Table of Contents
In todayβs podcast, Dr. Alex Jimenez talks with Victoria Hahn about what the fast mimicking diet is and how is it beneficial to the individual and their overall health and wellness.
Β
Β
[00:00:00]Β Dr. Alex Jimenez DC*:Β Β We are live, El Paso. This is Dr. Alex Jimenez coming back with you. This is a special day, an extraordinary day. We are offering some information to you guys as my patients. Todayβs a unique moment in time. As you can see, my podcast room is empty, as youβre going to be able to notice in this particular area. You can see the podcast presentation, and Iβm doing this alone, and as we were doing, weβre following the rules of engagement of today. Now, today is a moment in time where weβre finding ourselves kind of a little bit on the sandy ground where the flow and the situation of our present state are that weβre all watching CNN. Weβre establishing things. But one of the concepts that weβve been looking at in the last couple of weeks before this all happened was a disorder that we are all experiencing right now; many of us are trying to figure out what we can do because weβre all feeling a little thick. Weβre feeling a little fat. Weβre feeling a little bit displaced from our usual patterns. So one of the aspects that we want to be able to do is to discuss what we can do with our physiology, things that we can do at home, something that we can adapt, and things that we can alter into our metabolic process. Now, as Iβve gone in the past, Iβve talked and discussed heavily metabolic syndrome. Metabolic syndrome is one disorder that affects us all. We have given us options and the options that we have done in terms of working with the sugar issues, the weight issues, the belly fat issues, and the underlying issues of the triglycerides that weβve been discussing along with cholesterol issues. We have looked at diets that have different varying components. One popular diet is the fasting-mimicking diet. I had a fantastic experience when I went to Hollywood, Florida, about two years ago, where we did the Functional Medicine Institute program. We went out there and saw the program presenting the fasting-mimicking diet and teaching all of the new things that the diet can do in the physiological state. But one of the things is when people hear fasting, itβs confusing. So Iβm going to bring in an impressive individual, Victoria Hahn, who works with Al-Nutra. She is the medical science liaison for the fasting-mimicking diet with Al-Nutra. Sheβs going to give us some information about things that we can do and about the diet because itβs a special diet and because we live on the border and we have a lot of, I guess, metabolic syndrome. Just by definition, there are issues with high blood pressure, glucose triglycerides, HDL issues. We want to take a look at the things that we can do. One of the most extraordinary things weβve learned about metabolic syndrome is that it has an immediate response to the diet. But not everyone can do a particular type of diet, whether itβs intermittent fasting, a ketogenic diet, a different kind of water fasting. Weβre going to go ahead and go over those things. So Iβm going to present to you Victoria Hahn, who is the person who will bring this home to us, and sheβs going to educate us on the process. So Iβm going to bring her in right now, and weβre going to go ahead and talk to her, and you can see me in the sideline in the far distance. So as I kind of click that button. Victoria, tell us, are how are you doing? Howβs everything going with you?
Β
[00:04:24]Β Victoria Hahn:Β Β Going well, staying safe, practicing physical distancing? You know, doing everything I can to ensure that Iβm carrying myself safe and everyone else I interact with, including the hand-washing. So very important. Weβre doing good. How are you?
Β
[00:04:40]Β Dr. Alex Jimenez DC*:Β Iβm doing very well. I wanted to present to my patients the fasting-mimicking diet. I have a box right around here, and I misplaced it while weβre talking about the products. But Iβd like you to tell us a bit of what the fasting-mimicking diet is for the public to understand what the options are and what weβre talking about when we say this special, fasting-mimicking diet because itβs got a perfect, unique name to it. So tell us a bit of it. I know you got a presentation too, so I think you can share your screen, and you can start talking about it and let us understand a bit of what the fasting-mimicking diet is for the public.
Β
[00:05:20]Β Victoria Hahn:Β Yeah, so fasting-mimicking diet. So before I get into the presentation, which let me pop this bad boy open, so fasting-mimicking diet is this concept that in essence, you know, maybe you donβt have to be fasting, so, you know, omitting food entirely to be fasting. And so thatβs really what this diet brings. It brings the same type of physiologic and biological effect of fasting, but with food. And so itβs a novel and kind of bizarre kind of nutrition program because it takes you a little bit out of the box just thinking, how can you be fasting with food? And Iβll go over, in essence, how you can because there is a lot of science to explain how this works. And fortunately, unfortunately, itβs not as black and white as we like to make it. But thatβs the beauty that you kind of find these physiologic loopholes to being able to kind of stimulate a similar process without having to go through that whole fasting process.
Β
[00:06:26]Β Dr. Alex Jimenez DC*:Β In terms of this, this is the actual product here, and it looks like itβs pretty simple. It all fits in a box.
Β
[00:06:34]Β Victoria Hahn:Β Yeah. Itβs super straightforward. So, in essence, you get like a rather large box. And within that large box, and theyβre all evenly listed out for you. So it says day one all the way to day five. The product is a five-day fasting-mimicking diet, so you get everything that you need. So thereβs no, you know, having to go to the grocery store, which is kind of convenient during this time. But thereβs no having to go out and buy and figure out how much of this I have to measure or weigh? What about this other ingredient? Or did I get enough of these plant-based products of that? Itβs already laid out for you, and thatβs really to not only aid in the use of it because again, the diet that may be fasting, but also in the consistency of it, we want to make sure that thatβs what itβs doing. So we got to kind of treat it in this very almost clinical fashion.
Β
[00:07:30]Β Dr. Alex Jimenez DC*:Β Iβd like to add that in the design of presenting this full disclosure. Iβve done the fasting-mimicking dying three times each time. Itβs been an experience for me, and the protocol does include three options or three times that you can do it as the most optimal as from if Iβm correct, that three times are the times when we tested so. Tell us a bit of the product line, so Iβll let you kind of take it from here. Go ahead.
Β
[00:08:02]Β Victoria Hahn:Β Yeah. So here, let me go straight into the presentation. Weβll start to kind of where some of these details. So the first question that, of course, typically is being asked is what your health care goals are? So before we even start to step in to prolong and what fasting-mimicking diets are and even how fasting is beneficial? You know, what are we all trying to achieve? And obviously, a lot of these are listed here. So bodyweight loss, body composition, even I would argue that body comp is way more important than body weight. Bodyweight only tells you so much, but the amount of fat and muscle mass you have is more important in the closet meter. Iβve had times where Iβm going into my closet.
Β
[00:08:50]Β Dr. Alex Jimenez DC*:Β I was wondering what that was.
