Boost Your Testosterone

and Growth Hormone Naturally

A PROGRAM TO BURN FAT

AND BUILD MUSCLE

By:
Jerry Williams, MD, FACC, FACP
and John Blackwell
©Copyright 2018 By Jerry Williams and John Blackwell
All rights reserved. Unauthorized reproduction of this book,
except for brief quotations, is prohibited

Interior Formatting and Cover Design:

Clayton W. Mitchell

Printed By:
Lambert Book House
4139 Parkway Drive
Florence, Alabama 35630
This program can make a dramatic change in your health, but it
must be supervised by your physician who is familiar with your
medical problems and medications that you are taking. Please
consult with your physician before starting this program.
Introduction ................................................................................................................... ix
Sprinter Versus Marathon Runner – Which Body is best for Health? ..................... 1
Cardio Versus High Intensity Exercises ........................................................................ 2
Summary of Exercises ..................................................................................................... 4
The Importance of Muscle Composition and Fiber Recruitment ............................. 5
Summary of Muscle Types during Exercise .................................................................. 6
The Importance of Having More Muscle ...................................................................... 6
Having More Muscle Can Save Your Life ..................................................................... 7
Prevention of Muscle Loss .............................................................................................. 8
How High-Intensity Training Improves Your Metabolism ......................................... 8
High-Intensity Exercise Lowers Insulin Resistance ..................................................... 9
High-Intensity Exercise and Inflammation ................................................................ 11
High-Intensity Exercise Attacks Cancer Cells ............................................................ 12
High-Intensity Exercise and Mitochondria ................................................................ 13
High-Intensity Training and Heart Muscle Improvement ....................................... 13
Leg Muscles Are Your Secondary Heart Muscle ........................................................ 14
High-Intensity Training Improves Obesity ............................................................... 14
The Obese Can Benefit from High Intensity Training ............................................. 15
High-Intensity Training Improves Metabolic Syndrome ........................................ 16
Belly Fat Is Strong Indicator of Metabolic Syndrome ............................................... 17
Subcutaneous Fat Versus Visceral Fat ......................................................................... 17
Fat Cells .......................................................................................................................... 18
Metabolic Syndrome Attacks Your Liver First ........................................................... 19
Medical Costs of Metabolic Syndrome ...................................................................... 20
Steps in Developing Metabolic Syndrome ................................................................. 22
High-Intensity Exercise and Your Chromosomes ...................................................... 22
Testosterone ................................................................................................................... 23
Low Testosterone – Also Known as Hypogonadism or Low T ................................. 24
Low Testosterone and the Body ................................................................................... 25
Low Testosterone Affects Bones .................................................................................. 25
Low Testosterone and Sex ........................................................................................... 26
Low Testosterone and Anemia ................................................................................... 26
Testosterone, Mood, and Thinking ........................................................................... 26
Low Testosterone and Infertility ................................................................................ 27
Low Testosterone Causes Metabolic Syndrome ...................................................... 27
What Causes a Low Testosterone? .............................................................................. 28
Testing for Low Testosterone ...................................................................................... 30
Risks of Testosterone Therapy ..................................................................................... 30
Who Should Not Take Testosterone ........................................................................... 31
Medications That Can Inhibit Testosterone ............................................................... 32
Growth Hormone ......................................................................................................... 32
Four Benchmarks Needed to Increase Growth Hormone ...................................... 35
Insulin – King of Hormones for Fat Storage ............................................................ 37
Not All Carbohydrates Are Fattening ....................................................................... 39
Estrogen ......................................................................................................................... 40
Insulin Resistance and Estrogen ................................................................................. 41
Estrogen Exposure from Environment ...................................................................... 42
Nutrients That Can Boost Your Testosterone – Vitamin D and Zinc ................... 43
Hypothyroidism and Low Testosterone ..................................................................... 45
Foods That Can Increase Testosterone ...................................................................... 45
High Nitrate Foods that produces Nitrous Oxide ................................................... 45
Cruciferous Vegetables ................................................................................................ 46
Healthy Fats That Increase Your Testosterone ........................................................ 46
Fruits That Increase Testosterone .............................................................................. 48
Oysters and Increased Testosterone .......................................................................... 48
Foods That Lower Testosterone ................................................................................. 48
The Right Type of Exercise Can Make You Healthier .......................................... 50
The Risks of Sitting Too Much ................................................................................... 50
Motorized Scooters – Are They Cardiac Death Traps? ......................................... 51
Fitness Trackers Benefits ............................................................................................. 52
Exercise Protocol .......................................................................................................... 52
The Importance of Rest and Recovery during Exercise ....................................... 52
High Intensity Weight Training Protocol ............................................................... 53
Proper Breathing During High Intensity Weight Training ................................. 54
Day 1 – Chest Exercises ............................................................................................ 55
Day 2 – Shoulders ..................................................................................................... 61
Day 3 – Back Exercises ............................................................................................. 68
Day 4 – Leg Exercises ................................................................................................ 75
Day 5 – Arm Exercises .............................................................................................. 84
Senior Citizens Workout ............................................................................................ 91
Big 5 Workout for Senior Citizens ......................................................................... 91
Abdominal Exercises .................................................................................................. 98
Sprint 8 Protocol ......................................................................................................... 103
Sprint 8 Protocol on Stationary Recumbent Bike .................................................. 103
Sprint 8 Protocol Research Study ............................................................................ 103
Doing Sprint 8 With Mountain Climbers ............................................................. 105
My Nutritional Plan .................................................................................................. 107
Fasting Blood Sugar Versus Insulin Level ............................................................... 108
What is Normal Insulin Level? ................................................................................. 108
Starchy Vegetables ....................................................................................................... 109
Non-starchy Low-Glycemic Vegetables ................................................................... 109
Food Pyramid for Carbohydrates ............................................................................. 110
Fats ................................................................................................................................ 110
Monounsaturated Fats ................................................................................................ 111
Polyunsaturated Fats ................................................................................................... 112
Omega-3 to Omega-6 Ratio ..................................................................................... 112
Food Pyramid for Fats ................................................................................................ 113
Food Pyramid for Proteins ........................................................................................ 114
Plate Portions .............................................................................................................. 115
Check Your Insulin Level – It Could Save Your Life ........................................... 115
Lowering Your Blood Sugar is Not the Only Answer ......................................... 116
Lowering Your Insulin Level is the Answer ........................................................... 116
Drugs That Increase Insulin Production ................................................................ 117
Summary ..................................................................................................................... 119
References ................................................................................................................... 121
Every day I hear the cries of my patients whose bodies are being
destroyed by diabetes, hypertension, heart disease, kidney disease,
crippling arthritis, and cancer. As a cardiologist, I have witnessed
America’s failure of fitness first hand. The health of America has
been battered by poor nutrition and improper exercise. Gyms and
exercise spas are everywhere, but America is in the worst shape of
its life. If we could only eat right and exercise right. This sounds
so simple. Why are so many people unsuccessful in following this
rule? I ask myself this question every day when I see my patients
struggling to live healthy.

When I make rounds in the hospital I see the casualties of poor

health. Intensive care units are full of diabetics with infections,
kidney disease, blindness and amputations. Dialysis units are over-
flowing with kidney failure. Mechanical ventilators run 24 hours a
day to prolong the lives of patients with respiratory (lung) failure.
Sleep labs operate all night to diagnose and treat sleep apnea and
snoring. Hospitals are buying larger beds and imaging equipment
(CT scans, MRIs) to accommodate the increase in obese patients.
Gastric bypass surgery has increased beyond imagination. Today
one-third of adults are obese and more than 50% are overweight.
Nurses in our hospitals are suffering serious back injuries from
taking care of obese patients.

The effect of poor health also extends from the hospital to my of-
fice. I watch people struggle to walk and breathe as they come into
my examination rooms. They are barely able to put one foot in
front of the other or to step up on my examination table. Their
legs want to buckle trying to maintain their weight. You can hear
their knees grinding to maintain an upright posture. All of their
joints ache with arthritis. Their bodies are slowly being destroyed
by their poor health. Sadness and depression is in their faces. They
are looking to me to end their spiraling downhill course.

A lot of patients complain of a lack of strength and endurance.

Many have had bypass surgery and stents but they continue to ex-
perience symptoms such as shortness of breath with exertion and
extreme tiredness and fatigue. Commonly we put them through a
battery of tests and find no new blockages or heart muscle weakness
to explain their symptoms. They have seen their family physician
and he informs them that they are just getting old. At this point
they just want to give up. They then start looking for miracle cures
and try any new advertised gimmick to give them their stamina
back. Expensive supplements and potions are then purchased that
promise them to get their fountain of youth back. When supple-
ment and gimmicks fail, they turn to processed foods and sugar to
get some pleasure. Gradually, over time, they commit slow suicide
with a fork.

Other patients resort to more drastic measures. As a cardiologist,

I am seeing an increasing number of patients taking prescription
testosterone replacement medications. The sales of testosterone
have boomed in recent years due to new ways to get it into your
body, such as gels, creams and injections with pellets. The problem
with taking testosterone is that a lot of patients including men and
women are taking testosterone with normal testosterone levels.
Many people are unaware that testosterone replacement treatment
shuts down your natural production of the hormone. If a person
suddenly stops taking testosterone after using it for a while, they
could experience withdrawal symptoms. These symptoms include:
low energy, less stamina, low sex drive, irritability and depression.
These withdrawal symptoms motivate patients to keep refilling
their testosterone prescriptions.

Numerous individuals are taking injectable Human Growth Hor-

mone (HGH). HGH will increase lean muscle mass, decrease body
fat and give you higher energy. The Harvard Men’s Health Watch
publication reported that as many as 100,000 people have inject-
ed growth hormone without a valid prescription in one year. The
cost of HGH is expensive and the yearly cost can be from $8,000
to $10,000. A lot of people are using this as an anti-aging drug or
as a way to increase muscle, reduce body fat and increase athletic
performance. When you inject a man-made substance into your
body every day to achieve quick and easy results, you know there
is a long term price to pay on your health. The injection of HGH
can cause numerous side effects including: nerve, muscle, or joint
pain, carpal tunnel syndrome, numbness and tingling of skin, high
cholesterol levels, increased risk of diabetes and increased risk of
growth of cancerous tumors.

This book is about naturally increasing our testosterone and growth

hormone for burning fat and building muscle. Recent discoveries
about these hormones are changing the way we think about fit-
ness, health, athletic performance and aging. These hormones are
called our “fitness hormones” and help to preserve our fountain of
youth. This program can drastically change your body by releas-
ing these hormones through diet and exercise. There is no need
for potentially harmful creams, pills, injections or pellets. You will
notice a marked improvement in your endurance, stamina and en-
ergy. By reducing body fat and increasing your muscle mass, your
appearance will change and you will feel great. You will become a
new you. This book can be your first step to fitness and health. Just
do it now and change your body forever.

Jerry Williams, MD, FACC, FACP

 Which Body is Best for Health and Performance?
In one observational
study the health benefits
of long distance running
seems to diminish among
people who ran more than
20 miles per week, more
than 6 days per week, or
faster than 8 miles per
hour. Long distance run-
ning that is too excessive
creates oxidative stress.
Oxidative stress can cre-
ate free radicals that can
bind with cholesterol to
create plaque buildup in
your arteries. A study of Sprinter Marathon Runner
marathon runners in the Boston area showed they have higher risks of hardening
of arteries, heart attack and sudden death. In one Harvard study, doctors obtained
blood from 80 middle-aged male runners before and after the Boston Marathon.
None of the men had any history of heart disease. One day after the race, they de-
veloped elevation of their cardiac enzymes which is similar to symptoms that ap-
pear during a heart attack.

Previous studies have confirmed that low intensity exercise does not prevent death
from heart disease. The Harvard Alumni Health Study found that high intensity
exercises were associated with longevity. The Caerphilly study showed that “exer-
cise classified as heavy or vigorous was independently associated with reduced risk
of premature death from cardiovascular disease”. Both studies showed that only the
highest levels of exercise intensity lowered death rate.

Most of my patients start out on a low to moderate intensity exercise program to

lose weight. This program requires a near starvation diet to see any results. Unfor-
tunately, even if you starve yourself, you will eventually gain most of your weight
back. If you lose weight with dieting alone, there will be a loss of fat and muscle.
The loss of fat is good, but the loss of muscle will reduce your metabolism. The
1
loss of your metabolism will cause rapid weight regain. Therefore, you must do
exercises that activate testosterone and growth hormone which will increase your
muscle mass at the same time you are restricting your calories. By increasing your
fitness hormones with high intensity exercise, you can have the health and fitness
that you always wanted.

Cardio Versus High Intensity Exercises

Exercises are divided into two categories. The first catego-

ry is low to moderate intensity and is called “Cardio”. This
is traditional exercise such as going out to jog or taking a
long walk. It involves only the aerobic process (with oxy-
gen) and does not activate the anaerobic process (with-
out oxygen). Since the anaerobic process is not activated,
there is no increase in the fitness hormones (Testosterone
and Growth Hormone). It requires you to exercise for pro-
longed periods with a near starvation diet in order to lose weight. Unfortunately,
due to loss of muscle, there is usually rapid weight regain and failure.

The second category of exercises is high intensity exercise

and is divided into two categories: High intensity interval
training (HIIT) and Sprint 8 protocol. HIIT is also called
“boot camp training” and involves the aerobic process of
the heart muscle and does activate some anaerobic pro-
cesses. The result with HIIT is better than with cardio or
low intensity exercise which fails in maintaining weight
loss and muscle. HIIT does have increased calorie burn-
ing and it does increase your muscle mass which helps to preserve your metabo-
lism. HIIT does not increase your Growth Hormone and Testosterone levels as
high as the Sprint 8 protocol.

Sprint 8 protocol is the ultimate program to increase your fitness hormones (Tes-
tosterone and Growth Hormone). The Sprint 8 protocol is unique in that you’re
only exercising for 20 minutes 3 times per week. It delivers superior results in less
time with fewer workouts. The highest level of intensity is for only 30 seconds and
only involves 8 different intervals. The 30 seconds of intense exercise is physically
tough in that it is an all-out maximum intensity. When people try this protocol
2
they are surprised how much harder it is when compared to HIIT. Sprint 8 training
has led to a significant increase in growth hormone, testosterone, insulin growth
factor, IGF binding protein and lactate. This causes increased lean muscle mass,
decreased body fat and higher energy. Most exercise protocols for fat loss using

Before

The Hormone
The hormone PYY
PYY
released from the
released from the
small intesine
small intestine
Before depresses
lowers
appetite and
appetite and HIT
HIT
elevates it!
elevates it!

Source: The Muscle PHD Academy

moderate intensity exercise have had negligible results. Boutcher in 2011 reported
that high-intensity exercise was more effective at reducing subcutaneous and ab-
dominal body fat than other types of exercise. The one way to know for sure that
you are releasing growth hormone and testosterone is that you will be gasping for
air when you finish the 30 seconds of exercise.
3
 SUMMARY OF EXERCISES

CARDIO (AEROBIC EXERCISE)

• Low to moderate intensity

• Activated by slow type muscle fibers
• Aerobic process (with oxygen)
• Requires long duration of training and strict dieting
• High chance of failure and weight gain due to muscle loss.

HIGH INTENSITY INTERVAL TRAINING (HITT)

• High intensity
• Activated by slow type and some fast type muscle fibers
• Aerobic process with some anaerobic process
• Better results than cardio since it does increase testosterone and growth hormone

SPRINT 8 PROTOCOL

• High intensity
• Activates all 3 muscle types (slow, fast and super-fast)
• Only one that activates super-fast fibers
• Activates aerobic and anaerobic processes in heart
• It causes the greatest release of testosterone and growth hormone.

Source: BGI Fitness

4
 THE IMPORTANCE OF MUSCLE COMPOSITION AND FIBER
RECRUITMENT

When you exercise, the strength of a movement is determined by how many muscle
fibers are called into play during the course of your exercise. If a few fibers are used,
this is low intensity and if a lot of fibers are used, this is high intensity. There are
three different muscle fibers which are broken down into slow-twitch, fast-twitch
and super-fast-twitch fibers. The slow-twitch fibers are called endurance fibers and
are used primarily by people engaging in low intensity exercise such as walking
and jogging. These fibers fatigue slowly and recover rapidly. The fibers are red and
contract under aerobic (with oxygen) conditions. The fast-twitch fibers are acti-
vated next followed by the super-fast fibers. The super-fast fibers are only turned
on with peak intensity when you are gasping to breathe during the exercise. They
are the fibers you use in an emergency to fight off an intruder. These fibers recover
slowly and require you to not activate these fibers for exercise unless your muscles
have had time to recover. If you increase the intensity of your workout, more time
must be allowed for growth and repair of the tissue that was stimulated during the
workout. It is the repair process that makes the muscle fibers stronger and bigger.

The fibers are activated in sequence based upon the intensity of the exercise. If you
curl a light weight, you will activate the slow-twitch fibers. A moderate weight will
activate the fast-twitch fibers and a heavy weight will activate the elusive super-fast
twitch fibers if you give an all-out-effort at peak intensity.

If you want to reverse your obesity and have good health, you must exercise and de-
velop all three of your muscle fiber types. The different muscle fiber types include;
slow, fast and superfast. The average person has approximately 40% slow-twitch
muscle fiber and 60% fast-twitch. The slow-twitch fibers are called type 1. There are
two types of fast-twitch muscle fibers (fast and super-fast). The fast muscle fiber is
called type IIa and the super-fast is called type IIb.

One reason for our obesity epidemic is that we are using only slow-type muscle
fibers in our exercise programs. The slow-type muscle fibers are used when doing
low to moderate intensity exercises like walking or jogging. Since we are not using
our fast muscle fibers, there is atrophy (wasting away) of over 50% of our muscle
mass. This loss of fast fibers decreases our production of testosterone and growth
hormone. Therefore, the answer for obesity is to recruit and use all 3 muscle fiber
5
types during exercise. Cardio will recruit the slow muscle fibers. High intensity
interval training (HIIT and boot camp training) will recruit the fast-fibers and the
Sprint 8 protocol will recruit the super-fast muscle fibers.

