nature to sit around all day, but that's what happens.

Jay Shetty 26:00 Yeah, and that's so scary to hear.

Dr. Vonda Wright 26:03 Yeah.

Jay Shetty 26:03 Because as you said, the older we get, the harder it will be to lose.

Dr. Vonda Wright 26:08 But here's the good news.

Jay Shetty 26:09 Yeah.

Dr. Vonda Wright 26:09 You can totally reverse that. But I hate... The reason I pointed out weight is because the words we use are, 'I'm gonna lose weight.' I never say that. I say, "We are going to recompose your body. We are going to build muscle, and in doing so, we will replace muscle with fat." Muscle weighs more than fat for per volume, and so your weight may not change, but your composition will be vastly different and therefore your metabolism.

Jay Shetty 26:40 Yeah. I've been working on that consistently probably just for the last six months.

Dr. Vonda Wright 26:45 Yes.

Jay Shetty 26:45 And I saw drastic shifts in my skeletal muscle mass.

Dr. Vonda Wright 26:49 Yes.

Jay Shetty 26:50 My weight practically stayed the same.

Dr. Vonda Wright 26:51 Exactly.

Jay Shetty 26:52 But my body composition is what was changing.

Dr. Vonda Wright 26:54 And doesn't it feel and look different?

Jay Shetty 26:56 It feels and looks different completely, but it was fascinating to me, and it was exactly what you were saying. It was, uh, weight training, eating more protein in my diet-

Dr. Vonda Wright 27:05 Mm-hmm

Jay Shetty 27:05 ... uh, cutting out sugars, and, and it was, it was simple changes.

Dr. Vonda Wright 27:11 Yeah.

Jay Shetty 27:11 But it was incredible to see how it looked different on paper. It felt different. It looked different in real life, but my weight was exactly the same.

Dr. Vonda Wright 27:19 Exactly right.

Jay Shetty 27:20 Yeah.

Dr. Vonda Wright 27:21 And it doesn't take that long.

Jay Shetty 27:22 What would you say if someone says, 'I want to change my body composition'? If someone said to you, 'I want to lose weight,' in their words-

Dr. Vonda Wright 27:29 Yes

Jay Shetty 27:29 ... in your words, change their body composition, 'I want to lose weight'-

Dr. Vonda Wright 27:33 Mm-hmm

Jay Shetty 27:33 ... what is the best, healthiest, quickest way I can do it?

Dr. Vonda Wright 27:37 I work mainly with midlife people, 40 to 65, and in midlife people, here's the secret sauce. We are going to lift heavy. We're gonna stop doing the youthful 20 reps, 15 reps of a weight. We are going to do, for women, my recipe is four reps, four sets. For men, it can be eight reps, uh, four sets, but what does that mean? Of the four compound lifts, a push-pull with the upper body, so bench press, pull-ups or some pull, right? That's the upper body compound motions, meaning, in simple words, that we use multiple muscles across multiple joints. For the leg, it's squats and deadlifts. Four reps, four sets, at least twice a week. Better four if we can fit it in, but I'll take two if we can't do four. And then we augment those with supportive lifts. So for a bench press, four reps, four sets, heavy weights. The, the supplemental lifts are biceps, triceps, le- our cosmetic muscles that we see consistently doing that, number one. Number two, you have to feed that muscle build with protein, right? It's all the... Everybody's talking about it right now. It's the truth. Great research has shown that even, and I don't suggest this, but even a higher protein diet alone will help your body build muscle mass, even without lifting. I don't suggest it, but that's what the data show. Here, here is something that is the recomposer. So you're lifting, you're feeding, and you're sprinting. And sprinting, I know, right? Sprinting does not mean you're running down a track like Usain Bolt. Sprinting is a heart rate function. So I like people to do their cardio really in three ways, but it's layered on. Number one, 80% of the time we're spending in low heart rate based training. This is based on endurance athlete data from Inigo San Martino, who, who has a lab in my building. That's, that's why I use his method, but low heart rate 80% of the time. Twice a week, we sprint, which means we're getting our heart rate up as fast as it can go. Now, I happen to do mine on a treadmill, and I'm running as fast as I can without falling off the back, but you could do it on a rower. You could do it on an elliptical. You could do it on one of those Alpine machines or on the road running up these hills here. It doesn't matter, but you are leaving nothing in the tank. That is different than high intensity interval training when you're going at 75 to 85, and that's when a lot of people get hurt and have to come to the orthopedic surgeon because they do that five days a week. What I'm asking you to do is do strategic stress As high heart rate as your heart or your cardiologist will let you go twice a week. It is that stimulus coupled with heavy lifting, coupled with feeding, that's gonna recompose your body.

Jay Shetty 30:43 Wow.

Dr. Vonda Wright 30:43 And I've seen it time and time and again.

Jay Shetty 30:46 Why is it that the high intensity interval training is not having the desired result?

Dr. Vonda Wright 30:51 It is too intense to truly be restorative, to truly that the base training, to truly, which is about 60, 65 of your maximum heart rate, to truly be restorative, to truly allow your mitochondria, which are the energy, uh, organelles in your body to become efficient, to use all the food substrates. But it is not stressful enough to really stimulate your body, especially for women in midlife who have lost their estrogen by and large, or for men whose testosterone is... You need that kind of stimulus for your body to think, "Oh my God, I really need to lay on, uh, some muscle and change my body composition." And listen, I used to do high intensity interval training every day because I get bored and I'm like, "I'm just gonna sprint this out." But it wasn't at the top of my heart rate, it was just below it. This is what happens. You do that five days a week, you develop muscle imbalances, you, you get hurt. You come to your orthopedic surgeon, they say rest, which I actually don't believe in, I believe in active recovery, f- for three weeks. Well, your brain gets angry at you because it's used to the daily dopamine hit, and it's just a miserable way to cycle in and out of injury. So this 80/20 method is not only backed up by great scientists, but I, I've seen it in me, I've seen it in the people I take care of. It, it is the key to recomposition.

Jay Shetty 32:19 Mm.

Dr. Vonda Wright 32:20 So we've got the 80% low heart rate. We've got the 20% sprinting. When you've got that down and it's your lifestyle, then what I would love for people to do is work on their VO2 max.

Jay Shetty 32:35 Mm-hmm. Talk to me about that.

Dr. Vonda Wright 32:36 VO2 max is the absolute measure of your fitness. It's oxygen, how your oxygen is diffusing, uh, from your blood to your lungs, and your heart's using it, right? VO2 max, unaided, un-supplemented, will decline 10% per decade as we age. We just get less efficient.

Jay Shetty 32:58 No way.

Dr. Vonda Wright 32:58 Yes. Our, our stroke volume, which is how much blood your bump, heart pumps out, ex- releases per pump, uh, the diffusion across your lungs, it all declines with age unless you work on it. But why is that important? You're like, "Oh, good, my VO2 max." Why is that important? Here's why it's important. There is a line called the fragility line, the frailty line, after which you can no longer take care of yourself, which none of us... It's hard to fathom now in midlife or in youth, but many 70, 80, 90-year-olds get to it. And what it means, with a VO2 max less than 18 for the man, less than 16 for the woman, which is the frailty line, you can't take care of yourself. You're gonna have to move out of this house, or move in with your children, or God forbid, move to a nursing home. 'Cause if you can't get up from a chair, you can't take care of yourself. So here's how it goes. I usually give people my example, just so the r- numbers mean something. So when I was 50, I did m- the last time I did my VO2 max, and it hurts, so people don't like to do it very often, but, uh, my VO2 max was 45. If I did nothing, by the time I was 60, using round numbers, it would be 40. At 70, it would be 35. At 80, it would be 30. 90, 25. At no point in my life will I cross the frailty line. So we gotta work on that, because you can increase your VO2 max so you never reach that frailty. So how do you do it? It's a different kind of working out. So sprinting, you sprint for 30 seconds, and then you completely recover four times, right? VO-

Jay Shetty 34:43 Nothing in between.