Β
Β
[00:08:53]Β Victoria Hahn:Β Some things donβt fit the way that they used to, and thatβs always a little alarming. And I donβt have a scale at home, and so thatβs the way that I can determine whether or not Iβve been overindulging. So all of these things are secret pertinent. Most of us have specific weight parameter goals or metabolic balance goals or feel better about the angles. And so arguably, you know, I know Iβve said that few of these right here like Iβm struggling to lose body fat even when Iβm working out and trying to figure out how I want to eat. Even as a dietitian, some of these things are a little hard to figure out. You have to be constant trial and error, because unfortunately for some of these issues, we still havenβt necessarily figured out how to resolve them, which is why our daily obesity is such a vast issue that especially the United States and any of the Westernized societies weβre facing today. And so, you know, with any of those goals, weβre going to be talking about how can we feel better about them? And so that leads us to kind of a novel, a strategy which is fasting. Now, of course, you know, before we get into fasting, we want to define what it is. So what is fasting? Now, arguably, whenever I ask this question? Most people remark like, Oh, thatβs muscle mass loss or, Oh, thatβs, you know, me starving, or Oh, thatβs me feeling hungry, or I canβt eat food, or isnβt that juice fasting? And to some extent, most of those would coincide with the standard definition of fasting, which would be to abstain from food or drink. And maybe thatβs for religious observation, for example, Ramadan fasting or Yom Kippur. But you know, thatβs just one way to think of fasting. You could think about it from the perspective of whatβs happening within your body when you start to fast. So I like to think of fasting from this standard definition as the trigger for an outcome. And so, the result is what fasting is. And what that outcome is, is itβs the, you know, the lack of the triggering or the turning on, if you will, of what we call these food sensing pathways. It seems a little ambiguous. But truth be told, weβve seen this in many different mouse models, as well as clinical trials. There are these pathways that our bodies have that responsibility. You shouldnβt take, and that makes sense, you know, if you eat food, something has to happen, right? Yes. All these pathways, these food sensing pathways. And so, in the absence of nutrients or rather the right amount of protein, calories, carbohydrates, you can, to some extent, circumvent their activation. And so thatβs what fasting is. Itβs this biological process.
Β
[00:11:53]Β Dr. Alex Jimenez DC*:Β I like that word of food sensing pathways. How did that happen? How did that come about? I just tend to touch on that food-sensing pathways. It just seems to me like a very understandable way of allowing people to understand that that the body is sensing, almost feeling out, that the foods you know, so deep go deep there.
Β
[00:12:18]Β Victoria Hahn:Β Yeah. No problem. So I honest to goodness, this is my favorite part about fasting, and it is the molecular biology surrounding it, its physiology. Itβs honestly wonderful. But Iβm a little bit of a nerd in that regard. But really, what this is and how we came about it. One of the individuals who kind of piecemeal all of these individual components was Dr. Longo, and Iβll get into some of what heβs contributed to this whole area of fasting and longevity research. But really, what these retention pathways are is they are these mechanisms that are triggered by certain levels of carbohydrates or sugars, or we call it glucose. Still, thatβs just a carbohydrate of proteins or amino acids and certain degrees of energy. So calories, all of these things can contribute to this overall biological process that we think of as being fed. Because when you think about it, like when you eat food or what happens, obviously we know that something happens where we donβt feel like sluggish, and we get some energy, and now we can go and do things we start doing. And we know that that also helps out with weight gain. What is that cellular process with a biological process that would be these food sensing pathways to think about it?
Β
[00:13:47]Β Dr. Alex Jimenez DC*:Β Simply incredible. Keep on going. What are the misconceptions?
Β
Β
[00:13:52]Β Victoria Hahn:Β Yeah. And so in terms of just some misconceptions, you know, I highlight this one because you get to see quite a few of these juice shops that kind of pop up and talk about juice fasting. And itβs arguable because most of those juices are relatively high in calories and even carbohydrates. And so when you think about biological fasting, itβs not that because thereβs just too much nutrition in these shakes, which is significant to some extent. You know, you want to get the vitamins, minerals, and such, but not from the standpoint of actual fasting is itβs not one-to-one. So maybe itβs fasting from the perspective of not eating solid food. So in that sense, itβs fasting. Fasting is so much more than just kind of the composition of your food. It is the actual amounts that you are getting of each different type of nutrient. And so itβs a little, you know, misconceiving. And thereβs a lot of these things cropping up because fasting is such a novel topic, and itβs really popular. I mean, itβs just so popular. Itβs gotten really popular in the last couple of years, which, you know, just kind of go a little forward in terms of how it got there. And I can show you some data as far as how popular it is in the US. So part of the reason thatβs gained a lot of traction is because although fasting has been around for millennia, we had to evolve and adapt to these periods of basic food and not food. And so naturally, our bodies know what to do when it has that type of environment. But what weβve seen in clinical trials is that itβs been shown to support metabolic health. Itβs also been shown to support this fascinating concept called cellular cleanup. We like to use the phrase autophagy. Itβs just a fancy word to say the cells. So each of your cells they have their microenvironment, and they have their kind of garbage disposal recycling center, which we could call autophagy. So itβs a fascinating process triggered by fasting, which can help lead to cellular renewal. So if your cells can kind of take out these, you know, less functional components and repurpose them for other types of activities, then as a whole, the cell can become more efficient. So thatβs this concept of cellular renewal and ultimately what we see all these pieces contribute. Leading to is this promotion of longevity and healthspan. So this is how in essence, fasting can be so beneficial. So to get into, you know, how itβs so popular, itβs no surprise that itβs become one of the number one dietary patterns in the United States in twenty nineteen. So this is in twenty-eighteen. In twenty nineteen, it just took second place to this concept called clean eating. And you know, thatβs not a bad thing. Clean eating is one of the better things that we can be doing for ourselves. But the exciting thing to note about fasting is that especially when you compare it to any of these diet patterns, so for example, vegetarian, vegan diet, low carb diet, gluten-free diet, Mediterranean diet, all of these are compositional changes, meaning, you know, with low carb, you have to be very mindful of the number of carbohydrates that youβre getting, sometimes even the types of carbs. So aiming for low glycemic index carbs, the ones that donβt cause your blood sugar to spike too rapidly. So you have to be mindful about what youβre eating, whereas, with intermittent fasting or just fasting as a whole, you donβt need to consider that component. I mean, I know nutrition for prolonged. We argue that you do. But fasting as a whole, itβs when and how youβre eating, is the consideration. You donβt have to modify what youβre eating. And so that might be part of why itβs been so well received as opposed to just the community as a whole. Wouldnβt you like to be able to continue to do what youβre doing with just a slight alteration? Yes, because it is easier and it completely shifts your diet.
