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A Telemedicine Physician on U.S. Health Care, Nutrition, and Metformin Biohacking

An Interview with Dr. Spencer Nadolsky

John Fawkes
Mar 17 · 8 min read
Photo by AndreyPopov.
Photo courtesy of Dr. Spencer Nadolsky.

The Interview

Can you explain exactly what it is that you do and what kinds of people you usually work with?

What do you think are the fundamental problems with the U.S. health care system? What would you change about it if you could?

What are the main advantages to seeing patients remotely the way you do?

Which medications do you think are most over-prescribed and which ailments most over-diagnosed?

You recently had a blood glucose monitor implanted into yourself. Can you explain how that works, how much it costs, why you did it, and what the results were? Is it something you’d recommend to a lot of patients?

Almost everyone who tries those seems to focus on testing individual foods. But I’ve read that the glycemic index of mixed meals is lower than the glycemic index of individual foods — have you found that to be true?

Tell us about metformin — why is it so popular these days, and how safe and well-researched do you think it is? Also, it clearly aids weight loss, but for people who are not overweight, do you think this will be pure fat loss, or is it likely to cause muscle loss as well?

On a related note, what do you think of metformin’s purported anti-aging and anti-cancer benefits?

Which nutrient deficiencies do you see most commonly in patients who exercise and are mostly in good shape? How would you have them fix those deficiencies?

Which dietary supplements do you find worthwhile for the general population? Do you recommend multivitamins, vitamin D, fish oil, creatine, etc.?

What about B vitamin malabsorption? Do you see that a lot? And I’ve seen research showing that even if your B vitamins are within the normal range, you’ll still have better mental performance if it’s near the top versus the bottom of the range. Do you see a lot of people with vitamin levels just barely in the normal range, and if so, do you see it as an issue?

What sort of exercise regimen do you typically prescribe for patients who want to lose some weight and develop a healthy lifestyle? What balance do you strike between weights and cardio?

In terms of ailments, what about postural issues? Do you see a lot of those caused by sitting at desks all day? And do you think anterior pelvic tilt is really as common as trainers make it out to be, or is it massively over-diagnosed?

How common are sleep issues in your opinion?

What’s your opinion on ketogenic dieting, intermittent fasting, paleo, vegan diets, Whole30, etc.?

Aside from diet and exercise, are there any other health practices you recommend for overall health and longevity?

Better Humans

Better Humans is a collection of the world's most…

John Fawkes

Written by

Los Angeles-based personal trainer, online fitness & nutrition coach, and health & fitness writer.

Better Humans

Better Humans is a collection of the world's most trustworthy writing on human potential and self improvement by coaches, academics, and aggressive self-experimenters. Articles are based on deep personal experience, science, and research. No fluff, book reports, or listicles.

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