Performance Tech is everywhere. But here's the uncomfortable truth. Most clinics don't have a tech problem. They have a decision making problem. Welcome to the FAKTR Podcast where we talk about the stuff they didn't teach you in school. How to grow your practice, refine your clinical skills and get better results for your patients. We're here to help you navigate the real world challenges of being a healthcare provider. From delivering top notch patient care to running a business that doesn't run you into the ground.

Whether you're fresh out of school or scaling your practice, we're diving into effective, cutting edge treatments to get patients better faster. We'll also talk about business strategies and tactics to help you work smarter and not harder, and the mindset shifts required to thrive as a top performer in your field so you can build a career you love without burning out. If you're ready to learn what works and what doesn't from leading experts, industry innovators, and respected clinicians across a wide range of specialties, you're in the right place, my friend. Let's dive in.

Hi guys. Welcome back to the FAKTR Podcast. I'm your host, Jessica Riddle. Thanks for tuning in today. This is part two of our revisited conversation with Dr. Robert Silverman on healthspan, longevity and functional approaches to healthy aging. In part one, we explored the bigger picture, the difference between lifespan and health span, why immune resilience matters, and how systems like inflammation, the microbiome and other topics like mitochondrial health, fascia and vagal nerve tone all influence long term patient outcomes. In the second half, we'll move further into the practical side of this conversation.

Dr. Silverman digs a little bit deeper into some of the key strategies clinicians can use to support healthy aging, including ways to think about mitochondrial function, vagal nerve health, muscle preservation, and nutrition based interventions that can help patients improve resilience, recovery and overall vitality. So if part one laid the foundation, think of part two as where the conversation starts to get even more actionable. Let's dive in.

Let's take a look to the future. Methylation we could have a whole webinar on methylation. It's the addition of a methyl group. Its primary role is to recycle amino acid homocysteine to keep its levels at a healthy optimum range to methylate appropriately. It provides DNA repair, protein function and gene expression. What's the problem? Well, the process of methylation occurs in every cell of the body and it occurs billions of times a second. Approximately 50% or more of the population can't methylate correctly due to the fact they have something called an MTHFR variant. We all have the gene mthfr, let's say correctly.

Let's not be like some biohackers on Instagram. We all have the gene, we just have a variant. We can overmethylate or we can undermethylate. So MTHFR gene mutations cause the gene to work less effectively. Dysregulation of this gene is typically associated with hyperhomocystemia, cardiovascular disease, neural tube defects and impair cognition. Also, the inability to methylate appropriately causes issue with proper detoxing, issues with hormone balance, immune function, and a lot of autoimmune conditions like fibromyalgia. Yes, fibromyalgia is an autoimmune condition because it wears away the dorsal root, ganglion and nerves. Hashimoto's very common thyroid and lupus.

I put this slide in for a reference slide. So essentially, here are some of the variants that you could have if you're over or under methylate. If you have both variants, you're homozygous. If you have one variant, you're heterozygous. So my metaphor of methylation. Let me sit back in my chair and just go through this. Your body is like a car in an assembly line. It's ready to rumble.