[00:00:00] Carl Lanore: [00:00:00] welcome back to another episode of super Yuma radio today is every other Thursday, which means that the renew life Oreck show, um, and today we're being joined again with my good friend, Ronnie myeloma. We have a very, very good discussion today, especially if you have elderly people in your, in your family and your life.

[00:00:16] And we're going to detail an amazing opportunity for personal trainers and fitness people in general. Uh, who are suffering because of a COVID-19 right now, because their gyms have closed down and stuff like that. We'll get into that in just a second. Um, but before we do that, we have to thank our title sponsor here at the show.

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[00:01:03] Uh, amazing. Then of course there's their nut butters, which I actually use a dessert, a couple tablespoons of nut butters after a meal. And I'm satisfied cause they taste. So decadent, you can't believe that there's not sugar in them and there's not a, and then of course, the tasty pastry, which is a huge winner all around the country now available, I believe in vitamin Shoppe.

[00:01:28] Uh, but if you go to eat legendary.com, you can get them for 10% off when you use the code SHR, show them love, let them know you listened to the show. Uh, of course, and thank you. Uh, let's bring my guest on. Let's do this. How are you doing buddy? How you doing, brother? How are you? Good, good, good. Adam has been stealing your frigging light, man.

[00:01:52] What the hell?

[00:01:54] Ronnie Milo: [00:01:54] That's it. Now we've been extremely busy, actually at a higher to other wellness coordinators to help with the load. Uh, so [00:02:00] we've been extremely busy, so, uh, I'm like Adam. Built my book today. Can you do the show? And he's like, yes, I'll do the show. So he's actually out in California today recording another show.

[00:02:08] So he says, can you do call show? I was like, yeah, I'll do it.

[00:02:11] Carl Lanore: [00:02:11] Wait a second. He skipped my show to do somebody else's show, Oh, that ain't right. That ain't right. At least it's going to get mad. Cause she hates when I use the word ain't just this morning, I said ain't and she said, did you just say ain't? And I go, it's a Dick.

[00:02:24] It's a word in the dictionary. Now she goes, isn't like, okay. Isn't yeah,

[00:02:29] Ronnie Milo: [00:02:29] that's the old Brooklyn. And you ain't use.

[00:02:32] Carl Lanore: [00:02:32] Use use guys. I remember the first time I said that I was living in Las Vegas at first time I ever said it outside of New York, I was working with the client. I was telling them about a mobile telephone back in the day when a mobile phone was like $5,000.

[00:02:45] And I said, well, you use, can you he's like, did you just say, use,

[00:02:51] Ronnie Milo: [00:02:51] still do it? I still do it. I'm to correct myself sometimes.

[00:02:55] Carl Lanore: [00:02:55] So excuse me, Alyssa also [00:03:00] noticed something else about me. Since I've been doing video, I brought the microphone right up to my face. And when I talk a lot of cons, I have my hand over my mouth and she says, why did you, why do you do that?

[00:03:12] And I realized that I can see myself now and I'm scary looking. And so I'm trying to, I like, I'm trying to, I would put the microphone up here and there's certain, like, you can just see one arm. I would be very happy if I could do that. Um, but yeah, since I've moved the microphone back, people are telling me.

[00:03:30] The show sounds better. And it was because I just, I want to cover my face when I'm on the air. When I do video, when I'm, when I was just doing audio, I didn't care about it. It didn't matter. Nobody could see me and

[00:03:41] Ronnie Milo: [00:03:41] people still have a great face for radio. So I do.

[00:03:44] Carl Lanore: [00:03:44] I do. I do. I do

[00:03:45] Ronnie Milo: [00:03:45] well. It's funny you say that too, because a lot of times, like when I'm in the gym, I'll go back to your old episode and listen to it.

[00:03:52] Right. And I listened to one last week. I forgot what the topic was rigid. There. The sound quality, your voice was a little bit higher. You were kind of rushing through [00:04:00] some stuff. And, uh, now I listen to you now and it's just like, man, you made some leaps and bounds, but also too, a lot of the stuff that you provided back back in the day, it is valuable information.

[00:04:10] I think people, if you, if you don't go back into the archives and listen to some of the old, you know, conversations that you had with some doctors and some, some intelligent people, some very valuable information out there, you know, and he, and you are way ahead. Of the curve, you know what I mean? You're like light years ahead of the curve and I always go back and reference them too, because also too, and I apply a lot of stuff in the day to day business with our patients.

[00:04:31] Right. If I hear something from one of your old shows and you know, or one of your doctors, as we're speaking, I'll reference that, you know what I mean, people like, Oh, where'd you hear that from? And I'm like, you know, super Hammond radio, Carl. You know, I, you know, I would definitely recommend going back in the archives and there's a lot of shows.

[00:04:48] There's a definitely a lot of shows and pick a couple out and listen to them. It's some, some very valuable information, like I said, your light hears ahead of these people. So. Awesome.

[00:04:58] Carl Lanore: [00:04:58] Thank you. You know what? The funny thing about my voice [00:05:00] is my voice was higher back then.

[00:05:02] Ronnie Milo: [00:05:02] Yeah. You

[00:05:03] Carl Lanore: [00:05:03] speak it real fast and I talk really fast.

[00:05:05] And if you go back and listen to Howard, Stern's early years, his voice was higher and he talked a lot faster. And as he got older, his voice got deeper and raspier, and he started talking slower and slower. I don't know. I guess it's, um, you know, people see you age. If they see you day in and day out for 10 years, 15 years.

[00:05:26] Well, They hear me age. They hear my voice change. The cadence of my speech as I've aged. And so they're like, man, you're all shows you, your voice used to be so high. I says, yeah, I know it. I don't know where it came from. It just got deeper. My father's voice got deeper, I guess that's the thickening of the vocal chords or something like that.

[00:05:44] But yeah. Are you, you're hearing me age over the past 14 years? Absolutely.