SUMMARY OF MUSCLE TYPES DURING EXERCISE

Muscle Type Slow Type Fast Type Super Fast

Intensity 50-75% 75-90% 90-95%

Energy Aerobic Aerobic/Anaerobic Anaerobic

Training Cardio HITT Sprint 8

Oxygen High Medium Low

Capillaries Many Many Few

Muscle Color Red White White

Speed Slow Fast Super Fast

THE IMPORTANCE OF HAVING MORE MUSCLE

The real secret to burning calories is having more muscle. We all remember when
we were teenagers and even eating donuts did not make us gain weight. Unfortu-
nately, in our 30s, things began to change. This is the time when our production of
testosterone and growth hormone began to decrease. Aging brings on us a natural
6
tendency to lose muscle, a condition
called sarcopenia. The loss of muscle
brings down our resting metabolism.
In order to maintain our muscle, you
will need about 50 calories per pound,
per day. If you lose 10 pounds of mus-
cle, you will lose the ability to burn
500 calories per day (10 pounds x 50 =
500 calories). This may not sound like
a big deal, but over time it begins to
add up. 500 calories burned is equiva-
lent to walking or running 5 miles every day (see below). Most people continue to
eat like a teenager even when they have continued to lose muscle mass with aging.
This is a recipe for obesity and poor health.

Having More Muscle Can

Save Your Life

Having more muscle can save

your life when you are faced with
a critical illness. John Blackwell,
who is a co-author of this book,
suffered a multisystem illness that
nearly cost his life. He unfortu-
nately suffered a hip fracture that
was followed by the following
insults; postoperative bleeding,
The more muscle you have, the more calories you will burn daily.
pneumonia, pulmonary embolus,
heart attack and congestive heart failure. John had been exercising using high in-
tensity for 3 years prior to his critical illness. John’s increase in muscle mass saved
his life. High intensity training can cause your other organs to increase their func-
tional capacity. Studies have shown that your increased muscle mass can predict
how long it will take for your body to reach multisystem organ failure and death.
Therefore, everyone needs to preserve and hopefully increase their muscle mass as
they age. None of us know when our next health disaster could happen in our lives.
Therefore, be prepared by exercising using high-intensity that will increase your
fitness hormones (testosterone and growth hormone) and muscle mass.
7
 PREVENTION OF MUSCLE LOSS

If exercise is too prolonged as in

marathon events, glycogen can be-
come depleted and protein from
your muscles can be used to main-
tain glucose. This process of break-
ing down your protein to form sugar
is called gluconeogenesis. This can
result in extreme wasting of your
muscle tissues. You can prevent
muscle breakdown by doing high-
intensity exercises that will increase
your fitness hormones and muscle.
Cardio can improve your health but it must be combined with high-intensity exer-
cises to maintain fitness and health.

HOW HIGH-INTENSITY TRAINING IMPROVES YOUR

METABOLISM

It is important to understand how your body burns calories. Metabolism describes

the burning of calories necessary to supply the body with energy it needs to func-
tion every day. There are three ways that the body burns calories every day:

• Digestion of Food – Accounts for 10% of calories.

• Exercise – Accounts for 20% of our calories.
• Basal(Resting) Metabolism – Accounts for 70% of calories

Since our metabolism or muscle mass accounts for 70% of our calorie burning,
we must try to maintain it at all cost. Normally, after the age of 30 we lose 3-5%
of our muscle per decade. This is the reason a lot of obese patients tell me, “I am
not eating anything and I am gaining weight”. When you restrict your calories for
losing weight, you can lower your resting metabolism by 6-20%. This is the reason
it is harder to lose weight as you go lower. Your body has a protective mechanism
to lower your metabolism when it perceives a decrease in calorie intake. God pro-
grammed this in your body to protect you from starvation. To combat this normal
loss with aging, we have to do exercises that activate our fitness hormones (tes-
8
tosterone and growth hormone) to build more muscle. This would include weight
training and the Sprint 8 protocol.

Digestion of food only accounts for 10% of calories. The amount of energy used in
digestion is called the thermic effect of food. You will burn more calories when you
consume carbohydrates and proteins. The cost of converting carbohydrates to fat
will burn as much as 30% of carbohydrates consumed. This is only true if you are
consuming natural unprocessed carbohydrates that are loaded with fiber, vitamins,
minerals and micronutrients. Therefore, carbohydrates and proteins have to be
converted to fat which requires your body to burn more calories during digestion.
Fat does not have to be broken down and it is easily absorbed into your adipose tis-
sue without burning any calories.

Exercise only accounts for 20% of our calories burned. This is because some indi-
viduals are couch potatoes and only burn about 100 calories daily, whereas other
individuals are elite athletes and can burn as much as 35% of their calories from
exercise. The reason that exercise has not accounted for higher burning of calories
is because the majority of individuals are only doing cardio and only activate the
slow-twitch muscle fiber. Activation of the fast-twitch fibers can turn your body
into a fat-burning machine.

HIGH-INTENSITY EXERCISE LOWERS INSULIN RESISTANCE

The cells of your body use glucose as an energy source. It is like gasoline for your
car and is your body’s fuel. If glucose is unable to enter your cells, they are deprived
of their basic fuel. This loss of your body’s fuel results in poor energy with a loss of
stamina and endurance.

Insulin is a hormone that moves glucose from your bloodstream into the cells of
your body. It acts like a key opening the door to your cells and allows glucose to
enter. Insulin attaches to a receptor that opens channels to allow glucose into your
cells. Glucose is normally stored as glycogen in your cells. Glycogen is chains of
glucose hooked together. Your glycogen is stored in the liver and skeletal muscles.
The liver stores approximately 70 grams and your skeletal muscle stores 210 to 220
grams. Storage tanks for glycogen (stored glucose) are in liver and muscle. Liver
glycogen helps to maintain blood glucose and muscle glycogen is used for energy
in emergency situations (flight or fight response).
9
Our ancestors were seldom exposed to simple sugars that would cause a rapid in-
crease in blood glucose. Therefore, their blood glucose levels were rarely elevated,
even for short periods of time and the cells were rarely filled with stored glucose.
Whatever glucose that was stored was immediately used and was seldom stored as
glycogen in the cells. This caused their glucose and insulin levels to stay in a nor-
mal range and never rise to high levels. Therefore, this environment prevented the
development of insulin resistance and fat storage.

Today we consume too much processed carbohydrates and sugar. Our storage tanks
in the liver and muscle are full of glycogen (stored glucose). Since glucose cannot
get into our full storage tanks, the glucose stacks up in our blood stream like a gar-
bage dump. Now insulin can no longer open the cells for glucose to enter. This is
when you have developed insulin resistance. This causes your pancreas to produce
more and more insulin to overcome the resistance. Eventually your pancreas will
fail and you will develop diabetes mellitus. Due to the high insulin levels, I have
numerous morbidly obese patients who become as hungry as a bear going into hi-
bernation. They want to eat everything in sight. They have what some people have
called “internal starvation”. The high insulin levels prevent nutrients from getting
into their cells. All of their nutrients are stored as fat in their adipose cells. There-
fore, they are literally starving since nutrition cannot get into their cells.

When glucose levels stay high and you have full glycogen stores, this will stimulate
production of fatty acids. This occurs in the liver as glucose is converted to fats.
Very low-density lipoprotein (VLDL) is produced first which then becomes LDL
cholesterol. The LDL cholesterol is a risk factor for coronary artery disease. Also,
high blood sugar and insulin give rise to inflammation which can cause plaque
buildup in our arteries and can lead to a heart attack. Since the biggest glycogen
stores are in the fast-twitch fibers, we need to do exercises that increase testoster-
one and growth hormone (HIIT and Sprint 8 protocol). This is unlike low-intensity
exercise (cardio) which does not empty the storage of glucose in your muscles and
liver. Therefore, the excess glucose has to be stored as body fat. This is the reason
low-intensity exercise has a greater risk of cardiovascular disease. Low-intensity
exercise relies on the aerobic system which uses the oxidative system that produces
inflammatory free radicals. Also, because running for prolonged periods of time
primarily burns fat, there is no significant reduction in glycogen stores. Therefore,
doing low-intensity exercise will increase your risk of heart disease.

10
During high-intensity exercise, the hormones epinephrine and norepinephrine
are released which stimulate the release of glycogen from the muscle. When this
occurs, the muscle cell empties itself of a significant amount of glycogen, which
means that insulin can act on your receptors of your cells, thus allowing glucose
to reenter your muscle. This improves your insulin sensitivity and decreases your
storage of fat. Also, high-intensity exercise can stimulate adrenaline which acti-
vates hormone-sensitive lipase which helps mobilize fat from your adipocytes. It
is your fat buster and helps to move fat out of your cells. Therefore, high intensity
exercise does the following things:
• Inhibits glycogen synthesis
• Mobilizes glycogen from your cells
• Inhibits fat synthesis
• Mobilizes fat from your adipocytes
CARBOHYDRATES
KEEP INSULIN LEVELS LOW

HIGH INSULIN
RED LEVEL CATEGORY
(NO)
PROCESSED
CARBS,
BEANS
BREADS
PASTA,
PIZZA,
STARCHY VEGETABLES, MODERATE INSULIN
YELLOW BEETROOTS, CARROTS, PEAS, LEVEL CATEGORY
(CAUTION)
TURNIPS, PUMPKIN, SWEET
POTATO, WHITE POTATO,
ARTICHOKES, CORN, BEANS,
RUTABAGA LOW INSULIN
LEVEL CATEGORY
ARUGULA, ARTICHOKE, ASPARAGUS,
BEAN SPROUTS, BEET GREENS, BELL PEPPERS,
GREEN
(GO) BROCCOLI, BRUSSELS SPROUTS, CABBAGE,
CAULIFLOWER, CELERY, CHIVES, COLLARD
GREENS, CUCUMBER, DANDELION GREENS,
EGG PLANT, ENDIVE, FENNEL, GARLIC, GINGER
ROOT, GREEN BEANS, HEARTS OF PALM, JALAPENO
PEPPERS, KALE, LETTUCE, MUSHROOMS, MUSTARD
GREENS, ONIONS, PARSLEY, RADISHES, RADICCHIO,
SNAP BEANS, SNOW PEAS, SHALLOTS, SPINACH,
SUMMER SQUASH, SWISS CHARD, TOMATOES, TURNIP
GREENS, WATERCRESS, ZUCCHINI

HIGH INTENSITY EXERCISE AND INFLAMMATION

Inflammation in Latin means “to set on fire”. Think of inflammation as the body’s
natural response to protect itself against harm. We see inflammation during sore
throats and abscess formation in our bodies. Your immune system dispatches an
11
army of white blood cells to surround and protect the area, creating visible redness
and swelling. So in these settings, inflammation is essential. Without it, simple in-
fections could be deadly.

Sometimes, inflammation can be bad when it occurs in inappropriate situations

such as with atherosclerosis and heart disease. Inside your coronary arteries, in-
flammation can initiate atherosclerosis, which is buildup of cholesterol-rich plaque.
Your body perceives this plaque as a foreign body, so it attempts to wall off the
plaque from the flowing blood. But if the plaque ruptures, the soft-fatty material
inside the plaque mingles with the blood and forms a clot that completely blocks
the flow of blood. This can result in an acute heart attack.

High-intensity exercise will normally start an inflammatory response in our mus-

cle. It will cause your body to get stronger and push your inflammatory response to
higher levels. Just like a thermostat can adjust your temperature higher, your own
body can adapt and reset your inflammatory response to higher levels.

A lot of my patients have a bed to chair existence and suffer chronic pain with sig-
nificant inflammation. Their muscles are very weak and their joints are inflamed
from crippling arthritis. They live in a world of chronic inflammation which is
slowly destroying their body. If you do high-intensity training, you can push your
inflammatory response to higher levels. This will allow you to do normal simple
activities of life with less pain and discomfort.

HIGH-INTENSITY EXERCISE ATTACKS CANCER CELLS

Unfortunately, all of us have had someone die in our family with cancer. This does
not have to be our fate. High-intensity exercise can decrease your chance of devel-
oping cancer. A study published in 2016 found that high intensity exercise reduced
tumors in mice by 50%. Researchers showed that high-intensity exercise releases
adrenaline, which caused the body of mice to move cancer-killing immune cells
to the tumor sites implanted into mice. These natural killer cells are part of your
immune system. They are a kind of white blood cell that seeks out and kills tumor
cells while sparing healthy cells. The cancer-killing immune cells were then able to
attack the tumors in the mice. This study showed that high-intensity exercise can
help your body fight cancer.

12
 HIGH-INTENSITY EXERCISE AND MITOCHONDRIA

The fuel in our body is produced in the mitochondria. Mitochondria are described
as power plants in our cells. This is the place inside your muscle cells where carbo-
hydrates, fats, and proteins are processed to create fuel for your body. Mitochon-
dria take the food that we eat to make a chemical substance called ATP (Adenosine
Triphosphate), which is a powerful fuel for your body.

It is known that mitochondrial function declines with age, and can reduce our abil-
ity to burn excess blood sugar. The long term results of less mitochondria leads to
metabolic syndrome, insulin resistance and subsequent diabetes mellitus. In the
journal Cell Metabolism, it was reported that high-intensity training boosted the
ability of the mitochondria to produce energy by 69% in older volunteers and by
49% in the younger group. The high-intensity training causes your body to pro-
duce more mitochondria to keep up with the heightened energy requirement.

If you want more energy and stamina, you need more mitochondria. This does not
require any supplements or costly injections. You can obtain it free, if you will per-
form high-intensity training. The best anti-aging exercise is high-intensity train-
ing. Start now and take your fat-burning and muscle building to the next level.

HIGH-INTENSITY TRAINING AND HEART MUSCLE

IMPROVEMENT

Campbell, in his book, “Sprint 8 Cardio Protocol”, stated that cardio fitness is how
hard you can work your heart muscle and how quickly it recovers. He measured
the work of your heart by the maximum heart rate. The maximum heart rate is the
fastest your heart will beat and pump blood throughout your entire body. A sign
of a strong heart is the ability to maintain your maximum heart rate, with a gentle
decline with aging. When your maximum heart rate declines too quickly during
aging, this means the heart muscle is becoming weaker.

Campbell measured the maximum heart rate response over a 6 month period. A
lot of his clients improved their maximum heart rate response proving that their
heart muscle was getting stronger. Also, he monitored the amount the heart rate
dropped in the recovery period. A greater drop in the heart rate suggested better
overall cardio fitness. The clients where the maximum heart rate increased over a 6
13
month period also showed a marked drop in their heart rate in the recovery period.
Therefore, we want to reach higher heart rates and more rapid recovery of our heart
rates with high-intensity training.

In the book, “The Immortality Edge”, it was reported that high-intensity training
can build new capillaries, which enables better oxygen delivery to the muscles. This
improved blood supply allowed a better tolerance for the buildup of lactate, and
the heart muscle is strengthened. High-intensity training will give you improved
vascular health.

LEG MUSCLES ARE YOUR SECONDARY HEART MUSCLE

Dr. Mirkin reported that your legs mus-

cles can act as a second heart muscle.
This is his explanation; when you run,
your heart pumps blood through your
body, but it gets lots of help from your
legs. When your leg muscles contract,
they squeeze veins near them to push
blood toward your heart, when your leg
muscles relax, the veins near them fill
with blood. This alternate contracting
and relaxing of your leg muscles serve as
a second heart. High-intensity training
will strengthen all of the muscle fibers of
your leg to improve the return of blood to your heart.

HIGH INTENSITY TRAINING IMPROVES OBESITY

Just how bad is our obesity epidemic in America? Today, more than 33% of Ameri-
cans are obese and 66% of Americans are overweight. A look at the graph on the
next page will show that our obesity rate went from 15% in 1980 to over 30% today.
The obesity rates are increasing at epidemic proportions. At this rate, it is expected
that 45% (almost half of Americans) will be obese by 2020. This trend in obesity
has become an epidemic and a curse. How did we get this fat, so fast? How did we
go from 15% obesity in 1980 to greater than 30% obesity now? How did we go from
14
wellness to being really sick? What exposure could account for this epidemic of
obesity? A perfect storm was started that created our obesity epidemic:

• We changed our food and our environment. Fast food became readily available
everywhere and at any time. Fast food is fast preparing, fast eating and fast caus-
ing disease. Also, fast food is cheap, portable, no depreciation (very long shelf
life) and tastes incredible and we always come back for more.
• Restricted activity (no physical exercise in schools).
• Changes in our dietary standard in 1970s going from a recommended fat per-
centage of 40% to 30%. This has resulted in the food industry increasing the
sugar in our foods to improve the taste after decreasing the fat percentage.
• Increased intake of refined carbohydrates and sugar.
• Introduction of high fructose corn syrup in the late 1970s.

THE OBESE CAN BENEFIT FROM HIGH INTENSITY TRAINING

High intensity training is not just reserved for thinner people. Obese or very over-
weight women and men are capable of employing this method of exercise. There
is probably nobody who stands to benefit from high intensity training more than
obese individuals, although they are often the last ones to join in on this type of
workout.
15
Their reluctance is due to their concerns that their body simply will not be able to
take the stress from high intensity training. They do not want to pass out or have a
heart attack, which is a major concern for people who are obese and out of shape. I
often tell obese patients that high intensity training is possible if they obtain clear-
ance from their doctor. Unless they have serious coexistent illnesses with their obe-
sity, most individuals will be able to perform high intensity training safely.

