Chasing Excellence The Default is Decline: How Performance Medicine Builds Resilience Before You Need It
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Oct 7, 2025 In this engaging conversation, Dr. Rich Joseph, a Harvard-trained primary care physician and founder of VIM Medicine, dives into performance medicine. He shares how proactive health strategies can foster resilience and maintain well-being before health issues arise. Dr. Joseph discusses key tests for detecting metabolic risks, the importance of understanding lipid profiles, and how to manage health data effectively. He emphasizes the necessity of combining lifestyle changes with medical insights to combat the natural decline of aging.
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Performance Medicine Reframes Health
- Performance medicine merges fitness and proactive healthcare to catch dysfunction before disease.
- It reframes performance as capacity to bring energy and attention to what matters in life.
Build A Health Dashboard
- Track a dashboard of objective measures instead of a single 'biological age' number.
- Include physical capacity, biomarkers, recovery metrics, and subjective purpose measures.
Test Beyond The Standard Panel
- Use DEXA, VO2max, and functional fitness tests to measure muscle, bone, and capacity.
- Add fasting insulin, visceral fat, and metabolic flexibility tests to detect early metabolic dysfunction.