Β
[00:18:13]Β Dr. Alex Jimenez DC*:Β You know, simplicity has always been a component of trying to come together and making it easy for people. If itβs too hard, you know you can do fasting, but soon as you make that mistake of going elsewhere and they donβt know the rules of engagement. It just goes crazy. This is so cool because itβs all packaged in one kind of dynamic. So as I see that, tell us a bit of the overall. When you say 36 percent, I noticed that you said 36 percent follow a specific eating pattern. What was that number versus the 16 percent? I noticed there intermittent fasting was the top end for patients.Β Β
Β
[00:18:53]Β Victoria Hahn:Β Yeah. So, in essence, they were trying to say, and this was from a more extensive study. But anyhow, what they were trying to say is that people are following dietary patterns. It may not be, I suppose, too specific regarding certain reasons that werenβt well elucidated as to why theyβre following these nutritional patterns. But it is to say that people are starting to follow specific ways of eating. So, in essence, thatβs this categorization of all of these different diets, and these are the ones they were following. They wanted to see how many people in the United States are doing fasting. How many are doing paleo, gluten-free down to the Dash diet and dietary approaches to stop hypertension and the ketogenic or other high-fat diets they want to catalog. In essence, what the US is doing in regards to their nutrition. So thatβs really where this number was coming from.
Β
[00:19:57]Β Dr. Alex Jimenez DC*:Β That makes perfect sense.
Β
Β
[00:20:00]Β Victoria Hahn:Β And to continue here so we can go over different types of fasting because, you know, even in the previous slide was showing you intermittent fasting that doesnβt say. Itβs even how they were categorizing the transgenic. So it doesnβt say a lot. There are many iterations of these comprehensive topics, but to hone in on the fasting and, you know, different types of fasting. So I like to think of fasting as the umbrella term, and you can find that by the duration of time. So, in essence, fasting can be longer. So we call that prolonged or periodic fasting, typically two or more days, or it can be shorter, and we call this intermittent fasting, and thatβs typically two or fewer days. I will argue that in the literature, when youβre reading about intermittent fasting, you know, unfortunately, those kinds of lumped together all types of fasting, and it has to do with the fact itβs a buzzword. And, you know, itβs kind of what gets the clicks and such. But unfortunately, with that being said, thereβs a lot of misinformation because unless youβre reading into what type of intermittent fasting pattern or fasting pattern theyβre talking about, itβs just all kind of amalgamated together. And itβs really confusing. Were they talking about time-restricted eating, or were they talking about the five-two diet? Itβs kind of up in the air unless you know youβre doing your due diligence. So itβs unfortunate. But for the sake of, you know, how we define fasting, this is our main definitional structure. So to get into different types of intermittent fasting patterns, Iβm sure everyone is super familiar with time-restricted eating. Yes. Like the 16:8? Yeah. Do you practice that at all?
Β
[00:21:48]Β Dr. Alex Jimenez DC*:Β As a matter of fact, I do. One of the things that Iβve always mentioned is that certain body types require specific patterns. And Iβve looked at peopleβs schedules, and itβs almost like the advanced test version of the process with the ketogenic diet. You know, it takes a particular hardcore individual to do it. So, you know, intermittent fasting allows people to kind of start controlling that. We start by just simple things like circadian, eating during the daylight, OK, and donβt eat at night versus bringing it down to eight hours. And, you know, having 16 hours of just good non-mechanism of eating. So I have done that. And the better they became, the intermittent fasting individuals and the patients I have, I would go to the next level of going six hours. Now some patients can, I mean, my extreme athletes and the individuals who are just high performers, they can push it down to three, but it takes a level of mental fortitude to be consistent in that. So I have seen that ability in certain types of people or even different lifestyles. People who work at home can do a more ketogenic diet. But you know, in my particular practice, I physically work on people. Or if your job is physical, itβs kind of hard to maintain that if youβre expending calories throughout the day. So it depends on the individual. So we need something understandable that makes sense to the public and lets them understand that they can attain those high levels of physiological and metabolic advancements, such as apoptosis, the autophagy that occurs, and the re-using of the body with a simple mechanism. So I love this, and this is the kind of stuff I enjoy. So to answer your question. Yes, I have done it in the past.
Β
[00:23:37]Β Victoria Hahn:Β Nice. Yeah, and arguably, Iβve been seeing within just the consumer channels, television eating has got to be like one of the number one forms of intermittent fasting right now. And itβs because of that ease to some extent, because itβs like a daily window of fasting where you donβt have to be doing it for like a couple of days at a time or four days at a time. You are just doing it for like a day, and itβs only a few hours within that day. And arguably, one of the most well-researched ones would have to be the 16:8 or the 12:12. So more information is coming out on this type of fasting pattern. Itβs all just in the works. One type of intermittent fasting pattern. Thereβs also the 5:2 diet. This one was quite popular, like 20 or 10 years ago. So five days of average calorie intake, two days of fasting. Typically, those days are not one right after another, but it can depend on the individual. And then thereβs alternate-day fasting. Quite extreme, although some people like to practice this. This is basically where your fasting for one day, and then the next day youβre not fasting and doing a regular calorie intake, then the next day you are fasting, and then youβre not fasting. We keep doing that day after day. So that can be quite a long-term commitment. So to shift our focus to the opposite end of the spectrum to the more extended versions of fasting, there are a few examples of this. Thereβs water fasting, which is very straightforward. Typically, this is done under the supervision of a medical provider, and youβre sequestered somewhere.
Β
[00:25:09]Β Dr. Alex Jimenez DC*:Β Like we are right now. Like, weβre all sequestered right now.
Β
[00:25:14]Β Victoria Hahn:Β Yeah, seriously. And itβs because, for some people, this can be pretty risky, and Iβll get into some of those risks. And just as a whole, it can be pretty tricky because typically, this is fasting for days at a time. And then thereβs the fasting-mimicking diet. So just going back to the main focal point, the FMD is a version of a prolonged fast. Itβs not a short-term fast. Itβs technically a longer fast because youβre fasting for days at a time instead of just a couple of days or a few hours. And this one doesnβt typically have to be in the hospital. Thankfully, the majority of people do this at home safely.
Β
[00:25:49]Β Dr. Alex Jimenez DC*:Β Itβs incredible.