A lot of people think that high intensity training involves running sprints at a high
speed. Running is not the only way to perform this super fat burning type of work-
out. When it comes to high intensity training, it’s all about your effort. You do not
have to have a sprinter’s speed to have good results. Thus, a good high intensity
workout for someone who is obese could be walking as fast as possible up a hill,
then turning around and slowly walking back to the starting point to recover, then
walking as fast as they can back up the hill. If you do not like the idea of walking,
high intensity training can be performed on a stationary bike (recumbent or sit-
ting). This means pedaling as fast as possible for 30 seconds, then pedaling slowly
for 90 seconds before resuming pedaling rapidly for another 30 seconds. The bot-
tom line is that you want the 30 seconds of hard pedaling to cause you to be nearly
breathless.

HIGH-INTENSITY TRAINING IMPROVES METABOLIC

SYNDROME

Many patients that I take care of are struggling with metabolic syndrome. It is char-
acterized by insulin resistance and too much sugar builds up in the bloodstream.
It is a disorder of metabolism and turns your body into a fat-producing machine.
Metabolic syndrome is present if 3 or more of the following conditions are present:

•High blood pressure – 130/85 or higher

•High blood sugar levels – Fasting blood sugar 100 mg or higher
•High levels of triglycerides in the blood – 150 mg or higher
•Low levels of HDL – Less than 40 in men, less than 50 in women
•Too much body fat around the waist – 35 inches or greater for women and 40
inches or greater for men.

16
 BELLY FAT IS STRONG INDICATOR OF METABOLIC
SYNDROME

An excess of visceral fat in

metabolic syndrome is known
as central obesity or “belly
fat”. Visceral fat (abdominal
fat) should be suspected when
you have a waist size > 40
inches for men or > 35 inches
for women. Also, if you have a
high triglyceride or low HDL,
you are more likely to have
visceral obesity. Excess vis-
ceral fat is linked to chronic
diseases such as diabetes, hy-
A waist size greater than 40 inches is associated with a pertension, dyslipidemia and
greater chance of having visceral obesity which is associated
heart disease. An increased
with chronic diseases such as diabetes, hypertension, hyper-
lipidemia and heart disease.
waist circumference measure-
ment identifies individuals
who have a tendency to store their body fat in their belly. This simple measurement
can identify patients who will more likely develop chronic diseases in the future.

SUBCUTANEOUS FAT VERSUS VISCERAL FAT

Body fat is called adipose tissue. In humans, adipose tissue is located beneath the
skin (subcutaneous fat) and around internal organs (visceral fat). Subcutaneous
fat storage is not associated with the development of metabolic syndrome. Women
normally have more body fat to cover the demands for being a mother and nursing
a child. Body fat is stored as fuel to be used in times of need. Women in general
have a greater capacity than men to expand the subcutaneous adipose tissue de-
partment. Estrogen in women causes the fat to be stored in the buttocks, hips and
thighs creating a pear appearance. There is more weight below their waist. When
women reach menopause and estrogen declines, fat migrates from the buttocks,
hips and thighs to the waist to create belly fat. Men tend to have an apple appear-
ance and tend to store fat above the waist.

17
 FAT CELLS

Fat cells or adipocytes are like fuel tanks that store energy for later use. Some in-
dividuals are genetically predisposed to have more fat cells and women have
more fat cells than men. Fat cells can increase during puberty, pregnancy and with
morbid obesity. An infant normally has 5-6 billion fat cells. This number increases
during early childhood and puberty, and a healthy adult can have around 75 billion
fat cells. In cases of severe obesity, fat cells can increase to as high as 250 to 300 bil-
lion.

Body fat is a reserve source of energy and fat cells are like the storage tanks. Unlike
a gas tank in your car which is fixed in size, fat cells can expand or shrink in size
depending on how “filled” they are. They start out as empty fat storage tanks (when
you are lean) and when food intake exceeds your needs, your fat cells “fill up” and
stretch out like a balloon being blown up with air filled with jelly.

If a person develops severe obesity, the fat cells can increase in size and number as
shown in the diagram below. If someone loses abdominal fat, the cells can shrink
in size.

The fat cells of an obese person who is metabolically healthy (left) are much smaller
than the engorged cells of an obese person with metabolic health problems (right).

This increase in size of the cells with fat gain prevents you from having six-pack
abs. When you lose body fat the fat cell does not disappear, it just shrinks in size.
This is the reason why you cannot see muscle “definition” when your body fat is
high. Many patients tell me how they have tried numerous diets but they continue
to gain more weight. By going from over-weight to lean to overweight again, you
18
are creating new fat cells with each yo-yo cycle. This increase in fat cells creates
more hormones that make us fatter and sicker.

The picture below shows the numerous hormones produced by the adipose tissue.
These hormones directly cause high blood pressure, inflammation, diabetes, blood
clots and obesity.

Now you can see that when you develop severe obesity with an increase and en-
largement of your fat cells, it will take a lot of hard work with diet and exercise to
shrink your fat cells. You have to face an uphill battle with more fat cells producing
bad hormones that will make you have chronic diseases.

METABOLIC SYNDROME ATTACKS YOUR LIVER FIRST

Metabolic syndrome attacks your liver first. The liver takes up the fat and develops
what is called a fatty liver. Initially, a fatty liver causes no symptoms. The only way
you know you have this disease is by doing an ultrasound or CT scan of your liver.
Also, an elevation of your liver enzymes (ALT) may suggest the possibility of a fatty
19
liver. Later on, inflammation develops and the fatty liver becomes NASH (nonalco-
holic steatohepatitis). NASH is fat plus inflammation and scarring. NASH can also
be asymptomatic and can only be diagnosed with a liver biopsy. NASH can turn
into cirrhosis, which occurs when the liver cells are replaced by scar tissue and this
leads to a non-functioning liver with ascites, bleeding and failure to thrive.

Metabolic Syndrome attacks your liver first.

MEDICAL COSTS OF METABOLIC SYNDROME

There are 8 diseases that are directly related to metabolic syndrome that accounts
for 75% of global health care costs. These include:

1. Heart Disease
2. Lipid Problems
3. Hypertension
4. Type 2 Diabetes Mellitus
5. Non-alcoholic liver disease
6. Polycystic ovarian disease
7. Cancer
8. Dementia

20
Common belief is that the above diseases are caused by obesity. People do not die
of obesity, but they die of diseases that destroy their organs. Obesity is a marker of
chronic metabolic disease, known as metabolic syndrome. Obesity and metabolic
syndrome overlap, but they are different. COST OF METABOLIC

Obesity doesn’t kill. Metabolic Syndrome

SYNDROME

kills.

As a cardiologist, I see more and more of

my patients developing metabolic syn-
drome. If you lose muscle with aging (see
below) and gain body fat you will develop
metabolic syndrome. This loss of muscle
is the reason our metabolism falls as we
age. This loss of metabolism causes us to
gain weight like a bear going into hibernation. This is followed by rapidly increas-
ing insulin resistance. This leads to pre-diabetes and eventually full blown diabetes.

If you see an elevation of triglycerides

and a low HDL with a normal or slightly
elevated LDL this should suggest to you
that this lipid profile may represent meta-
bolic syndrome. This lipid abnormality is
associated with a significant risk of car-
diovascular disease and is referred to as
“atherogenic dyslipidemia”.

What does it mean if you have metabolic

syndrome? Loss of muscle with aging

• You are twice as likely to have a heart attack or stroke.

• Your lifespan will be shortened

The ugly curse of metabolic syndrome has gone global and is affecting the entire
world. The medical costs for metabolic syndrome accounted for 75% of global
health care costs (2 trillion dollars in 2011). This is not only in America, but it is
all over the world. This is so true that the United Nations announced that non-
communicable diseases (diabetes, heart disease, cancer and dementia) now pose a
21
greater threat to the developing world than acute infectious disease such as cholera
and HIV.

The good news is that metabolic syndrome can be reversed naturally. You do not
have to simply manage them with medications. High-intensity training can build
muscle and strength and allow you to take control of processing your glucose ef-
fectively. This will lower insulin resistance and shift your body back to when you
were lean and muscular with normal glucose metabolism. It’s time you get started
now. Begin high-intensity training and get your health back.

STEPS IN DEVELOPING METABOLIC SYNDROME

1. LEAN AND MUSCULAR WITH NORMAL GLUCOSE METABOLISM

2. LOSS OF MUSCLE AND GAIN OF BODY FAT WITH AGING – FIRST STEP

3. INSULIN RESISTANCE

4. METABOLIC SYNDROME

5. FATTY LIVER

6. PRE-DIABETES WITH PROBLEMS WITH GLUCOSE

7. DIABETES WITH INABILITY TO EFFECTIVELY CLEAR GLUCOSE

The first step in developing metabolic syndrome is the loss of muscle and gain of
body fat. This leads to insulin resistance and subsequent development of metabolic
syndrome. Since metabolic syndrome kills, it is time to begin high intensity train-
ing that can increase your lean muscle and reduce body fat. You do not have to be
another bad statistic; just begin high intensity training now.

HIGH-INTENSITY EXERCISE AND YOUR CHROMOSOMES

People are always searching for ways to slow down aging. It is known that our cells
don’t usually age in the same way. If we have an unhealthy lifestyle, our cells can
deteriorate quicker than if we eat right and exercise correctly on a regular basis. A
study has shown that high-intensity exercise can allow our cells to age at a slower

22
rate. This is all linked to your cell’s telomeres, which are the protective caps on
the end of your chromosomes. They are combinations of DNA and protein that
protects the end of your chromosomes. Every time a cell replicates, the telomere
length becomes shorter, the structural integrity becomes weaker and the cells age
and die faster.

In a study of 5,823 adults, the telomere length was recorded. They found the par-
ticipants with the shortest telomeres, which were a sign of greater aging, came from
those who lived a sedentary lifestyle. Those doing high-intensity exercise had the
longest telomeres.

The length of the telomeres indicates the condition of your body. Long telomeres
are associated with longevity and good health. Short telomeres indicate premature
aging and are associated with many diseases including cancer, stroke, dementia,
heart disease, obesity and diabetes. The goal is to make sure your telomeres stay
long and try to prevent them from shortening. High-intensity exercises can pre-
serve your telomere length. It’s time you get off of the couch and sweat with high-
intensity exercises.

TESTOSTERONE

Testosterone is like jet fuel for a man. It keeps men running and is very important
for building muscle and reducing fat gain. Testosterone plays a big role throughout
a man’s life. It is a driver of puberty, motivation, mental clarity, causes deepening
of the voice, growth of hair on face and controls sperm production. Testosterone
deficiency can lead to infertility and inability to have children.

Most of the testosterone in men is made in the testes, whereas most of testoster-
one in women is made in the ovaries. In both men and women, a small amount
of testosterone is made in the adrenal gland. Testosterone plays an important role
throughout the body in men and women. It affects the bones, brain, muscle mass,
fat distribution, the vascular system, energy levels, and sexual function.

Testosterone levels will tend to peak somewhere between age 20 and 30. After this
time, testosterone will gradually decrease for the rest of your life. Testosterone lev-
els will decrease by 1 percent annually after age of 30. This explains the loss of
muscle mass with fat gain that occurs with aging.
23
 LOW TESTOSTERONE – ALSO KNOWN AS HYPOGONADISM
OR LOW T

Testosterone levels are measured

with a blood test. Guidelines sug-
gest that a normal level is between
300 to 1,000 nanograms per decili-
ter (ng/dl). About 40% of men over
the age of 45 will have levels that are
below the reported normal range.
At this time there is no universal
agreement of a specific blood level
that will tell us which patients have hypogonadism, nor does it predict who will
respond to treatment and who will not. A lot of patients can have a low level and
have no symptoms. Therefore, the diagnosis of hypogonadism or Low T requires
classic symptoms of hypogonadism with a low level.

A slow decrease in testosterone is normal with aging. A lot of men with this have
no symptoms. The symptoms and signs with hypogonadism or low T are the fol-
lowing:

• Lower sex drive or desire

• Decreased energy
• Increased fatigue
• Depressed mood
• Erectile dysfunction
• Decreased muscle mass
• Increased fat accumulation
• Inability to have children
• Osteoporosis
• Menopausal-like hot flashes
• Lack of an effect with Viagra for erectile dysfunction
• Decreased spontaneous erections at night
• Increased fractures, low bone mineral density, osteoporosis
• Poor concentration and memory
• Sleep disturbance, increased sleepiness
• Mild anemia (normochromic, normocytic)
24
Before puberty, the testosterone levels are low. Testosterone increases during puberty and peaks
around 30 years old and then falls off gradually with age (decreases 1% annually after 30 years
old).

LOW TESTOSTERONE AND THE BODY

Low testosterone can cause visible changes in some men:

Smaller testicles
Larger breasts (Gynecomastia) and breast discomfort
Thinner muscles (occurs slowly over years)
Loss of Body hair (axillary and pubic)
Increased body fat

LOW TESTOSTERONE AFFECTS BONES

Osteoporosis is not just a woman’s disease, but it can affect men as well. Low testos-
terone is a common cause in men. When testosterone levels fall, the bones may get
weaker, thinner and more likely to break. The issue is not low testosterone, but low
levels of estradiol which is needed to maintain healthy bones. Estradiol levels will
be low if testosterone is low, since less testosterone will be converted to estradiol by
the aromatase enzyme.

25
 LOW TESTOSTERONE
AND SEX

A low testosterone does not

always interfere with sex, but
it can make it more difficult
for your brain and body to get
aroused. Some men may notice
a drop in desire, while others
may lose interest in sex com-
pletely. Low testosterone can
also make it harder to get or
Low Testosterone increases risk of osteoporosis and keep an erection.
fractures.

LOW TESTOSTERONE AND ANEMIA

Testosterone can affect blood cell production. If testos-

terone is low, there is less production of erythropoietin,
which can stimulate the bone marrow to produce blood
cells. Anemia is common with low testosterone and ex-
plains some of their low energy and fatigue. Anemia
can lead to palpitations, shortness of breath and dizzi-
ness.
Low Testosterone can have
TESTOSTERONE, MOOD, AND THINKING negative effects on a marriage.

Some men can have subtle problems

like mood changes, poor concentra-
tion and less energy. Sometimes, my
patients feel like they are in a “fog”.
These same symptoms can be caused
by other illnesses and health problems
and requires a medical work-up prior
to blaming testosterone deficiency.
Low Testosterone Can Affect Mood and
Concentration
26
 LOW TESTOSTERONE AND INFERTILITY

Testosterone helps a man’s body make sperm. When levels of testosterone are low,
this can cause a low sperm count. If a couple is having trouble with pregnancy, his
sperm count may be low and this could be the cause of his infertility.

Low Testosterone can cause low sperm count.

LOW TESTOSTERONE CAUSES OBESITY AND METABOLIC

SYNDROME

One epidemiology study found that low testosterone in men was associated with
the following cardiac markers:

• You are fatter

• You have low HDL
• Higher triglycerides
• Higher blood pressure
• Higher blood glucose

This group of individuals in this study had a 40% higher death rate from all causes.
All of these cardiac markers are the same ones found in metabolic syndrome.
27
 LOW TESTOSTERONE CAUSES INSULIN RESISTANCE AND
DIABETES

Normally, as testosterone falls, blood glucose and insulin will rise. This can lead to
insulin resistance and diabetes.

What Causes Low Testosterone?

Testosterone regulation in men depends

upon the interaction between the hypo-
thalamus, pituitary, and testes (see be-
low). The hypothalamus secretes gonad-
otropin-releasing hormone (GnRH) that
acts on the anterior pituitary to produce
Luteinizing hormone (LH). LH acts on
the testes stimulating them to produce
testosterone (see left). Testosterone works
by a feedback mechanism to inhibit the
secretion of GnRH from the hypothala-
mus and also the secretion of LH from the pituitary. This tells us that any damage
or disease in the hypothalamus, pituitary or testes can cause a low testosterone.

Therefore, there are three types of hypogonadism (low testosterone):

1. Primary or testes-based
2. Secondary or pituitary-based
3. Tertiary or hypothalamus-based

Primary Hypogonadism:

1. It is caused by testicular failure.

2. Characterized by low serum testosterone with high LH and FSH.
3. It can result from testicular injury, tumor, or infections. Also genetic defects
affecting testicular development (Klinefelter syndrome) as well as chemothera-
py, radiation therapy, or alcohol abuse.

28
Secondary Hypogonadism:

1. Defects in hypothalamus or pituitary results in low testosterone levels because

of inadequate stimulation of the Leydig cells in the testes.
2. It is associated with low or low-normal FSH and LH levels.
3. Patients with secondary hypogonadism can have their fertility restored by
hormonal stimulation, whereas those with primary hypogonadism resulting
from testicular failure cannot.
4. Secondary hypogonadism can be caused by a number of conditions including
hypothalamic and pituitary disorders or lesions, hyperprolactinemia and Kall-
mann syndrome (which causes a GnRH deficiency). Certain medications and
illnesses can also affect the hypothalamic-pituitary system.

Mixed (primary and secondary) hypogonadism:

1. Low testosterone can be caused by a combination of both primary and sec-

ondary hypogonadism (also called mixed hypogonadism).
2. This reflects defects in the hypothalamus and or pituitary as well as the testes.
3. This is seen in men with sickle cell disease, thalassemia, alcoholism, steroids,
and in older men.
4. This term is not used in US and usually refers to secondary hypogonadism.

Aging is the most common reason that testosterone levels fall. Medical illnesses,
drugs and bad habits are sometimes to blame, including:

• Type 2 Diabetes • Testicle injuries

• Liver disease • Tumors
• Obesity • Radiation, chemotherapy
• Pituitary gland problems • Steroids
• Opiates

WHO SHOULD BE TESTED FOR LOW TESTOSTERONE?

• Erectile dysfunction
• Lower sex drive
• Low sperm count
• A loss of height, body hair, or muscle size
29
 TESTING FOR LOW TESTOSTERONE

Testosterone is usually measured with a blood test done early in the morning, when
levels are highest. Normal levels range from 300 to 1,000 ng/DL. Guidelines sug-
gest running the test for second time before diagnosing low testosterone. The blood
test should be obtained between 7:00 am and 10:00 am (see below).

