How scientific wellness is changing medicine with Dr. Leroy Hood and Nathan Price

Summary

On episode 586 of 40+ Fitness, Coach Allan sits down with Dr. Leroy Hood, co-developer of the DNA sequencing technology behind the Human Genome Project, and Dr. Nathan Price, Chief Science Officer at Thorne Health Tech, to discuss their book The Age of Scientific Wellness.

Lee and Nathan lay out the case for a data-driven healthcare system built around 3 phases (wellness, transition, and disease) instead of today’s reactive, symptom-based sick care.

They cover the 4 Ps of P4 medicine (predictive, preventive, personalized, and participatory), how blood and microbiome testing can catch disease years before symptoms appear, and why individuals have to demand this kind of care instead of waiting for the system to offer it.

Links

  • https://thorne.com

Key Takeaways

  • Health exists on a continuum, not a binary. Lee argues most healthcare treats you as either sick or well, when the real picture is wellness, a transition period, and then disease, and data can catch you in that middle transition years before diagnosis.
  • Blood is a window into the whole body. Because organs secrete proteins and metabolites into the blood, testing the right analytes can reveal the state of roughly 25 different organs, not just the one symptom that sent you to the doctor.
  • Genetics changes how you should read your own labs. Nathan explains that 2 people with identical hemoglobin A1c or LDL cholesterol numbers can carry very different actual risk, because genetic factors affect how those markers behave, yet most doctors treat everyone the same.
  • P4 medicine means predictive, preventive, personalized, and participatory. The first 3 are largely solved by data and science, according to Lee, but the fourth, getting patients and physicians to actually act on the information, is the hardest problem.
  • Standard of care often waits too long to act. Allan and the guests point out that a rising A1c or LDL gets dismissed until it crosses an official threshold, even though the trend itself is the actionable warning sign.
  • Early intervention is simpler than late intervention. Nathan notes that catching a disease process early usually means a small number of straightforward changes, while catching it late means untangling hundreds of downstream problems.
  • Simple tools lower the barrier to participation. Nathan describes a “microbiome wipe” his team invented specifically because people would not do the standard stool sample, and adoption jumped once the process got easier.
  • Lee and Nathan’s 3 strategies to get and stay well: get a genetic profile to know your real risk factors, track blood and microbiome data over time to see where you stand against that risk, and actively work to slow your pace of biological aging through exercise, sleep, nutrition, and emerging research on compounds like metformin and NAD precursors.

“Healthcare is the only industry that does not study its own gold standard, which is wellness.”

Dr. Nathan Price

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Episode Notes

Podcast: 40+ Fitness
Episode: 586
Published: 2023-04-18
Host: Allan Misner (aka Coach Allan), author of The Wellness Roadmap
Guest(s): Dr. Leroy Hood and Nathan Price, our co-host, Coach Rachel, The Age of Scientific Wellness
Listen & Subscribe: Apple Podcasts · Spotify · YouTube (audio only)