Β
Β
[00:25:51]Β Victoria Hahn:Β Yeah. So they get into some of the ultimate effects of intermittent fasting and just other fasting patterns. I like this table because it tries to simplify and put a caloric restriction here. Because when you start to look at the research for fasting, it seems like it is coming out of this umbrella of dietary restriction for restriction. So it deserves a space based on this chart. However, it is vastly different than fasting. So in terms of caloric restriction, we see that obviously, this leads to weight loss sometimes, mainly because itβs chronic and depends on how much caloric restriction youβre implementing. Some people can lose lean body mass, so you have to be mindful and careful about implementing this pattern. We havenβt necessarily observed the cellular rejuvenation effects that are going back to that renewal. That recycling itβs not well documented was caloric restriction. And of course, you do get food, and to some extent, it is, of course, safe. But shifting our focus to the different types of fasting patterns, you know, intermittent fasting again, we get to see the weight loss. Itβs been variable in regards to lean mass body protection. Some studies had shown that when body mass was impaired, but this may just be an artifact. Itβs not very well elucidated. This likely depends on the kind of mass that youβre doing the five-two, eight-ten, TRE time-restricted eating. You know, itβs a little up in the air, but this one has been variable, not necessarily an impact on the cellular rejuvenation. Again, very inconsistently reported, if at all. Sometimes you get food on the stats, and then you donβt depend on the type of fast youβre doing, and typically itβs quite a safe diet to do. But again, it depends on the iteration. The following kind of fasting is periodic or prolonged fasting, which talks about water fasting and specificity. So obviously, we see weight loss with this pretty dramatically so as well. Lean body mass can be sacrificed with this type of fasting pattern. So again, you want to make sure that youβre being medically supervised if youβre doing a water fast four days at a time. Itβs a careful balance, especially wherever you are before you start into that. So donβt try that one at home, please. But this is the only one that we get to see cellular rejuvenation. So it appears that the sustained stress of fasting is really whatβs dictating this type of recycling and renewable capacity is fasting for a while. Obviously, with this type of fast, you donβt get food and safety. Like I was mentioning, itβs very variable. Donβt try that one at home.
Β
[00:28:41]Β Dr. Alex Jimenez DC*:Β Yeah, that fasting needs to be supervised.
Β
[00:28:44]Β Victoria Hahn:Β A fasting-mimicking diet is a form of a prolonged fast. And you know, you do get to see the weight loss very similarly to periodic fasting. Fortunately, and Iβll show you some of this data. Lean body mass protection is interesting and may be a testament to the fact that there are nutrients in the diets and see this preservation effect still with the cellular rejuvenation impact. So thankfully, it is stressful enough. Fasting four days at a time again is the mantra to triggering that you do get food, and we regularly track its safety. So it has been proven to be safe.
Β
[00:29:24]Β Dr. Alex Jimenez DC*:Β Guys, if I may, one of the things that I do is we make sure that we use biometric assessment exams. Body mass index is BMI, BMR, BIA are ways that we can assess muscle density or how much protein is in the body, how much muscle is about versus bone density. We got to be very careful that we do this in a very safe way. So, in essence, as she alluded to it, she was very exact. We have to make sure that we donβt lose muscle mass, and thatβs the beauty of this diet plan because it has been shown to preserve muscle mass while you go through this process, but it also helps with cellular rejuvenation. Itβs almost like youβre cleaning out your body. So hate to use those examples, but we can go into the physiology of it. But this is a very attractive mechanism, and itβs almost like a Tarzan effect. We go just to the point, and sheβs going to allude to that to the fact where the body starts shifting. And thatβs when the diet and so we go through these cycles. So to prevent muscle or muscle mass loss, it has to be timed at a certain point. So the beautiful thing is that Dr. Doctor is unique. What country is he from?
Β
[00:30:46]Β Victoria Hahn:Β Italy.
Β
[00:30:47]Β Dr. Alex Jimenez DC*:Β Yeah, heβs got a unique accent, and he is amazing. Heβs at the University of Southern California. So itβs incredible that they have these. There are always people who go to California, the intelligent people do, and they come up with these great technologies that today weβre seeing the effects. And Iβm not going to sway too far, but we know the genomics effects or the genes are responding. And thatβs why you were talking about the food sensing system. Our whole body is designed with DNA that reacts to everything, whether a drug or food. So as it responds, this diet is in sync, dancing with it and so to speak. Forgive me if Iβm wrong; Iβll let you continue. Iβm very excited about the rejuvenation processes and also the lean muscle mass protection process.
Β
[00:31:34]Β Victoria Hahn:Β Yeah. And those are honestly the most exciting pieces of fasting is that if done in the right way, exactly as youβre saying, are done in the right way. You can get benefits out of it without sacrifice. And that part of thereβs a whole concept called or misses. And in essence, itβs this idea that you know, to one degree, the same thing could be wrong, but to another degree, it could be beneficial. For me, fasting, itβs a stress response, and itβs similar to any other stress response, especially in todayβs environment; we donβt want to be stressed out. We want to make sure that weβre being healthy about that. But a little bit of stress can be good. And so itβs getting its fine-tuning that itβs figuring out what degree and to what duration. Thatβs the beauty of this concept that a lot of work, a lot of time within 20 years, actually went into trying to figure out how this whole mechanism works.
Β
[00:32:39]Β Dr. Alex Jimenez DC*:Β If I may touch on that word again, hormesis. So from what Iβm gathering, itβs the extent and the timing of the duration. Is that what it is to do? So like itβs like from what I gather, it is to the what the word that you said to the extent of it or the amount of go-ahead was?
Β
[00:32:58]Β Victoria Hahn:Β Yeah, it is to say it was hormesis. Itβs, in essence, like in its most straightforward concept. And you know, there are many different ways to look at it. But in essence, itβs this idea that the degree of something can be positive or negative or have a different effect at different levels. Makes perfect sense. For example, even with periodic fasting, with water fasting to a very high degree, obviously that can be very detrimental, damaging metabolic just because itβs starving. If youβre fasting for too long, so you donβt want to do that, you need to figure out the degree of fasting you need to get because we know there are benefits to a certain extent, but then afterward probably isnβt. And so thatβs part of this whole concept of fasting-mimicking diet and understand why itβs the five days and such.
Β
[00:33:57]Β Dr. Alex Jimenez DC*:Β So it makes perfect sense. Thank you.