Dr. Vonda Wright 34:44 Nope.

Jay Shetty 34:44 No wait, no waiting in between.

Dr. Vonda Wright 34:45 You just, you just get off the treadmill and you rest. You recover. Your heart rate comes back down. Takes me a couple minutes, two to three minutes. For VO2 max training, it's four minutes as hard as you can go, so it's slower than your sprint, but it's still full out for four minutes, and then you only recover for four minutes, and then you do it again. So-

Jay Shetty 35:08 Twice

Dr. Vonda Wright 35:09 ... three times. So it's very stressful, but that's what will build your VO2 max. So it seems like a lot to say it all at once, but once you layer it on, you do VO2 max once a week, Mondays.

Jay Shetty 35:22 Just once a week?

Dr. Vonda Wright 35:23 Yeah, just do it on Mondays.

Jay Shetty 35:25 How did we evolve to need that kind of training? Because it seems so specific and mathematical and-

Dr. Vonda Wright 35:33 Well, it's specific and mathematical because some brilliant PhD has figured out that this is how you do it. But I think that historically when we had to hunt our food, not being able to get up out of a chair is a bad thing [laughs]

Jay Shetty 35:48 Mm-hmm. Mm-hmm

Dr. Vonda Wright 35:49 ... for hunter gatherers, right? And so I think we would just get it in our lifestyle. We would be walking all day to forage. We would be stalking something, and then we're sprinting-

Jay Shetty 36:02 To get it

Dr. Vonda Wright 36:02 ... to go catch it, right?

Jay Shetty 36:04 Mm-hmm. Wow. Yeah.

Dr. Vonda Wright 36:04 I think it's, I think it's the way we lived.

Jay Shetty 36:06 Yeah.

Dr. Vonda Wright 36:06 And we don't live that way, so now we have to have this formula.

Jay Shetty 36:10 That's interesting. Yeah, no, that's what I was trying to place. I was like, that's so fascinating that this four minutes, four minutes off, and when you hear about these things, you go, "Well, how did humans get there?" That's kinda where my mind goes and-

Dr. Vonda Wright 36:20 Yeah, but think about-

Jay Shetty 36:21 That's a really interesting take

Dr. Vonda Wright 36:22 ... the way a lioness hunts.

Jay Shetty 36:23 Yeah.

Dr. Vonda Wright 36:23 If, if, if we do an analogy to a hunter-

Jay Shetty 36:26 Yeah

Dr. Vonda Wright 36:26 ... lioness will stalk their prey-

Jay Shetty 36:29 Yes, yes

Dr. Vonda Wright 36:29 ... for a very long time.

Jay Shetty 36:31 And then sprint.

Dr. Vonda Wright 36:31 And then they rush.

Jay Shetty 36:32 Yeah. Yeah. Wow. Never thought about that.

Dr. Vonda Wright 36:35 I know.

Jay Shetty 36:35 But it makes a lot of sense, and we're not running after our food, but-

Dr. Vonda Wright 36:38 Not most days.

Jay Shetty 36:39 Yeah.

Dr. Vonda Wright 36:39 [laughs]

Jay Shetty 36:40 For the people that are gonna be mad if I don't ask this question-

Dr. Vonda Wright 36:43 Okay

Jay Shetty 36:43 ... how do we lose that stubborn belly fat?

Dr. Vonda Wright 36:47 Number one- Let's give ourselves some grace that this is the way the human body is. Any person who's had a child is gonna be transformed, and that is, that is just the way it is, right? Don't crucify yourself. That being said, if we're living in a time of excess energy all the time, the way that I've described for you, the high intensity interval, let's clarify that, the sprint intervals plus the weight lifting is what's gonna transform your body. And you may never get rid of that extra little inch, but you'll get rid of most of it. You'll get rid of the back fat. You'll get rid of the heavy hips people don't like, and you will decrease visceral fat. The fat that is inside smothering your organs will decrease, and that's what we really want, right?

Jay Shetty 37:46 What's the difference between the good fat and the bad fat around our belly? Because I feel like we don't know the difference.

Dr. Vonda Wright 37:53 The, the peripheral fat is that which you can pinch, whether it's on your hips or in your belly, around your belly button. That's not the fat that's gonna really kill you. That's the annoying fat. That fat does make a, a, a protein called leptin, which is bad for your metabolism. It is bad for your bones. But it is the visceral fat, the fat that you can only see on a body composition or an MRI, that literally we've got this apron in our body under our skin, under... There's a layer called fascia. It's white, like you would see on a s- on a steak. Um, it's an apron of fat over our organs. It's a protective. Well, that gets thicker, and then fat is deposited around our organs, and that fat, the visceral fat, is metabolically different than the peripheral that you can pinch, and it's that visceral fat that is what causes chronic inflammation that leads to disease. So yes, cosmetically, we want get, to get rid of the peripheral fat, but metabolically, we gotta control the bel- the deep visceral fat.

Jay Shetty 38:59 You've worked with so many athletes.

Dr. Vonda Wright 39:00 Yeah.

Jay Shetty 39:00 And I just wanna, I wanna kind of go off on a tangent before we come back. But I wonder with the athletes you've worked with, and to your earlier comments around models and being at Fashion Week-

Dr. Vonda Wright 39:12 Yeah

Jay Shetty 39:13 ... I was going to ask you, which sport do you find the actually healthiest people in versus just fittest? Or what, what is the difference, and how do you see it?

Dr. Vonda Wright 39:24 Oh, let me think about that.

Jay Shetty 39:24 Does that make sense?

Dr. Vonda Wright 39:25 Yeah.

Jay Shetty 39:26 Yeah.

Dr. Vonda Wright 39:26 I'll give you three examples, and I'll tell you why. I think soccer players have the best cardiovascular machine because on average a, a high level soccer player will run six to 10 miles on the pitch over the course of the 90 minutes at different speeds, right? Maybe they're jogging up the pitch, and then they're sprinting, right? So they're getting it all in, and usually they're muscular people, but they look more like runners than-

Jay Shetty 39:51 Mm-hmm

Dr. Vonda Wright 39:51 ... than people who lift weights, even though I know they do, right? So that's, that's one group.

Jay Shetty 39:56 Mm-hmm.

Dr. Vonda Wright 39:57 The other group that I've had the privilege of taking care of that I think get it all in are rugby players.

Jay Shetty 40:02 Mm-hmm.

Dr. Vonda Wright 40:03 They're running up their pitch. They're sprinting, but they have to be full of muscle because if you've seen both male and female rugby players, they are physically lifting each other up as they-

Jay Shetty 40:15 Mm-hmm, mm-hmm

Dr. Vonda Wright 40:15 ... if no one's seen rugby, they're not gonna know what I'm talking about.

Jay Shetty 40:18 I, I, yeah, I-

Dr. Vonda Wright 40:18 But you know rugby

Jay Shetty 40:19 ... I'm from, yeah, I'm from London, so yeah.

Dr. Vonda Wright 40:20 Yeah. So they lift each other up to catch the ball in the air.

Jay Shetty 40:24 Mm-hmm.

Dr. Vonda Wright 40:24 That takes tremendous strength, not to mention rucking and-

Jay Shetty 40:28 Yeah

Dr. Vonda Wright 40:28 ... I mean, just the engagement they do.

Jay Shetty 40:30 Yeah, I played rugby growing up. I loved it.

Dr. Vonda Wright 40:32 Oh, I love rugby so much.

Jay Shetty 40:33 Yeah.

Dr. Vonda Wright 40:33 They're just penultimate. The other group of athletes that I think are tremendous, both in cardiovascular and muscle, believe it or not, I've taken through, care of three professional ballet companies.

Jay Shetty 40:44 Mm.