[00:05:48] Ronnie Milo: [00:05:48] Yeah. I get that sometimes too. When I'm on the phone all day with patients and the end of the day, I kind of like, feel like a little, like I smoked a pack of cigarettes. You know what I mean? Like that recipe, uh, you know, sound and I catch myself going [00:06:00] a little different today.

[00:06:00] Carl Lanore: [00:06:00] People are like, at the end of the day, I'll talk to friends and they'll be like, what will you show about today? Oh, we talked about like today we talked about a, you know, aging and exercise. Yeah. W w what'd you guys talk about, I'm like, Go listen to the show. I'm not going to repeat everything. I just did all that for two, for an hour and a half.

[00:06:17] I just talked for an hour and a half. You want me to like recite her? And I think people think I'm a jerk because I'm like, well, just go listen to the show. No, no, just give me, just give me the fine point. No, just go listen to the show. I'm not going to talk about it all over again. I just, I just did that.

[00:06:30] You know, that's funny. So today's show is really important. We have a baby boomers out there that are aging. Uh, and we have a physical, uh, personal trainers, uh, out there that are starving. And so today's show is for them, for both of these people and valuable information for the older people and valuable information for the personal trainers out there.

[00:06:51] We're going to talk about two different studies. The first one is called 24 month resistance and endurance training and, uh, improves muscle size and physical [00:07:00] function, but not muscle quality in older adults requiring longterm care at first glance. You go on, but not muscle quality. It's not about muscle quality.

[00:07:10] It's about being able to ambulate. It's about being able to get out of a chair. And it's actually about getting stronger, even though you're older. And I think you and I can both agree that the objectives of this study over 24 months were less than heroic. These people only exercise once or twice a week.

[00:07:30] So talk about it a little bit.

[00:07:32] Ronnie Milo: [00:07:32] Yeah. So basically the, the, there was two different studies, but the first one that you sent was a controlled study on, I guess, the age group from you have it on the screen

[00:07:41] Carl Lanore: [00:07:41] there, 77 average age,

[00:07:44] Ronnie Milo: [00:07:44] average age. Um, and they did a study of, like you said, you know, one, one to two training sessions a week, and then they did a electro cardio or electro imaging after that, and then a VF, a test on that.

[00:07:57] And they showed a significant increase in the BF [00:08:00] quality. Quality meaning that the quality of muscle, not the density of muscle. And, uh, it showed that it increased their, you know, their mobility increase the muscle tension and created, uh, increased a bunch of other different factors that, uh, actually help with health and longevity in the elderly.

[00:08:16] So it was a very, very, very good study, very a comprehensive study. They also mentioned a couple of things in that with, uh, you know, obviously sarcopenia, right? And we know that a lot of elderly suffer from sarcopenia and sarcopenia obviously is a, a breakdown of muscle tissue. When you get older. Right.

[00:08:33] But if you look at it in 30,000 feet, right. What causes sarcopenia is lack of mobility, lack of exercise, lack of movement. And then also too, on our aspect of our, our, you know, what we do on a day to day basis is lowering of hormones. You know what I

[00:08:47] Carl Lanore: [00:08:47] mean? And that, and I want to talk about that for a second.

[00:08:49] Right? So when we looked at this particular study, they, they changes in strength and function. Well, all positively correlated even against the [00:09:00] control group with the 76 year old average age group that was doing resistance training. And I was the, as soon as I read the study and I looked at it, I thought, yeah, but if they would've added sex hormones, now we would have seen, we would have actually seen a change structural changes in the muscle that would have contributed to muscle quality, which they said really wasn't there.

[00:09:23] They, they got stronger. The muscle got bigger, but the quality of the muscle didn't improve. And I think you're right on the money with what you just said. And that's because the missing piece was the hormones that tell the muscles you're still young. You can do this. Right.

[00:09:41] Ronnie Milo: [00:09:41] But also too, if you look at it, any kind of exercise resistance or exercise activity will increase natural testosterone, production and growth hormone production.

[00:09:50] Right. So they kind of both work together. And that's why they're starting to see a different increase of muscle thickness because they're probably elevating their hormones to a point that. [00:10:00] It's increasing muscle protein synthesis. Obviously it's increasing new muscle fibers. It's increasing other different factors that are contributing to that.

[00:10:08] And then they're starting to see more of a quality of life. Same with osteoarthritis, right? Osteoarthritis is,

[00:10:14] Carl Lanore: [00:10:14] I don't want, I don't want to get too into osteoarthritis. I want to save that because we're actually going to talk about a study set separately about osteoarthritis, because the number one reason that elderly people don't exercise is they say.

[00:10:27] I, they have arthritis and it hurts to exercise. I want to talk about that. I want to save that. I don't want to give that any of that away, but I do want to, I do want to talk about something else. You talked about osteopenia. I'm still Penia is associated with insulin resistance because we know, you know, like I've sat on this show for years.

[00:10:45] Muscle has metabolic currency. I said that on purpose, not by accident because the more muscle you have. The more metabolically flexible you will be. And the more metabolically flexible you are, the less likely you [00:11:00] are to start to develop a metabolic derangement like insulin resistance, for instance, and the more muscle you carry, the less likely you are to become insulin resistant.

[00:11:10] So as you're losing muscle, the thing that burns the most calories, even sitting still, uh, you are now starting to invite. Insulin resistance, which ends up being type two diabetes. That's a, that's an unspoken, that's an unspoken component of the, the, the, the value of maintaining muscle as you age

[00:11:34] Ronnie Milo: [00:11:34] also. I mean, you look at osteoporosis and osteopenia.

[00:11:37] I mean, that's the downregulation of bone mineral density, but that also connects to the hormones, right? Because once the hormones decline the bones stop making minerals, and then obviously the bones become very, very, um, Rental rental. Yeah. And that's when he's had osteopenia and osteoporosis. Now we have people that come into clinic that already been diagnosed with osteopenia or osteoporosis.