RISKS OF TESTOSTERONE THERAPY

Testosterone therapy has some drawbacks. Some men may develop:

• Too many red blood cells (Polycythemia)

• Peripheral Edema
• An enlarged prostate (Benign Prostatic Hypertrophy)
• Acne
• Infertility (Avoid in men who want to have children)
• Smaller testes
• Hypertension rarely occurs during treatment and requires close monitoring.
• Breast swelling (Gynecomastia) or tenderness.
30
The risks and benefits of taking testosterone for many years are not known, because
large studies haven’t been completed yet. Some researchers suggest there might be
a higher risk of heart disease. But the evidence is still not conclusive.

The following points were emphasized from the International Expert Consensus
on Testosterone Deficiency. These points show that testosterone has negative ef-
fects on male sexuality, reproduction, general health, and quality of life

• Male physical function is negatively affected by reducing muscle mass and

strength.
• Sexual activity is compromised by reducing sex drive and erectile function.
• It may cause impaired fertility in some individuals.
• Testosterone deficiency has been associated with insulin resistance, inflamma-
tion, dyslipidemia, metabolic syndrome and vascular risk.
• It contributes to fat gain, bone loss and anemia.
• Symptoms also include depressed mood, reduced motivation, fatigue and de-
creased quality of life.
• A lot of evidence indicates that coronary artery disease incidence, mortality
and severity is related to the serum testosterone concentration. The lower the
serum testosterone level, the greater the risk of heart disease and death.
• There is a high prevalence of low testosterone levels in men with type 2 dia-
betes, metabolic syndrome, obesity and cardiovascular disease. This causes an
adverse cardiovascular risk profile and increased atherosclerotic burden. This
results in an increased risk of heart attacks and stroke.

WHO SHOULD NOT TAKE TESTOSTERONE

Men with these conditions shouldn’t take testosterone:

• Prostate or breast cancer

• Poorly controlled heart disease
• Untreated sleep apnea
• Too many red blood cells
• Clotting disorders
• Patients with elevated PSA should be referred to urologist before initiating
testosterone.

31
 MEDICATIONS THAT CAN INHIBIT TESTOSTERONE

Medications (both prescription and nonprescription) may contribute to erectile

dysfunction in as many as 25% of men who present for evaluation.

Source: www.aafp.org/afp/2010/0201/p305.html

GROWTH HORMONE
Growth hormone is one of the most powerful hormones in your body. It is your
natural defense against aging and maintaining your fountain of youth. Growth hor-
32
mone increases your lean muscle, decreases body fat, prevents wrinkles and gives
you a higher energy level.

When you are young, growth hormone is abundant and your metabolism is in full
force. Ever wonder why a teenager can eat horribly and have a wonderful physique
without belly fat? Growth hormone is the reason why.

After your late teens, growth hormone drops rapidly, and continues to decrease as
you age. The decline in growth hormone in your body is very similar to the decline
in testosterone that occurs with aging. After 30 years old, there is a rapid drop off
that has a bad effect of adding fat and decreasing your muscle mass. This also in-
creases your risk of heart disease by increasing LDL, decreasing HDL, and increas-
ing triglycerides. The loss of muscle leads to abdominal obesity with metabolic
syndrome and insulin resistance.

Belly fat has been shown to have a dramatic effect on growth hormone. It has been
reported that individuals with 3 times the amount of abdominal fat had less than
half the amount of growth hormone as lean individuals. Individuals with more ab-
dominal fat had a large decrease in the 24- hour release of growth hormone.

Reducing the intake of sugar and processed carbohydrates is critical to maintain-

ing your growth hormone. When you increase the intake of sugar, this causes an
increase in insulin. Insulin is a
destroyer of your growth hor-
mone production. One study re-
ported that healthy non-diabetic
individuals had 3-4 times higher
growth hormone levels than dia-
betics who have insulin resistance
and high insulin levels.

A good rule is to avoid eating

sugar and processed carbs before
bedtime. This is because your
body normally releases a lot of
growth hormone at night. If you Source: https://www.healthline.com/nutrition/11-ways-to-increase-
must have a snack prior to bed- hgh#section7

33
time, the best choice would be a protein or healthy fats which are not associated
with a large increase in insulin. For example, a handful of walnuts or almonds or
small piece of lean protein would be healthy choices.

Exercise with high intensity is one of the most effective ways to raise your growth
hormone levels. All forms of exercise are beneficial, but high intensity exercise will
increase growth hormone the most. You can perform sprints, interval training,
weight training and the Sprint 8 protocol. As illustrated in the graph on the previ-
ous page, very large increases in growth hormone were seen in a weight lifting ses-
sion with limited rest periods.
One key to having good growth hor-
mone levels is optimizing your sleep
patterns. You have to focus on hav-
ing good sleep quality and aim for at
least 7-10 hours of sleep per night.
The majority of growth hormone is
released in “pulses” when you sleep.
This is based upon your body’s inter-
nal clock or circadian rhythm. As
Source: https://www.healthline.com/nutrition/11-ways-to-in- you can see from the graph shown,
crease-hgh#section9
the largest pulses occur before mid-
night with some smaller pulses after midnight. This suggests if you get to bed be-
fore 10:00 pm, you have a better chance to obtain the natural production of growth
hormone that occurs prior to and just after midnight. Individuals who go to bed
after midnight will miss the majority of their natural growth hormone production.

Everyone would like to be able to flip on a switch and ignite their growth hormone
production. Growth hormone is truly the “fitness hormone” that can put your
body into a fat burning mode. The best mode of exercise to obtain the greatest
release of growth hormone was described by Phil Campbell as the “Sprint 8” pro-
tocol. The Sprint 8 protocol forces your body to recruit, develop and strengthen
more muscle fibers than any other form of exercise. Most forms of exercise only
recruit the slow muscle fiber, whereas Sprint 8 recruits all 3 muscle fiber types. The
three fibers include slow-muscle fiber, fast-muscle fiber, and super-fast muscle fi-
ber. The activation of the super-fast muscle fibers results in the greatest production
of growth hormone. Sprint 8 is unique in that it activates the aerobic and anaerobic
processes of your heart.
34
Four Benchmarks Needed to Increase Growth Hormone

Phil Campbell emphasized that you need to reach 4 benchmarks to result in the
greatest increase in growth hormone. These include the following:

1. Oxygen debt (out-of-breath response)

2. Lactic acid (muscles burning response)
3. Increased body temperature
4. Release of adrenal hormones (adrenaline) (Marked increase in heart rate)

Oxygen debt means you have exercised to maximum intensity and you cannot
breathe. This is high intensity anaerobic training. This is unlike aerobic exercise
such as walking where you can breathe normally. The duration of activity is only 30
seconds, but you will be gasping for air. You are exercising as-hard-as-you-can and
as fast-as-you-can for 30 seconds.

The muscle burn must occur to verify that you have lactic acidosis in your muscles.
Pushing your muscles to extreme creates this painful burning sensation. Growth
hormone is released after the muscles burn and lactic acid accumulates. The harder
you go after you feel the muscle burning, the greater the release of growth hormone.

Increased body temperature is required to release growth hormone. Researchers

have proven that when exercise occurs in a cold room and body temperature does
not increase, there will not be a release of growth hormone. Therefore, you must get
the body temperature to increase for growth hormone to increase.

The increase in adrenaline (epinephrine) will increase your heart rate. The heart
rate response with Sprint 8 is a lot higher than most exercise protocols. As a car-
diologist, I am accustomed to exercising patients to 85% of their predicted heart
rate (220 – age x 0.85). Due to the high intensity of Sprint 8, we are obtaining a
heart rate closer to 95% of predicted. This increase in heart rate creates energy and
endurance. Your heart has to work harder to send blood to meet the increased de-
mand from the high intensity exercise. Also, the increased cardiac demand and re-
cruitment of fast-muscle fibers results in the production of increased mitochondria
in your muscle cells. The mitochondria are the power houses of your cells and they
produce ATP which is fuel for your cells. Studies performed by Holloszy showed a
35
50% increase in mitochondria in the muscle cells when performing high intensity
exercises that activate the fast muscle fibers.

I have been pleased to notice that your maximum heart rate response with exercise
will improve with Sprint 8. Your maximum heart rate is calculated by taking 220
minus your age. This normally declines slowly as we age. When your maximum
heart rate declines too rapidly during aging, this means your heart muscle has be-
come weaker. Sprint 8 can increase your maximum heart rate, which is a sign that
your heart is getting stronger. This allows your body to adapt to the exercise and
it begins to build new capillaries. The building of new capillaries delivers more
oxygen to the muscles. Therefore, your heart muscle is strengthened and you have
more energy and endurance.

Sprint 8 Can Strengthen Your Skeleton

Sprint 8 can strengthen your skeleton and muscle by working the bones in your
legs. Since you have activated all three muscle fiber types, your leg muscles, ten-
dons, ligaments and bones get worked hard so they will adapt by becoming stron-
ger. Sprint 8 does not cause skeletal damage that is done by doing hours and hours
of long distance running. The constant pounding on the knees and hips takes its
toll over time. I have numerous patients who have had knee and hip replacements
from long distance running. A lot of them have severe arthritis with joint pain and
limited mobility. I see few patients who are long distance runners that can remain
injury free and are able to run long distances at an older age.

Most people do not realize that doing cardio such as walking or jogging only burns
calories when you are doing the exercise. Sprint 8 is unique in that it will continue
to burn calories after you complete the exercise. This post workout effect occurs
because of your activation of the fast muscle fibers which causes a marked increase
in the release of growth hormone. Therefore, increasing your growth hormone al-
lows you to burn calories 24/7.

Sprint 8 Slows Down Aging by Affecting Your Chromosomes

Sprint 8 can affect and slow down your aging process by affecting your chromo-
somes. High intensity exercise works on the end of your chromosomes which are
called telomeres. They are like a protective cap on the end of your chromosomes
36
that prevents the cells from aging too quickly. The length of your telomeres cor-
relates with the health of your body. Long telomeres are associated with longevity.
Short telomeres are associated with aging-related disease and include the follow-
ing: cancer, stroke, dementia, obesity, osteoporosis, diabetes, and cardiovascular
disease. Sprint 8 can prolong your telomeres and improve your health.

Sprint 8 Can Reverse Metabolic Syndrome

Nearly 35% of all adults and 50% of those aged 60 and over have metabolic syn-
drome. It is a disorder of metabolism and turns your body into a fat-producing
machine. Metabolic syndrome is present if 3 or more of the following conditions
are present:

• High blood pressure – 130/85 or higher

• High blood sugar levels – Fasting blood sugar 100 mg or higher
• High levels of triglycerides in the blood – 150 mg or higher
• Low levels of HDL – Less than 40 in men, less than 50 in women
• Too much body fat around the waist – 35 inches or greater for women and 40
inches or greater for men.

The Sprint 8 protocol can help prevent and reverse metabolic syndrome. The first
step in developing metabolic syndrome is the loss of muscle and the development
of abdominal fat. Since the Sprint 8 protocol dramatically increases growth hor-
mone, you will be able to burn fat and increase your muscle mass. Sprint 8 could
become our new pill-in-a-bottle that could decrease our skyrocketing health care
costs due to metabolic syndrome.

Insulin – King of Hormones for Fat Storage

Insulin is the king of hormones in relation to our fat storage. If your insulin level is
high it will completely inhibit your fat burning hormones (testosterone and growth
hormone). Insulin is produced by the pancreas and regulates the metabolism of
carbohydrates, fats and proteins. It is also considered an anabolic hormone since it
affects the production of proteins in a wide variety of tissues. Normally, fat is flow-
ing into and out of cells in molecules called “fatty acids”. This is the form that we
use to burn as fuel in our body. Once inside the fat cell, fatty acids are turned into
triglycerides. Triglycerides, unlike fatty acids, are too big of a molecule to freely
37
pass through the cell membrane. Therefore, they are stuck in the fat cell unless they
are disassembled by hormones in our body. Triglycerides are the form in which we
store fat.

The one hormone that dominates storage of fat is insulin. The secretion of insulin
occurs primarily when we take in carbohydrates and our blood sugar increases.
Insulin functions to bring our blood sugar under control. Also, insulin works to
control the storage of fat and protein. It ensures that your muscle cells get enough
protein for repair and rebuilding and it makes sure that you store enough fuel (gly-
cogen, fat and protein) for later use.

Insulin accomplishes its job of fat storage by two enzymes. The first enzyme is li-
poprotein lipase, which is called LPL. LPL breaks down triglycerides in the blood-
stream into fatty acids. Also, LPL shuttles fat from bloodstream into the cells for
storage. The higher your insulin goes, the more activity from LPL, which increases
fat storage. Insulin also influences another hormone called hormone-sensitive li-
pase (HSL). HSL works inside the fat cells to break down the triglycerides into their
component fatty acids, so that those fatty acids can escape into the circulation.
Therefore, LPL works to make us fatter and HSL works to make us leaner.

When we increase insulin levels in our body, we increase the fat we store and de-
crease the fat we burn. As a cardiologist, I have witnessed patients gain tremen-
dous amounts of weight when they are placed on insulin therapy. Since the insulin
level in the bloodstream is determined primarily by the carbohydrates that are con-
sumed, it’s the carbohydrates that determine how much fat we accumulate. Below
is the sequence of events that lead to stored fat:

1. You eat a meal containing sugar and your insulin increases.

2. The insulin signals your fat cells to shut down the release of fatty acids by in-
hibiting HSL. At the same time insulin activates LPL to take up more fatty acids
from your bloodstream.
3. You get hungrier because your nutrients are inside your cells and not available
to be used as fuel for your body.
4. You then begin eating rapidly.
5. You then secrete more insulin.
6. Due to increased blood sugar, your body has to concentrate on burning the
38
 excess sugars in your bloodstream. Finally, your insulin cannot utilize all the
sugars in your bloodstream, and the excess is converted into fat in the adipose
cells and in the liver.
7. The fat cells get fatter and so do you.
8. The fat stays in the adipose cells until your insulin levels drop.

The bottom line is if we want to be lean and healthy we have to lower our insulin
levels. If we want to get fat out of our cells, we have to decrease our insulin levels.
When the insulin levels come down, we mobilize fat and use it for fuel.

Normally, we depend on fatty acids for fuel in the hours after a meal or at night,
when blood sugars are dropping. After blood sugars fall, the insulin levels decrease
and then fatty acids come out of our cells to be used for fuel after meals and at night.
When the insulin levels remain high, we have no fuel source to burn in our bod-
ies. The usual fuel source is carbohydrates stored in liver and muscle with protein
that is available in our muscle cells. The high insulin levels have locked up our fuel
sources (fat and protein) from exiting our cells. The cells themselves are starved for
fuel and this causes us to become hungrier. Therefore, high insulin makes us eat
more and we become fatter.

Unfortunately, our bodies are getting bigger and our fuel requirements are increas-
ing. Since carbohydrates are the only fuel sources we can burn when our insulin
levels are increased, our desire for sugar and processed carbs is never-ending. This
creates a vicious cycle of eating more processed carbs, fat accumulation and obesity.

Not All Carbohydrates Are Fattening

Not all carbohydrates are equally fattening. The most fattening carbs are the ones
that increase our blood glucose to high levels and result in high levels of insulin.
These carbs are rapidly digested and are listed below:

• Refined flour – Pasta, breads and cereals

• Liquid carbohydrates – Fruit juices, soda, beer, wine
• Starches – Rice, potatoes and corn

The carbohydrates in leafy green vegetables like spinach do not result in a large
spike in insulin due to their high fiber content. The high fiber content is God’s natu-
39
ral antidote for a rise in insulin. These carbohydrates take longer to digest and are
lower in calories. These carbohydrates are less fattening due to lower insulin rise.

Fruits are sweet to taste and do have a sugar in them called fructose. Fructose
can be fattening in some individuals. Fruits do have fiber and natural antioxidants
which are healthy. The best choice is to eat more berries like blueberries, blackber-
ries, strawberries and raspberries which are lower in calories and cause a lower rise
in insulin. Tropical fruits like bananas, mango, and pineapple are more fattening.

The worst carbohydrates are sugar and high-fructose corn syrup. High-fructose
corn syrup is found in hundreds of food products. It is bad because our livers con-
vert this rapidly into fat. Fructose is considered the most “lipogenic” carbohydrate,
since it’s the one that can be converted to fat most readily.

Alcohol is a fermented sugar and can increase your insulin level and cause fat ac-
cumulation. The fat accumulation is in the liver and can cause “alcoholic fatty liver
syndrome.” A lot of people have beer bellies and fatty liver due to alcohol intake.

It is important to remember that dieting while cutting back your calories will not
work for fat loss unless you restrict your fattening carbs and keep your insulin
levels low. The important point is that fattening carbs make us fat and keep us fat.
Therefore, foods that are responsible for making us fat are the ones we would never
want to live without: breads, pasta, French-fries, sweets and sodas.

Estrogen

Estrogen is to women what testosterone is to men. It is their jet fuel that gives them
vitality, endurance and beauty. Estrogens are made primarily in the ovaries with
small amounts from the adrenal gland, brain and fat tissue. Estrogen does the fol-
lowing good things for your body:

1. It is a powerful antioxidant.
2. It protects your arteries and reduces the risk of stroke.
3. It lowers the risk of heart attack.
4. It decreases bad cholesterol (LDL) and increases good cholesterol (HDL).
5. It protects your brain and lowers risk of dementia.
6. It improves sleep.
40
 7. It produces collagen and lowers your wrinkles.
8. It helps to prevent osteoporosis.
9. It increases your metabolism and helps to prevent weight gain.
10. It prevents colon cancer.
11. It improves insulin sensitivity and makes your blood sugar more stable.