Dr. Vonda Wright 40:44 Uh, the Pittsburgh, the Atlanta, the Orlando. Ballet dancers are some of the best athletes I've ever taken care of, and they do it such grace. You would never know how hard it is, but it's aerobic and it's muscular.

Jay Shetty 40:59 What are the sports where you see the least healthy, least fit athlete?

Dr. Vonda Wright 41:02 Well, you know, I think at an elite level all athletes are healthy because do not be fooled by the field athletes, the shot putters, the discus, the javelin. You may think that they're not fit because they're carrying extra body fat, but they are tremendous specimens, right?

Jay Shetty 41:18 Mm.

Dr. Vonda Wright 41:18 So body morphology can't predict it. Gosh, I'll get in a lot of trouble for this. I was, I was once the, uh, twice the head football doctor for Division I schools at Pittsburgh and Georgia State, and linemen are not always the most healthy people. They're strong. They're carrying a lot of extra weight. So, and, and that bears out because on average, it's the sad statistics, on average, a professional football lineman, offensive or defensive, they die of metabolic syndrome in their 50s and 60s. They turn out not to be that healthy. And so I feel like as a sports medicine community, we need to do better for them.

Jay Shetty 41:59 Mm.

Dr. Vonda Wright 41:59 But to answer your question, maybe it's that.

Jay Shetty 42:02 Yeah. Yeah, no, I was just intrigued and curious because I think we have a vision of what we think fitness and health looks like.

Dr. Vonda Wright 42:11 Yeah.

Jay Shetty 42:12 And like you said, often we think people who are the leanest or people who are the skinniest or people who are the most built or whatever it may be, and I think that's partly our challenge when we talk about these things. Because most of us are wanting to get healthy either from an aesthetic point of view.

Dr. Vonda Wright 42:30 Yeah.

Jay Shetty 42:30 You want your summer body. You want your whatever it may be. And then from the other side, there's this feeling from some of us, we're just like, "I just wanna be healthy. I wanna be fit enough to take care of my kids. I wanna be healthy enough so that I can spend time with my grandkids." How should someone measure their fitness and health right now if they're listening? Because a lot of people will say, especially when they're younger or on the younger side, they'll say, "Well, I feel okay." So how do I know if I'm okay, safe, unhealthy? Like, what do, how do I feel that or experience that?

Dr. Vonda Wright 43:02 You know what? I, I love that you said okay, because I find a lot of people come to me, or maybe you're asking someone on the street, "How are you?" "I'm fine." You know, that fine.

Dr. Vonda Wright 43:13 I think many people, because we're so busy, we're taking care of other people, I'm not blaming them, but we live in this state of fine. We're neither hot nor cold. We're this lukewarm health. We're not dying, but we are not truly optimized, right? So if you're exhausted, if you have trouble sleeping, if you don't have enough energy to do the things that you truly believe that you enjoy in life, maybe you're fine. Maybe we should invest some time and actually get some analytics, you know? Uh, sometimes when I'm bringing people to surgery in the preoperative time, um, we're asking them questions about their health, and, "Do you have this? Do you have that?" And people will say, "I have no health problems." Well, if you've never been checked, if you've never had labs drawn, if you've never been examined, it's not that you're not, that you're, have no problems, it's that you don't know.

Jay Shetty 44:05 You don't know.

Dr. Vonda Wright 44:07 So I would answer that question by saying, if you don't have enough energy, if you, if you're dragging at work, if you can't en- truly enjoy life, if you don't some days feel like a total badass because you're full of energy and strong, and maybe you're fine, but you're not optimized, and let's invest some time and see where you are.

Jay Shetty 44:28 What's the ideal length of workout if someone's working out four days a week?

Dr. Vonda Wright 44:32 I don't think there's an ideal length. You know, some days my weightlifting takes me 30 minutes because I power through it, and sometimes it takes an hour. I think ideally, if we're talking about this cardio 80/20 regimen, it's 45 minutes of base training, and if you're adding sprinting, that usually takes another 15 minutes.

Jay Shetty 44:51 Mm-hmm.

Dr. Vonda Wright 44:51 So weightlifting can take, I don't think you have to be there three hours unless you just wanna hang out in the gym. So it doesn't take forever, and it's not about time, it's about what you put in that time.

Jay Shetty 45:02 Yeah, because I think a lot of people are feeling like, "I only have 20 minutes a day."

Dr. Vonda Wright 45:06 Is that true?

Jay Shetty 45:07 Is that enough?

Dr. Vonda Wright 45:07 [laughs] Is that true? Do we only-

Jay Shetty 45:09 You tell me. You, you-

Dr. Vonda Wright 45:10 Do we only have 20 minutes a day? I've been doing this a very long time and, and I tease people that you can't out-excuse me because over the... I've been practicing 25 years, and I've had the privilege of taking care of probably 100,000 people. I have heard all the excuses, and there are some times when you legitimately do not have time. But I would say that is the fraction of the time, not the reality of the time. And to the, "I don't have 20 minutes," I ask you to examine how literally, and I'm guilty of this, how long we're scrolling, how long we're washing our dishes. Do you really have to spend three hours every night cleaning your house because that's what makes you feel not anxious at the expense of your health? So I think you have more than 20 minutes, if that's what you tell me.

Jay Shetty 46:07 It is so interesting. I was looking at it from the point of view of relationships. I was looking at some research that was talking about how, you know, we, we say we don't have time together, but the amount of time

Jay Shetty 46:17 as a couple we spend in front of the TV-

Dr. Vonda Wright 46:19 Yeah

Jay Shetty 46:20 ... is astronomical. It's like, I think it was something like 90 minutes a day minimum.

Dr. Vonda Wright 46:23 Mm-hmm.

Jay Shetty 46:24 And we're missing out on together time, we're missing out on connection time, and I was looking at it from a purely romantic-

Dr. Vonda Wright 46:30 Yeah

Jay Shetty 46:30 ... intimate perspective. But then when you look at it through health, and, and I think for a lot of us, what I've found it is, is allowing our friendships and our romantic relationships to be around fitness. I remember a friend, a couple of my friends in the city, we've decided that whenever we're hanging out together, we're playing pickleball-

Dr. Vonda Wright 46:49 Yes

Jay Shetty 46:49 ... for one and a half hours, two hours.

Dr. Vonda Wright 46:51 Yeah.

Jay Shetty 46:51 Then we may go out for dinner after that-

Dr. Vonda Wright 46:53 Yeah

Jay Shetty 46:53 ... but we're playing pickleball for a consistent amount of time-

Dr. Vonda Wright 46:56 Mm-hmm

Jay Shetty 46:56 ... where we're all getting a workout, or we're going on a hike, and that's now become our form of bonding and friendship-

Dr. Vonda Wright 47:01 Yes

Jay Shetty 47:02 ... rather than, "Oh, let's go out for dinner."

Dr. Vonda Wright 47:04 Mm-hmm.

Jay Shetty 47:04 And the dinner was great. We got to enjoy it, but now we're sedentary. We're sitting there for a couple of hours. Maybe some people, I don't drink, and most, a few of my friends don't drink, but the ones who are, they're now drinking, whereas if we were out playing sports, they wouldn't be thinking about that. And same with me and my wife. We found that cold plunging together or going to the infrared sauna together, taking a book or taking our journal or whatever it may be, we had to start replacing activities. Because you may not have enough time to do it all-

Dr. Vonda Wright 47:34 Yes

Jay Shetty 47:34 ... but the main form of connection can be around a fitness activity, and actually, you both end up feeling better about yourselves. You feel better about each other. And whether it's a friend or a, or a partner, I feel like everyone walks away from that experience having gained something rather than, you know, doing anything else. And so in the, in the beginning, it may take a reframe-

Dr. Vonda Wright 47:55 Mm-hmm

Jay Shetty 47:55 ... but it transforms your relationships, and it transforms your health.