[00:12:00] [00:12:00] We look at their hormones, their hormones are in the tank. We put them on some kind of hormone replacement therapy within six to eight weeks, they get, uh, an increase in value and then they go back to their doctor and that they, how did you beat your osteoporosis or osteopenia? That's because we increased the, uh, the hormones.

[00:12:16] Right. So it all connects to each other. It's all like the whole cascading system.

[00:12:20] Carl Lanore: [00:12:20] So interestingly enough, osteopenia and osteoporosis are co-related because the stronger your muscles are, the more your body makes the bone stronger. Okay. And so the more horsepower you have, you put a, if you put a thousand horsepower engine and old Vega, the first whole shot, you're going to twist it, twist the entire chassis.

[00:12:43] Cause the chassis was never made to handle a thousand horsepower. Well, the same is true of your body. As you gradually get stronger signals to bone increase, to reabsorb and get thicker and stronger. This is part of the [00:13:00] co relationship between muscle and, and, and, and the skeletal system. You don't have to be an old person to understand this value.

[00:13:10] Gwenyth Paltrow. Five years ago had hairline fractures in her shin bones and, and, you know, she's a quasi vegan. Uh, she doesn't believe, I know she trains with that Tracy girl who doesn't believe that women should lift more than a five pound dumbbell. Well, sure. If you are not loading. The muscles and you are not loading the skeletal system.

[00:13:35] The body thinks all this extra bone is, is unnecessary. And you literally start to erode. And just a simple thing. I remember reading a study probably 10 years ago that showed that. Regular twice a week. Bouts of squatting was more effective at increasing hip bone density, then hormone replacement therapy.

[00:13:58] Now think about that for a second. And women [00:14:00] that were post-menopausal, they had two groups, one that trained specifically in the squat and one that was on, unfortunately. You know, Premarin, Prempro and crap like that. But nonetheless, the ones that were squatting without HRT, so a greater increase in bone mineral density than the ones that will on hormone replacement therapy.

[00:14:21] Now they work hand in hand, but we have forgotten. That familial of years, we would design to toil to work hard, to expend energy. It's it's estimated that Hunter gatherer populations, they burn through 15,000 calories a day where we're being told don't eat more than 2000 calories a day. Yeah, because we are basically seditary compared to what we're supposed to be doing.

[00:14:49] We have to remember, this is not this message while we're talking about elderly people specifically, this is not just elderly people. If you're in your thirties, you're a woman or a [00:15:00] man and you are not regularly training resistance training. I don't care if it's body weight or whatever. You are losing muscle and you are losing bone and it will catch up with you at some point in

[00:15:10] Ronnie Milo: [00:15:10] time.

[00:15:11] Well, so you did a show back. I don't remember what it was about, uh, hip mobility and in the elderly and by doing squats or some kind of deadlifts, and it showed that more increase in mobility and it created increased, increased more, um, uh, vitality and people. And then actually, I think you, you know, to your quota was kept them out of the nursing home.

[00:15:33] Carl Lanore: [00:15:33] Yes. Yes. So that's, that's really the focus here too. Both of the studies we're talking about today. When taken together are designed to keep you out of the nursing home. I've said on this show, at least a thousand times, especially with women, women outlived men by seven to 10 years, but women end up in institutions and why?

[00:16:00] [00:15:59] Because they try to get out of the chair one day and they fall. And after a couple of times the kids go, mom, you can't live on your own anymore. We got to put you in a nursing home. So if you don't want to go in a nursing home, you have to maintain strength. It's not easy as you get older. Trust me, I'm 62 years old.

[00:16:16] I feel it I'm, I don't feel like training as much. I don't respond to training as well. That's going to change very shortly, but anyway. You, you start to like lose interest in doing these things. And there's always been the discussion. Uh, do we age because we stopped moving or do we stop moving because we age and I'm telling you right now, I'm telling you right now, nothing true than what I'm about to say you age because you stop moving because of you stay in motion and you stay strong.

[00:16:43] You will not age. I used to say stronger is younger. If you're stronger today than you were yesterday, you're frigging younger. I don't give a damn what any doctor says you are younger. So they looked at physical performance in this particular study. [00:17:00] And what they looked at was the, uh, uh, the power produced by the, uh, extending the knee, like, uh, like a, uh, uh, a leg extension and also the five minutes.

[00:17:12] Walk test, which is very, very common today. The faster you walk, the longer you're going to live. There's a study that shows that if you're one of these people who, who shuffles along, you ain't got long to go. Yeah. I have chronic pain and I walk fast. I have terrible pain in my legs from, from who knows what at this point in time.

[00:17:30] And I still walk fast. If you walk fast, you're going to live longer. They've correlated that, just like the hand grip and the length of life that the quadricep strength and the length of life, it's all legit. But then the other thing they looked at was the ability to sit and stand on command, how long it took you and how stable you were.

[00:17:51] Once you became a wreck. All of these things were improved in the group that only trained once a twice a week. For 24 [00:18:00] months, just once or twice. Imagine if they now imagine if they work with real resistance, real personal trainers who understood how to build strength and real progressive overload that isn't dangerous for these people.

[00:18:15] Imagine what happened. What they did in 24 months probably could actually be done in three or four months. And you would just get stronger and stronger from there. Right.

[00:18:23] Ronnie Milo: [00:18:23] Yeah. I agree with that a hundred percent. And it's funny you say that because when you send this, these articles over to me this morning, the first thing that popped in my mind is I go to the gym at five o'clock in the morning.

[00:18:34] There is a 96 year old man. His name is Al. He goes to the gym every day and he trains and he tells you he's 96, but then he tells you that he talks to all his other friends that are 96 and they don't want to move they're there, they're there they're depressed. They don't want to do anything and any, you know, and he's like, well, I tell them to come to the gym and he's like, for what, you know, they tell him for what?