Estrogen keeps you feeling well and functioning at a high-performance level. If you
take away your estrogen (which is what happens during menopause), things begin
to decline rapidly. Estrogen is critical for maintaining your fountain of youth.

Insulin Resistance and Estrogen

Estrogen is important for optimizing the function of insulin. Insulin is critical for
controlling our blood sugars and fat storage. Therefore, low estrogen levels may lead
to insulin resistance and metabolic syndrome. Metabolic syndrome affects about
35% of the population in the United States. It is a cluster of conditions including
high blood sugar, abdominal obesity, abnormal lipids, and hypertension.

Metabolic syndrome increases your risk of heart attack and stroke. It makes sense
that if estrogen deficiency causes metabolic syndrome, then replacing estrogen with
pills or patches could improve insulin sensitivity and prevent metabolic syndrome.
However, there are risks in taking exogenous estrogen that is not produced by your
body. Estrogen therapy is contraindicated in the following conditions:

1. History of breast cancer

2. Coronary artery disease
3. Previous thromboembolic event (blood clot)
4. Active liver disease
5. Unexplained vaginal bleeding
6. High-risk endometrial cancer
7. Stroke or TIA

The development of metabolic syndrome is associated with abdominal obesity. The

abdominal fat has an enzyme called aromatase, which produces more estrogen. The
estrogen increases abdominal fat. Normally, prior to menopause, estrogen causes
the fat to accumulate in your hips. Accumulation of fat in the hips has no adverse
consequences. This is unlike abdominal fat, which is associated with inflammation
41
and insulin resistance. The fatter we are, the more estrogen we produce. Excess
estrogen manifests itself by causing large breasts and abdominal obesity in some
men.

Estrogen Exposure from Environment

Estrogen has now infiltrated our food supply. In the United States, we fatten cat-
tle, chicken, turkeys, and farm-raised fish via hormones. We give them estrogen
and growth hormones to make them fatter. This means that if we consume meat
that is exposed to hormones, it could show up in our bodies later in life. We are
seeing young girls start their periods at an increasingly younger age. Also, these
same young girls are exhibiting premature breast development. I have seen a lot
of patients develop weight gain on birth control pills or on hormone replacement
therapy. The exogenous estrogen creates more body fat.

Endocrine disrupters are an environmental poison that mimics, blocks or disrupts

the normal function of hormones. Examples of endocrine disrupters are listed be-
low:

1. Pesticides
2. Insecticides
3. Herbicides
4. Fungicides
5. Plastics (plastic water bottles)
6. Heavy metals ( arsenic, lead, mercury, cadmium)

Some of the endocrine disrupters have an estrogenic-like effect and can be carcino-
genic. These compounds mimic the action of estrogen in your body. The incidence
of breast cancer is increasing and women are getting excessive exposure from es-
trogen in birth control pills, postmenopausal hormonal therapy, and hair product
ingredients. This results in an estrogen dominant syndrome, which increases the
chance of developing cancer.

Since estrogen therapy is not always safe, the best option is to use high-intensity
training which can dramatically increase growth hormone naturally. Growth hor-
mone is our anti-aging hormone that can reverse metabolic syndrome. It can also
increase collagen and helps to prevent wrinkles. Growth hormone has a lot of ac-
42
tions that are similar to estrogen that is produced naturally in our body. Therefore,
high intensity exercise can improve our hormones and help us to avoid the weight
gain and metabolic syndrome that can develop in the postmenopausal period.

Nutrients That Can Boost Your Testosterone – Vitamin D and Zinc

Testosterone is a vital hormone in your body. It is your jet fuel that plays an im-
portant role in building muscle, cardiovascular health, overall hormone balance,
mood regulation and boosting your metabolism.

In order to produce testosterone, your body requires two main nutrients. These
nutrients are:

• Vitamin D
• Zinc

Vitamin D is crucial for proper growth and functioning of your bones, muscles and
nerves. It also influences how the testes work. Your body makes vitamin D after
the skin absorbs some of the sun’s rays. Your liver converts the vitamin into an ac-
tive form called 25-hydroxy vitamin D, which is what your doctor will measure if
he orders a vitamin D blood test.

What does this mean for me? Low vitamin D appears to equal low T (testosterone).
If you do not get enough sunshine, your testosterone levels could drop. This could
cause a loss of energy and sex drive. It is important to take this message to heart:
Studies suggest that men who are low in both vitamin D and testosterone are more
likely to have a cardiovascular-related death.

Optimizing vitamin D is the first priority because of the relationship between this
nutrient and testosterone. A previous study showed that men who were deficient
in vitamin D (a level below 30 ng/ml) had much lower free testosterone and higher
estrogen. These same men had more body fat, less lean muscle mass, greater chance
of depression, higher rates of cardiovascular disease, and poorer fertility than men
with higher vitamin D levels. The men with normal vitamin D levels (above 30 ng/
ml) had more lean muscle, higher free testosterone levels, and better overall health.
Vitamin D helps testosterone production by inhibiting the process called aroma-
tization in which testosterone changes into estrogen in men. The solution is to get
43
your blood levels tested to make sure that your levels are normal. Start supplemen-
tation with vitamin D if your level is low (less than 30 ng/ml).

Research has shown that having adequate zinc in the body allows for a greater re-
lease of testosterone. Zinc is an essential dietary mineral. You need zinc for your
immune system to function properly. Zinc helps enzymes break down food and
other nutrients. It also helps enzymes to build proteins. Zinc deficiency is known to
be a major malnutrition problem worldwide. Infants, children and pregnant wom-
en are most at risk for zinc deficiency. Other groups include vegetarians, endurance
athletes, alcoholics, people with gastrointestinal disease, and people taking diuretic
medications. It is also vital for maintaining your sense of smell, vision, taste, skin
and hair. Deficiency of zinc can lead to diarrhea, impotency, stunted growth, loss
of appetite, hair loss, eye and skin lesions and impaired immunity. Zinc plays a role
that directly influences all of your hormones and includes the following:

1. Low zinc leads to an increase in estrogen receptors and decrease in androgen

receptors.
2. Zinc is necessary for the conversion of androstenedione to testosterone.
3. Low zinc may increase the aromatization of testosterone to estrogen, just like
vitamin D.
4. Patients with prostate cancer lack the ability to accumulate zinc, leading to
faster spread of cancer in the prostate.
5. Low zinc increases breast cancer risk due to abnormal estrogen action in your
body. Also, low levels of zinc can increase inflammation which can cause cell
damage.

Since routine blood tests for zinc may not reflect the overall levels in your body, it
is important to eat healthy foods that have a lot of zinc which are listed below:

1. Leafy green vegetables - Spinach

2. Meats – beef, chicken, turkey, venison, lamb
3. Shrimp
4. Shellfish – Crabs, clams, lobsters and mussels
5. Seeds – Pumpkin, Sesame, Squash
6. Fruits – Pomegranates, Avocado, and berries
7. Oysters
8. Garlic
44
 9. Lima beans, green beans, peas
10. Nuts – almonds, cashews, peanuts, walnuts, pecans
11. Mushrooms
12. Dark chocolate

Hypothyroidism and Low Testosterone

Hypothyroidism is associated with low testosterone levels. An underactive thyroid

has many overlapping symptoms that are found with low testosterone. These in-
clude: mental fog, anxiety, low energy and low sex drive. It is definitely important
to check your thyroid status if you are struggling with low testosterone.

Foods That Can Increase Testosterone

You can help your body maintain normal testosterone levels by eating certain foods
that can help you ignite your hormone production. I see numerous patients who do
not think that eating right is important. They do not realize that food can be your
medicine and can determine whether you live or die. These foods all have some
things in common: they increase nitric oxide, improve blood flow in your vessels
and they improve endothelial function. The endothelium is responsible for produc-
ing nitrous oxide, which relaxes your arteries and improves blood flow throughout
your body. These foods can heal your damaged endothelium and increase your
nitric oxide output.

Many of my patients do not realize that these foods work through the same path-
way as Viagra. Viagra works by inhibiting an enzyme that breaks down nitric ox-
ide. Therefore, this increases nitric oxide. By eating these foods, you are having the
same effect as taking Viagra. The good news is that you are doing this naturally
and avoid risks of taking Viagra. These risks include visual disturbance, temporary
blindness and hypotension if you are receiving nitrate therapy.

High Nitrate Foods That Produce Nitrous Oxide

High nitrate foods are converted to nitrous oxide by your body. Nitrates are a natu-
ral component of many plants and lower blood pressure, improve blood flow and
are turned into nitrous oxide in the GI tract. Green leafy vegetables contain great
amounts of nitrates. Spinach is considered the number one recommended high ni-
45
trate food. It is filled with nutrients and powerful antioxidants. The following foods
below contain high amounts of nitrates:

• Spinach • Bok Choy

• Arugula • Celery
• Carrots • Rhubarb
• Lettuce • Chard
• Cabbage • Cucumber
• Eggplant • Beets
• Kale

Cruciferous Vegetables

Cruciferous vegetables have flowers that have four petals so they resemble a cross.
They help your body increase the excretion of estrogen, which increases the amount
of testosterone available to be used by your cells. Below is a list of cruciferous vege-
tables that are essential for your fat burning and increasing your testosterone levels:

• Arugula • Kale
• Bok Choy • Mustard
• Broccoli • Radish
• Brussel sprouts • Rutabaga
• Cabbage • Turnips
• Cauliflower • Wasabi
• Collard greens • Watercress
• Horseradish

Healthy Fats That Can Increase Testosterone

Not all fats are bad. Testosterone production relies on fats to form its structure. Ste-
roid hormones like testosterone require fatty acids as vital building blocks. With-
out enough fats, testosterone production will suffer. Monounsaturated fats (nuts,
olives, olive oil, and avocados) will increase testosterone production. Saturated fat
from grass fed animals is a good source to increase your testosterone. This requires
that you choose meat from animals that feed on grass, not grains. The meats from
grass-fed animals have less fat and are more nutrient dense. They are also free of
compounds such as estrogen and growth hormones. Wild game (venison, elk, tur-
46
key and buffalo) are an excellent source of saturated fat that is healthy and can in-
crease your testosterone.

Nuts

Studies have found that men who eat a diet high in monounsaturated fats, the kind
found in nuts, have higher levels of testosterone. This is due to higher D-aspartic
acid levels that promote the production of testosterone. Almonds, walnuts, peanuts
and Brazil nuts increase the production of testosterone.

Eggs

Eggs are a natural source of healthy cholesterol. Eggs are an excellent source of
protein since eggs contain all the essential amino acids. The cholesterol from eggs
is used as building blocks to make more testosterone.

Olive Oil and Coconut Oil

Olive oil has been a part of Mediterranean cuisine for many years. It is used daily
in their meals and the people are healthier with very small risk of developing car-
diovascular disease. Olive oil is composed of monounsaturated fats that help boost
testosterone production. It promotes greater cellular receptiveness for testosterone
and functions as an antioxidant agent to protect cells from free radical damage.
Make sure to add 1-2 tablespoons of extra-virgin olive oil to your salads to natu-
rally increase your testosterone.

Coconut Oil

In the past, coconut oil has gotten a lot of bad publicity because it is a saturated
fat. There is more evidence now that coconut oil may have some protection against
cardiovascular disease. It does raise HDL and lowers LDL and improves the lipid
profile. Coconut oil is unique in that the vast majority of the fatty acids are me-
dium-chain triglycerides (MCTs). MCTs are different from other fats, since your
body sends them directly to the liver where they can be burned for instant energy.
This unique effect of MCTs is likely the cause of its ability to increase metabolic
rate. Thus, MCTs can boost testosterone levels and improve your overall health.

47
Fruits That Increase Your Testosterone

Grapes

Grapes are rich natural source of resveratrol. It is an antioxidant and helps to pro-
tect cells from toxins and free radicals. It increases hormone production and sperm
production in the body.

Pomegranates

This red fruit has been used as medicine for centuries. It has high levels of antioxi-
dants and vitamins A, C, E and iron. Studies have shown an increase in testoster-
one. Try to eat the fruit rather than juice which has more fiber and would result in
lower insulin response.

Oysters

Oysters are the richest source of zinc, which is crucial to your ability to make testos-
terone in your body. Oysters are considered a “sea superfood” and they are packed
with protein and heart-healthy omega-3 fatty acids.

Foods That Lower Testosterone

Sugar and Processed Carbs

Sugar and processed carbs are a very strong stimulus to insulin production. Insulin
elevation can inhibit all of your fat burning hormones, including testosterone. One
of the fastest ways to decrease your testosterone is to take in sugar and processed
carbs.

Polyunsaturated Vegetable Oils

They are disaster for your testosterone production. Unfortunately, a lot of these
oils are associated with a high Omega 6 to Omega 3 ratio, which is associated with
systemic inflammation and oxidative stress. This results in deterioration in your
health and development of chronic disease. Examples of polyunsaturated vegetable
oils are listed below:

1. Soybean oil 2. Safflower oil 3. Cottonseed oil

4. Canola oil 5. Corn oil
48
Trans-Fats

Trans-fats occur when oils such as soybean and corn are hardened by passing hy-
drogen atoms through the oil under high pressure. As a result, some of the unsatu-
rated molecules in the raw oils become fully saturated and the oil becomes solid at
room temperature. This process is called hydrogenation. If you see the word “hy-
drogenated” or “partially hydrogenated” on a food label, this suggests this food is a
trans-fat. A list of trans-fats is listed below:

1. Industrial vegetable oil shortenings for baking and confections

2. Margarine and vegetable oil spreads
3. Fast-foods
4. Potato chips
5. Muffins and doughnuts
6. Cookies, cakes and frostings

Trans-fats can kill and the FDA has banned their use completely by 2018. Trans-
fats increase inflammation, lower testosterone and cause an increase in cardiovas-
cular risk.

Soy Products

Soy has high amounts of phytoestrogens which can elicit a similar effect as estrogen
in your body. It can activate the estrogen receptor and down-regulate the androgen
receptors. This could result in a decrease in your testosterone.

Alcohol

Drinking alcohol of any kind can lower testosterone and elevate estrogen. I have
seen a lot of chronic alcoholics develop breasts and protuberant abdomen. The
fatty abdomen converts more testosterone to estrogen and further decreases tes-
tosterone levels

49
 The Right Type of Exercise Can Make You Healthier
Earlier you learned the importance of decreasing your intake of sugar and pro-
cessed carbs that can skyrocket your insulin levels. Since we know that insulin will
inhibit your main fat burning hormones (growth hormone and testosterone), this
is a recipe for developing metabolic syndrome and an early death. This emphasizes
that we have to get our diet right and we have to exercise right.
Exercise can contribute to your being healthy for the following reasons:

1. It can help control your weight.

2. Reduce your risk of cardiovascular disease
3. Reduce your risk for diabetes and metabolic syndrome
4. Reduce your risk of some cancers
5. Strengthen your bones and muscles
6. Improve your mental health and mood
7. Help prevent falls if you are older
8. Increase your chance of living longer

The Risks of Sitting Too Much

Before you begin to consider putting together a good exercise program, look at
how much you move throughout the day. This includes your time at work, at home
and during off-hours.

What are the risks of sitting too much? Research has linked sitting for prolonged
periods of time with a number of health concerns, including obesity and metabolic
syndrome. Metabolic syndrome is a cluster of conditions that increases blood pres-
sure, high blood sugar, excess body fat around the waist, and abnormal cholesterol
levels. Too much sitting seems to increase the risk from cardiovascular disease and
cancer.

Studies have shown that adults who spend less than 2 hours a day in front of the
TV are healthier than adults who spend more than 4 hours watching TV. Those
individuals who watched TV for greater than 4 hours had the following problems:

1. Nearly a 50% increase in risk of death from any cause.

2. About a 125% increased risk of cardiac events such as chest pain or heart attack.
50
This risk was separate from the other traditional risk factors for cardiovascular
disease such as smoking or high blood pressure. It is important to understand that
sitting in front of the TV is not your only concern. Any extended sitting such as be-
hind a desk at work or driving your car can cause your health to decline. More im-
portantly spending a few hours a week at the gym doesn’t seem to offset your risk.

The solution seems to be less sitting and more moving overall. You might start by
simply standing rather than sitting whenever you have a chance. Try to think about
ways to walk while you work. Below are some examples that you can follow.

1. Stand while talking on the phone

2. Consider standing while eating lunch
3. Some of my nurses walk at lunch which is also effective
4. Consider using a standing desk at work
5. Some companies are using standing computers above a treadmill so you can
be active all-day long.

The impact on movement can have a profound effect on your health. The muscle
activity needed for standing seems to trigger processes related to breakdown of fats
and sugars within your body. When you sit, these processes stall and your health
risks increase. When you keep moving, you reignite your fat burning and lower
your risk of developing metabolic syndrome.

Motorized Scooters – Are They Cardiac Death Traps?

I have patients who sometimes ask, “Can you get

me approval for a motorized scooter?” The impor-
tant question is, does having a motorized scooter
increase your cardiovascular risk? In the American
Journal of Cardiology in 2010, it was reported that
the scooters have detrimental long-term effects by
increasing cardiovascular risk, particularly insulin
resistance. As you know by now, increasing insulin
leads to metabolic syndrome and premature cardi-
ac death. Try not to use a motorized scooter unless
there are no other options left.

51
Benefits of Fitness Trackers

Fitness trackers are a good way to keep a record of your progress. They can track
steps, calories, distance traveled, and even heart rate. Fitness trackers cause you
to have personal accountability. It encourages you to walk more steps than you
did yesterday, to jog faster than you did yesterday, and to reach a higher heart rate
for high intensity training. Research has shown that wearing a fitness tracker can
increase a user’s activity level by 30 percent. Therefore, the fitness tracker is some-
thing that can help keep you moving.