Β
[00:34:00]Β Victoria Hahn:Β Yeah, no problem. So they get into some of those benefits. And I think to recapitulate, so a weight loss is a benefit of prolonged fasting, metabolic health, supporting that cellular cleaning, that ability to recycle, and keeping the sense of well-being. We surveyed in 2019, and that was a fascinating finding, which Iβll show you some of that. So those notes are all of these things are some of the benefits of basically doing fasting, whether it be water-only fasting or any other type of prolonged fasting. But it does come with a subset of risks. First things first, itβs tough to adhere to, and I would argue that you know, even for myself and any of the patients that Iβve ever had to try to get them to do small behavior changes. So, for example, you know, hey, try to incorporate one vegetable per week that can be pretty difficult for some people to do, and you know, it was a behavior change. At the end of the day, itβs a behavior change. You have to modify something youβre doing, especially when youβre continuing to do something; itβs hard to adjust when you get stuck in a routine. And not to kind of integrate too much of whatβs happening in society right now, but you know, weβre kind of starting to see that. In contrast, even how people adjust to todayβs society, it disrupts our routine and doesnβt feel very nice, right? So thatβs part of this notion of behavior change. And so if I were to tell somebody, Hey, I want you to watercress for four or five days at a time, thatβs me taking out everything. Iβm just entirely abruptly altering their lifestyle, and that could be nearly impossible for some people. So itβs no surprise that water fasting is just challenging to do. But at the same time, as we were going over that, it could also be at the risk of lean body mass. So letβs get to the point of wanting to do it. You have someone to supervise you. You know, thereβs still an inherent risk of descending on how long youβre doing the water fasting. Thereβs always a potential to lose lean body mass, and obviously, itβs malnutrition that is what water fasting is as a whole. The lack of nutrients when youβre only consuming water, at least macro and micronutrients. Water is another type of nutrient, but itβs this deprivation of them. And so it can be very dangerous from that perspective, especially given wherever youβre starting was going into that would be insufficient. So we further exacerbated. And then, interestingly, there is this gallstone risk. Dr. Longo does talk a lot about this one, and there are some studies to show that specific periods of fasting, thereβs almost like a period where itβs not so risky, and then it gets to a point where it becomes more difficult. So there are many things that we have to consider with water fasting if one is to try to even do it on their own. And then thinking that it may not be appropriate for everybody and more than just these reasons listed. And so, you know, thatβs part of the reason why Dr. Longo had developed this fasting-mimicking diet. Part of the reason was just the, and this is a picture of him right here. This is Valter Longo, Dr. Longo. And yes, he is at USC, and heβs the director of the Longevity Institute there. And in essence, you know, initially, a lot of his research was on stress response and longevity and antioxidative capabilities, as well as water fasting. And itβs one thing to water fast yeast or mice. Itβs an entirely different ballgame to water fast people. You know, if it doesnβt work out as efficiently for apparent reasons. So thatβs part of why he had to figure out a way to study this fascinating process still that he could combine and bridge together. He was able to see that we screwed sensing pathways there so intimately tied to this aging process. And if you were to elevate them to high, we can see that they accelerate aging in essence. So the idea is maybe we can try to modify or modulate or adjust this type of aging process by adjusting these food sensing pathways and so that this part of this pinnacle research that he was trying to figure out. But when you get to study this with people, you know, they donβt want water fast. And so that forced him to figure out an alternative to water fasting. And thatβs the birthing of the fasting-mimicking diet that is just itβs out of absolute necessity in terms of wanting to study it. And as a researcher, you know if you spent so much time on something, you want to see it through, especially if you think itβs going to be beneficial, so you have to adapt and adjust. And thatβs what he did.
Β
[00:39:18]Β Dr. Alex Jimenez DC*:Β You know, itβs one of those things when weβre looking, as I alluded to initially, weβre sitting at home where weβre trying to figure out with the dynamics of the present-day what we can do for ourselves and how we can kind of benefit from this period of time of pause. Weβre all in a queue. So this is an excellent way of looking at changing our metabolism and making it work. Going back to that first moment when I first understood this or was made aware of the fasting-mimicking diet, I was surrounded by the top functional medicine doctors in the country. Thereβs a bunch of guys that put this thing together and functional medicine. Still, the onslaught of all the specialists worldwide came to figure out and understand this new science that had been dropped down at the Functional Medicine Institute seminars. We were all very aware of what it was, and you could see that the thriving doctors worldwide from all over the globe were trying to figure out how we can incorporate this for patients? So I feel blessed to have you here again. So to mention that again and to continue with your story, I just want my patients to know that this is a blessing to have you guys here for the people of El Paso.
Β
[00:40:47]Β Victoria Hahn:Β Yeah, no problem. You know, Iβm excited to be here. Iβm excited to be able to share some of this information. So yeah, weβre just kind of keep on going. So in terms of the fasting-mimicking diet, you know, itβs just such an interesting and novel product as a whole. And so, it ticks off some of these essential elements of a breakthrough product. So it is all plant-based. Thatβs something interesting to note because even when some people go through it, you know, youβre thinking like, βOh, no. I canβt do just plants like, I always eat meat. I love my meat.β And you will be surprised you can do that for five days. Absolutely. And thatβs, you know, Iβll go over the kind of emotional effects that happen with FMD and prolong. But itβs interesting that, yeah, everybody, you actually could be eating just a plant-based diet, and this is just one way to do so. And again, itβs only five days. So itβs not a full-time commitment. But part of what built this was NIH and the university-based research and development. Again, 20 years of research went into this concept and just a lot of grant funding, honest to goodness, and foundational research. So preclinical, we had to test it out on different animal models first. And then, we started going into clinical trials to show its safety in humans. In essence, and of course, this technology has been patented and is very innovative. And so that lends well to why we wanted to go forward with that patents. And a lot of the research, if you were ever to want to look into it, is published in some of these top-tier medical journals. So maybe youβre not familiar with some of these, but these are the journals we use and as clinicians to find evidence-based information. So it does speak volumes that any of these publishers were like, Hey, this does sound good. Like, letβs publish this, letβs get it out there. Itβs huge to have this happen. So it adds to the validity of this concept, which is nice. Of course, it is. And so then to kind of get into like the biological effects of FMD. And this is a real, simplified version of what happens, but for the most part, it kind of meets all of these little parameters. This does happen. Itβs just sometimes we like to simplify. So on day one, I like to call this the equalizer, and itβs because everybody gets the same day one. Itβs around 100 calories for that day, and itβs there to equalize and wash you out from whatever you were doing before breaking into the proline. So basically, this is, you know, that transition day. So some people, by the end of it, youβll start to ramp up this fasting state by day two. This is the fasting state. Now youβre fasting the caloric ranges, they do drop down by two to five, and they have a weight-dependent factor. So youβll get a little bit of a different core from now, depending on your weight. But in