[00:18:53] And he's like, you just gotta be active. Now, I'll tell you, when you talk to this guy, it doesn't, you don't, you never think he's 96. [00:19:00] He's always happy. He's always moving around. He's always doing stuff. And actually when the, when the pandemic hit and then all the gyms were closed, I checked on him and he said he wasn't doing very well because he wasn't able to train.

[00:19:09] Carl Lanore: [00:19:09] Wasn't able to train. Dude. I felt so horrible after two months of not training, it's just ridiculous. All I kept saying to Elisa was, if this goes on much longer, it's going to kill me. I really made that. I even said it on the air one day. If I die, it's not because of. Anabolic steroids it's because I haven't been to the gym in two months now.

[00:19:29] I felt terrible and now I'm getting to the gym and I actually feel better already. So I know that it will just get better from there, uh, when they do get

[00:19:38] Ronnie Milo: [00:19:38] a lot of people when they started closing.

[00:19:41] Carl Lanore: [00:19:41] Yeah. The percentage of change of knee extension peak torque explained the percentage of change and the size of the rectus femoris muscle, which basically is saying.

[00:19:50] These individuals got stronger, their muscles got stronger, their muscles got thicker. And so this is the op this is why he say [00:20:00] stronger is younger because if aging is associated with osteopenia muscles breaking down and shrinking osteoporosis bones shrinking and becoming demineralized, then if you're reversing that.

[00:20:15] If you're getting stronger, your muscles are getting bigger and your bones are getting more dense than your you're not aging. None of the classic sense of aging, you know, and nobody, nobody in the age and the aging community talks about this stuff. They don't talk about this stuff. They don't talk about the value of hard work.

[00:20:36] You know why? Because I can't sell you something. I can't sell you a magic potion. I can't sell you a telomere lengthening pill. No, because you could do all this on your own. You could do it in your backyard. If you're disciplined, I'm not disciplined. I have to go to the gym. I love going to the gym.

[00:20:52] There's something about, I'm more inspired to lift heavy when I know other people around me. Okay. So I'm flawed as a human being. What can I say? But the [00:21:00] bottom line is you don't have to sell me anything. I can stay younger and get younger. Every single day I go to the gym. Right.

[00:21:06] Ronnie Milo: [00:21:06] That's a, that's the case too, is like, when, you know, you know, patients are having these kinds of issues, they go to their physician, their physician doesn't talk about nutrition.

[00:21:13] It doesn't talk about training that you give him a pill, right. They give him a pill, here's your fix. And then, you know, call it a day, but that's not fixing the problem. This is masking the problem, the fixing, the problem is actually doing what we do obviously is promoting, uh, you know, any physical activity, uh, checking your hormones obviously is important and obviously nutrition as well, you know?

[00:21:31] And they don't want to cover that. Right? Cause like you said, they want to sell you

[00:21:34] Carl Lanore: [00:21:34] something. And the conclusions of this, let me back up. So the 20 to 24 months training induced muscle hypertrophy and improved physical function, which is what we want with older people. This means that they're getting younger, that's it folks, that's it.

[00:21:49] And on top of that, they even came to the point of conclusion that improving their strength potentially could reduce the need for longterm care in older adults. So [00:22:00] if you are scared, I know people who are afraid to go into nursing homes. They tell me, I don't want to go into a nursing home. They treat you like crap.

[00:22:07] They beat you. They, yes, you're right. They do all these horrible things in nursing homes. Even the good ones. If you don't want to go in a nursing home, get your ass up and start training. Don't come. Don't tell me don't cry to me. Don't tell me that you don't want to go to the nursing home and then you'd also don't want to get up and move.

[00:22:26] Don't tell me that you can't have both of them. You gotta make a choice. Which one is it going to be? Well,

[00:22:31] Ronnie Milo: [00:22:31] let me ask you this, you know, you're, you're in the sixties, right? How many of your friends are in the same age bracket that don't train to look significantly older than? You

[00:22:39] Carl Lanore: [00:22:39] know? I have a lot of friends who were on a lot of medications.

[00:22:42] I have a lot of friends that are diabetic. I have, I have friends who think they're healthy because they run five miles a day, but they literally waste. I'm watching them waste away. I got one friend, very good friend. I care about him. I've tried to. Talk to him about, you [00:23:00] know, splitting up his, his running with his resistance training.

[00:23:03] He says, he goes to the gym, but he's not doing progressive overload. See what people don't understand is you go to the gym and you're using the same way, day in and day out for years, you're not getting stronger. And in fact, you may not even be retarding your, your muscle loss because the body adapts and wants to get rid of the extra muscle looks at muscle as, as, as a very, very expensive.

[00:23:23] A thing to have to manage calorically. But if you understand the tenants of progressive overload increasing the weight, you're handling slowly increasing the, the, the volume of work you're doing slowly. It's not a sprint. It's a lifelong race. If ever you're every day, you're adding a rep, you're adding a quarter pound, you're recording it.

[00:23:43] You're keeping track of it. You're really meticulous about progressive overload then. You're going to maintain your muscle. I mean, look, I didn't train for two months, but if you looked at me, you wouldn't think you would look at me and go, Holy crap, this guy has got a lot of muscle on him. Yeah. It [00:24:00] takes longer than two months for it to go away.

[00:24:01] Now, your acute effects where I felt like crap. There's no doubt about that. But. The reality is it takes a long time to build muscle. It takes a long time to lose muscle, but these guys who are just running all day long, they think that is it's all about just run, run, run. I'm watching this guy wither away.

[00:24:18] He's got no shoulders anymore. He's got this little, his neck goes in there to just slow right down. And he's always got a little pooch of fat. So he's not super lean because he has no muscle left.

[00:24:29] Ronnie Milo: [00:24:29] No. Yeah. Yeah. Cause he's burned a muscle for energy a and then his body's under significant stress. So he's releasing that cortisol.

[00:24:35] So they, you see that a massive amount of adipose tissue in the lower dominal area. You know what I mean? Right off the bat.