EXERCISE PROTOCOLS

In our exercise program, we want you to activate all of your muscle fibers for over-
all better health. Slow-twitch fibers will be activated by doing cardio such as walk-
ing and jogging. Fast-twitch fibers will be activated by doing high intensity weight
training and the super-fast fibers will be activated by doing the Sprint 8 protocol.
Since our fat burning hormones are only activated with high intensity weight train-
ing and the Sprint 8 protocol, we will cover these protocols in detail.

Rest and Recovery

Before we discuss the exercise protocols, we have to emphasize the importance of

rest and recovery. High intensity weight training and Sprint 8 can be demanding
on your body. Since it is pushing your body to its limits, rest and recovery is an es-
sential ingredient to success.

It is important to remember that when you are doing high intensity exercise, you
are not building muscle when you are doing the exercise. During the exercise, you
create small micro tears in the muscle. We all have heard that phrase, “No pain, no
gain”. This is manifest by the burn feeling that you experience during the exercise,
which occurs when lactic acid builds up from muscular contraction. This creates an
anaerobic process (without oxygen) since the oxygen supply is inadequate to meet
the demands of the intense muscular contraction. This creates soreness, fatigue and
tiredness. Therefore, we are weaker, more sore and tired when we finish the exer-
cise. But our body adapts to this stress when we have rest and recovery, and allows
us to heal the small micro injuries to our muscle. This then allows the muscles to
grow bigger and stronger. Therefore, the long term key to a healthy body is to have
52
enough recovery and rest. Rest seems to be the last thing people concentrate on
when they are doing high intensity training. Without rest, you will tear down your
body and lead to injury and illness.

High Intensity Interval Training (HIIT)

High intensity interval training (HIIT) is based upon doing high intensity exercise
with short periods of rest. HIIT has a lot of benefits shown below that can turn your
body into a fat-burning machine:

1. It can increase your fat burning hormones (not as high as the Sprint 8 proto-
col)
2. Improved heart health with increased blood flow and capillary growth
3. Caloric burn post-exercise
4. Maintain muscle mass while reducing body fat
5. Improved mood, mental health and energy
6. Improved blood pressure, reduced blood sugar levels, and improved lipids.
7. Reduction in incidence of metabolic syndrome.
8. Improved Longevity

High Intensity Weight Training Protocol

Training to complete exhaustion is one of the secrets to weight training that can
increase your fat burning hormones. This causes all muscle fibers to be recruited
at once to participate in muscle contraction. This causes overload of your muscle
for accelerated growth. Try to pick a weight that will allow you to do 4 to 12 reps. If
you can do more than 12 reps, you need to add weight to cause more resistance and
stress on the muscle. On the other hand, if you cannot perform 4 reps, you need to
decrease the amount of weight.

We have divided our workout so that we only exercise a body part every 5 days.
This helps to ensure that there has been enough recovery to ensure muscle growth.
Also, this helps to prevent overtraining and poor health. Our routine divides the
muscle parts into 5 different days as shown below:

1. Monday – Chest exercises

2. Tuesday – Shoulder exercises
53
 3. Wednesday – Back exercises
4. Thursday – Leg exercises
5. Friday – Arm exercises

On each day, we will do 6 different exercises for that particular body part. The du-
ration of the exercise will be only 30 seconds to one minute. This involves using the
heaviest weight possible and takes your body to complete failure. The rest between
each exercise is only 10-15 seconds (the time it takes you to walk over and start the
next exercise). You should have shortness of breath and difficulty breathing when
you finish the exercise). If you have no trouble breathing, your intensity is too low
and needs to be increased. The total exercise time should be less than 45 minutes.

Breathing During High Intensity Training

Knowing how to breathe is essential in order to be successful with high intensity

weight training. Many people will do this backward and inhale when they exert.
They are afraid that the weight is going to fall on them, so they will hold their
breath when straining to lift the weight. Holding your breath when you lift creates
a Valsalva maneuver (increased pressure inside the chest), which may:

1. Reduce blood flow to your heart

2. Reduce blood flow to your brain
3. Cause you to be dizzy and pass out
4. Increase your risk of hernia.

The way to remember how to breathe is to always breathe out with effort. For ex-
ample, if you are doing a bench press, take a breath in as you lower the weight, and
breathe out as you push the weight up.

54
Day 1

55
 Day 1 – Chest Exercises

Dumbbell Flat Bench

• Lie down on flat bench

• Keep your feet flat on floor
• Hold a dumbbell in each hand so that the palms face toward your chest
• Lower the weights to the side of your chest (start of exercise)
• Press the weights straight up (finish of the exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

56
 Day 1 – Chest Exercises

Dumbbell Incline Presses

• Lie back on inclined press

• Hold dumbbells at shoulder height with palms facing feet
• Lower weights to your chest (start of exercise)
• Press the weights straight up (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

57
 Day 1 – Chest Exercises

Standing Cable Crossovers

• Step forward with one foot and grab the handles in each hand
• Bend forward and extend your arms straight out to either side (start)
• Then bring your arms around in a hugging motion until your hands cross each
other (finish)

START
OF
EXERCISE

FINISH
OF
EXERCISE

58
 Day 1 – Chest Exercises

Pushups

• Set your hands at a distance slightly wider than shoulder-width apart

• Set your feet at about shoulder-width apart
• Try to get your body aligned in a straight line
• Slowly lower your body until chest touches the floor (start of exercise)
• Then push your body back up to the starting position (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

59
 Day 1 – Chest Exercises

Decline Pushups

• Same format as regular push up except your feet are elevated

• Lower your body until chest touches the floor (start of exercise)
• Then push your body back to starting position (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

60
Day 2

61
 Day 2 – Shoulder Exercises

Arnold’s Presses

• Raise dumbbells to your shoulder with palms toward you (start of exercise)
• Press dumbbells overhead ( finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

62
 Day 2 – Shoulder Exercises

Smith Machine Upright Rows

• Grasp the bar with your arms extended about 10 inches apart (start of exercise)
• Lift it straight up until it touches your chin (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

63
 Day 2 – Shoulder Exercises

Hammer Strength Shoulder Machine

• Grab the handle at shoulder level (start of exercise)

• Push the weight straight up until your arm is extended (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

64
 Day 2 – Shoulder Exercises

Front Dumbbell Raises

• Stand with dumbbell in each hand (start of exercise)

• Raise one dumbbell at a time parallel to shoulder (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

65
 Day 2 – Shoulder Exercises

Standing Lateral Raises

• Hold the dumbbells at your side at arm’s length (start of exercise)

• Lift the dumbbells out and up to either side and at top of exercise turn your
wrists so rear of dumbbell is higher than front (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

66
 Day 2 – Shoulder Exercises

Kettlebell Swing

• Grip the kettlebell with palms facing you and thumbs wrapped around the
handle (start of exercise).
• Swing the kettlebell upward as high as you can (finish of exercise).

FINISH
OF
EXERCISE

START
OF
EXERCISE

67
Day 3

68
 Day 3 – Back Exercises

Wide Grip Pull-ups to Front

• Use overhead grip with arms extended (start of exercise)

• Pull yourself up and try to touch the top of your chest to the bar (finish of ex-
ercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

69
 Day 3 – Back Exercises

Close Grip Pull-ups

• Grasp handle with arms extended (start of exercise)

• Pull yourself up and try to touch your chest to your hands (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

70
 Day 3 – Back Exercises

Lying T Bar Rows

• Lie down and grasp bar with feet together and arms extended (start of exer-
cise)
• Lift the weight up until it touches your chest (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

71
 Day 3 – Back Exercises

One Arm Dumbbell Rows

• Place one hand and leg on the bench for support

• Take a dumbbell in the other hand and bend forward until your upper body is
nearly parallel to floor
• Hold the weight at arm’s length with palm inward (start of exercise)
• Lift the weight up to your side (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

72
 Day 3 – Back Exercises

Two Arm Pull-downs

• Grab the bar with both hands about shoulder width apart (start of exercise)
• Drive the bar down until it touches your abdomen (finish of exercise)
• Keeps your arms straight when going down

FINISH
OF
EXERCISE

START
OF
EXERCISE

73
 Day 3 – Back Exercises

Machine Pullovers

• Sit down and adjust the seat to meet your needs.

• Place your elbows on the pads provided. Grasp the overhead bar with an over-
hand grip (start of exercise).
• Then bring your arm straight down, pushing through your elbow (finish of
exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

74
Day 4

75
 Day 4 – Leg Exercises

Dumbbell Squat

• Hold a dumbbell with both hands against your chest

• Push your hips back and bend your knees lowering your body into a squat
(start of position)
• Then push back up until you are out of the squatting position ( finish of exer-
cise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

76
 Day 4 – Leg Exercises

Leg Extensions

• Sit on machine and hook your feet under the padded leg support (start of exer-
cise)
• Extend your legs outward (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

77
 Day 4 – Leg Exercises

Leg Curls

• Lie face down and hook your heels under the padded support (start of exer-
cise)
• Curl your legs up as far as possible (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

78
 Day 4 – Leg Exercises

Lunges

• Step forward with one leg, lowering your hips until both knees are bent at
about a 90-degree angle.
• Slowly lower until your knee touches the floor (start of exercise)
• Then push back up to the starting position (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

79
 Day 4 – Leg Exercises

Seated Calf Raises

• Place your knees under the support bar and put your toes on the bottom bar.
• Slowly lower your heels as close to the ground as possible (start of exercise)
• Then press with your toes upward as far as possible (finish of exercise).

START
OF
EXERCISE

FINISH
OF
EXERCISE

80
 Day 4 – Leg Exercises

Calf Raises on Leg Press Machine

• Push against the footrest with your toes only

• Bend your knees, and let the weight come back toward you for the greatest
stretch of the calf muscle (start of exercise)
• Press the weight up with your toes and straighten your legs (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

81
 Day 4 – Leg Exercises

Stationary Squat

• Hold to a bar in front of you

• Bend your knees until they are a 90-degree angle
• Hold for one minute and then stand up.

FINISH
OF
EXERCISE

START
OF
EXERCISE

82
 Day 4 – Leg Exercises

Shin Curls and Extensions

• Sit down and place forefoot under the bar (start of exercise)
• Curl your foot upward toward your body (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

83
Day 5

84
 Day 5 – Arm Exercises

Standing Dumbbell Curls

• Let the dumbbell hang down in front of you (start of exercise)

• Curl the dumbbell upward toward your chest and contract the bicep at the top
of the exercise (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

85
 Day 5 – Arm Exercises

Preacher Curls

• Place your chest against the bench; place your arm with the dumbbell over it
• Lower the weight until the arm is fully extended (start of exercise)
• Curl the dumbbell all the way up and contract the bicep (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

86
 Day 5 – Arm Exercises

Cable Curls

• Stand close to the machine

• Start with your arms at your side and palm facing you while you grab the
weight (start of exercise)
• Curl upward to the top of your chest (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

87
 Day 5 – Arm Exercises

Dumbbell Kickbacks

• Stand and bend over and place one hand on the bench
• Take a dumbbell in the opposite hand, and raise your elbow to shoulder height.
• Bend your arm and let the dumbbell hang straight down (start of exercise)
• Press the weight back until your forearm is parallel to the floor (finish of exer-
cise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

88
 Day 5 – Arm Exercises

Machine Dips

• Step up on the platform and get a comfortable grip on the bars

• Slowly lower yourself downward and keep your elbows close to your body
(start of exercise).
• After reaching bottom of movement downward then push your body back up
to the starting position (finish of exercise)

FINISH
OF
EXERCISE

START
OF
EXERCISE

89
 Day 5 – Arm Exercises

Bench Dips

• Place a bench behind you and a chair in front of you

• Place your hands on the bench behind you with palms facing down. Then
place your feet in the chair in front of you
• Slowly lower your body until there is an angle less than 90-degrees (start of
exercise).
• Using your triceps then push yourself back up with arms extended to the start-
ing position (finish of exercise).

START
OF
EXERCISE

FINISH
OF
EXERCISE

90
Senior citizens can do high intensity weight training even into their 90s. Studies
in the elderly have shown that weight training in senior citizens done on a regular
basis, not only builds muscle and bone strength, but also counteracts the weakness
and frailty that usually comes with aging. Elderly strength training can improve the
following things:

• Osteoporosis
• Arthritis
• Balance
• Pulmonary disease
• Obesity
• Diabetes Mellitus
• Back problems

Doug McGuff in his book, “Body by Science,” describes a simple high intensity
workout program that can be used in senior citizens. The program is called the,
“The Big Five” and consists of 5 different compound exercises that work all of the
major muscles of the body. These 5 exercises are listed below:

• Seated Row
• Chest press
• Pull-down
• Overhead Press
• Seated Leg Press

These exercises are simple to execute and allows the individual to focus on hard
work to build their muscles without injury. No senior citizen wants to risk being
pinned under a barbell at the point of muscular failure on free-weight exercises
such as bench press or squat. Therefore, in senior citizens only machine exercises
will be used to decrease the risk of injury.

Rep Speed

McGuff recommends that you perform these exercises slowly. The reason is that
with faster performance, momentum has contributed to the movement of the
91
weight, as opposed to muscle fiber involvement. Slowing the movement can build
more strength by increasing the stimulus for muscle growth. Therefore, this slower
speed of lifting eliminates momentum, increases safety, and keeps your muscles
under load for the duration of the set.

Higher Intensity Equals Higher Work Load

Thus, the higher the intensity of muscular work load, the higher the degree of car-
diovascular and respiratory stimulation. Exposure to lifting heavier weights causes
microscopic cellular damage that is later repaired by your body and in so doing
increases your muscle mass and bone mineral density.

Frequency of Working Out

McGuff recommends starting out once every 7 days. Some people need to work
out twice a week if they have trouble doing all the exercises to complete exhaus-
tion. The amount of resistance you are using should progress in a stepwise manner
and become more progressively difficult. If it gets to where you cannot increase the
amount of resistance, you may need a longer recovery period.

Rest Periods between Exercises

McGuff recommends no more than 30 seconds to one minute to move to the next
exercise. In other words, you want to move fast enough from exercise to exercise
that you feel shortness of breath. You do not want to go so fast that your feel dizzy
and want to pass out.

92
Seated Row

• Sit down and reach out and grab the handle bars of the machine (start of exercise)
• Pull the handle bars all the way to your chest (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

93
Pulldown

• Sit down and reach up and grab the bar (start of exercise)
• Pull the bar down to your chest (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

94
Overhead Press

• Sit down on seat and place your hands on the handles with palms pointing toward
your body (start of exercise)
• Press the weight above your head and fully extend your arms (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

95
Chest Press

• Sit down on seat and place your hands on the handles with palms pointing toward
your body (start of exercise)
• Press the weight above your head and fully extend your arms (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

96
Leg Press

• Sit comfortably and place your feet on metal plate in front of you (start of exer-
cise)
• Press the weight until your legs are nearly fully extended (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

97
ABDOMINAL EXERCISES

Keeping your abdominal muscles strong is more important than having six-pack
abs. Your core muscles which include the lower back, hip flexors with gluteal mus-
cles and the abdominal muscles keep your body stable and upright. Strong abs
contributes to a healthy core and has the following important effects:

1. Reduced back pain. Your abdominals act as an anchor for muscles of the mid
and lower back. If your abs are weak, it forces the back muscles to work harder to
support your body. Abdominal strength improves the endurance of the muscles
of your back so you fatigue less easily and are less vulnerable to strain or injury.

2. Strong abs also keeps your belly from protruding too far forward and altering
your center of gravity. If your abs are weak and you are overweight, this forward
lean will stress your back.

3. Strong abs prevents an exaggerated anterior tilt to the pelvis. If you have this
anterior tilt, it will produce pressure on the lower discs of your back. Strong abs
helps to keep your vertebra in alignment.

Therefore, abdominal exercises can build strength and stability that support a
healthy back.

Abdominal Exercises are as follows:

• Abdominal Wheel Exercise

• Cable Crunches
• Reverse Crunches on Bench
• Planks

98
Abdominal Wheel Exercise

• Start from a kneeling position and place the wheel in front of you, under your
chest in a spot where you feel balanced (start of exercise).
• Roll slowly outward until your arms are nearly fully extended (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

99
Cable Crunches

• Grab hold of an overhead pulley with both hands (start of exercise)

• Hold the rope in front of your forehead, and curl downward, and bring your head
to your knees (finish of exercise)
• Hold the contraction at the bottom of the exercise

START
OF
EXERCISE

FINISH
OF
EXERCISE

100
Reverse Crunches on Bench

• Lie flat on your back on a bench

• Reach behind your head and hold the bench for support
• Bring your knees up as close to your head as possible, and contract at top of
movement (finish of exercise)

START
OF
EXERCISE

FINISH
OF
EXERCISE

101
Planks

• Do first plank with arms extended for 30 seconds (1)

• Then do plank on elbows for 30 seconds (2)
• Then do left arm plank for 30 seconds (3)
• Then do right arm plank for 30 seconds (4)
• Then repeat plank 1 and plank 2 for a total of 3 minutes

PLANK 1 START PLANK 2

PLANK 3 PLANK 4
102
SPRINT 8 PROTOCOL

This was originally described by Phil Campbell in his book, “Ready Set Go”. It is
important to understand that all exercise is not created equal. Sprint 8 is the tough-
est of all exercises and it is the highest on the intensity scale below. Compared to
high intensity weight training, Sprint 8 is king of the hill, as shown below. It is all
out maximum results with minimum time.

Exercise Intensity Scale – From Lowest to Highest

• Walking – Lowest intensity

• Jogging – Moderate intensity
• HIIT (High-intensity-interval-training) – Severe intensity
• Sprint 8 – Critical intensity (the toughest)

Sprint 8 Protocol on Stationary Recumbent Bike as Described by Phil Campbell

• Warm up for 3 minutes

• Exercise as hard as you can for 30 seconds
• Recover for 90 seconds pedaling at a slow speed
• Repeat the high intensity exercise for another 30 seconds followed by 90 sec-
onds of recovery for a total of 8 times.