essence, the calories are anywhere from 700 to 800 calories. And so, by day two, we would like to view this as that fat-burning day because you have to have your body adapted to fasting now. It has to utilize different substrates to fuel itself, so it will start to burn fat. By day three, you really would have ramped a process called ketosis. Most people can reach the state on day three, but itβs contingent on the individual. Everybody has a different metabolic rate. Everybody has a different body composition, so not everybody will reach it on this day. But we do observe that many do. And thatβs really like an accelerated state of fat burning, in essence. And you can perpetuate ketosis by way of fasting or by a ketogenic diet. They are a little different. So they donβt get there the same way. But the outcome is relatively similar, at least in kind of ramping up this fat-burning process. But day three is also where the cellular body is starting to kick start that recycling mechanism, which can start on day two. But this is really where itβs taking that full fledge running the course, by day four, more of the cellular recycling again, sustaining that fat burning that ketogenic stage. And by now, more of the cellular renewal. So enough of that recycling has occurred. Now itβs optimizing and by day five again is a sustained effect of the fat burning process, recycling, and renewal. And so that lends is well into day six, which is where you kind of kick yourself out of the fast. And itβs important to note this because, interestingly enough, what I get to hear from some users is that even if before they started the program, theyβre thinking, βOh, this is going to be a little too hard. Why not? Iβm going to do it. You know, my health care providers are telling me that I should do this for myself.β So they go through it. And then, by day five, theyβll call us up, and theyβll say, βHey, you know, I feel excellent right now. Can I do another fast after this? Like, can I do two in a row? How do I extend this? Try to do some water fasting afterward for a couple of more days? You know, what do I do?β And obviously, the answer is, no, we donβt want you to be water fasting or doing back-to-back FMDs. Thatβs not the point, but it is rewarding to hear that because itβs echoing of people are starting to feel quite nice. And the point of why we want to kick people out of the fast after day five is because part of the fast is this cleanup. Itβs this fat-burning phase. But to capitalize on all of that cleanup and all this kind of new foundation thatβs been laid out, you do have to re-feed. So you have to start reintroducing nutrients. You do have to repeat yourself afterward. And thatβs this balancing act between fasting and feasting bowls is important. So going back to those food-sensing pathways, itβs one thing to kind of trying to downplay them or turn them off. But we donβt want them off forever. We do need to turn them back on. Itβs just this modulation of its kind of this playing around. Is it turning it on, turning it off, is it flexible? Thatβs whatβs part of providing some of these benefits. So itβs not just always turning it off; that would not be a good thing at all. And so fasting is its concept; although itβs simple, itβs complex because there are so many different things that we have to consider with it. And thatβs going back to that idea of, you know, it depends on how much youβre getting, and youβre going to get a different effect. So obviously, we donβt have fasting forever to be a damaging effect, but fasting for that amount of time.
Β
Β
[00:48:04]Β Dr. Alex Jimenez DC*:Β Victoria, I got a question for you. In terms of looking at that particular graph model? I noticed that Iβd done this a few times now, and the dynamics are like your drawing there. Iβll go right back to it because that diagram, itβs kind of like it shows an up and a down, talk to me a bit of the emotion that people experience in general in terms of each type of day as they go through this because one of the great things about this diet is that itβs structured. I have a philosophy that has the most excellent order always rules. Thereβs perfect order in the structure of the design of this. And one of the things that I see is at that moment, your mind starts going, and your body starts changing and the dynamics that are occurring. One of the great things to hold on to is a structured mechanism that you can follow, and you just continue with the path. But talk to me a bit about the emotions and what people experience on the days that go by because thatβs unique. And by the way, I will say that my first time doing it, I experienced the unknown. I didnβt know how I was going to respond. The second time I was ready, I was almost like I was prepared to go for it. And then the third time I was even, it was a surprise that I was experiencing different emotions, though similar but an extra level of emotional experience and mindset that changed throughout the days. Tell me a bit of what youβve noticed with the patients throughout the United States that take this diet.
Β
[00:49:35]Β Victoria Hahn:Β Yeah, so in terms of actual survey data, unfortunately, we donβt have many feelings during prolonged. We do have one afterward, which is quite interesting. But to get into more of an anecdote, I typically get to hear what weβve discussed as a group. But all of the team members of that have, you know, something thatβs pretty common. Again, everybody experiences a little differently, and thatβs not really like a straightforward response. And I understand it is kind of its fear, though, but itβs yeah, itβs true. You know, some people go through this, and theyβre like, βOh, this was such a breeze, you know, like, I didnβt even feel like I was fasting.β And then others are like, βWow, you know, Iβve just never fasted before. And now, I fasted.β So theyβre like, theyβre kind of amazed by that experience. But arguably on day one, when most people donβt have any actual remarks on this day, some people will remark that βOh, well, you know, itβs a little bit less of what I usually eat,β but it has so many calories in it. And also the way that weβve structured out the actual day one, you get around almost like for technical meals that day. You get two of these large, like high healthy fat bars and then not be satisfied. And then also we have like two soups and a variety of snacks. So you get a lot of food in. And if you divide it upright, youβll notice that you know it does sustain you quite well. But by day two, three. Arguably, these are the days that most people may remark like, βI feel kind of sluggish. I donβt feel like myself.β Theyβre questioning why theyβre feeling off if you will, and itβs not specific. Itβs not like, βOh, you know, I have this type of pain, or I have this type of feeling.β Itβs just kind of like, I feel a little, not myself today. And usually, we like to kind of like in that to this transition. So are you going from sort of carb-burning to this fat-burning state? So thatβs like that adaptation. Weβre not too sure if thatβs whatβs happening, but it can be argued that some people, at least if youβve never gone through a fast before, you may end up feeling kind of some of these like, βOh, I feel a little off these two-three,β but usually by day four or five, and especially on day five. These are the days that typically people think kind of the most revitalized if you will. So they have energy on these days. They rebound, so they donβt feel that same kind of like, βOh, I feel awful.β Theyβre like, βWow, I have so much energy right now,β and I get a lot of phone calls or people; they feel like they shouldnβt have that much energy. Theyβre a little worried, like, βOh, you know, I woke up early today and got a lot done. Is this normal?β And itβs funny because, to some extent, thatβs part of that adaptation and how weβre kind of picturing it.
Β
[00:52:42]Β Dr. Alex Jimenez DC*:Β Victoria, Iβll tell you, when you mentioned that one of the beautiful things is that we have a social network when I have done this with a group of people. I found it very cathartic to communicate, take pictures of us while we were with the packages, and share, so I didnβt feel alone. I felt like I was in a community doing this together. So yes, when I recommend people do this as husband and wife or families that are large, they can try it together because it brings you together because youβre doing something for yourselves at the same time. So I got to tell you from my own experience that I felt the need to communicate, and it served me well to have that ability to communicate through social media. So, yeah, itβs an awesome thing.