Dr. Vonda Wright 47:59 And if you're just beginning a relationship or a friendship or even deep into it, the endorphins that you release from the strategic stress actually increase bonding. So it's like a, a, a triple goodness. It's fitness, it's relationship, it's increased bonding at a chemical level.

Jay Shetty 48:17 Yeah. Yeah. Explain, tell me more, tell us more about that.

Dr. Vonda Wright 48:19 When you exercise, our body releases, uh, hormones that are endorphins. It's, it's that high you feel, and having that shared experience. Or what if you're doing something like rock climbing, and it's a little terrifying, and the, and the oxytocin and, and the bonding chemicals that are released because you're terrified in this experience, those actually bond people. You know, that's why people that go through hard experiences together end up as a band of brothers or a, or a, a tight-knit group. So that can happen in relationship. So advice out there, if you [laughs] If you wanna bond with this person, do something frightening with them, right? [laughs]

Jay Shetty 49:01 Yeah, no, I, you know what? I, I completely agree with that. One of my first dates that I went on with my wife when we were dating was we went to a ropes course.

Dr. Vonda Wright 49:09 Oh my goodness.

Jay Shetty 49:10 And it was so much fun-

Dr. Vonda Wright 49:11 Yeah

Jay Shetty 49:11 ... because there was, like, trusting each other-

Dr. Vonda Wright 49:13 Yeah

Jay Shetty 49:13 ... helping each other, and there was that sense of thrill. And I couldn't agree more that I think when you do... I remember the first time me and my wife went skydiving, we did it together. The first time we cold plunged, we did it together.

Dr. Vonda Wright 49:24 Wow.

Jay Shetty 49:24 And you're so right. It creates a different connection when you've both done something hard together. And also something that's, I think as couples, we do s- people have to go through so many emotional hardships together. It's nice to do something physically challenging together-

Dr. Vonda Wright 49:37 Exactly

Jay Shetty 49:38 ... that isn't carrying this emotional weight or stress, because that's something you probably have on in the background anyway, and so this applies for that. Yeah, I think if you're someone that struggles with finding time-

Dr. Vonda Wright 49:49 Yes

Jay Shetty 49:49 ... think about the way you spend time with the people you love. And maybe you don't have an extra 20 minutes or 30 minutes, but you can change the 30 minutes you spend with your friend, or you don't have an extra hour, but you can change the way you spend the hour with your partner, and all of a sudden everything's changing.

Dr. Vonda Wright 50:06 It's meaningful.

Jay Shetty 50:07 It's meaningful. Yeah, it's meaningful. And like you said, it's, it's giving us so many other benefits. You mentioned magnesium earlier.

Dr. Vonda Wright 50:13 I did.

Jay Shetty 50:14 And we were talking about the need for stronger bones.

Dr. Vonda Wright 50:17 Yes.

Jay Shetty 50:18 What can we do to strengthen our bones? Because I don't think that's a conversation that we're having that much.

Dr. Vonda Wright 50:23 You know what? I am gonna, uh, I'm so glad you came back to that because we think of bones as just, like, the strong, silent type hanging out.

Jay Shetty 50:33 [laughs]

Dr. Vonda Wright 50:33 Holding up our muscles.

Jay Shetty 50:34 That's exactly it.

Dr. Vonda Wright 50:35 They don't say much.

Jay Shetty 50:36 Yeah.

Dr. Vonda Wright 50:36 That's right. Don't pay attention to our bones. But the fact of the matter is that without bones, muscle, which we're all enamored with right now, is just a quivering pile of metabolic tissue. The structure of you, the fact that people recognize you, it's because your bones are holding up your soft tissue, right? And I love to... Bear with me. I like to think about the importance of bones as even culturally. I mean, Halloween in this country, you view bones as this scary death object, but bones are living. They replace every 10 years. They are the source of all the minerals that your body needs. They are the housing of our internal organs. They are where our immune system is made. The, our hemo- our hematopoietic system is made in our bones. Our bones are master communicators, releasing many proteins, including one called osteocalcin. Osteocalcin from the bones can go to the brain and cause release of brain neurotrophic factor, which builds neurons. It can go to the pancreas and the muscles and help you with sugar levels. And for men, it goes to the testicles and helps produce testosterone. So just when we think bones are kind of boring, bones are amazing. But even culturally, many cultures, Judaism, Christianity, Buddhism, many Eastern cultures talk about the re-, uh, the reanimation of bones. Bones are, are thought to house the soul in some cultures. And so it's only here that we're like, oh, skeletons. And do you know what? When we die, everything goes away except the bones. It's the last record of ourselves, right?

Jay Shetty 52:29 Mm-hmm, mm-hmm.

Dr. Vonda Wright 52:29 So how do we build better bones? And that's why we need better bones, right? To-

Jay Shetty 52:34 That's, yeah, that, yeah.

Dr. Vonda Wright 52:36 That's why.

Jay Shetty 52:36 That just, that just clicked for me.

Dr. Vonda Wright 52:37 That's, all those reasons are why, but how? How we build better bones, let's talk nutritionally. Bones are 50% protein. It goes back to the same principles. We're not adding on more principles. We're just, can we please pay attention to eating protein? Can we eat a non-inflammatory diet so we're not eating seed oils, and fried foods, and those things which make us hot red fire inside? Can we please make sure we're getting enough vitamin D? Even in sunny places, we slather ourselves, we stay inside. We need vitamin D. We need magnesium. A lot of trace minial- minerals like selenium, and boron, and zinc, we get those in our food. If you really wanna be conscientious, you eat six prunes a day. But nutritionally, that's how we take care of our bones. Our bones must have impact. One of the early studies I did on active aging asked the question, can we maintain our bone density? And if we can, what does it take? And I studied masters athletes 40 and over, and I found that, number one, yes, we can maintain our bone density into our 80s. How do we do it? Impact exercise. So I add to every regiment that... I've already told you most of it, right? The lifting, the aerobic, the nutrition. I add to every regiment a jumping practice, whether it's box jumping for impact, whether it's jumping up and down 20 times a day, whether it's 10 minutes three times a week where we're, uh, jumping over little hurdles or, uh, out in a plastic hexagon. It is the impact, because this is how bones work. There's, there's a law called Wolf's Law that just summarizes that the mechanical stimulation, biomechanical stimulation, is translated by our little bone cells, osteo-, uh, cites, into biochemical messages. Biomechanical stimuli, like jumping up and down, is translated into biochemical stimulus that tells the bone building cells, which are the osteoblasts, to build more bone. So literally, get out the jump rope, jump up and down, run up and down the stairs, and it has to be a little impactful. Literally, you gotta bash your bones a little bit. That's how you build better bones.

Jay Shetty 55:01 Is that why functional exercises like squats and stairs and things like that are somewhat better than machine exercises inside gyms?

Dr. Vonda Wright 55:08 I prefer functional with free weights and barbells because it requires then you work all of your muscles, and it requires neuromuscular pathways to keep you upright, right? It requires balance versus a machine. You're sitting there on a leg press, and frankly, we need to work our muscles in the way that

Dr. Vonda Wright 55:30 our body works our muscles, and there is no time in the history of people that your quadriceps are working sitting on a leg press.

Jay Shetty 55:38 Yeah.

Dr. Vonda Wright 55:38 They're always squatting, right?

Jay Shetty 55:40 Yeah, yeah. That's the more natural movement.

Dr. Vonda Wright 55:42 It is.

Jay Shetty 55:43 Yeah. So as much as your workouts are mimicking-

Dr. Vonda Wright 55:46 Natural movement

Jay Shetty 55:46 ... natural movements, that's a healthy exercise.

Dr. Vonda Wright 55:49 You know, even bench press, think about it. I've been traveling a lot lately. Uh, I need to lift a 50-pound suitcase above my head into the bin-

Jay Shetty 55:57 Yeah

Dr. Vonda Wright 55:57 ... without falling over, hitting somebody with it.