[00:24:42] Carl Lanore: [00:24:42] Um, so Jeff Clifton makes a really important point. The medical orthodoxy. Doesn't see the value in the things we're talking about today. And if they did insurance companies would pay personal trainers because personal trainers would take insured people and make them [00:25:00] less.

[00:25:01] Dependent on using their insurance, which in turn would be more profits for the insurance companies. Think about, think about like Elisa and I, the only thing I spend money on, if I'm not tearing a muscle, which has happened a few times, but not overall my life, the only thing I'm spending money on is every year I get tests, I paid for my own testosterone because the insurance company doesn't cover it.

[00:25:21] I mean, They do cover my thyroid hormone, but I've actually stopped using thyroid hormone. About two months ago. I just stopped. I keep filling my prescriptions because I figure, well, maybe someday I'll use it. I've got like five full bottles of Armour thyroid, but I've cut my, my thyroid hormone out because I just didn't feel like I needed it anymore.

[00:25:39] And I thought, let me see. And sure enough, it has not affected me at all, but. I imagine the impact on insurance company's profitability, if they paid more attention and they funded personal trainers to work with people, which is exactly what I'm suggesting at the end of today's show. At the end of the day, it's hard to swallow dumbbells [00:26:00] and barbells.

[00:26:00] I guess that's true if you can't eat them. I think that's it. And I'm sorry for those of you who I'm just C C Facebook user, for some reason, your security settings are not letting. A stream yard, pass your name along. So feel free to comment here and put your name down that you said this so we can at least give you credit for that.

[00:26:21] Ronnie Milo: [00:26:21] Well, I want to touch real quick on, on Jeff. A question,

[00:26:25] Carl Lanore: [00:26:25] you go back to that. Let me go back to that. Hold on a second. Let's get that. It got it.

[00:26:29] Ronnie Milo: [00:26:29] So I do know, cause my gym does it is they have a program called silver sneakers. Yeah. It's a program for the elderly. And I think the insurance company pays the gym.

[00:26:38] I'm not familiar of how much they, yeah. But they do pay them monthly to provide that class. So I think that's the only thing that I know, but yeah, to his

[00:26:45] Carl Lanore: [00:26:45] wife, what they, what silver sneakers does is insurance companies like Anthem and. Uh, and you manna have, uh, uh, you can go to just about you go to any gym in your city just about cause they all participate for free [00:27:00] or for like $4 a month or something like that.

[00:27:03] But all that covering is the gym membership. They need to cover personal trainers too, because just because you have a gym membership and just because. You can sit down at a machine, doesn't know doesn't mean, Hey, you know how to use that machine. And doesn't mean be you understand the tenants of safe, progressive overload.

[00:27:28] That's going to actually make you stronger. That takes a person, you know, I can pick up a scalpel and I can even cut something with it, but I can't remove somebody's appendix, you know what I mean? It takes a little education and he's right. The insurance companies. Really do need to start paying attention to this because it's in their own best interest.

[00:27:50] They'll be more profitable. They'll be paying for less surgeries. There'll be paying for less. Uh, um, Oh, hold on. A second. Things are running away from here. There'll be [00:28:00] painful. Eye surgery. I'm sorry about that. I'm running on a clock now. Like I used to do when I was with clear channel. Yeah, and there'll be painful, less drugs, less medications for type two diabetes and stuff like that.

[00:28:11] And, and again, my buddy who runs incessantly, he takes diabetes medication and blood pressure medication, which tells you that what he's doing is not working. So it's, it's not just a matter of Oh yeah. I'm just going to go out there and do this and do that. You, you need some help. You need people who understand this to show you.

[00:28:33] Absolutely. Alright, we'll get to take a break. And when we come back, we're going to talk about another study because the number one reason that elderly people cite for not doing exercise is it hurts. And the number one thing that they complain about is joint pain or osteoarthritis. So we're going to look at a study now that shows.

[00:28:52] That the best thing you could do for your osteoarthritis is counter intuitive. And to get to the gym you were [00:29:00] listening to the superhuman channel. Don't hate us because we feel good.

[00:29:11] I want to put this up real quick. David Ellison, who is watching the show. On YouTube says he lives in Canada. A friend of his is a personal trainer and he goes to senior homes and trains them. And the government pays him for that.

[00:29:26] Ronnie Milo: [00:29:26] Yeah.

[00:29:27] Carl Lanore: [00:29:27] Is Canada is ahead of us on that one. That's we can tear a page out of that book and we can learn something.

[00:29:31] There's no doubt about it. So the next study, we're going to talk about if I can get here fast enough. Is a strength training in older adults and how it affects osteoarthritis. This was a, this was a review, a meta analysis, I guess, or review of existing studies. What they looked at, they looked at randomized control trials of progressive resistance training by older people [00:30:00] and its effect directly on osteoarthritis.

[00:30:04] A eight studies made it into a. The analysis and they looked at lower body extensor strength. And why is this important? Because like I said before, like I've said a thousand times before, if you can't get out of a chair, if you can't stand up straight and you start falling down, you're going to go into an institution because nobody's going to leave you in your home, laying on the floor, waiting to die.

[00:30:29] And they looked at not only did they look at strength, um, but. They looked at function and pain reduction specifically, and they saw a significant to moderate pain reduction in all of these scores. When they looked at the pain reduction alone, it suggested that resistant training, particularly a stroke has strong functional benefits for adults with osteoarthritis, not only from the standpoint of.

[00:30:59] They got [00:31:00] stronger and more stable, but their pain went away. This is counter intuitive, right? If you ask an old person who's got painful knees and you say, you know, you need to excise it. Oh no, my knees will hurt me. They'll get worse. No, that's not true. It actually shows in research that the pain gets easier and more tolerable.