If you are out of shape, you should start with only

one or two repetitions until your body has time to
adjust to the intensity of Sprint 8 protocol. In senior
citizens, we will do the exercise with one-half the in-
tensity and only do one or two repetitions when first
beginning the Sprint 8 protocol.

Research Study with Sprint 8

This study was performed in Brookhaven, Missis-

sippi. The state of Mississippi has the highest obesity
rate in the United States. The 20-minute, three-days-
a-week exercise protocol causes the natural release of
Human Growth Hormone. In only 8 weeks exercis- Sprint 8 Protocol on exercise bike
103
ing using this protocol without dieting the following results were obtained:

• Body fat decreased 31% in 8 weeks

• BMI decreased 3.9% in 8 weeks
• Total cholesterol decreased 9.6%
• LDL decreased 12.4%
• Triglycerides decreased 16.1%
• HDL increased 2.0%
• Growth hormone values increased 603%

Everyone knows the favorable results produced by Growth Hormone injections.

When growth hormone is injected, there is an average decrease of 14.4 % in body
fat and an 8.8% gain in lean muscle mass. Growth hormone injections have been
banned for athletes because they illegally improve performance. Billions of dollars
are spent annually on artificial and supplemental Growth Hormone therapy, both
legally and illegally. Numerous side effects are associated with artificial Growth
Hormone injections, and they include:

• Arthritis and carpal tunnel syndrome

• Cardiomegaly (enlarged heart)
• Impotence
• Weakened glucose regulation and possible diabetes
• Hyperlipidemia
• Tumor production
104
This study showed that increasing Growth Hormone naturally was twice as effec-
tive as injecting Growth Hormone. Sprint 8 reduced body fat percentage by 31%,
whereas injecting Growth Hormone reduced body fat by 14%. It is felt that Growth
hormone when released by the pituitary repairs the muscles by:

• Elevating amino acid uptake within the muscle cells

• Increasing muscle cell protein synthesis
• Triggers insulin-like growth factor 1 (IGF-1) which is a potent anabolic hor-
mone. IGF-1 can increase proteins synthesis leading to muscle hypertrophy
• Also, Growth Hormone causes lipolysis in adipose tissue for energy.

Most anti-obesity programs today only utilize slow muscle fibers, which include
mostly aerobic activities such as walking or jogging. These activities do not acti-
vate your body’s natural production of Growth Hormone. These programs usually
require a near-starvation diet with the exercises and therefore often fail. This study
required no dieting or change in the study participant’s medications.

The change in lipid values was an additional plus that could even mimic taking
cholesterol medications. If the Sprint 8 program could be linked with a good diet
as outlined in our book, even more impressive results could be obtained in body
fat percentage and lipid values. Billions of dollars could be saved in health care ex-
penses by decreasing the risk of obtaining metabolic syndrome, which accounts for
75% of our health care costs.

Doing Sprint 8 with Mountain Climbers

We have found that doing Sprint 8 with Mountain Climbers is an awesome exer-
cise. It affects nearly every muscle group in the body and includes; deltoids, biceps,
obliques, quads, hamstrings and hip abductors. Doing Sprint 8 with mountain
climbers allows you to exercise without having to buy expensive machines. It al-
lows Sprint 8 to be done anywhere because it only requires your bodyweight to do
the protocol. You can be on a beautiful beach or you can be in a hotel room and you
are able to do the Sprint 8 protocol.

One reason the Mountain Climbers are my favorite for doing Sprint 8 is because
you are working in a plank position. By holding the plank position throughout the
Mountain Climbers you are increasing core strength better than crunches or sit-
105
ups. In addition to holding the plank you incorporate the fast motion of the legs,
which creates actions from the muscles of your abdominals and lower back. They
are forced to pull in and stabilize, which teaches your body to increase its core
strength and stability.

In addition to core strength, Mountain Climbers improve your balance, agility,

proprioception, and coordination. They benefit muscular and cardiovascular fit-
ness by increasing strength, flexibility and blood circulation. Mountain Climbers
require you to engage your upper arm muscles, core and legs. You must have the
proper alignment of Mountain Climbers to get the most out of your workout as
outlined below:

1. In the plank position, make sure your hands are directly underneath your
shoulders, and are shoulder-width apart.
2. The feet are hip-width apart and your toes are curled under.
3. Your legs and arms are straight.
4. Your abdominals are strongly contracted, keeping your back from hyperex-
tending.
5. Your chin is tucked in, and there is straight line from the crown
of your head to your heels.

Once you are properly aligned:

Lift one foot off the floor, and then bring your knee up toward your chest while
keeping your body in as straight a line as possible. Return to the starting position,
and repeat the movement with your opposite leg (see below).

Start Finish

106
Sprint 8 can also be performed on Stair Master®, elliptical, rowing machine, tread-
mill, swimming and sprints. I feel the elliptical, stationary bike and Mountain
Climbers are safe to perform and give you an excellent workout. I do not encour-
age my patients to do the treadmill due to the risk of falling off of the treadmill. It
is hard to ramp your speed up and down while doing the protocol. Running sprints
is not safe in most of my patients due to risk of pulling a groin muscle or injuring
your Achilles tendon. Some of my patients who are wheelchair bound can use the
Krankcycle to perform the Sprint 8 protocol. Therefore, even if you are not ambula-
tory, you can still exercise using the Sprint 8 protocol.

Sprint 8 Protocol on a Krank Cycle Sprint 8 Protocol on a Stair Master®

MY NUTRITIONAL PLAN

The foundation of my nutritional plan is based upon avoiding foods that can cause
a surge in our insulin levels and the subsequent development of insulin resistance.
Many individuals are consuming a lot of processed foods high in sugar, liquid calo-
ries and carbohydrates likes breads and pasta that lead to high blood sugars. Your
body has to produce more insulin to keep your blood sugar in a stable range. Even-
tually your cells become resistant to insulin. The higher your insulin levels are, the
107
worse your insulin resistance. Insulin resistance is the single most important factor
in the development of metabolic syndrome which affects over 50% of people over
the age of 65. Therefore, insulin resistance and metabolic syndrome are responsible
for our rapid premature aging and all of its resultant diseases which include; heart
disease, stroke, hypertension, diabetes, hyperlipidemia, dementia and cancer.

Fasting Blood Sugar Versus Insulin Level

Doctors commonly miss the initial warning signs of insulin resistance by relying
upon a person’s fasting blood sugar. The blood sugar does not elevate for a long
time and diabetes is not diagnosed rapidly. High insulin levels are present years
before diabetes is diagnosed by a fasting blood sugar. I see many patients who have
normal blood sugar level and have elevated insulin levels and are already feeling
symptoms of insulin resistance. This is the reason I like to measure insulin levels to
see if my patients are at risk for insulin resistance.

What Is Normal Insulin Level?

Your fasting insulin level should be less than 5 mg/dl. If your insulin level is greater
than 5, you are at risk for developing insulin resistance and metabolic syndrome.
This requires you to modify your diet and to eat foods that do not cause a rapid
surge in your blood sugar and subsequent elevated insulin levels. If your insulin
level is greater than 5, you need to avoid the following food categories outlined
below:

1. Sugar – Avoid all sugar (except Stevia), high fructose corn syrup, and all ar-
tificial sweeteners
2. Avoid processed grains including breads, cereals, pasta, crackers and pizza.
3. Avoid gluten-containing whole grains including wheat, barley, rye, oats, and
spelt
4. All dairy
5. Starchy vegetables (See list on next page)
6. High glycemic fruits like melons, dried fruits, raisins and tropical fruits
7. Trans-fats and processed vegetable oils (avoid anything with hydrogenated
oils)

108
Starchy Vegetables

1. Carrots 6. White potato

2. Peas 7. Artichokes
3. Turnips 8. Corn
4. Pumpkin 9. Beans
5. Sweet potato 10. Rutabaga

I have seen numerous patients get a jump start on obtaining faster results when they
avoid starchy vegetables, grains, and fruits (except ½ cup of berries daily). This will
help decrease those blood sugar spikes and subsequent elevation of insulin levels.

Non-starchy vegetables are one of the healthiest foods on our planet. They are low-
glycemic foods and cause a low insulin elevation. They have a lot of fiber and do
not have the blood sugar spikes that are seen with other high-glycemic carbs. They
help produce nitrous oxide which dilates our blood vessels which improves hyper-
tension and decreases our risk for heart attacks. They can be eaten in unlimited
quantities and are listed below:

Non-Starchy Low- Glycemic Vegetables

1. Arugula 16. Eggplant
2. Artichoke 17. Endive
3. Asparagus 18. Fennel
4. Bean sprouts 19. Garlic
5. Beet greens 20. Ginger root
6. Bell peppers 21. Green beans
7. Broccoli 22. Jalapeno peppers
8. Brussels sprouts 23. Kale
9. Cabbage 24. Lettuces
10. Cauliflower 25. Mushrooms
11. Celery 26. Mustard greens
12. Chives 27. Onions
13. Collard greens 28. Parsley
14. Cucumber 29. Radishes
15. Dandelion greens 30. Spinach (continued next page)
109
 31. Squash 32. Swiss chard
33. Tomatoes 34. Turnip greens
35. Watercress 36. Zucchini

When it comes to consuming carbs, it is helpful to think of them in terms of a traf-

fic light. Non-starchy carbs are like a green light and you can eat them in unlim-
ited amounts. Gluten-free whole grains (rice, quinoa, amaranth and buckwheat),
legumes (peas, beans), and berries should only be eaten in moderation and are
like the yellow traffic light. Starchy high-glycemic vegetables, high-glycemic fruits
(melons, grapes, pineapples, and mangos) should have limited intake and are rep-
CARBOHYDRATES resented by the red traffic light.
KEEP INSULIN LEVELS LOW
Processed carbs should never be
eaten and are the worst food choice
HIGH INSULIN for your health. The best carbs are
RED
(NO)
PROCESSED
LEVEL CATEGORY
listed in order from the best to the
CARBS,
BEANS worse as shown below and in our
BREADS
PASTA, food pyramid.
PIZZA,
STARCHY VEGETABLES, MODERATE INSULIN
YELLOW
(CAUTION)
BEETROOTS, CARROTS, PEAS,
TURNIPS, PUMPKIN, SWEET
LEVEL CATEGORY 1. Non-starchy low-glycemic veg-
POTATO, WHITE POTATO,
ARTICHOKES, CORN, BEANS,
etables
RUTABAGA LOW INSULIN
LEVEL CATEGORY
2. Berries
GREEN
ARUGULA, ARTICHOKE, ASPARAGUS,
BEAN SPROUTS, BEET GREENS, BELL PEPPERS, 3. Legumes (beans, peas, lentils)
(GO)
BROCCOLI, BRUSSELS SPROUTS, CABBAGE,
CAULIFLOWER, CELERY, CHIVES, COLLARD 4. Gluten-free whole grains
GREENS, CUCUMBER, DANDELION GREENS,
EGG PLANT, ENDIVE, FENNEL, GARLIC, GINGER 5. Starchy high-glycemic vegetables
ROOT, GREEN BEANS, HEARTS OF PALM, JALAPENO
PEPPERS, KALE, LETTUCE, MUSHROOMS, MUSTARD 6. High-glycemic fruits
GREENS, ONIONS, PARSLEY, RADISHES, RADICCHIO,
SNAP BEANS, SNOW PEAS, SHALLOTS, SPINACH, 7. Processed Carbs
SUMMER SQUASH, SWISS CHARD, TOMATOES, TURNIP
GREENS, WATERCRESS, ZUCCHINI

FATS

Fats are like carbohydrates in that there are good and bad fats. Fat is not all bad. In
fact, we cannot live without it. Fat stores extra energy and insulates the body, help-
ing to regulate temperature and protect our vital organs. Fat is required to absorb
vitamins and is involved in the production of hormones and other compounds
needed for bodily functions. Fats are the building blocks of your cell membranes,
which are needed for optimum insulin function and blood sugar control.

110
It is true that taking in too much fat in your diet can lead to weight gain. But you
need fats to have a healthy diet.

Monounsaturated Fats

The best fats are monounsaturated fats which have the following benefits:

1. Monounsaturated fats can protect you against heart disease by lowering your
risk of metabolic syndrome
2. Lowers your risk of atrial fibrillation
3. Lowers the inflammation in your body
4. Improves insulin sensitivity and therefore lowers insulin resistance. This im-
proves adipose dysfunction and leads to weight loss
5. Improves your mood by reducing anger and improving your resting energy
expenditure
6. Strengthens bones by allowing your bones to absorb calcium efficiently, lead-
ing to denser bones and less occurrence of osteoporosis
7. May reduce cancer risks
8. Can reduce LDL (“bad”) cholesterol and increase HDL cholesterol

List of Monounsaturated Fats

1. Nuts (almonds, cashews, pecans, peanuts and macadamias)

2. Avocados
3. Olives
4. Olive oil
5. Peanut oil
6. Almond butter

However, don’t go overboard on monounsaturated fats. They are high in calories

and can cause weight gain. Do not exceed a handful of nuts daily.

Polyunsaturated Fats

There are two types of polyunsaturated fats: omega-3 fatty acids and omega-6 fat-
ty acids. Polyunsaturated fats are essential fats. This means they are required for
normal body functions. Since your body cannot make them, you must get them
111
from food. Polyunsaturated fats can improve your cholesterol profile by lowering
LDL (“bad”) cholesterol and triglycerides. Examples of omega-3 fatty acids are
salmon, sardines, mackerel, grass-fed beef, flaxseed, walnuts, and chia seeds. Other
omega-3 foods used by vegans include Brussels sprouts, cauliflower and seaweed.
Foods rich in omega-6 fatty acids include vegetable oils such as safflower, soybean,
sunflower, walnut and corn oil.

Omega 3s and omega 6s exist in a ratio to one another. Omegas 6s are inflamma-
tory, while omegas 3s are not. You need both to be healthy, but because of the in-
flammation factor, it is best to optimize omega 3s and minimize omega 6s.

Omegas 3s are special for the following reasons:

1. Omega 3s help to regulate your heart beat, reduce blood pressure, decrease
clot formation and reduce all overall inflammation. This decreases risk of
heart attacks and stroke. Also, omega-3s can decrease LDL and triglycerides,
and normalize heart rhythms.
2. By suppressing inflammation, omega 3s can reduce the risk and slow the pro-
gression of cancer (colon, breast, and prostate).
3. Omega 3s can improve ADHD, Alzheimer, and other forms of cognitive de-
cline and dementia.
4. Omega 3s may help improve symptoms of osteoarthritis and joint pain. In-
flammatory bowel disease may also be relieved with omega-3 supplemen-
tation. Osteoporosis is improved by slowing bone loss and increasing bone
density.

Omega 6 fats are necessary for survival, but they’re not nearly as beneficial as Ome-
ga 3s. Omega 6 fats help with brain function, muscle growth, and hormone pro-
duction, but they cause inflammation. The idea is to not eat too much of omega-6s
which can cause you to be unhealthy. For most people the ideal ratio of omega-6s
to omega-3s is about 4:1. The average American eats a ratio of 12:1 to 25:1, which
is not good.

The reason for the skewed ratio in the U.S. is the types of oils in our foods. The
most common source of omega 6s is found in corn oil, soybean oil, safflower oil,
cottonseed oil, and sunflower oil. These oils are cheap to produce and are used in
processed foods like candy, cookies, crackers, popcorn, granola, margarine, pizza
112
and other snacks. Many of these oils are genetically modified and produced with
unhealthy solvents.

Omega 6 oils are unstable because they are made of polyunsaturated fats that have
multiple binding sites that are exposed and vulnerable to oxidation. Cooking at
high temperatures, microwaving or frying can oxidize the fats. This can cause in-
flammation, damage your DNA, and increase your risk for cancer.

These vegetable oils can undergo a process called hydrogenation so they can be
used to prolong the shelf life of packaged foods. Hydrogenation takes already
harmful fats and converts FATS
them into trans-fat. Trans
fats are called the “heart at-
tack fat” and they increase
LDL (“bad”) cholesterol RED
(NO)
and lower the good (HDL)
TRANSFATS,
cholesterol. They increase MARAGRINE,
the risk of heart disease and CAKES, FRIES,
COOKIES,
stroke, and raise the risk of BISCUITS,
DONUTS
diabetes. There are no nutri-
tional benefits and there are
obvious adverse metabolic POLYUNSATURATED FATS-OMEGA 6,
YELLOW
consequences. The Food (CAUTION) VEGETABLE OILS, (CANOLA OIL, FLAX
SEED OIL, SOY OIL, SAFFLOWER OIL,
and Drug Administration SUNFLOWER OIL,)
has ruled that food compa-
nies must remove hydro- POLYUNSATURATED FATS, OMEGA 3 FATTY ACIDS
ARE SALMON, SARDINES, MACKEREL, GRASS-FED BEEF,
genated oils and trans- fats
GREEN
(GO) FLAXSEED, WALNUTS, CHIA SEEDS, BRUSSELL
from their products by June SPROUTS, CALIFLOWER, SEAWEED,
MONOUNSTURATED FATS-NUTS (ALMONDS,
2018. The food pyramid for CASHEWS, PECANS, AND MACADAMIAS), AVOCADOS,
OLIVES, OLIVE OIL, PEANUT OIL
fats is shown to the right.