Jay Shetty 55:59 Yeah.

Dr. Vonda Wright 56:00 And so you practice that with bench pressing and, and overhead lifts.

Jay Shetty 56:04 Yeah. You spoke about neural pathways there, and-

Dr. Vonda Wright 56:06 Mm-hmm

Jay Shetty 56:06 ... I know you talk a lot about the body-brain connection. What are we losing out? Because if you look at when we're talking about aging-

Dr. Vonda Wright 56:12 Yeah

Jay Shetty 56:13 ... brain aging is such a big part of it.

Dr. Vonda Wright 56:17 Yeah.

Jay Shetty 56:17 What-

Dr. Vonda Wright 56:17 And frightening.

Jay Shetty 56:18 And frightening. Very frightening. I've, I mean, I've had so many countless family members, mentors, uh, family friends who've had Alzheimer's-

Dr. Vonda Wright 56:29 Mm

Jay Shetty 56:29 ... dementia, stage four brain cancer. It's, it's painful to watch the people you love go through it.

Dr. Vonda Wright 56:34 Yeah.

Jay Shetty 56:35 What is happening? What is that body-brain connection? What are we losing out on the brain when we're not doing the things we've talked about?

Dr. Vonda Wright 56:42 You know, um, loss of cognitive function is multifactorial. Dementia is different than pure Alzheimer's with the plaques that accumulate. But we know for sure, and there's just so much research, that we can maintain our brain with the physical activity we do. I mean, for instance, I talked about the role of bone releasing osteocalcin, which goes to the brain. There is another protein that is, uh, stimulated to be... It's called transcribed when g- DNA makes a protein. When skeletal muscle c- contracts, it also causes the transcription of a protein called klotho, which is the longevity protein. Part of klotho's role is to go to the brain and stimulate neuron development. So there are studies, uh, out of the University of Pittsburgh that showed a six-week walking program will grow the hippocampus, which is the memory part of the brain, uh, in double digits.

Jay Shetty 57:42 How?

Dr. Vonda Wright 57:43 You know, I don't know the mechanism-

Jay Shetty 57:45 Yeah

Dr. Vonda Wright 57:45 ... that's worked out. But I think at a very basic level, I mean, we'll go back to the hunting analogy, that kind of, that kind of strategic stress on the body tells our body that we're still living. We're not curled up in a ball in some cave waiting on winter to die. We are active. We have enough strategic stress that we have to maintain 'cause our body is so highly conserved that if our body doesn't think we're using something, we'll lose it.

Jay Shetty 58:14 Mm.

Dr. Vonda Wright 58:14 We, it will start resorbing, like bone. If I put a cast on your leg, you will resorb the bone in your leg.

Jay Shetty 58:20 So true.

Dr. Vonda Wright 58:20 Yeah. So I think the brain is the same way. So back to what maintains a brain. Well, uh, muscle releases a protein that maintains the brain. Bone releases a protein that maintains the brain, right? Fa- fascinating. Isn't that fascinating?

Jay Shetty 58:38 So fascinating, yeah.

Dr. Vonda Wright 58:39 I, food has a, has a role. But when we think of midlife, we have to start talking about hormones, and the work of Lisa Mosconi, who is at Cornell in New York, has shown that, uh, in women, and probably in men, but her work is in women, the brain is covered in estrogen receptors. So as we lose our estrogen, it affects the brain. That's why we, when I was going through perimenopause, there was a short period of time when I ha- wasn't on hormones yet. I'm in surgery, and I know that I want the thing that does this, but I could not remember that it was called an ATSN. Think how frightening that is, you know, for a, a brain person like me. I use my brain to help people make a living. That was my estrogen receptors being totally empty, but once I replaced my estrogen, my brain is a black box again. You know, isn't that frightening? But so I think it's multifactorial when we lose it, but I also think that all the lifestyle things we've talked about have proven out in studies to be able to make a real impact on our cognitive function.

Jay Shetty 59:43 Yeah. I think a really big thing about, for me, in all of this, as I'm hearing from you, is just what you said earlier about how little we know about our bodies, about ourselves, and how we base it on just how we feel-

Dr. Vonda Wright 59:55 Mm-hmm

Jay Shetty 59:55 ... which isn't the healthiest check. It's almost like you're driving your car, and it feels fine.

Dr. Vonda Wright 1:00:00 [laughs]

Jay Shetty 1:00:01 But there's so much going on behind the scenes-

Dr. Vonda Wright 1:00:03 Yeah

Jay Shetty 1:00:03 ... that if you didn't take it to the garage and get it checked-

Dr. Vonda Wright 1:00:06 Mm-hmm

Jay Shetty 1:00:06 ... you wouldn't know. And it was one of the reasons I recently invested in Function Health-

Dr. Vonda Wright 1:00:11 Mm-hmm

Jay Shetty 1:00:12 ... because I just wanted to find a way to make access to information so much more easy for people.

Dr. Vonda Wright 1:00:18 Yes.

Jay Shetty 1:00:19 And just having access to those lab results and those lab tests so that you can actually go to your doctor and say, "Hey, this came up."

Dr. Vonda Wright 1:00:27 Yes.

Jay Shetty 1:00:27 "What does this look like?" Or, "I don't understand this," or, "What about this?" And I think that's what's helped me so much. You were just with Darshan, Dr. Shah, who's-

Dr. Vonda Wright 1:00:33 Mm-hmm

Jay Shetty 1:00:34 ... who's been my doctor, and I find that he's able to flag to me so many things early on, which means we can deal with it as opposed to end up in a position where it's, you know, something too late.

Dr. Vonda Wright 1:00:44 Too late or hard, harder to reverse.

Jay Shetty 1:00:45 Mm-hmm.

Dr. Vonda Wright 1:00:45 I also find in myself and the people I care for that we come a, become a little addicted to our data, which is a good thing, right? I be- I become a little competitive with myself when I'm wearing my, uh, glucose monitor. Can I keep my glucose at 80 or below? Versus, oh, it shoots up to 100 and something because I've eaten something disastrous, and I don't want that, right?

Jay Shetty 1:01:08 Yeah.

Dr. Vonda Wright 1:01:08 So you can't change what you don't know.

Jay Shetty 1:01:10 Yeah.

Dr. Vonda Wright 1:01:11 So I think data's amazing for that.

Jay Shetty 1:01:13 Yeah. I, I, I think we're living in that time as well, where it's more specific.

Dr. Vonda Wright 1:01:17 Mm-hmm.

Jay Shetty 1:01:18 It's, it's not just, oh, how many steps did I do [laughs] or whatever, right? It's, it's so much more specific. And you're so right that the only way to hold ourselves accountable is to see the change.

Dr. Vonda Wright 1:01:27 Mm-hmm.

Jay Shetty 1:01:27 So like you said, if I eat this... I remember I was eating, I was testing it out when I was wearing mine. I don't wear it now, but I was testing it for, like, three months, and I was eating a, what was claiming

Jay Shetty 1:01:39 to be-

Dr. Vonda Wright 1:01:39 Mm-hmm

Jay Shetty 1:01:39 ... I was in the UK, it was claiming to be a low sugar cereal that was, you know, which, which on the box looked like it should've been fine. I don't eat cereal that often, but I, I do when I travel because it's sometimes harder to find something. I had this low sugar, low fat cereal, whatever it was. My glucose spike-

Dr. Vonda Wright 1:02:00 It was a lie

Jay Shetty 1:02:00 ... was crazy.

Dr. Vonda Wright 1:02:01 It was. [laughs]

Jay Shetty 1:02:02 Well, it was probably 'cause it was rice based, but-

Dr. Vonda Wright 1:02:04 Yeah

Jay Shetty 1:02:04 ... either way, it was just, like, crazy spike.

Dr. Vonda Wright 1:02:07 Mm-hmm.