Β
[00:53:32]Β Victoria Hahn:Β Yeah, and I definitely would agree that, if anybody is thinking about doing the fast, you know, definitely work together with others. Itβs funny because of the types of questions that arise; youβll find that maybe you have the same questions, perhaps you have questions, and you develop these inside jokes. I know for myself and a few others in the office. Whenever Iβm doing the fast, thereβs like a little packet of olives. But anyhow, itβs funny because you get like this little packet of them, and thereβs a little olive oil on the package. And once youβre done eating them all, like we are just kind of like taking all the liquid out and celebrating.
Β
[00:54:18]Β Dr. Alex Jimenez DC*:Β Yes, those olives are delicious.
Β
[00:54:21]Β Victoria Hahn:Β Yes, itβs funny. You can build a sense of camaraderie with this show that youβre with others when youβre doing it in terms of, you know, socializing with them? So other things that we see with the fasting-mimicking diet, which is specific to FMD, we ran a clinical trial, so there were researchers in 2017. They ran a clinical trial, and seventy-one individuals had completed this trial. And in essence, they wanted to see the effects of one round of fasting-mimicking diet on the five-day FMD, done once a month for three consecutive months. And so after what they had remarked that individuals, they lost on average five-point-seven pounds of BMI; body mass index that dropped by zero point nine points. And so that ratio of body weight to height trunk fat went down. So, compositionally wise, what kind of weight did people lose? It appeared to be this trunk fat, and lean body mass was thankfully preserved. We did not observe any lean body mass loss. So a lot of these healthy weight loss type benefits with the fast. And again, this was the five different be done once a month for three consecutive. And so other benefits that we see, of course, this promotion of cellular cleanup, reduction of body weight and body fat. And then, interestingly, this maintenance in the level of IGF one, which I didnβt go over too much, and I wonβt spend too much time on this bad boy because it gets rather relatively complex. But IGF one, itβs called insulin-like growth factor one, and itβs been implicated in this aging process and disease. And that part of one of the food sensing pathways. So this one is essential and one of the things that Dr. Longo had just done a lot of research with, trying to figure out whatβs triggering it and how we can modify it, at least with fasting. So these are all outcomes that we see with the FMD.
Β
[00:56:30]Β Dr. Alex Jimenez DC*:Β It is a bad boy. It is the one that we focus on when we talk about metabolic syndrome, and it goes intense and does make a difference on that bad boy called insulin. So itβs a good one. So I definitely will allude to that in a future podcast because itβs crucial that even though it looks kind of menacing and itβs a deep word, I love that the research was done with that as the basis.
Β
Β
[00:56:55]Β Victoria Hahn:Β Yeah, and you can spend a long time on this one. Its whole mechanism is a beautiful thing. But yeah, it just itβs interesting to see that again, like this kind of short-term intervention. We see some of these outcomes. So to go over some of these outcomes and like one, two, three, four formats. So one of them, of course, is rejuvenation, wellness, and health optimization. This program was designed to promote healthspan. Which health span is this concept of healthier years lives. So itβs one thing to live longer. Thatβs fine. But what if you know those years where you are in feeble health during that time? That wouldnβt be too fun, right? Maybe then you would reevaluate that concept of live fast, die young. So itβs so much less about that. Itβs more about healthier lives. So, you know, making sure that thereβs quality with that quantity is so important.
Β
[00:57:52]Β Dr. Alex Jimenez DC*:Β Victoria, thatβs a huge point there because touching on that one delicately, the issue is when I talk to my patients, I tell them, I want you to live 100 years. Thatβs what I say. I say that to them. We got to do it because when we look at the turn of the century, people didnβt live far beyond the 50s. Today, we live much longer. In the mid-60s, it was 65. Today weβre reaching even up to 100. Many of us have parents in their 90s and close to the hundreds, and one of the biggest concerns that people have is I donβt want to live that long. I donβt want to feel ugly or bad. And thatβs precisely what youβre alluding to, the quality of life youβre feeling in that process. So yeah, it makes sense.
Β
[00:58:30]Β Victoria Hahn:Β Yeah, absolutely. You know, and itβs a kind of itβs not a novel concept, but I feel like itβs gaining some traction more recently. But anyhow that I go a little further and just on these research results, there was a kind of weight management effect, so fast way to lose weight, specifically coming from the circumferential region so that shrunk fat, abdominal fat without any of that lean body mass loss. And again, this was only with five days. So, you know, think of short-term interventions of five days, donβt want to run for three consecutive days, and go back to what you said earlier. Thatβs where we get this concept of the once a month for three consecutive months. Itβs based on a clinical trial. Ultimately, in terms of how many times you may want to do the fasting-mimicking diet, thatβs a discussion for you and your health care provider. And also just, you know what your health care goals are as a whole. So it may not be appropriate for everybody to do them once a month for three consecutive, but for some, you know, it may. And to note, these effects did persist even when individuals went right back to their regular diet. So we had some follow-up evaluation after those three consecutive cycles. There was like, in essence, around like three or four months after those last three cycles. And during that time, the researchers have told those individuals, Go back to their usual standard diet. There was no post protocol.
Β
[01:00:00]Β Victoria Hahn:Β They didnβt follow a healthy diet, Mediterranean exercise more? There wasnβt any of that instruction, and we still did see this persisting in these weight loss effects, which was quite interesting. And, of course, in addition to some of the other markers that we had measured, we saw that this had helped maintain healthy levels of not only IGF one. So going back to the insulin growth factor one, super important but also systolic blood pressure. And then to get into some of those well-being aspects, I was mentioning earlier. So this was based on that survey that we had conducted in 2019. And what we have kind of summarized from this survey was that these participants reported just a multitude of these well-being aspects. So an improvement in their energy levels and would be after the fasting-mimicking diet. They also felt more empowered to make healthier changes in their life, and they felt like they had a positive impact on their lifestyle after the FMD. So itβs interesting to note that there is this kind of emotional or wellness aspect or impact to completing. In essence, prolonged, just five days can set the tone for so many other things to come. And although we didnβt measure this in the clinical trial, we took it upon ourselves to evaluate this on the neutral side, and we did get to see a lot of these fascinating empowerment outcomes afterward. And so then to kind of summarize, and this is, you know, in essence, my last slide before I have this Q&A. So to summarize the benefits of the FMD and this is again, you know, after the once a month for three consecutive four-five days on twenty-five off two more times in a row, we did see the maintenance of healthy levels of IGF one, systolic blood pressure. We all saw that lean body mass was maintained at a healthy level, and of course, we saw this reduction in weight and abdominal fat.
Β
[01:02:17]Β Dr. Alex Jimenez DC*:Β Thatβs amazing. This is it right here?
Β
[01:02:19]Β Victoria Hahn:Β Yeah, that is it, so any questions?
