Do You Have Any Health Advice for a Physician Mom?

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Specific gut microbiota alterations in essential tremor and its difference from Parkinson’s disease

1. Zone 2 cardio [16:27] Tracey says:

Thank you for all of the hard work you do spreading the good word! I have been a fan for many years and i just can’t get enough of your content. You are both so smart and down to earth at the same time. While I have burnt out and cycled through many other podcasts and nutrition/fitness trends, you are tried and true.

I am writing because I am interested in zone 2 cardio. I heard Peter Attia discussing it and then Robb brought it up recently as well. I would love to learn more and any guidance on where to start, as the internet is generally overwhelming, would be much appreciated. I am hoping to take up this cardio fitness endeavor by swimming laps in an indoor pool. I have a small amount of experience with freestyle swimming.

Some probably irrelevant background:

I am 33 and in good health. I did CrossFit for about 5 years, then gravitated to competitive weightlifting for 4 years and the last 3 have been a combination of barbell strength and hypertrophy. Cardio has been nearly non existent and I am feeling it!

I’m 20 weeks pregnant with my first so longevity is weighing on my mind, and I am a little more out of breath at the gym than usual. I have been feeling great and very strong though! It is generally not in my nature to “take it easy” at the gym but I know I need to start thinking about backing off at this point in pregnancy. Starting a new endeavor may seem counter to that, but I am very cautious and know when and when not to push myself physically. Changing gears with my fitness will help me to both stay motivated and remain cautious.

I am in it for the long haul and take a lot of joy in seeing long journeys (like this one would be) through. Slow and steady as they say. And advice or words of wisdom you may have as far as zone 2, swimming, or even where I can look for pregnancy/baby resources would be so incredibly appreciated.

I admire you both so much and look forward to you podcast every week.

Wishing you all the best,

Tracey

https://philmaffetone.com/180-formula/

https://trainwithmorpheus.com/

2. Health Advice for Physician Moms [28:25] Kahroba (pronounced “care-uh-buh”) says:

Dear Robb and Nicki,

I absolutely love your show and appreciate all you do.

I am a 40yo mother to two boys: 3yo and 5months. I am a cardiologist in private practice.

I wish I could say I had a question on the most recent studies on lipid management or some other atherosclerotic risk factor guideline, but what I need is basic advice on how you think I should prioritize my day to day routine to benefit my health the most and give me the most energy. I’ve been getting less than four hours of fragmented sleep per night for several months, not to mention the sleep deprivation, which was profound with my first son. I have a full-time 60-80 hour per week job as a noninvasive cardiologist at a busy hospital. I try my best to eat a Whole Foods/clean/primal diet. I have not exercised in months and find it really hard to fit it into my schedule. My stress levels are through the roof. I feel my cortisol and other counter regulatory hormones surge in the morning as I rush to get myself ready and get the boys out of the house so I can get to my clinic patients on time. My husband also has a busy full-time job, but he works from home.

Do you think I should just simply focus on eating as healthy as I can? Perhaps a few supplements that you could recommend or is there simply nothing I can do as this is just a phase with having an infant and a toddler and as they all say eventually, “this too shall pass“. Thank you much.

3. Restless Leg Syndrome and Raynauds [45:11] Alicia says:

I was wondering if Caffeine is connected or correlated to Restless Leg Syndrome? It only happens once in a while and Im trying to figure out why. I mostly get it when I am on an airplane!! Do you think Caffeine should be eliminated from my diet?

Also, I have Raynauds in my hands. I can get rid of it fast with hot water but sometimes that is not an option. Recently I heard on a podcast (maybe Revero with Sean Baker) that people with Raynauds usually suffer lower cardio fitness. I do notice that my cardio stamina sucks. I can lift all day long but when it come to sprints, running or cycle classes, I feel so out of breath. Do you have more information on that connection? Or even any remedies to Raynauds?

For more info in case needed:

53 years old, very active, 18% body fat, Carnivore diet, Drink LMNT

https://pubmed.ncbi.nlm.nih.gov/12710841/

Sildenafil Effectively Treats Raynaud's Phenomenon

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You can find the transcript at this episode's blog page https://robbwolf.com/2022/12/09/restless-leg-syndrome-raynauds-stressful-schedules-zone-2-cardio-thrr134/