Jay Shetty 1:02:07 And I thought, oh wow, like, I would have thought eating that every day would have done nothing to me, and just you don't know. What have been some of the data points that have really helped you to make changes in your life?

Dr. Vonda Wright 1:02:17 Well-

Jay Shetty 1:02:18 Or in the lives of your clients?

Dr. Vonda Wright 1:02:18 I've talked several times about this CGM, but I think to your point, I think everyone should do it for three months. They're not that expensive, but they're so critical, and it helps people really understand the effect of food on them. Because from wearing mine, and I got a... I wore it for a year 'cause I was just so fascinated. I know exactly when my blood sugar's gonna rise by what I do. My blood sugar rises in surgery because it's stressful, right?

Jay Shetty 1:02:43 Of course.

Dr. Vonda Wright 1:02:43 I am so sensitive to carbs. I try to eat only fibrous carbs, complex carbs, but even that I'm very sensitive to, and I literally am a little crazed about it. I never wanna spike. Although spiking and recovering is normal, I just don't like how I feel when I'm like this, so I like to be like this. But I'm very sensitive to carbs, so I eat mostly protein, green leafy vegetables. I personally, because of my sensitivity, don't eat a lot of fruit 'cause it's nature's sugar. For some people it wouldn't matter for them. Um, that's how I know that in the middle of the night if I wake up, my blood sugar's 50 and I needed to supplement a little bit so I don't drop that low. I wanna say something now about, 'cause I, I definitely want to talk about this, is sometimes people will find, oh, their blood sugar's, oh, it's 100, it's 110, it's fine. Or their doctors may say to them, "Oh, you know what? You're a little borderline. You're 110. Just do better." That is not warning enough in my mind because you had asked me earlier, what do I want my blood sugar to be? I want it to be 85 or below because studies have shown that for every point above 85 that you are f- your fasting blood sugar is consistently, that is a 6% chance of developing full-blown diabetes mellitus type 2 in 10 years. So if 85 is what we want and 100 is what you are, 15 times six is 100% chance of getting diabetes if you don't change. Diabetes is a precursor to Alzheimer's, and so I'm just so frantic

Dr. Vonda Wright 1:04:24 when my patients say to me, "Oh," 'cause I look at their labs that their doctors have given them, "It's 110. Oh, they said I was pre-diabetic. We don't need to worry." I'm like, "You do need to worry, and here is why." And so I don't mean to scare people, but I think a little fire is sometimes necessary.

Jay Shetty 1:04:43 I think so, too. I think so, too. I've heard the same where people are like, "Oh, I'm pre-diabetic," and then nothing changes.

Dr. Vonda Wright 1:04:49 Right, 'cause it's not a warning.

Jay Shetty 1:04:50 It, it's not a warning. Yeah, yeah. It's... And, and I... And sadly, yeah, it's just you, you have the control then, you have the power then.

Dr. Vonda Wright 1:04:57 Yeah.

Jay Shetty 1:04:58 One of the things I wanted to bring up with you was this question of as we age about mobility.

Dr. Vonda Wright 1:05:03 Mm.

Jay Shetty 1:05:03 Because I feel like you kinda take for granted how your body works, and then especially hip mobility.

Dr. Vonda Wright 1:05:09 Yes.

Jay Shetty 1:05:10 What are some of the things we can do to improve our mobility?

Dr. Vonda Wright 1:05:14 So when I prescribe exercise, especially in midlife, it consists of four things: flexibility and mobility, aerobics we've spoken about, carrying a load, which is what I call weightlifting, and equilibrium and foot speed. So let's talk about F and E. I- the, the acronym is SPACE. Let's talk about F and E. Flexibility and mobility means that we, all of our joints to move well in aging need to be able to go f- through their full range of motion. You need to fully extend your knee, fully bend your knee. Our hip needs to be able to at least bend to 90 and fully go straight. When you see people who are aged shuffling down the street, it's often due to muscle weakness and because their joints just don't move anymore. So how do we prevent that? Well, simple things like going through daily dynamic warmup, which is simply putting all your joints through their full range of motion every single day. Things like Tai Chi and Pilates and even yoga are amazing for maintaining that full range of motion. It's not only the bones, however, it's not only the capsule that's just the surrounding of the joints, but with time, the cross-linking, and I'll explain more, in our tendons and ligaments become stronger. So tendons and ligaments, which tendons connect muscle to bone, ligaments connect bones to each other, are made of, uh, fibers of collagen in sheets. The bonds between those collagen tighten with age, so tendons and ligaments get stiffer unless we continually put them through their full range of motion so they don't lose that motion. So the natural progression of aging is tightness and tightness and tightness, but we can reverse that in the ways we talked about. It's a daily practice. Or at least a three or four times a week practice, right?

Jay Shetty 1:07:16 If someone's feeling exceptionally tight in certain areas of their body, what else can they do to loosen it up?

Dr. Vonda Wright 1:07:21 So I like every workout to start with a dynamic warmup, meaning we're gonna warm everything up. So for- I'll just, for instance, it may sound simple, but it is. Full arm circles, meaning-

Jay Shetty 1:07:36 Yeah

Dr. Vonda Wright 1:07:36 ... it's, you're pretending to be Michael Phelps. You're putting your arms to your ar-

Jay Shetty 1:07:39 Yeah

Dr. Vonda Wright 1:07:39 Right? Full arm circles, trunk rotations, bending back and forth, twisting side to side. Hip rotations, I just grab a stable surface and bring my hip forward, circle it all around, just 10 reps even. Or if you wanna sit on the ground, there's this great hip mobility stretch called a 9090.

Jay Shetty 1:07:59 Yeah.

Dr. Vonda Wright 1:07:59 You just, you just bend your knees to 90 and you go, you go back and forth. Um, and so the same with our knees.

Jay Shetty 1:08:06 I think my trainer's been listening to you.

Dr. Vonda Wright 1:08:08 Has he? [laughs]

Jay Shetty 1:08:09 [laughs] But we've been doing all of those things-

Dr. Vonda Wright 1:08:10 Exactly

Jay Shetty 1:08:11 ... it makes me very happy, yeah.

Dr. Vonda Wright 1:08:12 Yes.

Jay Shetty 1:08:13 Yeah.

Dr. Vonda Wright 1:08:13 And then there's this wonderful stretch that I, it just feels so good. It's called a, a bookend stretch. You lay on a flat surface, um, with arms out to the side like a cross. You bend your knee up, and then you just roll it over, and that stretches your lumbar spine so you have full mobility. That's a dynamic warmup. It's not hard, but you must start every workout with that so that as you're sprinting or as you're lifting, that everything is primed and ready. So that's the flexibility part. The E, F-A-C-E, is equilibrium and foot speed. We've talked about m- muscle, we've talked about bone and fragility. Many people, even with low muscle mass, even with low bone density, may be okay until they fall. One critical fall can be, and I don't, I can tell you all kinds of stories, but it can mean the difference between life, death, living alone, not living alone. So what do we do about it? We gotta retrain our balance, simply as standing on one foot when you brush your teeth. Literally, you're standing there, tree pose, hand going back and forth. You will retrain the neuromuscular pathways that degrade-

Jay Shetty 1:09:30 Mm-hmm

Dr. Vonda Wright 1:09:30 ... starting about in your 20s.

Jay Shetty 1:09:32 I love that one.

Dr. Vonda Wright 1:09:32 Yeah, easy.

Jay Shetty 1:09:33 I'm gonna try that, yeah.

Dr. Vonda Wright 1:09:33 You must. And alternate legs on different days of the week, right? You will retrain your balance so quickly because we should be able to balance on one leg for about 20 seconds.

Jay Shetty 1:09:45 Mm.

Dr. Vonda Wright 1:09:46 Because what happens when we reach over and we just fall over?

Jay Shetty 1:09:49 Yeah.