PROTEINS

The word protein comes from the Greek word “protos” meaning first. Proteins are
essential for the functioning and structure of all living cells. It is important to eat
high quality protein for blood sugar and insulin balance and hunger control. The
high quality proteins are listed on the following page and are a green color on our
113
food pyramid:

1. Nuts (almonds, walnuts, and pecans)

2. Free range eggs
3. Wild fish such as salmon, sardines, herring and small halibut)
4. Mercury free shrimp and scallops
5. Organic grass fed and hormone free poultry and cattle
6. Wild venison, elk, buffalo, and turkey

Red meat (beef, lamb, and pork) is given a yellow color (caution) because it is not
as healthy as the proteins listed above. It is recommended that you only consume
this once a week. Try PROTEIN
not to eat a serving of
meat larger than a deck
of cards.
RED
(NO)
Processed meats (ba-
PROCESSED
con, sausage, hot dogs, MEATS (BACON,
deli meats and fast SAUSAGE, HOT
DOGS, DELI
food sandwiches) are MEATS, AND FAST
colored a red on our FOODS

food pyramid. Pro-

cessed meat has more RED MEAT (ONCE A WEEK)
preservatives, more fat YELLOW
(BEEF, LAMB, AND PORK)
NO LARGER THAN A DECK OF CARDS
and calories and four (CAUTION)

times the salt. People

who eat processed
meat daily have a high- NUTS (ALMONDS, WALNUTS, AND PECANS), FREE
RANGE EGGS, WILD FISH SUCH AS SALMON, SARDINES,
er risk of heart disease GREEN
(GO) HERRING, AND SMALL HALIBUT, MERCURY FREE
and diabetes. The food SHRIMP AND SCALLOPS, ORGANIC GRASS FED AND
HORMONE FREE POULTRY AND CATTLE, WILD MEATS
pyramid for proteins is (VENSION, ELK, TURKEY, AND BUFFALO)
shown at right:

PLATE PORTIONS

The plate portions based upon insulin levels is illustrated on the next page. This is
a modified version of the government’s plate portions called “my plate.”
114
 THE PLATE PORTIONS BASED UPON INSULIN LEVELS Check Your Insulin Level – It Could
Save Your Life
INSULIN LEVEL LESS THAN 5 mmol/L
As a cardiologist for the last 30 years,
I now realize that pre-diabetes can
MEATS 25%
kill. One study showed that about
NON STARCHY two-thirds of all patients admitted
VEGETABLES
50% to the emergency room with heart
BERRIES 25%
attacks had pre-diabetes or undi-
agnosed diabetes. Another study
found that the risk of heart attack
increases with any increase in aver-
age blood sugar, even for those who
INSULIN LEVELS GREATER THAN 5 mmol/L
do not have diabetes.

Pre-diabetes is really metabolic

syndrome with insulin resistance.
MEATS 25%

NON STARCHY
VEGETABLES
50%
A lot of people think pre-diabetes
is just a warning sign, but it can kill
STARCHY
VEGETABLES OR you even before you become a full
GRAINS 25%
blown diabetic. Just like the above
study, a lot of people have heart at-
tacks that are pre-diabetic. There-
fore, obtaining an insulin level can
help warn you of trouble ahead. The insulin level can be elevated years before your
blood sugar becomes elevated.

The higher your insulin levels are, the worse your insulin resistance. As your in-
sulin resistance worsens, your body starts to lose muscle and gain fat, which is the
first sign of metabolic syndrome. This is followed by inflammation and oxidative
stress. The initial insult leads to the following downstream effects:

• High blood pressure

• High cholesterol
• Low HDL
• High triglycerides
• Poor sex drive
115
 • Infertility
• Thickening of blood (blood clots)
• Increased risk of cancer
• Increased risk of heart attack and stroke
• Increased dementia
• Increased depression

Lowering Your Blood Sugar is Not the Only Answer

As we learned from the ACCORD study in the New England Journal of Medicine
in 2008, lowering your blood sugar may not make you live longer. Surprisingly, the
patients who had their blood sugar lowered the most had a higher risk of death.
The study was stopped early due to more deaths and heart attacks.

Lowering Your Insulin Level is the Answer

The problem with treating an elevated blood sugar is that a lot of times we increase
insulin levels in order to lower our blood sugars. We sometimes start people on
insulin or oral hypoglycemic agents which do help lower our blood sugar. Unfortu-
nately, they do increase our insulin levels. Since insulin is our fat storage hormone,
we rapidly drive fat storage and subsequent obesity and metabolic syndrome.
Therefore, the answer is to avoid increasing insulin by the following methods:

Avoid drugs that increase insulin production (see below) unless there are no other
options.

• Use Metformin which improves insulin sensitivity

• Avoid foods that rapidly increase blood sugar and subsequent insulin levels.
• Try to eat green leafy vegetables which have lower insulin levels.
• Avoid grains, starchy vegetables, sugar and processed carbs. Avoid gluten and
dairy.
• For fruits use berries which have lower calories and glycemic index. Avoid
melons and tropical fruits due to higher insulin response.
• Try to limit protein intake to size of deck of cards and use natural wild high
quality protein such as deer, elk, turkey and bison. Eat grass fed cattle and
chicken. Limit steak to once a week. Eat fish like salmon, halibut, herring and
116
 sardines that have omega-3 fatty acids.
• Avoid omega-6 fatty acids found in vegetable oils
• For fats take in healthy nuts like walnuts, almonds, pecans and macadamia
nuts. Use olive oil and coconut oil for oils.
• Exercise to lower insulin resistance with high-intensity weight training and
Sprint 8.

Drugs That Increase Insulin Production

Amylin Mimetics

Amylin mimetics are injectable drugs that stimulate the release of insulin. These
medications are used in combination with injectable insulin. They’re used when
symptoms of type 1 diabetes don’t improve with insulin injections alone. An ex-
ample of this type of medication is pramlintide (SymlinPen).

Sodium Glucose Transporter 2 Inhibitors

Sodium glucose transporter 2 inhibitors (SGLT2s) are injectable medications that

help increase the production of insulin in the body. They’re sometimes prescribed
along with other medication to people with type 2 diabetes. An example of an
SGLT2 is canagliflozin (Invokana).

Incretin Mimetics

Incretin mimetics are another class of injectable insulin-increasing drugs. Like

SGLT2s, they’re often prescribed along with other types of medication to help man-
age glucose levels. Types of incretin mimetics include:

• exenatide immediate-release (Byetta)

• exenatide extended-release (Bydureon)
• liraglutide (Victoza)

Dipeptidyl-peptidase 4 Inhibitors

Dipeptidyl peptidase 4 inhibitors (DPP-4s) are oral pills that increase the release
of insulin from the pancreas. These drugs are often combined with other types of
117
medications to treat people with type 2 diabetes. Examples of DPP-4s include:

• saxagliptin (Onglyza)
• sitagliptin (Januvia)
• linagliptin (Tradjenta)

Sulfonylureas

Sulfonylureas are an older class of medication used to treat people with diabetes.
They’re usually given orally to those who are unable to control their blood glucose
levels through diet and exercise. They work by increasing the release of insulin from
the pancreas to reduce blood glucose levels. Examples of sulfonylureas include:

• glyburide (Micronase)
• glipizide (Glucotrol)
• glimepiride (Amaryl)
• chlorpropamide (generic only in U.S.)
• tolazamide (generic only in U.S.)
• tolbutamide (generic only in U.S.)

Glinides

Glinides are oral insulin-increasing drugs given to people with type 2 diabetes.
They usually take effect more quickly than other medications. However, they don’t
last long and need to be taken multiple times per day. They’re often prescribed with
another medication, especially if symptoms don’t improve with diet and lifestyle
changes. Examples of glinides include:

• nateglinide (Starlix)
• repaglinide (Prandin)

118
SUMMARY

1. Obtain a fasting insulin level.

2. If your insulin level is abnormal (greater than 5), then you are at risk for obesi-
ty, hypertension, diabetes, hyperlipidemia (increased triglycerides, low HDL),
heart attack, stroke, dementia, fatty liver, polycystic ovarian syndrome, and
cancer.
3. If you eat food that spikes your insulin level, you will gain weight and become
sick. If you eat food that reduces your insulin level, you will lose weight and
become healthy.
4. An insulin level greater than 5 requires that you avoid the intake of fattening
carbohydrates which includes: sugar, processed carbohydrates, grains, dairy,
gluten, and starchy vegetables. Also, fruits should be restricted except for ber-
ries.
5. You must avoid the following liquid calories: fruit juices, sports drinks, sodas,
and diet drinks which are associated with weight gain and diabetes.
6. Take in healthy fats such as olive oil, avocados, nuts, fish (wild salmon, sar-
dines, herring, and halibut), organic coconut oil, and omega-3 fats from grass-
fed animals.
7. Take in healthy protein which includes: Nuts (Almonds, Walnuts, and Pe-
cans), free range eggs, wild fish such as salmon, sardines, herring, and small
halibut, mercury free shrimp and scallops, organic grass fed and hormone
free poultry and cattle, wild venison, elk, turkey, and buffalo.
8. Eat freely of leafy green, non-starchy vegetables which have a low insulin re-
sponse. They are full of nitrates that can produce nitrous oxide which improves
blood pressure and sexual dysfunction. They naturally help to detoxify the
liver and have anti-cancer and anti-estrogen effects: arugula, artichoke, aspar-
agus, bean sprouts, beet greens, bell peppers, broccoli, brussels sprouts, cab-
bage, cauliflower, celery, chives, collards greens, cucumber, dandelion greens,
eggplant, endive, fennel, garlic, ginger root, green beans, hearts of palm, ja-
lapeno peppers, kale, lettuce, mushrooms, mustard greens, onions, parsley,
radishes, radicchio, snap beans, snow peas, shallots, spinach, summer squash,
swiss chard, tomatoes, turnip greens, watercress, zucchini.
9. You must reduce inflammation in your body by avoiding sugar, processed
carbs, too many processed omega-6 plant oils (soybean oil, corn oil), trans-
fats, food allergies due to gluten in grains, imbalances in gut bacteria with
overuse of antibiotics, stress, and sedentary lifestyle.
119
10. Avoid eating within 3 hours of bedtime to decrease insulin levels.
11. Get 7-8 hours of sleep to decrease sugar and carb cravings and to maintain
your testosterone and growth hormones. Get in bed before 10:00 p.m., since
the greatest amount of growth hormone is produced naturally between 10:00
p.m. and 12:00 p.m.
12. Avoid gluten and dairy if your insulin levels are high.
13. Avoid alcohol which can increase triglycerides, elevate blood pressure, im-
pair gut function, interrupt sleep, impair liver function, and add additional
worthless calories.
14. Never eat carbs alone. Combine carbs with protein and fats at every meal or
snack. For example, eat an apple with some nuts. This lowers your insulin re-
sponse.
15. Gluten free whole grains (brown rice, quinoa, amaranth, and teff) can be
eaten if insulin levels are normal. Avoid wheat, barley, rye, spelt, kamut, and
triticale which have gluten.
16. Organic dairy and yogurt can be eaten with normal insulin levels. Milk can
increase insulin levels and should be avoided with high insulin levels.
17. Eat healthy proteins, which include: free-range eggs, fish (wild salmon, sar-
dines, herring and halibut), shrimp, scallops, and lean organic grass-fed beef
and poultry. Wild deer, elk, and turkeys are excellent choices of protein.
18. Supplements that have been proven to improve insulin sensitivity and meta-
bolic syndrome are Vitamin D and fish oil. Get your Vitamin D level checked
by a physician and you will need to obtain therapeutic levels to improve your
health. Take 1 gram of high quality fish oil daily that has no mercury contami-
nation to lower triglycerides, reduce inflammation, prevent blood clots and
lower your risk of heart attack.
19. Exercise is one of the best treatments to lower insulin resistance. It is impor-
tant that we avoid sitting as much as possible. Always keep moving and try to
recruit all three muscle fiber types during exercise. Walking will activate the
slow muscle fiber and can provide health benefits. Try to use a pedometer and
obtain 10,000 steps daily. You will be activating your fast muscle fibers with
high-intensity weight training which can cause some elevation of testosterone
and growth hormone. Sprint 8 training activates the super-fast fibers which
are the main fiber for causing massive surges in your testosterone and growth
hormone. When you activate your super-fast fibers, you turn your body into
a fat-burning, muscle building machine.

120
REFERENCES

AUA Position Statement on Testosterone Therapy (2015). Retrieved from https://www.auanet.

org/guidelines/testosterone-therapy

Baker, Esmee, et al. (2017). Association of Resistance Exercise, Independent of and Combined
with Aerobic Exercise, With the Incidence of Metabolic Syndrome. Mayo Clinic Proceedings,
92: 1214-1226.

Bebb, Richard, (2011). Testosterone deficiency: Practical guidelines for diagnosis and treat-
ment. British Medical Journal. 53(9): 474-479.

Beckman, Thomas and Litin, Scott. (2010). Clinical Pearls in Men’s Health. Mayo Clinic Pro-
ceedings, 85: 668-673.

Benito, Begona, M.D., et al. (2011). Cardiac Arrhythmogenic Remodeling in a Rat Model of
Long-Term Intensive Exercise Training. Circulation 123: 13-22.

Braden, D, et al. The Sprint 3 Exercise Protocol Is A Novel Approach To Fighting Obesity Ef-
ficiently Among Middle-Aged Females by Substantially Increasing Growth Hormone Serum
Levels Naturally. Retrieved from http://www.sprint8.com/full-sprint-8-white-paper/

Campbell, Phil, (2016). Sprint 8 Cardio Protocol. Nashville: Pollock Printing USA.

Cherkas, LF. Et al. (2008). “The association between physical activity in leisure time and leuko-
cyte telomere length. Archives of Internal Medicine, 168(2): 154-158.

Dandona, P., and Rosenberg, M. (2010). A practical guide to male hypogonadism in the pri-
mary care setting. The International Journal OF Clinical Practice, 64:682-694.

Dohle, GR. (2015). Guidelines on Male Hypogonadism. European Association of Urology. 76:
1-28

Heidelbaugh, Joe. (2010). Management of Erectile Dysfunction. American Family Physician,

81(3): 305-312.

Hyman, Mark, M.D. (2016). The One Test Your Doctor Isn’t Doing That Could Save Your Life.
Retrieved from https://drhyman.com/blog/2014/08/18/one-test-doctor-isnt-save-life/

Jacobs, Robert, et al. (2013). Improvements in exercise performance with high-intensity inter-
val training coincide with an increase in skeletal muscle mitochondrial content and function.
Journal of Applied Physiology, 115: 785-793.
121
Jessani S, et al. (2007). Should oral glucose tolerance testing be mandatory following a myocar-
dial infarction. Internal Journal of Clinical Practice 61(4): 680-683

Khaw KT, et al. (2004). Association of hemoglobin A1c with cardiovascular disease acute mor-
tality in adults: the European prospective investigation into cancer in Norfolk. Annals of Inter-
nal Medicine 21;141(6):413-420

Khera, Mohit, et al. (2016). Adult-Onset Hypogonadism. Mayo Clinic Proceedings. 91(7): 908-
926.

Lee, l. et al. (2003). Relative intensity of physical activity and risk of coronary artery disease.
Circulation 107(8): 1110-1116.

Lee, I, et al. (1995). “Exercise intensity and longevity in men. The Harvard Alumni Health
Study.” Journal of American Medical Association, 273(15): 1179-1184.

Lee, I. (2017). No pain, no gain? Thoughts on the Caerphilly study. Retrieved from http://bjsm.
bmj.com

Mawer, Rudy. 11 Ways to Boost Human Growth Hormone (HGH) Naturally. Retrieved from
https://www.healthline.com/nutrition/11-ways-to-increase-hgh#section1

McGuff, Doug, M.D. (2009). Body by Science. New York: McGraw Hill USA.
McVary, Kevin, M.D. (2007). Erectile Dysfunction. New England Journal of Medicine.
357:2472-2481

Morales, Alvaro, et al. (2015). Diagnosis and management of testosterone deficiency syndrome
in men: clinical practice guideline. Canadian Medical Association Journal. DOI:10.1503: 1-9.

Morgentaler, Abraham, M.D., et al. (2016). Fundamental Concepts Regarding Testosterone

Deficiency and Treatment: International Expert Consensus Resolutions. Mayo Clinic Proceed-
ings. 91(7): 881-896

Neilan, Thomas, M.D., et al. (2006). Myocardial Injury and Ventricular Dysfunction Related to
Training Levels Among Nonelite Participants in the Boston Marathon. Circulation 114:2325-
2333.

O’Keefe, James et al. (2012). Potential Adverse Cardiovascular Effects from Excessive Endur-
ance Exercise. Mayo Clinic Proceedings. 87(6): 587-595

Postmenopausal Hormone Replacement Therapy for the Primary Prevention of Chronic Con-
ditions Recommendations and Rationale (2003). American Family Physician. 67(2): 358-364
122
Position Statement (2017). The 2017 hormone therapy position statement of the North Ameri-
can Menopause Society. The Journal of the North American Menopause Society. 24(7): 728-
753

Rhoades, Heather. (2016). Cruciferous Vegetables: Cruciferous Definition and The List of Cru-
ciferous Vegetables. Retrieved from https://www.gardeningknowhow.com

Salway, J.G., (2017). Metabolism at a Glance. New York: John Wiley West Sussex

Seftel, Allen, M.D. et al. (2015). Critical Update of the 2010 Endocrine Society Clinical Practice
Guidelines for Male Hypogonadism: A Systematic Analysis. Mayo Clinic Proceedings. 90(8):
1104-1115

Subramanian, Krithika. (2017). Insulin Resistance and Estrogen. Retrieved from https://www.
livestrong.com/articles/265375-high-insulin-foods/

Williams, Jerry, M.D. (2010). You Can Become Fabulously Fit After Fifty. Florence, Alabama:
Lambert Book House.

Williams, Jerry, M.D. (2003). Focus on Fitness: 5 Steps to A Healthier Life-style. Florence, Ala-
bama: Lambert Book House.

Williams, Jerry, (2014). Waist Management: A Guide for Reversing Abdominal Obesity and
Metabolic Syndrome. Florence, Alabama: Lambert Book House.

Yang, Q. et al. (2014). Added Sugar Intake and Cardiovascular Disease Mortality Among US
Adults. Journal of American Medical Association. 174(4): 516-524

123