[00:31:21] And I'll

[00:31:21] Ronnie Milo: [00:31:21] tell, I can tell you firsthand. I have a lot of knee issues cause I was a catcher playing baseball, plus obviously bodybuilding. If I don't train my legs, I miss a Le you know, a leg

[00:31:29] Carl Lanore: [00:31:29] day. Uh, my knee

[00:31:30] Ronnie Milo: [00:31:30] starts to really aggravate me like throbbing pain. If I do train, I have no issues. So to that point, you know, training, uh, that actually helps decrease the pain.

[00:31:40] You know what I mean? I don't know if you had any experiences with that, but for me it definitely helps.

[00:31:44] Carl Lanore: [00:31:44] I, my legs hurt me for a variety of reasons. And when I don't train them, They hurt so much more. When I train them for three days, they feel better around the fourth day, they start getting stiff and painful.

[00:31:59] Again. [00:32:00] I only train them once a week right now because I'm just getting back into the gym. But I think my body wants to train legs a couple times. Now here's another thing that training your legs does. There's a lot of evidence that neuropathies are not what we thought they were from glycation of high blood sugar, but instead.

[00:32:20] Vasculature closing down when you were a kid, if you sat on your leg and you stood up and it was so sleep, and as it started to come back, you had a moment where it was actually painful. And then all of a sudden you feel things again. Well, we're starting to understand that the microvasculature that feeds the nerves closes off.

[00:32:43] And you're in this limbo zone of the foot is almost a fall asleep and isn't, so it hurts all the time. Well, we know that if you get into the gym and you do leg presses, even with lightweight, what happens, you get a pump. What is the pump doing? It's [00:33:00] forcing blood into the tissue in the leg. Well, what does that do?

[00:33:03] That makes those small little blood vessels open up because the pressure is going off. And if you do that two or three times a week, guess what? All of a sudden you notice my neuropathy feels so much better, but how do you get somebody who has pain in their legs to train when they think it's just going to be more pain?

[00:33:20] It's not more pain. Right

[00:33:22] Ronnie Milo: [00:33:22] also to increase the synovial fluid, which is lubrication of the joint. So it decreases the pain as well. Cause when I, when I train legs, I have to warm up my knees very well. I get on the bike for about five minutes to get them the blood in there, the synovial fluid going, and I do some competitive sort of hybrid squat with no wage just to get the blood.

[00:33:39] Like you said, the blood into the muscle and into the ligaments and the joints. And then I could do a full leg day with no issues. So it's very important obviously to move that joint, to get the blood in there, obviously, and it gets a synovial fluid in there. So your body's ready to, to, to, uh, you know, accept the load.

[00:33:57] Carl Lanore: [00:33:57] Okay. And you don't, and for those of you have [00:34:00] severe leg pain and you think yourself, I can't go into the gym and start leg pressing and leg extensions and all that sort of stuff. Even with the personal trainer, that's fine. Start walking, walk a half hour a day, bump it up to 45 minutes a day. Bump it up to an hour a day, you know, Mark Bell, who's a super strong dude, powerlifter wrestler.

[00:34:20] The guy is just, he's, he's intense. He's so strong, but he has made a friend of walking. Mark loves to walk. Now he talks about, if you have lower back problems, you know, the best two things you can do for your lower back walking and planking, walking has been shown. To completely correct. Uh, L four L five S one compression because your hips move like this and you push off.

[00:34:48] So it Springs and you do that for a half hour. And all of a sudden those discs become decompressed. You do that every single day, they become decompressed more. You do that for weeks on end, you go, Oh my [00:35:00] God, my back doesn't hurt. You know, I did something very stupid. One time I did under the seat shrugs.

[00:35:07] Ronnie Milo: [00:35:07] Wow.

[00:35:09] Carl Lanore: [00:35:09] Okay. This is when I was living in Phoenix. I was jacked. I mean, I was doing two grams of test, the gram of DECA. I was doing 600 milligrams of trend. This is when I was my strongest. It really was. And I could thought I could do any, I was doing reverse hack squats, literally with 800 pounds on the, on the hack squat machine.

[00:35:26] And I was doing it for, I mean, I was so strong then, but my body really wasn't ready for that work. It really wasn't I disrespected my body and I ended up injuries. Right. So I got down. I was doing, cause I thought, Oh yeah, I'm going to do those shrugs under the seat. And so I think I had, I don't know if I had 500 pounds on it and I'm shrugging away.

[00:35:49] I did three sets of it, you know? So every time I would have to bend down and grab the bar and then I would sit up with it and have my shoulders roll back so that I could truck with it. I ended up [00:36:00] compressing L four and L five so badly. That I went to sleep that night. The next morning I woke up, my right leg was like a dead fish.

[00:36:12] I'm not kidding. I couldn't walk. Like when I did walk, my foot would drop. I was like, Oh my God, what did I do? Well after I started doing research, I realized I had compressed sciatic nerve, completely coming out of that L four L five area. And. At that time, I lost my car in the divorce. So I was relegated to walking everywhere.

[00:36:38] Now I was told by three people that my leg would never get better. It would get marginally better, but that was it. I had destroyed this nerve and they would do, you know, I had a walk to the gym, pure fitness on McClintock. Uh, road was, uh, was a, um, a mile there. And a mile back. I walked to the gym, [00:37:00] trained and walked home every single day.

[00:37:01] And in about three months, my leg was back to normal. My foot didn't drop anymore. And I was told that I was sunk. I was told this is it. You, you, you, you crushed a nerve. It's never going to come back because it was severity.

[00:37:13] Ronnie Milo: [00:37:13] They want to cut you open.

[00:37:14] Carl Lanore: [00:37:14] Right. That's what he said. He said, you're going to have to get back surgery.

[00:37:17] We got to, we got to do a laminectomy. They said a lot. I'll never forget. I was what's the laminate. We cut the, uh, the ligaments on the two vertebrae so that they can separate. And I said, well, you know, how, how severe of a surgery is this? Well, you're probably going to end up with back problems for the rest of your life.