Dr. Vonda Wright 1:09:49 Yeah. We don't wanna do that.

Dr. Vonda Wright 1:09:51 The other thing is it's very common to see all kinds of athletes doing agility drills. You've seen it on the field, jumping up and down, jumping over barriers. People like you and me need to retrain the ability to have foot speed and agility so that if you're like me and you leave your work bag by the edge of your chair and you get up too quickly, you can catch your foot and hop over it instead of catch your foot and land flat on your face.

Jay Shetty 1:10:16 Mm. It's g- it's great to hear that there's so many simple ways-

Dr. Vonda Wright 1:10:19 Oh, it's not rocket science

Jay Shetty 1:10:20 ... that we can put... Yeah. And, and some of this can just be built into our lifestyle rather than having to find other time.

Dr. Vonda Wright 1:10:25 That's right.

Jay Shetty 1:10:26 Vonda, you said this earlier, and I've been thinking about it as we've been talking because I think you've given such great practical advice. People can get more depth inside your book, which I highly recommend.

Dr. Vonda Wright 1:10:36 Thank you.

Jay Shetty 1:10:36 Uh, and we'll be putting the link in the caption so you can order it as you've been listening. I would really like you to dive into it for the specific advice that, as you can tell, Vonda's so tactical and practical. It's great. But really, a lot of this comes down to, as you said, it's not time.

Dr. Vonda Wright 1:10:51 Mm-hmm.

Jay Shetty 1:10:52 Now it's not knowledge. We have it. You're sharing it freely right here. It's emotional, and what I mean by that is we eat our feelings.

Dr. Vonda Wright 1:11:02 Mm-hmm.

Jay Shetty 1:11:03 We feel exhausted because of stress in our life, so we don't work out. We maybe lack self-love. We don't have a vision, as you said earlier, of a healthier life ahead.

Dr. Vonda Wright 1:11:16 Mm-hmm.

Jay Shetty 1:11:17 A lot of us talk about our college days as the best times of our lives. Everything's in the past.

Dr. Vonda Wright 1:11:22 Mm-hmm.

Jay Shetty 1:11:22 And so much of what we've talked about today is practical and tactical, but I kind of wanted to get to this point of just how do we transform our belief system-

Dr. Vonda Wright 1:11:31 Yes

Jay Shetty 1:11:32 ... into recognizing that we're worthy of a healthier life, that we deserve a healthier life, that we're capable of one?

Dr. Vonda Wright 1:11:40 Mm-hmm.

Jay Shetty 1:11:41 And I wanted to ask you about the similarities between vision casting, as you call it, and manifesting.

Dr. Vonda Wright 1:11:48 I love that you've headed in this direction because when I said earlier that I've been practicing a long time, and you can't out, excuse me, I think that people make excuses or don't invest time in themselves for a lot of reasons. One may be busyness, but what that means is you are prioritizing everything in else in your life before yourself, and I think that people in relationships do that. Parents do that. Mothers do it a lot. But if you don't invest in yourself, you will not be able to invest in others. So sometimes it really is as simple as, "I've got so much to do. I just can't fit it all in. I'm gonna get that done first." It's a matter of priorities. Sometimes I believe you. I believe what you said, which is it's, it's self-love. I often say things like, "Until you believe you are worth the daily investment in your health, nothing else will matter." You have to put value in yourself, and whether we were raised that we should be seen and not heard because our, we're not valuable or that women are told we must be little and cannot take up space, and therefore we're not valuable, we need to do the inner work to understand that we have value, not only to each other but to ourselves. We inherently are created with value, um, and that takes a lot of inner work, right?

Jay Shetty 1:13:15 Yeah.

Dr. Vonda Wright 1:13:15 I also think that for people who start out on a journey- They've learned what they need to do. They're like, "I am committed. We're right after the new year, and I'm gonna do this thing." What happens, I find, I'd be interested in if you think this, we'll start out, we'll do the hard thing, we'll ke- we'll do some harder things. When we do hard things, sometimes we revert to the last place that we felt safe.

Jay Shetty 1:13:46 Yeah.

Dr. Vonda Wright 1:13:47 And if we revert to the safety of the couch with the Bon Bons, because psychologically and anxiety-wise, that's our safe place.

Jay Shetty 1:13:56 Mm-hmm.

Dr. Vonda Wright 1:13:57 Sometimes it's our safe place that will kill us.

Jay Shetty 1:14:00 Wow.

Dr. Vonda Wright 1:14:01 It's just where there's the least mental turmoil. So those are some of the reasons that I-

Jay Shetty 1:14:08 Oh, that hit really hard.

Dr. Vonda Wright 1:14:09 Mm-hmm.

Jay Shetty 1:14:10 Yeah, and I really empathize with people because I know when I didn't prioritize it. And it's almost because we're so good psychologically showing up for other people.

Dr. Vonda Wright 1:14:22 Yeah.

Jay Shetty 1:14:22 Like, that's generally the only time anyone does anything is because they have to show up for someone else.

Dr. Vonda Wright 1:14:28 Mm.

Jay Shetty 1:14:29 We show up to work because we're expected to be there. We show up for our kids 'cause you love them, and show up for your partner because you feel a responsibility to them. But we haven't been trained or taught to show up for ourselves-

Dr. Vonda Wright 1:14:42 Yeah

Jay Shetty 1:14:42 ... because it almost feels less than.

Dr. Vonda Wright 1:14:46 Or we feel guilty.

Jay Shetty 1:14:47 We feel guilty, yeah.

Dr. Vonda Wright 1:14:47 That we're being selfish.

Jay Shetty 1:14:49 Yes, yes.

Dr. Vonda Wright 1:14:49 When it's... Here's what's selfish. Gosh, and I'm not really lecturing people. But people say a lot, 'cause I, I do take, I take call, I take care of people who have broken big bones, and they say things like, "Oh, I just never wanna be a burden to my children."

Jay Shetty 1:15:07 Mm.

Dr. Vonda Wright 1:15:08 And I understand that, right? Sometimes I respond to them like, "Well, you took care of them for most of their lives. Maybe they can take care of you." But the reality is that if we do not want to be a burden to other people, then we must take care of ourselves. Because time and physics and energy rolling downhill, there are ha- there are time bombs of aging, inflammation, senescence, our stem cells get old, that if we do not reinvest in ourselves, the worst can happen. And if that worst for you is being a burden to your children. So if you want insurance against that, then rise above that feeling. You know, prioritize yourself.

Jay Shetty 1:15:52 Vonda, what have I not asked you about today that you feel called to share?

Dr. Vonda Wright 1:15:56 I think that if I could find a way to help people understand that they were worth it, that would be the end of my work. Because it's... You're right. I do, I'm a communicator at heart, I'm a teacher at heart.

Jay Shetty 1:16:10 And you're brilliant.

Dr. Vonda Wright 1:16:11 I, I like to connect people with their bodies, because listen, no wonder people are confused. The language of medicine is Latin. What is the brachial plexus? What is all these Latin anatomy words? How are people supposed to know? My job is to connect you with your body and to love it and, and understand it. But I'm gonna tell you for sure that still 50% of the time, whether it's a regular doctor's visit or people have paid a lot of money to get the best advice in the world, they somehow don't take action, and they know what to do and don't do it, and know what to do and don't do it. And so I get to the place where I meet them in the emergency room with their broken hip, and they're laying there in excruciating pain, frail, and if I could have just gotten them to believe that they were worth the daily investment in their health, that would be work worth doing. But here's the deal. I can't make them. I've come to understand I can't make you

Dr. Vonda Wright 1:17:15 love yourself. I can't make you care about your wellbeing more than you care about other peoples'. I can just encourage you to do the work if that's what it's gonna take to realize that safety is often being strong. Safety is often being mobile. Safety is preservation of your brain.

Jay Shetty 1:17:36 Well said.