Β
Β
[01:02:22]Β Dr. Alex Jimenez DC*:Β Β Well, yeah, the question that Iβm getting here from some of my people on the feed is that they love the presentation. And actually, there are three nurses there that say that theyβre doing it, and theyβve done it in the past, and they loved it too. So let me ask you this. Thereβs a person who says heβs 300 pounds, and heβs about five foot seven. Can he do it? Heβs clinical from the dimension there. I think a clinically obese. And that issue there, heβs concerned that it may be something that he can look at and try. What could we say to him?
Β
[01:03:00]Β Victoria Hahn:Β Yeah, so what we can say to him is in that sense, you know, this program is one of the intentions of it is weight loss. But given that we know that obviously with a significantly elevated BMI, you may want to discuss it with your health care provider to determine if prolonged would be right for you. And then, in addition, with that frequency would look like so. I think the next step would just be having that conversation, opening it up. And itβs a pretty easy, straightforward conversation to have because, ultimately, what prolonged is that itβs just a five-day fasting-mimicking diet. But arguably, you could probably also say itβs a five-day reduced-calorie program. And typically, the health care provider will have a few questions about that. But itβs pretty straightforward.
Β
[01:03:55]Β Dr. Alex Jimenez DC*:Β Victoria, I would add that for an individual with that presentation, talk to your doctor first, find out metabolically how you stand if you have any underlying issues in todayβs environment. Before we go on and do anything unique and then you have some underlying issues, kidneys, heart issues, always get their doctor to approve these processes because you want someone to evaluate that, and that makes sense. The other question I have here, Victoria, that I noticed here was that people are asking where they can get it? Where can they order it? And is this something that they can get online? Do they have to go to a doctor? What typically are most people doing?
Β
[01:04:35]Β Victoria Hahn:Β So, I donβt know if you have a channel
Β
[01:04:39]Β Dr. Alex Jimenez DC*:Β I do. Yeah, we have our channel.
Β
[01:04:42]Β Victoria Hahn:Β Yeah. So in case you are a patient of Dr. Jimenez, then definitely discuss with him and determine if itβs a good fit for you. In essence, you might want to go through his channel, but we do also have a website. I would argue that most individuals are looking to incorporate fasting into their life, yeah, typically will just, you know, kind of purchase it on their own through the patient portal that we have online. But absolutely for some of the individuals you may have some questions about, is this right for me? Then itβs always going to be more appropriate for you to have that open discussion with your health care provider.
Β
Β
[01:05:24]Β Dr. Alex Jimenez DC*:Β We do a complete functional wellness assessment in our office. We go through deep, and we figure out where the physiology is. We do at least a wellness panel to determine whatβs going on, and we evaluate the BMI BIAs consistently and every few weeks. Itβs important to know if youβre going to be scientific about the process to have. If you specifically have underlying issues, you want to ensure that you have a watchful eye by your specialist, doctor, or family physician. So that makes terrific sense. Well, Victoria, I got to tell you, this has been a blessing on our behalf of El Paso, and I want to thank you at least. I want to thank the group over there at El Neutra and Prolonged for the design. The product is one that we need to have an environment where metabolic syndrome does affect so many, and we want to be able to do certain things to control our diets. When I first came to El Paso, the story was we were the fattest sweaty town in the United States. And sadly, that was it was known. But today, there are fitness centers everywhere. In 1990, when I came out here, there were no fitness centers. People are very health conscious. My patient base is hugely educated. The internet has as evolved. People are learning, and people understand the sciences of biomedicine, biometrics designs, and assessing the body for what it is. The question many times, because thereβs so much information, is, Well, what do I start? How do I do this? This is an excellent diet. Itβs a marvelous mechanism and a plan to follow with scientific backing, a fundamental approach that is, you know, second to none. I love the research. I consistently have their books. I have books to offer my patients if they ever want because I do have people that want to learn the breadth and width of the science behind the evolution of this particular diet. So Iβm very much excited to bring this to the community. So I want to thank you, Victoria, and I want to thank your group and organization for allowing at least this presentation to go live on social portals to bring a different option for our patients. And I want to honestly thank you very much because itβs been a blessing to hear the areas. Let me see if I can get you in there somehow. But youβre there. Iβll put you in the middle there, and what we can do is in the future; if you guys have questions, call me and discuss these things. And is there anything else that you would want them to know? Victoria, in terms of this protocol?
Β
[01:08:15]Β Victoria Hahn:Β So just a brief tidbit and not downplay anything, but to note. And I want to make sure this is clear that, of course, FMD is fascinating and novel. But just to mention, it has not been evaluated by the FDA to treat, diagnose, cure, prevent any condition. So itβs not meant for a therapeutic rationale. Instead, suppose you have these weight loss goals, healthy aging support goals, or metabolic balance goals. In that case, thatβs something that can fit in, but just always be very mindful that itβs not intended for the treatment and has not been evaluated for those types of implementation.
Β
[01:09:01]Β Dr. Alex Jimenez DC*:Β Well, said Victoria, I got that, and it makes perfect sense, and I appreciate you going out of your way to show us this process and to give us the parameters. Thank you very much.
Β
Professional Scope of Practice *
The information herein on this entire blog site is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional.
Blog Information & Scope Discussions
Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from various disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.*
Our office has reasonably attempted to provide supportive citations and has identified the relevant research studies or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how they may assist in a particular care plan or treatment protocol; therefore, to discuss the subject matter above further, please feel free to ask Dr. Alex Jimenez, DC, or contact us at 915-850-0900.
We are here to help you and your family.
Blessings
Dr. Alex Jimenez DC, MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
email: coach@elpasofunctionalmedicine.com
Licensed as a Doctor of Chiropractic (DC) in Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182
Licensed as a Registered Nurse (RN*) in Florida
Florida License RN License # RN9617241 (Control No. 3558029)
Compact Status: Multi-State License: Authorized to Practice in 40 States*
Graduate with Honors: ICHS: MSN-FNP (Family Nurse Practitioner Program)
Degree Granted. Masters in Family Practice MSN Diploma (Cum Laude)
Dr. Alex Jimenez DC, MSACP, MSN-FNP, RN* CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card
Β
Can a knee brace relieve discomfort, provide support, and expedite recovery for individuals recovering from… Read More
Can individuals incorporate these simple but effective exercise routines to reduce pain and discomfort in… Read More
For individuals who injure their neck or back, the muscles may spasm or seize up,… Read More
Can many individuals with sleep issues incorporate natural botanicals to get a good night's sleep… Read More
Can acupuncture be an effective treatment for anxiety and panic disorders in addition to other… Read More
Can individuals reduce being sick by incorporating chiropractic care and health coaching as a treatment… Read More