[00:37:33] I have no, I have, I have back problems now, but they're not, there's nothing I can't manage for the next 20 years. Walking. I was forced by judge George to walk and indirectly, he saved me because I had to walk everywhere and that corrected my back later on, I had Stu McGill on the show who wrote the book, fix your own back.

[00:37:54] And he said that the number one thing to fix a low back problem is walk, but nobody wants to walk.

[00:38:01] [00:38:00] Ronnie Milo: [00:38:01] Yeah. I mean, walking as a whole host of benefits, I mean, a lower blood pressure, lower stress levels lowers your heart rate. I mean, actually helps fix your back, uh, helps with, uh, you know, knee mobility, knee joint pain, it's walking phenomenal.

[00:38:13] I tell a lot of my patients to walk.

[00:38:15] Carl Lanore: [00:38:15] I mean, I didn't want to walk. And Stu said, if you have really bad back problems walking with a backpack with maybe five or six pounds in it is actually even better because when it pulls your shoulder back, it returns that natural curve in the spine. I mean no low don't load it up.

[00:38:32] Don't put 60 pounds in there, but just enough weight where you feel it pull you just a little bit back, that's it?

[00:38:39] Ronnie Milo: [00:38:39] Yeah. So I have, I take a aquarium standard or wrap it up in a garbage bag with duct tape, put it in the backpack. And I have a golf course that I live on. I walk on the golf course, uh, and after that, my back feels amazing.

[00:38:50] These

[00:38:50] Carl Lanore: [00:38:50] little tweaks, all revolve around what movement. But what do people do when they have pain? Don't move. [00:39:00] I mean, it's like, it's like, it's a self fulfilling prophecy. It's like, sure. You're going to, you're going to be horrible. You're going to feel terrible. Sure. Your back is going to bother you more.

[00:39:08] Sure. You're going to be miserable. Get up and move. Walk, make friends with walking. So I wanna, I want to post this and then we're going to take our last commercial break. So this study concluded that clinicians should encourage. Participant two participation exercise programs, even in elderly with osteoarthritis, because it actually improves everything, improves everything, but here's the problem.

[00:39:36] The problem is the divide between clinicians and personal trainers, but this is also the area of opportunity. So if you just stay with us for a couple minutes, I promise you that we're going to discuss. An approach that if you are a personal trainer and you're feeling the, the cringe right now from, from COVID.

[00:39:56] Your gym is closed. People don't want you to train with them anymore [00:40:00] because they're afraid of catching something. There's a, there's something that you could do to actually jumpstart business, stay tuned. We'll be right back with more of the renew life RX show. This is the superhuman channel doing reps with the weight of the world.

[00:40:21] Welcome back. I keep wanting to pull the microphone to me. Uh, welcome back, uh, to the renew life RX show with Ronnie Maiello. By the way, if you are contemplating hormone replacement therapy, or you would like to work with a clinic that is sensitive to real anti-aging, most people think anti-aging is about your skin.

[00:40:39] You look up anti-aging you find plastic surgeons galore, but if you really want to age better, Not develop age related diseases. The place to start is renew life rx.com, go there and ask for a consultation. Doesn't cost anything to make a phone call. And if you decide to use them and you use the code SHR, you'll save 20% off your lab costs.

[00:41:00] [00:41:00] So check them out, show them some love. Um, Jeff Clifton says doing this barefoot in the grass and in the sun. I try fact that he's absolutely right. W w people are way too afraid of the sun. The sun is amazing, and there is a lot to grounding. A lot of people don't want to, they don't want to believe it, but I didn't believe it until I was at quest once.

[00:41:20] And we had a dark field microscope and check people's blood before grounding and after grounding. And there's a phenomenon called the rouleaux effect where red blood cells stack up like casino chips when they stack up like that, they have less blood oxygen delivery capacity. Because the surface areas are all covered.

[00:41:43] They also can increase thrombotic index or clotting in small blood vessels. And after 15 minutes of grounding, all the red blood cells were end to end. Again, this was in several people. It was, I always thought grounding was BS. I don't think it's BS [00:42:00] anymore. So I agree with Jeff Clifton. Okay. So here's the problem.

[00:42:05] There's a divide. A chasm, if you will, between clinicians and personal trainers. So what do you do? This is actually an opportunity. So personal trainers and the gym industry have suffered during the pandemic. Get out there, armed with this information. I'll post the two studies in today's show, download them, take them, use them as you want, reach out to chiropractors and doctors offices.

[00:42:35] Send them these two studies say, Hey, I am, I am a personal trainer. I would love to work with you. You can refer people to me and I will work with them. And on top of that, lay out a plan that shows them that you're not going to have elderly people doing stuff that they shouldn't be doing, like maxing out on deadlifts or something.

[00:42:57] I mean, they could learn to deadlift over a course of a year or two [00:43:00] and gradually build up. Lay out a plan, say, here's what we do. We assess the person's mobility. We assess the person's strength level. We approach it with body weight work first. Then we add resistance bands and then only after the person feels good about it and, and, and, and safe about it.

[00:43:21] Will we then move it to. Uh, free weights or weights or machines, lay out a plan, send it to them. Don't be afraid. Oh, they're going to copy. If I send them this plan, they're just going to use it. They're not going to use it because doctors could be buying books on personal training now and, and having people in their office to do it.

[00:43:39] They don't want it. They don't want the liability of it. They don't want to have it, have to manage it. They don't know anything about it. Lay out a plan, send it to the doctor and. More harm than good. It's supposed to be then. Good. There's a typo there. I'm sorry about that. Um, also, if you have a personal training certificate, send them that too.

[00:43:59] It shows that you're a [00:44:00] professional. We want to go to doctors that have been to medical school and have passed the board exam. Right. So why would a doctor want to recommend somebody who granted maybe a very talented personal trainer, but hasn't invested the money into themselves to be accredited and certified.

[00:44:16] So send them a copy of your, your certification accreditation. And more importantly, don't worry about the gyms, because this is an ideal market for we come to you, personal trainers. You don't need a van, right? You need some, some bands. You maybe need some little, very, very light dumbbell, some very, very light kettlebells, and you can go to them, train in their backyard on the grass like that.