Dr. Vonda Wright 1:17:36 Mm.

Jay Shetty 1:17:37 Uh, Vonda, thank you so much. It's been such a joy talking to you today.

Dr. Vonda Wright 1:17:40 Oh, my privilege.

Jay Shetty 1:17:41 Uh, I've learned so much. You've blown my mind multiple times. I'm so excited for people to read your book. I'm so excited for people to follow your work. Uh, we end every episode of On Purpose with a Final Five-

Dr. Vonda Wright 1:17:52 Oh

Jay Shetty 1:17:52 ... or a Fast Five.

Dr. Vonda Wright 1:17:53 Okay.

Jay Shetty 1:17:53 And so each one of these questions has to be answered in one word to one sentence maximum.

Dr. Vonda Wright 1:17:58 Okay.

Jay Shetty 1:17:58 And so, Dr. Vonda Wright, these are your Final Five. Question number one: What is the best health advice you've ever heard or received?

Dr. Vonda Wright 1:18:06 Love yourself enough to give yourself the same grace you give other people.

Jay Shetty 1:18:13 Mm.

Dr. Vonda Wright 1:18:14 To know that your efforts are not perfect, but that it matters. Just trying matters.

Jay Shetty 1:18:21 Question number two: What is the worst health advice you've ever heard or received?

Dr. Vonda Wright 1:18:25 The worst health advice I've ever heard are all the wacko diets, the grapefruit, the pickle, the, the soup diet. Like, we are all-- Anything ending in a diet supposes an endpoint. What I am helping people do is build a lifestyle, how we live, not a set amount of time.

Jay Shetty 1:18:53 Let's talk about that for a bit. Do you think that diets can be useful to get people to a lifestyle, or do you think they always kind of boomerang backwards?

Dr. Vonda Wright 1:19:02 I think that if you are on a stringent diet, you develop a mindset of austerity, and instead of thinking about food occasionally, it's you obsess about it. And that is counterproductive because if you are hungry all the time or obsessed with, "Oh, I have to only eat half a grapefruit," it takes over your brain, versus if you say, "The way I eat- Is that I get a gram of protein per ideal pound. And what does that mean? Oh, well, I'm gonna have an egg white omelet. That's a- that's 30 grams. This is just how I eat. Here's an example. When I go out to dinner with people who know what I say, they always are watching-

Jay Shetty 1:19:41 [laughs]

Dr. Vonda Wright 1:19:41 [laughs] ... what I, what I'm ordering, and then they'll say things like, "Oh, I feel so guilty. I wanna have..." And I say, "Don't feel guilt." I'm not... I am just eating the way I eat. This is... It's not a sacrifice. It's just what I do. So you do you and I'll do me. But it's a funny reaction people have. So do I think diets can be helpful? I think a plan, a nutrition plan can be helpful. Here's how many protein, here's how much carbs. These are the amazing sources. But a six-week diet, I think you get to the end, you may have lost some weight, you've probably lost a lot of muscle, then you'll gain it back, and you'll gain back more fat than you lost in the first place.

Jay Shetty 1:20:27 Yeah. And what do we, what are we losing when we lose muscle?

Dr. Vonda Wright 1:20:31 We're losing the ability to, uh... We're losing physical muscle. We're losing, uh, the metabolic power to process our glucose. We're losing, uh, muscle, uh, volume to produce irisin, the, the protein that muscle produces that goes to the brain and variety. We're losing the metabolic capacity, and we're losing strength, so that we can't get up out of a chair. We fall down more easily. We lose a lot.

Jay Shetty 1:21:00 Yeah. I wish I knew that when I was young.

Dr. Vonda Wright 1:21:02 Yeah.

Jay Shetty 1:21:03 I wish someone had told me that that's what muscle did.

Dr. Vonda Wright 1:21:05 I know. It's fascinating.

Jay Shetty 1:21:06 Yeah. I always just thought it was aesthetic when I was young. I had no idea that-

Dr. Vonda Wright 1:21:09 And it is-

Jay Shetty 1:21:10 Yeah

Dr. Vonda Wright 1:21:10 ... but that's the icing. That is not the cake.

Jay Shetty 1:21:13 Question number three, can running be bad for you?

Dr. Vonda Wright 1:21:16 I want to dispel a myth right now that is so common in the population, that is there is no evidence that running causes arthritis, right? Running itself, and studies have shown, that runners have, on, on the whole, have less heart disease, have less metabolic disease. They also, if they don't lift weights, have less muscle. So that is the only reason in my mind that running can be bad for you, because unless you eat, unless you lift weights, your body will eat the muscle that you have. And that's, there's a... For serious runners, there are... They have a body type. They're all thin, very low muscled. It doesn't mean they're not fast. Um, but that's the only time I can think of.

Jay Shetty 1:21:58 Question number four, what's something you used to believe to be true about health that you don't today?

Dr. Vonda Wright 1:22:04 I used to believe that six days a week of high-intensity interval training was what was gonna make me the healthiest, and that's simply not true.

Jay Shetty 1:22:12 What did it actually do?

Dr. Vonda Wright 1:22:14 It made me hurt. It made me exhausted. And, uh, I didn't recompose my body at all. I stayed the same composition.

Jay Shetty 1:22:22 And why is that? Why, why does, why did it not recompose your body?

Dr. Vonda Wright 1:22:25 Because it wasn't intense enough. It wasn't sprint intervals to really stimulate my body. And when we do the same thing all the time, we develop imbalances, and that's where injury comes from. So when I did high-intensity interval training five or six days a week, I would always develop left Achilles tendonitis, right hip flexor pain, because I have these imbalances, and I was augmenting that. I was pounding that five or six days a week.

Jay Shetty 1:22:55 Fifth and final question.

Dr. Vonda Wright 1:22:56 Yes.

Jay Shetty 1:22:56 If you could create one law that everyone in the world had to follow, what would it be?

Dr. Vonda Wright 1:23:01 We should walk everywhere. We should be like New Yorkers and Europeans walking all the time.

Jay Shetty 1:23:07 Walking all the time.

Dr. Vonda Wright 1:23:08 Mm-hmm. We're designed for it.

Jay Shetty 1:23:10 Yeah. It's hard in some cities.

Dr. Vonda Wright 1:23:11 It is hard.

Jay Shetty 1:23:12 Yeah.

Dr. Vonda Wright 1:23:13 We've made it that way.

Jay Shetty 1:23:14 Yeah.

Dr. Vonda Wright 1:23:14 Yeah.

Jay Shetty 1:23:14 But we gotta find a way. Up the stairs, down the stairs.

Dr. Vonda Wright 1:23:17 That's right. Get up-

Jay Shetty 1:23:17 Around the block

Dr. Vonda Wright 1:23:18 ... get up from the desk.

Jay Shetty 1:23:19 Yeah.

Dr. Vonda Wright 1:23:19 Our body doesn't care.

Jay Shetty 1:23:20 I love it.

Dr. Vonda Wright 1:23:21 Yeah.

Jay Shetty 1:23:22 Uh, the book is called Dr. Wright's Guide to Thrive: Four Steps to Body, Brains, and Bliss. Uh, Dr. Vonda Wright, thank you so much for coming on On Purpose. I hope you'll come back again and again.

Dr. Vonda Wright 1:23:32 Oh, I would love that.

Jay Shetty 1:23:33 And, uh, I'm s- I genuinely learned so much from you today. Thank you so much.

Dr. Vonda Wright 1:23:37 My pleasure.

Jay Shetty 1:23:38 Yeah. If this year you're trying to live longer, live happier, live healthier, go and check out my conversation with the world's biggest longevity doctor, Peter Attia, on how to slow down aging and why your emotional health is directly impacting your physical health.

1:23:55 Acknowledge that there is surprisingly little known about the relationship between nutrition and health, and people are gonna be shocked to hear that 'cause I think most people think the exact opposite.