[00:44:42] Even do that with them, take your shoes off, get it in the grass with them. So their ground, tell them the value of grounding, the value of sunlight. Take these people, come to them. They're the prime audience that wants people to come to them and work with them. Turn this into an opportunity. And not only [00:45:00] will you make some money.

[00:45:02] But you'll actually help. Some people who will fall in love with you. They'll love you because after working with you for a couple months, you're going to tell all their friends about how they couldn't get out of the chair. And now they're reaching for things at the top cabinet. Thanks to so, and so you should work with him or work with her.

[00:45:19] There's a real big opportunity here for those who want to step out and do it. Right.

[00:45:26] Ronnie Milo: [00:45:26] I want to add something to that. I live in Florida. Everybody has a pool. You can go into the pool and do a lot of cool stuff with elderly in the pool because it's not impacting on their joints as much. Uh, I know I personally take my kids that, uh, you know, I coach baseball and I stick them in a pool and they tell me that's the hardest work I've ever done.

[00:45:45] But to that point, They have a pool or a community pool, you know, that's, that's a very, very valuable tool to use, uh, you know, uh, water training.

[00:45:56] Carl Lanore: [00:45:56] So there you go. This is taking lemons and turning it into [00:46:00] lemonade. And I hope some of you really grab onto this and do something, not for yourself, but for the people that you'll help.

[00:46:06] That really is the value of this. Okay. We're going to close today's show. We're talking about something that is completely off topic, but I just found out that Ronnie and I share this in background, but when I was a kid, my father was I'm going to use the language. My father mumbled pigeons. Right. We call them pigeon mumblers.

[00:46:23] Right. My father had, uh, had a, um, a cage, if you will. Did you do a pigeon coop on the roof? And we had pigeons and he would exercise them. He had a big, long bamboo pole with a white flag on it. They let them out and he would go circular like this and they would do laps around the building and they had homing pigeons.

[00:46:47] And what they would do is they would go all the way, upstate New York, and they would have a clock. It had a, they would lock it. Hit it and lock it. And then the person at your home base would have a clock. [00:47:00] And when the pigeon arrived, they would hit and they would see who's pigeon got home fastest and we were talking and Ronnie said, yeah, my dad and I, we used to have pigeons too.

[00:47:09] And you think that's, that's just Brooklyn. Cause my Tyson had piglets. Yeah,

[00:47:14] Ronnie Milo: [00:47:14] we still have them. We still have them like that. As a coop in the backyard, we got about 20 birds. We got a mix between homers and tumblers and, uh, we used to raise them when I was a young kid. I actually used to bring them to the school for a show and tell, and then I would show the pigeon off and I would let it go and then fly home.

[00:47:30] Uh, so, uh, I still have them. I still remember when I was a young kid Saturday morning, uh, up on the roof, scraping pigeon poop out of the, out of the, uh, out of the coop. Uh, that's how I learned, uh, earned my allowance, but then also learn how to take care of the birds as well. Uh, but it was very fun. It was very fun.

[00:47:46] Uh, now they have, you know, to your point now they have like these little bands on the bottom of their feet that track them. So once they cross through the pigeon coop, the sensor goes off and then it stops the clock. Wow. Back in the day, they used [00:48:00] to not have that. Yeah. They call it, they call it the poor.

[00:48:02] Man's a horse racing and racing

[00:48:05] Carl Lanore: [00:48:05] and it was very, very competitive. So the reason we got talking about this was we were talking about amino acids, which led us to talking about leucine and how leucine, when you have amino acids, when you're working with amino acids, You could have EAs, you could put them in water to put a blender in there and everything will disappear, but the leucine will float to the top and leucine stinks.

[00:48:30] It smells bad. We were talking about that, right? Yeah. Okay. So I said to Ronnie, I said, um, this is how I found out that his family had pigeons. I said, have you ever smelled a wet chicken or a wet pigeon? And he goes, yeah, what pigeons? And that's how we got on that. I said, think about it. Loosening smells like wet pigeon.

[00:48:51] And he goes, you know, you're right. It's like a cross between a dog's ear and mold smell. Like it's a musty smell. [00:49:00] And I said, you know why that is? Because all the amino acids we take today, come from Avi-on feathers. Which means that the reasons chicken smell the way they do when they're wet, the reasons pigeons smell, the way they do when they're wet is because of the leucine content in their feathers.

[00:49:18] Cause that's what you're smelling. You're smelling the leucine.

[00:49:21] Ronnie Milo: [00:49:21] When I was a kid, I should just took the feathers off the, uh, off the birds and just chewed

[00:49:25] Carl Lanore: [00:49:25] them. Yeah. Except you woulda got avian flu then or something like that. See the, see the useless information you gather from spending time listening to this show.

[00:49:35] Now you can tell people. Leucine smells like that. That's that's the way chicken smell when they're wet because of the leucine. There you go. Great show. Great show. Today was a great show. Hope everybody enjoyed it. Please share the show and those of you out there in the personal training business, I hope you take this information to heart.

[00:49:50] The studies will be up with this show, download them, go walk into a doctor's office and ask to speak to the office manager. [00:50:00] Treat it like you are a rep for a pharmaceutical company and. I have a little packet you could leave behind that shows your certification. That shows the plan that you're going to use with these people.

[00:50:11] And then ask them, say, let me work with some of your patients. I'll promise you. They'll thank you for it. And boom, boom. You've got clients and you can go to their house. You don't have to have a gym or gym. Sorry about that. Ghost in the system, that's it for? Today's show. I hope everybody enjoyed it.

[00:50:31] Shared it prosper from it. And Ronnie, we'll see you soon, brother. I appreciate you have a good week, but, uh, you too, and we'll see everybody I'm off tomorrow. We'll see you Monday. We have a great show planned. Don't forget the [00:51:00] .